tag:blogger.com,1999:blog-5212256837075086932024-03-13T09:37:52.033-07:00MEDICAL PG QUESTIONSUnknownnoreply@blogger.comBlogger39125tag:blogger.com,1999:blog-521225683707508693.post-66962927303874620302012-11-18T08:15:00.000-08:002012-11-18T08:29:10.149-08:00JIPMER 2012 Mch urology <div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">1.which of the following is false about molecular biology ? <br />a. splicing: the removal of introns(spliced out) and the connection of <br />exons(spliced together) in mRNA <br />b. telomere: an essentiall structural molecule of chromosome consisting <br />of repitative noncoding DNA and associated telomere specific <br />binding proteins that cap and stabilise the chromosome <br />c. transcription: synthesis of RNA on DNA template <br />d. transfection: synthesis of proteins from mRNA template <br /><br />2. the charecteristics of synthetic biomaterials used in the reconstruction <br />of genitourinary tract include <br />a. rapidly biodegradable <br />b. greater surface area to volume ratio <br />c. not affected by pore size <br />d. inhibiting tissue fibrous ingrowth <br /><br /><br />3. which of the following is false about bladder pain syndrome(BPS) or <br />Interstitial cystitis? <br />a.female to male ratio 5:1 <br />b.fluctuating course of disease without longterm sequele <br />c. no effect on pregnancy outcome <br />d.the disease seen at younger age in males and hunners ulcer seen more <br />commonly in males <br /><br /><br />4. gerota’s fascia opens <br />a.superiorly <br />b.inferiorly <br />c.medially <br />d.laterally <br /><br />5. seminal vesicles contributes -----% of semen volume? <br />a. 40% <br />b. 30% <br />c. 70% <br />d. 80% <br /><br />6. sex steroids are secreted by which layer of adrenal cotex? <br />a. zona glomerulosa <br />b. zona fasciculate <br />c. zona reticularis <br />d. zona vasculosa <br />7. in prostate glandular volume contributes what % of total volume? <br />a. 30% <br />b.40% <br />c. 60% <br />d. 70% <br /><br />8. renal arteries arises at the level of? <br />a. T12 <br />b. L1 <br />c. L2 <br />d. L3 <br /><br />9.what % of bladder wall is composed of collagen ? <br />a. 50% <br />b. 60% <br />c. 30% <br />d. 20% <br /><br /><br />10. latent pacemaker cells are present in? <br />a. upper ureter <br />b. middle ureter <br />c. lower ureter <br />d. all of the above <br /><br />11. retroperitoneal fibrosis is idiopathic in ? <br />a. 30% <br />b. 50% <br />c. 70% <br />d. 90% <br /><br />12.anti proliferative factor (APF) is a marker of ? <br />a. acute prostatitis <br />b. neurogenic bladder <br />c. interstitial cystitis <br />d. bladder cancer <br /><br />13. the segment of kidney most variable in origin of its blood supply? <br />a. apical <br />b. middle <br />c. lower <br />d. posterior <br /><br />14.intra operatively ureter can be identifided as it enters the pelvis <br />a. at the superior border of sacrum <br />b.at the crossing of uterine artery <br />c. over the common iliac artery where internal iliac artery arises <br />d. at the aortic bifurcation <br /><br /><br />15. following drugs are contraindicated during pregnency except? <br />a.floroquinolones <br />b.cefaclor <br />c. chloramphenicol <br />d. tetracyclins <br /><br />16. a man who is evaluated for sexually transmitted disease <br />(STD) is unlikely to have chlamyda infection if exposure to sexual <br />partener is more than <br />a. 15days <br />b. 30days <br />c. 45days <br />d. 60days <br /><br />17. Reiter’s syndrome includes all except <br />a. prostatitis <br />b. urethritis <br />c. Conjunctivitis <br />d.arthritis <br /><br />18. hematospermia commonly due to <br />a. trauma <br />b. malignancy of seminal vesicles <br />c.tuberculosis of prostate,seminal vesicles <br />d. non specific inflammation of prostate, seminal vesicles <br /><br />19. normal levels of daily protein excretion in adults <br />a. 50 – 80 mg <br />b. 80 –150mg <br />c. 100—200mg <br />d. <50 mg <br /><br />20. which of the following best describes the function of thin descending <br />loop of nephron <br />a. impermeable to water, slightly permeable to Na, Cl <br />b. permeable to water, impermeable to Na, Cl <br />c. impermeable to water, highly permeable to Na, Cl <br />d. impermeable to water and Na , Cl <br /><br />21. which of the following procedure has highest failure rate in the <br />treatment of UPJ obstruction? <br />a. ballon dilatation <br />b. antegrade incision of UPJ <br />c. retrograde laser ureterotomy <br />d. retrograde ureteroscopic incision of UPJ <br /><br />22.true about retrocaval ureter <br />a. it is due to persistence of anterior cardinal vein in the <br />retroperitonium <br />b. “S” shape deformity on retrograde pyelography is diagnostic <br />c. definitive diagnosis can be made by IVU <br />d. surgery is not indicated in all the cases <br /><br />23. false about angiotensinogen <br />a. it is a 452 aminoacid protein <br />b. functions as serine protease inhibitor similar to alfa-1 antitrypsin <br />c. liver is the primary site of storage where it is synthesised <br />d. estrogen and glucocortcoids increases the angiotensinogen levels in <br />the blood <br /><br />24.following reagent is used for the detection of protein on urinary <br />dipstick test? <br />a. peroxidise <br />b. red azo dye <br />c. indoxyl <br />d. tetrabromophenol blue <br /><br />25. stage of CKD when GFR is 26ml/1.73m/min <br />a. stage 2 <br />b. stage 3 <br />c. stage 4 <br />d. stage 5 <br /><br />26. leucocyte esterase test depends on <br />a. double oxidative reaction <br />b.oxidation of diazonium salt by indoxyl <br />c. diazotisation to form red azo dye <br />d. calorimetric reaction with sodium nitroprusside <br /><br />27. SI unit of absorbed dose of radiation? <br />a. gray <br />b. roentgen <br />c. sieverts <br />d. rads <br /><br />28. false about acute interstitial nephritis (AIN) <br />a. clinical picture although variable usually involves abnormal urinary <br />sediment <br />b.renal biopsy is not usually required for the confirmation of diagnosis <br />c.most common cause of granuloma formation is sarcoidosis <br />d. nephrotic range proteinuria is frequently seen in AIN due to <br />NSAID`S <br /><br />29. most commonly used transducer in TRUS <br />a. 2Mhz <br />b. 3Mhz <br />c. 5Mhz <br />d. 7Mhz <br /><br />30.in the treatment of hyperkelemia which of the following doesn`t alter <br />the serum K+ levels <br />a.insulin + glucose <br />b.sodium bicarbonate <br />c.calcium gluconate <br />d.nebulised albuterol <br /><br />31.adult effective dose of radiation who exposed to CT KUB without and <br />with contrast <br />a. < 0.1 msv <br />b. 0.1 to 1 msv <br />c. 1 to 10 msv <br />d. 10 to 100 msv <br /><br />32. following is not a mechanism of action of idiosyncratic anaphylactoid <br />reactions due to intravascular iodinated contrast media <br />a. release of vasoactive substances including histamine <br />b. activation of physiologic cascades including complement, kinin, <br />coagulation, and fibrinolytic systems <br />c. activation of cholinesterase <br />d. patient`s anxiety <br /><br />33. treatment regimen for uncomplicated cystitis in asymptamatic adult <br />women <br />a. 3 days <br />b. 5 days <br />c. 7 days <br />d. 10 days <br /><br />34. which of the following is false when Tc 99-DMSA is used to <br />differentiate hydronephrosis(HDN) from multi cystic kidneys <br />(MCDK) <br />a. MCDK rarely reveals concentration of isotope in the cortex <br />b. HDN rarely excrete the isotope in the collecting system <br />c. MCDK more medial enhancement than periphery <br />d. HDN more peripheral enhancement than medial <br /><br />35. true about JJ stents <br />a. increases ureter peristalisis <br />b. decreases the intra renal pressure <br />c. increases the intra renal pressure <br />d. it provides better drainage than nephrostomy <br /><br /><br />36. Michaelis Gutmann bodies charestrically found in <br />a. xantho granulomatous pyelonephritis <br />b. chlamyda infection <br />c. interstitial cystitis <br />d. renal malakoplakia <br /><br />37. false about spermatocytic seminoma <br />a. contributes < 1 % of testicular tumors <br />b. arises from germcell intra epithelial neoplasia <br />c. commonly seen in the 6th decade <br />d. usually benign, orchiectomy is the treatment of choice <br /><br />38. urethral injuries seen in <br />a. 5% of pelvic# in males <br />b. 10% of pelvic# in males <br />c. 30% of pelvic# in males <br />d. 40% of pelvic# in males <br /><br />39. half life of HCG and AFP respectively <br />a. 24 to 36 hrs, 3 to 7 days <br />b. 24 to 36 hrs , 2 to 3 days <br />c. 5 to 6 hrs, 3 to 5 days <br />d. 2 to 3 hrs , 3 to 7 days <br /><br />40. when compared to silicon, catheters made up of latex are <br />a. less cost <br />b. less tissue reactivity <br />c. less bacterial adherence <br />d. less incidence of UTI <br /><br />41. following is not a relative contraindication of retroperitoneal <br />approach <br />a. previous per cutaneous renal surgery <br />b. previous open renal surgery <br />c. h/o radio therapy <br />d. h/o xantho granulomatous pyelonephritis <br /><br />42. advantages of rigid endoscopes A/E <br />a. larger working channel <br />b. larger lumen allows for improved irrigant flow <br />c. improved image quality due to presence of rod lens system <br />d. ability to deflect the endoscope tip <br /><br />43. following catheter is used during difficult catheterisation in males <br />a. Robison <br />b. Council <br />c. Coude <br />d. Whistle tip <br /><br /><br />44. false about phenylephrine used in the treatment of priapism <br />a. drug of choice for intra corporeal injection <br />b. it is a non selective alfa agonist which acts on alfa receptors <br />c. doesn`t have beta mediated chronotropic, ionotropic effects <br />d. is diluted to 200 micro grams per ml and given as 0.5ml to 1ml <br /><br />45. following is not used for the treatment of pyronies disease <br />a. carnitin <br />b. intralesional verapamil <br />c. extra corporial shockwave therapy <br />d. radiation therapy <br /><br />46. other name for “sertolicell only syndrome” <br />a. hypospermatogenesis <br />b. maturation arrest <br />c. germinal cell aplasia <br />d. endstage testis <br /><br />47. which of the following disease doesn`t recurr after renal <br />transplantation <br />a. FSGS <br />b. HUS <br />c. ADPKD <br />d. Primary oxaluria <br /><br />48. not a absolute indication of renal exploration after trauma <br />a. hemodynamic instability with shock <br />b. expanding, pulsatile renal hematoma <br />c. suspected renal pedicle avulsion <br />d. non viable tissue <br /><br />49. false about medial fibroplasia <br />a. most common fibroplasia constituting 30 to 40% of fibrous <br />lesions <br />b. occurs in women between 35 to 50y of age <br />c. often involves both renal arteries <br />d. none of the above <br /><br />50. following immunosuppressant causes diabetes <br />a. mycophenolate mofetil <br />b. cyclosporine <br />c. sirolimus <br />d. azathiopine <br /><br />51. grade of injury when ureter transection is <50% following truma <br />a. grade 1 <br />b. grade 2 <br />c. grade 3 <br />d. grade 4 <br /><br />52. postoperative IV fluid of choice after renal transplantation <br />a. 0.25% NaCl <br />b. 0.45% NaCl <br />c. 0.9% NaCl <br />d. 3% NaCl <br /><br />53. after transplantation the minimum duration after which couple is advised to plan for pregnancy <br />a. 3m <br />b. 6m <br />c. 12m <br />d. 24m <br /><br />54. drug which decreases the levels of cyclosporine in the blood <br />a. refampicine <br />b. phenobarbitone <br />c. ketoconazole <br />d. phenytoin <br /><br />55. regarding fertility after transplantation all of the following true except <br />a. after successful kidney transplantation, levels of FSH, LH, <br />testosterone usually becomes normal and spermatogenesis <br />improves <br />b. among male recipients who have fathered children, there has <br />been increase in congenital abnormalities in the offspring <br />c. impregnation be delayed atleast 1y after transplantation <br />d. successful renal transplantation usually restores fertility in <br />premenopausal women <br /><br />56. false about renal artery stenosis after renal transplantation <br />a. it can be due to atheroma or faulty suture technique <br />b. can present with impaired renal function <br />c. finding of bruit over the kidney graft is a reliable <br />sign of diagnosis <br />d. percutaneous transluminal angioplasty is the intial treatment <br />of choice <br /><br />57. one French (1F) equals to <br />a. 0.33mm in circumference <br />b. 3.3mm in circumference <br />c. 0.33mm in diameter <br />d. 3.3mm in diameter <br /><br />58. most common cause of gross hematuria in >50y male <br />a. RCC <br />b. Ca bladder <br />c. Ca prostate <br />d. Hypercalciuria <br /><br />59. hypomagnesuric urolithiasis caused by A/E <br />a. laxative abuse <br />b. inflammatory bowel disease <br />c. chronic thiazide therapy <br />d. chronic citrate therapy <br /><br />60. false about cystinuria <br />a. is caused by autosomal recessive error of transepithelial transport involving intestine and kidneys <br />b. crystallization occurs when excreted concentration is above <br />250mg / L <br />c. relatively more radio opaque and diagnosed on plane xray <br />d. staghorn calculi or multiple, filled calyces are common <br /><br />61. false about pregnancy associated hydronephrosis <br />a. commonly starts from 2nd trimester <br />b. usually resolves within one month following delivery <br />c. left side is more common than right side <br />d. ureter dialatation doesn`t extend below pelvic brim <br /><br />62. the wavelength of Ho-YAG laser <br />a. 1060nm <br />b. 2100nm <br />c. 520nm <br />d. 10600nm <br /><br />63. incidence of primary bladder calculi is highest during <br />a. 1st decade <br />b. 2nd decade <br />c. 3rd decade <br />d. 4th decade <br /><br />64. mineralogical name for calcium oxalate monohydrate <br />a. whewellite <br />b. weddellite <br />c. brushite <br />d. whitlockite <br /><br />65. microscopic appearance of cystine calculi <br />a. hexagonal <br />b. envelope shaped <br />c. hourglass <br />d. rectangular <br /><br />66. not a cause of aquired renal tubular acidosis <br />a. obstructive uropathy <br />b. idiopathic hyper calciuria <br />c. cystinuria <br />d. recurrent pyelonephritis <br /><br />67. which of the following is not a poor prognostic factor for metastatic RCC <br />a. karnofsky performance score <80% <br />b. elevated lactate dehydrogenase(>1.5 times upper limit of normal) <br />c. elevated corrected calcium (>10mg/dL) <br />d. prior nephrectomy status <br /><br />68. true about recurrence after partial nephrectomy for RCC <br />a. incidence is 30 to 50% <br />b. most commonly seen in tumor bed <br />c. commonly due to persistence of the tumor <br />d. thermal ablation is a treatment option <br /><br />69. most common cyst from which adrenocortical carcinoma arises? <br />a. endothelial <br />b. epithelial <br />c. pseudocyst <br />d. parasitic <br /><br />70. most common primary urethral calculi? <br />a. ca oxalate <br />b. ca phosphate <br />c. uricacid <br />d. magnesium ammonium phosphate <br /><br />71. halflife of dapoxetene? <br />a. 45mins <br />b. 1.5hrs <br />c. 2hrs <br />d. 4hrs <br /><br />72. infection calculi most commonly caused by? <br />a. E coli <br />b. Pseudomonas <br />c. Proteus <br />d. Staphylococcus <br /><br />73. following is not a feature of Hinman Syndome <br />a. incontinence <br />b. recurrent UTI <br />c. incomplete emptying <br />d. hematuria <br /><br />74. according to AMID classification type 1 synthetic mesh <br />a. poresize 30 to 50 mm <br />b. poresize 50 to 75mm <br />c. submicronic pore size <br />d. poresize > 75 mm <br /><br /><br /><br />75. for following reasons vaginal approach is preffered over <br />abdominal for bladder neck closure except <br />a. prior pelvic surgery <br />b. prior pelvic radiotherapy <br />c. when martius flap is used <br />d. greater flexibility of lower limbs <br /><br />76. false about Fowler Syndrome <br />a. abdominal distention <br />b. no sensation <br />c. increased bladder capacity >1 L <br />d. feeling of urgency <br /><br /><br />77. false regarding the outcome following revascularisation of <br />atherosclerotic renal artery disease <br />a. outcome is similar irrespective of pre op serum cr leveles <br />b. outcome is good when there is deterioration in the renal function where angiotensin receptor blockers are used to <br />controle HTN <br />c. preop kidney size >9cm good outcome <br />d. B/L renal artery stenosis good outcome <br /><br /><br />78. false about primary hyperoxluria <br />a. type 1 is most common and due to deficiency of alanin/glyoxalate aminotransferase enzyme <br />b. type 2 is due to deficiency of glyoxalate reductase/hydroxypyruvate reductase <br />c. urinary oxalate levels increased without increase in serum levels <br />d. without treatment death is common before 20y of age <br /><br />79. most important pathogenitic mechanism of uricacid stones <br />a.dcreased urinary pH <br />b.low urine volume <br />c. hyper uricosuria <br />d. hyper calciuria <br /><br />80. most common cause of ureterocolic fistula <br />a. extensive local colonic malignancy <br />b. diverticulitis <br />c. chrons disease <br />d. radiotherapy <br /><br />81. following is not a feature of Gouverneur Syndrome <br />a. frequency <br />b. dysuria <br />c. hesitancy <br />d. tenismus <br /><br />82. incidence of unilateral renal agenisis <br />a. 1/1100 <br />b. 1/2200 <br />c. 1/1600 <br />d. 1/450 <br /><br />83. true among the following <br />a. most of the urinary oxalate derived from dietary sources <br />b. severe calcium restriction leads to enteric hyperoxaluria <br />c. oral oxalate restriction is the treatment of primay hyperoxaluria <br />d. [snip]% of oxalate is ultrafilterable and reabsorption is negligible <br /><br />84. false regarding stones during pregnancy <br />a. age adjusted incidence of stones is similar in multiparous and primapara women <br />b. incidence is similar in pregnancy and non pregnancy states <br />c. incidence is more on Lt side than Rt side <br />d. ureteric stones twice common than renal stones <br /><br />85. prostate volume highly correlates with <br />a. PSA <br />b. Urine flow rate <br />c. Post void residual volume <br />d. histological grade <br /><br />86. in a postmenopausal women with T2 bladder ca planned for <br />surgery. Which of the following structure is not removed <br />a. ovaries <br />b. uterus <br />c. vagina <br />d. all of the above <br /><br />87. true physical restriction of ureter is seen at <br />a. UPJ <br />b. UVJ <br />c. at the crossing of gonadal vessels <br />d. where ureter crosses iliac vessels <br /><br />88.reflux of urine into non dilated ureter, pelvis corresponds to VUR <br />a. grade 2 <br />b. grade 3 <br />c. grade 4 <br />d. grade 5 <br /><br /><br />89. cremasteric artery is a branch of <br />a. internal pudendal <br />b. obturator <br />c. inferior epigastric <br />d. external iliac <br />90. true about triangulation technique used during percutaneous <br />access to upper collecting system <br />a. ability to maintain both the medio-lateral, cephalo-caudal planes as <br />in the `eye-of-the needle` technique <br />b. ability to moniter the depth of the needle continuously <br />c. typically 21-gauge needle is used to maintain the angle of entry <br />d. can be used to place the needle at any location and angle <br /><br />91. false about klinefelter syndrome <br />a. enuchoidism <br />b. gynecoomastia <br />c. azoospermia <br />d. decreased gonadotrophin levels <br /><br />92. inner most covering of testis <br />a. tunica albugenia <br />b. tunica vasculosa <br />c. tunica vaginalis <br />c. cremasteric fascia <br /><br />93. mechanism of absorption of Hco3- in PCT <br />a. active diffusion <br />b. action of carbonic anhydrase <br />c. passive diffusion <br />d. no absorption in PCT <br /><br />94. transverse plication of redundant ureter <br />a. kalisinki plication <br />b. starr plication <br />c. polatino – lead better method <br />d. hendren plication <br /><br />95 medullary sponge kidney true <br />a. common in male stone formers than female <br />b. is a rare cause of hypercalciuria <br />c. is a rare cause of hypertension <br />d. is heritable <br /><br />96. persistence of hydronephrosis in immediate postop period after surgical correction of VUR is commonly due to <br />a. UPJO <br />b. UVJO <br />c. non obstructive hydronephrosis <br />d. infravesical obstruction <br /><br /><br /><br /><br /><br /><br />97. most common crossed renal ectopia <br />a. crossed renal ectopia without fusion <br />b. crossed renal ectopia with superior fusion <br />c. crossed renal ectopia with inferior fusion <br />d. solitary crossed renal ectopia <br /><br />98. true about thoracic kidney <br />a. most commonly associated with diaphragmatic hernia <br />b. renal arteries commonly derived from thoracic aorta <br />c. renal rotation is usually complete <br />d. frequently associated with ascent of other intra abdominal structures <br /><br />99.following is true regarding the prenatal ultrasonography of <br />renal cysts <br />a. multiple microcysts usually visualised as diffuse hypoechogenic <br />kidney <br />b. multiple renal cysts are usually communicating <br />c. a cyst in the upper pole of kidney is usually a dilated upper pole of duplex kidney <br />d. presence of central large cyst is charecterestic of MCDK <br /><br /><br />100. after ureteroneocystostomy for correction of VUR <br />a. early refux is common <br />b. contralateral reflux is more common than ipsilateral <br />c. early reflux spontaneously resolves by 1yr <br />d. persistence of reflux at 1yr doesn`t correlates with preop grade of reflux</span><o:p></o:p></div>
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Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-521225683707508693.post-88563456635438232752012-09-19T10:13:00.000-07:002013-07-20T09:09:29.775-07:00SVIMS 2012 Mch UROLOGY<div dir="ltr" style="text-align: left;" trbidi="on">
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<span class="postbody"><span style="font-family: "Times New Roman","serif";">1. the fine longitudinal smooth muscle fibers of ureter extending from ureteric orifices to internal urethral meatus </span></span><span style="font-family: "Times New Roman","serif";"><br /><span class="postbody">a. mercier bar </span><br /><span class="postbody">b. bell muscle </span><br /><span class="postbody">c verumontanum </span><br /><span class="postbody">d. internal sphincter </span><br /><br /><span class="postbody">2. deep layer of trigone is formed by </span><br /><span class="postbody">a. longitudinal muscle of ureter </span><br /><span class="postbody">b. waldeyer sheath </span><br /><span class="postbody">c. outer longitudinal muscle of bladder </span><br /><span class="postbody">d. inner circular muscle of bladder </span><br /><br /><span class="postbody">3. the structures seen at renal hilum from anterior to posterior </span><br /><span class="postbody">a. renal artery, renal pelvis, renal vein </span><br /><span class="postbody">b. renal artery, renal vein , renal pelvis </span><br /><span class="postbody">c. renal pelvis, renal vein, renal artery </span><br /><span class="postbody">d. renal pelvis, renal artery, renal vein </span><br /><br /><span class="postbody">4. somatic innervation to the testis is provided by </span><br /><span class="postbody">a. ilioinguinal nerve </span><br /><span class="postbody">b. genital branch of genitofemoral nerve </span><br /><span class="postbody">c. perineal branch of pudendal nerve </span><br /><span class="postbody">d. none of the above </span><br /><br /><span class="postbody">5. obstruction of calculus most common location </span><br /><span class="postbody">a. UPJ </span><br /><span class="postbody">b. UVJ </span><br /><span class="postbody">c. crossing of gonadal artery </span><br /><span class="postbody">d. at the crossing of iliac vessels </span><br /><span class="postbody">6. Tyson glands location? </span><br /><span class="postbody">a. external urethral meatus </span><br /><span class="postbody">b. internal urethral meatus </span><br /><span class="postbody">c. frenulum </span><br /><span class="postbody">d. membranous urethra </span><br /><br /><span class="postbody">7. largest glandular zone in prostate </span><br /><span class="postbody">a. peripheral </span><br /><span class="postbody">b. central </span><br /><span class="postbody">c. transition </span><br /><span class="postbody">d. periurethral </span><br /><span class="postbody">8. gustov simon performed nephrectomy through which incision? </span><br /><span class="postbody">a. posterior </span><br /><span class="postbody">b. lumbar </span><br /><span class="postbody">c. thoraco abdominal </span><br /><span class="postbody">d. midline </span><br /><br /><span class="postbody">9. meaning of “like a fall of leaf from tree” </span><br /><span class="postbody">a. gonorrhea </span><br /><span class="postbody">b. apoptosis </span><br /><span class="postbody">c. necrosis </span><br /><span class="postbody">d. ischemia </span><br /><br /><span class="postbody">10. ‘glitter cells’ are </span><br /><span class="postbody">a. old leucocytes </span><br /><span class="postbody">b. oval fat macrophages </span><br /><span class="postbody">c. deformed RBC`S </span><br /><span class="postbody">d. freash leucocytes </span><br /><br /><span class="postbody">11. best investigation to measure for GFR </span><br /><span class="postbody">a. Tc 99 DMSA </span><br /><span class="postbody">b. Tc 99 DTPA </span><br /><span class="postbody">c. Sr Creatinine </span><br /><span class="postbody">d. IVP </span><br /><br /><span class="postbody">12. best investigation for visualisation of renal cortical scar </span><br /><span class="postbody">a. Tc 99 DMSA </span><br /><span class="postbody">b. Tc 99 DTPA </span><br /><span class="postbody">c. IVP </span><br /><span class="postbody">d. USG </span><br /><br /><span class="postbody">13. first line investigation for a patient presenting with renal colic </span><br /><span class="postbody">a. USG </span><br /><span class="postbody">b. IVP </span><br /><span class="postbody">c. CT scan abdomen </span><br /><span class="postbody">d. MR urogram </span><br /><br /><span class="postbody">14. 1F (french) equals to </span><br /><span class="postbody">a. 0.33mm in circumference </span><br /><span class="postbody">b. 3.3mm in circumference </span><br /><span class="postbody">c. 0.33mm in diameter </span><br /><span class="postbody">d. 3.3mm in diameter </span><br /><br /><span class="postbody">15. a 44y old patient presented with right loin pain, fever with chills, on USG dilated collecting system, next step in the management includes </span><br /><span class="postbody">a. retrograde stenting </span><br /><span class="postbody">b. PCN </span><br /><span class="postbody">c. broad spectrum antbiotics </span><br /><span class="postbody">d. observation </span><br /><br /><br /><span class="postbody">16. at what age men will have more UTI than girls </span><br /><span class="postbody">a. <1yr </span><br /><span class="postbody">b. <2yr </span><br /><span class="postbody">c. after 15yrs </span><br /><span class="postbody">d. after 50yrs </span><br /><br /><span class="postbody">17. in dysuric females significant bacteruria is defined as when colony count is more than </span><br /><span class="postbody">a. 100/ml </span><br /><span class="postbody">b. 1000/ml </span><br /><span class="postbody">c. 10000/ml </span><br /><span class="postbody">d. 100000/ml </span><br /><br /><span class="postbody">18. largest epithelial cell in the body is present in </span><br /><span class="postbody">a. kidney </span><br /><span class="postbody">b. bladder </span><br /><span class="postbody">c. prostate </span><br /><span class="postbody">d. urethra </span><br /><br /><span class="postbody">19. false regarding emphysematous pyelonephritis </span><br /><span class="postbody">a. caused by clostridium welchii </span><br /><span class="postbody">b. not seen in type1 diabetics. </span><br /><span class="postbody">c. H2 ,Co2 gases are formed </span><br /><span class="postbody">d. Obstruction is present in 25% of cases </span><br /><br /><span class="postbody">20. following is not a factor in the etiology of XGP </span><br /><span class="postbody">a. nephrolithiasis </span><br /><span class="postbody">b. obstruction </span><br /><span class="postbody">c. infection </span><br /><span class="postbody">d. immunodeficiency </span><br /><br /><span class="postbody">21. false about TB epididymitis </span><br /><span class="postbody">a. usually aquired through spread from vas diference </span><br /><span class="postbody">b. presents with acute scrotum </span><br /><span class="postbody">c. diagnosis is by culture of sinus discharge </span><br /><span class="postbody">d. not a primary site of genitor urinary tract TB </span><br /><br /><span class="postbody">22. after ilio ingunal node dissection the area covered by </span><br /><span class="postbody">a. Adductor longus </span><br /><span class="postbody">b. Sartorius </span><br /><span class="postbody">c. Posterior thigh flap </span><br /><span class="postbody">d. Gracilis </span><br /><br /><span class="postbody">23. distal urethral ca in males best managed by </span><br /><span class="postbody">a. partial penectomy </span><br /><span class="postbody">b. urethroscopic resection </span><br /><span class="postbody">c. radiotherapy </span><br /><span class="postbody">d. resection by laser </span><br /><br /><br /><br /><span class="postbody">24. most common endocrine abnormality in infertility evaluation of males </span><br /><span class="postbody">a. decreased testosterone </span><br /><span class="postbody">b. increased FSH </span><br /><span class="postbody">c. decreased FSH </span><br /><span class="postbody">d. decreased testosterone and decreased FSH </span><br /><br /><span class="postbody">25. a 35yr old patient presented to infertility clinic, on genital examination testis is normal, semen analysis shows azoospermia, on hormonal evaluation FSH levels are normal. next step in the evaluation includes, </span><br /><span class="postbody">a. vasography </span><br /><span class="postbody">b. TRUS </span><br /><span class="postbody">c. Testis biopsy </span><br /><span class="postbody">d. CFTR testing </span><br /><br /><span class="postbody">26. good prognostic factor for vasovasostomy </span><br /><span class="postbody">a. small soft testis </span><br /><span class="postbody">b. presence of sperm granuloma </span><br /><span class="postbody">c. abscent scrotal straight vas </span><br /><span class="postbody">d. on aspiration thick, white, toothpaste like vassal fluid </span><br /><br /><span class="postbody">27. complete absence of semen in ejaculate is called as </span><br /><span class="postbody">a. azoospermia </span><br /><span class="postbody">b. asthenospermia </span><br /><span class="postbody">c. aspermia </span><br /><span class="postbody">d. teratospermia </span><br /><br /><span class="postbody">28. a patient presented with acidic semen ,low volume ejaculate, absent fructose, diagnosis </span><br /><span class="postbody">a. obstruction of vas </span><br /><span class="postbody">b. testicular atrophy </span><br /><span class="postbody">c. epididymal obstruction </span><br /><span class="postbody">d. EJDO </span><br /><br /><span class="postbody">29. abscent vas is commonly associated with </span><br /><span class="postbody">a. abscent testis </span><br /><span class="postbody">b. renal agenesis </span><br /><span class="postbody">c. cryptorchidism </span><br /><span class="postbody">d. horseshoe kidney </span><br /><br /><span class="postbody">30. first sign of puberty growth in males </span><br /><span class="postbody">a. appearance of pubic hair </span><br /><span class="postbody">b. breast enlargement </span><br /><span class="postbody">c. lengthening of penis </span><br /><span class="postbody">d. enlargement of testis </span><br /><br /><span class="postbody">31. absolute contraindication for the use of PDEI </span><br /><span class="postbody">a. h/o coronary artery disease </span><br /><span class="postbody">b. h/o hypertension </span><br /><span class="postbody">c. present congestive heart failure </span><br /><span class="postbody">d. present use of nitrates </span><br /><br /><span class="postbody">32. frontline investigation for vascular erectile dysfunction </span><br /><span class="postbody">a. duplex USG </span><br /><span class="postbody">b. combined intracavernous injection and stimulation </span><br /><span class="postbody">c. dynamic infusion cavernosography </span><br /><span class="postbody">d. pudendal artery angiography </span><br /><br /><span class="postbody">33. high flow priapism is commonly caused by </span><br /><span class="postbody">a. trauma </span><br /><span class="postbody">b. sickle cell disease </span><br /><span class="postbody">c. antihypertensive drugs </span><br /><span class="postbody">d. idiopathic </span><br /><br /><span class="postbody">34. egg plant deformity is seen in </span><br /><span class="postbody">a. pyronies disease </span><br /><span class="postbody">b. # penis </span><br /><span class="postbody">c. Rupture of urethra </span><br /><span class="postbody">d. Priapism </span><br /><br /><span class="postbody">35. kidney size is decreased in all except </span><br /><span class="postbody">a. diabetes mellitus </span><br /><span class="postbody">b. renal artery stenosis </span><br /><span class="postbody">c. MCDK </span><br /><span class="postbody">d. Hypoplasia </span><br /><br /><span class="postbody">36. how much % of normal GFR is regained after unilateral nephrectomy </span><br /><span class="postbody">a. 10 to 20% </span><br /><span class="postbody">b. 20 to 30% </span><br /><span class="postbody">c. 30 to 50% </span><br /><span class="postbody">d. 70 to 80% </span><br /><br /><span class="postbody">37. a 7yr old child with stenosis at PUJ undergone open pyeloplasty . after 1yr he developed stricture at the same site. Now he is best managed by </span><br /><span class="postbody">a. endopyelotomy </span><br /><span class="postbody">b. laproscopic pyeloplasty </span><br /><span class="postbody">c. open pyeloplasty </span><br /><span class="postbody">d. nephrectomy </span><br /><br /><span class="postbody">38. 1cm bulbar urethral stricture after truma best managed by </span><br /><span class="postbody">a. anastomotic urethroplasty </span><br /><span class="postbody">b. VIU </span><br /><span class="postbody">c. laser incision of the stricture </span><br /><span class="postbody">d. gradual dilatation </span><br /><br /><span class="postbody">39. which of the following disease commonly recurres after renal transplantation </span><br /><span class="postbody">a. ADPKD </span><br /><span class="postbody">b. alport syndrome </span><br /><span class="postbody">c. primary oxaluria </span><br /><span class="postbody">d. renal dysplasia </span><br /><br /><br /><span class="postbody">40. RCC most commonly seen in </span><br /><span class="postbody">a. VHL syndrome </span><br /><span class="postbody">b. tuberous sclerosis </span><br /><span class="postbody">c. aquired renal cystic disease </span><br /><span class="postbody">d. birt hugh dube syndrome </span><br /><br /><span class="postbody">41. Balkan nephropathy commonly causes </span><br /><span class="postbody">a. RCC </span><br /><span class="postbody">b. ureter tumors </span><br /><span class="postbody">c. bladder ca </span><br /><span class="postbody">d. prostate ca </span><br /><br /><span class="postbody">42. nitric oxide precursor </span><br /><span class="postbody">a. arginine </span><br /><span class="postbody">b. citrulin </span><br /><span class="postbody">c. N2O </span><br /><span class="postbody">d. arachidonic acid </span><br /><br /><span class="postbody">43. in pheochromocytoma ‘30% tumor’ applies to </span><br /><span class="postbody">a. adults. </span><br /><span class="postbody">b. children. </span><br /><span class="postbody">c. elderly </span><br /><span class="postbody">d. females </span><br /><br /><span class="postbody">44. predominant muscurinic receptors mediating contraction of bladder </span><br /><span class="postbody">a. M1 </span><br /><span class="postbody">b. M2 </span><br /><span class="postbody">c. M3 </span><br /><span class="postbody">d. M4 </span><br /><br /><br /><span class="postbody">45. decreased compliance of the bladder seen in all except </span><br /><span class="postbody">a. neurogenic bladder </span><br /><span class="postbody">b. diabetes mellitus </span><br /><span class="postbody">c. BOO </span><br /><span class="postbody">d. PUV </span><br /><br /><span class="postbody">46. a 36y old male came with recurrent voiding dysfunction.cystoscpy, clinical examination are normal ,no h/o fever, trauma, probable diagnosis is </span><br /><span class="postbody">a. bladder neck dysfunction </span><br /><span class="postbody">b. neurogenic bladder </span><br /><span class="postbody">c. ectopic ureter </span><br /><span class="postbody">d. fowler syndrome </span><br /><br /><span class="postbody">47. Vincent curtsy sign is seen in </span><br /><span class="postbody">a. hypocontractile bladder </span><br /><span class="postbody">b. hyper contractile bladder. </span><br /><span class="postbody">c. hinman syndrome </span><br /><span class="postbody">d. prune belly syndrome </span><br /><br /><span class="postbody">48. UMN/LMN lesions of bladder can be differentiated by </span><br /><span class="postbody">a. bethenichol test </span><br /><span class="postbody">b. ice water test </span><br /><span class="postbody">c. potassium sensitivity test </span><br /><span class="postbody">d. cystoscopy </span><br /><br /><span class="postbody">49. normal voiding pressure in males </span><br /><span class="postbody">a. 10-20cm H20 </span><br /><span class="postbody">b. 20-30cm H2O </span><br /><span class="postbody">c. 40-60cm H2O </span><br /><span class="postbody">d. 60-80cm H2O </span><br /><br /><span class="postbody">50. CIC is first invented by </span><br /><span class="postbody">a. lapides </span><br /><span class="postbody">b. bradly </span><br /><span class="postbody">c. michell </span><br /><span class="postbody">d. demochowski </span><br /><br /><span class="postbody">51. a female patient with h/o radiotherapy for carcinoma cervix is c/o incontinence with cough, the type of SUI she had </span><br /><span class="postbody">a. TYPE I </span><br /><span class="postbody">b. TYPE II </span><br /><span class="postbody">c TYPE III </span><br /><span class="postbody">d. TYPE IV </span><br /><br /><span class="postbody">52. malignancy in bladder diverticulum doesn’t hav stage </span><br /><span class="postbody">a. T1 </span><br /><span class="postbody">b. T2 </span><br /><span class="postbody">c. T3 </span><br /><span class="postbody">d. T4 </span><br /><br /><span class="postbody">53. intravesical BCG therapy is indicated in all exept </span><br /><span class="postbody">a. cis </span><br /><span class="postbody">b. multifocal ca </span><br /><span class="postbody">c. diffuse ca </span><br /><span class="postbody">d. invasive ca </span><br /><br /><span class="postbody">54. most common cause of surgical ureteric injury </span><br /><span class="postbody">a. open abdominal hysterectomy </span><br /><span class="postbody">b. laproscopic hysterectomy </span><br /><span class="postbody">c. LSCS </span><br /><span class="postbody">d. vaginal hysterectomy </span><br /><br /><span class="postbody">55. most common cause of VVF in developing countries </span><br /><span class="postbody">a. surgical injury </span><br /><span class="postbody">b. radiotherapy </span><br /><span class="postbody">c. malignancy </span><br /><span class="postbody">d. obstetric trauma </span><br /><br /><span class="postbody">56. hyper parathyroidism causes which type of hypercalciuria </span><br /><span class="postbody">a. type1 absorptive </span><br /><span class="postbody">b. type2 absorptive </span><br /><span class="postbody">c. resorptive </span><br /><span class="postbody">d. renal leak </span><br /><br /><span class="postbody">57. all of the following stones formed in acidic urine exept </span><br /><span class="postbody">a. ca oxalate </span><br /><span class="postbody">b. uric acid </span><br /><span class="postbody">c. cystine </span><br /><span class="postbody">d. phosphate </span><br /><br /><span class="postbody">58. which of the following is not a indication of treatment of asymptomatic 4mm calyceal stone </span><br /><span class="postbody">a. pt with solitary kidney </span><br /><span class="postbody">b. women considering pregnancy </span><br /><span class="postbody">c. when the pt is a pilot </span><br /><span class="postbody">d. elderly pts </span><br /><br /><span class="postbody">59. following stones difficult to fragment by ESWL except </span><br /><span class="postbody">a. uricacid </span><br /><span class="postbody">b. ca oxalate monohydrate </span><br /><span class="postbody">c. cystine </span><br /><span class="postbody">d. brushite </span><br /><br /><span class="postbody">61. following lithotripsy has narrowest safety margin </span><br /><span class="postbody">a. EHL </span><br /><span class="postbody">b. LASER </span><br /><span class="postbody">c. Ballistic </span><br /><span class="postbody">d. Ultrasonic </span><br /><br /><span class="postbody">62. infection stones commonly caused by all exept </span><br /><span class="postbody">a. Proteus </span><br /><span class="postbody">b. Serretia. </span><br /><span class="postbody">c. Klebsiella </span><br /><span class="postbody">d. Ecoli </span><br /><br /><span class="postbody">63. after enterocystoplasty which of the following segment of bowel doesn’t cause metabolic acidosis </span><br /><span class="postbody">a. Stomach </span><br /><span class="postbody">b. Ileum </span><br /><span class="postbody">c. Jejunum </span><br /><span class="postbody">d. Sigmoid colon </span><br /><br /><span class="postbody">64. best position for per rectal examination of prostate </span><br /><span class="postbody">a. supine </span><br /><span class="postbody">b. prone </span><br /><span class="postbody">c. left lateral </span><br /><span class="postbody">d. knee/elbow </span><br /><br /><span class="postbody">65. 5-alpha reductase is not necessary for the development of </span><br /><span class="postbody">a. Acne </span><br /><span class="postbody">b. Hirsutism </span><br /><span class="postbody">c. BPH </span><br /><span class="postbody">d. Seminal vesicles </span><br /><br /><span class="postbody">66. hormone neccessary for the development of external genitalia </span><br /><span class="postbody">a. DHT </span><br /><span class="postbody">b. Testosterone </span><br /><span class="postbody">c. LH </span><br /><span class="postbody">d. GnRH </span><br /><br /><span class="postbody">67. which of the following is not a wolfian duct derivative </span><br /><span class="postbody">a. vas diference </span><br /><span class="postbody">b. epoopheron </span><br /><span class="postbody">c. prostatic utricle </span><br /><span class="postbody">d. gartner`s duct </span><br /><br /><span class="postbody">68. which of the following not a indication of BPH surgery </span><br /><span class="postbody">a. PVR >150ml </span><br /><span class="postbody">b. Recurrent UTI </span><br /><span class="postbody">c. Bladder stones </span><br /><span class="postbody">d. Recurrent hematuria </span><br /><br /><span class="postbody">69. during prostatectomy cavernosal nerves most likely to be damaged at </span><br /><span class="postbody">a. base </span><br /><span class="postbody">b. sides </span><br /><span class="postbody">c. apex </span><br /><span class="postbody">d. bladder neck </span><br /><br /><span class="postbody">70. 5 bacteria / HPF equals to </span><br /><span class="postbody">a. 100/ml </span><br /><span class="postbody">b. 1000/ml </span><br /><span class="postbody">c. 10000/ml </span><br /><span class="postbody">d. 100000/ ml </span><br /><br /><span class="postbody">71. how much % of early ca prostate patients have PSA values < 4ng/ml </span><br /><span class="postbody">a. 0 </span><br /><span class="postbody">b. 15 </span><br /><span class="postbody">c. 30 </span><br /><span class="postbody">d. 60 </span><br /><br /><span class="postbody">72. after microsurgical inguinal dissection for varicocele the veins remained are </span><br /><span class="postbody">a. Pampiniform </span><br /><span class="postbody">b. Cremateric </span><br /><span class="postbody">c. Vasal </span><br /><span class="postbody">d. Testicular </span><br /><br /><br /><span class="postbody">73. a patient presented with LUTS, on examination there is 120g prostate and a 4cm bladder calculus. management of choice includes </span><br /><span class="postbody">a. open supra pubic prostatectomy </span><br /><span class="postbody">b. open retropubic prostatectomy </span><br /><span class="postbody">c. TURP </span><br /><span class="postbody">d. Perineal prostatectomy </span><br /><br /><span class="postbody">74. false regarding ARPKD </span><br /><span class="postbody">a. due to mutation in chromosome 6 </span><br /><span class="postbody">b. autosomal recessive mode of inheretence </span><br /><span class="postbody">c. presence of hepatic fibrosis </span><br /><span class="postbody">d. multiple cysts visualized on USG </span><br /><br /><span class="postbody">75. most common malignancy arising from bladder diverticula </span><br /><span class="postbody">a. TCC </span><br /><span class="postbody">b. SCC </span><br /><span class="postbody">c. Adeno carcinoma </span><br /><span class="postbody">d. Sarcoma </span><br /><br /><span class="postbody">76. a patient taking finasteride since 12months . now the PSA value is 7, what could be the PSA levels before starting this drug </span><br /><span class="postbody">a. 3.5 </span><br /><span class="postbody">b. 14 </span><br /><span class="postbody">c. 21 </span><br /><span class="postbody">d. 49 </span><br /><br /><span class="postbody">77. horse shoe kidney most commonly associated with </span><br /><span class="postbody">a. Trisomy 18 </span><br /><span class="postbody">b. Turner`s syndrome </span><br /><span class="postbody">c. MRHK syndrome </span><br /><span class="postbody">d. Tuberous sclerosis </span><br /><br /><span class="postbody">78. most common histology of posterior urethral ca in females </span><br /><span class="postbody">a. SCC </span><br /><span class="postbody">b. TCC </span><br /><span class="postbody">c. Adeno ca </span><br /><span class="postbody">d. Verrucous ca </span><br /><br /><span class="postbody">79. management of inguinal region in a patient with ca penis, T1G1 tumor and clinically negative nodes </span><br /><span class="postbody">a. ilioinguinal node dissection </span><br /><span class="postbody">b. modified inguinal node dissection </span><br /><span class="postbody">c. SLNB </span><br /><span class="postbody">d. Observation </span><br /><br /><span class="postbody">80. verrucous ca of penis caused by which HPV types </span><br /><span class="postbody">a. 6, 11 </span><br /><span class="postbody">b. 16, 18 </span><br /><span class="postbody">c. 31, 33 </span><br /><span class="postbody">d. 40, 45 </span><br /><br /><span class="postbody">81. FLOWER OF BOUQUET appearance on IVP is seen in </span><br /><span class="postbody">a. medullary cystic disease </span><br /><span class="postbody">b. multicystic dysplastic kidney </span><br /><span class="postbody">c. medullary sponge kidney </span><br /><span class="postbody">d. multilocular cyst </span><br /><br /><span class="postbody">82. subcapsular hemorrhage with associated hypertension seen in </span><br /><span class="postbody">a. ASK-UPMARK kidney </span><br /><span class="postbody">b. LUMP kidney </span><br /><span class="postbody">c. `S` shape kidney </span><br /><span class="postbody">d. PAGE kidney </span><br /><br /><span class="postbody">83. retrograde ejaculation commonly seen with </span><br /><span class="postbody">a. tamsulosin </span><br /><span class="postbody">b. terazocine </span><br /><span class="postbody">c. doxazocine </span><br /><span class="postbody">d. prazocine </span><br /><br /><span class="postbody">84. on antenatal USG there is unilateral dilated system, management include </span><br /><span class="postbody">a. vesico-amniotic shunt </span><br /><span class="postbody">b. abortion </span><br /><span class="postbody">c. early CS </span><br /><span class="postbody">d. serial followup </span><br /><br /><span class="postbody">85. false about PUV </span><br /><span class="postbody">a. type 1 is most common </span><br /><span class="postbody">b. type 2 most commonly causes obstruction </span><br /><span class="postbody">c. type 3 is due to incomplete dissolusion of urogenital membrane </span><br /><span class="postbody">d. type 4 is seen only in PB syndrome </span><br /><br /><span class="postbody">86. false about VURD association </span><br /><span class="postbody">a. posterior urethral valves </span><br /><span class="postbody">b. vesico ureteral reflux </span><br /><span class="postbody">c. dysplastic kidney. </span><br /><span class="postbody">d. renal aplasia </span><br /><br /><span class="postbody">87. all are components of PBS except </span><br /><span class="postbody">a. defective abdominal muscle </span><br /><span class="postbody">b. bilateral hydrouretero nephrosis </span><br /><span class="postbody">c. dilatation of bladder </span><br /><span class="postbody">d. presence of valves in posterior urethra </span><br /><br /><span class="postbody">88. which of the following physical examination finding is important in patients with ambiguous genitalia </span><br /><span class="postbody">a. presence of hypospidias </span><br /><span class="postbody">b. length of penis </span><br /><span class="postbody">c. palpability of gonad </span><br /><span class="postbody">d. sacral dimple </span><br /><br /><span class="postbody">89. hypospidiasis is rare in </span><br /><span class="postbody">a. male hermaphroditism. </span><br /><span class="postbody">b. CAH </span><br /><span class="postbody">c. pure gonadal dysgenisis </span><br /><span class="postbody">d. bilateral cryptorchidism </span><br /><br /><span class="postbody">90. following suspected when there is transverse testicular ectopia </span><br /><span class="postbody">a. complete androgen insensitivity syndrome </span><br /><span class="postbody">b. peno scrotal disproportion </span><br /><span class="postbody">c. persistant mullarian ducts </span><br /><span class="postbody">d. 21 hydroxylase deficiency </span><br /><br /><span class="postbody">91. chronic pyelonephitis is best diagnosed by </span><br /><span class="postbody">a. USG </span><br /><span class="postbody">b. IVP </span><br /><span class="postbody">c. CT scan abdomen </span><br /><span class="postbody">d. Tc 99 DMSA </span><br /><br /><span class="postbody">92. androgen receptor gene located on </span><br /><span class="postbody">a. long arm of chromosome X </span><br /><span class="postbody">b. long arm of chromosomeY </span><br /><span class="postbody">c. short arm of chromosome X </span><br /><span class="postbody">d. short arm of chromosomeY </span><br /><br /><span class="postbody">93. bulbo cavernous reflex can be elicited by all except </span><br /><span class="postbody">a. finger in the rectum </span><br /><span class="postbody">b. squeezing of glance </span><br /><span class="postbody">c. squeezing of clitoris </span><br /><span class="postbody">d. squeezing of scrotum </span><br /><br /><span class="postbody">94. diagnosis of UTI is best made by </span><br /><span class="postbody">a. qualitative urine culture </span><br /><span class="postbody">b. quantitative urine culture </span><br /><span class="postbody">c. microscopic examination of urine for bacteria </span><br /><span class="postbody">d. clinical examination </span><br /><br /><span class="postbody">95. bilateral renal agenesis, all are true except </span><br /><span class="postbody">a. incidence is more in males than females </span><br /><span class="postbody">b. complete ureteral atresia seen in 50% patients </span><br /><span class="postbody">c. abscent or hypoplastic bladder </span><br /><span class="postbody">d. abscent adrenal glands </span><br /><br /><span class="postbody">96. most common type of megaureter </span><br /><span class="postbody">a. primary non obstructed </span><br /><span class="postbody">b. primary obstructed </span><br /><span class="postbody">c. secondary non obstructed </span><br /><span class="postbody">d. secondary obstructed </span><br /><br /><br /><br /><span class="postbody">97. most common complication of TRUS biopsy </span><br /><span class="postbody">a. infection </span><br /><span class="postbody">b. bleeding per rectum </span><br /><span class="postbody">c. recto urethral fistula </span><br /><span class="postbody">d. hematospermia </span><br /><br /><span class="postbody">[snip]. enterobacteraciae are </span><br /><span class="postbody">a. aerobic gram +ve </span><br /><span class="postbody">b. aerobic gram -ve </span><br /><span class="postbody">c. anaerobic gram +ve </span><br /><span class="postbody">d. anaerobic gram –ve </span><br /><br /><span class="postbody">99. richest source of prostaglandins in the body </span><br /><span class="postbody">a. kidney </span><br /><span class="postbody">b. skeletal muscle </span><br /><span class="postbody">c. liver </span><br /><span class="postbody">d. seminal vesicles </span><br /><br /><span class="postbody">100.following branch of renal artery is most variable in its origin </span><br /><span class="postbody">a. apical </span><br /><span class="postbody">b. middle </span><br /><span class="postbody">c. lower </span><br /><span class="postbody">d. posterior</span><o:p></o:p></span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-37841428393133429882012-09-19T10:12:00.000-07:002012-09-19T10:12:43.202-07:00NIMS 2011 mch urology paper<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-language: EN-IN;">NIZAM’S INSTITUTE OF MEDICAL SCIENCES <br />Punjagutta, Hyderabad - 500 082, A.P., India. <br />Set: A <br /><br />Question Booklet <br /><br />Entrance Examination for Admission to MCh Urology <br /><br />Subject MCh Urology <br /><br /><br />26 June 2011 Marks 90 Time: 01 hr : 30 min <br /><br />• Please verify whether the number printed on this question booklet <br />corresponds to your hall-ticket number <br />• Please read the instructions on the OMR-Answer sheet carefully <br />• Each question in this booklet is followed by four alternative answers <br />Select the one that is most appropriate and darken the corresponding <br />Oval in the OMR-Answer sheet <br />• Please return this question booklet along with your OMR-Answer sheet <br />• Answer sheets not accompanied with the question booklets will not be <br />corrected <br />• Please identify the Set mentioned above in the appropriate place in the <br />OMR-Answer sheet. <br /><br /><br /><br /><br /><br /><br /><br />1 of 22 <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />Q1. A 65-year-old male is being worked up for invasive bladder cancer (T3, N1, and <br />M0). Regarding the optimum management of this case, which of the following statements <br />is true? <br /><br />A) radical cystectomy with adjuvant chemotherapy <br />B) radical cystectomy with extended lymph node dissection (ELND) <br />C) Neoadjuvant chemotherapy with radical cystectomy <br />D) Neoadjuvant/adjuvant chemotherapy with radical cystectomy and ELND <br /><br />Q2. All of the following statements are correct regarding uroflowmetry except <br />A) in men Qmax decreases with age where as in women it is not influenced by age <br />B) the voided volume should be at least less than 150ml <br />C) multiple flow rates be recorded to improve accurancy of the test <br />D) uroflowmetry alone is insufficient to diagnose bladder out flow obstruction <br />Q3. A woman aged 50 years who underwent renal transplantation 2 years earlier <br />presented with pain in the left hip joint. She was receiving prednisolone, azathioprine, and cyclosporin. Shown below is the radiograph of the hip joint. <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />The most appropriate line of management is <br /><br />A) replacement of prednisolone with deflazacort <br />B) parathyroidectomy <br />C) treatment with calcitriol <br />D) hip replacement <br /><br /><br /><br /><br />2 of 22 <br /><br /><br /><br /><br /><br /><br />Q4. All of the following drugs can cause urinary retention except <br />A) tricyclic antidepressants <br />B) anticholinergics <br />C) alpha - adrenergic receptor blockers <br />D) antihistamines <br /><br />Q5. A patient with complete lesion of the spinal cord between spinal cord level T6 and S2 generally exhibits the following involuntary features <br />1. involuntary bladder contractions. <br />2. detrusor areflexia. <br />3. detrusor sphincter dyssynergia. <br />4. autonomic hyperreflexia <br />A) Only 1,2 and 3 are correct. <br />B) Only 1 and 3 are correct. <br />C) Only 2 and 4 are correct. <br />D) Only 4 is correct. <br />Q6. The most common renal vascular anomaly <br /><br />A) supernumerary left renal artery <br />B) supernumerary right renal artery <br />C) supernumerary left renal vein <br />D) supernumerary right renal vein <br /><br />Q7. Which one of the following procedures is recommended before resection of a large right-sided hepatocellular carcinoma? <br />A) left transarterial chemoembolization and left portal-vein embolization <br />B) left transarterial chemoembolization and right portal-vein embolization <br />C) right transarterial chemoembolization and left portal-vein embolization <br />D) right transarterial chemoembolization and right portal-vein embolization <br /><br />Q8. According to the Center for Disease Control and Prevention (CDC) definition for surgical site infection in a surgery with an implant, the maximum time considered to define infection in a surgical implant is <br />A) 15 days <br />B) 30 days <br />C) six months <br />D) twelve months <br /><br /><br /><br /><br />3 of 22 <br /><br /><br /><br /><br /><br /><br />Q9. Histologically renal ischemia is most damaging to <br /><br />A) proximal tubular cells <br />B) distal tubular cells <br />C) glomeruli <br />D) blood vessels <br /><br />Q10. The most common cause of fetal hydronephrosis is <br />A) vesicoureteric reflux <br />B) posterior urethral valve <br />C) megaureter <br />D) PUJ obstruction <br /><br />Q11. In a male patient with a pelvic fracture due to blunt trauma, retrograde <br />urethrography demonstrates disruption of membranous urethra. Which one of the following constitutes the appropriate initial treatment <br />A) passage of transurethral catheter <br />B) suprapubic cystostomy <br />C) perineal urethrostomy <br />D) bilateral percutaneous nephrostomy <br /><br />Q12. The shock wave during extracorporeal shock wave lithotripsy is timed to coincide with a particular point in the electrocardiogram (ECG) and occurs <br />A) at the peak of the P wave <br />B) 20 msec after the peak of the R wave <br />C) 200 msec after the peak of the R wave <br />D) at the peak of the T wave <br /><br />Q13. Most common cause of acquired renal arterio-venous fistula <br /><br />A) needle biopsy of kidney <br />B) renal trauma <br />C) renal surgery <br />D) renal cell carcinoma <br /><br />Q14. The growth of which one of the following renal calculi is not affected by <br />manipulation of urinary pH <br />A) cystine <br />B) uric acid <br />C) calcium oxalate <br />D) ammonium magnesium phosphate <br /><br /><br /><br />4 of 22 <br /><br /><br /><br /><br /><br /><br />Q15. The number of ureteric constrictions along its course include <br />A) one <br />B) two <br />C) three <br />D) four <br />Q16. A 28-year old man presented with bilateral saddle anesthesia, prominent bowel and bladder dysfunction with relative preservation of muscle strength in the lower extremities. The most likely site of lesion is <br />A) cauda equina <br />B) peripheral neuropathy <br />C) lumbar segments (L3-L4) of the spinal cord <br />D) conus medullaris <br />Q17. In which of the following situations following a blunt trauma to abdomen will a CT imaging with contrast pick up significant renal injury <br /><br />1. microscopic hematuria <br />2. microscopic hematuria with shock <br />3. urinary obstruction <br />4. gross hematuria <br /><br />A) only 1, 2 and 3 are correct <br />B) only 1 and 3 are correct <br />C) only 2 and 4 are correct <br />D) only 4 is correct <br />Q18. What is the single most important preventive measure to control cross- infection <br />in hospitals. <br />A) use of gloves by health care workers <br />B) fumigation <br />C) prophylactic antibiotics <br />D) hand hygiene <br /><br />Q19. All of the following are the indications for nephrectomy in a patient symptomatic <br />with genitourinary tuberculosis except <br />A) nonfunctioning kidney with calcification <br />B) nonfunctioning kidney without calcification <br />C) hydronephrosis due to PUJ stricture <br />D) extensive disease with hypertension <br /><br /><br /><br /><br /><br />5 of 22 <br /><br /><br /><br /><br /><br /><br />Q20. Shown below is the distribution of the laboratory test results in normal and two different disease states (disease 1 and disease 2). <br /><br />Assertion: The laboratory test is more reliable to diagnose disease 1 than the disease 2 Reason : Test reliability decreases if test result values in diseased population overlap with those of the normal population <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />A) Assertion and Reason are correct and Reason is the correct explanation of the Assertion <br />B) Assertion and Reason are correct and Reason is not the correct explanation of the Assertion <br />C) Assertion is true and Reason is false <br />D) Assertion is false and Reason is true <br /><br />Q21. A 3-day old infant presented with gross hematuria. The child was born at 31 weeks of gestation by Cesarean section with meconium contamination. Examination revealed dehydrated child with unilateral palpable flank mass. The most probable <br />clinical diagnosis is <br /><br />A) Wilm's tumor <br />B) infantile polycystic kidney disease <br />C) neuroblastoma <br />D) renal vein thrombosis <br /><br />Q22. Which one of the following anatomical zones most commonly gives rise to benign prostatic hyperplasia <br />A) central zone <br />B) peripheral zone <br />C) transition zone <br />D) anterior fibromuscular stroma <br /><br /><br /><br /><br /><br />6 of 22 <br /><br /><br /><br /><br /><br /><br />Q23. Which one of the following is the treatment of choice in children with normal renal function, mild bilateral hydronephrosis, and posterior urethral valves <br /><br />A) primary endoscopic valve fulguration <br />B) percutaneous nephrostomy <br />C) vesicostomy <br />D) bilateral ureterostomy <br /><br />Q24. A new serum marker that increases in a particular disease state is being evaluated. The graph below depicts the relationship between sensitivity and false positive rate for different cut-off values for the marker concentration in the serum. <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />Assuming that both correct diagnosis and ruling out the disease are equally important clinically, which one of the values represents the appropriate cut-off value <br />A) 200 <br />B) 5 <br />C) 75 <br />D) 50 <br /><br />Q25. The principal mechanism for moving spermatozoa through the epididymis is <br /><br />A) contraction of the cells around the epididymal duct <br />B) inherent spermatozoal mobility <br />C) movement of rete testis fluid <br />D) movement of cilia <br /><br /><br /><br />7 of 22 <br /><br /><br /><br /><br /><br /><br />Q26. Lumbodorsal fascia connects anteriorly with <br /><br />A) transversalis fascia <br />B) transversus abdominis muscle <br />C) internal oblique muscle <br />D) external oblique muscle <br /><br />Q27. During developmental process of nephron, the ability to concentrate the urine reaches an adult value at the age of about <br />A) 8 months <br />B) 18 months <br />C) 48 months <br />D) 60 months <br />Q28. Which one of the following regimens is correct for basiliximab administration in renal transplantation <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />A) regimen 1 <br />B) regimen 2 <br />C) regimen 3 <br />D) regimen 4 <br /><br />Q29. Which is safe and effective energy available today to fragment renal stones? <br /><br />A) Pnuematic lithotripsy <br />B) Ultrasound lithotripsy <br />C) Laser lithotripsy <br />D) Electrohydraulic lithotripsy. <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />8 of 22 <br /><br /><br /><br /><br /><br /><br />Q30. The cell of origin of renal cell carcinoma is <br /><br />A) proximal convoluted tubule <br />B) loop of Henle <br />C) distal convoluted tubule <br />D) collecting duct <br /><br />Q31. Which of the following is commonly associated with the syndrome shown in the following clinical photograph <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />A) ureterocele <br />B) tethered cord syndrome <br />C) undescended testes <br />D) hypospadiasis <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />9 of 22 <br /><br /><br /><br /><br /><br /><br />Q32. Which one of the following types of exstrophy of the urinary bladder depicted in the diagrams below is most suitable for functional closure <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />A) diagram 1 <br />B) diagram 2 <br />C) diagram 3 <br />D) diagram 4 <br />Q33. To suspect ejaculatory duct obstruction, in a azoospermic man, all the following <br />findings are necessary except <br />A) both vas should necessarily be palpable <br />B) low semen volume <br />C) acidic semen pH <br />D) low semen fructose <br /><br /><br />10 of 22 <br /><br /><br /><br /><br /><br /><br /><br />Q34. Regarding diagnosis of inflammatory carcinoma of breast <br /><br />Assertion: It is best done by biopsy of breast lump <br />Reason: There is extensive involvement of dermal lymphatics <br />A) Both Assertion and Reason are true, and Reason is the correct explanation for Assertion <br />B) Both Assertion and Reason are true, and Reason is not the correct explanation for Assertion <br />C) Assertion is true, but Reason is false <br />D) Assertion is false, but Reason is true <br /><br /><br />Q35. 25 year old male presents with primary infertility. On examination secondary <br />sexual characters are well developed, bilateral vasa are present and testis are normal. <br />Semen analysis reveals azoospermia. Which investigation is required next for further <br />evaluation. <br />A) vasography <br />B) serum FSH <br />C) testicular biopsy <br />D) serum testosterone <br /><br />Q36. In a carcinoma rectum, the contraindication to anterior resection of rectum is <br />A) age >60 years <br />B) poorly differentiated histology <br />C) sigmoid lymphnodes <br />D) single hepatic metastasis <br />Q37. A 26 year old man is investigated for infertility associated with a low sperm count. Plasma FSH and LH are elevated with low testosterone level.Which of the following statements is/are correct? <br /><br />1. A history of mumps may be relevant to his problem. <br />2.Testosterone concentration will increase on administration of clomiphene. <br />3. Data are consistent with primary testicular failure. <br />4. The presence of a pituitary tumour secreting gonadotrophins explains the data. <br />A) only 1,2 and 3 are correct <br />B) only 1 and 3 are correct <br />C) only 2 and 4 are correct <br />D) only 4 is correct <br /><br /><br /><br /><br /><br />11 of 22 <br /><br /><br /><br /><br /><br /><br />Q38. Predictor/predictors of urosepsis following percutaneous nephrolithotomy <br /><br />1.midstream clean catch <br />2. renal pelvic urine culture <br />3. bladder urine culture <br />4. stone culture <br /><br />A) only 1,2 and 3 are correct <br />B) only 1 and 3 are correct <br />C) only 2 and 4 are correct <br />D) only 4 is correct <br /><br />Q39. In the analysis of evidence for efficacy of therapy, highest weightage is given to <br /><br />A) randomised controlled clinical trials <br />B) systematic reviews <br />C) cohort studies <br />D) meta-analysis <br />Q40. The ureter gets its blood supply from which of the following artery/ateries <br /><br />1. common iliac artery <br />2. internal iliac artery <br />3. middle rectal artery <br />4. inferior vesical artery <br />A) only 1, 2 and 3 are correct <br />B) only 1 and 3 are correct <br />C) only 2 and 4 are correct <br />D) only 4 is correct <br /><br />Q41. Management of renal abscess less than 3cms <br /><br />A) observation <br />B) intravenous antibiotics and observation <br />C) USG / CT guided percutaneous drainage <br />D) open surgical drainage <br /><br />Q42. Most effective long term treatment for post-prostatectomy incontinence secondary to sphincter dysfunction is <br /><br />A) artificial urinary sphincter <br />B) urethral bulking agents <br />C) pharmacotherapy <br />D) bio feedback and pelvic floor exercises <br /><br /><br /><br />12 of 22 <br /><br /><br /><br /><br /><br /><br />Q43. Radionuclide used for the treatment of bone metastasis is <br />A) technetium - 99 <br />B) yittrium - 90 <br />C) strontium - 89 <br />D) Indium-111 <br />Q44. A patient with bronchial asthma on bronchodilator therapy is scheduled for <br />laparotomy. The most suitable pulmonary function test to assess improvement in lung function is <br />A) forced vital capacity <br />B) total lung capacity <br />C) peak exporatory flow rate <br />D) maximum breathing capacity <br /><br />Q45. The following drugs are used in Renal cell carcinoma <br /><br />1. Sorafenib <br />2. Sunitinib <br />3. Temsirolimus <br />4. Dasatinib <br /><br />A) Only 1,2 and 3 are correct <br />B) Only 1, and 3 are correct <br />C) Only 2 and 4 are correct <br />D) Only 4 is correct <br /><br />Q46. The interlobular artery in the kidney arises from <br />A) segmental artery <br />B) lobular artery <br />C) interlobar artery <br />D) arcuate artery <br />Q47. A 10-month old girl was admitted with high grade fever associated with recurrent urinary tract infection. On the right side, ultrasound scanning revealed a duplex moiety with hydroureteronephrosis and ureterocele of the upper moiety with internal echos. Left kidney was normal. Immediate treatment of choice <br />A) percutaneous nephrostomy of the upper moiety <br />B) cutaneous ureterostomy <br />C) heminephroureterectomy of the upper moiety <br />D) endoscopic decompression of ureterocele <br /><br /><br /><br /><br />13 of 22 <br /><br /><br /><br /><br /><br /><br />Q48. Muscles (1,2 and 3) related to the posterior surface of right kidney in the diagram shown below represent which one of the following respectively <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />A) psoas major, quadratus lumborum, transversus abdominis <br />B) transversus abdominis, psoas major, quadratus lumborum <br />C) psoas major, transversus abdominis, quadratus lumborum <br />D) transversus abdominis, quadratus lumborum, psoas major <br /><br />Q49. A 17-yr old boy is admitted to the hospital after an automobile accident. Except for a quiet abdomen, he has no localizing physical findings. After receiving 2000 mL of lactated Ringer's solution intravenously, his pulse rate is 90 beats per minute and blood pressure 110/70 mmHg. Abdominal CT scan reveals a laceration of the left lobe of the liver extending from the dome more than halfway through the parenchyma. Appropriate mangement at this time would be <br /><br />A) bed rest and observation <br />B) abdominal exploration and ligature of intrahepatic blood vessels <br />C) abdominal exploration and packing of the hepatic wound <br />D) abdominal exploration and left hepatic artery ligation <br /><br /><br /><br /><br />14 of 22 <br /><br /><br /><br /><br /><br /><br />Q50. A kidney transplant recipient on multiple immunosuppressive drugs develops leukopenia. Which of the following is least likely to be the culprit drug <br />A) sirolimus <br />B) mycophenolate mofetil <br />C) azathioprine <br />D) tacrolimus <br /><br />Q51. The findings of increased FSH level, normal LH and normal testestorone are suggestive of <br />A) isolated spermatogenic failure <br />B) post vasectomy <br />C) testicular failure <br />D) hypoganodotropic hypogonadism <br />Q52. Which one of the following drugs used in the management of prostatic cancer is an androgen receptor antagonist <br /><br />A) goserelin <br />B) flutamide <br />C) finasteride <br />D) leuprolide <br /><br />Q53. In endopyelotomy for PUJ obstruction, the recommended site of incision is <br />A) medial <br />B) anterior <br />C) lateral <br />D) posterior <br />Q54. Regarding flaccid state of the penis <br />1. smooth muscles are relaxed <br />2. smooth muscles are tonically contracted <br />3. arterial flow is significant <br />4. arterial flow is minimal <br />A) only 1, 2 and 3 are correct <br />B) only 1 and 3 are correct <br />C) only 2 and 4 are correct <br />D) only 4 is correct <br />Q55. Urine sample is not a midstream collection if there is presence of <br />A) Pus cells of 3 per high power field <br />B) Presence of corynebacteria <br />C) Presence of squamous epithelium <br />D) Presence of lactobacilli specially in females. <br /><br /><br /><br /><br />15 of 22 <br /><br /><br /><br /><br /><br /><br />Q56. Essential clinical evidence of brain death <br /><br />1.unresponsiveness to all forms of stimuli <br />2.absent pupillary reaction <br />3.positive apnea test <br />4.absent deep tendon reflexes <br /><br />A) only 1, 2 and 3 are correct <br />B) only 1 and 3 are correct <br />C) only 2 and 4 are correct <br />D) only 4 is correct <br /><br />Q57. Anal incontinence will result from division of <br /><br />A) the first sacral nerve roots bilaterally <br />B) the second sacral nerve roots bilaterally <br />C) the third sacral nerve roots bilaterally <br />D) the fourth sacral nerve roots bilaterally <br /><br />Q58. The role of microbial biofilm in pathogenesis of infections <br /><br />1. provides protection against epithelial adherence by microbes <br />2. conisists of many cells and polysaccharides <br />3. is important in microbial shedding from host <br />4. contributes to drug resistance of microbes <br /><br />A) only 1, 2, and 3 are correct <br />B) only 1 and 3 are correct <br />C) only 2 and 4 are correct <br />D) only 4 is correct <br /><br />Q59. BRCA-1associated breast cancer is most often associated with which of the following characteristics <br />A) infiltrative lobular cell type <br />B) her2/neu overexpression <br />C) well differentiated histology <br />D) hormone receptor negative <br />Q60. The avascular plane in the kidney runs <br /><br />A) anterior to the anterior calyces <br />B) posterior to the anterior calyces <br />C) anterior to the posterior calyces <br />D) posterior to the posterior calyces <br /><br /><br />16 of 22 <br /><br /><br /><br /><br /><br /><br />Q61. Regarding renal cell carcinoma, <br /><br />Assertion: There is little evidence of immune response to tumor cells <br />Reason: Tumor cells do not express specific tumor associated antigens on cell surface <br />A) Both Assertion and Reason are true, and Reason is the correct explanation for Assertion <br />B) Both Assertion and Reason are true, and Reason is not the correct explanation for Assertion <br />C) Assertion is true, but Reason is false <br />D) Assertion is false, but Reason is true <br /><br /><br />Q62. The anterior urethra receives dual blood supply from <br />A) circumflex and cavernosal arteries <br />B) bulbar and dorsal artery of the penis <br />C) bulbar and circumflex arteries <br />D) cavernosal and bulbar arteries <br /><br />Q63. Ability of sperm to fertilize the ova in humans is acheived maximally in <br />A) testes <br />B) proximal corpus of epiddidymis <br />C) distal corpus of epididymis <br />D) ductus deferens <br /><br />Q64. Which of the following is the most essential interaction molecule for T cell activation? <br /><br />A) CD4/CD8 molecule <br />B) CTLA 4 (CD52)/B7 <br />C) CD28/B7 <br />D) CD19/CD20 <br /><br />Q65. Which of the following malignancies has a high risk of recurrence after renal transplantation? <br />A) basal cell cancer <br />B) testicular cancer <br />C) thyroid cancer <br />D) myeloma <br />Q66. All types of primary neoplasms metastasize to the liver except those arising from <br /><br />A) Lung <br />B) Brain <br />C) Gastrointestinal tract <br />D) Melanomas <br /><br /><br />17 of 22 <br /><br /><br /><br /><br /><br /><br />Q67. Keyhole sign in the fetus during antenatal ultrasonography is diagnostic of <br /><br />A) hydronephrosis <br />B) hydroureteronephrosis <br />C) medullary pyramids <br />D) posterior urethral valves <br /><br />Q68. A 12 year old boy presented with fresh bleeding per rectum. Colonoscopy <br />revealed a pedunculated single rectal polyp-1cm in diameter with a smooth and glistening surface. This type of rectal polyp would be <br /><br />A) tubulovillous adenoma <br />B) inflammatory pseudopolyp <br />C) lymphomatous polyp <br />D) juvenile polyp <br />Q69. All of the following statements regarding postvoid residual (PVR) urine volume <br />associated with BPH are true except <br />A) residual (PVR) urine volume measurement has significant intraindividual variability <br />B) PVR does not correlate well with other signs or symptoms of prostatism <br />C) PVR can be measured with sufficient accuracy by ultrasound scanning <br />D) increased PVR indicates impending damage to bladder and kidneys <br />Q70. Most of the women who develop pyelonephritis in pregnancy, acquire it during <br /><br />A) first month of pregnancy <br />B) first trimester of pregnancy <br />C) second trimester of pregnancy <br />D) third trimester of pregnancy <br /><br />Q71. A 30 year male presented to emergency with acute right loin pain radiating to <br />groin of 2 hrs duration. What is your choice of investigation to manage this case <br />A) plain X-ray KUB <br />B) ultrasonography of the abdomen <br />C) unenhanced CT <br />D) MRI <br /><br /><br /><br /><br /><br /><br /><br /><br /><br />18 of 22 <br /><br /><br /><br /><br /><br /><br />Q72. In the treatment of lower calyceal stones by extracorporial shock wave lithotripsy (ESWL), all of the following factors are important except <br /><br />A) infundibulopelvic angle <br />B) position of the patient <br />C) lower calyceal pattern <br />D) infundibular diameter <br /><br />Q73. An obese woman aged 50 years presenting with grade III stress urinary <br />incontinence, of the surgical procedures listed below, the preferred method is <br /><br />A) tension free vaginal tape (TVT)procedure <br />B) tension free vaginal trans obturatory tape (TOT) <br />C) Gittes Bladder neck suspension <br />D) anterior colporrhaphy <br />Q74. Components of seminal vesicle secretion includes all of the following except <br /><br />A) D-fructose <br />B) prostaglandin-A <br />C) Ig A antibodies <br />D) prostaglandin-E <br /><br />Q75. The mechanism of action of sildenafil citrate is through <br />A) inhibition of type II alpha reductase <br />B) nitric oxide /cyclic GMP pathway <br />C) local release of endothelins <br />D) inhibition of cytochrome P-450 enzyme <br />Q76. The normal volume of renal pelvis and calyces is not more than <br />A) 0.8 mL <br />B) 8.0 mL <br />C) 80 ml <br />D) 800 mL <br />Q77. Urine production in the fetus of human kidney is known to begin at about <br />A) 10-12 weeks <br />B) 14-16 weeks <br />C) 20-22 weeks <br />D) 24-26 weeks <br /><br /><br /><br /><br /><br /><br /><br />19 of 22 <br /><br /><br /><br /><br /><br /><br />Q78. Spastic bladder can be treated with <br /><br />A) tizanidine <br />B) oxybutynin <br />C) bethanechol <br />D) baclofen <br /><br />Q79. In a patient with chronic renal failure, renal ultrasound showed the presence of a <br />more than one cm difference in kidney size.The etiology of the renal disease could be <br />1. diabetes <br />2. ureteric reflux <br />3. amyloidosis <br />4. fibromuscular dysplasia <br />A) only 1, 2 and 3 are correct <br />B) only 1 and 3 are correct <br />C) only 2 and 4 are correct <br />D) only 4 is correct <br /><br />Q80. The cuff of an endotracheal tube should be inflated to what pressure to prevent aspiration while not causing ischemia to underlying laryngeal mucosa <br /><br />A) 5 mm Hg <br />B) 20 mm Hg <br />C) 40 mm Hg <br />D) 60 mm Hg <br />Q81. The concept of urethral plate 'relaxing incision' as an adjunct to hypospadias repair is used in <br />A) Snodgrass's TIP urethroplasty <br />B) MAGPI <br />C) Duckett's preputial island flap <br />D) Mathieu's perimeatal based flap <br /><br />Q82. On T1 weighted MRI images, fluid appears <br />A) bright <br />B) dark <br />C) not seen <br />D) variable <br /><br /><br /><br /><br /><br /><br /><br /><br />20 of 22 <br /><br /><br /><br /><br /><br /><br />Q83. The parotid salivary gland receives its parasympathetic innervation from which one of the following nerves <br /><br />A) Vagus <br />B) Facial <br />C) glossopharyngeal <br />D) oculomotor <br /><br />Q84. All of the following are the requirements for fluids suitable for irrigation during transurethral resection of the prostate except <br /><br />A) clear to vision <br />B) capability of conducting electricity <br />C) isotonic <br />D) nonhemolytic <br />Q85. End-stage testes are seen in <br /><br />A) bilateral cryptorchidism <br />B) maturation arrest <br />C) Young's syndrome <br />D) Klinefelter's syndrome <br /><br />Q86. Which one of the following drugs used in the treatment of human immunodeficiency virus infection is known to cause urolithiasis <br />A) zidovudine <br />B) lamivudine <br />C) indinavir <br />D) stavudine <br /><br />Q87. The following are true in development of human kidney <br /><br />1. the kidney derives from the intermediate endoderm <br />2. the ureteric bud developes as an outgrowth of the Wolffian duct <br />3. cells of the pre-tubular aggregates undergo epithelial-to-mesenchymal conversion to become renal vesicle <br />4. the renal vesicle forms the glomerulus and tubule from the proximal convoluted tubule to the distal convoluted tubule <br />A) only 1,2 and 3 are correct <br />B) only 1 and 3 are correct <br />C) only 2 and 4 are correct <br />D) only 4 is correct <br /><br /><br /><br /><br />21 of 22 <br /><br /><br /><br /><br /><br /><br />Q88. A 45-year old man presented with raised renal parameters six weeks after renal transplantation. Ultrasound examination revealed a large lymphocele compressing the graft ureter with hydroureteronephrosis. The next line of management <br /><br />A) percutaneous catheter drainage <br />B) double "J" stenting of the graft ureter <br />C) percutaneous nephrostomy <br />D) laparoscopic deroofing of the lymphocele <br />Q89. Which one of the following diagrams depicted below represents the correct nephrotomy incision (dashed line) <br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />A) diagram 1 <br />B) diagram 2 <br />C) diagram 3 <br />D) diagram 4 <br />Q90. In male infertility, indication for endocrinal evaluation includes <br /><br />A) absent ejaculation <br />B) asthenospermia <br />C) sperm density between 5-10 million per ml <br />D) maturation arrest</span><o:p></o:p></div>
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Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-521225683707508693.post-71562965708813447572012-05-17T07:32:00.000-07:002012-05-17T07:32:37.336-07:00AIIMS MAY 2012<div dir="ltr" style="text-align: left;" trbidi="on">
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1. Leukemia TRUE is? > Bad prognosis in ALL – Age <1yr <o:p></o:p></div>
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2. Gallow's Traction > Shaft of Femur [REPEAT] <o:p></o:p></div>
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3. Bracket Calcification > Lipoma of Corpus Callosum <o:p></o:p></div>
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4. Amifostine > Radioprotector [REPEAT] <o:p></o:p></div>
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5. Find NMR of given population > 50 [REPEAT] <o:p></o:p></div>
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6. Max. radiation exposure > Bone scan [REPEAT] <o:p></o:p></div>
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7. Brown Lesion + butterfly distribution + sun exposure > Chloasma <o:p></o:p></div>
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8. Proptosis + inc on bending + no thrill + compressible > Orbital Varix <o:p></o:p></div>
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9. Ca Endometrium Stage – 3b [REPEAT] <o:p></o:p></div>
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10. Lesbianism - Active agent? > Dyke <o:p></o:p></div>
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11. Child + cant touch dorsum + inversion > CTEV [REPEAT] <o:p></o:p></div>
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12. ER+ve Breast cancer + drug > Tamoxifen [REPEAT] <o:p></o:p></div>
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13. Amytripalline toxicity A/e > Atropine as Antidote [REPEAT] <o:p></o:p></div>
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14. Post-transplant lymphoma > EBV <o:p></o:p></div>
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15. Acute + Chronic Malnutrition > Weight for age [REPEAT] <o:p></o:p></div>
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16. Most common + Spinocerebellar Ataxia + India > SCA 2 <o:p></o:p></div>
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17. Alpha Haemolysis + next test > Optochin [REPEAT] <o:p></o:p></div>
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18. Ileostomy + early complication > Necrosis [REPEAT] <o:p></o:p></div>
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19. Irreversible cell injury > Amorphous deposit in Mitochondria [REPEAT] <o:p></o:p></div>
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20. Disaster + highest fatality > Geological <o:p></o:p></div>
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21. Vestibular evoked myogenic potential (VEMP) + used for > Inf. Vestibular Nerve <o:p></o:p></div>
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22. Reccurent pyogenic infection + deficient > IgA + IgG2 [REPEAT] <o:p></o:p></div>
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23. Antibiotic resistance A/E > Plasmid only vertical [REPEAT] <o:p></o:p></div>
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24. Obesity study + UK > Ecological study [REPEAT] <o:p></o:p></div>
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25. Beta Carotene + Fiber + Ca Colon > Confounding [REPEAT] <o:p></o:p></div>
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26. Asphyxial death + last dissected > Neck [REPEAT] <o:p></o:p></div>
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27. Rec otitis media + mouth breathing + hearing loss > Adenoidectomy + grommet [REPEAT] <o:p></o:p></div>
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28. CNS True is > Occipital part of Cortex <o:p></o:p></div>
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29. Epigastric hernia > Above umbilicus + Midline <o:p></o:p></div>
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30. Alcohol level + Loss of Judgement > 30-80mg <o:p></o:p></div>
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31. Bradykinin + role in inflammation > Pain <o:p></o:p></div>
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32. Haematemesis + 5cm Spleen > Portal HTN [REPEAT] <o:p></o:p></div>
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33. Breaslau's 2nd Life test > Stomach <o:p></o:p></div>
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34. Low BP + Anaesthesia Induction > Ketamine <o:p></o:p></div>
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35. Heart lesion + low BP + Anaesthesia induction > Etomidate <o:p></o:p></div>
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36. Depot antipsychotic > Flufenazine <o:p></o:p></div>
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37. Lady + MS + AF + Left atrial Thrombus + Not to do immediately? > DC Cardioversion <o:p></o:p></div>
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38. Hemiplegia + corticospinal + all helpful except > Absent Abdominals <o:p></o:p></div>
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39. Jaw cyst + highest malignant potential > Odontogenic keratocyst <o:p></o:p></div>
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40. Non Iodine contrast > Gadolinium <o:p></o:p></div>
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41. Child + itchy lesions on face + hands > Scabies [REPEAT] <o:p></o:p></div>
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42. Best for TB Spine Diagnosis > CT guided Biopsy <o:p></o:p></div>
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43. Boderlinje leprosy + characteristic > Inverted saucer lesions <o:p></o:p></div>
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44. Not used for sputum decontamination > Chlorhexidine [REPEAT] <o:p></o:p></div>
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45. Histopath + fixative > 10% Formalin <o:p></o:p></div>
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46. Cardiac failure + natural drug > Gingko Biloba / Arjuna Terminalis <o:p></o:p></div>
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47. Basal cell carcinoma + characteristic > Pallisading cells <o:p></o:p></div>
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48. Choking seen in > Shot Gun <o:p></o:p></div>
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49. Pedigree analysis > Mitochondrial Inheritance [REPEAT] <o:p></o:p></div>
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50. RBC membrane defect > Hereditary Spherocytosis [REPEAT] <o:p></o:p></div>
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51. Dial test positive > Posterolateral corner injury [REPEAT] <o:p></o:p></div>
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52. CSF pressure > Absorption [REPEAT] <o:p></o:p></div>
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53. Inc secretions + pinpoint pupil > OPC poisoning <o:p></o:p></div>
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54. SLE not precipitated by > Penicillin G [REPEAT] <o:p></o:p></div>
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55. Dosent eliminate bias > Multivariate analysis [REPEAT] <o:p></o:p></div>
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56. Diagnosis + RDS > Air Bronchogram [REPEAT] <o:p></o:p></div>
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57. Hep B true A/E > Vertical more imp than Horizontal [REPEAT] <o:p></o:p></div>
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58. Nephrotic + oedema + cause > Less Proteins [REPEAT] <o:p></o:p></div>
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59. Lift off test +ve > Subscapularis tendon tear [REPEAT] <o:p></o:p></div>
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60. Cervical vertebrae diff from thoracic > Foramen transversarium [REPEAT] <o:p></o:p></div>
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61. Severe headache + vomiting > SAH [REPEAT] <o:p></o:p></div>
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62. Pneumococcal meningitis + empiric Rx > Vanco + Ceftriaxone <o:p></o:p></div>
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63. Fever + headache + seizures /abcess + Rx > Ceftriaxone + Metronidazole <o:p></o:p></div>
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64. Shock + normal delivery > PPH [REPEAT] <o:p></o:p></div>
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65. Scoline apnea + False > Reduced Cholinesterase <o:p></o:p></div>
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66. Reference man > 20-39yrs [REPEAT] <o:p></o:p></div>
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67. Mother / fetal blood > Apt test [REPEAT] <o:p></o:p></div>
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68. Right handed person + laryngoscope held in > Left hand <o:p></o:p></div>
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69. Barrets oesophagus > intestinal metaplasia [REPEAT] <o:p></o:p></div>
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70. Not supplied by accessory nerve > Stylopharyngeus <o:p></o:p></div>
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71. Granulomatous uveitis + arthralgia > Sarcoidosis <o:p></o:p></div>
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72. Rainy season + itching on face > Insect bite <o:p></o:p></div>
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73. Saturday night palsy + Rx > Nerve conduction study and evaluate <o:p></o:p></div>
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74. Stage 1 NEC + Rx > Observation + Antibiotics <o:p></o:p></div>
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75. Lymphoproliferative intestinal disease + mc symptom > Malabsorption <o:p></o:p></div>
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76. Ca Cx + IIIB + Rx > Brachy + chemo [REPEAT] <o:p></o:p></div>
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77. Vision2020 + Ophthalmologist > 1:50000 <o:p></o:p></div>
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78. Vision2020 + Ophthalmic units > 1:500000 <o:p></o:p></div>
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79. NLD obstruction > Timolol <o:p></o:p></div>
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80. Disease + workmen compensation act 1923 > Anthrax <o:p></o:p></div>
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81. Ocular dentritic cells + HLA > HLA 1 + 2 <o:p></o:p></div>
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82. 23yr + lady + sphaerocytes on PBF > Coombs test [REPEAT] <o:p></o:p></div>
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83. Sodalime + Co2 absorbtion > CaOH2 <o:p></o:p></div>
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84. Post CA aneurysm + nerve > Occulomotor [REPEAT] <o:p></o:p></div>
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85. Reccurent abortion + test > Russel Viper Test [REPEAT] <o:p></o:p></div>
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86. Growth hormone A/E > Hypoglycaemia <o:p></o:p></div>
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87. Gyrate Atrophy + Ornithine transcarbamoyalase def + Rx > arginine free diet <o:p></o:p></div>
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88. Sleep cycle w/o external cues > >24hrs [REPEAT] <o:p></o:p></div>
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89. Corneal dystrophy > Primary, Bilateral <o:p></o:p></div>
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90. ADH true a/e > Inc by low plasma osmolarity <o:p></o:p></div>
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91. Limited adduction n Abduction > Duane's Refractory Syndrome 3 <o:p></o:p></div>
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92. Mid-thigh swelling + round cells + Codman's + MIC2 > Ewings Sarcoma <o:p></o:p></div>
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93. Anaesthesia depth > BiSpectral Index [REPEAT] <o:p></o:p></div>
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94. Child + PR bleed + MC Cause > Juvenile rectal polyp <o:p></o:p></div>
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95. Freys syndrome + auriculotemporal fused with? > Greater auricular Nerve <o:p></o:p></div>
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96. Anastomotic leak + 150-200ml + 7days > Conservative <o:p></o:p></div>
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97. Brain Responsiveness > Reacts to external stimuli <o:p></o:p></div>
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[snip]. Suicide + right temple + bone separate > Contact <o:p></o:p></div>
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99. Rheumatic + Penicillin allergic + drug given > Streptomycin <o:p></o:p></div>
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100. Nongonococcal urethritis + Culture > Mc Coy Cell lines [REPEAT] <o:p></o:p></div>
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101. Antibody associated diarrhoea > Clindamycin <o:p></o:p></div>
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102. PTSD + characteristic > Recall of events and avoidance <o:p></o:p></div>
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103. Primary and secondary marking + bullet > Identification of weapon <o:p></o:p></div>
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104. Woman + bradykinesia-2yrs + rigidity + square wave jerks > Progressive Supranuclear Palsy <o:p></o:p></div>
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105. Meningioma + surgery + don't advice > Stop Steroids <o:p></o:p></div>
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106. Trauma + loss of extension of toe > L4-5 Disc Prolapse [REPEAT] <o:p></o:p></div>
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107. Moderate exercise + blood flow to brain > No effect [REPEAT] <o:p></o:p></div>
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108. Abbatoir + pustule + stain > Polychrome Methylene blue [REPEAT] <o:p></o:p></div>
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109. Rastriya Suraksha Bima Yojna RSBY > Health insurance for poor <o:p></o:p></div>
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110. Doctor convicted under 304A > Gross Negligence <o:p></o:p></div>
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111. Hypoglossal N palsy + True A/E > Loss of tactile sensation <o:p></o:p></div>
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112. Not a disorder of form of thought > Thought block / loosening of association <o:p></o:p></div>
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113. MI + Thrombolysis + stop > Pleural effusion on ECHO <o:p></o:p></div>
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114. Cold sensitivity + hoarsness + cardiomegaly + cause > ECHO <o:p></o:p></div>
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115. Acute blood loss + 500mL + not seen > Inc. PCV [REPEAT] <o:p></o:p></div>
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116. Not a mechanism for neonate heat generation > Shivering [REPEAT] <o:p></o:p></div>
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117. Dysphagia + wide esophagus + Rx > Myomectomy <o:p></o:p></div>
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118. PV discharge + wife of truck driver + syndromic Rx > Doxy + metro + fluconazole <o:p></o:p></div>
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119. Mouse + ablated + Myeloid transplant > RBC <o:p></o:p></div>
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120. Unilateral headache + diplopia + jaw pain + Rx > Prednisolone <o:p></o:p></div>
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121. HbsAg +ve + IgM HbcAb –ve + IgM HEV +ve > Co infection HBV + HEV <o:p></o:p></div>
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122. Leprosy not eradicated coz? > Long incubation period <o:p></o:p></div>
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123. Incubation period not imp for > Isolation period <o:p></o:p></div>
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124. Direct ophthalmoscopy + area viewed > 2DD <o:p></o:p></div>
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125. Max dose of retrobulbar adr + LA > 8mg <o:p></o:p></div>
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126. Stereotactic Raditherapy for > Stage 1 Lung Ca <o:p></o:p></div>
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127. RTA + aortic injury + A/E > Behind Oesophagus <o:p></o:p></div>
<div class="MsoNormal">
128. Polio + residual paralysis + checked after > 60days <o:p></o:p></div>
<div class="MsoNormal">
129. Bombay blood group A/E > Other antigens also absent <o:p></o:p></div>
<div class="MsoNormal">
130. Hypopigmented patch + abundant acid fast bacteria > Lepromatous Leprosy <o:p></o:p></div>
<div class="MsoNormal">
131. Social worker > works for rehab of handicapped to job <o:p></o:p></div>
<div class="MsoNormal">
132. Ventricular depolarisation starts from > Left side of Interventricular septum <o:p></o:p></div>
<div class="MsoNormal">
133. pH 7.45, pCO2 30 .. Partially compensated _____? > Resp Alkalosis <o:p></o:p></div>
<div class="MsoNormal">
134. 1st order kinetics True > Rate of elimination directly proportional to drug concentration <o:p></o:p></div>
<div class="MsoNormal">
135. Pseudotumour cerebri MC in > 25-40 Obese Female <o:p></o:p></div>
<div class="MsoNormal">
136. Juvenile Myoclonic epilepsy + MC presentation > Myoclonus <o:p></o:p></div>
<div class="MsoNormal">
137. GERD + cause > Transient relaxation of LES <o:p></o:p></div>
<div class="MsoNormal">
138. Cancer + effective management + increased survival > ALL <o:p></o:p></div>
<div class="MsoNormal">
139. Non Photosensitive Porphyria > ALA Dehydratase / HMB Synthase <o:p></o:p></div>
<div class="MsoNormal">
140. Lewis triple response + due to > Histamine from injured mast cells <o:p></o:p></div>
<div class="MsoNormal">
141. Vitritis + iritis + focal macular lesion > Toxoplasmosis <o:p></o:p></div>
<div class="MsoNormal">
142. Tennis ball Trauma + Red spot in macula > Berlin Oedema <o:p></o:p></div>
<div class="MsoNormal">
143. Vitreal haemorrhage is DR > Neovascularisation <o:p></o:p></div>
<div class="MsoNormal">
144. Ant uveitis + post segment defect + dimunition of vision + MC > CME <o:p></o:p></div>
<div class="MsoNormal">
145. Common progenitor cell + haemopoetic stem cell + difference > Can reconstitute Bone Marrow <o:p></o:p></div>
<div class="MsoNormal">
146. Fall in bathroom + leg externally rotated + No fracture line + next Dx > MRI <o:p></o:p></div>
<div class="MsoNormal">
147. Atherosclerosis + with and without Dm + 100times increased risk? > CAD <o:p></o:p></div>
<div class="MsoNormal">
148. Protein req in 13-15yr girl > 1.33gm/kg <o:p></o:p></div>
<div class="MsoNormal">
149. Neonate + screening test + hearing > OAE <o:p></o:p></div>
<div class="MsoNormal">
150. Pneumothorax True > Chest wall expanded <o:p></o:p></div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
151. Hirsuitism + Inc Testo + oligomenorrhoea + 21yhr old > PCOD <o:p></o:p></div>
<div class="MsoNormal">
152. Critical closing volume > Close to RV <o:p></o:p></div>
<div class="MsoNormal">
153. Mastectomy + Loss of extension, adduction, internal rotation > Latismus Dorsi <o:p></o:p></div>
<div class="MsoNormal">
154. Hypopigmented macules on front and back + next Ix > KOH <o:p></o:p></div>
<div class="MsoNormal">
155. SLE + Granular deposits under skin > ANA <o:p></o:p></div>
<div class="MsoNormal">
156. Fight + Jaw broken > Police arrest without warrant <o:p></o:p></div>
<div class="MsoNormal">
157. Second Primary tumour in Head and Neck > Mouth <o:p></o:p></div>
<div class="MsoNormal">
158. Blue Green froth + poisoning > Copper <o:p></o:p></div>
<div class="MsoNormal">
159. Acute Pyelonephritis + pathogonomic > WBC Cast [REPEAT] <o:p></o:p></div>
<div class="MsoNormal">
160. Factors responsible for possible elimination of Filaria A/E > Killed in skin infestation <o:p></o:p></div>
<div class="MsoNormal">
161. Dye in vein + pain + inc swelling + no motor movement + palpabkle pulse Rx > Faciotomy <o:p></o:p></div>
<div class="MsoNormal">
162. Fever blisters > HSV 1 <o:p></o:p></div>
<div class="MsoNormal">
163. Malignant Hyperthermia + immediate Rx > IV Dantrolene <o:p></o:p></div>
<div class="MsoNormal">
164. Gluconeogenesis promoted in starvation by > Pyruvate carboxylase stimulation by Acetyl Co-A <o:p></o:p></div>
<div class="MsoNormal">
165. Electrocochleography true > Auditory Nerve Action Potential <o:p></o:p></div>
<div class="MsoNormal">
166. NVD + anaesthesia of choice > Infusion <o:p></o:p></div>
<div class="MsoNormal">
167. Mucus + incomplete emptying + tenderness + 4yrs > IBS <o:p></o:p></div>
<div class="MsoNormal">
168. Nail tunnelling + 2 toes + 1 finger + Dx > KOH mount <o:p></o:p></div>
<div class="MsoNormal">
169. Seizures + stain since birth > Struge weber <o:p></o:p></div>
<div class="MsoNormal">
170. PPI + 24-48hr action > Irreversible inhibition <o:p></o:p></div>
<div class="MsoNormal">
171. Heat stiffening + temperature > 60degree <o:p></o:p></div>
<div class="MsoNormal">
172. Thrombolysis + max indicated > 12hrs <o:p></o:p></div>
<div class="MsoNormal">
173. Sun light exposure +lesion > Actinic keratosis <o:p></o:p></div>
<div class="MsoNormal">
174. Max cardiac output > Jus after delivery [REPEAT] <o:p></o:p></div>
<div class="MsoNormal">
175. Umblical stump bleeding > Factor 10 def <o:p></o:p></div>
<div class="MsoNormal">
176. 8gm Hb + weakness + Pain abdomen > Duodenal ulcer <o:p></o:p></div>
<div class="MsoNormal">
177. Metabolic encephalopathy + EEG wave > Delta <o:p></o:p></div>
<div class="MsoNormal">
178. Midsystolic click + mitral valve patho > Myxomatous degen. <o:p></o:p></div>
<div class="MsoNormal">
179. MC risk factor + HCC > Hep B <o:p></o:p></div>
<div class="MsoNormal">
180. Pneumonia severity index + max score > Age <o:p></o:p></div>
<div class="MsoNormal">
181. 3cm Stone in pelvis + no hydronep + no obs. + young male + Rx > ESWL <o:p></o:p></div>
<div class="MsoNormal">
182. Fluroscence microscopy + principle > Absorb light and emit longer wavelenth <o:p></o:p></div>
<div class="MsoNormal">
183. Haemmrhoids + below dentate line > Painful [REPEAT] <o:p></o:p></div>
<div class="MsoNormal">
184. Epidural/Sub arachnoid anaes + dose dec + A/E > Inc. Lumbar Lordosis <o:p></o:p></div>
<div class="MsoNormal">
185. Pregnant + difficulty in supine + fine on sitting/lateral > IVC Compression <o:p></o:p></div>
<div class="MsoNormal">
186. Antiepileptic True A/E > Phenytoin n Carbamazepine Na. channel activation <o:p></o:p></div>
<div class="MsoNormal">
187. Alzhimer + Amyloid + Small vessel disease + relation A/E > Alzimer not related to SVD <o:p></o:p></div>
<div class="MsoNormal">
188. True A/E > Moya Moya + Aortic Aneurysm <o:p></o:p></div>
<div class="MsoNormal">
189. Thermodilution + pulmonary pressure > Stewart Hamilton Principal <o:p></o:p></div>
<div class="MsoNormal">
190. Right handed person.. Left hemisphere. Does > Speech <o:p></o:p></div>
<div class="MsoNormal">
191. Food item + max cholesterol > Egg <o:p></o:p></div>
<div class="MsoNormal">
192. DNA estimation > Spectrophotometer <o:p></o:p></div>
<div class="MsoNormal">
193. Breast Cancer Stage IVB A/E > Nipple Retraction <o:p></o:p></div>
<div class="MsoNormal">
194. Secretory + membrane bount Ig's… > Differntial RNA processing / splicing [REPEAT] <o:p></o:p></div>
<div class="MsoNormal">
195. More than 1 codon for 1 amino acid > Degeneracy [REPEAT] <o:p></o:p></div>
<div class="MsoNormal">
196. WHO Road to Health > 3rdpc for Girls and 50thpc for boys <o:p></o:p></div>
<div class="MsoNormal">
197. Male + CAD + aspirin + Sudden fall in bathroom + malena > Gastric Ulcer <o:p></o:p></div>
<div class="MsoNormal">
198. Thoraco-Lumar Aorta Graft + inability to move LL > Disruption of Arteria Magna Radicularis <o:p></o:p></div>
<div class="MsoNormal">
199. IOC + Banned + A/E > Sodium Chromoglycolate / Salbutamol <o:p></o:p></div>
<div class="MsoNormal">
200. Woman + 50yr + Ca Cx FIGO Stage II-III + Rx > Hysterectomy<o:p></o:p></div>
</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-24871250538612527092012-01-07T21:03:00.000-08:002012-01-07T21:03:10.854-08:00AIIMS MAY 2009<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Sec">
<b><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 14pt;"></span></b><span style="color: windowtext; font-family: "Arial","sans-serif";">Anatomy</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">1.<span> </span>Not a sphincter of vagina:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pubovaginalis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Internal
urethral sphincter</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>External
urethral sphincter</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bulbo
spongiosum</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">2.<span> </span>Urothelium lines of the following except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ureter</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Membranous
Urethra</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bladder</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Major
Calyces</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">3.<span> </span>Endothelial cells of cornea derived from:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Endoderm</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mesoderm</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Neural
Crest</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ectoderm</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">4.<span> </span>Anterior posterior stability of eye ball is
maintained by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>SR</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>SO</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Retro
orbital fat</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tennon
capsule</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">5.<span> </span>Sphincter of Odi has how many sphincters?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>2</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>3</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>5</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>7</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">6.<span> </span>Structure passing along with aorta
in/aortic hiatus?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thoracic
duct and azygos vein</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thoracic
duct and hemiazygos vein</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lt.
Vagus nerve azygos vein</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lt.
Vagus nerve and hemiazygos vein</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">7.<span> </span>Segment of liver which drains left hepatic
duct?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>1</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>3</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>5</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>6</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">8.<span> </span>False about hepatic duct:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Left
hepatic duct formed in umbilical fissure</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Left
hepatic duct crosses IV segment</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Right
hepatic duct crosses V and VIII segments</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Caudate
lobe drains only left hepatic duct</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">9.<span> </span>Pain in arm, loss of contour of deltoid
& failure of abduction after tetanus vaccine 5 days after vaccination due
to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Brachial
neuritis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Radial
n entrapment</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thoracic
outlet syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hysterical
Syndrome</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">10.<span> </span>Capacitation of sperms takes place in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Uterus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Epidydymis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Seminal
vesicles</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Seminiferous
tubules</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">11.<span> </span>Enophthalmos is caused by:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Superior
levator paralysis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tennons
capsule instability</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Orbiculis
oculi paralysis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Superior
tarsal muscle paralysis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">12.<span> </span>Which is not supplied by pelvic splanchnic
nerves?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Appendix</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Uterus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Rectum</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Urinary
bladder</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">13.<span> </span>Right gastroepiploic artery is a branch of:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Splenic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gastroduodenal</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Superior
mesenteric</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Coeliac</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">14.<span> </span>All are of adult size at birth except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mastoid
antrum</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ossicles</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Orbital
cavity</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Maxillary
antrum</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">15.<span> </span>Deltoid ligament is not attached to:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Medial
cuneiform</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Medial
malleolus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sustentaculum
tali</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Spring
ligament</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">16.<span> </span>Structures deep to the posterior belly of
digastric are all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hypoglossal
nerve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyoglossus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Retromandibular
vein</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Occipital
artery</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">PSM</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">17.<span> </span>Which is not a mode of health education?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Primary
health care approach</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Regulatory
approach</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Service
approach</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mass
media</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">18.<span> </span>Most common mode of lead poisoning:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Orally</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Contact</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inhalation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Air
Pollution</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">19.<span> </span>Target population for targeted intervention
for HIV includes all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Migrant
labourers</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sex
workers</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Street
children</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Industrial
workers</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">20.<span> </span>STEPS approach by WHO is for assessing
incidents of risk factor for:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Communicable
diseases</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Non
communicable diseases</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Immune
deficient diseases</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Autoimmune
diseases</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">21.<span> </span>Nested case control study is a type of:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prospective
study</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Retrospective
study</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ecological
study</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Case
control study</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">22.<span> </span>To know the prevalence of cataract in a
population at a given point of time study design used is:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cross
Sectional</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cohort</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ecological</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Case
control</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">23.<span> </span>HIV screening in pregnancy as recommended by
CDC?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Universal
screening</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Symptomatic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Opt.
In screening</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Opt.
Out screening</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">24.<span> </span>Blood banks get permission to operate from:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>NACO</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>NABL</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>State
Ministry/Ministry of Health</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Drug
Controller General of India</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">25.<span> </span>Not a part of targets for 10th Five Year
Plans?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increase
Cataract Surgery to 450/lakh population</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IOL
implantation in more than 80% of cataract operations</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Development
of 50 paediatric ophthalmology units.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>100%
coverage of Vit. Aprophylactic doses from 9 months to 3 years of age children</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">26.<span> </span>Thiamine requirement by body depends on
consumption of:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Carbohydrates</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Fats</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Amino
acids</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Minerals</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">27.<span> </span>Profit put before health in which view?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Marxist</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Feminist</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Foucaldian
theory</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Personian</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">28.<span> </span>Safe disposal of Mercury?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bury
under earth</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Collect
carefully and reuse</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Combustion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Treat
with chemical</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">29.<span> </span>Acquired, constant & permanent but liable
to change later on</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Knowledge</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cultural
believe</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Practice</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Attitude</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">30.<span> </span>A temporary, provisional views held by the
people on a point of view is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Opinion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cultural
believe</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Practice</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Attitude</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">31.<span> </span>Which doesn’t measure association?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>P
valve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Odds
ratio</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Relative
risk</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cronbach’
alpha</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Pediatric</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">32.<span> </span>A 10-month-old baby previously normal,
suddenly becomes distressed in his crib. The external appearance of genitalia
was normal, except hyperpigmentation. Blood glucose showed a level of 30mg%.
What is the most probable diagnosis?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>21
hydroxylasedeficiency</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperinsulinism</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Familial
glucocorticoid deficiency</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cushing’s
syndrome</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">33.<span> </span>A 3-month-old female child with normal
genitalia and normal blood pressure presents to the emergency department with
severe dehydration, hyperkalemia and hyponatremia. The measurement blood levels
of which of the following will be helpful?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>17-hydroxy
progesterone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Renin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cortisol</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aldosterone</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">34.<span> </span>A child presents with hepatosplenomegaly,
abdominal distension, jaundice, anemia and adrenal calcification. Which of the
following is the diagnosis?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Adrenal
hemorrhage</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Wolman’s
disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pheochromocytoma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Addison’s
disease</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">35.<span> </span>All are true about scurvy except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Skeletal
changes in adult occur with clinical deficiency of Vit. C</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Defective
proximal calcification is the central cause for bone change</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cartilaginous
overgrowth results in widening of epiphyseal plate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bowing
of legs</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">36.<span> </span>Pilocytic astrocytoma false is:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Spreads
to posterior fossa</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Seen
at eighty years of age</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Best
prognosis among all intracranial neoplasms</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Surgery
and radiation therapy used for treatment</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Obstetrics
& gynaecology</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">37.<span> </span>Caesarean section can be done in which heart
disease during pregnancy:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Eissenmenger
syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>AS</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cardiomyopathy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aortic
aneurysm</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">38.<span> </span>Mayer Rokintansky Kuster Kauser:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Absent
ovary uterus present</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Absent
ovary, uterus and vagina</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Absent
uterus and vagina</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Uterus
absent, tubes and ovary present</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">39.<span> </span>A lady presented with creamy white vaginal
discharge with fishy odour, drug of choice is:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Doxycycline</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ofloxacin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metronidazole</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chondamycin</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">40.<span> </span>All are true about aneuploidy except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>30%
of trisomy 21 fetus die in utero</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>80%
of trisomy 18 fetus die in utero</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Occurrence
of aneuploidy has no relation with the progression of mother’s age</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Not
recalled</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">41.<span> </span>Pregnancy is Contradiction in all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Eissenmenger
syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>WPW
syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>PPHT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Marfan
involving aortic root</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">42.<span> </span>Not true in a diabetic pregnant patience?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Risk
of congenital malformation is 6-10%.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>1-2%
incidence of single umbilical artery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Free
radical is most important cause of injury</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Insulin
R 500 IU can be given</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">43.<span> </span>Clomiphene citrate:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
is antiestrogenic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Trials
shown used in increase sperm count in oligospermia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Twin
pregnancy incidence increased by 40%</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>3
fold increase in pregnancy compared to placebo.</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">44.<span> </span>Tran abdominal Chronic villas sampling is
bests done on:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>7-9
wk</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>9-11
wk</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>11-13
wk</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>20-24
wk</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">45.<span> </span>Vase previa true is condition seen is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ECS
at 38 wks</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>U/S
Low lying placeta in the second trimester is a risk facto</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Incidence
is 1 in 1500 cases</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mortality
association is 20%</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Anaesthesia</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">46.<span> </span>Flat capnogram is seen in all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intraoperative
displacement of endotracheal tube</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Disconnection
of endotracheal tube</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mechanical
ventilation failure</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bronchospasm</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">47.<span> </span>Most cardiostable:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ketamine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thiopentone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Etomidate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Propofol</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">48.<span> </span>Coeliac pluexes block complication is:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Retroperitoneal
haemorrhage</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pneumothorax</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intra-arterial
injury</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hypotension</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">49.<span> </span>Which is seen after tracheostomy?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
V/P ratio</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inversion
of V/P ratio</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Decrease
in dead space</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
resistance to air flow</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">50.<span> </span>Methemoglobinemia is caused which local
anaesthetic?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prilocaine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Procaine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lidocaine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ropivacine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">51.<span> </span>Which is safe in myasthenia gravis?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aminoglycosides</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Azathioprine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tetracycline</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phenytoin</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">52.<span> </span>True about CPAP ail except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Used
prophylactically in baby born with <1 kg wt or <28 weeks gestation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Initiate
as early in preterm with resp. diseases</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Initiate
with <50-60% Fi O</span><span style="font-family: "Arial","sans-serif"; font-size: 6pt; position: relative; top: 1.5pt;">2</span><span style="font-family: "Arial","sans-serif";"></span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Improed
lung compliance and oxygenation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Microbiology</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">53.<span> </span>Listeria culture media:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Baker</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Korthoff</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tinsdale</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Blood
agar</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">54.<span> </span>All are dimorphic except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Blastomyces</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Histoplasma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Penicillium
mameffei</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phialophora</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">55.<span> </span>Microaerophilic bacteria:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Campylobacter</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vibrio
cholera</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pseudomonas</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Salmonella</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">56.<span> </span>Treponema palidum isolated from CSF in which
stage?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Primary
syphilis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Secondary
syphilis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tertiary
syphilis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tabes
dorsalis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A/B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">57.<span> </span>All cause malasorption syndromes except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Giardiasis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ascaris</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Strongyloides</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Capillaria
phillipinesis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">58.<span> </span>Congenital toxoplasmosis not true:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IgA
is more sensitive than IgM</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>An
increase in IgM beyond 1st week of life is diagnostic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IgG
is diagnostic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dye
test is used</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">59.<span> </span>Acid fast organism with oocyst of size 5µm on
stool examination, causing diarrhea in HIV positive patient:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cryptosporidium</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Isospora
belli</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Microsoporidia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Blastocystis
hominii</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">60.<span> </span>A traveler present with conjugated
hyperbilirubinemia and on USG investigations a egg was found in his biliary
tract. Likely organism:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Clonorchis
sinensis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pasciola
buski</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gnathostomata</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ascaris</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">61.<span> </span>Which species of Clostridum does not cause
gas gangrene?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cl.
perfringes</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cl.
Histolyticum</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>C.
Novyii</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>C.
Sporogenes</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">62.<span> </span>Autoinfection is seen with:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cryptosporidium</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Strogyloidies</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Giardia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ganthostoma</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">63.<span> </span>Intermediate host of echinococcus
granulossus?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dog</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pig</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cat</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Man</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Pathology</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">64.<span> </span>Annexin 5 is seen attached to an imermeable
cell. The cell is in the process of:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cell
cycle progression</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cell
cycle stops</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Apoptosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Necrosis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">65.<span> </span>Hyperplasia and hypertrophy both occur in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Breast
enlargement during puberty</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Uterus
during pregnancy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Skeletal
muscle enlargement during exercise</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Left
ventricle hypertrophy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">66.<span> </span>Nodular regenerative hyperplasia in liver is
associated with?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Viral
hepatitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Alcoholic
hepatitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Autoimmune
hepatitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Renal
transplantation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">67.<span> </span>Most common cause of cancer with ageing:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Telomerase
inhibition</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Telomerase
reactivation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Suppression
of proto-oncogene’s</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
signals for apoptosis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">68.<span> </span>True about Metastatic calcification:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Starts
in mitochondria</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Occurs
in damaged cardiac valves</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Occurs
in dead tissues</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Calcium
levels are normal</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">69.<span> </span>Patch test denotes which type of
hypersensitivity?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>I</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>II</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>III</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IV</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">70.<span> </span>Skip lesions seen in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Crohn’s
disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ulcerative
colitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Typhoid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>TB
enteritis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">71.<span> </span>All are true except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chediak
Higashi syndrome is due to deficient phagolysosome formation.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>In
Bruton’s agammaglobulinemia opsonisation is not affected</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mycloperoxidase
action is mainly due to HOCl.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>NADPH
oxidase acts via superoxide ions.</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Biochemistry</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">72.<span> </span>Eukaryotic membrane is made up of all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Triglycerides</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Carbohydrates</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cholesterol</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lecithin</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">73.<span> </span>What is not done by insulin?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glycolysis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ketogenesis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glycogenesis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lipogenesis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">74.<span> </span>Which migrates fastest on paper
chromatography on methylcellulose medium:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ascorbic
acid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glycine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lysine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Valine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">75.<span> </span>True about translation in eukaryoks are all
except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>N
formyl methionine transfer RNA will be the first</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>5’3’
direction</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>3’5’
direction</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>EF
2 shift b/w GDP & GTP</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">76.<span> </span>NO formed in body by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>L
Arginine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glycine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Valine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aspartic
acid</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">77.<span> </span>Oligomisnorm gene used in Primer</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Site
directed mutagenesis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>RELP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Error
base PCR</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mass
chromatography</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">ENT</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">78.<span> </span>Endolymph is secreted by:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hair
cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Stria
Vascularis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Scala
tympani</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Scala
Vestibuli</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">79.<span> </span>Bell’s palsy patient comes on day 3.
Treatment is given:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Oral
steroids + Vit. B</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vit.
B + Vasodilators</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Oral
Steroids + Acyclovir</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intratympanic
steroids</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">80.<span> </span>Man with strained n croaky voice with
spasmodic dysfunction</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Adductor
spasm,</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Abductor
spasm</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Botox
in pca best treatment</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Type
4 thyroplasty is treatment</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Pharmacology</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">81.<span> </span>Cerebellar toxicity is caused by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cytosine
arabinoside</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bleomycin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cisplatin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Busulfan</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">82.<span> </span>Tolazoline is used as:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vasoconstrictor
in treatment of gastro esophageal varices.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vasodilator
during angiography to relieve vasospasm</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>A
new radio-contrast agent</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>New
antispasmodic during biliary spasm</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">83.<span> </span>Side effect of Amiodarone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Fibrosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cirrhosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Productive
Cough</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Corneal
micro deposits</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">84.<span> </span>Treatment of heparin overdose is:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vit.
-K</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Blood
transfusion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Protamine
sulphate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Platelet
infusion</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">85.<span> </span>Thalidomide not used in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HIV
associated neuropathy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bechet’s</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HIV
associated oral ulcers</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ENCL</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">86.<span> </span>Which can be given orally:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cytosine
arabinoside</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Actinomycin
D</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mesna</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Doxorubicin</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">87.<span> </span>Allopurinol used in organ preservation as:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Free
radical destruction</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Preservative</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Antioxidant</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>None
of above</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">88.<span> </span>True about warfarin are all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Crosses
placenta, should not be given in pregnancy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vit.
K dependent factors inhabited</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>t½
is 36 hours</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>In
liver disease dose in increased</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">89.<span> </span>Pharmacovigilance:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Check
cost of drugs</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Check
drug safety</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Monitoring
of pharmacy students</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Keep
a check on dealers</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">90.<span> </span>Cetuximab used in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Palliative
treatment in head neck ca</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Analcanalca</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Small
cell ca lung</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gastric
cancer</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">91.<span> </span>Mechanism of action of Multi Drug Resistance
gene:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inhibit
prodrug activation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Efflux
of the drug from the cell</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increasing
the rate of metabolism of drug</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inactivating
the receptors for drug action</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">92.<span> </span>Not true about cephalosporin:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inhibit
cell wall synthesis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cefoperazone
is antipseudomonal</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cetazidime
is third generation cephalosporin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cefoxitin
has no anaerobic activity</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">93.<span> </span>Digitalis toxicity potentiated by all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperkalemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hypomagnesemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperalcemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Renal
failure</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">94.<span> </span>For ACE inhibitors, which of the following is
true?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inhibit
angiotensionogen conversion to angiotensin-I</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Omit
diuretics to prevent 1st dose hypotension</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Enalopril
is more long acting than Lisinopril</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Can’t
be given till systolic function resolves.</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">95.<span> </span>Highest emetic potential is by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cisplatin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>High
dose methotrexate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>High
dose Cyclophosphamide</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vincristine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Surgery</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">96.<span> </span>Death in Crohn’s most commonly due to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thromboembolism</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sepsis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Malignancy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Electrolyte
imbalance</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">97.<span> </span>Seminomatous and non-seminematous tumors true
is all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Seminomatous
when localised to testis give radiotherapy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Non
seminomatous when localized to testis orchidectomy + removal of RPLN.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Seminomatous
spread by haematogenous route as compared to non seminomatous.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Non
seminomatous are more malignant thn seminomatous.</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">98.<span> </span>Boover sign is used for testing muscle of</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Respiratory</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Abdominal</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Facial</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Occular</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">99.<span> </span>Sister joseph marry nodule in which a</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gastric</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pancreatic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Colon</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ovarian</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">100.<span> </span>Which of the following is used to define
penetrating neck injury?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>2
cm. Depth of wound</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Injury
to vital structures</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Breach
of platysma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Through
and through wound</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">101.<span> </span>Choledochal cyst not true</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Type
Second is m/c type</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Rupture
leads to peritonitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Radical
excision & reconstruction of biliary tract is treat meant of choice</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lined
by squamous epithelium</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">102.<span> </span>Not a premalignant lesion of esophagus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Medistinal
fibrosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Caustic
burn</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Human
papilloma virus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Diverticula</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">103.<span> </span>Most common cause of esophagitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Smoking</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Alcohol</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Reflux
Disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
intake of Spices</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">104.<span> </span>Most common cause for nosocomial infection</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Admission
for elective surgery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Admission
for normal delivery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Know
neoplasm patient in OPD for follow up</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Endoscopic
evaluation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">105.<span> </span>Stain used 2 find carcinoma while doing
endoscopy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Toluidine
blue</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gentian
violet</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hematoxylin
2 eosin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Methylene
Blue</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">106.<span> </span>Double bubble sign is seen with:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Esophageal
atresia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pyloric
stenosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Duodenal
atresia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Heal
atresia</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">107.<span> </span>Penile Angiography is indicated in all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Peyronie’s
disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vascular
malformation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Priapism</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ischemic
erectile dysfunction</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">108.<span> </span>Most important prognostic factor of renal
cancer based on:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Size
of tumor</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pathological
staging</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Nuclear
grading</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Histology</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Forensic</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">109.<span> </span>Large bruise with minimal trauma occurs in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Scalp</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Soles</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Palm</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Face</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">110.<span> </span>Cuts of genitalia are commonly:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Homicidal</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Post-mortem
artifact</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Accidental</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Self
inflicted</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">111.<span> </span>A pest control worker was brought to the
emergency room with h/o pain in abdomen vomiting, garlic odor in breath, which
of the following is the most common poison?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lead</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Arsenic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mercury</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phosphenes</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">112.<span> </span>Not a sign of ante-mortem contusion:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sharp
margins</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Raised
above the surface</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Coagulation
of blood</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vital
reaction</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Ophthalmology</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">113.<span> </span>Maximum refractive index is for:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cornea</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anterior
surface of lens</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Centroid
of lens</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Posterior
surface of lens</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">114.<span> </span>A young male presents with blurred vision in
right eye followed by similar complaints in left eye after 3 months. On
examination – Pupillary reflex is normal and centrocaecal scotoma is seen. He
has parafoveal/juxtafovcal telangiectasia and disc hyperaemia. Most likely
diagnosis:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Leber’s
hereditary optic atrophy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Optic
neuritis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Papilloedema</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Toxic
optic neuropathy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">115.<span> </span>Sclera is thinnest at:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Equator</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Insertion
of recti</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Beneath
the recti</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Behind
the insertion of recti</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">116.<span> </span>Diplopia with limitation of adduction of right
eye with abduction saccades of left eye and normal convergent is due to:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Duane’
sretractionsyndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Partial
3rd nerve palsy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Internuclear
ophthalmoplegia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Absence
of medial rectus</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">117.<span> </span>Most common cause of fracture of roof of orbit:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Blow
on forehead</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Blow
on lower jaw</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Blow
on parietal bone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Fall
on back of the head</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Radiology</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">118.<span> </span>C1 C2 best seen in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lateral
view</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Oblique
view</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>AP
view</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Odontoid
view</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">119.<span> </span>Hounsefield Units depends on</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Electron
density</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mass
density</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Effective
atomic no. a</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Attenuation
ration</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">120.<span> </span>Stereotactic surgery is done with all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gamma
knife CO60</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Electron</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Proton</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Linear
accelerator</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (None)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">121.<span> </span>Revisable ischemia of the heart is detected by:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Angiography</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thallium
scan</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>MUGA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Resting
Echocardiography</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Psychiatry</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">122.<span> </span>Subcortical dementia occurs in all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Alzheimer’s
disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Supranuclear
Palsy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Parkinson’s</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HIV
associated dementia</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">123.<span> </span>Formation and delusion of persecution occurs
simultaneously in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cocaine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Amphetamine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cannabis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Morphine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">124.<span> </span>True about hallucination except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
occurs in inner subjective space</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
is vivid as real sensation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
occurs in absence of stimuli</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
occurs without the will of subject</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">125.<span> </span>Alcohol anticraving agents all are used except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lorazepam</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Topiramate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Accemprosate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Naltrexone</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">126.<span> </span>Which of the following agent cannot be used as
treatment of heroine dependence</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lorazepam</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Naltrexone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Clonidine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Disulfiram</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">127.<span> </span>Best therapy suited to teach daily life skill
to a mentally, challenged child:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CBT
(Cognitive Behaviour Therapy)</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Contingency</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cognitive
reconstruction</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Self
instruction</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">128.<span> </span>A man taking 20 cigarettes per day, started
coughing, his family suggested quitting cigaretes. He is ready to quit but
thinks that quitting will make him irritable, the best health planning model
followed is:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cost
and survival</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Persuasion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Precontemplation
and preparation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Belief</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Orthopaedics</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">129.<span> </span>A 7 year old boy with abrupt onset of pain in
hip with hip held in abduction. All investigations are normal except for a high
value of ESR. Which is the next line of management?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hospitalize
and observe</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ambulatory
observation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intra
venous antibiotics</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>USG
guided aspiration of hip</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">130.<span> </span>Haematogenous infection to bone involves which
part of long bone?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Epiphysis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Diaphysis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metaphysis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Where
nutrient artery enters bone</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">131.<span> </span>Tarsal tunnel syndrome is seen in which
arthritis?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Rheumatoid
arthritis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Psoriatic
arthritis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ankylosing
spondylitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Osteoarthritis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">132.<span> </span>Crescent fracture true is:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Acetabulum
shift backwards</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Rotational
instability found.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Fracture
of iliac bone with sacroiliac disruption</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dislocation
of pubic symphysis with fracture of both iliac bones</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">133.<span> </span>Stability of posterior glenohumeral joint
tested by:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Jerk’s
test.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Fulcrum
test</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Crnak
test</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sulcus
test</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">134.<span> </span>Kocher Langenback procedure done in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Acetabular
fracture</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span></span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span></span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span></span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">135.<span> </span>Emergency treatment of acetabular fracture done
in A/E:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Recurrent
dislocation despite Rx</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Open
ace tubular #</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sciatic
n entrapment</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. ()</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">136.<span> </span>Osteosclerotic bone lesion is found most
commonly in which carcinoma?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prostate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Kidney</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thyroid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lung</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Medicine</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">137.<span> </span>LV hypertrophy does not occurs in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>MS</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>AR</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>AS</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>MR</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">138.<span> </span>Most important cause of acute right heart
failure?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tricuspid
stenosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pulmonary
stenosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Massive
pulmonary embolism</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tricuspid
regurgitation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">139.<span> </span>Bilateral medulary nephrocalcinosis seen in all
except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperoxaluria</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Barter’s</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prolonged
use of Furosemide</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ARPKD</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">140.<span> </span>Histiocytosis which is false:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Highly
radiosensitive</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Disseminated
is letterer sine disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Seen
in < 3 years old</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gonadal
involvement is common</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">141.<span> </span>A 55 years old diabetic lady without any
previous H/O headache presented with severe acute headache, nausea and on
examination found to have neck rigidity. Detailed history lead to finding a
past H/O photophobia. Most common can be:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Acute
viral encephalitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hydrocephalus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Migrane</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>SAH</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">142.<span> </span>Right cerebral hemisphere damage seen is all
except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Visuospatial
deficit</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anosognosia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dyscalculia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dysgsraphia</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">143.<span> </span>Which is not true about primary Sjogern’s
syndrome?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Xerostomia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Xerophthalmia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lymphoma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Connective
tissue disorder/autoimmune disorder</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">144.<span> </span>Gene therapy has been successfully used in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cystic
fibrosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sickle
cell anemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thalassemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>SCID</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">145.<span> </span>CNS finding in HIV patient are all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Giant
cell surrounding vessels</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Microglial
nodules</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inclusion
body</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Posterior
column vaculopathy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">146.<span> </span>Blood transfusion complications are all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperkalemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Citrate
toxicity</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metabolic
acidosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Leucocytosis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">147.<span> </span>Which of the following is NOT a cause of
congenital hypercoagulability?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Protein
C deficiency</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Protein
S deficiency</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Antiphospholipid
antibody syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>MLCSTR
gene mutations</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">148.<span> </span>Following are true about Wilson’s disease
except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Serum
ceruloplasmin <20 mg/ac</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>24
hour urinary copper excretion <100 ug</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Autosomal
recessive</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Liver
biopsy with >200 ug/g dry weight is gold standard.</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">149.<span> </span>Treatment of a lady with sputum positive
pulmonary TB in early pregnancy:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Start
the treatment with Cat. I immediately</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Treatment
to be delayed till second trimester</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Category
II treatment in first trimester</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Category
III treatment in first trimester</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">150.<span> </span>In prions disease all are true except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>They
are caused by infections proteins</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Neurodegenerative
disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Biopsy
of brain is specific</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Myoclonus
present in 10% cases.</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">151.<span> </span>Tumrolysis syndrome not seen:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperuricemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperphosphatemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hypercalcemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperkalemia</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">152.<span> </span>Major Jone’s criteria for Rheumatic fever are
all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Carditis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chorea</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Arthritis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ESR</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">153.<span> </span>A patient with memory impairment, visuo spatial
deficits and paranoid delusions is found to have neurofibrillary tangles in the
brain. Other pathological findings associated will be:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Amyloid
plaque</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lewy
Bodies</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>X
synuclein</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Negri
bodies</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">154.<span> </span>Most important in Coronary heart disease:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>LDL</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HDL</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Triglycerides</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>VDL</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">155.<span> </span>Romberg sign positive with eyes closed in seen
in lesions of:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Spinocerebellr
tract</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Spinothalamic
tract</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Propriocetion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pontocerebellar
tract</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">156.<span> </span>A man developed swelling of face frequently
with occasional laryngeal edema, most probable diagnosis is:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>C-l
esterase deficiency</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Allergy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anaphylaxsis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Non
recalled</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">157.<span> </span>Most common cause of acute RVF;</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Massive
pulmonary embolism</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tricuspid
stenosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pulmonary
stenosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tricuspid
regurgitation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">158.<span> </span>Drugs not used for the treatment of acute
hyperkalemia:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Insulin+glucose</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Potassium
exchange resins</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Calcium
gluconate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sodium
bicarbonate</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">159.<span> </span>Blood borne infections are all except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hep
G</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>EBV</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CMV</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Parvovirus
B19</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">160.<span> </span>Pauci immune glomerulonephritis:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>After
transplant in Alport’s</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Microscopic
polyangitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Henoch
Schonlein purpura</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>SLE</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">161.<span> </span>Hypersensitivity vasculitis involves:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Arterioles</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Post
capillary venules</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Capillaries</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Medium
sized arteries</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">162.<span> </span>Treatment of choice for Kawasaki disease?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>I.V.
immunoglobulins</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Steroids</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Azathioprine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Methotrexate</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">163.<span> </span>All of the following are true about lupus
anticoagulant except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prolongation
of only aPTT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Recurrent
second trimester absorption</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Recurrent
bleeding episodes</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Can
be associated without any clinical symptoms</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">164.<span> </span>Serum fructosamine can be used in all, except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Screening
of diabetes</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Rapid
change in DM treatment</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Short
term control OD DM</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Screening
of DM in pregnancy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">165.<span> </span>The nobel prize in physiology or medicine for
2007 jointly to Mario R. Capecchi, Martin J. Evans and Oliver Smithies for
their discoveries of:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Detection
of chemical/growth factors for preventing growth of tumors</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Principles
for introducing specific gene modifications in mice by the use embryonic stem
cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Non
genetic method treating muscular dystrophies</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Not
recalled</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Physiology</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">166.<span> </span>VIII nerve receives afferents of:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Taste</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Balance</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pain</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Smell</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">167.<span> </span>During Ovulation phase:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increase
in inhibin A level</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>FHS
induce steroid genesis in granulosa cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Decrease
Activin A level</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Reduction
division occurs at the time of ovulation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">168.<span> </span>Diff b/w Rods & Cones are all except in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sensitivity</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Number</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Type
light</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Transduction</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">169.<span> </span>Somatomedin at normal physiological
concentration combination do:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lypogenesis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glyconeogenesis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glucose
taken up by cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Deposition
of chondritin sulphate</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">170.<span> </span>Muscle spindle function:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Maintain
muscles length</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Muscles
tension</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Muscle
tone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Withdrawal
reflex</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">171.<span> </span>High affinity of fetal Hb with O2 due to:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Decreases
2, 3 DPG</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Reduced
pH</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increase
releases of CO</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span></span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">172.<span> </span>Development of fibers of cortex is:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tangential</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vertical</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Irregular</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Horizontal</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">173.<span> </span>Central processing at auditory pathway is for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Speech
discrimination</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Frequency
discrimination</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intensity
discrimination</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sound
Localization</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">174.<span> </span>Estrogens action on carbohydrate metabolism</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increase
uptake of glucose through</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glycolysis
increase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increasing
central adipose deposition</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Decrease
fasting insulin level</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Skin</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">175.<span> </span>Granular deposits of IgA in intradermal space:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bullous
pemphigoid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pemphigus
vulgaris</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dermatitis
herpetiformis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lichen
planus</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">176.<span> </span>IgG intercellular deposits are seen in:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bullous
pemphigoid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pemphigus
vulgaris</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dermatitis
herpetiformis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lichen
planus</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">177.<span> </span>IgA deposits on skin biopsy:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Henoch
Schouleiln puspura</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Giant
cell arteritis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Microscopic
plyangitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Wegener’s
granulomatosis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">178.<span> </span>Neurofibromatosis all are true except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Autosomal
recessive</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Scoliosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Neurofibroma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Association
with cataract</span></div>
<div class="MsoNormal">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-24814542107909601192012-01-07T20:53:00.000-08:002012-01-07T20:53:16.184-08:00AIIMS MAY 2003<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<span style="font-size: 28pt;"></span><span style="font-size: 24pt;"></span>ANATOMY
<div class="Ques">
<span style="color: windowtext;">Q 1.<span> </span>Surface ectoderm gives rise to all of the following structures <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Lens</div>
<div class="1234">
<b>B.<span> </span></b>Corneal epithelium</div>
<div class="1234">
<b>C.<span> </span></b>Conjunctival epithelium</div>
<div class="1234">
<b>D.<span> </span></b>Anterior layers of iris</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 2.<span> </span>All of the following ligaments contribute to the stability of
ankle (talocrural) joint <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Calcaneonavicular (spring)</div>
<div class="1234">
<b>B.<span> </span></b>Deltoid</div>
<div class="1234">
<b>C.<span> </span></b>Lateral</div>
<div class="1234">
<b>D.<span> </span></b>Posterior tibiofibular</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 3.<span> </span>In dislocation of the jaw, displacement of the articular disc
beyond the articular tubercle of the temporomandibular joint results from spasm
or excessive contraction of the following muscle?</span></div>
<div class="1234">
<b>A.<span> </span></b>Buccinator</div>
<div class="1234">
<b>B.<span> </span></b>Lateral pterygoid</div>
<div class="1234">
<b>C.<span> </span></b>Masseter</div>
<div class="1234">
<b>D.<span> </span></b>Temporalis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 4.<span> </span>Following surgical removal of a firm nodular cancer swelling in
the right breast and exploration of the right axilla, on examination the
patient was found to have a winged right scapula. Most likely this could have
occurred due to injury to the:</span></div>
<div class="1234">
<b>A.<span> </span></b>Subscapular muscle</div>
<div class="1234">
<b>B.<span> </span></b>Coracoid process of scapula</div>
<div class="1234">
<b>C.<span> </span></b>Long thoracic nerve</div>
<div class="1234">
<b>D.<span> </span></b>Circumflex scapular artery</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 5.<span> </span>A 50 year old man suffering from carcinoma of prostate showed
areas of sclerosis and collapse of T10 and T11 vertebrae in X-ray. The spread
of this cancer to the above vertebrae was most probably through:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sacral canal</div>
<div class="1234">
<b>B.<span> </span></b>Lymphatic vessels</div>
<div class="1234">
<b>C.<span> </span></b>Internal vertebral plexus of veins</div>
<div class="1234">
<b>D.<span> </span></b>Superior rectal veins</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
<br /></div>
<div class="Head">
PHYSIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 6.<span> </span>Most accurate measurement of extracellular fluid volume (ECF)
can be done by using:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sucrose</div>
<div class="1234">
<b>B.<span> </span></b>Mannitol</div>
<div class="1234">
<b>C.<span> </span></b>Inulin</div>
<div class="1234">
<b>D.<span> </span></b>Aminopyrine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 7.<span> </span>A shift of posture from supine to upright posture is associated
with cardiovasucular adjustments. Which of the following is <i>not</i> true in
this context:</span></div>
<div class="1234">
<b>A.<span> </span></b>Rise in central venous pressure</div>
<div class="1234">
<b>B.<span> </span></b>Rise in heart rate</div>
<div class="1234">
<b>C.<span> </span></b>Decrease in cardiac output</div>
<div class="1234">
<b>D.<span> </span></b>Decrease in stroke volume</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 8.<span> </span>There is a mid-cycle shift in the basal body temperature (BBT)
after ovulation in<span> </span>women. This is caused
by:</span></div>
<div class="1234">
<b>A.<span> </span></b>FSH peak</div>
<div class="1234">
<b>B.<span> </span></b>LH peak</div>
<div class="1234">
<b>C.<span> </span></b>Oestradiol</div>
<div class="1234">
<b>D.<span> </span></b>Progesterone</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 9.<span> </span>A 55-year-old male accident victim in casualty urgently needs
blood. Blood bank is unable to determine his ABO group, as his red cell group
and plasma group do not match. Emergency transfusion of patient should be with:</span></div>
<div class="1234">
<b>A.<span> </span></b>RBC corresponding to his red cell group and colloids/crystalloid</div>
<div class="1234">
<b>B.<span> </span></b>Whole blood corresponding to his plasma group</div>
<div class="1234">
<b>C.<span> </span></b>O positive RBC and colloids/crystalloid</div>
<div class="1234">
<b>D.<span> </span></b>AB negative whole blood</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 10.<span> </span>All are correct about potassium balance <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Most of potassium is intracellular</div>
<div class="1234">
<b>B.<span> </span></b>Three quarter of the total body potassium is found in skeletal
muscle</div>
<div class="1234">
<b>C.<span> </span></b>Intracellular potassium is released into extra-cellular space in
response to severe injury or surgical stress</div>
<div class="1234">
<b>D.<span> </span></b>Acidosis leads to movement of potassium from extracellular to
intracellular fluid compartment</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 11.<span> </span>In angina pectoris, the pain radiating down the left arm is
mediated by increased activity in afferent (sensory) fibres contained in the:</span></div>
<div class="1234">
<b>A.<span> </span></b>Carotid branch of the glossopharyngeal nerve</div>
<div class="1234">
<b>B.<span> </span></b>Phrenic nerve</div>
<div class="1234">
<b>C.<span> </span></b>Vagus nerve and recurrent laryngeal nerve</div>
<div class="1234">
<b>D.<span> </span></b>Thoracic splanchnic nerve</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 12.<span> </span>Osteoclast has specific receptor for:</span></div>
<div class="1234">
<b>A.<span> </span></b>Parathyroid hormone</div>
<div class="1234">
<b>B.<span> </span></b>Calcitonin</div>
<div class="1234">
<b>C.<span> </span></b>Thyroxine</div>
<div class="1234">
<b>D.<span> </span></b>Vitamin D3</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 13.<span> </span>Hypocalcemia is characterized by all <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Numbness and tingling of circumoral region</div>
<div class="1234">
<b>B.<span> </span></b>Hyperactive tendon reflexes and positive Chvostek’s sign</div>
<div class="1234">
<b>C.<span> </span></b>Shortening of Q-T interval in ECG</div>
<div class="1234">
<b>D.<span> </span></b>Carpopedal spasm</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 14.<span> </span>The mechanism that protects normal pancreas from autodigestion
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Secretion of biocarbonate</div>
<div class="1234">
<b>B.<span> </span></b>Protease inhibitors present in plasma</div>
<div class="1234">
<b>C.<span> </span></b>Proteolytic enzymes secreted in inactive form</div>
<div class="1234">
<b>D.<span> </span></b>The resistance of pancreatic cells</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 15.<span> </span>Although more than 400 blood groups have been identified, the ABO
blood group system remains the most important in clinical medicine because:</span></div>
<div class="1234">
<b>A.<span> </span></b>It was the first blood group system to be discovered</div>
<div class="1234">
<b>B.<span> </span></b>It has four different blood groups A, B, AB, O (H)</div>
<div class="1234">
<b>C.<span> </span></b>ABO (H) antigens are present in most body tissues and fluids</div>
<div class="1234">
<b>D.<span> </span></b>ABO (H) antibodies are invariably present in plasma when persons
RBC lacks the corresponding antigen</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 16.<span> </span>Father to son inheritance is never seen in case of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Autosomal dominant inheritance</div>
<div class="1234">
<b>B.<span> </span></b>Autosomal recessive inheritance</div>
<div class="1234">
<b>C.<span> </span></b>X- linked recessive inheritance</div>
<div class="1234">
<b>D.<span> </span></b>Multifactorial inheritance</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 17.<span> </span>The hormone associated with cold adaptation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Growth hormone</div>
<div class="1234">
<b>B.<span> </span></b>Thyroxine</div>
<div class="1234">
<b>C.<span> </span></b>Insulin</div>
<div class="1234">
<b>D.<span> </span></b>Melanocyte stimulating hormone</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 18.<span> </span>Various cells respond differentially to a second messenger (such
as increased cAMP) because they have different:</span></div>
<div class="1234">
<b>A.<span> </span></b>Receptors</div>
<div class="1234">
<b>B.<span> </span></b>Enzymatic composition</div>
<div class="1234">
<b>C.<span> </span></b>Nuclei</div>
<div class="1234">
<b>D.<span> </span></b>Membrane lipids</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 19.<span> </span>Brain lipid binding proteins is expressed by which of the
following:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mature astrocytes</div>
<div class="1234">
<b>B.<span> </span></b>Oligodendrocytes</div>
<div class="1234">
<b>C.<span> </span></b>Purkinje cells</div>
<div class="1234">
<b>D.<span> </span></b>Pyramidal neurons</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
BIOCHEMISTRY</div>
<div class="Ques">
<span style="color: windowtext;">Q 20.<span> </span>A newborn infant refuses breast milk since the 2nd day of birth,
vomits on force-feeding but accepts glucose-water, develops diarrhea on the
third day, by 5th day she is jaundiced with liver enlargement and eyes show
signs of cataract. Urinary reducing sugar was positive but blood glucose
estimated by glucose oxidation method was found low. The most likely cause is
deficiency of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Galactose-1-phosphate uridyl transferase</div>
<div class="1234">
<b>B.<span> </span></b>Beta galactosidase</div>
<div class="1234">
<b>C.<span> </span></b>Glucose-6-phosphatase</div>
<div class="1234">
<b>D.<span> </span></b>Galactokinase</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 21.<span> </span>The activity of the following enzyme is affected by biotin
deficiency:</span></div>
<div class="1234">
<b>A.<span> </span></b>Transketolase</div>
<div class="1234">
<b>B.<span> </span></b>Dehydrogenase</div>
<div class="1234">
<b>C.<span> </span></b>Oxidase</div>
<div class="1234">
<b>D.<span> </span></b>Carboxylase</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 22.<span> </span>Acetyl CoA acts as a substrate for all the enzymes <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>HMG-CoA synthetase</div>
<div class="1234">
<b>B.<span> </span></b>Malic enzyme</div>
<div class="1234">
<b>C.<span> </span></b>Malonyl CoA synthetase</div>
<div class="1234">
<b>D.<span> </span></b>Fatty acid synthetase</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 23.<span> </span>At the physiological pH the DNA molecules are:</span></div>
<div class="1234">
<b>A.<span> </span></b>Positively charged</div>
<div class="1234">
<b>B.<span> </span></b>Negatively charged</div>
<div class="1234">
<b>C.<span> </span></b>Neutral</div>
<div class="1234">
<b>D.<span> </span></b>Amphipathic</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 24.<span> </span>Replication and transcription are similar processes in
mechanistic terms because both:</span></div>
<div class="1234">
<b>A.<span> </span></b>Use RNA primers for initiation</div>
<div class="1234">
<b>B.<span> </span></b>Use deoxyribonucleotides as precursors</div>
<div class="1234">
<b>C.<span> </span></b>Are semi conserved events</div>
<div class="1234">
<b>D.<span> </span></b>Involve phosphodiester bond formation with elongation occurring
in the 5'-3' direction</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 25.<span> </span>Cholesterol present in LDL:</span></div>
<div class="1234">
<b>A.<span> </span></b>Represents primarily cholesterol that is being removed from
peripheral cells</div>
<div class="1234">
<b>B.<span> </span></b>Binds to a receptor and diffuses across the cell membrane</div>
<div class="1234">
<b>C.<span> </span></b>On accumulation in the cell inhibits replenishment of LDL
receptors</div>
<div class="1234">
<b>D.<span> </span></b>When enters a cell, suppresses activity of acyl-CoA:cholesterol
acyltransferase (ACAT)</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
FORENSIC</div>
<div class="Ques">
<span style="color: windowtext;">Q 26.<span> </span>Species identification is done by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neutron activation analysis (NAA)</div>
<div class="1234">
<b>B.<span> </span></b>Precipitin test</div>
<div class="1234">
<b>C.<span> </span></b>Benzidine test</div>
<div class="1234">
<b>D.<span> </span></b>Spectroscopy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 27.<span> </span>A dead born fetus does not have</span></div>
<div class="1234">
<b>A.<span> </span></b>Rigor mortis at birth</div>
<div class="1234">
<b>B.<span> </span></b>Adipocere formation</div>
<div class="1234">
<b>C.<span> </span></b>Maceration</div>
<div class="1234">
<b>D.<span> </span></b>Mummification</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 28.<span> </span>In a suspected case of death due to poisoning where cadaveric
rigidity is lasting longer than usual, it may be case of poisoning due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lead</div>
<div class="1234">
<b>B.<span> </span></b>Arsenic</div>
<div class="1234">
<b>C.<span> </span></b>Mercury</div>
<div class="1234">
<b>D.<span> </span></b>Copper</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Preventive and Social Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 29.<span> </span>Commonest cause of neonatal mortality in India is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Diarrheal diseases</div>
<div class="1234">
<b>B.<span> </span></b>Birth injuries</div>
<div class="1234">
<b>C.<span> </span></b>Low birth weight</div>
<div class="1234">
<b>D.<span> </span></b>Congenital anomalies</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 30.<span> </span>In calculating dependency ratio, the numerator is expressed as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Population under 10 years and 60 and above</div>
<div class="1234">
<b>B.<span> </span></b>Population under 15 years and 60 and above</div>
<div class="1234">
<b>C.<span> </span></b>Population under 10 years and 65 and above</div>
<div class="1234">
<b>D.<span> </span></b>Poputation under 15 years and 65 and above</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 31.<span> </span>An adult male patient presented in the OPD with<span> </span>complaints of cough and fever for 3 months
and haemoptysis off and on. His sputum was positive for AFB. On probing it was
found that he had already received treatment with RHZE for 3 weeks from a
nearby hospital and discontinued. How will you categorize and manage the
patient?</span></div>
<div class="1234">
<b>A.<span> </span></b>Category III, start 2 (RHZ)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span></div>
<div class="1234">
<b>B.<span> </span></b>Category II, start 2 (RHZE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span></div>
<div class="1234">
<b>C.<span> </span></b>Category I, start 2 (RHZE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span></div>
<div class="1234">
<b>D.<span> </span></b>Category II, start 2 (RHZES)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 32.<span> </span>Residents of three villages with three different types of water
supply were asked to participate in a study to identify cholera carrier.
Because several cholera deaths had occurred in the recent past, virtually
everyone present at the time submitted to examination. The proportion of
residents in each village who were carriers was computed and compared. This
study is a:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cross-sectional study</div>
<div class="1234">
<b>B.<span> </span></b>Case-control study</div>
<div class="1234">
<b>C.<span> </span></b>Concurrent cohort study</div>
<div class="1234">
<b>D.<span> </span></b>Non-concurrent</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 33.<span> </span>The following is true about the term ‘new families’:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is a variant of the 3-generation family</div>
<div class="1234">
<b>B.<span> </span></b>It is applied to all nuclear families of less then 10 years
duration</div>
<div class="1234">
<b>C.<span> </span></b>It is a variant of the joint family</div>
<div class="1234">
<b>D.<span> </span></b>It is applied to all nuclear families of less then 2 years
duration</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 34.<span> </span>A drug company is developing a new pregnancy- test kit for use on
an outpatient basis. The company used the pregnancy test on 1 00 women who are
known to be pregnant. Out of 100 women, 99 showed positive test. Upon using the
same test on 100 non-pregnant women, 90 showed negative result. What is the
sensitivity of the test?</span></div>
<div class="1234">
<b>A.<span> </span></b>90%</div>
<div class="1234">
<b>B.<span> </span></b>99%</div>
<div class="1234">
<b>C.<span> </span></b>Average of 90 & 99</div>
<div class="1234">
<b>D.<span> </span></b>Cannot be calculated from the given data</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 35.<span> </span>A man presents with fever and chills 2 weeks after a louse bite.
There was a maculo-papular rash on the trunk which spread peripherally. The
cause of this infection can be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Scrub typhus</div>
<div class="1234">
<b>B.<span> </span></b>Endemic typhus</div>
<div class="1234">
<b>C.<span> </span></b>Rickettsial pox</div>
<div class="1234">
<b>D.<span> </span></b>Epidemic typhus</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 36.<span> </span>All of following statements are true regarding Q fever <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>It is a zoonotic infection</div>
<div class="1234">
<b>B.<span> </span></b>Human disease is characterized by an interstitial pneumonia</div>
<div class="1234">
<b>C.<span> </span></b>No rash is seen</div>
<div class="1234">
<b>D.<span> </span></b>Weil Felix reaction is very useful for diagnosis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 37.<span> </span>Reservoir of Indian kala azar is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Man</div>
<div class="1234">
<b>B.<span> </span></b>Rodent</div>
<div class="1234">
<b>C.<span> </span></b>Canine</div>
<div class="1234">
<b>D.<span> </span></b>Equine</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 38.<span> </span>All of the following features are suggestive of asbestosis <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Occurs within five years of exposure</div>
<div class="1234">
<b>B.<span> </span></b>The disease progresses even after removal of contact</div>
<div class="1234">
<b>C.<span> </span></b>Can lead to pleural mesothelioma</div>
<div class="1234">
<b>D.<span> </span></b>Sputum contains asbestos bodies</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 39.<span> </span>A screening test is used in the same way in two similar
populations; but the proportion of false positive results among those who test
positive in population A is lower than those who test positive in population B.
What is the likely explanation?</span></div>
<div class="1234">
<b>A.<span> </span></b>The specificity of the test is lower in population A</div>
<div class="1234">
<b>B.<span> </span></b>The prevalence of the disease is lower in population A</div>
<div class="1234">
<b>C.<span> </span></b>The prevalence of the disease is higher in population A</div>
<div class="1234">
<b>D.<span> </span></b>The specificity of the test is higher in population A</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 40.<span> </span>An investigator wants to study the association between maternal
intake of iron supplements (yes/no) and birth weights (in gms) of newborn
babies. He collects relevant data from 100 pregnant women and their newborns.
What statistical test of hypothesis would you advise for the investigator in
this situation?</span></div>
<div class="1234">
<b>A.<span> </span></b>Chi-square test</div>
<div class="1234">
<b>B.<span> </span></b>Unpaired or independent t-test</div>
<div class="1234">
<b>C.<span> </span></b>Analysis of variance</div>
<div class="1234">
<b>D.<span> </span></b>Paired t-test</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 41.<span> </span>The usefulness of a screening test depends upon its:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sensitivity</div>
<div class="1234">
<b>B.<span> </span></b>Specificity</div>
<div class="1234">
<b>C.<span> </span></b>Reliability</div>
<div class="1234">
<b>D.<span> </span></b>Predictive value</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 42.<span> </span>For testing the statistical significance of the difference in
heights of school children among three socio-economic groups, the most
appropriate statistical test is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Student’s ‘t’ test</div>
<div class="1234">
<b>B.<span> </span></b>Chi-square test</div>
<div class="1234">
<b>C.<span> </span></b>Paired ‘t’ test</div>
<div class="1234">
<b>D.<span> </span></b>One way analysis of variance (one way ANOVA)</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 43.<span> </span>For the field diagnosis of trachoma, the WHO recommends that
follicular and intense trachoma inflammation should be assessed in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Women aged 15-45 years</div>
<div class="1234">
<b>B.<span> </span></b>Population of 10 to 28 years range</div>
<div class="1234">
<b>C.<span> </span></b>Children aged 0-10 years</div>
<div class="1234">
<b>D.<span> </span></b>Population above 25 years of age irrespective of sex</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
PHARMACOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 44.<span> </span>The diuretic group that does not require access to the tubular
lumen to induce diuresis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Carbonic anhydrase inhibitor</div>
<div class="1234">
<b>B.<span> </span></b>Na-Cl symport inhibitor</div>
<div class="1234">
<b>C.<span> </span></b>Mineralocorticoid antagonist</div>
<div class="1234">
<b>D.<span> </span></b>Na-K symport inhibitor</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 45.<span> </span>The following is not true about the use of beta- blockers in
heart failure:</span></div>
<div class="1234">
<b>A.<span> </span></b>It should be initiated at very low dose</div>
<div class="1234">
<b>B.<span> </span></b>It is most effective in new onset decompensated heart failure</div>
<div class="1234">
<b>C.<span> </span></b>Slow upward titration of dose is required</div>
<div class="1234">
<b>D.<span> </span></b>Carvedilol is most widely used in this condition</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 46.<span> </span>km of an enzyme is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dissociation constant</div>
<div class="1234">
<b>B.<span> </span></b>The normal physiological substrate concentration</div>
<div class="1234">
<b>C.<span> </span></b>The substrate concentration at half maximal velocity</div>
<div class="1234">
<b>D.<span> </span></b>Numerically identical for all isoenzymes that catalyze a given
reaction</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 47.<span> </span>An HIV positive patient is on anti retroviral therapy with
zidovudine, lamivudine and indinavir. He is proven to be suffering from
genito-urinary tuberculosis. Which one of the following drugs should not be
given to this patient:</span></div>
<div class="1234">
<b>A.<span> </span></b>Isoniazid</div>
<div class="1234">
<b>B.<span> </span></b>Rifampicin</div>
<div class="1234">
<b>C.<span> </span></b>Pyrazinamide</div>
<div class="1234">
<b>D.<span> </span></b>Ethambutol</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 48.<span> </span>Sodium 2-mercapto ethane sulfonate (mesna) is used as a
protective agent in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Radiotherapy</div>
<div class="1234">
<b>B.<span> </span></b>Cancer chemotherapy</div>
<div class="1234">
<b>C.<span> </span></b>Lithotripsy</div>
<div class="1234">
<b>D.<span> </span></b>Hepatic encephalopathy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 49.<span> </span>A middle aged old man, with chronic renal failure is diagnosed to
have sputum-positive pulmonary tuberculosis. His creatinine clearance is
25ml/min. All of the following drugs need modification in doses <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Isoniazid</div>
<div class="1234">
<b>B.<span> </span></b>Streptomycin</div>
<div class="1234">
<b>C.<span> </span></b>Rifampicin</div>
<div class="1234">
<b>D.<span> </span></b>Ethambutol</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 50.<span> </span>Use of which of the following drug is contraindicated in
pregnancy:</span></div>
<div class="1234">
<b>A.<span> </span></b>Digoxin</div>
<div class="1234">
<b>B.<span> </span></b>Nifedipine</div>
<div class="1234">
<b>C.<span> </span></b>Amoxycillin</div>
<div class="1234">
<b>D.<span> </span></b>Enalapril</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 51.<span> </span>The following statement is <i>not </i>true about sotalol:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is a non-selective beta-blocker</div>
<div class="1234">
<b>B.<span> </span></b>It prolongs action potential duration throughout the heart</div>
<div class="1234">
<b>C.<span> </span></b>It is excreted through bile following hepatic metabolism</div>
<div class="1234">
<b>D.<span> </span></b>Polymorphic ventricular tachycardia is a common side-effect</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 52.<span> </span>All of the following drugs are metabolised by acetylation <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>INH</div>
<div class="1234">
<b>B.<span> </span></b>Sulfonamides</div>
<div class="1234">
<b>C.<span> </span></b>Ketoconazole</div>
<div class="1234">
<b>D.<span> </span></b>Hydralazine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 53.<span> </span>All of the following cephalosporins have good activity against <i>Pseudomonas
aeruginosa except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Cephadroxil</div>
<div class="1234">
<b>B.<span> </span></b>Cefepime</div>
<div class="1234">
<b>C.<span> </span></b>Cefoperazone</div>
<div class="1234">
<b>D.<span> </span></b>Ceftazidime</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 54.<span> </span>The following statement is not true about the use of clonidine in
the treatment of hypertension:</span></div>
<div class="1234">
<b>A.<span> </span></b>Reduction in central sympathetic outflow</div>
<div class="1234">
<b>B.<span> </span></b>Increase in LDL-cholesterol on prolonged use</div>
<div class="1234">
<b>C.<span> </span></b>Sedation and xerostomia are common side effects</div>
<div class="1234">
<b>D.<span> </span></b>It can be combined with vasodilators</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 55.<span> </span>For drugs with first order kinetics the time required to achieve
steady state levels can be predicted from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Volume of distribution</div>
<div class="1234">
<b>B.<span> </span></b>Half life</div>
<div class="1234">
<b>C.<span> </span></b>Clearance</div>
<div class="1234">
<b>D.<span> </span></b>Loading dose</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 56.<span> </span>A patient with recent-onset primary generalized epilepsy develops
drug reaction and skin rash due to phenytoin sodium. The most appropriate
course of action is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Shift to clonazepam</div>
<div class="1234">
<b>B.<span> </span></b>Restart phenytoin sodium after 2 weeks</div>
<div class="1234">
<b>C.<span> </span></b>Shift to sodium valproate</div>
<div class="1234">
<b>D.<span> </span></b>Shift to ethosuximide</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 57.<span> </span>A 60-year old hypertensive patient on angiotensin II receptor
antagonists (losartan) is posed for hernia repair surgery. The antihypertensive
drug should be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Continued till the day of operation</div>
<div class="1234">
<b>B.<span> </span></b>Discontinued 24 hours preoperatively</div>
<div class="1234">
<b>C.<span> </span></b>Discontinued one week preoperatively</div>
<div class="1234">
<b>D.<span> </span></b>Administered in an increased dosage on the day of operation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
MICROBIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 58.<span> </span>Streptococcal toxic shock syndrome is due to the following
virulence factor:</span></div>
<div class="1234">
<b>A.<span> </span></b>M protein</div>
<div class="1234">
<b>B.<span> </span></b>Pyrogenic exotoxin</div>
<div class="1234">
<b>C.<span> </span></b>Streptolysin O</div>
<div class="1234">
<b>D.<span> </span></b>Carbohydrate cell wall</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 59.<span> </span>The virulence factor of <i>Nisseria gonorrhoeae </i>includes all
of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Outer membrane proteins</div>
<div class="1234">
<b>B.<span> </span></b>IgA protease</div>
<div class="1234">
<b>C.<span> </span></b>M-proteins</div>
<div class="1234">
<b>D.<span> </span></b>Pilli</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 60.<span> </span>A ‘malignant pustule’ is a term used for:</span></div>
<div class="1234">
<b>A.<span> </span></b>An infected malignant melanoma</div>
<div class="1234">
<b>B.<span> </span></b>A carbuncle</div>
<div class="1234">
<b>C.<span> </span></b>A rapidly spreading rodent ulcer</div>
<div class="1234">
<b>D.<span> </span></b>Anthrax of the skin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 61.<span> </span>The following statements are true regarding botulism <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Infant botulism is caused by ingestion of preformed toxin</div>
<div class="1234">
<b>B.<span> </span></b><i>Clostridium botulinum </i>A, B, C and F cause human disease</div>
<div class="1234">
<b>C.<span> </span></b>The gene for botulinum toxin is encoded by a bacteriophage</div>
<div class="1234">
<b>D.<span> </span></b><i>Clostridium baratti </i>may cause botulism</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 62.<span> </span>A 20 year old male had pain in abdomen and mild fever followed by
gastroenteritis. The stool examination showed presence of pus cells and RBCs on
microscopy. The etiological agent responsible is most likely to be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Enteroinvasive <i>E. coli</i></div>
<div class="1234">
<b>B.<span> </span></b>Enterotoxigenic <i>E. coli</i></div>
<div class="1234">
<b>C.<span> </span></b>Enteropathogenic <i>E. coli</i></div>
<div class="1234">
<b>D.<span> </span></b>Enetroaggregative <i>E. coli</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 63.<span> </span>With reference to <i>Bacteroides fragilis</i> all of the
following statements are true <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is the most frequent anaerobe isolated from clinical samples</div>
<div class="1234">
<b>B.<span> </span></b>It is not uniformly sensitive to metronidazole</div>
<div class="1234">
<b>C.<span> </span></b>The lipopolysaccharide formed by <i>B. fragilis</i> is
structurally and functionally different from the conventional endotoxin</div>
<div class="1234">
<b>D.<span> </span></b>Shock and disseminated intravascular coagulation are common in
bacteremia due to <i>B. fragilis</i></div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 64.<span> </span>There has been an outbreak of food borne salmonella
gastroenteritis in the community and the stool samples have been received in
the laboratory. Which is the enrichment medium of choice:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cary Blair medium</div>
<div class="1234">
<b>B.<span> </span></b>VR medium</div>
<div class="1234">
<b>C.<span> </span></b>Selenite “F” medium</div>
<div class="1234">
<b>D.<span> </span></b>Thioglycholate medium</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 65.<span> </span>A patient in an ICU is on a CVP line. His blood culture shows
growth of grain positive cocci which are catalase positive and coagulase
negative. The most likely etiological agent is:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Staphylococcus aureus</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Staphylococcus epidermidis</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Streptococcus pyogenes</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Enterococcus faecalis</i></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 66.<span> </span>Which of the following hepatitis viruses is a DNA virus:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hepatitis C virus</div>
<div class="1234">
<b>B.<span> </span></b>Hepatitis B virus</div>
<div class="1234">
<b>C.<span> </span></b>Delta agent</div>
<div class="1234">
<b>D.<span> </span></b>Hepatitis E virus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
PATHOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 67.<span> </span>The light brown perinuclear pigment seen on H & E staining of
the cardiac muscle fibres in the grossly normal appearing heart of an 83 year
old man at autopsy is due to deposition of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hemosiderin</div>
<div class="1234">
<b>B.<span> </span></b>Lipochrome</div>
<div class="1234">
<b>C.<span> </span></b>Cholesterol metabolite</div>
<div class="1234">
<b>D.<span> </span></b>Anthracotic pigment</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 68.<span> </span>Dystrophic gene mutation leads to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Myasthenia gravis</div>
<div class="1234">
<b>B.<span> </span></b>Motor neuron disease</div>
<div class="1234">
<b>C.<span> </span></b>Poliomyelitis</div>
<div class="1234">
<b>D.<span> </span></b>Duchenne muscular dystrophy</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 69.<span> </span>A 60 year old man presented with fatigue, weight loss and
heaviness in left hypochondrium for 6 months. The hemogram showed Hb 10 gm/dL,
TLC 5 lakhs/mm</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">3</span><span style="color: windowtext;">,
platelet count 4 lakhs/mm</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">3</span><span style="color: windowtext;">, DLC: neutrophil 55%, lymphocytes 4%, monocytes 2%,
basophils 6%, metamyelocytes 10%, myelocytes 18%, promyelocytes 2% and blast
cells 3%. The most likely cytogenetic abnormality in this case is:</span></div>
<div class="1234">
<b>A.<span> </span></b>t(1;21)</div>
<div class="1234">
<b>B.<span> </span></b>t(9;22)</div>
<div class="1234">
<b>C.<span> </span></b>t(15;17)</div>
<div class="1234">
<b>D.<span> </span></b>Trisomy 21</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 70.<span> </span>A renal biopsy from a 56 year old woman with progressive renal
failure for the past 3 years shows glomerular and vascular deposition of pink
amorphous material. It shows apple-green birefringence under polarized light
after Congo red staining. These deposits are positive for lambda light chains.
The person is most likely to suffer from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Rheumatoid arthritis</div>
<div class="1234">
<b>B.<span> </span></b>Tuberculosis</div>
<div class="1234">
<b>C.<span> </span></b>Systemic lupus erythematosus</div>
<div class="1234">
<b>D.<span> </span></b>Multiple myeloma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 71.<span> </span>A 40 year old male has chronic cough with fever for several
months. The chest radiograph reveals a diffuse reticulonodular pattern.
Microscopically on transbronchial biopsy there are focal areas of inflammation
containing epitheloid cell granuloma, Langhans giant cells, and lymphocytes.
These findings are typical for which of the following type of hypersensitivity
immunologic responses:</span></div>
<div class="1234">
<b>A.<span> </span></b>Type I</div>
<div class="1234">
<b>B.<span> </span></b>Type II</div>
<div class="1234">
<b>C.<span> </span></b>Type III</div>
<div class="1234">
<b>D.<span> </span></b>Type IV</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 72.<span> </span>An adult old man gets burn injury to his hands. Over few weeks,
the burned skin heals without the need for skin grafting. The most critical
factor responsible for the rapid healing in this case is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Remnant skin appendages</div>
<div class="1234">
<b>B.<span> </span></b>Underlying connective tissues</div>
<div class="1234">
<b>C.<span> </span></b>Minimal edema and erythema</div>
<div class="1234">
<b>D.<span> </span></b>Granulation tissue</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 73.<span> </span>On sectioning of an organ at the time of autopsy, a focal,
wedge-shaped firm area is seen accompanied by extensive hemorrhage, with a red
appearance. The lesion has a base on the surface of the organ. This finding is
typically of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Lung with pulmonary thromboembolism</div>
<div class="1234">
<b>B.</b><span> </span>Heart with coronary thrombosis</div>
<div class="1234">
<b>C.</b><span> </span>Liver with hypovolemic shock</div>
<div class="1234">
<b>D.</b><span> </span>Kidney with septic embolus</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 74. <span> </span>“Tophus” is the pathognomic lesion of which of the following
condition:</span></div>
<div class="1234">
<b>A.</b><span> </span>Multiple myeloma</div>
<div class="1234">
<b>B.</b><span> </span>Cystinosis</div>
<div class="1234">
<b>C.</b><span> </span>Gout</div>
<div class="1234">
<b>D.</b><span> </span>Eale’s disease</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 75. <span> </span>Infertility is a common feature in “Sertoli cell only” syndrome
because:</span></div>
<div class="1234">
<b>A.</b><span> </span>Too many Sertoli cells inhibit spermatogenesis
via inhibin</div>
<div class="1234">
<b>B.</b><span> </span>Proper blood-testis barrier is not established</div>
<div class="1234">
<b>C.</b><span> </span>There is no germ cells in this condition</div>
<div class="1234">
<b>D.</b><span> </span>Sufficient number of spermatozoa are not
produced</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 76.<span> </span>The most common infectious agent associated
with chronic pyelonephritis is:</span></div>
<div class="1234">
<b>A.</b><span> </span><i>Proteus vulgaris</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Klebsiella pneumoniae</i></div>
<div class="1234">
<b>C.</b><span> </span><i>Staphylococcus aureus</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Escherichia coli</i></div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
MEDICINE</div>
<div class="Ques">
<span style="color: windowtext;">Q 77.<span> </span>A high amylase level in pleural fluid suggests a diagnosis of:</span></div>
<div class="1234">
<b>A.</b><span> </span> Tuberculosis</div>
<div class="1234">
<b>B.</b><span> </span> Malignancy</div>
<div class="1234">
<b>C.</b><span> </span> Rheumatoid arthritis</div>
<div class="1234">
<b>D.</b><span> </span> Pulmonary infarction</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 78. <span> </span>A 62 years old man with carcinoma of lung presented to emergency
department with respiratory distress. His EKG showed electrical alternans. The
most likely diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Pneumothorax</div>
<div class="1234">
<b>B.</b><span> </span>Pleural effusion</div>
<div class="1234">
<b>C.</b><span> </span>Cardiac tamponade</div>
<div class="1234">
<b>D.</b><span> </span>Constrictive pericarditis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 79. <span> </span>Which of the following markers in the blood is the most reliable
indicator of recent hepatitis B infection?</span></div>
<div class="1234">
<b>A.</b><span> </span>HBsAg</div>
<div class="1234">
<b>B.</b><span> </span>IgG anti-HBs</div>
<div class="1234">
<b>C.</b><span> </span>IgM anti-HBc</div>
<div class="1234">
<b>D.</b><span> </span>IgM anti-HBe</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 80.<span> </span>Which of the following is the most common central nervous system
parasitic infection?</span></div>
<div class="1234">
<b>A.<span> </span></b>Echinococcosis</div>
<div class="1234">
<b>B.<span> </span></b>Sparganosis</div>
<div class="1234">
<b>C.<span> </span></b>Paragonimiasis</div>
<div class="1234">
<b>D.<span> </span></b>Neurocysticercosis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 81.<span> </span>The severity of mitral stenosis is clinically best decided by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Length of diastolic murmur</div>
<div class="1234">
<b>B.<span> </span></b>Intensity of diastolic murmur</div>
<div class="1234">
<b>C.<span> </span></b>Loudness of first heart sound</div>
<div class="1234">
<b>D.<span> </span></b>Split of second heart sound</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 82.<span> </span>A young female presents with history of dyspnoea on exertion. On
examination, she has wide, fixed split S2 with ejection systolic murmur
(III/VI) in left second intercostal space. Her EKG shows left<span> </span>axis deviation. The most probable diagnosis
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Total anomalous pulmonary venous drainge</div>
<div class="1234">
<b>B.<span> </span></b>Tricuspid atresia</div>
<div class="1234">
<b>C.<span> </span></b>Ostium primum atrial septal defect</div>
<div class="1234">
<b>D.<span> </span></b>Ventricular septal defect with pulmonary arterial hypertension</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 83.<span> </span>The severity of mitral regurgitation is decided by all of the
following clinical findings <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Presence of mid-diastolic murmur across mitral valve</div>
<div class="1234">
<b>B.<span> </span></b>Wide split second heart sound</div>
<div class="1234">
<b>C.<span> </span></b>Presence of left ventricular S3 gallop</div>
<div class="1234">
<b>D.<span> </span></b>Intensity of systolic murmur across mitral valve</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 84.<span> </span>Which of the following is not a usual feature of right middle
cerebral artery territory infarct?</span></div>
<div class="1234">
<b>A.<span> </span></b>Aphasia</div>
<div class="1234">
<b>B.<span> </span></b>Hemiparesis</div>
<div class="1234">
<b>C.<span> </span></b>Facial weakness</div>
<div class="1234">
<b>D.<span> </span></b>Dysarthria</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 85.<span> </span>The risk of developing infective endocarditis is the least in a
patient with: </span></div>
<div class="1234">
<b>A.</b><span> </span>Small ventricular septal defect</div>
<div class="1234">
<b>B.<span> </span></b>Severe aortic regurgitation</div>
<div class="1234">
<b>C.<span> </span></b>Severe mitral regurgitation</div>
<div class="1234">
<b>D.<span> </span></b>Large atrial septal defect</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 86.<span> </span>Congenital long QT syndrome can lead to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Complete heart block</div>
<div class="1234">
<b>B.<span> </span></b>Polymorphic ventricular tachycardia</div>
<div class="1234">
<b>C.<span> </span></b>Acute myocardial infarction</div>
<div class="1234">
<b>D.<span> </span></b>Recurrent supraventricular tachycardia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 87.<span> </span>Haemorrhagic pericarditis occurs in all of the following
conditions <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Transmural myocardial infarction</div>
<div class="1234">
<b>B.<span> </span></b>Dissecting aneurysm of aorta</div>
<div class="1234">
<b>C.<span> </span></b>Metastatic disease of pericardium</div>
<div class="1234">
<b>D.<span> </span></b>Constrictive pericarditis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 88.<span> </span>The commonest cause of death in a patient with primary
amyloidosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Renal failure</div>
<div class="1234">
<b>B.<span> </span></b>Cardiac involvement</div>
<div class="1234">
<b>C.<span> </span></b>Bleeding diathesis</div>
<div class="1234">
<b>D.<span> </span></b>Respiratory failure</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 89.<span> </span>A young man with tuberculosis presents with massive recurrent
hemoptysis. For angiographic treatment which vascular structure should be
evaluated first:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pulmonary artery</div>
<div class="1234">
<b>B.<span> </span></b>Bronchial artery</div>
<div class="1234">
<b>C.<span> </span></b>Pulomary vein</div>
<div class="1234">
<b>D.<span> </span></b>Superior vena cava</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 90.<span> </span>The following statements regarding Turner syndrome are true <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Occurence of Turner syndrome is influenced by maternal age</div>
<div class="1234">
<b>B.</b><span> </span>Most patients have primary amenorrhoea</div>
<div class="1234">
<b>C.<span> </span></b>Most patients have short stature</div>
<div class="1234">
<b>D.<span> </span></b>Edema of hands and feet is an important feature during infancy</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 91.<span> </span>A vasopressin analogue does not produce therapeutic effect
through vasopression V-2 receptor in which of the following:</span></div>
<div class="1234">
<b>A.<span> </span></b>Central diabetes insipidus</div>
<div class="1234">
<b>B.<span> </span></b>Bleeding esophageal varices</div>
<div class="1234">
<b>C.<span> </span></b>Type 1 von Willebrand’s disease</div>
<div class="1234">
<b>D.<span> </span></b>Primary nocturnal enuresis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 92.<span> </span>An obese lady aged 45 years, was brought to emergency in a semi
comatose condition. The laboratory investigations showed K</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>(5.8 mmol/L); Na</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>(136 mmol/L);
blood pH (7.1), HCO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span style="color: windowtext;"><span> </span>(12 mmol/L),
ketone bodies (350 mg/dl). The expected level of blood glucose for this lady
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>< 45 mg/dl</div>
<div class="1234">
<b>B.<span> </span></b>< 120 mg/dl</div>
<div class="1234">
<b>C.<span> </span></b>> 180 mg/dl</div>
<div class="1234">
<b>D.<span> </span></b>< 75 mg/dl</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 93.<span> </span>Atrial fibrillation may occur in all of the following conditions,
<i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Mitral stenosis</div>
<div class="1234">
<b>B.<span> </span></b>Hypothyroidism</div>
<div class="1234">
<b>C.<span> </span></b>Dilated cardiomyopathy</div>
<div class="1234">
<b>D.<span> </span></b>Mitral regurgitation</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 94.<span> </span>Which of the following conditions is associated with Coombs’
positive hemolytic anaemia:</span></div>
<div class="1234">
<b>A.<span> </span></b>Thrombotic thrombocytopenic purpura</div>
<div class="1234">
<b>B.<span> </span></b>Progressive systemic sclerosis</div>
<div class="1234">
<b>C.<span> </span></b>Systemic lupus erythematosus</div>
<div class="1234">
<b>D.<span> </span></b>Polyarteritis nodosa</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 95.<span> </span>Which of the following is the most common tumor associated with
type I neurofibromatosis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Optic nerve glioma</div>
<div class="1234">
<b>B.<span> </span></b>Meningioma</div>
<div class="1234">
<b>C.<span> </span></b>Acoustic Schwannoma</div>
<div class="1234">
<b>D.<span> </span></b>Low grade astrocytoma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 96.<span> </span>Ophthalmoplegic migraine means:</span></div>
<div class="1234">
<b>A.<span> </span></b>When headache is followed by complete paralysis of the III and
VI nerve on the same side as the hemicrania</div>
<div class="1234">
<b>B.<span> </span></b>When the headache is followed by partial paralysis of the III
nerve on the same side as the hemicrania without any scotoma</div>
<div class="1234">
<b>C.<span> </span></b>Headache associated with III, IV and VI nerve paralysis</div>
<div class="1234">
<b>D.<span> </span></b>Headache associated with optic neuritis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 97.<span> </span>After a minor head injury a young patient was unable to close his
left eye and had drooling of saliva from left angle of mouth. He is suffering
from:</span></div>
<div class="1234">
<b>A.<span> </span></b>VII nerve injury</div>
<div class="1234">
<b>B.<span> </span></b>V nerve injury</div>
<div class="1234">
<b>C.<span> </span></b>III nerve injury</div>
<div class="1234">
<b>D.<span> </span></b>Combined VII and III nerve injury</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 98.<span> </span>“Sleep apnoea”, is defined as a temporary pause in breathing
during sleep lasting at least:</span></div>
<div class="1234">
<b>A.<span> </span></b>40 seconds</div>
<div class="1234">
<b>B.<span> </span></b>30 seconds</div>
<div class="1234">
<b>C.<span> </span></b>20 seconds</div>
<div class="1234">
<b>D.<span> </span></b>10 seconds</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 99.<span> </span>A 45 years old hypertensive male presented with sudden onset
severe headache, vomiting and neck stiffness. On examination he didn’t have any
focal neurological deficit. His CT scan showed blood in the Sylvain fissure.
The probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Meningitis</div>
<div class="1234">
<b>B.<span> </span></b>Ruptured aneurysm</div>
<div class="1234">
<b>C.<span> </span></b>Hypertensive bleed</div>
<div class="1234">
<b>D.<span> </span></b>Stroke</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 100.<span> </span>Which of the following statements about peptic ulcer disease is
true:</span></div>
<div class="1234">
<b>A.<span> </span></b>Helicobacter pylori eradication increases the likelihood of
occurrence of complications</div>
<div class="1234">
<b>B.<span> </span></b>The incidence of complications has remained unchanged</div>
<div class="1234">
<b>C.<span> </span></b>The incidence of <i>Helicobacter pylori </i>reinfection in India
is very low</div>
<div class="1234">
<b>D.<span> </span></b><i>Helicobacter pylori </i>eradication does not alter the
recurrence ratio</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 101.<span> </span>Which test is performed to detect reversible myocardial ischemia?</span></div>
<div class="1234">
<b>A.<span> </span></b>Coronary angiography</div>
<div class="1234">
<b>B.<span> </span></b>MUGA scan</div>
<div class="1234">
<b>C.<span> </span></b>Thallium scan</div>
<div class="1234">
<b>D.<span> </span></b>Resting echocardiography</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 102.<span> </span>Which of the following is the commonest location of hypertensive
hemorrhage:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pons</div>
<div class="1234">
<b>B.<span> </span></b>Thalamus</div>
<div class="1234">
<b>C.<span> </span></b>Putamen/external capsule</div>
<div class="1234">
<b>D.<span> </span></b>Cerebellum</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 103.<span> </span>Kenny packs were used in the treatment of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Poliomyelitis</div>
<div class="1234">
<b>B.<span> </span></b>Muscular dystrophy</div>
<div class="1234">
<b>C.<span> </span></b>Polyneuropathies</div>
<div class="1234">
<b>D.<span> </span></b>Nerve injury</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 104.<span> </span>The level of alpha fetoprotein is raised in all of the following <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Cirrohosis of liver</div>
<div class="1234">
<b>B.<span> </span></b>Hepatocellular carcinoma</div>
<div class="1234">
<b>C.<span> </span></b>Yolk sac tumor</div>
<div class="1234">
<b>D.<span> </span></b>Dysgerminoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
PAEDIATRICS</div>
<div class="Ques">
<span style="color: windowtext;">Q 105.<span> </span>All of the following are characteristic features of Kwashiorkar, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>High blood osmolarity</div>
<div class="1234">
<b>B.<span> </span></b>Hypoalbuminemia</div>
<div class="1234">
<b>C.<span> </span></b>Edema</div>
<div class="1234">
<b>D.<span> </span></b>Fatty liver</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 106.<span> </span>The most common leukocytoclastic vasculitis affecting children is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Takayasu disease</div>
<div class="1234">
<b>B.<span> </span></b>Mucocutaneous lymph node syndrome (Kawasaki disease)</div>
<div class="1234">
<b>C.<span> </span></b>Henoch Schonlein purpura</div>
<div class="1234">
<b>D.<span> </span></b>Polyarteritis nodosa</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 107.<span> </span>All of the following are seen in rickets, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Bow legs</div>
<div class="1234">
<b>B.<span> </span></b>Gunstock deformity</div>
<div class="1234">
<b>C.<span> </span></b>Pot belly</div>
<div class="1234">
<b>D.<span> </span></b>Craniotabes</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 108.<span> </span>In neonatal screening programme tor detection of congenital
hypothyroidism, the ideal place and time to collect the blood sample for TSH
estimation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cord blood at time of birth</div>
<div class="1234">
<b>B.<span> </span></b>Heal pad blood at the time of birth</div>
<div class="1234">
<b>C.<span> </span></b>Heal pad blood on 4th day of birth</div>
<div class="1234">
<b>D.<span> </span></b>Peripheral venous blood on 28th day</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 109.<span> </span>A newborn baby had normal APGAR score at birth and developed
excessive frothing and choking on attempted feeds. The investigation of choice
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Esophagoscopy</div>
<div class="1234">
<b>B.<span> </span></b>Bronchoscopy</div>
<div class="1234">
<b>C.<span> </span></b>MRI chest</div>
<div class="1234">
<b>D.<span> </span></b>X-ray chest and abdomen with the red rubber catheter passed per
orally into esophagus</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 110.<span> </span>A 3-year old boy is detected to have bilateral renal calculi.
Metabolic evaluation confirms the presence of marked hypercalciuria with normal
blood levels of calcium, magnesium, phosphate, uric acid and creatinine. A
diagnosis of idiopathic hypercalciuria is made. The dietary management includes
all, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increased water intake</div>
<div class="1234">
<b>B.<span> </span></b>Low sodium diet</div>
<div class="1234">
<b>C.<span> </span></b>Reduced calcium intake</div>
<div class="1234">
<b>D.<span> </span></b>Avoid meat proteins</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 111.<span> </span>The treatment of choice for primary grade V vesico-ureteric reflux
involving both kidneys in a 6 month old boy is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Antibiotic prophylaxis</div>
<div class="1234">
<b>B.<span> </span></b>Ureteric reimplantation</div>
<div class="1234">
<b>C.<span> </span></b>Cystoscopy followed by subureteric injection of teflon</div>
<div class="1234">
<b>D.<span> </span></b>Bilateral ureterostomies</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 112.<span> </span>Which one of the following does not produce cyanosis in the first
year of life:</span></div>
<div class="1234">
<b>A.<span> </span></b>Atrial septal defect</div>
<div class="1234">
<b>B.<span> </span></b>Hypoplastic left heart syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Truncus arteriosus</div>
<div class="1234">
<b>D.<span> </span></b>Double outlet right ventricle</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 113.<span> </span>A 11-month old boy, weighing 3 kg, has polyuria, polydipsia and
delayed motor milestones. Blood investigations show creatinine of 0.5 mg/dl,
potassium 3 mEq/1, sodium 125 mEq/1, chloride 88 mEq/l, calcium 8.8 mg/dl, pH
7.46 and bicarbonate 26 mEq/l. Ultrasonography shows medullary
nephrocalcinosis. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Renal tubular acidosis</div>
<div class="1234">
<b>B.<span> </span></b>Diabetes insipidus</div>
<div class="1234">
<b>C.<span> </span></b>Bartter’s syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Pseudohypoaldosteronism</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 114.<span> </span>One year old male child presented with poor urinary stream since
birth. The investigation of choice for evaluation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Voiding cystourethrography (VCUG)</div>
<div class="1234">
<b>B.<span> </span></b>USG bladder</div>
<div class="1234">
<b>C.<span> </span></b>Intravenous urography</div>
<div class="1234">
<b>D.<span> </span></b>Uroflowmetry</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 115.<span> </span>A new born baby has been referred to the casualty as a case of
congenital diaphragmatic hernia. The first clinical intervention is to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Insert a central venous pressure line</div>
<div class="1234">
<b>B.<span> </span></b>Bag and mask ventilation</div>
<div class="1234">
<b>C.<span> </span></b>Insert a nasogastric tube</div>
<div class="1234">
<b>D.<span> </span></b>Ventilate with high frequency ventilator</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 116.<span> </span>A 9-years old child has steroid dependant nephrotic syndrome for
the last 5 years. He has received corticosteroids almost continuously during
this period and has cushingoid features. The blood pressure is 120/86 mmHg and
there are bilateral subcapsular cataracts. The treatment of choice is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Levamisole</div>
<div class="1234">
<b>B.<span> </span></b>Cyclophosphamide</div>
<div class="1234">
<b>C.<span> </span></b>Cyclosporin A</div>
<div class="1234">
<b>D.<span> </span></b>Intravenous pulse corticosteroids</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 117.<span> </span>All of the following methods are used for the diagnosis of HIV
infection in a 2 month old child, except:</span></div>
<div class="1234">
<b>A.<span> </span></b>DNA-PCR</div>
<div class="1234">
<b>B.<span> </span></b>Viral culture</div>
<div class="1234">
<b>C.<span> </span></b>HIV ELISA</div>
<div class="1234">
<b>D.<span> </span></b>p24 antigen assay</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 118.<span> </span>A-13-year old boy is referred for evaluation of nocturnal enuresis
and short stature. His blood pressure is normal. The hemoglobin level is 8
g/dl, urea 112 mg/dl, creatinine 6 mg/dl, sodium 119 mEq/dl, potassium 4 mEq/l,
calcium 7 mg/dl, phosphate 6 mg/dl and alkaline phophatase 300 U/l. Urinalysis
shows trace proteinuria with hyaline casts; no red and white cells are seen.
Ultrasound shows bilateral small kidneys and the micturating cystourethrogram
is normal. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Alport’s syndrome</div>
<div class="1234">
<b>B.<span> </span></b>Medullary sponge kidney</div>
<div class="1234">
<b>C.<span> </span></b>Chronic glomerulonephritis</div>
<div class="1234">
<b>D.<span> </span></b>Nephronophthisis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
SURGERY</div>
<div class="Ques">
<span style="color: windowtext;">Q 119.<span> </span>A three years old boy presents with poor urinary stream. Most
likely cause is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Stricture<span> </span>urethra</div>
<div class="1234">
<b>B.<span> </span></b>Neurogenic bladder</div>
<div class="1234">
<b>C.<span> </span></b>Urethral calculus</div>
<div class="1234">
<b>D.<span> </span></b>Posterior urethral valve</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 120.<span> </span>There is a high risk of renal dysplasia in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Posterior urethral valve</div>
<div class="1234">
<b>B.<span> </span></b>Bladder exstrophy</div>
<div class="1234">
<b>C.<span> </span></b>Anorectal malformation</div>
<div class="1234">
<b>D.<span> </span></b>Neonatal sepsis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 121.<span> </span>Hypochloremia, hypokalemia and alkalosis are seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Congenital hypertrophic pyloric stenosis</div>
<div class="1234">
<b>B.<span> </span></b>Hirschsprung’s disease</div>
<div class="1234">
<b>C.<span> </span></b>Esophageal atresia</div>
<div class="1234">
<b>D.<span> </span></b>Jejunal atresia</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 122.<span> </span>Post-dural puncture headache is typically:</span></div>
<div class="1234">
<b>A.<span> </span></b>A result of leakage of blood into the epidural space</div>
<div class="1234">
<b>B.<span> </span></b>Worse when lying down than in sitting position</div>
<div class="1234">
<b>C.<span> </span></b>Bifrontal or occipital</div>
<div class="1234">
<b>D.<span> </span></b>Seen within 4 hours of dural puncture</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 123.<span> </span>A young patient presents with history of dysphagia more to liquid
than solids. The first investigation you will do is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Barium swallow</div>
<div class="1234">
<b>B.<span> </span></b>Esophagoscopy</div>
<div class="1234">
<b>C.<span> </span></b>Ultrasound of the chest</div>
<div class="1234">
<b>D.<span> </span></b>CT scan of the chest</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 124.<span> </span>Which of the following is <i>not </i>true of gas gangrene:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is caused by <i>Clostridium perfringens</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Clostridium perfringens </i>is a gram-negative spore-bearing
bacillus</div>
<div class="1234">
<b>C.<span> </span></b>Gas gangrene is characterized by severe local pain, crepitus and
signs of toxemia</div>
<div class="1234">
<b>D.<span> </span></b>High dose penicillin and aggressive debridement of affected
tissue is the treatment of established infection</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 125.<span> </span>In a blast injury, which of the following organ is least vulnerable
to the blast wave:</span></div>
<div class="1234">
<b>A.<span> </span></b>GI tract</div>
<div class="1234">
<b>B.<span> </span></b>Lungs</div>
<div class="1234">
<b>C.<span> </span></b>Liver</div>
<div class="1234">
<b>D.<span> </span></b>Ear drum</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 126.<span> </span>Which of the following is not a contraindication for extra
corporeal shockwave lithotripsy (ESWL) for renal calculi?</span></div>
<div class="1234">
<b>A.<span> </span></b>Uncorrected bleeding diasthesis</div>
<div class="1234">
<b>B.<span> </span></b>Pregnancy</div>
<div class="1234">
<b>C.<span> </span></b>Ureteric stricture</div>
<div class="1234">
<b>D.<span> </span></b>Stone in a calyceal diverticulum</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 127.<span> </span>Which of the following is <i>not </i>an appropriate investigation
for anterior urethral stricture?</span></div>
<div class="1234">
<b>A.<span> </span></b>Magnetic resonance imaging</div>
<div class="1234">
<b>B.<span> </span></b>Retrograde urethrogram</div>
<div class="1234">
<b>C.<span> </span></b>Micturating cystourethrogram</div>
<div class="1234">
<b>D.<span> </span></b>High frequency ultrasound</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 128.<span> </span>The recommended treatment for preputial adhesions producing
ballooning of prepuce during micturition in a 2-year-old boy is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Wait and watch policy</div>
<div class="1234">
<b>B.<span> </span></b>Circumcision</div>
<div class="1234">
<b>C.<span> </span></b>Dorsal slit</div>
<div class="1234">
<b>D.<span> </span></b>Preputial adhesions release and dilatation</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 129.<span> </span>Cells from the neural crest are involved in all <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Hirschsprung’s disease</div>
<div class="1234">
<b>B.<span> </span></b>Neuroblastoma</div>
<div class="1234">
<b>C.<span> </span></b>Primitive neuroectodermal tumour</div>
<div class="1234">
<b>D.<span> </span></b>Wilms’ tumour</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 130.<span> </span>A Warthin’s tumour is:</span></div>
<div class="1234">
<b>A.<span> </span></b>An adenolymphoma of parotid gland</div>
<div class="1234">
<b>B.<span> </span></b>A pleomorphic adenoma of the parotid</div>
<div class="1234">
<b>C.<span> </span></b>A carcinoma of the parotid</div>
<div class="1234">
<b>D.<span> </span></b>A carcinoma of submandibular salivary gland</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 131.<span> </span>Regarding testicular tumour, the following are false <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>They are commonest malignancy in older man</div>
<div class="1234">
<b>B.<span> </span></b>Seminomas are radiosensitive</div>
<div class="1234">
<b>C.<span> </span></b>Only 25% of stage 1 teratomas are cured by surgery alone</div>
<div class="1234">
<b>D.<span> </span></b>Chemotherapy rarely produces a cure in those with metastatic
disease</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 132.<span> </span>Upper GI endoscopy and biopsy from lower esophagus in a 48 year old
1ady with chronic heart burn shows presence of columnar epithelium with goblet
cells. The feature is most likely consistent with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dysplasia</div>
<div class="1234">
<b>B.<span> </span></b>Hyperplasia</div>
<div class="1234">
<b>C.<span> </span></b>Carcinoma in-situ</div>
<div class="1234">
<b>D.<span> </span></b>Metaplasia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 133.<span> </span>Which of the following is <i>not</i> an oncological emergency:</span></div>
<div class="1234">
<b>A.<span> </span></b>Spinal cord compression</div>
<div class="1234">
<b>B.<span> </span></b>Superior vena caval syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Tumor lysis syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Carcinoma cervix stage III B with pyometra</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 134.<span> </span>Use of tamoxifen in carcinoma of breast patients does not lead to
the following side effects:</span></div>
<div class="1234">
<b>A.<span> </span></b>Thromboembolic events</div>
<div class="1234">
<b>B.<span> </span></b>Endometrial carcinoma</div>
<div class="1234">
<b>C.<span> </span></b>Cataract</div>
<div class="1234">
<b>D.<span> </span></b>Cancer in opposite breast</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 135.<span> </span>In the immediate post operative period the common cause of
respiratory insufficiency could be because of the following, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Residual effect of muscle relaxant</div>
<div class="1234">
<b>B.<span> </span></b>Overdose of narcotic analgesic</div>
<div class="1234">
<b>C.<span> </span></b>Mild hypovolemia</div>
<div class="1234">
<b>D.<span> </span></b>Mycocardial infarction</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 136.<span> </span>A patient undergoing surgery suddenly develops hypotension. The
monitor shows that the end tidal CO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>has decreased
abruptly by 155 mmHg. What is the probable diagnosis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypothermia</div>
<div class="1234">
<b>B.<span> </span></b>Pulmonary embolism</div>
<div class="1234">
<b>C.<span> </span></b>Massive fluid deficit</div>
<div class="1234">
<b>D.<span> </span></b>Myocardial depression due to anaesthetic agent</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
ORTHOPAEDICS</div>
<div class="Ques">
<span style="color: windowtext;">Q 137.<span> </span>Direct impact on the bone will produce a:</span></div>
<div class="1234">
<b>A.<span> </span></b>Transverse fracture</div>
<div class="1234">
<b>B.<span> </span></b>Oblique fracture</div>
<div class="1234">
<b>C.<span> </span></b>Spiral fracture</div>
<div class="1234">
<b>D.<span> </span></b>Communited fracture</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 138.<span> </span>A 12 year old girl complains of pain persisting in her leg for
several weeks with a low grade fever. A radiograph reveals a mass in the
diaphyseal region of the left femur with overlying cortical erosion and soft
tissue extension. A biopsy of the lesion, shows numerous small round cells,
rich in PAS positive diastase sensitive granules. The most likely histological
diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Osteogenic sarcoma</div>
<div class="1234">
<b>B.<span> </span></b>Osteoblastoma</div>
<div class="1234">
<b>C.<span> </span></b>Ewing’s sarcoma</div>
<div class="1234">
<b>D.<span> </span></b>Chondroblastoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 139.<span> </span>‘Whip-lash’ injury is caused due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>A fall from a height</div>
<div class="1234">
<b>B.<span> </span></b>Acute hyperextension of the spine</div>
<div class="1234">
<b>C.<span> </span></b>A blow on top to head</div>
<div class="1234">
<b>D.<span> </span></b>Acute hyperflexion of the spine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 140.<span> </span>On 3 phase 99mTc-MDP bone scan, which of the following bone lesions
will show least osteoblastic activity:</span></div>
<div class="1234">
<b>A.<span> </span></b>Paget’s disease</div>
<div class="1234">
<b>B.<span> </span></b>Osteoid osteoma</div>
<div class="1234">
<b>C.<span> </span></b>Fibrous dysplasia</div>
<div class="1234">
<b>D.<span> </span></b>Fibrous cortical defect</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
<br /></div>
<div class="Head">
GYNAECOLOGY & OBSTETRICS</div>
<div class="Ques">
<span style="color: windowtext;">Q 141.<span> </span>Low dose progestational contraceptives primarily act on:</span></div>
<div class="1234">
<b>A.<span> </span></b>Oviductal motility</div>
<div class="1234">
<b>B.<span> </span></b>Uterine endometrium</div>
<div class="1234">
<b>C.<span> </span></b>Cervix</div>
<div class="1234">
<b>D.<span> </span></b>Pituitary</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 142.<span> </span>The commonest cause of breech presentation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prematurity</div>
<div class="1234">
<b>B.<span> </span></b>Hydrocephalus</div>
<div class="1234">
<b>C.<span> </span></b>Placenta praevia</div>
<div class="1234">
<b>D.<span> </span></b>Polyhydramnios</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 143.<span> </span>According to WHO criteria, the minimum normal sperm count is:</span></div>
<div class="1234">
<b>A.<span> </span></b>10 million/ml</div>
<div class="1234">
<b>B.<span> </span></b>20 million/ml</div>
<div class="1234">
<b>C.<span> </span></b>40 million/ml</div>
<div class="1234">
<b>D.<span> </span></b>60 million/ml</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 144.<span> </span>In triple screening test for Down syndrome during pregnancy all of
the following are included <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Serum beta hCG</div>
<div class="1234">
<b>B.<span> </span></b>Serum oestriol</div>
<div class="1234">
<b>C.<span> </span></b>Maternal serum alfa fetoprotein</div>
<div class="1234">
<b>D.<span> </span></b>Acetylcholinesterase</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 145.<span> </span>All of the following are known side effects with the use of
tocolytic therapy <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Tachycardia</div>
<div class="1234">
<b>B.<span> </span></b>Hypotension</div>
<div class="1234">
<b>C.<span> </span></b>Hyperglycemia</div>
<div class="1234">
<b>D.<span> </span></b>Fever</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 146.<span> </span>Periconceptional use of the following agent leads to reduced
incidence of neural tube defects:</span></div>
<div class="1234">
<b>A.<span> </span></b>Folic acid</div>
<div class="1234">
<b>B.<span> </span></b>Iron</div>
<div class="1234">
<b>C.<span> </span></b>Calcium</div>
<div class="1234">
<b>D.<span> </span></b>Vitamin A</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 147.<span> </span>All of the following drug have been used for medical abortion <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Mifepristone</div>
<div class="1234">
<b>B.<span> </span></b>Misoprostal</div>
<div class="1234">
<b>C.<span> </span></b>Methotrexate</div>
<div class="1234">
<b>D.<span> </span></b>Atosiban</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 148.<span> </span>Which statements is true regarding <i>ventose </i>(vaccum
extractor):</span></div>
<div class="1234">
<b>A.<span> </span></b>Minor scalp abrasions and subgaleal haematomas in new born are
more frequent than forceps</div>
<div class="1234">
<b>B.<span> </span></b>Can be<span> </span>applied when
foetal head is above the level of ischial spine</div>
<div class="1234">
<b>C.<span> </span></b>Maternal trauma is more frequent than forceps</div>
<div class="1234">
<b>D.<span> </span></b>Can not be used when fetal head is not fully rotated</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 149.<span> </span>A 21 year old primigravida is admitted at 39 weeks gestation with
painless antepartum haemorrhage. On examination uterus is soft non-tender and
head engaged. The management for her would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Blood transfusion and sedatives</div>
<div class="1234">
<b>B.<span> </span></b>A speculum examination</div>
<div class="1234">
<b>C.<span> </span></b>Pelvic examination in OT</div>
<div class="1234">
<b>D.<span> </span></b>Tocolytics and sedatives</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 150.<span> </span>The commonest cause of occipito-posterior position of fetal head
during labour is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Maternal obesity</div>
<div class="1234">
<b>B.<span> </span></b>Deflexion of fetal head</div>
<div class="1234">
<b>C.<span> </span></b>Multiparity</div>
<div class="1234">
<b>D.<span> </span></b>Android pelvis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 151.<span> </span>The commonest congenital anomaly seen in pregnancy with diabetes
mellitus is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Multicystic kidneys</div>
<div class="1234">
<b>B.<span> </span></b>Oesophageal atresia</div>
<div class="1234">
<b>C.<span> </span></b>Neural tube defect</div>
<div class="1234">
<b>D.<span> </span></b>Duodenal atresia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 152.<span> </span>A drop in fetal heart rate that typically lasts less than 2 minutes
and usually associated with umbilical cord compression is called:</span></div>
<div class="1234">
<b>A.<span> </span></b>Early deceleration</div>
<div class="1234">
<b>B.<span> </span></b>Late deceleration</div>
<div class="1234">
<b>C.<span> </span></b>Variable deceleration</div>
<div class="1234">
<b>D.<span> </span></b>Prolonged deceleration</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 153.<span> </span>Following renal disorder is associated with worst pregnancy
outcome:</span></div>
<div class="1234">
<b>A.<span> </span></b>Systemic lupus erythematous</div>
<div class="1234">
<b>B.<span> </span></b>IgA nephropathy</div>
<div class="1234">
<b>C.<span> </span></b>Autosomal dominant polycystic kidney disease</div>
<div class="1234">
<b>D.<span> </span></b>Scleroderma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 154.<span> </span>A perimenopausal lady with well differentiated adenocarcinoma of
uterus has more than half myometrial invasion, vaginal metastasis and inguinal
lymph node metastasis. She is staged as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Stage IIIB</div>
<div class="1234">
<b>B.<span> </span></b>Stage IIIC</div>
<div class="1234">
<b>C.<span> </span></b>Stage IVA</div>
<div class="1234">
<b>D.<span> </span></b>Stage IVB</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
OPHTHALMOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 155.<span> </span>Aniseikonia means:</span></div>
<div class="1234">
<b>A.<span> </span></b>Difterence in the axial length of the eyeballs</div>
<div class="1234">
<b>B.<span> </span></b>Difference in the size of corneas</div>
<div class="1234">
<b>C.<span> </span></b>Difference in the size of pupils</div>
<div class="1234">
<b>D.<span> </span></b>Difference in the size of images formed by the two eyes</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 156.<span> </span>Common ocular manifestation in trisomy 13 is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Capillary hemangioma</div>
<div class="1234">
<b>B.<span> </span></b>Bilateral microphthalmos</div>
<div class="1234">
<b>C.<span> </span></b>Neurofibroma</div>
<div class="1234">
<b>D.<span> </span></b>Dermoid cyst</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 157.<span> </span>An optic nerve injury may result in all of the following <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Loss of vision in that eye</div>
<div class="1234">
<b>B.<span> </span></b>Dilatation of pupil</div>
<div class="1234">
<b>C.<span> </span></b>Ptosis</div>
<div class="1234">
<b>D.<span> </span></b>Loss of light reflex</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 158.<span> </span>Enucleation of the eyeball is contraindicated in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Endophthalmitis</div>
<div class="1234">
<b>B.<span> </span></b>Panophthalmitis</div>
<div class="1234">
<b>C.<span> </span></b>Intraocular tumours</div>
<div class="1234">
<b>D.<span> </span></b>Painful blind eye</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 159.<span> </span>The differential diagnosis of retinoblastoma would include a11 <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Persistent hyperplastic primary vitreous</div>
<div class="1234">
<b>B.<span> </span></b>Coats’ disease</div>
<div class="1234">
<b>C.<span> </span></b>Retinal astrocytoma</div>
<div class="1234">
<b>D.<span> </span></b>Retinal detachment</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 160.<span> </span>The treatment of congenital glaucoma is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Essentially topical medications</div>
<div class="1234">
<b>B.<span> </span></b>Trabeculoplasty</div>
<div class="1234">
<b>C.<span> </span></b>Trabeculotomy with trabeculectomy</div>
<div class="1234">
<b>D.<span> </span></b>Cyclocryotherapy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 161.<span> </span>Under the school eye screening programme in India, the initial
vision screening of school children is done by:</span></div>
<div class="1234">
<b>A.<span> </span></b>School teachers</div>
<div class="1234">
<b>B.<span> </span></b>Primary level health workers</div>
<div class="1234">
<b>C.<span> </span></b>Eye specialists</div>
<div class="1234">
<b>D.<span> </span></b>Medical officers</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 162.<span> </span>The eye condition for which the World Bank assistance was provided
to the National Programme for Control of Blindness (1994-2001) is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cataract</div>
<div class="1234">
<b>B.<span> </span></b>Refractive errors</div>
<div class="1234">
<b>C.<span> </span></b>Trachoma</div>
<div class="1234">
<b>D.<span> </span></b>Vitamin A deficiency</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 163.<span> </span>All of the following are given global prominence in the VISION<span> </span>2020<span>
</span>goals, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Refractive errors</div>
<div class="1234">
<b>B.<span> </span></b>Cataract</div>
<div class="1234">
<b>C.<span> </span></b>Trachoma</div>
<div class="1234">
<b>D.<span> </span></b>Glaucoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 164.<span> </span>On mutation, which of the following may give rise to hereditary
glaucoma:</span></div>
<div class="1234">
<b>A.<span> </span></b>Optineurin</div>
<div class="1234">
<b>B.<span> </span></b>Ephrins</div>
<div class="1234">
<b>C.<span> </span></b>RBA8</div>
<div class="1234">
<b>D.<span> </span></b>Huntingtin</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 165.<span> </span>All of the following types of lymphoma are commonly seen in the
orbit <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Non Hodgkin’s lymphoma, mixed lymphocytic & histiocytic</div>
<div class="1234">
<b>B.<span> </span></b>Non Hodgkin’s lymphoma, lymphocytic poorly differentiated</div>
<div class="1234">
<b>C.<span> </span></b>Burkitt’s lymphoma</div>
<div class="1234">
<b>D.<span> </span></b>Hodgkin’s lymphoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 166.<span> </span>AI1 the fol1owing muscles are innervated by facial nerve <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Occipito-frontalis</div>
<div class="1234">
<b>B.<span> </span></b>Anterior belly of digastric</div>
<div class="1234">
<b>C.<span> </span></b>Risorius</div>
<div class="1234">
<b>D.<span> </span></b>Procerus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 167.<span> </span>Stapes foot plate covers:</span></div>
<div class="1234">
<b>A.<span> </span></b>Round window</div>
<div class="1234">
<b>B.<span> </span></b>Oval window</div>
<div class="1234">
<b>C.<span> </span></b>Inferior sinus tympani</div>
<div class="1234">
<b>D.<span> </span></b>Pyramid</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 168.<span> </span>The treatment of choice for stage 1 cancer larynx is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Radical surgery</div>
<div class="1234">
<b>B.<span> </span></b>Chemotherapy</div>
<div class="1234">
<b>C.<span> </span></b>Radiotherapy</div>
<div class="1234">
<b>D.<span> </span></b>Surgery followed by radiotherapy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 169.<span> </span>The etiology of anterior ethmoidal neuralgia is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Inferior turbinate pressing on the nasal septum</div>
<div class="1234">
<b>B.<span> </span></b>Middle turbinate pressing on the nasal septum</div>
<div class="1234">
<b>C.<span> </span></b>Superior turbinate pressing on the nasal septum</div>
<div class="1234">
<b>D.<span> </span></b>Causing obstruction of sphenoid opening</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 170.<span> </span>All the following signs could result from infection within the
right cavernous sinus <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Constricted pupil in response to light</div>
<div class="1234">
<b>B.<span> </span></b>Engorgement of the retinal veins upon ophthalmoscopic
examination</div>
<div class="1234">
<b>C.<span> </span></b>Ptosis of the right eyelid</div>
<div class="1234">
<b>D.<span> </span></b>Right ophthalmoplegia</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Dermatology</div>
<div class="Ques">
<span style="color: windowtext;">Q 171.<span> </span>The following drug is indicated in the treatment of pityriasis
versicolar:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ketoconazole</div>
<div class="1234">
<b>B.<span> </span></b>Metronidazole</div>
<div class="1234">
<b>C.<span> </span></b>Griseofulvin</div>
<div class="1234">
<b>D.<span> </span></b>Chloroquine</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 172.<span> </span>A 24 year old male presents to a STD clinic with a single painless
ulcer on external genitalia. The choice of laboratory test to look for the
etiological agent would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Scrappings from ulcer for culture on chocolate agar with
antibiotic supplement</div>
<div class="1234">
<b>B.<span> </span></b>Serology for detection of specific IgM antibodies</div>
<div class="1234">
<b>C.<span> </span></b>Scrappings from ulcer for dark field microscopy</div>
<div class="1234">
<b>D.<span> </span></b>Scrappings from ulcer for tissue culture</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 173.<span> </span>Podophyllum resin is indicated in the treatment of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Psoriasis</div>
<div class="1234">
<b>B.<span> </span></b>Pemphigus</div>
<div class="1234">
<b>C.<span> </span></b>Condyloma acuminata</div>
<div class="1234">
<b>D.<span> </span></b>Condylomata lata</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 174.<span> </span>A 24 years old female has flaccid bullae in the skin and oral
erosions. Histopathology shows intraepidermal acantholytic blister. The most
likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pemphigoid</div>
<div class="1234">
<b>B.<span> </span></b>Erythema multiforme</div>
<div class="1234">
<b>C.<span> </span></b>Pemphigus vulgaris</div>
<div class="1234">
<b>D.<span> </span></b>Dermatitis herpetiformis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
ANAESTHESIA</div>
<div class="Ques">
<span style="color: windowtext;">Q 175.<span> </span>Following spinal subarachnoid block a patient develops hypotension.
This can be managed by the following means <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Lowering the head end</div>
<div class="1234">
<b>B.<span> </span></b>Administration of 1000 ml of Ringer lacate before the block</div>
<div class="1234">
<b>C.<span> </span></b>Vasopressor drugs like methoxamine</div>
<div class="1234">
<b>D.<span> </span></b>Use of ionotrope like dopamine</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 176.<span> </span>Which one of the following is the shortest acting intravenous
analgesic:</span></div>
<div class="1234">
<b>A.<span> </span></b>Remifantanil</div>
<div class="1234">
<b>B.<span> </span></b>Fentanyl</div>
<div class="1234">
<b>C.<span> </span></b>Alfentanil</div>
<div class="1234">
<b>D.<span> </span></b>Sufentanil</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 177.<span> </span>The following combination of agents are the most preferred for
short day care surgeries:</span></div>
<div class="1234">
<b>A.<span> </span></b>Propofol, fentanyl, isoflurane</div>
<div class="1234">
<b>B.<span> </span></b>Thiopentone sodium, morphine, halothane</div>
<div class="1234">
<b>C.<span> </span></b>Ketamine, pethidine, halothane</div>
<div class="1234">
<b>D.<span> </span></b>Propofol, morphine, halothane</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 178.<span> </span>During laryngoscopy and endotracheal intubation which of the
maneuver is <i>not </i>performed:</span></div>
<div class="1234">
<b>A.<span> </span></b>Flexion of the neck</div>
<div class="1234">
<b>B.<span> </span></b>Extension of head at the atlanto-occipital joint</div>
<div class="1234">
<b>C.<span> </span></b>The laryngoscope is lifted upwards levering over the upper
incisors</div>
<div class="1234">
<b>D.<span> </span></b>In a straight blade laryngoscope, the epiglottis is lifted by
the tip</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 179.<span> </span>The administration of succinylocholine to a paraplegic patient led
to the appearance of dysarrhythmias, conduction abnormalities and finally
cardiac arrest. The most likely cause is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypercalcemia</div>
<div class="1234">
<b>B.<span> </span></b>Hyperkalemia</div>
<div class="1234">
<b>C.<span> </span></b>Anaphylaxis</div>
<div class="1234">
<b>D.<span> </span></b>Hypermagnesemia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 180.<span> </span>In a young patient who had extensive soft tissue and muscle injury,
which of these muscle relaxants used for endotracheal intubation might lead to
cardiac arrest:</span></div>
<div class="1234">
<b>A.<span> </span></b>Atracurium</div>
<div class="1234">
<b>B.<span> </span></b>Suxamethonium</div>
<div class="1234">
<b>C.<span> </span></b>Vecuronium</div>
<div class="1234">
<b>D.<span> </span></b>Pancuronium</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 181.<span> </span>A patient was administered epidural anaesthesia with 15 ml of 1.5%
lignocaine with adrenaline for hernia surgery. He developed hypotension and
respiratory depression within 3 minutes after administration of block. The
commonest cause would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Allergy to drug administered</div>
<div class="1234">
<b>B.<span> </span></b>Systemic toxicity to drug administered</div>
<div class="1234">
<b>C.<span> </span></b>Patient got vasovagal shock</div>
<div class="1234">
<b>D.<span> </span></b>Drug has entered the subarachnoid space</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 182.<span> </span>Pin index system is a safety feature adopted in anaesthesia
machines to prevent:</span></div>
<div class="1234">
<b>A.<span> </span></b>Incorrect attachment of anaesthesia machines</div>
<div class="1234">
<b>B.<span> </span></b>Incorrect attachment of anaesthesia face masks</div>
<div class="1234">
<b>C.<span> </span></b>Incorrect inhalation agent delivery</div>
<div class="1234">
<b>D.<span> </span></b>Incorrect gas cylinder attachment</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 183.<span> </span>The ‘pin index code’ of nitrous oxide is:</span></div>
<div class="1234">
<b>A.<span> </span></b>2, 5</div>
<div class="1234">
<b>B.<span> </span></b>1, 5</div>
<div class="1234">
<b>C.<span> </span></b>3, 5</div>
<div class="1234">
<b>D.<span> </span></b>2, 6</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 184.<span> </span>The ideal muscle relaxant used for a neonate undergoing
porto-enterostomy for biliary atresia is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Atracurium</div>
<div class="1234">
<b>B.<span> </span></b>Vecuronium</div>
<div class="1234">
<b>C.<span> </span></b>Pancuronium</div>
<div class="1234">
<b>D.<span> </span></b>Rocuronium</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 185.<span> </span>In a 2 months old infant undergoing surgery for biliary atresia,
you would avoid one of the following anaesthetic:</span></div>
<div class="1234">
<b>A.<span> </span></b>Thiopentone</div>
<div class="1234">
<b>B.<span> </span></b>Halothane</div>
<div class="1234">
<b>C.<span> </span></b>Propofol</div>
<div class="1234">
<b>D.<span> </span></b>Sevoflurane</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 186.<span> </span>All of the following factors decrease the minimum alveolar
concentration (MAC) of an inhalation anaesthetic agent <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypothermia</div>
<div class="1234">
<b>B.<span> </span></b>Hyponatremia</div>
<div class="1234">
<b>C.<span> </span></b>Hypocalcemia</div>
<div class="1234">
<b>D.<span> </span></b>Anemia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 187.<span> </span>Visual analogue scale (VAS) is most widely used to measure:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sleep</div>
<div class="1234">
<b>B.<span> </span></b>Sedation</div>
<div class="1234">
<b>C.<span> </span></b>Pain intensity</div>
<div class="1234">
<b>D.<span> </span></b>Depth of anaesthesia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 188.<span> </span>The narrowest part of larynx in infants is at the cricoid level. In
administering anesthesia this may lead to all <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Choosing a smaller size endotracheal tube</div>
<div class="1234">
<b>B.<span> </span></b>Trauma to the subglottic region</div>
<div class="1234">
<b>C.<span> </span></b>Post operative stridor</div>
<div class="1234">
<b>D.<span> </span></b>Laryngeal oedema</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 189.<span> </span>Regarding neonatal circumcision, which one of the following is
true:</span></div>
<div class="1234">
<b>A.<span> </span></b>It should be done without anaesthesia, as it is hazardous to
give anaesthesia</div>
<div class="1234">
<b>B.<span> </span></b>It should be done without anesthesia, as neonates do not
perceive pain as adults</div>
<div class="1234">
<b>C.<span> </span></b>It should be done under local anaesthesia only</div>
<div class="1234">
<b>D.<span> </span></b>General anaesthesia should be given to neonate for circumcision
as they also feel pain as adults</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
RADIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 190.<span> </span>Stereotactic radio-surgery is a form of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Radiotherapy</div>
<div class="1234">
<b>B.<span> </span></b>Radioiodine therapy</div>
<div class="1234">
<b>C.<span> </span></b>Robotic surgery</div>
<div class="1234">
<b>D.<span> </span></b>Cryosurgery</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 191.<span> </span>Which one of the following imaging modalities is most sensitive for
evaluation of extra-adrenal phaeochromocytoma:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ultrasound</div>
<div class="1234">
<b>B.<span> </span></b>CT</div>
<div class="1234">
<b>C.<span> </span></b>MRI</div>
<div class="1234">
<b>D.<span> </span></b>MIBG scan</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 192.<span> </span>Which of the following imaging modality is most sensitive to detect
early renal tuberculosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Intravenous urography</div>
<div class="1234">
<b>B.<span> </span></b>Ultrasound</div>
<div class="1234">
<b>C.<span> </span></b>Computed tomography</div>
<div class="1234">
<b>D.<span> </span></b>Magnetic resonance imaging</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 193.<span> </span>All of the following form radiolucent stones <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Xanthine</div>
<div class="1234">
<b>B.<span> </span></b>Cysteine</div>
<div class="1234">
<b>C.<span> </span></b>Allopurinol</div>
<div class="1234">
<b>D.<span> </span></b>Orotic acid</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 194.<span> </span>For the treatment of deep seated tumors, the following rays are
used:</span></div>
<div class="1234">
<b>A.<span> </span></b>X-rays and gamma-rays</div>
<div class="1234">
<b>B.<span> </span></b>Alpha rays and beta-rays</div>
<div class="1234">
<b>C.<span> </span></b>Electrons and positrons</div>
<div class="1234">
<b>D.<span> </span></b>High power laser beams</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
PSYCHIATRY</div>
<div class="Ques">
<span style="color: windowtext;">Q 195.<span> </span>The treatment of choice in attention deficit hyperactivity disorder
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Haloperidol</div>
<div class="1234">
<b>B.<span> </span></b>Imipramine</div>
<div class="1234">
<b>C.<span> </span></b>Methylphenidate</div>
<div class="1234">
<b>D.<span> </span></b>Alprazolam</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 196.<span> </span>Yawning is a common feature of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Alcohol withdrawal</div>
<div class="1234">
<b>B.<span> </span></b>Cocaine withdrawal</div>
<div class="1234">
<b>C.<span> </span></b>Cannabis withdrawal</div>
<div class="1234">
<b>D.<span> </span></b>Opioid withdrawal</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 197.<span> </span>False sense of perception without any external object or stimulus
is known as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Illusions</div>
<div class="1234">
<b>B.<span> </span></b>Impulse</div>
<div class="1234">
<b>C.<span> </span></b>Hallucination</div>
<div class="1234">
<b>D.<span> </span></b>Phobia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 198.<span> </span>A middle aged man presented with pain in back, lack of interest in
recreational activities, low mood, lethargy, decreased sleep and appetite for
two months. There was no history suggestive of delusions or hallucinations. He
did not suffer from any chronic medical illness. There was no family history of
psychiatric illness. Routine investigations including haemogram, renal function
tests, liver function tests electrocadiogram did not reveal any abnormality.
This patient should be treated with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Haloperidol</div>
<div class="1234">
<b>B.<span> </span></b>Sertraline</div>
<div class="1234">
<b>C.<span> </span></b>Alprazolam</div>
<div class="1234">
<b>D.<span> </span></b>Olanzapine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 199.<span> </span>The following is a Schneider’s first rank symptom:</span></div>
<div class="1234">
<b>A.<span> </span></b>Persecutory delusion</div>
<div class="1234">
<b>B.<span> </span></b>Voices commenting on actions</div>
<div class="1234">
<b>C.<span> </span></b>Delusion of guilt</div>
<div class="1234">
<b>D.<span> </span></b>Incoherence</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 200.<span> </span>An elderly house wife lost her husband who died suddenly of
myocardial infarction couple of years ago. They had been staying alone for
almost a decade with infrequent visits from her son and grandchildren. About a
week after the death she heard his voice clearly talking to her as he would in
a routine manner from the next room. She went to check but saw nothing.
Subsequently she often heard his voice conversing with her and she would also
discuss her daily matters with him. This however, provoked anxiety and sadness
of mood when she was preoccupied with his thought. She should be treated with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Clomipramine</div>
<div class="1234">
<b>B.<span> </span></b>Alprazolam</div>
<div class="1234">
<b>C.<span> </span></b>Electroconvulsive therapy</div>
<div class="1234">
<b>D.<span> </span></b>Haloperidol</div>
<div class="Ans">
Ans.<span> </span>D</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-45877377993475525352012-01-07T20:51:00.001-08:002012-01-07T20:51:38.422-08:00AIIMS NOV 2003<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head">
<span style="color: windowtext; font-size: 16pt; text-transform: uppercase;"></span>ANATOMY</div>
<div class="Ques">
<span style="color: windowtext;">Q 1.<span> </span>The pronator quadratus has the same innervation as of the
following muscle:</span></div>
<div class="1234">
<b>A.<span> </span></b>Flexor digitorum superficialis</div>
<div class="1234">
<b>B.<span> </span></b>Palmaris longus</div>
<div class="1234">
<b>C.<span> </span></b>Flexor pollicis longus</div>
<div class="1234">
<b>D.<span> </span></b>Flexor digitorum profundus of middle finger</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 2.<span> </span>All of the following are pneumatic bones <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Maxilla</div>
<div class="1234">
<b>B.<span> </span></b>Parietal</div>
<div class="1234">
<b>C.<span> </span></b>Ethmoid</div>
<div class="1234">
<b>D.<span> </span></b>Mastoid</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 3.<span> </span>The kinetic energy of the body is least in one of the following
phases of walking cycle:</span></div>
<div class="1234">
<b>A.<span> </span></b>Heel strike</div>
<div class="1234">
<b>B.<span> </span></b>Mid-stance</div>
<div class="1234">
<b>C.<span> </span></b>Double support</div>
<div class="1234">
<b>D.<span> </span></b>Toe-off</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 4.<span> </span>When a heavy object in hand is lowered, the extension at the
elbow is brought about by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Active shortening of the extensors</div>
<div class="1234">
<b>B.<span> </span></b>Passive shortening of the extensors</div>
<div class="1234">
<b>C.<span> </span></b>Active lengthening of the flexors</div>
<div class="1234">
<b>D.<span> </span></b>Active shortening of the flexors</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 5.<span> </span>A 40 year old tailor complains of pain, numbness and weakness
of the right hand for the last three months. On examination, there is
hypoaesthesia and atrophy of thenar eminence. Which one of the following nerves
is likely to be involved?</span></div>
<div class="1234">
<b>A.<span> </span></b>Ulnar</div>
<div class="1234">
<b>B.<span> </span></b>Radial</div>
<div class="1234">
<b>C.<span> </span></b>Axillary</div>
<div class="1234">
<b>D.<span> </span></b>Median</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 6.<span> </span>Which of the following thalamic nuclei does not project to
neocortex:</span></div>
<div class="1234">
<b>A.<span> </span></b>Intralaminar nuclei</div>
<div class="1234">
<b>B.<span> </span></b>Reticular nuclei</div>
<div class="1234">
<b>C.<span> </span></b>Pulvinar nuclei</div>
<div class="1234">
<b>D.<span> </span></b>Anterior thalamic nuclei</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 7.<span> </span>Unequal division of the conus cordis resulting from anterior
displacement of the conotruncal septum gives rise to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Persistant truncus arteriosus</div>
<div class="1234">
<b>B.<span> </span></b>Coarctation of aorta </div>
<div class="1234">
<b>C.<span> </span></b>Tetralogy of Fallot</div>
<div class="1234">
<b>D.<span> </span></b>Transposition of great vessels</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Physiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 8.<span> </span>Several hormones regulate the tubular reabsorption of water and
electrolytes at different sites in the nephron. Which of the following
combination is correct?</span></div>
<div class="1234">
<b>A.<span> </span></b>Angiotensin in distal tubule</div>
<div class="1234">
<b>B.<span> </span></b>Aldosterone in collecting ducts</div>
<div class="1234">
<b>C.<span> </span></b>ADH in proximal tubule</div>
<div class="1234">
<b>D.<span> </span></b>ANP in loop of Henle</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 9.<span> </span>“Inflation of lungs induces further inflation” is explained by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hering-Breuer inflation reflex</div>
<div class="1234">
<b>B.<span> </span></b>Hering-Breuer deflation reflex</div>
<div class="1234">
<b>C.<span> </span></b>Head’s paradoxical reflex</div>
<div class="1234">
<b>D.<span> </span></b>J-reflex</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 10.<span> </span>If you calculate the plasma osmolality of a child with plasma Na</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>125 mEq/l, glucose 108 mg/dl, and BUN (blood
urea nitrogen) 140 mg/dl, the most appropriate answer would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>300 mOsrn/kg</div>
<div class="1234">
<b>B.<span> </span></b>306 mOsrn/kg</div>
<div class="1234">
<b>C.<span> </span></b>312 mOsm/kg</div>
<div class="1234">
<b>D.<span> </span></b>318 mOsrn/kg</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 11.<span> </span>Relative colour and luminosity of photoreceptive input under
changing light conditions are regulated and maintained by</span></div>
<div class="1234">
<b>A.<span> </span></b>Muller cells</div>
<div class="1234">
<b>B.<span> </span></b>Amacrine cells</div>
<div class="1234">
<b>C.<span> </span></b>Ganglion cells</div>
<div class="1234">
<b>D.<span> </span></b>Retinal astrocytes</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 12.<span> </span>Exposure to darkness leads to increased melatonin secretion. It
is brought about by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Decreasing the activity of suprachiasmatic nuclei</div>
<div class="1234">
<b>B.<span> </span></b>Increasing the serotonin N-acetyl transferase</div>
<div class="1234">
<b>C.<span> </span></b>Decreasing the hydroxy-indole-o-methyl transferase activity</div>
<div class="1234">
<b>D.<span> </span></b>Blocking the release of norepinephrine from sympathetic nerve
terminals</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Biochemistry</div>
<div class="Ques">
<span style="color: windowtext;">Q 13.<span> </span>A buffer that is most effective at a pH of about 4.5 is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Acetate buffer.</div>
<div class="1234">
<b>B.<span> </span></b>Bicarbonate buffer</div>
<div class="1234">
<b>C.<span> </span></b>Phosphate buffer</div>
<div class="1234">
<b>D.<span> </span></b>Tris buffer</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 14.<span> </span>NADPH is produced by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Glycolysis</div>
<div class="1234">
<b>B.<span> </span></b>Citric acid cycle</div>
<div class="1234">
<b>C.<span> </span></b>Hexose monophosphate shunt</div>
<div class="1234">
<b>D.<span> </span></b>Glycogenesis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 15.<span> </span>Mitochondria is involved in all of the following, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>ATP production</div>
<div class="1234">
<b>B.<span> </span></b>Apoptosis</div>
<div class="1234">
<b>C.<span> </span></b>Tricarboxylic acid cycle</div>
<div class="1234">
<b>D.<span> </span></b>Fatty<span> </span>acid biosynthesis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 16.<span> </span>The conjugation of bilirubin to glucuronic acid in the liver:</span></div>
<div class="1234">
<b>A.<span> </span></b>Converts a hydrophilic compound to a hydrophobic one</div>
<div class="1234">
<b>B.<span> </span></b>Converts a hydrophobic compound to a hydrophilic one</div>
<div class="1234">
<b>C.<span> </span></b>Enables the bilirubin molecule to cross the cell membrane</div>
<div class="1234">
<b>D.<span> </span></b>Is increased during neonatal jaundice</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 17.<span> </span>The 3 dimensional shape of a protein is maintained mainly by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Strong covalent interactions</div>
<div class="1234">
<b>B.<span> </span></b>Interactions with other proteins</div>
<div class="1234">
<b>C.<span> </span></b>Multiple weak interactions</div>
<div class="1234">
<b>D.<span> </span></b>Interactions with prosthetic groups</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 18.<span> </span>In the following food items, which one has the highest ‘glycemic
index’?</span></div>
<div class="1234">
<b>A.<span> </span></b>Corn-flakes</div>
<div class="1234">
<b>B.<span> </span></b>Brown rice</div>
<div class="1234">
<b>C.<span> </span></b>Ice-cream</div>
<div class="1234">
<b>D.<span> </span></b>Whole wheat bread</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
FORENSIC MEDICINE</div>
<div class="Ques">
<span style="color: windowtext;">Q 19.<span> </span>Which one of the tissues putrefies late:</span></div>
<div class="1234">
<b>A.<span> </span></b>Brain</div>
<div class="1234">
<b>B.<span> </span></b>Prostate</div>
<div class="1234">
<b>C.<span> </span></b>Liver</div>
<div class="1234">
<b>D.<span> </span></b>Stomach</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 20.<span> </span>Rule of Hasse is used to determine:</span></div>
<div class="1234">
<b>A.<span> </span></b>The age of fetus</div>
<div class="1234">
<b>B.<span> </span></b>Height of an adult</div>
<div class="1234">
<b>C.<span> </span></b>Race of a person</div>
<div class="1234">
<b>D.<span> </span></b>Identification</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 21.<span> </span>In which of the following weapons empty cartridge case is ejected
after firing:</span></div>
<div class="1234">
<b>A.<span> </span></b>Shot gun</div>
<div class="1234">
<b>B.<span> </span></b>Revolver</div>
<div class="1234">
<b>C.<span> </span></b>Pistol</div>
<div class="1234">
<b>D.<span> </span></b>Rifle</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Preventive and Social Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 22.<span> </span>An investigator wants to study the association between maternal
intake of iron supplements (yes or no) and incidence of low birth weight (<
2500 or </span><span style="color: windowtext; font-family: Symbol;">³</span><span style="color: windowtext;"> 2500 gms). He collects relevant data from 100
pregnant women as to the status of usage of iron supplements and the status of
low birth weight in their newborns. The appropriate statistical test of<span> </span>hypothesis advised in this situation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Paired t-test</div>
<div class="1234">
<b>B.<span> </span></b>Unpaired or independent t-test</div>
<div class="1234">
<b>C.<span> </span></b>Analysis of variance</div>
<div class="1234">
<b>D.<span> </span></b>Chi square test</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 23.<span> </span>Under the National Programme for Control of Blindness in India,
medical colleges are classified as eye care centers of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Primary level</div>
<div class="1234">
<b>B.<span> </span></b>Secondary level</div>
<div class="1234">
<b>C.<span> </span></b>Tertiary level</div>
<div class="1234">
<b>D.<span> </span></b>Intermediate level</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 24.<span> </span>Taking the definition of blindness as visual acuity less than
3/60 in the better eye, the number of blind persons per 100,000 population in
India is estimated to be:</span></div>
<div class="1234">
<b>A.<span> </span></b>500</div>
<div class="1234">
<b>B.<span> </span></b>700</div>
<div class="1234">
<b>C.<span> </span></b>1000</div>
<div class="1234">
<b>D.<span> </span></b>1500</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 25.<span> </span>If the prevalence is very low as compared to the incidence for a
disease, it implies:</span></div>
<div class="1234">
<b>A.<span> </span></b>Disease is very fatal and/or easily curable</div>
<div class="1234">
<b>B.<span> </span></b>Disease is non fatal</div>
<div class="1234">
<b>C.<span> </span></b>Calculation of prevalence<span>
</span>and<span> </span>incidence is wrong</div>
<div class="1234">
<b>D.<span> </span></b>Nothing can be said, as they are independent.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 26.<span> </span>The following is true about prevalence and incidence:</span></div>
<div class="1234">
<b>A.<span> </span></b>Both are rates</div>
<div class="1234">
<b>B.<span> </span></b>Prevalence is a rate but incidence is not</div>
<div class="1234">
<b>C.<span> </span></b>Incidence is a rate but prevalence is not</div>
<div class="1234">
<b>D.<span> </span></b>Both are not rates</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 27.<span> </span>The rate adjusted to allow for the age distribution of the
population is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Perinatal mortality rate</div>
<div class="1234">
<b>B.<span> </span></b>Crude mortality rate</div>
<div class="1234">
<b>C.<span> </span></b>Fertility rate</div>
<div class="1234">
<b>D.<span> </span></b>Age-standardized mortality rate</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 28.<span> </span>The fasting blood levels of glucose for a group of diabetics is
found to be normally distributed with a mean of 105 mg per 100 ml of blood and
a standard deviation of 10 mg per 100 ml of blood. From this data is can be
inferred that approximately 95% of diabetics will have their fasting blood
glucose levels within the limits of:</span></div>
<div class="1234">
<b>A.<span> </span></b>75 and 135 mgs</div>
<div class="1234">
<b>B.<span> </span></b>85 and 125 mgs</div>
<div class="1234">
<b>C.<span> </span></b>95 and 115 mgs</div>
<div class="1234">
<b>D.<span> </span></b>65 and 145 mgs</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 29.<span> </span>The age and sex structure of a population may be best described
by a:</span></div>
<div class="1234">
<b>A.<span> </span></b>Life table</div>
<div class="1234">
<b>B.<span> </span></b>Correlation coefficient</div>
<div class="1234">
<b>C.<span> </span></b>Population pyramid</div>
<div class="1234">
<b>D.<span> </span></b>Bar chart</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 30.<span> </span>In a double blind clinical drug trial:</span></div>
<div class="1234">
<b>A.<span> </span></b>Each patient receives a placebo</div>
<div class="1234">
<b>B.<span> </span></b>Each patient receives both (double) treatment</div>
<div class="1234">
<b>C.<span> </span></b>The patients do not know which treatment they are receiving</div>
<div class="1234">
<b>D.<span> </span></b>The patients do not know that they are in a drug trial</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 31.<span> </span>The most sensitive index of recent transmission of malaria in a
community is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Spleen rate</div>
<div class="1234">
<b>B.<span> </span></b>Infant parasite rate</div>
<div class="1234">
<b>C.<span> </span></b>Annual parasite incidence</div>
<div class="1234">
<b>D.<span> </span></b>Slide positivity rate</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 32.<span> </span>Additional daily energy requirement during the first six months
for a lactating woman is:</span></div>
<div class="1234">
<b>A.<span> </span></b>350 K calories</div>
<div class="1234">
<b>B.<span> </span></b>450 K calories</div>
<div class="1234">
<b>C.<span> </span></b>550 Kcalories</div>
<div class="1234">
<b>D.<span> </span></b>650 K calories</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 33.<span> </span>Bagassosis is most likely caused due to the inhalation of the
dust of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Free silica</div>
<div class="1234">
<b>B.<span> </span></b>Coal</div>
<div class="1234">
<b>C.<span> </span></b>Sugar cane</div>
<div class="1234">
<b>D.<span> </span></b>Cotton fibre</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 34.<span> </span>In defining ‘general fertility rate’, the denominator is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Population between 15 and 49 years of age</div>
<div class="1234">
<b>B.<span> </span></b>Women between 15 and 49 years of age</div>
<div class="1234">
<b>C.<span> </span></b>Mid year population</div>
<div class="1234">
<b>D.<span> </span></b>Live births</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 35.<span> </span>Mites are the vectors of the following diseases <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Scabies</div>
<div class="1234">
<b>B.<span> </span></b>Scrub typhus</div>
<div class="1234">
<b>C.<span> </span></b>Rickettsial pox</div>
<div class="1234">
<b>D.<span> </span></b>Kyasanur forest disease</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 36.<span> </span>Mean and standard deviation can be worked out only if data is on:</span></div>
<div class="1234">
<b>A.<span> </span></b>Interval/ratio scale</div>
<div class="1234">
<b>B.<span> </span></b>Dichotomous scale</div>
<div class="1234">
<b>C.<span> </span></b>Nominal scale</div>
<div class="1234">
<b>D.<span> </span></b>Ordinal scale</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 37.<span> </span>The national level system that provides annual national as well
as state level reliable estimates of fertility and mortality is called:</span></div>
<div class="1234">
<b>A.<span> </span></b>Civil registration system</div>
<div class="1234">
<b>B.<span> </span></b>Census</div>
<div class="1234">
<b>C.<span> </span></b>Adhoc survey</div>
<div class="1234">
<b>D.<span> </span></b>Sample registration system</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 38.<span> </span>After applying a statistical test, an investigator gets the ‘p
value’ as 0.01, it means that:</span></div>
<div class="1234">
<b>A.<span> </span></b>The probability of finding a significant difference is 1%</div>
<div class="1234">
<b>B.<span> </span></b>The probability of declaring a significant difference when there
is truly no difference is 1%</div>
<div class="1234">
<b>C.<span> </span></b>The difference is not significant 1% times and significant 99%
times</div>
<div class="1234">
<b>D.<span> </span></b>The power of the test used is 99%</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
PHARMACOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 39.<span> </span>A 50 year old male suffering from renal failure, underwent kidney
transplant. He was prescribed a nucleotide derivative following the organ
transplant. The nucleotide derivative of therapeutic importance in this organ
transplant is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Azathioprine</div>
<div class="1234">
<b>B.<span> </span></b>5-Fluorouracil</div>
<div class="1234">
<b>C.<span> </span></b>Cytarabine</div>
<div class="1234">
<b>D.<span> </span></b>Allopurinol</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 40.<span> </span>The H-3 receptor agonist causes:</span></div>
<div class="1234">
<b>A.<span> </span></b>Inhibition of H-l receptor induced wakefulness</div>
<div class="1234">
<b>B.<span> </span></b>Increase in H-l mediated gastrin secretion</div>
<div class="1234">
<b>C.<span> </span></b>Inhibition of H-l mediated bronchoconstriction</div>
<div class="1234">
<b>D.<span> </span></b>Negative chronotropic effect on atria</div>
<div class="Ans">
Ans.<span> </span>A, C, D</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 41.<span> </span>Sparfloxacin and terfenadine can cause:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ventricular arrhythmia</div>
<div class="1234">
<b>B.<span> </span></b>Myopathy</div>
<div class="1234">
<b>C.<span> </span></b>Electrolyte imbalance</div>
<div class="1234">
<b>D.<span> </span></b>Nephropathy </div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 42.<span> </span>Prolactin secretion is inhibited by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dopamine antagonist</div>
<div class="1234">
<b>B.<span> </span></b>GABA</div>
<div class="1234">
<b>C.<span> </span></b>Neurophysin</div>
<div class="1234">
<b>D.<span> </span></b>Bromocripitine</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 43.<span> </span>Which one of the following is not an adverse effect of
salbutamol:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tachycardia</div>
<div class="1234">
<b>B.<span> </span></b>Tolerance</div>
<div class="1234">
<b>C.<span> </span></b>Hypokalemia</div>
<div class="1234">
<b>D.<span> </span></b>Hypoglycemia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 44.<span> </span>Which one of the following is not an adverse effect of ACE
inhibitors:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cough</div>
<div class="1234">
<b>B.<span> </span></b>Hypokalemia</div>
<div class="1234">
<b>C.<span> </span></b>Angioneurotic edema</div>
<div class="1234">
<b>D.<span> </span></b>Skin rash</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 45.<span> </span>A 30 year old female epileptic on phenytoin, developed weakness
and fatigue. Blood examination revealed Hb = 4.6 gm, MCV = 102 fl and MCH = 40
pg/dl. What is the most probable diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Heart failure</div>
<div class="1234">
<b>B.<span> </span></b>Iron deficiency anaemia</div>
<div class="1234">
<b>C.<span> </span></b>Phenytoin induced agranulocytosis</div>
<div class="1234">
<b>D.<span> </span></b>Megalobalstic anaemia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 46.<span> </span>If a diabetic patient being treated with an oral hypoglycemic
agent, develops dilutional hyponatremia, which one of the following could be
responsible for this effect:</span></div>
<div class="1234">
<b>A.<span> </span></b>Chlorpropamide</div>
<div class="1234">
<b>B.<span> </span></b>Tolazamide</div>
<div class="1234">
<b>C.<span> </span></b>Glyburide</div>
<div class="1234">
<b>D.<span> </span></b>Glimepiride </div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 47.<span> </span>Therapeutic uses of prostaglandin E</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">1</span><span style="color: windowtext;"><span> </span>include all of
the following <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Medical termination of pregnancy</div>
<div class="1234">
<b>B.<span> </span></b>Impotence</div>
<div class="1234">
<b>C.<span> </span></b>Primary pulmonary hypertension</div>
<div class="1234">
<b>D.<span> </span></b>Maintenance of patent ductus arteriosus (PDA<b>)</b></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 48.<span> </span>The drug of choice for the treatment of thyrotoxicosis during
pregnancy is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Carbimazole</div>
<div class="1234">
<b>B.<span> </span></b>Iodine therapy</div>
<div class="1234">
<b>C.<span> </span></b>Propylthiouracil</div>
<div class="1234">
<b>D.<span> </span></b>Metimazole</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 49.<span> </span>Sterile haemorrhagic cystitis is caused by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Busulfan</div>
<div class="1234">
<b>B.<span> </span></b>Ketoprofen</div>
<div class="1234">
<b>C.<span> </span></b>Methicillin</div>
<div class="1234">
<b>D.<span> </span></b>Cyclophosphamide</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 50.<span> </span>A 58 year old woman has been diagnosed with locally advanced
breast cancer and has been recommended for chemotherapy. She has five years
history of myocardial infarction and congestive heart failure. Which
antinoeplastic drug should be best avoided:</span></div>
<div class="1234">
<b>A.<span> </span></b>Anthracycline</div>
<div class="1234">
<b>B.<span> </span></b>Alkylating agent</div>
<div class="1234">
<b>C.<span> </span></b>Platinum compound</div>
<div class="1234">
<b>D.<span> </span></b>Bisphosphonates</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 51.<span> </span>Excessive intake (hypervitaminosis) of which of the following
vitamin is associated with increased risk of congenital malformations:</span></div>
<div class="1234">
<b>A.<span> </span></b>Vitamin A</div>
<div class="1234">
<b>B.<span> </span></b>Biotin</div>
<div class="1234">
<b>C.<span> </span></b>Folic acid</div>
<div class="1234">
<b>D.<span> </span></b>Vitamin K</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 52.<span> </span>Peripheral neuropathy may occur with the use of all the following
<i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Vincristine</div>
<div class="1234">
<b>B.<span> </span></b>Cisplatin</div>
<div class="1234">
<b>C.<span> </span></b>L-Asparaginase</div>
<div class="1234">
<b>D.<span> </span></b>Procarbazine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 53.<span> </span>A 30 year old manic patient was prescribed haloperidol one week
back. For last two days he has become restless and kept pacing in the room for
a day. On examination he was found to have tremors of hand, he is most likely
suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Anhedonia</div>
<div class="1234">
<b>B.<span> </span></b>Dystonia</div>
<div class="1234">
<b>C.<span> </span></b>Restless leg syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Akathisia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 54.<span> </span>The antimicrobial agent which inhibits the ergosterol
biosynthesis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ciprofloxacin</div>
<div class="1234">
<b>B.<span> </span></b>Amphotericin B</div>
<div class="1234">
<b>C.<span> </span></b>5-Fluorocytosine</div>
<div class="1234">
<b>D.<span> </span></b>Griseofulvin</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 55.<span> </span>Which one of the following substances is the most potent
androgen?</span></div>
<div class="1234">
<b>A.<span> </span></b>Dihydroepiandrostenedione</div>
<div class="1234">
<b>B.<span> </span></b>Dihydrotestosterone</div>
<div class="1234">
<b>C.<span> </span></b>Androstendione</div>
<div class="1234">
<b>D.<span> </span></b>Testosterone</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 56.<span> </span>Pyronaridine is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Antimalarial</div>
<div class="1234">
<b>B.<span> </span></b>Anti-HIV</div>
<div class="1234">
<b>C.<span> </span></b>Antifungal</div>
<div class="1234">
<b>D.<span> </span></b>Antibacterial</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
MICROBIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 57.<span> </span>All of the following are true regarding <i>Haemophilus influenzae
except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It can be a part of the normal flora in some persons</div>
<div class="1234">
<b>B.<span> </span></b>The serotyping is based on the bacterial outer membrane proteins</div>
<div class="1234">
<b>C.<span> </span></b>It requires haemin and NAD for growth in culture medium</div>
<div class="1234">
<b>D.<span> </span></b>Type b is responsible for invasive disease</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 58.<span> </span>A patient made a self-diagnosis of athlete’s foot (tinea pedis)
and began using a product advertised on television. The condition improved but
did not clear and then the patient showed himself to a dermatologist. A skin
scraping was sent to the laboratory for culture, including culture for fungi.
The fungal culture yielded a slow growing colony, which produced a few small
microconidia. This is consistent with isolation of a dermatophyte of the
genera:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Trichophyton</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Microsporum</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Epidermophyton</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Trichosporon</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 59.<span> </span>All of the following are the most common nosocomial infections, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Staph. aureus</i></div>
<div class="1234">
<b>B.<span> </span></b><i>P. aeruginosa</i></div>
<div class="1234">
<b>C.<span> </span></b>Enterobacteriaceae</div>
<div class="1234">
<b>D.<span> </span></b>Mycobacterium</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 60.<span> </span>A 40 year old man underwent kidney transplantation for end stage
renal disease. Two months after transplantation, he developed fever and
features suggestive of bilateral diffuse interstitial pneumonia. Which one of
the following is the most likely etiological agent?</span></div>
<div class="1234">
<b>A.<span> </span></b>Herpes simplex virus</div>
<div class="1234">
<b>B.<span> </span></b>Cytomegalovirus</div>
<div class="1234">
<b>C.<span> </span></b>Epstein-Barr virus</div>
<div class="1234">
<b>D.<span> </span></b>Varicella-zoster virus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 61.<span> </span>An elderly diabetic has left sided orbital cellulites. CT scan of
paranasal sinuses shows evidence of left maxillay sinusitis. Gram stained smear
of the orbital exudates shows irregularly branching septate hyphae. The
following is the most likely aetiological agent:</span></div>
<div class="1234">
<b>A.<span> </span></b>Aspergillus</div>
<div class="1234">
<b>B.<span> </span></b>Rhizopus</div>
<div class="1234">
<b>C.<span> </span></b>Mucor</div>
<div class="1234">
<b>D.<span> </span></b>Candida</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 62.<span> </span>A patient, resident of Himachal Pradesh presented with a series
of ulcers in a row, on his right leg. The biopsy from the affected area was
taken and cultured on Sabauraud’s dextrose agar. What would be the most likely
causative organism?</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Sporothrix schenckii</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Cladosporium</i> spp.</div>
<div class="1234">
<b>C.<span> </span></b><i>Pseudoallescheria boydii</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Nocardia brasielensis</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 63.<span> </span>A 50 year old chronic alcoholic male agricultural worker
presented with high grade fever of one week duration with spells of chills and
rigor. Examination of the respiratory system revealed bilateral crepitations
with scattered rhonchi. Multiple subcutaneous nodules were found on the
extensor surface of the left forearm, arm and left leg. Direct microscopy of
the pus aspirated from the skin nodule revealed plenty of Gram negative bacilli
with bipolar staining. Culture revealed distinct rough corrugated grey-white
colonies on blood agar. The organisms were motile and oxidase positive. The
most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Plague</div>
<div class="1234">
<b>B.<span> </span></b>Melioidosis</div>
<div class="1234">
<b>C.<span> </span></b>Bartonellosis</div>
<div class="1234">
<b>D.<span> </span></b>Actinomycosis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 64.<span> </span>Which one of the following statements is false:</span></div>
<div class="1234">
<b>A.<span> </span></b>The presence of ingested erythrocytes is seen only in <i>Entamoeba
histolytica</i></div>
<div class="1234">
<b>B.<span> </span></b>Young adult male of low socioeconomic status are most commonly
affected by invasive amoebiasis</div>
<div class="1234">
<b>C.<span> </span></b>A low iron content in the diet predisposes to invasive
amoebiasis</div>
<div class="1234">
<b>D.<span> </span></b>The pathogenic and non-pathogenic strains of <i>E. histolytica </i>can
be differentiated by the electrophoretic study of zymodemes</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 65.<span> </span>The following phenomenon is responsible for antibiotic resistance
in bacteria due to slime production:</span></div>
<div class="1234">
<b>A.<span> </span></b>Coaggregation</div>
<div class="1234">
<b>B.<span> </span></b>Biofilm formation</div>
<div class="1234">
<b>C.<span> </span></b>Mutation evolving an altered target site for antibiotics</div>
<div class="1234">
<b>D.<span> </span></b>Mutation evolving a target bypass mechanism</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 66.<span> </span>The following fungi are thermally dimorphic <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b><i>Sporothrix schenkii</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Cryptococcus neoformans</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Blastomyces dermatitidis</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Histoplasma capsulatum</i></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
PATHOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 67.<span> </span>Transition from G2 to M phase of the cell cycle is controlled by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Retinoblastoma gene product</div>
<div class="1234">
<b>B.<span> </span></b>p53 protein</div>
<div class="1234">
<b>C.<span> </span></b>Cyclin E</div>
<div class="1234">
<b>D.<span> </span></b>Cyclin B</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 68.<span> </span>Which of he following is not a cyclin dependent kinase (CDK) inhibitor?</span></div>
<div class="1234">
<b>A.<span> </span></b>p21</div>
<div class="1234">
<b>B.<span> </span></b>p27</div>
<div class="1234">
<b>C.<span> </span></b>p53</div>
<div class="1234">
<b>D.<span> </span></b>p57</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 69.<span> </span>Hypercoagulability due to defective factor V gene is called:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lisbon mutation</div>
<div class="1234">
<b>B.<span> </span></b>Leiden mutation</div>
<div class="1234">
<b>C.<span> </span></b>Antiphospholipid syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Inducible thrombocytopenia syndrome</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 70.<span> </span>The presence of small sized platelets on the peripheral smear is
characteristic of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Idiopathic thrombocytopenic purpura</div>
<div class="1234">
<b>B.<span> </span></b>Bernard Soulier syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Disseminated intravascular coagulation</div>
<div class="1234">
<b>D.<span> </span></b>Wiskott Aldrich syndrome</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 71.<span> </span>In malignant hyperthermia the increased heat production is due
to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increased muscle metabolism by excess of calcium ions</div>
<div class="1234">
<b>B.<span> </span></b>Thermic effect of food</div>
<div class="1234">
<b>C.<span> </span></b>Increased sympathetic discharge</div>
<div class="1234">
<b>D.<span> </span></b>Mitochondrial thermogenesis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 72.<span> </span>A 7 year old boy presented with generalized edema. Urine
examination revealed marked albuminuria. Serum biochemical examination showed
hypoalbuminaemia with hyperlipidaemia. Kidney biopsy was undertaken. On light
microscopic examination, the kidney appeared normal. Electron microscopic
examination is most likely to reveal:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fusion of foot processes of the glomerular epithelial cells</div>
<div class="1234">
<b>B.<span> </span></b>Rarefaction of glomerular basement membrane</div>
<div class="1234">
<b>C.<span> </span></b>Deposition of electron dense material in the basement membrane</div>
<div class="1234">
<b>D.<span> </span></b>Thin basement membrane</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 73.<span> </span>The following cereals should be avoided in patients with celiac
disease, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Wheat</div>
<div class="1234">
<b>B.<span> </span></b>Barely</div>
<div class="1234">
<b>C.<span> </span></b>Maize</div>
<div class="1234">
<b>D.<span> </span></b>Rye</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 74.<span> </span>Obstruction to the flow of CSF at the aqueduct of Sylvius will
most likely lead to enlargement of:</span></div>
<div class="1234">
<b>A.<span> </span></b>All of the ventricles</div>
<div class="1234">
<b>B.<span> </span></b>Only lateral ventricle</div>
<div class="1234">
<b>C.<span> </span></b>Only fourth ventricle</div>
<div class="1234">
<b>D.<span> </span></b>Both lateral and third ventricles</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 75.<span> </span>CD-95 has a major role in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Apoptosis</div>
<div class="1234">
<b>B.<span> </span></b>Cell necrosis</div>
<div class="1234">
<b>C.<span> </span></b>Interferon activation</div>
<div class="1234">
<b>D.<span> </span></b>Proteolysis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 76.<span> </span>Which of the following chemical mediators of inflammation is an
example of a C-X-C or alpha chemokine?</span></div>
<div class="1234">
<b>A.<span> </span></b>Lipoxin LXA-4</div>
<div class="1234">
<b>B.<span> </span></b>Interleukin IL-8</div>
<div class="1234">
<b>C.<span> </span></b>Interleukin IL-6</div>
<div class="1234">
<b>D.<span> </span></b>Monocyte chemoattractant protein MCP-1</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 77.<span> </span>Tectal breaking is seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dandy-Walker malformation</div>
<div class="1234">
<b>B.<span> </span></b>Arnold-Chiari malformation</div>
<div class="1234">
<b>C.<span> </span></b>Aqueductal stenosis</div>
<div class="1234">
<b>D.<span> </span></b>Third ventricular tumor</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 78.<span> </span>Which of the following is not compatible with a diagnosis of
chronic myelomonocytic leukemia?</span></div>
<div class="1234">
<b>A.<span> </span></b>Peripheral blood monocytosis more than 1 × 10<span style="font-size: 6.5pt; position: relative; top: -5pt;">9</span>/L.</div>
<div class="1234">
<b>B.<span> </span></b>Absence of Philadelphia chromosome</div>
<div class="1234">
<b>C.<span> </span></b>More than 20% blasts in blood or bone marrow</div>
<div class="1234">
<b>D.<span> </span></b>Absent or minimal dysplasia in myeloid lineages</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 79.<span> </span>Which of the following is not a complication of infective
endocarditis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Myocardial ring abscess</div>
<div class="1234">
<b>B.<span> </span></b>Suppurative pericarditis</div>
<div class="1234">
<b>C.<span> </span></b>Myocardial infarction</div>
<div class="1234">
<b>D.<span> </span></b>Focal and diffuse glomerulonephritis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 80.<span> </span>A one year old boy presented with hepatosplenomegaly and delayed
milestones. The liver biopsy and bone marrow biopsy revealed presence of
histiocytes with PAS-positive diastase-resistant material in the cytoplasm.
Electron-microscopic examination of these histiocytes is most likely to reveal
the presence of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Birbeck granules in the cytoplasm</div>
<div class="1234">
<b>B.<span> </span></b>Myelin figures in the cytoplasm</div>
<div class="1234">
<b>C.<span> </span></b>Parallel rays of tubular structures in lysosomes</div>
<div class="1234">
<b>D.<span> </span></b>Electron dense deposit in the mitochondria</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 81.<span> </span>The most likely inheritance pattern depicted in the following
pedigree is:</span></div>
<div align="center" class="Ques" style="margin-top: 0in; text-align: center;">
<span style="color: windowtext;"><img height="129" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image002.png" width="211" /></span></div>
<div class="1234">
<b>A.<span> </span></b>Autosomal dominant</div>
<div class="1234">
<b>B.<span> </span></b>X-linked recessive</div>
<div class="1234">
<b>C.<span> </span></b>X-linked dominant</div>
<div class="1234">
<b>D.<span> </span></b>Autosomal recessive</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 82.<span> </span>All of the following are the classical presentation </span></div>
<div class="1234">
<b>of craniovertrebral
junction anomalies <i>except</i>:</b></div>
<div class="1234">
<b>A.<span> </span></b>Pyramidal signs</div>
<div class="1234">
<b>B.<span> </span></b>Low hairline</div>
<div class="1234">
<b>C.<span> </span></b>Short neck</div>
<div class="1234">
<b>D.<span> </span></b>Pupillary asymmetry</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 83.<span> </span>An Rh –ve woman became pregnant with Rh +ve fetus. Within few
days after birth, the infant developed jaundice, ascites, hepatomegaly and
edema. The likely substance(s) deposited in skin and sclera in jaundice is/are
gi ven below. Which is the best possible answer:</span></div>
<div class="1234">
<b>A.<span> </span></b>Biliverdin</div>
<div class="1234">
<b>B.<span> </span></b>Conjugated and unconjugated bilirubin</div>
<div class="1234">
<b>C.<span> </span></b>Unconjugated bilirubin</div>
<div class="1234">
<b>D.<span> </span></b>Conjugated bilirubin</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
MEDICINE</div>
<div class="Ques">
<span style="color: windowtext;">Q 84.<span> </span>The drug of choice in patients with Wolff-Parkinson-White
syndrome with atrial fibrillation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Digitalis</div>
<div class="1234">
<b>B.<span> </span></b>Procainamide</div>
<div class="1234">
<b>C.<span> </span></b>Verapamil</div>
<div class="1234">
<b>D.<span> </span></b>Adenosine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 85.<span> </span>A hypertensive individual had a sudden headache and became
unconscious within a few minutes. On regaining consciousness, there was
complete flaccid hemiplegia with no involvement of upper face, absence of
tendon reflexes and a positive Babinski sign. Which one of the following
arteries could have ruptured:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lateral striate branch of middle cerebral</div>
<div class="1234">
<b>B.<span> </span></b>Medial striate branch of anterior cerebral</div>
<div class="1234">
<b>C.<span> </span></b>Posterolateral branch of posterior cerebral</div>
<div class="1234">
<b>D.<span> </span></b>Posterior choroidal branch of posterior cerebral</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 86.<span> </span>A 55 year old male patient was diagnosed to have chronic
hepatitis C. He responded to treatment with interferon. However, after one year
of follow up he showed a relapse of disease. Which of the following would be
the next most appropriate choice?</span></div>
<div class="1234">
<b>A.<span> </span></b>Ribavarin and interferon</div>
<div class="1234">
<b>B.<span> </span></b>Lamivudine and interferon</div>
<div class="1234">
<b>C.<span> </span></b>Nevirapine and lamivudine</div>
<div class="1234">
<b>D.<span> </span></b>lndinavir and ribavarin</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 87.<span> </span>History of dislike for sweet food items is typically present in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Diabetes mellitus</div>
<div class="1234">
<b>B.<span> </span></b>Glycogen storage disease</div>
<div class="1234">
<b>C.<span> </span></b>Hereditary fructose intolerance</div>
<div class="1234">
<b>D.<span> </span></b>Galactosemia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 88.<span> </span>All of the following drugs are useful in the treatment<span> </span>of a patient with acute bronchial asthma <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ipratropium</div>
<div class="1234">
<b>B.<span> </span></b>Salbutamol</div>
<div class="1234">
<b>C.<span> </span></b>Montelukast</div>
<div class="1234">
<b>D.<span> </span></b>Hydrocortisone</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 89.<span> </span>Acute intravascular hemolysis can be caused by infection due to
all of the following organisms <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b><i>Clostridium tetani</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Bartonella bacilliformis</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Plasmodium falciparum</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Babesia microti</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 90.<span> </span>Tumor lysis syndrome is associated with all of the following
laboratory feature <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Hyperkalemia</div>
<div class="1234">
<b>B.<span> </span></b>Hypercalcemia</div>
<div class="1234">
<b>C.<span> </span></b>Hyperuricemia</div>
<div class="1234">
<b>D.<span> </span></b>Hyperphosphatemia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 91.<span> </span>A normal-anion-gap metabolic acidosis occurs in patients with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Diarrhoea</div>
<div class="1234">
<b>B.<span> </span></b>Diabetic ketoacidosis</div>
<div class="1234">
<b>C.<span> </span></b>Methyl alcohol poisoning</div>
<div class="1234">
<b>D.<span> </span></b>Acute renal failure</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 92.<span> </span>A 45 year old coalmine worker presents with cutaneous nodules,
joint pain and occasional cough with dyspnoea. His chest radiograph shows
multiple small (1-4 cm) nodules in bilateral lung fields. Some of the nodules
show cavitation and specks of calcification. Most likely these features are
diagnostic of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sjogren’s syndrome</div>
<div class="1234">
<b>B.<span> </span></b>Caplan’s syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Silicosis</div>
<div class="1234">
<b>D.<span> </span></b>Wegener’s granulomatosis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 93.<span> </span>A 40 year old male patient is suffering from type II diabetes
mellitus and hypertension. Which of the following antihypertensive drugs should
not be used in such patients:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lisinopril</div>
<div class="1234">
<b>B.<span> </span></b>Hydrochlorthiazide</div>
<div class="1234">
<b>C.<span> </span></b>Losartan</div>
<div class="1234">
<b>D.<span> </span></b>Trandolopril</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 94.<span> </span>A 41 year old male patient presented with recurrent episodes of
bloody diarrhea for 5 years. Despite regular treatment with adequate doses of
sulfasalazine, he has had several exacerbations of his disease and required
several weeks of steroids for the control for flares. What should be the next
line of treatment for him?</span></div>
<div class="1234">
<b>A.<span> </span></b>Methotrexate</div>
<div class="1234">
<b>B.<span> </span></b>Azathioprine</div>
<div class="1234">
<b>C.<span> </span></b>Cyclosporine</div>
<div class="1234">
<b>D.<span> </span></b>Cyclophosphamide</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 95.<span> </span><i>Helicobacter pylori </i>is not associated with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Gastrointestinal lymphoma</div>
<div class="1234">
<b>B.<span> </span></b>Gastric cancer</div>
<div class="1234">
<b>C.<span> </span></b>Gastric leiomyoma</div>
<div class="1234">
<b>D.<span> </span></b>Peptic ulcer</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 96.<span> </span>Enzyme replacement therapy is available for the treatment of the
following disorder:</span></div>
<div class="1234">
<b>A.<span> </span></b>Gaucher’ disease</div>
<div class="1234">
<b>B.<span> </span></b>Niemann-Pick disease</div>
<div class="1234">
<b>C.<span> </span></b>Hunter syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Phenylketonuria</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 97.<span> </span>A 35 year old non-smoker presents with 2 episodes of mild
hemoptysis. There is no history of fever or any constitutional symptoms. A
plain x-ray of chest is found to be normal. Which one of the following should
be the next step in the diagnostic evaluation of this patient:</span></div>
<div class="1234">
<b>A.<span> </span></b>Bronchography</div>
<div class="1234">
<b>B.<span> </span></b>High-resolution computed tomography</div>
<div class="1234">
<b>C.<span> </span></b>Contrast-enhanced computed tomography</div>
<div class="1234">
<b>D.<span> </span></b>Fibreoptic bronchoscopy</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 98.<span> </span>A 55 year old man, a chronic smoker is brought to emergency with
history of polyuria, polydipsia, nausea and altered sensorium for last two
days. He had been diagnosed as having squamous cell carcinoma of lung two
months prior to this. On examination, he was lethargic and confused. An ECG was
normal except<i> </i>for a narrowed QT interval. Which one of the following is
the most likely metabolic abnormality?</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypernatremia</div>
<div class="1234">
<b>B.<span> </span></b>Hypercalcemia</div>
<div class="1234">
<b>C.<span> </span></b>Hypokalemia</div>
<div class="1234">
<b>D.<span> </span></b>Hyponatremia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 99.<span> </span>In stable angina:</span></div>
<div class="1234">
<b>A.<span> </span></b>CK-MB is elevated</div>
<div class="1234">
<b>B.<span> </span></b>Troponin I is elevated</div>
<div class="1234">
<b>C.<span> </span></b>Myoglobin is elevated</div>
<div class="1234">
<b>D.<span> </span></b>The levels of cardiac markers remain unchanged</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 100.<span> </span>ln a patient with wide-complex tachycardia, the presence of all of
the following in the ECG indicates ventricular tachycardia <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Atrioventricular dissociation</div>
<div class="1234">
<b>B.<span> </span></b>Fusion beats</div>
<div class="1234">
<b>C.<span> </span></b>Typical right bundle branch block</div>
<div class="1234">
<b>D.<span> </span></b>Capture beats</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 101.<span> </span>A 15 year old boy presents to you with history of fever, altered
sensorium and purpuric rash for two days. On examination, the patient is found
stuporous. He has a BP of 90/60 mmHg and extensive palpable purpura over the
legs. Which of the following would be the most appropriate initial choice of
antibiotic:</span></div>
<div class="1234">
<b>A.<span> </span></b>Vancomycin</div>
<div class="1234">
<b>B.<span> </span></b>Pencillin G</div>
<div class="1234">
<b>C.<span> </span></b>Ciprofloxacin</div>
<div class="1234">
<b>D.<span> </span></b>Gentamicin</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 102.<span> </span>A 45 year old hypertensive male patient presented in the casualty
with two hours history of sudden onset of severe headache associated with
nausea and vomiting. On clinical examination the patient had necks stiffness
and right sided ptosis. Rest of the neurological examination was normal. What
is the clinical diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypertensive brain haemorrhage</div>
<div class="1234">
<b>B.<span> </span></b>Migraine</div>
<div class="1234">
<b>C.<span> </span></b>Aneurysmal subarachnoid haemorrhage</div>
<div class="1234">
<b>D.<span> </span></b>Arteriovenous malformation haemorrhage</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 103.<span> </span>An AIDS patient with a T lymphocyte counts < 200/mm</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">3</span><span style="color: windowtext;"><span> </span>presented with complaints of headache, nausea,
dizziness and irritability. As a part of the diagnostic tests, spinal fluid was
submitted to the laboratory with a request to examine the specimen directly in
India ink to enhance visualization of encapsulated organisms. This request was
made on the suspicion of a diagnosis of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Histoplasmosis</div>
<div class="1234">
<b>B.<span> </span></b>Candidiasis</div>
<div class="1234">
<b>C.<span> </span></b>Nocardiosis</div>
<div class="1234">
<b>D.<span> </span></b>Cryptococcosis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 104.<span> </span>Early diagnosis of acute hepatitis-B infection is made by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Presence of HbeAg in serum</div>
<div class="1234">
<b>B.<span> </span></b>Presence of IgM anti-HBc in serum</div>
<div class="1234">
<b>C.<span> </span></b>Presence of HbsAg in serum</div>
<div class="1234">
<b>D.<span> </span></b>Presence of IgG anti-HBc in serum</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 105.<span> </span>A patient with salicylic acid poisoning has the following arterial
blood gas analysis report: pH = 7.12; PCO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>= 18 mmHg; HCO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span style="color: windowtext;"><span> </span>= 12 mmol/L. The resulting acid-base
abnormality can be best labeled as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Metabolic acidosis with respiratory alkalosis</div>
<div class="1234">
<b>B.<span> </span></b>Metabolic acidosis with respiratory acidosis</div>
<div class="1234">
<b>C.<span> </span></b>Respiratory acidosis with metabolic alkalosis</div>
<div class="1234">
<b>D.<span> </span></b>Metabolic acidosis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 106.<span> </span>A 45 year old female patient presents with symptoms of easy
bruisability and frequent headaches. Physical examination show a moderate
splenomegaly. Blood counts shows a normal leucocyte count and a platelet count
of 1000 </span><span style="color: windowtext; font-family: Symbol;">´</span><span style="color: windowtext;"> 10</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">3</span><span style="color: windowtext;">/cumm. The leucocyte alkaline phosphatase score is
normal. Which one of the following is the drug of choice for the treatment of
this patient?</span></div>
<div class="1234">
<b>A.<span> </span></b>Hydroxyurea</div>
<div class="1234">
<b>B.<span> </span></b>Radioactive phosphorus</div>
<div class="1234">
<b>C.<span> </span></b>Anagrelide</div>
<div class="1234">
<b>D.<span> </span></b>Interferon alpha</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 107.<span> </span>For the management of intraoperative myocardial ischaemia, all of
the following are advised <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Heparin</div>
<div class="1234">
<b>B.<span> </span></b>Intravenous nitroglycerine</div>
<div class="1234">
<b>C.<span> </span></b>Calcium channel blocker</div>
<div class="1234">
<b>D.<span> </span></b>Atropine</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 108.<span> </span>A 50 year old man presented with orbital mass. Systemic examination
revealed anaemia and investigations revealed hypergammaglobulinemia. The
patient should be investigated to rule out:</span></div>
<div class="1234">
<b>A.<span> </span></b>Squamous cell carcinoma</div>
<div class="1234">
<b>B.<span> </span></b>Optic nerve glioma</div>
<div class="1234">
<b>C.<span> </span></b>Multiple myeloma</div>
<div class="1234">
<b>D.<span> </span></b>Malignant melanoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 109.<span> </span>A resident doctor sustained a needlestick injury while sampling
blood of a patient who is HIV positive. A decision is taken to offer him post-
exposure prophylaxis. Which one of the following would be the best
recommendation?</span></div>
<div class="1234">
<b>A.<span> </span></b>Zidovudine + lamivudine for 4 weeks</div>
<div class="1234">
<b>B.<span> </span></b>Zidovudine + lamivudine + nevirapine for 4 weeks</div>
<div class="1234">
<b>C.<span> </span></b>Zidovudine + lamivudine + indinavir for 4 weeks</div>
<div class="1234">
<b>D.<span> </span></b>Zidovudine + stavudine + nevirapine for 4 weeks</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
PAEDiATRICS</div>
<div class="Ques">
<span style="color: windowtext;">Q 110.<span> </span>An 8-day old breastfed baby presents with vomiting, poor feeding
and loose stools. On examination the heart rate is 190/minute, blood pressure
50/30 mmHg, respiratory rate 72 breaths/minute and capillary refill time of 4
seconds. Investigations show hemoglobin level of 15 g/dl, Na 120 mEq/l, K 6.8
mEq/l, Cl 81 mEq/l, bicarbonate 15 mEq/l, urea 30 mg/dl and creatinine 0.6
mg/dl. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Congenital adrenal hyperplasia</div>
<div class="1234">
<b>B.<span> </span></b>Acute tubular necrosis</div>
<div class="1234">
<b>C.<span> </span></b>Congenital hypertrophic pyloric stenosis</div>
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<b>D.<span> </span></b>Galactosemia</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 111.<span> </span>A 10-month-old boy, weighing 3 kg has polyuria, polydipsia and
delayed motor milestones. Investigations show blood levels of creatinine 0.5
mg/ dl, potassium 3 mEq/L, sodium 125 mEq/L, chloride 88 mEq/L, calcium 8.8
mg/dl, pH 7.46 and bicarbonate 26 mEq/L. Ultrasonography shows medullary
nephrocalcinosis. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Renal tubular acidosis</div>
<div class="1234">
<b>B.<span> </span></b>Diabetes insipidus</div>
<div class="1234">
<b>C.<span> </span></b>Bartter syndrome</div>
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<b>D.<span> </span></b>Pseudohypoaldosteronism</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 112.<span> </span>A 12-year-old boy is referred for evaluation of nocturnal enuresis
and short stature. The blood pressure is normal. The blood urea is 112 mg/dl,
S. creatinine 6 mg/dl, sodium 119 mEq/l, potassium 4 mEq/l, calcium 7 mg/dl,
phosphate 6 mg/dl and alkaline phosphatase 400 U/l. Urinalysis shows trace
proteinuria with hyaline casts; no red and white cells are seen. Ultrasound
shows bilateral small kidneys and the micturating cystourethrogram is normal.
The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Alport’s syndrome</div>
<div class="1234">
<b>B.<span> </span></b>Medullary sponge kidney</div>
<div class="1234">
<b>C.<span> </span></b>Chronic glomerulonephritis</div>
<div class="1234">
<b>D.<span> </span></b>Nephronophthisis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 113.<span> </span>Portal hypertension in children in India is commonly due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Indian childhood cirrhosis</div>
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<b>B.<span> </span></b>Extrahepatic portal venous obstruction</div>
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<b>C.<span> </span></b>Idiopathic portal hypertension</div>
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<b>D.<span> </span></b>Hepatic outflow tract obstruction</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 114.<span> </span>Asphyxial injury in a term baby is characterized by all <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Seizures</div>
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<b>B.<span> </span></b>Differential hypotonia (lower limbs > upper limbs)</div>
<div class="1234">
<b>C.<span> </span></b>Altered sensorium</div>
<div class="1234">
<b>D.<span> </span></b>Difficulty in clearing oral secretions.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 115.<span> </span>All of the following strategies are effective in preventing mother
to child transmission of HIV <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Zidovudine to mother & baby</div>
<div class="1234">
<b>B.<span> </span></b>Vaginal cleansing before delivery</div>
<div class="1234">
<b>C.<span> </span></b>Stopping breast feeding</div>
<div class="1234">
<b>D.<span> </span></b>Elective caesarean section</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 116.<span> </span>A 6-month-old infant presents to the ‘diarrhoea clinic’ unit with
some dehydration. The most likely organism causing diarrhea is:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Entamoeba histolytica</i></div>
<div class="1234">
<b>B.<span> </span></b>Rotavirus</div>
<div class="1234">
<b>C.<span> </span></b><i>Giardia lamblia</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Shigella</i></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 117.<span> </span>A child with pyoderma becomes toxic and presents with respiratory
distress. His chest radiograph shows patchy areas of consolidation and multiple
bilateral thin walled air containing cysts. The most likely etiological agent
in this case is</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Mycobacterium tuberculosis</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Staphylococcus aureus</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Mycobacterium avium intracellulare</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Pneumocystis carinii</i></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 118.<span> </span>The most common underlying anomaly in a child with recurrent
urinary tract infections is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Posterior urethral valves</div>
<div class="1234">
<b>B.<span> </span></b>Vesicoureteric reflux</div>
<div class="1234">
<b>C.<span> </span></b>Neurogenic bladder</div>
<div class="1234">
<b>D.<span> </span></b>Renal calculi</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 119.<span> </span>A two-year old girl child is brought to the out patient with
features of hand wringing stereotype movements, impaired language and
communication development, breath-holding spells, poor social skills and
deceleration of head growth after 6 months of age. The most likely diagnosis
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Asperger’s syndrome</div>
<div class="1234">
<b>B.<span> </span></b>Rett’s syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Fragile X syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Colard syndrome</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
<br /></div>
<div class="Head">
<br /></div>
<div class="Head">
SURGERY</div>
<div class="Ques">
<span style="color: windowtext;">Q 120.<span> </span>The intra-abdominal pressure during laparascopy should be set
between:</span></div>
<div class="1234">
<b>A.<span> </span></b>5-8 mm of Hg</div>
<div class="1234">
<b>B.<span> </span></b>10-15 mm of Hg</div>
<div class="1234">
<b>C.<span> </span></b>20-25 mm of Hg</div>
<div class="1234">
<b>D.<span> </span></b>30-35 mm of Hg</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 121.<span> </span>A young man weighing 65 kg was admitted to the hospital with severe
burns in a severe catabolic state. An individual in this state requires 40 kcal
per kg body weight per day and 2 gms of protein/kg body weight/day. This young
man was given a solution containing 20% glucose and 4.25% protein. If 3000 ml
of solution is infused per day:</span></div>
<div class="1234">
<b>A.<span> </span></b>The patient would not be getting sufficient protein</div>
<div class="1234">
<b>B.<span> </span></b>The calories supplied would be inadequate</div>
<div class="1234">
<b>C.<span> </span></b>Both protein and calories would be adequate</div>
<div class="1234">
<b>D.<span> </span></b>Too much protein is being infused.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 122.<span> </span>On mammogram all of the following are the features of a malignant
tumor <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Spiculation</div>
<div class="1234">
<b>B.<span> </span></b>Microcalcification</div>
<div class="1234">
<b>C.<span> </span></b>Macrocalcification</div>
<div class="1234">
<b>D.<span> </span></b>Irregular mass</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 123.<span> </span>A 55 year old post menopausal woman, on hormone replacement therapy
(HRT), presents with heaviness in both breasts. A screening mammogram reveals a
high density speculated mass with cluster of pleomorphic microcalcification and
ipsilateral large axillary lymph nodes. The mass described here most likely
represents:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cystosarcoma phylloides</div>
<div class="1234">
<b>B.<span> </span></b>Lymphoma</div>
<div class="1234">
<b>C.<span> </span></b>Fibroadenoma</div>
<div class="1234">
<b>D.<span> </span></b>Carcinoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 124.<span> </span>During repair of indirect inguinal hernia, while releasing the
constriction at the deep inguinal ring, the surgeon takes care not to damage
one of the following structures:</span></div>
<div class="1234">
<b>A.<span> </span></b>Falx inguinalis (conjoint tendon)</div>
<div class="1234">
<b>B.<span> </span></b>Interfoveolar ligament</div>
<div class="1234">
<b>C.<span> </span></b>Inferior epigastric artery</div>
<div class="1234">
<b>D.<span> </span></b>Spermatic cord</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 125.<span> </span>During bilateral adrenalectomy for Cushing’s disease,
intraoperative dose of hydrocortisone should be given after:</span></div>
<div class="1234">
<b>A.<span> </span></b>On opening the abdomen</div>
<div class="1234">
<b>B.<span> </span></b>Ligation of left adrenal vein</div>
<div class="1234">
<b>C.<span> </span></b>Ligation of right adrenal vein</div>
<div class="1234">
<b>D.<span> </span></b>Excision of both adrenal glands</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 126.<span> </span>Recurrent laryngeal nerve is in close association with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Superior thyroid artery</div>
<div class="1234">
<b>B.<span> </span></b>Inferior thyroid artery</div>
<div class="1234">
<b>C.<span> </span></b>Middle thyroid vein</div>
<div class="1234">
<b>D.<span> </span></b>Superior thyroid vein</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 127.<span> </span>The treatment of choice for symptomatic, retained common bile duct
stones, is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Immediate surgery</div>
<div class="1234">
<b>B.<span> </span></b>Conservative treatment with antibiotics</div>
<div class="1234">
<b>C.<span> </span></b>Endoscopic sphincterotomy</div>
<div class="1234">
<b>D.<span> </span></b>Medical dissolution of the stones</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 128.<span> </span>A 50 year old smoker male presents with pain along the left arm and
ptosis. His chest radiograph shows a soft tissue opacity at the left lung apex
with destruction of adjacent ribs. The picture is suggestive of:</span></div>
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<b>A.<span> </span></b>Adenocarcinoma lung</div>
<div class="1234">
<b>B.<span> </span></b>Bronchial carcinoid</div>
<div class="1234">
<b>C.<span> </span></b>Pancoast tumour</div>
<div class="1234">
<b>D.<span> </span></b>Bronchoalveolar carcinoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 129.<span> </span>A 50 year old male patient, an alcoholic and smoker presents with a
3 hour history of severe retrosternal chest pain and increasing shortness of
breath. He started having this pain while eating, which was constant and
radiated to the back and interscapular region. He was a known hypertensive. On
examination, he was cold and clammy with a heart rate of 130/min, and a BP of
80/40 mmHg. JVP was normal. All peripheral pulses were present and equal.
Breath sounds were decreased at the left lung base and chest x-ray showed left
pleural effusion. What is the most likely diagnosis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Acute aortic dissection</div>
<div class="1234">
<b>B.<span> </span></b>Acute myocardial infarction</div>
<div class="1234">
<b>C.<span> </span></b>Rupture of the esophagus</div>
<div class="1234">
<b>D.<span> </span></b>Acute pulmonary embolism</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 130.<span> </span>Breast conservation surgery for breast cancer is indicated in one
of the following conditions:</span></div>
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<b>A.<span> </span></b>T1 breast tumor</div>
<div class="1234">
<b>B.<span> </span></b>Multicentric tumor</div>
<div class="1234">
<b>C.<span> </span></b>Extensive in situ cancer</div>
<div class="1234">
<b>D.<span> </span></b>T4b breast tumor</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 131.<span> </span>A 65 year old male was diagnosed with prostate cancer three years
back and was treated by surgery and hormone therapy. Presently he has developed
urinary symptoms and progressive backache. What is the tumor marker, which can
be indicative of disease relapse?</span></div>
<div class="1234">
<b>A.<span> </span></b>CA 125</div>
<div class="1234">
<b>B.<span> </span></b>Beta-HCG</div>
<div class="1234">
<b>C.<span> </span></b>Carcinoembryonic antigen (CEA)</div>
<div class="1234">
<b>D.<span> </span></b>PSA</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 132.<span> </span>Which of the following malignant disease of children has the best
prognosis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Wilm’s tumor</div>
<div class="1234">
<b>B.<span> </span></b>Neuroblastoma</div>
<div class="1234">
<b>C.<span> </span></b>Rhabdomyosarcoma</div>
<div class="1234">
<b>D.<span> </span></b>Primitive neuroectodermal tumor</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 133.<span> </span>A three year old male child presents with history of constipation
and abdominal distension for the last two years. The plain radiograph of
abdomen reveals fecal matter containing distended bowel loops. A barium enema
study done subsequently shows a transition zone at the recto-sigmoid junction
with reversal of recto-sigmoid ratio. The most probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Anal atresia</div>
<div class="1234">
<b>B.<span> </span></b>Malrotation of the gut</div>
<div class="1234">
<b>C.<span> </span></b>Hirschsprung’s disease</div>
<div class="1234">
<b>D.<span> </span></b>Congenital megacolon</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 134.<span> </span>Investigation of choice to diagnose Hirschsprung’s disease is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Rectal manometry</div>
<div class="1234">
<b>B.<span> </span></b>Barium enema</div>
<div class="1234">
<b>C.<span> </span></b>Rectal biopsy</div>
<div class="1234">
<b>D.<span> </span></b>Laparotomy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 135.<span> </span>The tendency of colonic carcinoma to metastasize is best assessed
by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Size of tumor</div>
<div class="1234">
<b>B.<span> </span></b>Carcinoembryonic antigen (CEA) levels</div>
<div class="1234">
<b>C.<span> </span></b>Depth of penetration of bowel wall</div>
<div class="1234">
<b>D.<span> </span></b>Proportion of bowel circumference involved</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 136.<span> </span>A 40 year old patient has undergone an open chlecystectomy. The
procedure was reported as uneventful by the operating surgeon. She has 100 ml
of bile output from the drain kept in the gallbladder bed on the first post
operative day. On examination she is afebrile and anicteric. The abdomen is
soft and bowel sounds are normally heard. As an attending physician,what should
be your best possible advice?</span></div>
<div class="1234">
<b>A.<span> </span></b>Order an urgent endoscopic retrograde cholangiography and
biliary stenting</div>
<div class="1234">
<b>B.<span> </span></b>Urgent laparotomy</div>
<div class="1234">
<b>C.<span> </span></b>Order an urgent hepatic iminodiacetic acid scintigraphy (HIDA)</div>
<div class="1234">
<b>D.<span> </span></b>Clinical observation</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 137.<span> </span>The following are true about hepatocellular carcinoma <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It has a high incidence in East Africa and South-east Asia</div>
<div class="1234">
<b>B.<span> </span></b>Its worldwide incidence parallels the prevalence of hepatitis B</div>
<div class="1234">
<b>C.<span> </span></b>Over 80% of tumours are surgically resectable</div>
<div class="1234">
<b>D.<span> </span></b>Liver transplantation offers the only chance of cure in those
with irresectable disease</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 138.<span> </span>A 50 year old woman presented with history of recurrent episodes of
right upper abdominal pain for the last one year. She presented to casualty
with history of jaundice and fever for 4 days. On examination, the patient
appeared toxic and had a blood pressure of 90/60 mmHg, she was started on
intravenous antibiotics. Ultrasound of the abdomen showed presence of stones in
the common bile duct. What would be the best treatment option for her?</span></div>
<div class="1234">
<b>A.<span> </span></b>ERCP and bile duct stone extraction</div>
<div class="1234">
<b>B.<span> </span></b>Laparoscopic cholecystectomy</div>
<div class="1234">
<b>C.<span> </span></b>Open surgery and bile duct stone extraction</div>
<div class="1234">
<b>D.<span> </span></b>Lithotripsy</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 139.<span> </span>Hypoparathyroidism following thyroid surgery commonly occurs
within:</span></div>
<div class="1234">
<b>A.<span> </span></b>24 hours</div>
<div class="1234">
<b>B.<span> </span></b>2-5 days</div>
<div class="1234">
<b>C.<span> </span></b>7-10 days</div>
<div class="1234">
<b>D.<span> </span></b>2-3 weeks</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 140.<span> </span>A 69 year old male patient having coronary artery disease was found
to have gall bladder stones while undergoing a routine ultrasound of the
abdomen. There was no history of biliary colic or jaundice at any time. What is
the best treatment advice for such a patient for his gallbladder stones?</span></div>
<div class="1234">
<b>A.<span> </span></b>Open cholecystectomy</div>
<div class="1234">
<b>B.<span> </span></b>Laparoscopic cholecystectomy</div>
<div class="1234">
<b>C.<span> </span></b>No surgery for gallbladder stones</div>
<div class="1234">
<b>D.<span> </span></b>ERCP and removal of gallbladder stones</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 141.<span> </span>A 14 year old healthy girl of normal height and weight for age,
complains that her right breast has developed twice the size of her left breast
since the onset of puberty at the age of 12. Both breasts have a similar
consistency on palpation with normal nipples areolae. The most likely cause for
these findings is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cystosarcoma phylloides</div>
<div class="1234">
<b>B.<span> </span></b>Virginal hypertrophy</div>
<div class="1234">
<b>C.<span> </span></b>Fibrocystic disease</div>
<div class="1234">
<b>D.<span> </span></b>Early state of carcinoma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 142.<span> </span>Which of the following management procedures of acute upper
gastrointestinal bleed should possibly be avoided:</span></div>
<div class="1234">
<b>A.<span> </span></b>Intravenous vasopressin</div>
<div class="1234">
<b>B.<span> </span></b>Intravenous <span style="font-family: Symbol;">b</span>-blockers</div>
<div class="1234">
<b>C.<span> </span></b>Endoscopic sclerotherapy</div>
<div class="1234">
<b>D.<span> </span></b>Balloon tamponade</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 143.<span> </span>Regarding varicose veins, which one of the following statements is
true:</span></div>
<div class="1234">
<b>A.<span> </span></b>Over 20% are recurrent varicosities</div>
<div class="1234">
<b>B.<span> </span></b>The sural nerve is in danger during stripping of the long
saphenous vein</div>
<div class="1234">
<b>C.<span> </span></b>The saphenous nerve is closely associated with the short
saphenous vein</div>
<div class="1234">
<b>D.<span> </span></b>5% oily phenol is an appropriate sclerosant for venous
sclerotherapy</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 144.<span> </span>Dysphagia lusoria is due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Oesophageal diverticulum</div>
<div class="1234">
<b>B.<span> </span></b>Aneurysm of aorta</div>
<div class="1234">
<b>C.<span> </span></b>Oesophageal web</div>
<div class="1234">
<b>D.<span> </span></b>Compression by aberrant blood vessel</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 145.<span> </span>Least malignant thyroid cancer is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Papillary carcinoma</div>
<div class="1234">
<b>B.<span> </span></b>Follicular carcinoma</div>
<div class="1234">
<b>C.<span> </span></b>Medullary carcinoma</div>
<div class="1234">
<b>D.<span> </span></b>Anaplastic carcinoma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 146.<span> </span>A blood stained discharge from the nipple indicates:</span></div>
<div class="1234">
<b>A.<span> </span></b>Breast abscess</div>
<div class="1234">
<b>B.<span> </span></b>Fibroadenoma</div>
<div class="1234">
<b>C.<span> </span></b>Duct papilloma</div>
<div class="1234">
<b>D.<span> </span></b>Fat necrosis of breast</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 147.<span> </span>The commonest site of carcinoma esophagus in India is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Upper 1/3rd</div>
<div class="1234">
<b>B.<span> </span></b>Middle 1/3rd</div>
<div class="1234">
<b>C.<span> </span></b>Lower 1/3rd</div>
<div class="1234">
<b>D.<span> </span></b>GE junction</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 148.<span> </span>Which of the following substances is not used as an irrigant during
transurethral resection of the prostate?</span></div>
<div class="1234">
<b>A.<span> </span></b>Normal saline</div>
<div class="1234">
<b>B.<span> </span></b>1.5% glycine</div>
<div class="1234">
<b>C.<span> </span></b>5% dextrose</div>
<div class="1234">
<b>D.<span> </span></b>Distilled water</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
ORTHOPAEDICS</div>
<div class="Ques">
<span style="color: windowtext;">Q 149.<span> </span>The operative procedure known as “micro fracture” is done for the:</span></div>
<div class="1234">
<b>A.<span> </span></b>Delayed union of femur</div>
<div class="1234">
<b>B.<span> </span></b>Non union of tibia</div>
<div class="1234">
<b>C.<span> </span></b>Loose bodies of ankle joint</div>
<div class="1234">
<b>D.<span> </span></b>Osteochondral defect of femur</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 150.<span> </span>A thirty one year old male with nephrotic syndrome complains of
pain in right hip joint of 2 months duration. The movements at the hip are free
but painful terminally. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tuberculosis of hip</div>
<div class="1234">
<b>B.<span> </span></b>Avascular necrosis of femoral head</div>
<div class="1234">
<b>C.<span> </span></b>Chondrolysis of hip</div>
<div class="1234">
<b>D.<span> </span></b>Pathological fracture of femoral neck</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 151.<span> </span>The most commonly affected component of the lateral collateral
ligament complex in an “ankle sprain” is the:</span></div>
<div class="1234">
<b>A.<span> </span></b>Middle component</div>
<div class="1234">
<b>B.<span> </span></b>Anterior component</div>
<div class="1234">
<b>C.<span> </span></b>Posterior component</div>
<div class="1234">
<b>D.<span> </span></b>Deeper component</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 152.<span> </span>The stability of the ankle joint is maintained by all of the
following, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Plantar calcaneonavicular (spring) ligament</div>
<div class="1234">
<b>B.<span> </span></b>Deltoid ligament</div>
<div class="1234">
<b>C.<span> </span></b>Lateral ligament</div>
<div class="1234">
<b>D.<span> </span></b>Shape of the superior talar articular surface</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 153.<span> </span>You have treated the simple and undisplaced fracture of shaft of
right tibia in a nine year girl with above knee plaster cast. Parents want to
know the prognosis of union of the fractured limb which was affected by
poliomyelitis four years ago. What is the best possible advice will you offer
to the parents?</span></div>
<div class="1234">
<b>A.<span> </span></b>Fracture will unite slowly</div>
<div class="1234">
<b>B.<span> </span></b>Fracture will not unite</div>
<div class="1234">
<b>C.<span> </span></b>Fracture will unite normally</div>
<div class="1234">
<b>D.<span> </span></b>Fracture will unite on attaining puberty</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 154.<span> </span>A pole vaulter had a fall during pole vaulting and had paralysis of
the arm. Which of the following investigations gives the best recovery
prognosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Electromyography</div>
<div class="1234">
<b>B.<span> </span></b>Muscle biopsy</div>
<div class="1234">
<b>C.<span> </span></b>Strength duration curve</div>
<div class="1234">
<b>D.<span> </span></b>Creatine phosphokinase levels</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 155.<span> </span>In a patient with a history of burning pain localized to the
plantar aspect of the foot, the differential diagnosis must include:</span></div>
<div class="1234">
<b>A.<span> </span></b>Peripheral vascular disease</div>
<div class="1234">
<b>B.<span> </span></b>Tarsal coalition</div>
<div class="1234">
<b>C.<span> </span></b>Tarsal tunnel syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Planter fibromatosis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 156.<span> </span>An elderly woman was admitted with a fracture of the neck of right
femur which failed to unite. On examination an avascular necrosis of the head
of femur was noted. The condition would have resulted most probably from the
damage to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Superior gluteal artery</div>
<div class="1234">
<b>B.<span> </span></b>Inferior gluteal artery</div>
<div class="1234">
<b>C.<span> </span></b>Acetabular branch of obturator</div>
<div class="1234">
<b>D.<span> </span></b>Retinacular branches of circumflex femoral arteries</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
<br /></div>
<div class="Head">
GYNAECOLOGY & OBSTETRICS</div>
<div class="Ques">
<span style="color: windowtext;">Q 157.<span> </span>With reference to fetal heart rate, a non stress test is considered
reactive when:</span></div>
<div class="1234">
<b>A.<span> </span></b>Two fetal heart rate accelerations are noted in 20 minutes</div>
<div class="1234">
<b>B.<span> </span></b>One fetal heart rate acceleration is noted in 20 minutes</div>
<div class="1234">
<b>C.<span> </span></b>Two fetal heart rate accelerations are noted in 10 minutes</div>
<div class="1234">
<b>D.<span> </span></b>Three fetal heart rate accelerations are noted in 30 minutes</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 158.<span> </span>The commonest cause of primary amenorrhoea is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Genital tuberculosis</div>
<div class="1234">
<b>B.<span> </span></b>Ovarian dysgenesis</div>
<div class="1234">
<b>C.<span> </span></b>Mullerian duct anomalies</div>
<div class="1234">
<b>D.<span> </span></b>Hypothyroidism</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 159.<span> </span>Which of the following drug is not used for medical management of
ectopic pregnancy:</span></div>
<div class="1234">
<b>A.<span> </span></b>Potassium chloride</div>
<div class="1234">
<b>B.<span> </span></b>Methotrexate</div>
<div class="1234">
<b>C.<span> </span></b>Actinomycin D</div>
<div class="1234">
<b>D.<span> </span></b>Misoprostol</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 160.<span> </span>All of the following are known risk factors for the development of
ovarian carcinoma <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Family history of ovarian carcinoma</div>
<div class="1234">
<b>B.<span> </span></b>Use of oral pills</div>
<div class="1234">
<b>C.<span> </span></b>Use of clomiphene</div>
<div class="1234">
<b>D.<span> </span></b>BRCA-1 positive individual</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 161.<span> </span>A pregnant woman with fibroid uterus develops acute pain in abdomen
with low grade fever and mild leucocytosis at 28 weeks. The most likely
diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Preterm labour</div>
<div class="1234">
<b>B.<span> </span></b>Torsion of fibroid</div>
<div class="1234">
<b>C.<span> </span></b>Red degeneration of fibroid</div>
<div class="1234">
<b>D.<span> </span></b>Infection in fibroid</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 162.<span> </span>Which of the following is correct for the calculation of Pearl
index:</span></div>
<div class="1234">
<span>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="10" width="75"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="44" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image004.png" width="274" /></td>
</tr>
</tbody></table>
</span><b> </b></div>
<br clear="ALL" />
<div class="1234">
<b>A.<span> </span></b></div>
<div class="1234">
<br /></div>
<div class="1234">
<br /></div>
<div class="1234">
<span style="position: relative; z-index: 251657216;"><span style="height: 45px; left: 68px; position: absolute; top: -10px; width: 245px;"><img height="45" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image006.png" width="245" /></span></span><b>B.<span> </span></b></div>
<div class="1234">
<br /></div>
<div class="1234">
<span>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="13" width="68"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="44" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image008.png" width="275" /></td>
</tr>
</tbody></table>
</span><b> </b></div>
<br clear="ALL" />
<div class="1234">
<b>C.<span> </span></b></div>
<div class="1234">
<br /></div>
<div class="1234">
<span>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="11" width="68"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="45" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image010.png" width="245" /></td>
</tr>
</tbody></table>
</span><b> </b></div>
<br clear="ALL" />
<div class="1234">
<b>D.<span> </span></b></div>
<div class="Ans">
<br /></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 163.<span> </span>A pregnant woman is found to have excessive accumulation of
amniotic fluid. Such polyhdramnios is likely to be associated with all of the
following conditions, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Twinning</div>
<div class="1234">
<b>B.<span> </span></b>Microanencephaly</div>
<div class="1234">
<b>C.<span> </span></b>Oesophageal atresia</div>
<div class="1234">
<b>D.<span> </span></b>Bilateral renal agenesis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 164.<span> </span>Use of folic acid to prevent congenital malformation should be best
initiated:</span></div>
<div class="1234">
<b>A.<span> </span></b>During 1st trimester of pregnancy</div>
<div class="1234">
<b>B.<span> </span></b>During 2nd trimester of pregnancy</div>
<div class="1234">
<b>C.<span> </span></b>During 3rd trimester of pregnancy</div>
<div class="1234">
<b>D.<span> </span></b>Before conception</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 165.<span> </span>Which of the following feature on second trimester ultrasound is
not a marker of Down’s syndrome:</span></div>
<div class="1234">
<b>A.<span> </span></b>Single umbilical artery</div>
<div class="1234">
<b>B.<span> </span></b>Choroid plexus cyst</div>
<div class="1234">
<b>C.<span> </span></b>Diaphragmatic hernia</div>
<div class="1234">
<b>D.<span> </span></b>Duodenal atresia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 166.<span> </span>Which of the following is not associated with chorioamnionitis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Preterm labour</div>
<div class="1234">
<b>B.<span> </span></b>Endometritis</div>
<div class="1234">
<b>C.<span> </span></b>Abruptio placentae</div>
<div class="1234">
<b>D.<span> </span></b>Placenta accreta</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 167.<span> </span>Apoptosis can occur by change in hormone levels in the ovarian
cycle. When there is no fertilization of the ovum, the endometrial cells die
because:</span></div>
<div class="1234">
<b>A.<span> </span></b>The involution of corpus luteum causes estradiol and
progesterone levels to fall dramatically</div>
<div class="1234">
<b>B.<span> </span></b>LH levels rise after ovulation</div>
<div class="1234">
<b>C.<span> </span></b>Estradiol levels are not involved in the LH surge phenomenon</div>
<div class="1234">
<b>D.<span> </span></b>Estradiol inhibits the induction of the progesterone receptor in
the endometrium</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 168.<span> </span>The use of combined oral contraceptive pill is associated with an
increased incidence of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Bacterial vaginosis</div>
<div class="1234">
<b>B.<span> </span></b>Chlamydial endocervicitis</div>
<div class="1234">
<b>C.<span> </span></b>Vaginal warts</div>
<div class="1234">
<b>D.<span> </span></b>Genital herpes</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 169.<span> </span>In a young female of reproductive age with regular menstrual cycles
of 28 days ovulation occurs around 14th day of periods. When is first polar
body extruded:</span></div>
<div class="1234">
<b>A.<span> </span></b>24 hours prior to ovulation</div>
<div class="1234">
<b>B.<span> </span></b>Accompanied by ovulation</div>
<div class="1234">
<b>C.<span> </span></b>48 hours after the ovulation</div>
<div class="1234">
<b>D.<span> </span></b>At the time of fertilization</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
OPHTHALMOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 170.<span> </span>A 56 year old patient presents after 3 days of cataract surgery
with a history of increasing pain and diminution of vision after an initial
improvement. The most likely cause would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Endophthalmitis</div>
<div class="1234">
<b>B.<span> </span></b>After cataract</div>
<div class="1234">
<b>C.<span> </span></b>Central retinal vein occlusion</div>
<div class="1234">
<b>D.<span> </span></b>Retinal detachment</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 171.<span> </span>All the following signs could result from infection within the
right cavernous sinus, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Loss of pupillary light reflex</div>
<div class="1234">
<b>B.<span> </span></b>Loss of corneal blink reflex</div>
<div class="1234">
<b>C.<span> </span></b>Ptosis</div>
<div class="1234">
<b>D.<span> </span></b>Right ophthalmoplegia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 172.<span> </span>All of the following conditions are contraindicated or likely to
worsen in a case of primary open angle glaucoma, when treated with timolol
maleate 0.5% eye drops, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypertension</div>
<div class="1234">
<b>B.<span> </span></b>Hypercholesterolemia</div>
<div class="1234">
<b>C.<span> </span></b>Depression</div>
<div class="1234">
<b>D.<span> </span></b>Bronchial asthma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 173.<span> </span>A 25 year old executive presents with metamorphopsia in his right
eye. On examination the fundus shows a shallow detachment at the macula. The
fluorescein angiography shows a “smoke stack” sign. Which of the following
management should be given?</span></div>
<div class="1234">
<b>A.<span> </span></b>Topical antibiotic-corticosteroid combination</div>
<div class="1234">
<b>B.<span> </span></b>Systemic corticosteroid for two weeks and then taper</div>
<div class="1234">
<b>C.<span> </span></b>Pulse methylprednisolone for three days and then taper</div>
<div class="1234">
<b>D.<span> </span></b>Just wait and watch for spontaneous recovery</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 174.<span> </span>A case of injury to right brow due to a fall from scooter presents
with sudden loss of vision in the right eye. The pupil shows absent direct
reflex but a normal consensual pupillary reflex is present. The fundus is
normal. The treatment of choice is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Intensive intravenous corticosteroids as prescribed for spinal
injuries to be instituted within six hours</div>
<div class="1234">
<b>B.<span> </span></b>Pulse methylprednisolone 250 mg four times daily for three days</div>
<div class="1234">
<b>C.<span> </span></b>Oral prednisolone 1.5 mg/kg body weight</div>
<div class="1234">
<b>D.<span> </span></b>Emergency optic canal decompression</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
ENT</div>
<div class="Ques">
<span style="color: windowtext;">Q 175.<span> </span>Which of the follwing would be the most appropriate treatment for
rehabilitation of a patient, who has bilateral profound deafness following
surgery for bilateral acoustic schwannoma:</span></div>
<div class="1234">
<b>A.<span> </span></b>Bilateral high powered digital hearing aid</div>
<div class="1234">
<b>B.<span> </span></b>Bilateral cochlear implants</div>
<div class="1234">
<b>C.<span> </span></b>Unilateral cochlear implant</div>
<div class="1234">
<b>D<span> </span></b>Brain stem implant</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 176.<span> </span>Iatrogenic traumatic facial nerve palsy is most commonly caused
during:</span></div>
<div class="1234">
<b>A.<span> </span></b>Myringoplasty</div>
<div class="1234">
<b>B.<span> </span></b>Stapedectomy</div>
<div class="1234">
<b>C.<span> </span></b>Mastoidectomy</div>
<div class="1234">
<b>D.<span> </span></b>Ossiculoplasty</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 177.<span> </span>Which of the following is not the site for paraganglioma:</span></div>
<div class="1234">
<b>A.<span> </span></b>Carotid bifurcation</div>
<div class="1234">
<b>B.<span> </span></b>Jugular foramen</div>
<div class="1234">
<b>C.<span> </span></b>Promontary in middle ear</div>
<div class="1234">
<b>D.<span> </span></b>Geniculate ganglion</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 178.<span> </span>In complete bilateral palsy of recurrent laryngeal nerves, there
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Complete loss of speech with stridor and dyspnea</div>
<div class="1234">
<b>B.<span> </span></b>Complete loss of speech but no difficulty in breathing</div>
<div class="1234">
<b>C.<span> </span></b>Preservation of speech with severe stridor and dyspnea</div>
<div class="1234">
<b>D.<span> </span></b>Preservation of speech and no difficulty in breathing</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 179.<span> </span>“Gold standard” surgical procedure for prevention of aspiration is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Thyroplasty</div>
<div class="1234">
<b>B.<span> </span></b>Tracheostomy</div>
<div class="1234">
<b>C.<span> </span></b>Tracheal division and permanent tracheostome</div>
<div class="1234">
<b>D.<span> </span></b>Feeding gasgtrostomy/jejunostomy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 180.<span> </span>Which of the following statements is <i>not </i>true for contact
ulcer?</span></div>
<div class="1234">
<b>A.<span> </span></b>The commonest site is the junction of anterior 1/3rd and middle
1/3rd of vocal cord and gastroesophageal reflux is the causative factor</div>
<div class="1234">
<b>B.<span> </span></b>Can be caused by intubation injury</div>
<div class="1234">
<b>C.<span> </span></b>The vocal process is the site and is caused/aggravated by acid
reflux</div>
<div class="1234">
<b>D.<span> </span></b>Can be caused by adductor dysphonia</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
SKIN</div>
<div class="Ques">
<span style="color: windowtext;">Q 181.<span> </span>A 30 year old male patient has a large, spreading and exuberant
ulcer with bright red granulation tissue over the glans penis. There was no
lymphadenopathy. The most likely causative organism is:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Treponema pallidum</i></div>
<div class="1234">
<b>B.<span> </span></b>Herpes simplex virus type 1</div>
<div class="1234">
<b>C.<span> </span></b>Herpes simplex virus type 2</div>
<div class="1234">
<b>D.<span> </span></b><i>Calymmatobacterium granulomatis</i></div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 182.<span> </span>A 22 years old male patient presents with a complaints of severe
itching and white scaly lesions in the groin for past month. Which of the
following is most likely to be the causative agent:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Trichophyton rubrum</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Candida albicans</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Candida glabrata</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Malassezia furfur</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 183.<span> </span>A 16 year old student reported for the evaluation of multiple
hypopigmented macules on the trunk and limbs. All of the following tests are
useful in making a diagnosis of leprosy, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sensation testing</div>
<div class="1234">
<b>B.<span> </span></b>Lepromin test</div>
<div class="1234">
<b>C.<span> </span></b>Slit smears</div>
<div class="1234">
<b>D.<span> </span></b>Skin biopsy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 184.<span> </span>A 12 year old boy had a gradually progressive plaque on a buttock
for the last 3 years. The plaque was 15 cm in diameter, annular in shape, with
crusting and induration at the periphery and scarring at the center. The most
likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tinea corporis</div>
<div class="1234">
<b>B.<span> </span></b>Granuloma annulare</div>
<div class="1234">
<b>C.<span> </span></b>Lupus vulgaris</div>
<div class="1234">
<b>D.<span> </span></b>Borderline leprosy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 185.<span> </span>A 24 year old man had multiple, small hypopigmented macules on the
upper chest and back for the last three months. The macules were circular,
arranged around follicles and many had coalesced to form large sheets. The
surface of the macules showed fine scaling. He had similar lesions one year ago
which subsided with treatment. The most appropriate investigation to confirm
the diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Potassium hydroxide preparation of scales</div>
<div class="1234">
<b>B.<span> </span></b>Slit skin smear from discrete macules</div>
<div class="1234">
<b>C.<span> </span></b>Tzanck test</div>
<div class="1234">
<b>D.<span> </span></b>Skin biopsy of coalesced macules</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 186.<span> </span>A 22 year old woman developed small itchy wheals after physical
exertion, walking in the sun, eating hot spicy food and when she was angry. The
most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Chronic idiopathic utricaria</div>
<div class="1234">
<b>B.<span> </span></b>Heat urticaria</div>
<div class="1234">
<b>C.<span> </span></b>Solar urticaria</div>
<div class="1234">
<b>D.<span> </span></b>Cholinergic urticaria</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 187.<span> </span>A 45 year old male had multiple hypoaesthetic mildly erythematous
large plaques with elevated margins on trunk and extremities. His ulnar and
lateral popliteal nerves on both sides were enlarged. The most probable
diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lepromatous leprosy</div>
<div class="1234">
<b>B.<span> </span></b>Borderline leprosy</div>
<div class="1234">
<b>C.<span> </span></b>Borderline tuberculoid leprosy</div>
<div class="1234">
<b>D.<span> </span></b>Borderline lepromatous leprosy</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
ANAESTHESIA</div>
<div class="Ques">
<span style="color: windowtext;">Q 188.<span> </span>Which of the following is not an amide:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lidocaine</div>
<div class="1234">
<b>B.<span> </span></b>Procaine</div>
<div class="1234">
<b>C.<span> </span></b>Prilocaine</div>
<div class="1234">
<b>D.<span> </span></b>Etidocaine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 189.<span> </span>Which of the following inhalational agent is contraindicated in a
patient with history of epilepsy:</span></div>
<div class="1234">
<b>A.<span> </span></b>Isoflurance</div>
<div class="1234">
<b>B.<span> </span></b>Enflurane</div>
<div class="1234">
<b>C.<span> </span></b>Halothane</div>
<div class="1234">
<b>D.<span> </span></b>Sevoflurane</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 190.<span> </span>Laryngeal mask airway (LMA) is used for:</span></div>
<div class="1234">
<b>A.<span> </span></b>Maintenance of the airway</div>
<div class="1234">
<b>B.<span> </span></b>Facilitating laryngeal surgery</div>
<div class="1234">
<b>C.<span> </span></b>Prevention of aspiration</div>
<div class="1234">
<b>D.<span> </span></b>Removing oral secretions</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 191.<span> </span>All of the following are suitable anaesthetic circuits for both
controlled and assisted ventilation <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mapleson A</div>
<div class="1234">
<b>B.<span> </span></b>Mapleson B & C</div>
<div class="1234">
<b>C.<span> </span></b>Mapleson D</div>
<div class="1234">
<b>D.<span> </span></b>Mapleson E</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 192.<span> </span>At the end of anaesthesia after discontinuation of nitrous oxide
and removal of endotracheal tube, 100% oxygen is administered to the patient to
prevent:</span></div>
<div class="1234">
<b>A.<span> </span></b>Diffusion hypoxia</div>
<div class="1234">
<b>B.<span> </span></b>Second gas effect</div>
<div class="1234">
<b>C.<span> </span></b>Hyperoxia</div>
<div class="1234">
<b>D.<span> </span></b>Bronchospasm</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
<br /></div>
<div class="Head">
RADIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 193.<span> </span>Maximum permissible radiation dose in pregnancy is:</span></div>
<div class="1234">
<b>A.<span> </span></b>0.5 rad</div>
<div class="1234">
<b>B.<span> </span></b>1.0 rad</div>
<div class="1234">
<b>C.<span> </span></b>1.5 rad</div>
<div class="1234">
<b>D.<span> </span></b>3.0 rad</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 194.<span> </span>Which one of the following therapeutic mode is commonly employed in
intra-operative radiotherapy?</span></div>
<div class="1234">
<b>A.<span> </span></b>Electron</div>
<div class="1234">
<b>B.<span> </span></b>Photon</div>
<div class="1234">
<b>C.<span> </span></b>X-ray</div>
<div class="1234">
<b>D.<span> </span></b>Gamma rays</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 195.<span> </span>Radiation therapy to hypoxic tissues may be potentiated by the
treatment with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mycostatin</div>
<div class="1234">
<b>B.<span> </span></b>Metronidazole</div>
<div class="1234">
<b>C.<span> </span></b>Methotrexate</div>
<div class="1234">
<b>D.<span> </span></b>Melphalan</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 196.<span> </span>MRI rooms are shielded completely by a continuous sheet or wire
mesh of copper or aluminum to shield the imager from external electromagnetic
radiations, etc. It is called:</span></div>
<div class="1234">
<b>A.<span> </span></b>Maxwell cage</div>
<div class="1234">
<b>B.<span> </span></b>Faraday cage</div>
<div class="1234">
<b>C.<span> </span></b>Edison’s cage</div>
<div class="1234">
<b>D.<span> </span></b>Ohm’s cage</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
PSYCHIATRY</div>
<div class="Ques">
<span style="color: windowtext;">Q 197.<span> </span>An elderly woman suffering from schizophrenia is on antipsychotic
medication. She developed purposeless involuntary facial and limb movements,
constant chewing and puffing of cheeks. Which of the following drugs is least
likely to be involved in this side effect:</span></div>
<div class="1234">
<b>A.<span> </span></b>Halperidol</div>
<div class="1234">
<b>B.<span> </span></b>Clozapine</div>
<div class="1234">
<b>C.<span> </span></b>Fluphenazine</div>
<div class="1234">
<b>D.<span> </span></b>Loxapine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 198.<span> </span>A 30-year old male with history of alcohol abuse for 15 years is
brought to the hospital emergency with complaints of fearfulness,
mis-recognition, talking to self, aggressive behavior, tremulousness and seeing
snakes and reptiles that are not visible to others around him. There is history
of drinking alcohol two days prior to the onset of the present complaints. He
is most likely suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Delirium tremens</div>
<div class="1234">
<b>B.<span> </span></b>Alcoholic hallucinosis</div>
<div class="1234">
<b>C.<span> </span></b>Schizophrenia</div>
<div class="1234">
<b>D.<span> </span></b>Seizure disorder</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 199.<span> </span>A 25 year old university student had a fight with the neighboring
boy. On the next day while out, he started feeling that two men in police
uniform were observing his movements. When he reached home in the evening he
was frightened. He expressed that police was after him and would arrest him. His
symptoms represent:</span></div>
<div class="1234">
<b>A.<span> </span></b>Delusion of persecution</div>
<div class="1234">
<b>B.<span> </span></b>Ideas of reference</div>
<div class="1234">
<b>C.<span> </span></b>Passivity</div>
<div class="1234">
<b>D.<span> </span></b>Thought insertion</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 200.<span> </span>A 40-year old male is admitted with complaints of abdominal pain
and headache. General physical examination revealed six scars on the abdomen
from previous surgeries. He seems to maintain a sick role and seeks attention
from the nurses. He demands multiple diagnostic tests including a liver biopsy.
The treating team failed to diagnose any major physical illness in the patient.
His mental status examination did not reveal any major psychopathology. One of
the treating staff recognized him to have appeared in several other hospital
with abdominal pain and some other vague complaints. He is most likely
suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Schizophrenia</div>
<div class="1234">
<b>B.<span> </span></b>Malingering</div>
<div class="1234">
<b>C.<span> </span></b>Somatisation disorder</div>
<div class="1234">
<b>D.<span> </span></b>Factitious disorder</div>
<div class="Ans">
Ans.<span> </span>D</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-85021496336985630242012-01-07T19:48:00.000-08:002012-01-07T19:48:09.138-08:00AIIMS MAY 2004<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head">
<span style="color: windowtext; font-size: 16pt; text-transform: uppercase;"></span>ANATOMY</div>
<div class="Ques">
<span style="color: windowtext;">Q 1.<span> </span>Meiosis occurs in human males in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Epididymis</div>
<div class="1234">
<b>B.</b><span> </span>Seminiferous tubules</div>
<div class="1234">
<b>C.</b><span> </span>Vas deferens</div>
<div class="1234">
<b>D.</b><span> </span>Seminal vesicles</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 2.<span> </span>The right lobe of liver consists of which of the following
segments:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>V, VI, VII and VIII</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.</b><span> </span>IV, V, VI, VII and VIII</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.</b><span> </span>I, V, VI,VII and VIII</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.</b><span> </span>I, IV, V, VI, VII and VIII</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 3.<span> </span>A young boy who was driving motorcycle at a high speed collided
with a tree & was thrown on his right shoulder. Though there was no
fracture, his right arm was medially rotated and forearm pronated. The
following facts concerning this patient are correct, <i>except:</i></span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>The injury was at Erb’s point</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.</b><span> </span>A lesion of C5 and C6 was present</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.</b><span> </span>The median and ulnar nerves were affected</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.</b><span> </span>Supraspinatus, infraspinatus, subclavius &
biceps brachii were paralyzed</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 4.<span> </span>In a vehicular accident, the musculocutaneous nerve was
completely severed, but still the person was able to weakly flex the elbow
joint. All of the following muscles are responsible for this flexion, <i>except:</i></span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Brachioradialis</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.</b><span> </span>Flexor carpi radialis</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.</b><span> </span>Ulnar head of pronator teres</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.</b><span> </span>Flexor carpi ulnaris</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 5.<span> </span>Which of the following nuclei belongs to the general visceral
efferent column:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Facial nerve nucleus</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.</b><span> </span>Trigeminal nerve nucleus</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.</b><span> </span>Dorsal nucleus of vagus</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.</b><span> </span>Nucleus ambiguous</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 6.<span> </span>Dislocation of the vertebra is uncommon in thoracic region
because in this region:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>The articular process are interlocked</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.</b><span> </span>The vertebral body is long</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.</b><span> </span>Anterior longitudinal ligament is strong</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.</b><span> </span>Spinous process is long and pointed</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 7.<span> </span>Joint between epiphysis and diaphysis of a long bone is a type
of:</span></div>
<div class="1234" style="line-height: 12.2pt;">
<b>A.<span> </span></b>Plane synovial joint</div>
<div class="1234" style="line-height: 12.2pt;">
<b>B.</b><span> </span>Fibrous joint</div>
<div class="1234" style="line-height: 12.2pt;">
<b>C.</b><span> </span>Symphysis</div>
<div class="1234" style="line-height: 12.2pt;">
<b>D.</b><span> </span>Synchondrosis</div>
<div class="Ans" style="line-height: 12.2pt;">
Ans.<span> </span>D</div>
<div class="Head">
PHYSIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 8.<span> </span>Which one of the following clearly states the role of
cerebellum in motor performance:</span></div>
<div class="1234">
<b>A.<span> </span></b>Planning and programming of movement</div>
<div class="1234">
<b>B.<span> </span></b>Convert abstract thought into voluntary action</div>
<div class="1234">
<b>C.<span> </span></b>Initiation of skilled voluntary action</div>
<div class="1234">
<b>D.<span> </span></b>Smoothens and coordinates ongoing movements</div>
<div class="Ques">
<span style="color: windowtext;">Ans.<span> </span>D</span></div>
<div class="Ques">
<span style="color: windowtext;">Q 9.<span> </span>Which of the following phrase adequately describes Pacinian
corpuscles:</span></div>
<div class="1234">
<b>A.<span> </span></b>A type of pain receptors</div>
<div class="1234">
<b>B.<span> </span></b>Slowly adapting touch receptors</div>
<div class="1234">
<b>C.<span> </span></b>Rapidly adapting touch receptors</div>
<div class="1234">
<b>D.<span> </span></b>Located in the joints</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 10.<span> </span>Ovulation is associated with sudden rise in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prolactin</div>
<div class="1234">
<b>B.<span> </span></b>Testosterone</div>
<div class="1234">
<b>C.<span> </span></b>LH</div>
<div class="1234">
<b>D.<span> </span></b>Oxytocin</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 11.<span> </span>The normal adult human electroencephalogram (EEG):</span></div>
<div class="1234">
<b>A.<span> </span></b>Will not show high frequency waves during stage 3 sleep</div>
<div class="1234">
<b>B.<span> </span></b>Shows alpha rhythm when a person is awake but inattentive</div>
<div class="1234">
<b>C.<span> </span></b>Has lower frequency waves during mental activity</div>
<div class="1234">
<b>D.<span> </span></b>Is predominated by large amplitude waves during REM sleep</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 12.<span> </span>The afferent fibers which are most sensitive to local anesthetic
belong to group:</span></div>
<div class="1234">
<b>A.<span> </span></b>A</div>
<div class="1234">
<b>B.<span> </span></b>B</div>
<div class="1234">
<b>C.<span> </span></b>C</div>
<div class="1234">
<b>D.<span> </span></b>D</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 13.<span> </span>Lower esophageal sphincter:</span></div>
<div class="1234">
<b>A.<span> </span></b>Has no tonic activity</div>
<div class="1234">
<b>B.<span> </span></b>Has a tone which is provided by the sympathetic system</div>
<div class="1234">
<b>C.<span> </span></b>Relaxes on increasing abdominal pressure</div>
<div class="1234">
<b>D.<span> </span></b>Relaxes ahead of the peristaltic wave</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 14.<span> </span>Drinking can be induced by:</span></div>
<div class="1234" style="line-height: 12.5pt;">
<b>A.<span> </span></b>Electrical stimulation of the posterior
hypothalamus</div>
<div class="1234" style="line-height: 12.5pt;">
<b>B.<span> </span></b>Osmotic stimulation of supraoptic nucleus</div>
<div class="1234" style="line-height: 12.5pt;">
<b>C.<span> </span></b>Lesions in the paraventicular nucleus</div>
<div class="1234" style="line-height: 12.5pt;">
<b>D.<span> </span></b>Neuronal lesion of the preoptic nucleus</div>
<div class="Ans" style="line-height: 12.5pt;">
Ans.<span> </span>B</div>
<div class="Ques" style="line-height: 12.5pt;">
<span style="color: windowtext;">Q 15.<span> </span>When information memorized afterwards is
interfered by the information learnt earlier, it is called:</span></div>
<div class="1234" style="line-height: 12.5pt;">
<b>A.<span> </span></b>Retroactive inhibition</div>
<div class="1234" style="line-height: 12.5pt;">
<b>B.<span> </span></b>Proactive inhibition</div>
<div class="1234" style="line-height: 12.5pt;">
<b>C.<span> </span></b>Simple inhibition</div>
<div class="1234" style="line-height: 12.5pt;">
<b>D.<span> </span></b>Inhibition</div>
<div class="Ans" style="line-height: 12.5pt;">
Ans.<span> </span>B</div>
<div class="Ques" style="line-height: 12.5pt;">
<span style="color: windowtext;">Q 16.<span> </span>Wedged hepatic venous pressure represents
pressure in:</span></div>
<div class="1234" style="line-height: 12.5pt;">
<b>A.<span> </span></b>Main portal vein</div>
<div class="1234" style="line-height: 12.5pt;">
<b>B.<span> </span></b>Main hepatic vein</div>
<div class="1234" style="line-height: 12.5pt;">
<b>C.<span> </span></b>Sinusoids</div>
<div class="1234" style="line-height: 12.5pt;">
<b>D.<span> </span></b>Central vein radicles</div>
<div class="Ans" style="line-height: 12.5pt;">
Ans.<span> </span>C</div>
<div class="Ques" style="line-height: 12.5pt;">
<span style="color: windowtext;">Q 17.<span> </span>The pressure-volume curve is shifted to the
left in:</span></div>
<div class="1234" style="line-height: 12.5pt;">
<b>A.<span> </span></b>Mitral regurgitation</div>
<div class="1234" style="line-height: 12.5pt;">
<b>B.<span> </span></b>Aortic regurgitation</div>
<div class="1234" style="line-height: 12.5pt;">
<b>C.<span> </span></b>Mitral stenosis</div>
<div class="1234" style="line-height: 12.5pt;">
<b>D.<span> </span></b>Aortic stenosis</div>
<div class="Ans" style="line-height: 12.5pt;">
Ans.<span> </span>D</div>
<div class="Ques" style="line-height: 12.5pt;">
<span style="color: windowtext;">Q 18.<span> </span>The intrafusal fibers of the striated
skeletal muscles are innervated by one of the following type of motor neurons.
Choose the correct answer:</span></div>
<div class="1234" style="line-height: 12.5pt;">
<b>A.<span> </span></b>Alpha</div>
<div class="1234" style="line-height: 12.5pt;">
<b>B.<span> </span></b>Beta</div>
<div class="1234" style="line-height: 12.5pt;">
<b>C.<span> </span></b>Gamma</div>
<div class="1234" style="line-height: 12.5pt;">
<b>D.<span> </span></b>Delta</div>
<div class="Ans" style="line-height: 12.5pt;">
Ans.<span> </span>C</div>
<div class="Ques" style="line-height: 12.5pt;">
<br /></div>
<div class="Ques" style="line-height: 12.5pt;">
<span style="color: windowtext;">Q 19.<span> </span>The inhibitory neurotransmitter in CNS
neurons is:</span></div>
<div class="1234" style="line-height: 12.5pt;">
<b>A.<span> </span></b>Glutamate</div>
<div class="1234" style="line-height: 12.5pt;">
<b>B.<span> </span></b>Aspartate</div>
<div class="1234" style="line-height: 12.5pt;">
<b>C.<span> </span></b>Gamma-amino butyric acid</div>
<div class="1234" style="line-height: 12.5pt;">
<b>D.<span> </span></b>Taurine</div>
<div class="Ans" style="line-height: 12.5pt;">
Ans.<span> </span>C</div>
<div class="Ques" style="line-height: 12.5pt;">
<span style="color: windowtext;">Q 20.<span> </span>The correct sequence of cell cycle is:</span></div>
<div class="1234" style="line-height: 12.5pt;">
<b>A.<span> </span></b>G0-G1-S-G2-M</div>
<div class="1234" style="line-height: 12.5pt;">
<b>B.<span> </span></b>G0-G1-G2-S-M</div>
<div class="1234" style="line-height: 12.5pt;">
<b>C.<span> </span></b>G0-M-G2-S-G1</div>
<div class="1234" style="line-height: 12.5pt;">
<b>D.<span> </span></b>G0-G1-S-M-G2</div>
<div class="Ans" style="line-height: 12.5pt;">
Ans.<span> </span>A</div>
<div class="Head">
BIOCHEMISTRY</div>
<div class="Ques">
<span style="color: windowtext;">Q 21.<span> </span>Misexpression of which of the following homeobox genes alters the
position of the forelimbs during development:</span></div>
<div class="1234">
<b>A.<span> </span></b>HOXA7</div>
<div class="1234">
<b>B.<span> </span></b>HOXB8</div>
<div class="1234">
<b>C.<span> </span></b>HOXC9</div>
<div class="1234">
<b>D.<span> </span></b>HOXDI0</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 22.<span> </span>All of the following statements about LDL are true <i>except:</i></span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>It delivers cholesterol to cells</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>It contains only one apoprotein</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>It is a marker for cardiovascular disease</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>It contains Apo-B<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">4</span></div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 23.<span> </span>The most important source of reducing equivalents for fatty acid
synthesis in the liver is:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Glycolysis</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>TCA cycle</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Uronic acid pathway</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>HMP pathway</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 24.<span> </span>Insulin increases the activities of all of the following enzymes,
<i>except:</i></span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Glucokinase</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>Pyruvate carboxylase</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Glycogen synthase</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>Acetyl-CoA carboxylase</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 25.<span> </span>Which of the following combinations of biologically active
molecules does vitamin A consists of:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Retinol, retinal and retinoic acid</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.</b><span> </span>Retinal, retinal and tetrahydrofolate</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Retinal, conjugase and retinoic acid</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>PABA, retinal and retinaldehyde</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 26.<span> </span>The primary structure of a protein refers to:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Linear structure and order of the amino
acids<span> </span>present</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>Regular conformational forms of a protein</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Complete three-dimensional structure of the
polypeptide units of a given protein</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>Subunit structure of the protein</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 27.<span> </span>Excessive ultraviolet (UV) radiation is harmful to life. The
damage caused to the biological systems by ultraviolet radiation I by:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Inhibition of DNA synthesis</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>Formation of thymidine dimers</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Ionization</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>DNA fragmentation</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 28.<span> </span>Biological role of metallothioneins is to sequester harmful metal
ions. These bind:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Cd<span style="font-size: 6.5pt; position: relative; top: -5pt;">++</span>, Cu<span style="font-size: 6.5pt; position: relative; top: -5pt;">++</span><span> </span>& Zn<span style="font-size: 6.5pt; position: relative; top: -5pt;">++</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>AI<span style="font-size: 6.5pt; position: relative; top: -5pt;">+++</span>, Hg<span style="font-size: 6.5pt; position: relative; top: -5pt;">++</span><span> </span>& NH<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">4</span><span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Pt<span style="font-size: 6.5pt; position: relative; top: -5pt;">++</span>, As<span style="font-size: 6.5pt; position: relative; top: -5pt;">+++</span><span> </span>& PO<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">4</span><span style="font-size: 6.5pt; position: relative; top: -5pt;">–</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>Fe<span style="font-size: 6.5pt; position: relative; top: -5pt;">+++</span>, Na<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>& K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span></div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 29.<span> </span>Which one of the following is not true for an </span><span style="color: windowtext; font-family: Symbol;">a</span><span style="color: windowtext;">-helix:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>It is one of the most important secondary
structure</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>It has a net dipole moment</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>All hydrogen bonds are aligned in the same
direction</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Long stretches of left handed <span style="font-family: Symbol;">a</span>-helices occur in proteins</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>D</div>
<div class="Head">
FORENSIC</div>
<div class="Ques">
<span style="color: windowtext;">Q 30.<span> </span>In each freshwater drowning the death occurs within 4-5 minutes
of submersion due to ventricular fibrillation. Which of the following reasons
is responsible for this?</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Total asphyxia is produced due to fresh
water</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Laryngospasm causing vagal inhibition</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Haemoconcentration of blood caused by the
osmotic pressure effect</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Haemodilution, overloading of heart and
haemolysis resulting in release of potassium</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 31.<span> </span>A 25 years female was found in room with 100% burns on her body.
The tongue was protruding out; body was in pugilistic attitude with heat
ruptures, peeling of skin, and heat haematoma and heat fractures of skull.
Carboxy hemoglobin was 25% and soot particles were present in trachea. Which of
the combinations of two findings will establish that the burns were antemortem
in nature:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Heat haematoma & heat ruptures</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Heat fracture of skull and peeling of skin</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Heat haematoma and pugilistic attitude</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Carboxy hemoglobin (25%) and soot particles
in trachea</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 32.<span> </span>The phenomenon of suspended animation may be seen in:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Throttling</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Drowning</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Strangulation</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Brain hemorrhage</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 33.<span> </span>A lady died due to unnatural death within seven years after her
marriage. The inquest in this case will be done by:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Forensic medicine expert</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Deputy superintendent of police</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Sub-divisional magistrate</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Coroner</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 34.<span> </span>Cheiloscopy is the study of prints of:</span></div>
<div class="1234" style="line-height: 12.3pt;">
<b>A.<span> </span></b>Foot</div>
<div class="1234" style="line-height: 12.3pt;">
<b>B.<span> </span></b>Fingers</div>
<div class="1234" style="line-height: 12.3pt;">
<b>C.<span> </span></b>Palate</div>
<div class="1234" style="line-height: 12.3pt;">
<b>D.<span> </span></b>Lips</div>
<div class="Ans" style="line-height: 12.3pt;">
Ans.<span> </span>D</div>
<div class="Head">
Preventive and Social Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 35.<span> </span>Mean hemoglobin of a sample of 100 pregnant woman was found to be
10 mg% with a standard error of 1.0 mg%. The standard error of the estimate
would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>0.01</div>
<div class="1234">
<b>B.<span> </span></b>0.1</div>
<div class="1234">
<b>C.<span> </span></b>1.0</div>
<div class="1234">
<b>D.<span> </span></b>10.0</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 36.<span> </span>For every 1,00,000 population, the highest prevalence of
blindness in the world is seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sub-Saharan Africa</div>
<div class="1234">
<b>B.<span> </span></b>South Asia</div>
<div class="1234">
<b>C.<span> </span></b>Eastern Europe</div>
<div class="1234">
<b>D.<span> </span></b>Latin America</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 37.<span> </span>All of the following statements about plague are wrong, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Domestic rat is the main
reservoir</div>
<div class="1234">
<b>B.<span> </span></b>Bubonic is the most common
variety</div>
<div class="1234">
<b>C.<span> </span></b>The causative bacillus can
survive up to 10 years in the soil of rodent burrows</div>
<div class="1234">
<b>D.<span> </span></b>The incubation period for
pneumonic plague is one to two weeks</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 38.<span> </span>National Health Policy of India-2002 includes all of the
following as goals, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Eradicated polio and yaws
by the year 2005</div>
<div class="1234">
<b>B.<span> </span></b>Achieve zero level
transmission of HIV/AIDS by year 2010</div>
<div class="1234">
<b>C.<span> </span></b>Eliminate kala-azar by year
2005</div>
<div class="1234">
<b>D.<span> </span></b>Eliminate lymphatic
filariasis by year 2015</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 39.<span> </span>The incubation period of yellow fever is:</span></div>
<div class="1234">
<b>A.<span> </span></b>3 to 6 days</div>
<div class="1234">
<b>B.<span> </span></b>3-4 weeks</div>
<div class="1234">
<b>C.<span> </span></b>1 to 2 weeks</div>
<div class="1234">
<b>D.<span> </span></b>8-10 weeks</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 40.<span> </span>Mode of transmission of Q fever is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Bite of infected louse</div>
<div class="1234">
<b>B.<span> </span></b>Bite of infected tick</div>
<div class="1234">
<b>C.<span> </span></b>Inhalation of aerosol</div>
<div class="1234">
<b>D.<span> </span></b>Bite of infected mite</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 41.<span> </span>The following are characteristic features of staphylococcal food
poisoning, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Optimum temperature for
toxin formation is 37°C</div>
<div class="1234">
<b>B.<span> </span></b>Intradietetic toxins are
responsible for intestinal symptoms</div>
<div class="1234">
<b>C.<span> </span></b>Toxins can be destroyed by boiling for 30 minutes</div>
<div class="1234">
<b>D.<span> </span></b>Incubation period is 1-6 hours</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 42.<span> </span>Which of the following is the best indicator of severity of a
short duration acute disease:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Cause specific death rate</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>5-year survival</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Case fatality rate</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Standardized mortality ratio</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 43.<span> </span>Which of the following is the most common cause of maternal
mortality in India:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Hemorrhage</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Anemia</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Abortion</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Sepsis</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 44.<span> </span>Which of the following is the nodal ministry for Integrated Child
Development Services (ICDS) Programme Centre:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Ministry for Human Resource Development</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Ministry for Rural Development</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Ministry for Health and Family Welfare</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Ministry for Social Justice</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 45.<span> </span>The systematic distortion of retrospective studies that can be
eliminated by a prospective design is:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Confounding</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Effect modification</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Recall bias</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Measurement bias</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 46.<span> </span>If we reject null hypothesis, when actually it is true, it is
known as:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Type I error</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Type II error</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Power</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Specificity</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 47.<span> </span>If a new effective treatment is initiated and all other factors
remain the same; which of the following is most likely to happen:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Incidence will not change</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Prevalence will not change</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Neither incidence nor prevalence will
change</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Incidence and prevalence will change</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 48.<span> </span>Which one of the following relationships shown between different
parameters of a performance of a test, is correct:</span></div>
<div class="1234" style="line-height: 12.4pt;">
<b>A.<span> </span></b>Sensitivity = 1 – specificity</div>
<div class="1234" style="line-height: 12.4pt;">
<b>B.<span> </span></b>Positive predictive value = 1 – negative
predictive value</div>
<div class="1234" style="line-height: 12.4pt;">
<b>C.<span> </span></b>Sensitivity is inversely proportional to
specificity</div>
<div class="1234" style="line-height: 12.4pt;">
<b>D.<span> </span></b>Sensitivity = 1 – positive predictive value</div>
<div class="Ans" style="line-height: 12.4pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 49.<span> </span>A 25-year-old female has been diagnosed to be suffering from
tuberculosis categorized as category I (sputum +ve relapse). The treatment
regimen recommended under DOTS is:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>2 (HRZE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span> </span>+ 5 (HR)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>2 (HRSZE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span> </span>+ (HRZE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span> </span>+ 5 (HR)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>3 (HRZE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span> </span>+ 2 (HRE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span> </span>+ 4 (HR)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>3 (HRSZE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span> </span>+ 1 (HRZE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span> </span>+ 6 (HRE)<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span></div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 50.<span> </span>Which sampling method is used in assessing immunization status of
children under an immunization programme:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Quota sampling</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>Multi stage sampling</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Stratified random sampling</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>Cluster sampling</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 51.<span> </span>All of the following are true about break point chlorination, <i>except:</i></span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Free chlorine is released in water after
break point chlorination</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>Chlorine demand is the amount needed to
kill bacteria, oxidize organic matter and neutralize ammonia</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>1 ppm free chlorine should be present in
water after break point has reached</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>Contact period of 1 hour is necessary</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 52.<span> </span>Tablets supplied by Govt. of India contain the following amount
of iron and folic acid:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>60 mg elemental iron + 500 µg FA</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>100 mg elemental iron + 500 µg FA</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>200 mg elemental iron + 1 mg FA</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>100 mg elemental iron + 5 mg FA</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>B</div>
<div class="Head">
PHARMACOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 53.<span> </span>All of the following drugs are contraindicated in patients with
G-6-PD deficiency, <i>except:</i></span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Cotrimoxazole</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>Furazolidine</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Nalidixic acid</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>Ceftriaxone</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 54.<span> </span>Which of the following is not a prodrug:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Enalapril</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>Oxcarbazepine</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Chloral hydrate</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>Diazepam</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 55.<span> </span>Which of the following antimalarial is a slow acting
schizonticide:</span></div>
<div class="1234" style="line-height: 12.7pt;">
<b>A.<span> </span></b>Artemether</div>
<div class="1234" style="line-height: 12.7pt;">
<b>B.<span> </span></b>Mefloquine</div>
<div class="1234" style="line-height: 12.7pt;">
<b>C.<span> </span></b>Pyrimethamine</div>
<div class="1234" style="line-height: 12.7pt;">
<b>D.<span> </span></b>Quinine</div>
<div class="Ans" style="line-height: 12.7pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 56.<span> </span>Thalidomide can be used in:</span></div>
<div class="1234" style="line-height: 12.3pt;">
<b>A.<span> </span></b>Myocardial infraction</div>
<div class="1234" style="line-height: 12.3pt;">
<b>B.<span> </span></b>Erythema nodosum leprosum</div>
<div class="1234" style="line-height: 12.3pt;">
<b>C.<span> </span></b>Wernicke’s encephalopathy </div>
<div class="1234" style="line-height: 12.3pt;">
<b>D.<span> </span></b>Epilepsy</div>
<div class="Ans" style="line-height: 12.3pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 57.<span> </span>Aldosterone antagonists are <i>not</i> useful in the treatment
of:</span></div>
<div class="1234" style="line-height: 12.3pt;">
<b>A.<span> </span></b>Hypertension</div>
<div class="1234" style="line-height: 12.3pt;">
<b>B.<span> </span></b>Congestive heart failure</div>
<div class="1234" style="line-height: 12.3pt;">
<b>C.<span> </span></b>Gynaecomastia</div>
<div class="1234" style="line-height: 12.3pt;">
<b>D.<span> </span></b>Hirsutism</div>
<div class="Ans" style="line-height: 12.3pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 58.<span> </span>The following statements are true for therapy with lithium, <i>except:</i></span></div>
<div class="1234" style="line-height: 12.3pt;">
<b>A.<span> </span></b>It is used in bipolar disorder</div>
<div class="1234" style="line-height: 12.3pt;">
<b>B.<span> </span></b>Thiazides are useful in treating lithium
induced diabetes insipidus</div>
<div class="1234" style="line-height: 12.3pt;">
<b>C.<span> </span></b>Regular measurements of blood concentration
of lithium is necessary</div>
<div class="1234" style="line-height: 12.3pt;">
<b>D.<span> </span></b>Na<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>is a specific antidote for lithium
intoxication.</div>
<div class="Ans" style="line-height: 12.3pt;">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 59.<span> </span>Which of the following is a fourth generation cephalosporin:</span></div>
<div class="1234" style="line-height: 12.3pt;">
<b>A.<span> </span></b>Ceftriaxone</div>
<div class="1234" style="line-height: 12.3pt;">
<b>B.<span> </span></b>Cefaclor</div>
<div class="1234" style="line-height: 12.3pt;">
<b>C.<span> </span></b>Cefepime</div>
<div class="1234" style="line-height: 12.3pt;">
<b>D.<span> </span></b>Cefuroxime</div>
<div class="Ans" style="line-height: 12.3pt;">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 60.<span> </span>Which of the following drug causes pseudotumour cerebri:</span></div>
<div class="1234" style="line-height: 12.3pt;">
<b>A.<span> </span></b>Sparfloxacin</div>
<div class="1234" style="line-height: 12.3pt;">
<b>B.<span> </span></b>Tetracycline</div>
<div class="1234" style="line-height: 12.3pt;">
<b>C.<span> </span></b>Gentamicin</div>
<div class="1234" style="line-height: 12.3pt;">
<b>D.<span> </span></b>Clofazimine</div>
<div class="Ans" style="line-height: 12.3pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 61.<span> </span>Which of the following is caused by amphotericin B:</span></div>
<div class="1234" style="line-height: 12.3pt;">
<b>A.<span> </span></b>Hypokalemia</div>
<div class="1234" style="line-height: 12.3pt;">
<b>B.<span> </span></b>Hyperkalemia</div>
<div class="1234" style="line-height: 12.3pt;">
<b>C.<span> </span></b>Hypermagnesemia</div>
<div class="1234" style="line-height: 12.3pt;">
<b>D.<span> </span></b>Hyponatremia</div>
<div class="Ans" style="line-height: 12.3pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 62.<span> </span>A patient with cancer received extreme degree of radiation
toxicity. Further history revealed that the dose adjustment of a particular
drug was missed during the course of radiotherapy. Which of the following drugs
required a dose adjustment in that patient during radiotherapy in order to
prevent radiation toxicity:</span></div>
<div class="1234" style="line-height: 12.3pt;">
<b>A.<span> </span></b>Vincristine</div>
<div class="1234" style="line-height: 12.3pt;">
<b>B.<span> </span></b>Dactinomycin</div>
<div class="1234" style="line-height: 12.3pt;">
<b>C.<span> </span></b>Cyclophosphamide</div>
<div class="1234" style="line-height: 12.3pt;">
<b>D.<span> </span></b>6-Mercaptopurine</div>
<div class="Ans" style="line-height: 12.3pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 63.<span> </span>Following drugs are immunosuppressive drug <i>except:</i></span></div>
<div class="1234" style="line-height: 12.3pt;">
<b>A.<span> </span></b>Cyclosporine</div>
<div class="1234" style="line-height: 12.3pt;">
<b>B.<span> </span></b>Cefaclor</div>
<div class="1234">
<b>C.<span> </span></b>Azathioprine</div>
<div class="1234">
<b>D.<span> </span></b>Steroids</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 64.<span> </span>All of the following drugs can induce methemoglobinemia, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Nitroglycerine</div>
<div class="1234">
<b>B.<span> </span></b>Procaine</div>
<div class="1234">
<b>C.<span> </span></b>Prilocaine</div>
<div class="1234">
<b>D.<span> </span></b>Phenytoin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 65.<span> </span>Which of the following enzyme is inhibited by aminophylline:</span></div>
<div class="1234">
<b>A.<span> </span></b>Monoamine oxidase</div>
<div class="1234">
<b>B.<span> </span></b>Alcohol dehydrogenase</div>
<div class="1234">
<b>C.<span> </span></b>Cytochrome P-450</div>
<div class="1234">
<b>D.<span> </span></b>Phosphodiesterase</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 66.<span> </span>Nevirapine is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Protease inhibitor</div>
<div class="1234">
<b>B.<span> </span></b>Nucleoside reverse transcriptase inhibitor</div>
<div class="1234">
<b>C.<span> </span></b>Non-nucleoside reverse transcriptase inhibitor</div>
<div class="1234">
<b>D.<span> </span></b>Fusion inhibitor</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 67.<span> </span>Which of the following substances is the most potent androgen:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dehydroepiandrostenedione</div>
<div class="1234">
<b>B.<span> </span></b>Dihydrotestosterone</div>
<div class="1234">
<b>C.<span> </span></b>Androstenedione</div>
<div class="1234">
<b>D.<span> </span></b>Testosterone</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 68.<span> </span>Women receiving tamoxifen should be periodically screened with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mammography</div>
<div class="1234">
<b>B.<span> </span></b>PAP smear</div>
<div class="1234">
<b>C.<span> </span></b>CA-125 level</div>
<div class="1234">
<b>D.<span> </span></b>Endometrial sampling</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
MICROBIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 69.<span> </span>The protection against small pox by previous infection with
cowpox represents:</span></div>
<div class="1234">
<b>A.<span> </span></b>Antigenic cross-reactivity</div>
<div class="1234">
<b>B.<span> </span></b>Antigenic specificity</div>
<div class="1234">
<b>C.<span> </span></b>Passive immunity</div>
<div class="1234">
<b>D.<span> </span></b>Innate immunity</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 70.<span> </span>Which of the following class specific antigenic determinants of
an immunoglobulin is associated with?</span></div>
<div class="1234">
<b>A.<span> </span></b>L-chain</div>
<div class="1234">
<b>B.<span> </span></b>H-chain</div>
<div class="1234">
<b>C.<span> </span></b>J-chain</div>
<div class="1234">
<b>D.<span> </span></b>Variable region</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 71.<span> </span>Which of the following infestations lead to malabsorption:</span></div>
<div class="1234" style="line-height: 12.2pt;">
<b>A.<span> </span></b><i>Giardia lamblia</i></div>
<div class="1234" style="line-height: 12.2pt;">
<b>B.<i><span> </span></i></b><i>Ascaris lumbricoides</i></div>
<div class="1234" style="line-height: 12.2pt;">
<b>C.<i><span> </span></i></b><i>Necator americana</i></div>
<div class="1234" style="line-height: 12.2pt;">
<b>D.<i><span> </span></i></b><i>Ancylostoma duodenale</i></div>
<div class="Ans" style="line-height: 12.2pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 72.<span> </span>Hepatitis C virus is a:</span></div>
<div class="1234" style="line-height: 12.2pt;">
<b>A.<span> </span></b>Togavirus</div>
<div class="1234" style="line-height: 12.2pt;">
<b>B.<span> </span></b>Flavivirus</div>
<div class="1234" style="line-height: 12.2pt;">
<b>C.<span> </span></b>Filovirus</div>
<div class="1234" style="line-height: 12.2pt;">
<b>D.<span> </span></b>Retrovirus</div>
<div class="Ans" style="line-height: 12.2pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 73.<span> </span>A 23-year old male had unprotected sexual intercourse with a
commercial sex worker.Two weeks later, he developed a painless, indurated ulcer
on the glans that exuded clear serum on pressure. Inguinal lymph nodes in both
groins were enlarged and not tender, The most appropriate diagnostic test is:</span></div>
<div class="1234" style="line-height: 12.2pt;">
<b>A.<span> </span></b>Gram’s stain of ulcer discharge</div>
<div class="1234" style="line-height: 12.2pt;">
<b>B.<span> </span></b>Dark field microscopy of ulcer discharge</div>
<div class="1234" style="line-height: 12.2pt;">
<b>C.<span> </span></b>Giemsa stain of lymph node aspirate</div>
<div class="1234" style="line-height: 12.2pt;">
<b>D</b>.<span> </span>ELISA for HIV infection</div>
<div class="Ans" style="line-height: 12.2pt;">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 74.<span> </span>Which of the following is the most predominant constituent of
sulfur granules of actinomycosis:</span></div>
<div class="1234" style="line-height: 12.2pt;">
<b>A.<span> </span></b>Organisms</div>
<div class="1234" style="line-height: 12.2pt;">
<b>B.<span> </span></b>Neutrophils and monocytes</div>
<div class="1234" style="line-height: 12.2pt;">
<b>C.<span> </span></b>Monocytes and lymphocytes</div>
<div class="1234" style="line-height: 12.2pt;">
<b>D.<span> </span></b>Eosinophils</div>
<div class="Ans" style="line-height: 12.2pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 75.<span> </span>Conjugate vaccines are available for the prevention of invasive
disease caused by all of the following bacteria, <i>except:</i></span></div>
<div class="1234" style="line-height: 12.2pt;">
<b>A.<span> </span></b><i>Haemophilus influenzae</i></div>
<div class="1234" style="line-height: 12.2pt;">
<b>B.<i><span> </span></i></b><i>Streptococcus pneumoniae</i></div>
<div class="1234" style="line-height: 12.2pt;">
<b>C.<i><span> </span></i></b><i>Neisseria meningitidis (group C)</i></div>
<div class="1234" style="line-height: 12.2pt;">
<b>D.<i><span> </span></i></b><i>Neisseria meningitidis (group B)</i></div>
<div class="Ans" style="line-height: 12.2pt;">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 76.<span> </span>A clinical specimen was obtained from the wound of a patient
diagnosed as nocardiosis. For the selective isolation of <i>Nocardia </i>sp.,
which one of the following would be the best method:</span></div>
<div class="1234" style="line-height: 12.2pt;">
<b>A.<span> </span></b>Paraffin bait technique</div>
<div class="1234" style="line-height: 12.2pt;">
<b>B.<span> </span></b>Castaneda’s culture method</div>
<div class="1234" style="line-height: 12.2pt;">
<b>C.<span> </span></b>Craige’s tube method</div>
<div class="1234" style="line-height: 12.2pt;">
<b>D.<span> </span></b>Hair bait technique</div>
<div class="Ans" style="line-height: 12.2pt;">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 77.<span> </span>Anti-tubercular drug susceptibility can be done by all of the
following methods, <i>except:</i></span></div>
<div class="1234" style="line-height: 12.2pt;">
<b>A.<span> </span></b>Resistance ratio method</div>
<div class="1234">
<b>B.<span> </span></b>Disc diffusion method</div>
<div class="1234">
<b>C.<span> </span></b>Molecular method</div>
<div class="1234">
<b>D.<span> </span></b>Radiometric broth method</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
PATHOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 78.<span> </span>Which of the following is the most likely inheritance pattern in
the pedigree given below:</span></div>
<div class="1234">
<b>A.<span> </span></b>Autosomal dominant</div>
<div class="1234">
<b>B.<span> </span></b>Mitochondrial</div>
<div class="1234">
<b>C.<span> </span></b>Autosomal recessive</div>
<div class="1234">
<b>D.<span> </span></b>X-linked dominant</div>
<div align="center" class="Ans" style="text-align: center;">
<img height="130" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image002.png" width="283" /></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 79.<span> </span>If both husband and wife are suffering with achondroplasia, what
are their chances of having a normal child:</span></div>
<div class="1234">
<b>A.<span> </span></b>0%</div>
<div class="1234">
<b>B.<span> </span></b>25%</div>
<div class="1234">
<b>C.<span> </span></b>50%</div>
<div class="1234">
<b>D.<span> </span></b>100%</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 80.<span> </span>In which of the following conditions, aniridia and
hemihypertrophy are most likely present:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neuroblastoma</div>
<div class="1234">
<b>B.<span> </span></b>Wilms’ tumour</div>
<div class="1234">
<b>C.<span> </span></b>Non-Hodgkin’s lymphoma</div>
<div class="1234">
<b>D.<span> </span></b>Germ cell tumour</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 81.<span> </span>In the mitogen activated<span>
</span>protein kinase pathway, the activation of RAS is counteracted by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Protein kinase C</div>
<div class="1234">
<b>B.<span> </span></b>GTPase activating protein</div>
<div class="1234">
<b>C.<span> </span></b>Phosphatidyl inositol</div>
<div class="1234">
<b>D.<span> </span></b>Inositol triphosphate</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 82.<span> </span>Wire loop lesions are often characteristic for the following
class of lupus nephritis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mesangial proliferative glomerulonephritis(WHO class II)</div>
<div class="1234">
<b>B.<span> </span></b>Focal proliferative glomerulonephritis (WHO class III)</div>
<div class="1234">
<b>C.<span> </span></b>Diffuse proliferative glomerulonephritis (WHO class IV)</div>
<div class="1234">
<b>D.<span> </span></b>Membranous glomerulonephritis (WHO class V)</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 83.<span> </span>Which of the following would be the best morphological feature to
distinguish ulcerative colitis from Crohn’s disease:</span></div>
<div class="1234">
<b>A.<span> </span></b>Diffuse distribution of pseudopolyps</div>
<div class="1234">
<b>B.<span> </span></b>Mucosal edema</div>
<div class="1234">
<b>C.<span> </span></b>Crypt abscesses</div>
<div class="1234">
<b>D.<span> </span></b>Lymphoid aggregates in the mucosa</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 84.<span> </span>In chronic viral hepatitis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hepatitis A virus infection is a common cause in children</div>
<div class="1234">
<b>B.<span> </span></b>Morphological classification into chronic active hepatitis and
chronic persistent hepatitis are important</div>
<div class="1234">
<b>C.<span> </span></b>Fatty change is pathognomic of hepatitis C virus infection</div>
<div class="1234">
<b>D.<span> </span></b>Grading refers to the extent of necrosis and inflammation</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 85.<span> </span>Mesangial deposits of monoclonal kappa/lambda light chains is
indicative of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mesangioproliferative glomerulonephritis</div>
<div class="1234">
<b>B.<span> </span></b>Focal and segmental glomerulosclerosis</div>
<div class="1234">
<b>C.<span> </span></b>Kimmelsteil-Wilson lesions</div>
<div class="1234">
<b>D.<span> </span></b>Amyloidosis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 86.<span> </span>In a patient with acute leukemia, immunophenotype pattern is CD
19 +ve, CD 10 +ve, CD33 +ve, CD 13 +ve. He may probably have:</span></div>
<div class="1234">
<b>A.<span> </span></b>Biphenotypic leukemia</div>
<div class="1234">
<b>B.<span> </span></b>ALL</div>
<div class="1234">
<b>C.<span> </span></b>AML-M<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span></div>
<div class="1234">
<b>D.<span> </span></b>AML-M<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">0</span></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 87.<span> </span>A patient with cirrhosis of liver has the following coagulation
parameters – platelet count 2,00,000, prothrombin time 25s/12s, activated
partial thromboplastin time 60s/35s, thrombin time 15s/15s. In this patient:</span></div>
<div class="1234">
<b>A.<span> </span></b>D-dimer will be normal</div>
<div class="1234">
<b>B.<span> </span></b>Fibrinogen will be < 100 mg</div>
<div class="1234">
<b>C.<span> </span></b>AT III will be high</div>
<div class="1234">
<b>D.<span> </span></b>Protein C will be elevated</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 88.<span> </span>The liver biopsy in acute hepatitis due to hepatitis B virus is
likely to show all of the following, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Ballooning change of hepatocytes</div>
<div class="1234">
<b>B.<span> </span></b>Ground glass hepatocytes</div>
<div class="1234">
<b>C.<span> </span></b>Focal or spotty necrosis</div>
<div class="1234">
<b>D.<span> </span></b>Acidophil bodies</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 89.<span> </span>In renal disease, albumin is first to appear in urine because:</span></div>
<div class="1234">
<b>A.<span> </span></b>Of its high concentration in plasma</div>
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<b>B.<span> </span></b>Has molecular weight slightly greater than the molecules
normally getting filtered</div>
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<b>C.<span> </span></b>High albumin:globulin ratio</div>
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<b>D.<span> </span></b>Tubular epithelial cells are sensitive to albumin</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 90.<span> </span>Which of the following tumours have an increased elevation of
placental alkaline phosphatase in the serum as well as a positive
immunohistochemical staining for placental alkaline phosphatase:</span></div>
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<b>A.<span> </span></b>Seminoma</div>
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<b>B.<span> </span></b>Hepatoblastoma</div>
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<b>C.<span> </span></b>Hepatocellular carcinoma</div>
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<b>D.<span> </span></b>Peripheral neuroectodermal tumour</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 91.<span> </span>A baby girl with ambiguous genitalia is found to have
21-hydroxylase deficiency of the salt-wasting type. Which of the following
karyotypes would you expect to find:</span></div>
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<b>A.<span> </span></b>46, XX</div>
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<b>B.<span> </span></b>46, XY</div>
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<b>C.<span> </span></b>47, XXY</div>
<div class="1234">
<b>D.<span> </span></b>47, XYY</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 92.<span> </span>Troponin-T is a marker of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Renal diseases</div>
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<b>B.<span> </span></b>Muscular dystrophy </div>
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<b>C.<span> </span></b>Cirrhosis of liver</div>
<div class="1234">
<b>D.<span> </span></b>Myocardial infarction</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
MEDICINE</div>
<div class="Ques">
<span style="color: windowtext;">Q 93.<span> </span>All of the following conditions are known to cause diabetes
insipidus. <i>except:</i></span></div>
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<b>A.<span> </span></b>Multiple sclerosis</div>
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<b>B.<span> </span></b>Head injury</div>
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<b>C.<span> </span></b>Histiocytosis</div>
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<b>D.<span> </span></b>Viral encephalitis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 94.<span> </span>Raised serum amylase levels are used to diagnose:</span></div>
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<b>A.<span> </span></b>Autoimmune disease</div>
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<b>B.<span> </span></b>Degenerative diseases</div>
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<b>C.<span> </span></b>Acute cholecystitis</div>
<div class="1234">
<b>D.<span> </span></b>Acute pancreatitis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 95.<span> </span>Which one of the followin is a cause for “restrictive
cardiomyopathy”:</span></div>
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<b>A.<span> </span></b>Alcohol</div>
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<b>B.<span> </span></b>Hemochromatosis</div>
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<b>C.<span> </span></b>Amyloidosis</div>
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<b>D.<span> </span></b>Sarcoidosis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 96.<span> </span>Which of the following lesions is associated with HIV infection:</span></div>
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<b>A.<span> </span></b>Hairy leukoplakia</div>
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<b>B.<span> </span></b>Erythroplakia</div>
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<b>C.<span> </span></b>Oral lichen planus</div>
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<b>D.<span> </span></b>Bullous pemphigoid</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 97.<span> </span>A 59-year-old male came with Hb 18.0 gm/dl on three occasions.
The resident doctor wants to exclude polycythemia vera. Which of the following
is the most relevant investigation:</span></div>
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<b>A.<span> </span></b>Hematocrit</div>
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<b>B.<span> </span></b>Total leukocyte count</div>
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<b>C.<span> </span></b>Red cell mass</div>
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<b>D.<span> </span></b>Reticulocyte count</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 98.<span> </span>A 32-year-old female, asymptomatic, not requiring blood
transfusion, presents with Hb 13.0 gm/dl. Her HbF levels are 95%, Hb A</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>1.5%. Which of the following is the most
likely diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hereditary persistence of fetal hemoglobin</div>
<div class="1234">
<b>B.<span> </span></b>Beta homozygous thalassemia</div>
<div class="1234">
<b>C.<span> </span></b>Thalassemia intermedia</div>
<div class="1234">
<b>D.<span> </span></b>Beta heterozygous thalassemia</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 99.<span> </span>Huntington’s disease is due to the loss of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Nigrostriatal dopaminergic neurons</div>
<div class="1234">
<b>B.<span> </span></b>Intrastriatal cholinergic neurons</div>
<div class="1234">
<b>C.<span> </span></b>Intrastriatal GABAergic neurons</div>
<div class="1234">
<b>D.<span> </span></b>Intrastriatal cholinergic and GABAergic neurons</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 100.<span> </span>Lesion in which of the following structure leads to Kluver-Bucy
syndrome:</span></div>
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<b>A.<span> </span></b>Amygdala</div>
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<b>B.<span> </span></b>Hippocampus</div>
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<b>C.<span> </span></b>Hypothalamus</div>
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<b>D.<span> </span></b>Temporal lobe</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 101.<span> </span>A 25-year-old man presented with fever and cough for two months. CT
chest showed bilateral upper lobe fibrosis and mediastinal enlarged necrotic
nodes with peripheral rim enhancement. What is the most likely diagnosis:</span></div>
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<b>A.<span> </span></b>Sarcoidosis</div>
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<b>B.<span> </span></b>Tuberculosis</div>
<div class="1234">
<b>C.<span> </span></b>Lymphoma</div>
<div class="1234">
<b>D.<span> </span></b>Silicosis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 102.<span> </span>Which one of the following statements is wrong regarding adult
polycystic kidney disease:</span></div>
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<b>A.<span> </span></b>Kidneys are enlarged in size</div>
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<b>B.<span> </span></b>The presentation is unilateral</div>
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<b>C.<span> </span></b>Intracranial aneurysms may be associated</div>
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<b>D.<span> </span></b>Typically manifests in the 3rd decade</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 103.<span> </span>Angiographically, the typical “beaded” or “pile of plates”
appearance involving the internal carotid artery is seen in:</span></div>
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<b>A.<span> </span></b>Takayasu’s disease</div>
<div class="1234">
<b>B.<span> </span></b>Non-specific aorto-arteritis</div>
<div class="1234">
<b>C.<span> </span></b>Fibromuscular dysplasia</div>
<div class="1234">
<b>D.<span> </span></b>Rendu-Osler-Weber disease</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 104.<span> </span>Carcinoid syndrome produces valvular disease primarily of the:</span></div>
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<b>A.<span> </span></b>Venous valves</div>
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<b>B.<span> </span></b>Tricuspid valve</div>
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<b>C.<span> </span></b>Mitral valve</div>
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<b>D.<span> </span></b>Aortic valve</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 105.<span> </span>Carcinoid tumour is most common in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Esophagus</div>
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<b>B.<span> </span></b>Stomach</div>
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<b>C.<span> </span></b>Jejunum</div>
<div class="1234">
<b>D.<span> </span></b>Appendix</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 106.<span> </span>Most common cause of subarachnoid hemorrhage is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypertension</div>
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<b>B.<span> </span></b>Aneurysm </div>
<div class="1234">
<b>C.<span> </span></b>Arterio-venous malformation</div>
<div class="1234">
<b>D.<span> </span></b>Bleeding disorders</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 107.<span> </span>Subdural haematoma most commonly results from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Rupture of intracranial aneurysm</div>
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<b>B.<span> </span></b>Rupture of cerebral AV malformation</div>
<div class="1234">
<b>C.<span> </span></b>Injury to cortical bridging veins</div>
<div class="1234">
<b>D.<span> </span></b>Hemophilia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 108.<span> </span>What would be the first line of treatment in a patient who develops
ventricular fibrillation after intravenous injection of potassium chloride</span></div>
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<b>A.<span> </span></b>Cardiac massage</div>
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<b>B.<span> </span></b>IV adrenaline</div>
<div class="1234">
<b>C.<span> </span></b>Defibrillation</div>
<div class="1234">
<b>D.<span> </span></b>IPPV</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 109.<span> </span>After contrast media injection in the radiology department, a
patient develops severe hypotension, bronchospasm and cyanosis. Which one of
the following drugs should be used for treatment:</span></div>
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<b>A.<span> </span></b>Atropine</div>
<div class="1234">
<b>B.<span> </span></b>Aminophylline</div>
<div class="1234">
<b>C.<span> </span></b>Dopamine</div>
<div class="1234">
<b>D.<span> </span></b>Adrenaline</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 110.<span> </span>A 30-year-old male patient presents with complaints of weakness in
right upper and both lower limbs for last 4 months. He developed digital
infarcts involving 2nd and 3rd fingers on right side and 5th finger on left
side. On examination, BP was 160/140 mmHg, all peripheral pulses were palpable
and there was asymmetrical neuropathy. Investigations showed Hb 12 gm%, TLC
12,000 per cumm, platelets 4,30,000 and ESR 49 mm. Urine examination showed
proteinuria and RBC 10-15/hpf with no casts. What is the most likely diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Polyarteritis nodosa</div>
<div class="1234">
<b>B.<span> </span></b>Systemic lupus erythematosus</div>
<div class="1234">
<b>C.<span> </span></b>Wegener’s granulomatosis</div>
<div class="1234">
<b>D.<span> </span></b>Mixed cryoglobulinemia</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 111.<span> </span>A 23-year-old college student has asymptomatic and hyperpigmented
macules on both palms for three weeks. The most appropriate diagnostic test is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Venereal Diseases Research Laboratory (VDRL) test</div>
<div class="1234">
<b>B.<span> </span></b>Skin biopsy</div>
<div class="1234">
<b>C.<span> </span></b>Serum cortisol levels</div>
<div class="1234">
<b>D.<span> </span></b>Assay for arsenic in hair, skin and nails</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 112.<span> </span>A 42-year-old engineer developed redness of the glans and radial
fissuring of the prepuce 2 weeks ago. A potassium hydroxide preparation of
scrapings from the glans showed pseudohyphae and buds. Which one of the
following systemic illness should he be screened for:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pulmonary tuberculosis</div>
<div class="1234">
<b>B.<span> </span></b>Diabetes mellitus</div>
<div class="1234">
<b>C.<span> </span></b>Systemic candidiasis</div>
<div class="1234">
<b>D.<span> </span></b>Chronic renal failure</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 113.<span> </span>All of the following are the electrocardiographic features of
hyperkalemia, <i>except:</i></span></div>
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<b>A.<span> </span></b>Prolonged PR interval</div>
<div class="1234">
<b>B.<span> </span></b>Prolonged QT interval</div>
<div class="1234">
<b>C.<span> </span></b>Sine wave patterns</div>
<div class="1234">
<b>D.<span> </span></b>Loss of P waves</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 114.<span> </span>A patient with acute inferior wall myocardial infarction has
developed shock. Which of the following is the most likely cause of shock:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cardiac rupture</div>
<div class="1234">
<b>B.<span> </span></b>Interventricular septal perforation</div>
<div class="1234">
<b>C.<span> </span></b>Papillary muscle rupture</div>
<div class="1234">
<b>D.<span> </span></b>Right ventricular infarction</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 115.<span> </span>Which one of the following cardiac lesions is at highest risk of
occurrence of infective endocarditis:</span></div>
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<b>A.<span> </span></b>Atrial septal defect</div>
<div class="1234">
<b>B.<span> </span></b>Mitral valve prolapse without regurgitation</div>
<div class="1234">
<b>C.<span> </span></b>Valvular aortic regurgitation</div>
<div class="1234">
<b>D.<span> </span></b>Mitral stenosis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 116.<span> </span>All of the following drugs are used in the management of acute
myocardial infarction, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Tissue plasminogen activator</div>
<div class="1234">
<b>B.<span> </span></b>Intravenous beta blockers</div>
<div class="1234">
<b>C.<span> </span></b>Acetylsalicylic acid</div>
<div class="1234">
<b>D.<span> </span></b>Calcium channel blockers</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 117.<span> </span>The most common cause of sporadic viral encephalitis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Japanese B encephalitis</div>
<div class="1234">
<b>B.<span> </span></b>Herpes simplex encephalitis</div>
<div class="1234">
<b>C.<span> </span></b>Human immunodeficiency virus encephalitis</div>
<div class="1234">
<b>D.<span> </span></b>Rubeola encephalitis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 118.<span> </span>The only thrombolytic agent approved for the treatment of acute
ischemic stroke is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tissue plasminogen activator</div>
<div class="1234">
<b>B.<span> </span></b>Streptokinase</div>
<div class="1234">
<b>C.<span> </span></b>Urokinase</div>
<div class="1234">
<b>D.<span> </span></b>Pro-urokinase</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 119.<span> </span>All of the following are neurologic channelopathies, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Hypokalemic periodic paralysis</div>
<div class="1234">
<b>B.<span> </span></b>Episodic ataxias</div>
<div class="1234">
<b>C.<span> </span></b>Familial hemiplegic migraine</div>
<div class="1234">
<b>D.<span> </span></b>Huntington’s disease</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 120.<span> </span>A 35-year-old male patient presented with history of jaundice for
15 days. The onset was preceded by a prodromal illness. His serum tested
positive for HBsAg. A clinical diagnosis of acute hepatitis B was made. What
should be the next best confirmatory investigation:</span></div>
<div class="1234">
<b>A.<span> </span></b>Anti-HBeAg antibody</div>
<div class="1234">
<b>B.<span> </span></b>HBe antigen</div>
<div class="1234">
<b>C.<span> </span></b>Anti-HBe IgM antibody</div>
<div class="1234">
<b>D.<span> </span></b>HBV DNA by PCR</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 121.<span> </span>A 20-year-old female presents with history of dyspnoea on exertion.
On examination, she has wide, fixed split of S2 with ejection systolic murmur
(III/VI) in left second intercostal space. Her EKG shows left axis deviation.
The most probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Total anomalous pulmonary venous connection</div>
<div class="1234">
<b>B.<span> </span></b>Tricuspid atresia</div>
<div class="1234">
<b>C.<span> </span></b>Ostium primum atrial septal defect</div>
<div class="1234">
<b>D.<span> </span></b>Tetralogy of Fallot</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 122.<span> </span>In a patient with chronic congestive cardiac failure, all of the
following drugs prolong survival, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Metoprolol</div>
<div class="1234">
<b>B.<span> </span></b>Carvedilol</div>
<div class="1234">
<b>C.<span> </span></b>Enalapril</div>
<div class="1234">
<b>D.<span> </span></b>Digoxin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 123.<span> </span>All of the following are features of juvenile myoclonic epilepsy, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Myoclonus on awakening</div>
<div class="1234">
<b>B.<span> </span></b>Generalized tonic-clonic seizures</div>
<div class="1234">
<b>C.<span> </span></b>Automatism</div>
<div class="1234">
<b>D.<span> </span></b>Absence seizures</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 124.<span> </span>All of the following statements about Creutzfeldt-Jakob disease are
true, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>It is a neurodegenerative disease</div>
<div class="1234">
<b>B.<span> </span></b>It is caused by infectious proteins</div>
<div class="1234">
<b>C.<span> </span></b>Myoclonus is rarely seen</div>
<div class="1234">
<b>D.<span> </span></b>Brain biopsy is specific for diagnosis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 125.<span> </span>All of the following statements about Wilson’s disease are true, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>It is an autosomal recessive disorder</div>
<div class="1234">
<b>B.<span> </span></b>Serum ceruloplasmin level is < 20 mg/dl</div>
<div class="1234">
<b>C.<span> </span></b>Urinary copper excretion is < 100 µg/day</div>
<div class="1234">
<b>D.<span> </span></b>Zinc acetate is effective as maintenance therapy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
PAEDIATRICS</div>
<div class="Ques">
<span style="color: windowtext;">Q 126.<span> </span>A 2-year-old boy has vitamin D resistant rickets. His
investigations revealed serum calcium 9 mg/dl, phosphate 2.4 mg/dl, alkaline
phosphatase 1041 IU, normal intact parathyroid hormone and bicarbonate 22
mEq/L. Which of the following is the most probable diagnosis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Distal renal tubular acidosis</div>
<div class="1234">
<b>B.<span> </span></b>Hypophosphatemic rickets</div>
<div class="1234">
<b>C.<span> </span></b>Vitamin D dependent rickets</div>
<div class="1234">
<b>D.<span> </span></b>Hypoparathyroidism</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 127.<span> </span>The renal biopsy of a 6-year-old boy with recurrent gross hematuria
shows IgA nephropathy. The urinary protein excretion is 130 mg/day. Which of
the following is the most appropriate next step in the management:</span></div>
<div class="1234">
<b>A.<span> </span></b>Administer corticosteroids</div>
<div class="1234">
<b>B.<span> </span></b>Give azathioprine</div>
<div class="1234">
<b>C.<span> </span></b>Start cyclosporine</div>
<div class="1234">
<b>D.<span> </span></b>Urinary bag sample</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 128.<span> </span>Which of the following is the most appropriate method for obtaining
a urine specimen for culture in an 8 month old girl:</span></div>
<div class="1234">
<b>A.<span> </span></b>Suprapubic aspiration</div>
<div class="1234">
<b>B.<span> </span></b>Indwelling catheter sample</div>
<div class="1234">
<b>C.<span> </span></b>Clean catch void</div>
<div class="1234">
<b>D.<span> </span></b>Urinary bag sample</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 129.<span> </span>An 8 year old boy during a routine check up is found to have <i>E.
coli </i>1,00,000 cc/ml on a urine culture. The urine specimen was obtained by
midstream clean-catch void. The child is asymptomatic. Which is the most
appropriate next step in the management:</span></div>
<div class="1234">
<b>A.<span> </span></b>Treat as an acute episode of urinary tract infection</div>
<div class="1234">
<b>B.<span> </span></b>No therapy</div>
<div class="1234">
<b>C.<span> </span></b>Prophylactic antibiotics for 6 months</div>
<div class="1234">
<b>D.<span> </span></b>Administer long term urine alkalinizer</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 130.<span> </span>A 2-year-old child comes with discharge, seborrheic dermatitis,
polyuria and hepatosplenomegaly. Which of the following is the most likely
diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Leukemia</div>
<div class="1234">
<b>B.<span> </span></b>Lymphoma</div>
<div class="1234">
<b>C.<span> </span></b>Langerhan’s cell histiocytosis</div>
<div class="1234">
<b>D.<span> </span></b>Germ cell tumour</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 131.<span> </span>Injection glucagon is effective for management of persistent
hypoglycemia in all, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Large for date baby</div>
<div class="1234">
<b>B.<span> </span></b>Galactosemia</div>
<div class="1234">
<b>C.<span> </span></b>Infant of diabetic mother</div>
<div class="1234">
<b>D.<span> </span></b>Nesidioblastosis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 132.<span> </span>The most appropriate management for maintaining patency of ductus
arteriosus in a neonate is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prostaglandin E<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span></div>
<div class="1234">
<b>B.<span> </span></b>Oxygen</div>
<div class="1234">
<b>C.<span> </span></b>Nitric oxide</div>
<div class="1234">
<b>D.<span> </span></b>Indomethacin</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 133.<span> </span>Congenital hypertrophic pyloric stenosis usually presents:</span></div>
<div class="1234">
<b>A.<span> </span></b>Within 2 days after birth</div>
<div class="1234">
<b>B.<span> </span></b>Around 1 week after birth</div>
<div class="1234">
<b>C.</b> Around 2 weeks
after birth</div>
<div class="1234">
<b>D.<span> </span></b>Around 2 months after birth</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 134.<span> </span>‘Weak giants’ are produced by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Thyroid adenomas</div>
<div class="1234">
<b>B.<span> </span></b>Thyroid carcinomas</div>
<div class="1234">
<b>C.<span> </span></b>Parathyroid adenomas</div>
<div class="1234">
<b>D.<span> </span></b>Pituitary adenomas</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 135.<span> </span>Vesicoureteric reflux is more common in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Newborn females</div>
<div class="1234">
<b>B.<span> </span></b>Older girls</div>
<div class="1234">
<b>C.<span> </span></b>Older boys</div>
<div class="1234">
<b>D.<span> </span></b>Only during pregnancy</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 136.<span> </span>Bag and mask ventilation is contraindicated in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cleft lip</div>
<div class="1234">
<b>B.<span> </span></b>Meconium aspiration</div>
<div class="1234">
<b>C.<span> </span></b>Diaphragmatic hernia</div>
<div class="1234">
<b>D.<span> </span></b>Multicentric bronchogenic cyst</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 137.<span> </span>A 3-month-old male infant developed otitis media for<span> </span>which he was given a course of cotrimoxazole.
A few days later, he developed extensive peeling of the skin; there were no
mucosal lesions and the baby was not toxic. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Toxic epidermal necrolysis</div>
<div class="1234">
<b>B.<span> </span></b>Staphylococcal scalded skin syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Stevens Johnson syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Infantile pemphigus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 138.<span> </span>A neonate develops signs of meningitis at seven days of birth. The
presence of which of the following infectious agent in the maternal genital
tract can be the causative agent of this disease:</span></div>
<div class="1234">
<b>A.<i><span> </span></i></b><i>Neisseria gonorrhoeae</i></div>
<div class="1234">
<b>B.<i><span> </span></i></b><i>Chlamydia trachomatis</i></div>
<div class="1234">
<b>C.<i><span> </span></i></b><i>Streptococcus agalactiae</i></div>
<div class="1234">
<b>D.<i><span> </span></i></b><i>Haemophilous ducreyi</i></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
SURGERY</div>
<div class="Ques">
<span style="color: windowtext;">Q 139.<span> </span>A 65-year-old smoker presents with hoarseness, hemoptysis and a
hard painless lump in the left supraclavicular fossa. Which of the following is
the most appropriate diagnostic step:</span></div>
<div class="1234">
<b>A.<span> </span></b>Undertake an open biopsy of the neck lump</div>
<div class="1234">
<b>B.<span> </span></b>Undertake a radical neck dissection</div>
<div class="1234">
<b>C.<span> </span></b>Do fine needle aspiration cytology</div>
<div class="1234">
<b>D.<span> </span></b>Give a trial of anti tuberculous therapy</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 140.<span> </span>During surgery of hernia, the sac of a strangulated inguinal hernia
should be opened at the:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neck</div>
<div class="1234">
<b>B.<span> </span></b>Body</div>
<div class="1234">
<b>C.<span> </span></b>Fundus</div>
<div class="1234">
<b>D.<span> </span></b>Deep ring</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 141.<span> </span>The most common site of a benign (peptic) gastric ulcer is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Upper third of lesser curvature</div>
<div class="1234">
<b>B.<span> </span></b>Greater curvature</div>
<div class="1234">
<b>C.<span> </span></b>Pyloric antrum</div>
<div class="1234">
<b>D.<span> </span></b>Lesser curvature near incisura angularis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 142.<span> </span>Which of the following is the most common endocrine tumour of
pancreas:</span></div>
<div class="1234">
<b>A.<span> </span></b>Insulinoma</div>
<div class="1234">
<b>B.<span> </span></b>Gastrinoma</div>
<div class="1234">
<b>C.<span> </span></b>VIPoma</div>
<div class="1234">
<b>D.<span> </span></b>Glucagonoma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 143.<span> </span>Cock’s peculiar tumour is:</span></div>
<div class="1234">
<b>A.<span> </span></b>An infected sebaceous cyst</div>
<div class="1234">
<b>B.<span> </span></b>A malignant tumour of the scalp</div>
<div class="1234">
<b>C.<span> </span></b>A metastatic lesion of the scalp</div>
<div class="1234">
<b>D.<span> </span></b>An indicator of underlying osteomyelitis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 144.<span> </span>A 43-year-old lady presents with a 5 cm lump in right breast with a
3 cm node in the supraclavicular fossa. Which of the following TNM stage she
belongs to as per the latest AJCC staging system:</span></div>
<div class="1234">
<b>A.<span> </span></b>T<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>N<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">0</span>M<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span></div>
<div class="1234">
<b>B.<span> </span></b>T<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span>N<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">0</span>M<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span></div>
<div class="1234">
<b>C.<span> </span></b>T<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>N<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">3</span>M<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">0</span></div>
<div class="1234">
<b>D.<span> </span></b>T<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>N<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>M<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">0</span></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 145.<span> </span>Which of the following statements about the Holmium:YAG laser is
incorrect:</span></div>
<div class="1234">
<b>A.<span> </span></b>It has a wavelength of 2100 nm</div>
<div class="1234">
<b>B.<span> </span></b>Its use for uric acid stones has caused deaths due to generation
of cyanide</div>
<div class="1234">
<b>C.<span> </span></b>It is effective against the hardest urinary stones</div>
<div class="1234">
<b>D.<span> </span></b>It can even cut the wire of stone baskets</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 146.<span> </span>Which of the following liver tumour has a propensity to invade the
portal or hepatic vein:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cavernous hemangioma</div>
<div class="1234">
<b>B.<span> </span></b>Hepatocellular carcinoma</div>
<div class="1234">
<b>C.<span> </span></b>Focal nodular hyperplasia</div>
<div class="1234">
<b>D.<span> </span></b>Hepatic adenoma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 147.<span> </span>The treatment of choice for a mucocele of gall bladder is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Aspiration of mucous</div>
<div class="1234">
<b>B.<span> </span></b>Cholecystectomy</div>
<div class="1234">
<b>C.<span> </span></b>Cholecystostomy</div>
<div class="1234">
<b>D.<span> </span></b>Antibiotics and observation</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 148.<span> </span>Virchow’s triad includes all of the following, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Venous stasis</div>
<div class="1234">
<b>B.<span> </span></b>Injury to veins</div>
<div class="1234">
<b>C.<span> </span></b>Blood hypercoagulability</div>
<div class="1234">
<b>D.<span> </span></b>Venous thrombosis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 149.<span> </span>The most common cause of superficial thrombophlebitis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Trauma</div>
<div class="1234">
<b>B.<span> </span></b>Infection</div>
<div class="1234">
<b>C.<span> </span></b>Varicosities</div>
<div class="1234">
<b>D.<span> </span></b>Intravenous infusion</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 150.<span> </span>A man is rushed to casualty, nearly dying after a massive blood
loss in an accident. There is not much time to match blood groups, so the
physician decides to order for one of the following blood groups. Which one of
the following blood groups should the physician decide:</span></div>
<div class="1234">
<b>A.<span> </span></b>O negative</div>
<div class="1234">
<b>B.<span> </span></b>O positive</div>
<div class="1234">
<b>C.<span> </span></b>AB positive</div>
<div class="1234">
<b>D.<span> </span></b>AB negative</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 151.<span> </span>All of the following are risk factors for carcinoma gal1 bladder, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Typhoid carriers</div>
<div class="1234">
<b>B.<span> </span></b>Adenomatous gall bladder polyps</div>
<div class="1234">
<b>C.<span> </span></b>Choledochal cysts</div>
<div class="1234">
<b>D.<span> </span></b>Oral contraceptives</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
ORTHOPAEDICS</div>
<div class="Ques">
<span style="color: windowtext;">Q 152.<span> </span>A 44-year-old man presented with acute onset of low backache
radiating to the right lower limb. Examination revealed SLRT < 40° on the
right side, weakness of extensor hallucis longus on the right side, sensory
loss in the first web space of the right foot and brisk knee jerk. Which of the
fol1owing is the most likely diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prolapsed intervertebral disc L<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">4-5</span></div>
<div class="1234">
<b>B.<span> </span></b>Spondylolysis L<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">5</span>-S<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span></div>
<div class="1234">
<b>C.<span> </span></b>Lumbar canal stenosis</div>
<div class="1234">
<b>D.<span> </span></b>Spondylolisthesis L<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">4-5</span></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 153.<span> </span>A woman of 45, a known cause of pemphigus vulgaris on a regular
treatment with control1ed primary disease presented with pain in the right hip
and knee. Examination revealed no limb length discrepancy but the patient has
tenderness in the Scarpa’s triangle and limitation of adduction and internal
rotation of the right hip joint as compared to the other side. The most
probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Stress fracture of neck of femur</div>
<div class="1234">
<b>B.<span> </span></b>Avascular necrosis of femoral head</div>
<div class="1234">
<b>C.<span> </span></b>Perthes’ disease</div>
<div class="1234">
<b>D.<span> </span></b>Transient synovitis of hip</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 154.<span> </span>A 24-year-old male, known epileptic, presented fol1owing a seizure
with pain in the right shoulder region. Examination revealed that the right
upper limb was adducted and internal1y rotated and the movements could not be
performed. Which of the fol1owing is the most likely diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Posterior dislocation of shoulder</div>
<div class="1234">
<b>B.<span> </span></b>Luxatio erecta</div>
<div class="1234">
<b>C.<span> </span></b>Intrathoracic dislocation of shoulder</div>
<div class="1234">
<b>D.<span> </span></b>Subglenoid dislocation of shoulder</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 155.<span> </span>A 30-year-old male underwent excision of the right radial head.
Fol1owing surgery, the patient developed inability to extend the fingers and
thumb of the right hand. He did not have any sensory deficit. Which one of the
fol1owing is the most likely cause?</span></div>
<div class="1234">
<b>A.<span> </span></b>Injury to posterior interosseus nerve</div>
<div class="1234">
<b>B.<span> </span></b>Iatrogenic injury to common extensor origin</div>
<div class="1234">
<b>C.<span> </span></b>Injury to anterior interosseus nerve</div>
<div class="1234">
<b>D.<span> </span></b>High radial nerve palsy</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 156.<span> </span>A 10-year-old boy presenting with a cubitus varus deformity and a
history of trauma 3 months back. On clinical examination, has the preserved 3
bony point relationship of the elbow. The most probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Old unreduced dislocation of elbow</div>
<div class="1234">
<b>B.<span> </span></b>Non-union lateral condylar fracture of humerus</div>
<div class="1234">
<b>C.<span> </span></b>Malunited intercondylar fracture of humerus</div>
<div class="1234">
<b>D.<span> </span></b>Malunited supracondylar fracture of humerus</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 157.<span> </span>Which of the following usually produces osteoblastic secondaries:</span></div>
<div class="1234">
<b>A.<span> </span></b>Carcinoma lung</div>
<div class="1234">
<b>B.<span> </span></b>Carcinoma breast</div>
<div class="1234">
<b>C.<span> </span></b>Carcinoma urinary bladder</div>
<div class="1234">
<b>D.<span> </span></b>Carcinoma prostate</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 158.<span> </span>A 33-year-old man presented with a slowly progressive swelling in
the middle 1/3rd of his right tibia. X-ray examination revealed multiple
sharply demarcated radiolucent lesions separated by areas of dense and
sclerotic bone. Microscopic examination of a biopsy specimen revealed island of
epithelial cells in a fibrous stroma. Which of the following is the most
probable diagnosis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Adamantinoma</div>
<div class="1234">
<b>B.<span> </span></b>Osteofibrous dysplasia</div>
<div class="1234">
<b>C.<span> </span></b>Osteosarcoma</div>
<div class="1234">
<b>D.<span> </span></b>Fibrous cortical defect</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Obstetrics & Gynaecology</div>
<div class="Ques">
<span style="color: windowtext;">Q 159.<span> </span>All of the following agents are used for emergency contraception, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Danazol</div>
<div class="1234">
<b>B.<span> </span></b>Levonorgestrel</div>
<div class="1234">
<b>C.<span> </span></b>Misoprostol</div>
<div class="1234">
<b>D.<span> </span></b>Mifepristone</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 160.<span> </span>Emergency contraceptives are effective if administered within
following period after unprotected intercourse:</span></div>
<div class="1234">
<b>A.<span> </span></b>24 hours</div>
<div class="1234">
<b>B.<span> </span></b>48 hours</div>
<div class="1234">
<b>C.<span> </span></b>72 hours</div>
<div class="1234">
<b>D.<span> </span></b>120 hours</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 161.<span> </span>Minimum effective dose of ethinyl estradiol in combination oral
pills is:</span></div>
<div class="1234">
<b>A.<span> </span></b>20 µgm</div>
<div class="1234">
<b>B.<span> </span></b>35 µgm</div>
<div class="1234">
<b>C.<span> </span></b>50 µgm</div>
<div class="1234">
<b>D.<span> </span></b>75 µgm</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 162.<span> </span>From which of the following layers the regeneration of endometrium
take place:</span></div>
<div class="1234">
<b>A.<span> </span></b>Zona basalis</div>
<div class="1234">
<b>B.<span> </span></b>Zona pellucidum</div>
<div class="1234">
<b>C.<span> </span></b>Zona compacta</div>
<div class="1234">
<b>D.<span> </span></b>Zona spongiosa</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 163.<span> </span>All of the following pelvic structures support the vagina, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Perineal body</div>
<div class="1234">
<b>B.<span> </span></b>Pelvic diaphragm</div>
<div class="1234">
<b>C.<span> </span></b>Levator ani muscle</div>
<div class="1234">
<b>D.<span> </span></b>Infundibulopelvic ligament</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 164.<span> </span>A case of gestational trophoblastic neoplasia is detected to have
lung metastasis. She should be staged as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Stage-I</div>
<div class="1234">
<b>B.<span> </span></b>Stage-II</div>
<div class="1234">
<b>C.<span> </span></b>Stage-III</div>
<div class="1234">
<b>D.<span> </span></b>Stage-IV</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 165.<span> </span>All of the following are the indications for myomectomy in a case
of fibroid uterus, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Associated infertility</div>
<div class="1234">
<b>B.<span> </span></b>Recurrent pregnancy loss</div>
<div class="1234">
<b>C.<span> </span></b>Pressure symptoms</div>
<div class="1234">
<b>D.<span> </span></b>Red degeneration</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 166.<span> </span>All of the following are used for induction of<span> </span>labour, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>PGF<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="font-family: Symbol; font-size: 6.5pt; position: relative; top: 1.5pt;">a</span><span> </span>tablet</div>
<div class="1234">
<b>B.<span> </span></b>PGE<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span><span> </span>tablet</div>
<div class="1234">
<b>C.<span> </span></b>PGE<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span> </span>gel</div>
<div class="1234">
<b>D.<span> </span></b>Misoprostol</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 167.<span> </span>In which of the following conditions, the medical treatment of
ectopic pregnancy is contraindicated:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sac size is 3 cm</div>
<div class="1234">
<b>B.<span> </span></b>Blood in pelvis is 70 ml</div>
<div class="1234">
<b>C.<span> </span></b>Presence of fetal heart activity</div>
<div class="1234">
<b>D.<span> </span></b>Previous ectopic pregnancy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 168.<span> </span>Which one of the following is the best drug of choice for treatment
of bacterial vaginosis during pregnancy:</span></div>
<div class="1234">
<b>A.<span> </span></b>Clindamycin</div>
<div class="1234">
<b>B.<span> </span></b>Metronidazole</div>
<div class="1234">
<b>C.<span> </span></b>Erythromycin</div>
<div class="1234">
<b>D.<span> </span></b>Rovamycin</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 169.<span> </span>Conservative management is contraindicated in a case of placenta
previa under the following situations, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Evidence of fetal distress</div>
<div class="1234">
<b>B.<span> </span></b>Fetal malformations</div>
<div class="1234">
<b>C.<span> </span></b>Mother in a hemodynamically unstable condition</div>
<div class="1234">
<b>D.<span> </span></b>Women in labour</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
OPHTHALMOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 170.<span> </span>Which one of the following is <i>not</i> used in glaucoma:</span></div>
<div class="1234">
<b>A.<span> </span></b>Timolol</div>
<div class="1234">
<b>B.<span> </span></b>Physostigmine</div>
<div class="1234">
<b>C.<span> </span></b>Donepezil</div>
<div class="1234">
<b>D.<span> </span></b>Dipivefrine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 171.<span> </span>On<span> </span>performing refraction
using a plane mirror on a patient who has a refractive error of –3 D sphere
with –2 D cylinder at 90° from a distance of 1 metre under no cycloplegia, the
reflex would be seen to move:</span></div>
<div class="1234">
<b>A.<span> </span></b>With the movement in the horizontal axis and against the
movement in the vertical axis</div>
<div class="1234">
<b>B.<span> </span></b>With the movement in both the axes</div>
<div class="1234">
<b>C.<span> </span></b>Against the movement in both the axes</div>
<div class="1234">
<b>D.<span> </span></b>With the movement in the vertical axis and against the movement
in horizontal axis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 172.<span> </span>A 25-year-old male gives a history of redness, pain and mild
diminution of vision in one eye for past 3 days. There is also a history of low
backache for the past one year. On examination there is circumcorneal
congestion, cornea is clear apart from a few fine keratic precipitates on the
corneal endothelium, there are 2+ cells in the anterior chamber and the
intraocular pressure is within normal limits. The patient is most likely
suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Acute attack of angle closure glaucoma</div>
<div class="1234">
<b>B.<span> </span></b>HLA B-27 related anterior uveitis</div>
<div class="1234">
<b>C.<span> </span></b>JRA associated uveitis</div>
<div class="1234">
<b>D.<span> </span></b>Herpetic keratitis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 173.<span> </span>A soft contact lens user presents to you with pain, watering,
photophobia and a white spot in the centre of the cornea. What will be your
initial management?</span></div>
<div class="1234">
<b>A.<span> </span></b>Start frequent antibiotic eye drops after discontinuing the
contact lens</div>
<div class="1234">
<b>B.<span> </span></b>Pad and bandage the eye for 12 hours</div>
<div class="1234">
<b>C.<span> </span></b>Frequent instillation of artificial tears</div>
<div class="1234">
<b>D.<span> </span></b>Topical non steroidal anti inflammatory drugs (NSAIDs)</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 174.<span> </span>A 3-year-old child presents with a right convergent squint of 6
months duration. What is the appropriate management?</span></div>
<div class="1234">
<b>A.<span> </span></b>Immediate surgical correction folIowed by amblyopia therapy</div>
<div class="1234">
<b>B.<span> </span></b>Proper refractive correction, amblyopia therapy followed by
surgical correction</div>
<div class="1234">
<b>C.<span> </span></b>Prescribe spectacles and defer surgery until the child is 5 year
old</div>
<div class="1234">
<b>D.<span> </span></b>Botulinum toxin injection followed by occlusion therapy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 175.<span> </span>A young man aged 30 years, presents with difficulty in vision in
the left eye for the last 10 days. He is immunocompetent, a farmer by
occupation, comes from a rural community and gives history of trauma to his
left eye with vegetative matter 10-15 days back. On examination, there is an
ulcerative lesion in the cornea, whose base has raised soft creamy infiltrate.
Ulcer margin is feathery and hyphate. There are a few satellite lesions also.
The most probable etiological agent is:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Acanthamoeba</i></div>
<div class="1234">
<b><i>B.<span> </span></i></b><i>Corynebacterium diphtheriae</i></div>
<div class="1234">
<b><i>C.<span> </span></i></b><i>Fusarium</i></div>
<div class="1234">
<b><i>D.<span> </span></i></b><i>Streptococcus pneumoniae</i></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 176.<span> </span>A patient presented with normal eyesight and absence of direct and
consensual light reflexes. Which of the following cranial nerves is suspected
to be lesioned?</span></div>
<div class="1234">
<b>A.<span> </span></b>Oculomotor</div>
<div class="1234">
<b>B.<span> </span></b>Trochlear</div>
<div class="1234">
<b>C.<span> </span></b>Optic</div>
<div class="1234">
<b>D.<span> </span></b>Abducent</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
ENT</div>
<div class="Ques">
<span style="color: windowtext;">Q 177.<span> </span>All of the following cause a gray-white membrane on the tonsils, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Infectious mononucleosis</div>
<div class="1234">
<b>B.<span> </span></b>Ludwig’s angina</div>
<div class="1234">
<b>C.<span> </span></b>Streptococcal tonsillitis</div>
<div class="1234">
<b>D.<span> </span></b>Diphtheria</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 178.<span> </span>A tracheostomised patient, with Portex tracheostomy tube, in the
ward, developed sudden complete blockage of the tube. Which of the following is
the best next step in the management:</span></div>
<div class="1234">
<b>A.<span> </span></b>Immediate removal of the tracheostomy tube</div>
<div class="1234">
<b>B.<span> </span></b>Suction of tube with sodium bicarbonate</div>
<div class="1234">
<b>C.<span> </span></b>Suction of tube with saline</div>
<div class="1234">
<b>D.<span> </span></b>Jet ventilation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 179.<span> </span>All of the following surgical procedures are used for allergic
rhinitis, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Radiofrequency ablation of the inferior turbinate</div>
<div class="1234">
<b>B.<span> </span></b>Laser ablation of the inferior turbinate</div>
<div class="1234">
<b>C.<span> </span></b>Submucosal placement of silastic in inferior turbinate</div>
<div class="1234">
<b>D.<span> </span></b>Inferior turbinectomy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Skin</div>
<div class="Ques">
<span style="color: windowtext;">Q 180.<span> </span>A 9-year-old boy has multiple itchy erythematosus wheals all over
the body for 2 days. There is no respiratory difficulty. Which is the best
treatment?</span></div>
<div class="1234">
<b>A.<span> </span></b>Antihelminthics</div>
<div class="1234">
<b>B.<span> </span></b>Systemic corticosteroids</div>
<div class="1234">
<b>C.<span> </span></b>Antihistamines</div>
<div class="1234">
<b>D.<span> </span></b>Adrenaline</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 181.<span> </span>A 27-year-old patient was diagnosed to have borderline leprosy and
started on multibacillary multi-drug therapy. Six weeks later, he developed
pain in the nerves and redness and swelling of the skin lesions. The management
of his illness should include all of the following, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Stop anti-leprosy drugs</div>
<div class="1234">
<b>B.<span> </span></b>Systemic corticosteroids</div>
<div class="1234">
<b>C.<span> </span></b>Rest to the limbs affected</div>
<div class="1234">
<b>D.<span> </span></b>Analgesics</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 182.<span> </span>Rakesh, a 27-year-old boy had itchy, excoriated papules on the
forehead and the exposed parts of the arms and legs for 3 years. The disease
was most severe in the rainy season and improved completely in winter. The most
likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Insect bite hypersensitivity</div>
<div class="1234">
<b>B.<span> </span></b>Scabies</div>
<div class="1234">
<b>C.<span> </span></b>Urticaria</div>
<div class="1234">
<b>D.<span> </span></b>Atopic dermatitis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 183.<span> </span>A 55-year-old male, with uncontrolled diabetes mellitus and hypertension,
developed severe air- borne contact dermatitis. The most appropriate drug for
his treatment would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Systemic corticosteroids</div>
<div class="1234">
<b>B.<span> </span></b>Thalidomide</div>
<div class="1234">
<b>C.<span> </span></b>Azathioprine</div>
<div class="1234">
<b>D.<span> </span></b>Cyclosporine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
ANAESTHESIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 184.<span> </span>The neuromuscular blocking action of curare is brought about by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Blocking acetylcholine synthesis</div>
<div class="1234">
<b>B.<span> </span></b>Preventing the release of acetylcholine</div>
<div class="1234">
<b>C.<span> </span></b>Causing persistent depolarization</div>
<div class="1234">
<b>D.<span> </span></b>Competitive inhibition</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 185.<span> </span>Which of the following local anesthetic is most likely to produce
an allergic reaction:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prilocaine</div>
<div class="1234">
<b>B.<span> </span></b>Ropivacaine</div>
<div class="1234">
<b>C.<span> </span></b>Etidocaine</div>
<div class="1234">
<b>D.<span> </span></b>Benzocaine</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 186.<span> </span>A 6-year-old child is posted for elective urology surgery under
general anesthesia. He refuses to allow the anesthesiologist an IV access. The
best inhalational agent of choice for induction of anaesthesia is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sevoflurane</div>
<div class="1234">
<b>B.<span> </span></b>Methoxyflurane</div>
<div class="1234">
<b>C.<span> </span></b>Desflurane</div>
<div class="1234">
<b>D.<span> </span></b>Isoflurane</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 187.<span> </span>A 70-year-old male is posted for a surgery, which is likely to last
for 4-6 hours. The best inhalational agent of choice for maintenance of anaesthesia
in such a case is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Methoxyflurane</div>
<div class="1234">
<b>B.<span> </span></b>Ether</div>
<div class="1234">
<b>C.<span> </span></b>Trichloroethylene</div>
<div class="1234">
<b>D.<span> </span></b>Desflurane</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 188.<span> </span>A 30-year-old lady is to undergo surgery under intravenous regional
anaesthesia for her left ‘trigger finger’. Which of the following should not be
used for this patient:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lignocaine</div>
<div class="1234">
<b>B.<span> </span></b>Bupivacaine</div>
<div class="1234">
<b>C.<span> </span></b>Prilocaine</div>
<div class="1234">
<b>D.<span> </span></b>Lignocaine + ketorolac</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 189.<span> </span>A 21-year-old lady with a history of hypersensitivity to
neostigmine is posted for an elective caesarean section under<span> </span>general anesthesia. The best muscle relaxant
of choice in this patient should be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pancuronium</div>
<div class="1234">
<b>B.<span> </span></b>Atracurium</div>
<div class="1234">
<b>C.<span> </span></b>Rocuronium</div>
<div class="1234">
<b>D.<span> </span></b>Vecuronium</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
RADIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">Q 190.<span> </span>For the evaluation of blunt abdominal trauma, which of the
following imaging modalities is ideal?</span></div>
<div class="1234">
<b>A.<span> </span></b>Ultrasonography</div>
<div class="1234">
<b>B.<span> </span></b>Computed tomography</div>
<div class="1234">
<b>C.<span> </span></b>Nuclear scintigraphy</div>
<div class="1234">
<b>D.<span> </span></b>Magnetic resonance imaging</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 191.<span> </span>Following are common features of malignant gastric ulcer on barium
meal, <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Location on the greater curvature</div>
<div class="1234">
<b>B.<span> </span></b>Carman’s meniscus sign</div>
<div class="1234">
<b>C.<span> </span></b>Radiating folds which do not reach the edge of the ulcer</div>
<div class="1234">
<b>D.<span> </span></b>Lesser curvature ulcer with a nodular rim</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 192.<span> </span>The investigation of choice for imaging of urinary tract
tuberculosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Plain X-ray</div>
<div class="1234">
<b>B.<span> </span></b>Intravenous urography</div>
<div class="1234">
<b>C.<span> </span></b>Ultrasound</div>
<div class="1234">
<b>D.<span> </span></b>Computed tomography</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 193.<span> </span>“Sunray appearance” on X-rays is suggestive of:</span></div>
<div class="1234">
<b>A.<span> </span></b>A chondrosarcoma</div>
<div class="1234">
<b>B.<span> </span></b>A metastatic tumour in the bone</div>
<div class="1234">
<b>C.<span> </span></b>An osteogenic sarcoma</div>
<div class="1234">
<b>D.<span> </span></b>An Ewing’s sarcoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 194.<span> </span>The gold standard for the diagnosis of osteoporosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dual energy X-ray absorptiometry</div>
<div class="1234">
<b>B.<span> </span></b>Single energy X-ray absorptiometry</div>
<div class="1234">
<b>C.<span> </span></b>Ultrasonography</div>
<div class="1234">
<b>D.<span> </span></b>Quantitative computed tomography</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 195.<span> </span>What dose of radiation therapy is recommended for pain relief in
bone metastases:</span></div>
<div class="1234">
<b>A.<span> </span></b>8 Gy in one fraction</div>
<div class="1234">
<b>B.<span> </span></b>20 Gy in 5 fractions</div>
<div class="1234">
<b>C.<span> </span></b>30 Gy in 10 fractions</div>
<div class="1234">
<b>D.<span> </span></b>Above 70 Gy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
PSYCHIATRY</div>
<div class="Ques">
<span style="color: windowtext;">Q 196.<span> </span>A 23-year-old engineering student is brought by his family to the
hospital with history of gradual onset of suspiciousness, muttering and smiling
without clear reason, decreased socialization, violent outbursts, and lack of
interest in studies for 8 months. Mental status examination revealed a blunt
effect, thought broadcast, a relatively preserved cognition, impaired judgement
and insight. He is most likely to be suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Delusional disorder</div>
<div class="1234">
<b>B.<span> </span></b>Depression</div>
<div class="1234">
<b>C.<span> </span></b>Schizophrenia</div>
<div class="1234">
<b>D.<span> </span></b>Anxiety disorder</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 197.<span> </span>A 34-year-old housewife reports a 3-month history of feeling low,
lack of interest in activities, lethargy, multiple bodyaches, ideas of
worthlessness, decreased appetite and disturbed sleep with early morning
awakening. She is likely to benefit from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Antipsychotics</div>
<div class="1234">
<b>B.<span> </span></b>Antidepressants</div>
<div class="1234">
<b>C.<span> </span></b>Anxiolytics</div>
<div class="1234">
<b>D.<span> </span></b>Hypno-sedatives</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 198.<span> </span>A 31-year-old male, with mood disorder, on 30 mg of haloperidol and
1000 mg of lithium, is brought to the hospital emergency room with history of
acute onset of fever, excessive sweating, confusion, rigidity of limbs and
decreased communication for a day. Examination reveals tachycardia and labile
blood pressure and investigations reveal increased CPK enzyme levels and leucocytosis.
He is likely to have developed:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lithium toxicity</div>
<div class="1234">
<b>B.<span> </span></b>Tardive dyskinesia</div>
<div class="1234">
<b>C.<span> </span></b>Neuroleptic malignant syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Hypertensive encephalopathy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 199.<span> </span>A 19-year-old boy suffering from chronic schizophrenia is put on
haloperidol in the dose of 20 mg/day. A week after the initiation of
medication, the patient shows restlessness, fidgety, irritability and cannot
sit at one place. The most appropriate treatment strategy is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increase in the dose of haloperidol</div>
<div class="1234">
<b>B.<span> </span></b>Addition of anticholinergic drug</div>
<div class="1234">
<b>C.<span> </span></b>Addition of beta blocker</div>
<div class="1234">
<b>D.<span> </span></b>Adding another antipsychotic drug</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 200.<span> </span>A 42-year-old male with a past history of a manic episode presents
with an illness of 1-month duration characterized by depressed mood, anhedonia
and profound psychomotor retardation. The most appropriate management strategy
is prescribing a combination of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Antipsychotics and antidepressants</div>
<div class="1234">
<b>B.<span> </span></b>Antidepressants and mood stabilizers</div>
<div class="1234">
<b>C.<span> </span></b>Antipsychotics and mood stabilizers</div>
<div class="1234">
<b>D.<span> </span></b>Antidepressants and benzodiazepines</div>
<div class="Ans">
Ans.<span> </span>B</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-168710374129787112012-01-07T19:46:00.000-08:002012-01-07T19:46:33.396-08:00AIIMS NOV 2004<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head">
Anatomy</div>
<div class="Ques">
<span style="color: windowtext;">Q 1.<span> </span>All of the following muscles undergo paralysis after injury to
C5 to C6 spinal nerves <i>except:</i></span></div>
<div class="1234">
<b>A.</b><span> </span>Biceps</div>
<div class="1234">
<b>B.</b><span> </span>Coracoprachialis</div>
<div class="1234">
<b>C.<span> </span></b>Brachilis</div>
<div class="1234">
<b>D.</b><span> </span>Brachioradialis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 2.<span> </span>All of the following are characteristic of a bronchopulmonary
segment, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It is surgically respectable</div>
<div class="1234">
<b>B.</b><span> </span>It is named according to the segmental bronchus</div>
<div class="1234">
<b>C.</b><span> </span>It is drained by intersegmental branch of
pulmonary vein</div>
<div class="1234">
<b>D.</b><span> </span>It is the largest subdivision of a lobe</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 3.<span> </span>Injury to the common peroneal nerve at the lateral aspect of
head of fibula results in all of the following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Weakness of ankle dorsiflexion</div>
<div class="1234">
<b>B.</b><span> </span>Foot drop</div>
<div class="1234">
<b>C.</b><span> </span>Loss of ankle reflex</div>
<div class="1234">
<b>D.</b><span> </span>Sensory impairment on lateral aspect of leg
extending to the dorsum of foot</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 4.<span> </span>The mesentery of small intestine, along its attachment to the
posterior abdominal wall, crosses all of the following structures <i>except</i>:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Left gonadal vessels</div>
<div class="1234">
<b>B.</b><span> </span>Third part of duodenum</div>
<div class="1234">
<b>C.</b><span> </span>Aorta</div>
<div class="1234">
<b>D.</b><span> </span>Right ureter</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 5.<span> </span>Venous drainage from neurohypophysis is routed through all of
the following <i>except</i>:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Portal vessels to adenohypophysis</div>
<div class="1234">
<b>B.</b><span> </span>Superior hypophyseal veins to ventricular
tanycytes</div>
<div class="1234">
<b>C.</b><span> </span>Inferior hypophyseal veins to dural venous
sinuses</div>
<div class="1234">
<b>D.</b><span> </span>Capillaries to median eminence and hypothalamus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 6.<span> </span>The efferent fiber bundle of the substantia nigra transmits
dopamine to one of the following areas:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Thalamus</div>
<div class="1234">
<b>B.</b><span> </span>Corpus striatum</div>
<div class="1234">
<b>C.</b><span> </span>Tegmentum of pons</div>
<div class="1234">
<b>D.</b><span> </span>Tectum of midbrain</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 7.<span> </span>Knowledge of the segmental cutaneous innervation of the skin of
the lower extremity is important in determining the level of intervertebral
disc disease. Thus, S</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">1</span><span style="color: windowtext;"><span> </span>nerve root
irritation will result in pain located along the:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Anterior aspect of the thigh</div>
<div class="1234">
<b>B.</b><span> </span>Medial aspect of the thigh</div>
<div class="1234">
<b>C.</b><span> </span>Anteriomedial aspect of the leg</div>
<div class="1234">
<b>D.</b><span> </span>Lateral side of the foot</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 8.<span> </span>A 59 year old man complains of recurrent attacks of pain in the
region of left shoulder radiating to sternum and the pit of stomach. The
attacks of pain came at lengthy intervals. Until the last two days when it
became continuous. The physician diagnosed it as angina pectoris. In this case
the pain pathway from the heart is carried by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Superior cervical cardiac nerve</div>
<div class="1234">
<b>B.</b><span> </span>Middle and inferior cervical cardiac nerve</div>
<div class="1234">
<b>C.</b><span> </span>Thoracic splancnic nerve</div>
<div class="1234">
<b>D.</b><span> </span>Vagus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Physiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 9.<span> </span>Which of the following is the best-known metabolic function of
the lung?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Inactivation of serotonin</div>
<div class="1234">
<b>B.</b><span> </span>Conversion of angiotensin-I to angiotensin-II</div>
<div class="1234">
<b>C.</b><span> </span>Inactivation of bradykinin</div>
<div class="1234">
<b>D.</b><span> </span>Metabolism of basic drugs by cytochrome P-450
system</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 10.<span> </span>When the aviator is subjected to negative G:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>The hydrostatic pressure in veins of lower limb
increases</div>
<div class="1234">
<b>B.</b><span> </span>The cardiac output decreases</div>
<div class="1234">
<b>C.</b><span> </span>Black out occurs</div>
<div class="1234">
<b>D.</b><span> </span>The cerebral arterial pressure rises</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 11.<span> </span>Which combination of the following statements is correct with
reference to hypoxia?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
a.<span> </span>When it is severe,
causes stimulation of the sympathetic nervous system</div>
<div class="1234">
b.<span> </span>It leads to the
accumulation of hydrogen and lactate ions</div>
<div class="1234">
c.<span> </span>It causes decrease in
cerebral blood flow</div>
<div class="1234">
d.<span> </span>If it is chronic, causes
rightward shift of oxygen Hb curve</div>
<div class="1234">
<b>A.</b><span> </span>All of the above statements are correct</div>
<div class="1234">
<b>B.</b><span> </span>b and c</div>
<div class="1234">
<b>C.</b><span> </span>a, b and d</div>
<div class="1234">
<b>D.</b><span> </span>b, c and d</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 12.<span> </span>Examine the shape of the flow volume curve carefully?</span></div>
<div align="center" class="Ques" style="margin-top: 0in; text-align: center;">
<span style="color: windowtext;"><img height="144" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image002.png" width="151" /></span></div>
<div class="Ques">
<span style="color: windowtext;"><span> </span>The
flow volume loop indicates one of the following:</span></div>
<div class="1234">
<b>A.</b><span> </span>Normal</div>
<div class="1234">
<b>B.</b><span> </span>Extrathoracic obstruction</div>
<div class="1234">
<b>C.</b><span> </span>Intrathoracic obstruction</div>
<div class="1234">
<b>D.</b><span> </span>Fixed large airway obstruction</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 13.<span> </span>Which one of the following acts to increase the release of Ca</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">2+</span><span style="color: windowtext;"><span> </span>from endoplasmic reticulum?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Inositol triphosphate</div>
<div class="1234">
<b>B.</b><span> </span>Parathyroid hormone</div>
<div class="1234">
<b>C.</b><span> </span>1, 25-dihydroxy cholecalciferol</div>
<div class="1234">
<b>D.</b><span> </span>Diacyglycerol</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 14.<span> </span>Erythropoiesis is promoted by all of the following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>ACTH</div>
<div class="1234">
<b>B.</b><span> </span>Thyroxine</div>
<div class="1234">
<b>C.</b><span> </span>Oestrogen</div>
<div class="1234">
<b>D.</b><span> </span>Prolactin</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 15.<span> </span>Trendelenberg position produces decrease in all of the following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Vital capacity</div>
<div class="1234">
<b>B.</b><span> </span>Functional residual capacity</div>
<div class="1234">
<b>C.</b><span> </span>Compliance</div>
<div class="1234">
<b>D.</b><span> </span>Respiratory rate</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 16.<span> </span>Which one of the following phenomena is closely associated with
slow wave sleep:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Dreaminmg</div>
<div class="1234">
<b>B.</b><span> </span>Atonia</div>
<div class="1234">
<b>C.</b><span> </span>Sleep walking</div>
<div class="1234">
<b>D.</b><span> </span>Irregular heart rate</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 17.<span> </span>If a single spinal nerve is cut, the area of tactile loss is
always greater than the area of loss of painful sensations, because:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Tactile information is carried by myelinated
fast conducting fires</div>
<div class="1234">
<b>B.</b><span> </span>Tactile receptors adapt quickly</div>
<div class="1234">
<b>C.</b><span> </span>Degree of overlap of fibres carrying tactile
sensation is much less</div>
<div class="1234">
<b>D.</b><span> </span>In the primary sensory cortex tactile sensation
is represented on a larger area</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 18.<span> </span>Massage and the application of liniments to painful areas in the
body relieves pain due to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Simultaneous inhibition of endogenous analgesic
system</div>
<div class="1234">
<b>B.</b><span> </span>Release of endorphins by the first order
neurons in the brain stem</div>
<div class="1234">
<b>C.</b><span> </span>Release of glutamate and substance P in the
spinal cord</div>
<div class="1234">
<b>D.</b><span> </span>Inhibition by large myelinated afferent fibres</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 19.<span> </span>Which of the following produces the least damage to blood
elements?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Disc oxygenator</div>
<div class="1234">
<b>B.</b><span> </span>Membrane oxygenator</div>
<div class="1234">
<b>C.</b><span> </span>Bubble oxygenator</div>
<div class="1234">
<b>D.</b><span> </span>Screen oxygenator</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Biochemistry</div>
<div class="Ques">
<span style="color: windowtext;">Q 20.<span> </span>The normal value of P</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">50</span><span style="color: windowtext;"><span> </span>on the
oxyhaemoglobin dissociation curve in an adult is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>1.8 kPa</div>
<div class="1234">
<b>B.</b><span> </span>2.7 kPa</div>
<div class="1234">
<b>C.</b><span> </span>3.6 kPa</div>
<div class="1234">
<b>D.</b><span> </span>4.5 kPa</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 21.<span> </span>Which one of the following amino acids is most likely to be found
in the transmembrane region of a protein?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Lysine</div>
<div class="1234">
<b>B.</b><span> </span>Arginine</div>
<div class="1234">
<b>C.</b><span> </span>Leucine</div>
<div class="1234">
<b>D.</b><span> </span>Aspartate</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 22.<span> </span>Which one of the following statements about hemoglobin S (HbS) is
not true?</span></div>
<div class="1234">
<b>A.</b><span> </span>Hemoglobin HbS differs from hemoglobin HbA by
the substitution of val for glu in position 6 of the beta chain</div>
<div class="1234">
<b>B.</b><span> </span>One altered peptide of HbS migrates faster
towards the cathode (–) than the corresponding peptide of HbA</div>
<div class="1234">
<b>C.</b><span> </span>Binding of HbS to the deoxygenated HbA can
extend the polymer and cause sickling of the red blood cells</div>
<div class="1234">
<b>D.</b><span> </span>Lowering the concentration of deoxygenated HbS
can prevent sickling</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 23.<span> </span>During the dark phase of visual cycle, which form of vitamin A
combines with opsin to make rhodopsin?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>All trans-retinaldehyde</div>
<div class="1234">
<b>B.</b><span> </span>All trans-retinol</div>
<div class="1234">
<b>C.</b><span> </span>11-cis-retinaldehyde</div>
<div class="1234">
<b>D.</b><span> </span>11-cis-retinol</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 24.<span> </span>The molecular weight of a protein can be determined by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Native polyacrylamide gel electrophoresis (PAGE)</div>
<div class="1234">
<b>B.</b><span> </span>Sodium dodecyl sulphate PAGE</div>
<div class="1234">
<b>C.</b><span> </span>Isoelectric focussing</div>
<div class="1234">
<b>D.</b><span> </span>Ion exchange chromatography</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 25.<span> </span>Ladder pattern of DNA electrophoresis in apoptosis is caused by
the action of the following enzyme:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Endonuclease</div>
<div class="1234">
<b>B.</b><span> </span>Transglutaminase</div>
<div class="1234">
<b>C.</b><span> </span>DNAse</div>
<div class="1234">
<b>D.</b><span> </span>Caspase</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Microbiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 26.<span> </span>Which one of the following microorganisms uses antigenic
variation as a major means of evading host-defences?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span><i>Streptococcus pneumoniae</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Borrelia recurrentis</i></div>
<div class="1234">
<b>C.</b><span> </span><i>Mycobacterium tuberculosis</i></div>
<div class="1234">
<b>D.</b><span> </span><i>Listeria monocytogenes</i></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 27.<span> </span>An outbreak of streptococcal pharyngitis has occurred in a remote
village. In order to carry out the epidemiological investigations of the
outbreak it is necessary to perform the culture of the throat swab of the
patients suffering from the disease. The transport media of choice would be:</span></div>
<div class="1234">
<b>A.</b><span> </span>Salt mannitol media</div>
<div class="1234">
<b>B.</b><span> </span>Pike’s media</div>
<div class="1234">
<b>C.</b><span> </span>Stuart’s media</div>
<div class="1234">
<b>D.</b><span> </span>Cary Blair media</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 28.<span> </span>Which one of the following statements is correct regarding
chronic granulomatous disease?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It is an autosomal dominant disease</div>
<div class="1234">
<b>B.</b><span> </span>It is characterized by abnormal bacterial
phagocytosis</div>
<div class="1234">
<b>C.</b><span> </span>Recurrect streptococcal infections are usual in
this disease</div>
<div class="1234">
<b>D.</b><span> </span>Nitroblue tetrazolium test is useful for
screening</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 29.<span> </span>All of the following statements are true regarding staphylococci <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>A majority of infections caused by coagulase
negative staphylococci are due to <i>Staphylococcus epidermidis</i></div>
<div class="1234">
<b>B.</b><span> </span><span style="font-family: Symbol;">b</span>-lactamase
production in staphylococci is under plasmid control</div>
<div class="1234">
<b>C.</b><span> </span>Expression of methicillin resistance in <i>Staphylococcus
aureus </i>increases when it is incubated at 37°C on blood agar.</div>
<div class="1234">
<b>D.</b><span> </span>Methicillin resistance in <i>Staphylococcus
aureus </i>is independent of <span style="font-family: Symbol;">b</span>-lactamase
production</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 30.<span> </span>All of the following are correct regarding Legionellae <i>except:</i></span></div>
<div class="1234">
<b>A.</b><span> </span>Legionellae can be grown on complex media</div>
<div class="1234">
<b>B.</b><span> </span><i>Legionella pneumophila </i>serogroup 1 is
the most common serogroup isolated from humans</div>
<div class="1234">
<b>C.</b><span> </span>Legionellae are communicable from infected
patients to others</div>
<div class="1234">
<b>D.</b><span> </span><i>Legionella pneumophila is</i> effectively
killed by polymorphonuclear leukocytes</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 31.<span> </span>A 35 year old patient complains of abdominal cramps along wtih
profuse diarrhea. The treating physician wants to process the stool specimen
for isolation of <i>Campylobacter jejuni.</i> Which of the following is the
method of choice for the culture of stool?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Culture on TCBS medium incubated at 37°C under
aerobic conditions</div>
<div class="1234">
<b>B.</b><span> </span>Culture on Skirrow’s medium incubated at 42°C
under micro-aerophilic conditions</div>
<div class="1234">
<b>C.</b><span> </span>Culture on MacConkey’s medium incubated at 42°C
under anaerobic conditions</div>
<div class="1234">
<b>D.</b><span> </span>Culture on Wilson and Blair’s medium incubated
at 37°C under microaerophilic conditions</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 32.<span> </span>Which of the following organisms, when isolated in the blood,
requires the synergistic activity of penicillin plus an aminoglycoside for
appropriate therapy?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span><i>Entercococcus faecalis</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Staphylococcus aureus</i></div>
<div class="1234">
<b>C.</b><span> </span><i>Streptococcus pneumoniae</i></div>
<div class="1234">
<b>D.</b><span> </span><i>Bacteroides fragilis</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 33.<span> </span>A fourteen year old boy is admitted with history of fever,
icterus, conjunctival suffusion and haematuria for twenty days. Which of the
following serological test can be of diagnostic utility?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Widal test</div>
<div class="1234">
<b>B.</b><span> </span>Microscopic agglutination test</div>
<div class="1234">
<b>C.</b><span> </span>Paul Bunnel test</div>
<div class="1234">
<b>D.</b><span> </span>Weil Felix reaction</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 34.<span> </span>The type of allergic reaction seen in allergic fungal sinusitis
is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Type 1 and type 2</div>
<div class="1234">
<b>B.</b><span> </span>Type 2 and type 3</div>
<div class="1234">
<b>C.</b><span> </span>Type 1 and type 3</div>
<div class="1234">
<b>D.</b><span> </span>Type 4 and type 1</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Pathology</div>
<div class="Ques">
<span style="color: windowtext;">Q 35.<span> </span>The following statements are true about tumor suppressor gene p53
<i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It regulates certain genes involved in cell
cycle regulation</div>
<div class="1234">
<b>B.</b><span> </span>Its increaed levels can induce apoptosis</div>
<div class="1234">
<b>C.</b><span> </span>Its activity in the cells decreases following
UV irradiation and stimulates cell cycle</div>
<div class="1234">
<b>D.</b><span> </span>Mutations of the p53 gene are the most common
genetic alteration seen in the human cancer</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 36.<span> </span>Increased susceptibility to breast cancer is likely to be
associated with a mutation in the following gene:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>p53</div>
<div class="1234">
<b>B.</b><span> </span>BRCA-1</div>
<div class="1234">
<b>C.</b><span> </span>Retinoblastoma (Rb)</div>
<div class="1234">
<b>D.</b><span> </span>H-Ras</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 37.<span> </span>Calcification of soft tissues without any disturbance of calcium
metabolism is called:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ionotrophic calcification</div>
<div class="1234">
<b>B.</b><span> </span>Monotrophic calcification</div>
<div class="1234">
<b>C.</b><span> </span>Dystrophic calcification</div>
<div class="1234">
<b>D.</b><span> </span>Calcium induced calcification</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 38.<span> </span>All of the following are examples of tumor markers, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Alpha-HCG (<span style="font-family: Symbol;">a</span>-HCG)</div>
<div class="1234">
<b>B.</b><span> </span>Alpha-fetoprotein</div>
<div class="1234">
<b>C.</b><span> </span>Thyroglobulin</div>
<div class="1234">
<b>D.</b><span> </span><span style="font-family: Symbol;">b</span><span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>-microglobulin</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 39.<span> </span>Which of the following combinations of cytogenetic abnormality
and associated leukemia/lymphoma is incorrect?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>t(8;14) Burkitt’s lymphoma</div>
<div class="1234">
<b>B.</b><span> </span>t(15;17) AML-M3</div>
<div class="1234">
<b>C.</b><span> </span>t(9;22) CML</div>
<div class="1234">
<b>D.</b><span> </span>t(9;20) ALL</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 40.<span> </span>Endoscopic biopsy from a case of <i>H. pylori </i>related
duodenal ulcer is most likely to reveal:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Antral predominant gastritis</div>
<div class="1234">
<b>B.</b><span> </span>Multifocal atrophic gastritis</div>
<div class="1234">
<b>C.</b><span> </span>Acute erosive gastritis</div>
<div class="1234">
<b>D.</b><span> </span>Gastric atrophy</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 41.<span> </span>Early gastric cancer generally indicates:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Gastric adenocarcinoma detected early</div>
<div class="1234">
<b>B.</b><span> </span>Gastric adenocarcinoma confined to the mucosa</div>
<div class="1234">
<b>C.</b><span> </span>Gastric adenocarcinoma confined to the mucosa
and submucosa</div>
<div class="1234">
<b>D.</b><span> </span>Gastric adenocarcinoma less than 1 cm in size</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Pharmacology</div>
<div class="Ques">
<span style="color: windowtext;">Q 42.<span> </span>Which one of the following statements is false regarding
vincristine?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It is an alkaloid</div>
<div class="1234">
<b>B.</b><span> </span>Its use is associated with neurotoxicity</div>
<div class="1234">
<b>C.</b><span> </span>It does not cause alopecia</div>
<div class="1234">
<b>D.</b><span> </span>It is a useful drug for induction of remission
in acute lymphoblastic leukaemia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 43.<span> </span>Which one of the opioids has maximum plasma protein binding
capacity?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Morphine</div>
<div class="1234">
<b>B.</b><span> </span>Sufentanil</div>
<div class="1234">
<b>C.</b><span> </span>Fentanyl</div>
<div class="1234">
<b>D.</b><span> </span>Pethidine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 44.<span> </span>One of the following diuretics does not require its presence in
the tubular lumen for its pharmacological effects:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Thiazide diuretics</div>
<div class="1234">
<b>B.</b><span> </span>Loop diuretics</div>
<div class="1234">
<b>C.</b><span> </span>Carbonic anhydrase inhibitors</div>
<div class="1234">
<b>D.</b><span> </span>Aldosterone antagonists</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 45.<span> </span>One of the following statements about hydralazine is not true:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It causes direct realxation of blood vessels</div>
<div class="1234">
<b>B.</b><span> </span>It causes dilatation of both arteries and veins</div>
<div class="1234">
<b>C.</b><span> </span>Postural hypotension is not a common problem</div>
<div class="1234">
<b>D.</b><span> </span>It increases plasma renin activity</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Forensic</div>
<div class="Ques">
<span style="color: windowtext;">Q 46.<span> </span>When a person has suspended himself by applying ligature around
neck so that the point of suspension (knot) is situated in the region of the
occiput. Such a hanging is called as:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Typical</div>
<div class="1234">
<b>B.</b><span> </span>Atypical</div>
<div class="1234">
<b>C.</b><span> </span>Partial</div>
<div class="1234">
<b>D.</b><span> </span>Incomplete</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 47.<span> </span>Which of the following statements about blood grouping is <i>not</i>
correct?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It can be used to resolve confusion of identity
in alleged exchange of babies in maternity unit</div>
<div class="1234">
<b>B.</b><span> </span>It is the method to conclusively fix the
paternity</div>
<div class="1234">
<b>C.</b><span> </span>It can assist in matching fragmented human
remains in mass disaster</div>
<div class="1234">
<b>D.</b><span> </span>It can help to show whether blood stain on the
weapon belongs to the suspect or victim</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 48.<span> </span>The dead body of a murdered person is brought for preservation in
mortuary. Which of the following statements is <i>not</i> correct?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>The body should be stored averagely at 4°C</div>
<div class="1234">
<b>B.</b><span> </span>The body can be embalmed before postmortem</div>
<div class="1234">
<b>C.</b><span> </span>The body should be never undressed before the
forensic doctor has seen it</div>
<div class="1234">
<b>D.</b><span> </span>The body can be stored at –20°C to preserve it
for long duration</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 49.<span> </span>An eleven year old rape victim is brought to causalty for medical
examination. The medical officer is required to do the following things, <i>except</i>:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>The consent is to be taken from the patient</div>
<div class="1234">
<b>B.</b><span> </span>The patient should be examined in presence of a
female attendant</div>
<div class="1234">
<b>C.</b><span> </span>The patient should be given necessary emergency
treatment</div>
<div class="1234">
<b>D.</b><span> </span>All the necessary forensic samples should be
collected</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 50.<span> </span>A body is brought for autopsy with history of poisoning. On
postmortem examination, there is dark brown postmortem examination, there is
dark brown postmortem staining and garlic odour in stomach. In this case the
poisoning is most likely due to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hydrocyanic acid</div>
<div class="1234">
<b>B.</b><span> </span>Carbon dioxide</div>
<div class="1234">
<b>C.</b><span> </span>Aniline dye</div>
<div class="1234">
<b>D.</b><span> </span>Phosphorus</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Preventive and Social Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 51.<span> </span>Weight of an Indian reference woman is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>45 Kg</div>
<div class="1234">
<b>B.</b><span> </span>50 Kg</div>
<div class="1234">
<b>C.</b><span> </span>55 Kg</div>
<div class="1234">
<b>D.</b><span> </span>60 Kg</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 52.<span> </span>Orthotolidine test is used to determine:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Nitrates in water</div>
<div class="1234">
<b>B.</b><span> </span>Nitrites in water</div>
<div class="1234">
<b>C.</b><span> </span>Free and combined chlorine in water</div>
<div class="1234">
<b>D.</b><span> </span>Ammonia content in water</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 53.<span> </span>The analytical study where population is the unit of study is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Cross sectional</div>
<div class="1234">
<b>B.</b><span> </span>Ecological</div>
<div class="1234">
<b>C.</b><span> </span>Case-control</div>
<div class="1234">
<b>D.</b><span> </span>Cohort</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 54.<span> </span>Which one of the following arbovirus diseases has not been
reported in India?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Japanese encephalitis</div>
<div class="1234">
<b>B.</b><span> </span>Yellow fever</div>
<div class="1234">
<b>C.</b><span> </span>Chikungunya fever</div>
<div class="1234">
<b>D.</b><span> </span>Kyasanur forest disease</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 55.<span> </span>As compared to a routine case control study, nested case control
study avoids problems (in study design) related to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Temporal association</div>
<div class="1234">
<b>B.</b><span> </span>Confounding bias</div>
<div class="1234">
<b>C.</b><span> </span>Need for long follow up</div>
<div class="1234">
<b>D.</b><span> </span>Randomization</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 56.<span> </span>To test the association between risk factor and disease, which of
the following is the weakest study design?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Case-control study</div>
<div class="1234">
<b>B.</b><span> </span>Ecological study</div>
<div class="1234">
<b>C.</b><span> </span>Cohort study</div>
<div class="1234">
<b>D.</b><span> </span>Cross-sectional study</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 57.<span> </span>All of the following statements regarding dracunculiasis are true
<i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>India has eradicated this disease</div>
<div class="1234">
<b>B.</b><span> </span>Niridazole prevents transmission of the disease</div>
<div class="1234">
<b>C.</b><span> </span>The disease is limited to tropical and
subtropical regions</div>
<div class="1234">
<b>D.</b><span> </span>No animal reservoir has been proved</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 58.<span> </span>In which of the Indian states the maximum number of AIDS cases
have been reported till now?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Delhi</div>
<div class="1234">
<b>B.</b><span> </span>Kerala</div>
<div class="1234">
<b>C.</b><span> </span>Tamil Nadu</div>
<div class="1234">
<b>D.</b><span> </span>Bihar</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 59.<span> </span>All of the following statements about mosquito are true <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It is a definitive host in malaria</div>
<div class="1234">
<b>B.</b><span> </span>It is a definitive host in filaria</div>
<div class="1234">
<b>C.</b><span> </span>Its life cycle is completed in 3 weeks</div>
<div class="1234">
<b>D.</b><span> </span>The female can travel up to 3 kilometers</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 60.<span> </span>All of the statements about quarantine are true <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It is synonymous with isolation</div>
<div class="1234">
<b>B.</b><span> </span>Absolute quarantine is restriction during the
incubation period</div>
<div class="1234">
<b>C.</b><span> </span>Exclusion of children from schools is an
example of modified quarantine</div>
<div class="1234">
<b>D.</b><span> </span>Quarantine should not be longer than the
longest incubation period</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 61.<span> </span>A total of 5000 patients of glaucoma are identified and surveyed
by patient interviews regarding family history of glaucoma. Such a study design
is called:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Case series report</div>
<div class="1234">
<b>B.</b><span> </span>Case-control study</div>
<div class="1234">
<b>C.</b><span> </span>Clinical trial</div>
<div class="1234">
<b>D.</b><span> </span>Cohort study</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 62.<span> </span>In a 3 × 4 contingency table, the number of degrees of freedom
equals to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>1</div>
<div class="1234">
<b>B.</b><span> </span>5</div>
<div class="1234">
<b>C.</b><span> </span>6</div>
<div class="1234">
<b>D.</b><span> </span>12</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 63.<span> </span>The literacy rate of indian population as per Census 2001 is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>54.5%</div>
<div class="1234">
<b>B.</b><span> </span>65.4%</div>
<div class="1234">
<b>C.</b><span> </span>85.8%</div>
<div class="1234">
<b>D.</b><span> </span>75.5%</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 64.<span> </span>In assessing the association between maternal nutritional status
and the birth weight of the newborns, two investigators A and B studied
separately and found significant results with p values 0.02 and 0.04
respectively. From this information, what can you infer about the magnitudes of
association found by the two ingestigators?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>The magnitude of association found by
investigator A is more than that found by B</div>
<div class="1234">
<b>B.</b><span> </span>The magnitude of association found by
investigator B is more than that found by A</div>
<div class="1234">
<b>C.</b><span> </span>The estimates of association obtained by A and
B will be equal, since both are significant</div>
<div class="1234">
<b>D.</b><span> </span>Nothing can be concluded as the information
given in inadequate</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 65.<span> </span>A cardiologist wants to study the effect of an anti-hypertensive
drug. He notes down the initial systolic blood pressure (mmHg) of 50 patients
and then administers the drug on them. After a week’s treatment, he measures
the systolic blood pressure again. Which of the following is the most
appropriate statistical test of significance to test the statistical
significance of the change in blood pressure?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Paired t-test</div>
<div class="1234">
<b>B.</b><span> </span>Unpaired or independent t-test</div>
<div class="1234">
<b>C.</b><span> </span>Analysis of variance</div>
<div class="1234">
<b>D.</b><span> </span>Chi-square test</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 66.<span> </span>The number of malaria cases reported during the last 10 years in
a town are given below: 250, 320, 190, 300, 5000, 100, 260, 350, 320 and 160.
The epidemiologist wants to find out the average number of malaria cases
reported in that town during the last 10 years. The most appropriate measure of
average for this data will be:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Arithmetic mean</div>
<div class="1234">
<b>B.</b><span> </span>Mode</div>
<div class="1234">
<b>C.</b><span> </span>Median</div>
<div class="1234">
<b>D.</b><span> </span>Geometric mean</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 67.<span> </span>In a group of patients presenting to a hospital emergency with
abdominal pain, 30% of patients have acute appendicitis, 70% of patients with
appendicitis have a temperature greater than 37.5°C and 40% of patients without
appendicitis have a temperature greater than 37.5°C. Considering these
findings, which of the following statements is correct?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>The sensitivity of temperature greater than
37.5°C as a marker for appendicitis is 21/49</div>
<div class="1234">
<b>B.</b><span> </span>The specificity of temperature greater than
37.5°C as a marker for appendicitis is 42/70</div>
<div class="1234">
<b>C.</b><span> </span>The positive predictive value of temperature
greater than 37.5°C as marker for appendicitis is 21/30</div>
<div class="1234">
<b>D.</b><span> </span>The specificity of the test will depend upon
the prevalence of appendicitis in the population to which it is applied</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 68.<span> </span>Which one of the following is not a prion associated disease?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Scrapie</div>
<div class="1234">
<b>B.</b><span> </span>Kuru</div>
<div class="1234">
<b>C.</b><span> </span>Creutzfeldt-Jakob disease</div>
<div class="1234">
<b>D.</b><span> </span>Alzheimer’s disease</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 69.<span> </span>The following interleukin is characteristically produced in a T</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">H</span><span style="color: windowtext;">1 response:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>IL-2</div>
<div class="1234">
<b>B.</b><span> </span>IL-4</div>
<div class="1234">
<b>C.</b><span> </span>IL-5</div>
<div class="1234">
<b>D.</b><span> </span>IL-10</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 70.<span> </span>A 50 year old male with type 2 diabetes mellitus is found to have
24-hour urinary albumin of 250 mg. Which of the following drugs may be used to
retard progression of renal disease?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hydrochlorothiazide</div>
<div class="1234">
<b>B.</b><span> </span>Enalapril</div>
<div class="1234">
<b>C.</b><span> </span>Amiloride</div>
<div class="1234">
<b>D.</b><span> </span>Aspirin</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 71.<span> </span>Which of the following is the most common extrarenal involvement
in autosomal dominant polycystic kidney disease?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Mitral valve prolapse</div>
<div class="1234">
<b>B.</b><span> </span>Hepatic cysts</div>
<div class="1234">
<b>C.</b><span> </span>Splenic cysts</div>
<div class="1234">
<b>D.</b><span> </span>Colonic diverticulosis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 72.<span> </span>All of the following can cause hypercalcemia <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Prolonged immobilization</div>
<div class="1234">
<b>B.</b><span> </span>Tumor lysis syndrome</div>
<div class="1234">
<b>C.</b><span> </span>Sarcoidosis</div>
<div class="1234">
<b>D.</b><span> </span>Multiple myeloma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 73.<span> </span>Which one of the following is correct regarding Eaton-Lambert
syndrome?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It commonly affects the ocular muscles</div>
<div class="1234">
<b>B.</b><span> </span>Neostigmine is the drug of choice for this
syndrome</div>
<div class="1234">
<b>C.</b><span> </span>Repeated electrical stimulation enhances muscle
power in it</div>
<div class="1234">
<b>D.</b><span> </span>It is commonly associated with adenocarcinoma
of lung</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 74.<span> </span>All of the following are true about therapy for tuberculosis, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>‘Flu like syndrome’ is usually seen in people
taking rifampicin on daily basis.</div>
<div class="1234">
<b>B.</b><span> </span>Ethamutol accumulates in renal failure</div>
<div class="1234">
<b>C.</b><span> </span>Hyperuricemia is a recognized side effect of
pyrazinamide</div>
<div class="1234">
<b>D.</b><span> </span>Red-green color impairment is an early sign of
ethambutol induced optic neuritis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 75.<span> </span>A 60 year old man with rheumatic mitral stenosis with atrial
fibrillation is on therapy for a fast ventricular rate. While on treatment, he
developed a regular pulse of 64 beats per min. The most likely drug being
administered was:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Verapamil</div>
<div class="1234">
<b>B.</b><span> </span>Digoxin</div>
<div class="1234">
<b>C.</b><span> </span>Carvedilol</div>
<div class="1234">
<b>D.</b><span> </span>Propranolol</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 76.<span> </span>Ropinirole is the most useful for the treatment of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Parkinson’s disease</div>
<div class="1234">
<b>B.</b><span> </span>Wilson’s disease</div>
<div class="1234">
<b>C.</b><span> </span>Hoffman’s syndrome</div>
<div class="1234">
<b>D.</b><span> </span>Carpal tunnel syndrome</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 77.<span> </span>All of the following can cause of megakaryocytic
thrombocytopenia, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Idiopathic thrombocytopenic purpura</div>
<div class="1234">
<b>B.</b><span> </span>Systemic lupus erythematosus</div>
<div class="1234">
<b>C.</b><span> </span>Aplastic anemia</div>
<div class="1234">
<b>D.</b><span> </span>Disseminated intravascular coagulation (DIC)</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 78.<span> </span>The following test may be abnormal in disseminated intravascular
coagulation, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Prothrombin time</div>
<div class="1234">
<b>B.</b><span> </span>Activated partial thromboplastin time</div>
<div class="1234">
<b>C.</b><span> </span>D-dimer levels</div>
<div class="1234">
<b>D.</b><span> </span>Clot solubility</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 79.<span> </span>Which one of the following gram positive organisms is the most
common cause of urinary tract infection (UTI) among sexually active women?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span><i>Staphylococcus epidermidis</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Stapylococcus aureus</i></div>
<div class="1234">
<b>C.</b><span> </span><i>Staphylococcus saprophyticus</i></div>
<div class="1234">
<b>D.</b><span> </span><i>Enterococcus</i></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 80.<span> </span>Laboratory evaluation for the differential diagnosis of chronic
myeloproliferative disorders includes all of the following, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Chromosomal evaluation</div>
<div class="1234">
<b>B.</b><span> </span>Bone marrow aspiration</div>
<div class="1234">
<b>C.</b><span> </span>Flow-cytometric analysis</div>
<div class="1234">
<b>D.</b><span> </span>Determination of red blood cell mass</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 81.<span> </span>A patient of acute leukemia is admitted with febrile neutropenia.
On day four of being treated with broad-spectrum antibiotics, his fever
increases, X-ray chest shows bilateral fluffy infiltrates. Which of the
following should be the most appropriate next step in the management?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Add antiviral therapy</div>
<div class="1234">
<b>B.</b><span> </span>Add antifungal therapy</div>
<div class="1234">
<b>C.</b><span> </span>Add cotrimoxazole</div>
<div class="1234">
<b>D.</b><span> </span>Continue chemotherapy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 82.<span> </span>A patient is admitted with 3rd episode of deep venous thrombosis.
There is no history of any associated medical illness. All of the following
investigations are required for establishing the diagnosis, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Protein C deficiency</div>
<div class="1234">
<b>B.</b><span> </span>Antithrombin III deficiency</div>
<div class="1234">
<b>C.</b><span> </span>Antibodies to factor VIII</div>
<div class="1234">
<b>D.</b><span> </span>Antibodies to cardiolipin</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 83.<span> </span>Humoral immunodeficiency is suspected in a patient and he is
under investigation. Which of the following infections would not be consistent
with the diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Giardiasis</div>
<div class="1234">
<b>B.</b><span> </span><i>Pneumomycosis carinii </i>pneumonia</div>
<div class="1234">
<b>C.</b><span> </span>Recurrent sinusitis</div>
<div class="1234">
<b>D.</b><span> </span>Recurrent subcutaneous abscesses</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 84.<span> </span>A patient presents with melaena, normal renal function,
hypertension and mononeuritis multiplex. The most probable diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Classical polyarthritis nodosa</div>
<div class="1234">
<b>B.</b><span> </span>Microscopic polyangiitis</div>
<div class="1234">
<b>C.</b><span> </span>Henoch Schönlein purpura</div>
<div class="1234">
<b>D.</b><span> </span>Buerger’s disease</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 85.<span> </span>A 27 year old man is noted to have blood pressure of 170/100
mmHg. He has prominent aortic ejection click and murmurs heard over, the ribs
on both sides anteriorly and over the back<span>
</span>posteriorly. In addition, the pulses in the lower extremities are feeble
and he complains of mild claudication with exertion. The most likely diagnosis
is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Atrial septal defect</div>
<div class="1234">
<b>B.</b><span> </span>Aortic stenosis</div>
<div class="1234">
<b>C.</b><span> </span>Coarctation of aorta</div>
<div class="1234">
<b>D.</b><span> </span>Cardiomyopathy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 86.<span> </span>A 30 year old male patient presents with urethritis. All of the
following can be the causative agent <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span><i>Neisseria gonorrhoeae</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Chlamydia trachomatis</i></div>
<div class="1234">
<b>C.</b><span> </span><i>Trichomonas vaginalis</i></div>
<div class="1234">
<b>D.</b><span> </span><i>Haemophilus ducreyi</i></div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 87.<span> </span>Which one of the following is detected by the antigen detection
test used for the diagnosis of <i>P. falciparum </i>malaria?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Circum-sporozoite protein</div>
<div class="1234">
<b>B.</b><span> </span>Merozoite surface antigen</div>
<div class="1234">
<b>C.</b><span> </span>Histidine-rich-protein I (HRP-I)</div>
<div class="1234">
<b>D.</b><span> </span>Histidine-rich-protein II (HRP-II)</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 88.<span> </span>A 15 year old girl was admitted to the infectious disease
hospital with a provisional diagnosis of rabies. The most suitable clinical
sample that can confirm the antemortem diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Serum for anti-rabies IgG antibody</div>
<div class="1234">
<b>B.</b><span> </span>Corneal impression smear for immunofluorescence
stain</div>
<div class="1234">
<b>C.</b><span> </span>CSF sample for viral culture</div>
<div class="1234">
<b>D.</b><span> </span>Giemsa stain on smear prepared from salivary
secretions</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 89.<span> </span>Ebstein barr virus is associated with:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Carcinoma larynx</div>
<div class="1234">
<b>B.</b><span> </span>Carcinoma bladder</div>
<div class="1234">
<b>C.</b><span> </span>Carcinoma nasopharynx</div>
<div class="1234">
<b>D.</b><span> </span>Carcinoma maxilla</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 90.<span> </span>The most common causative organism for lobar pneumonia is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span><i>Staphylococcus aureus</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Streptococcus pyogenes</i></div>
<div class="1234">
<b>C.</b><span> </span><i>Streptococcus pneumoniae</i></div>
<div class="1234">
<b>D.</b><span> </span><i>Haemophilus influenzae</i></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 91.<span> </span>All of the following statements are true regarding central
nervous system infections, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Measles virus is the causative agent for
subacute sclerosing panencephalitis (SSPE)</div>
<div class="1234">
<b>B.</b><span> </span>Cytomegalovirus causes bilateral temporal lobe
hemorrhagic infarction</div>
<div class="1234">
<b>C.</b><span> </span>Prions infection causes spongiform encephalopathy</div>
<div class="1234">
<b>D.</b><span> </span>JC virus is the causative agent for progressive
multifocal leukoencephalopathy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 92.<span> </span>HIV associated nephropathy is a type of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Membranous glomerulonephritis</div>
<div class="1234">
<b>B.</b><span> </span>Immunotactoid glomerulopathy</div>
<div class="1234">
<b>C.</b><span> </span>Collapsing glomerulopathy</div>
<div class="1234">
<b>D.</b><span> </span>Fibrillary glomerulopathy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 93.<span> </span>Which one of the following is <i>not </i>a criterion for making a
diagnosis of chronic myeloid leukemia in accelerated phase:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Blasts 10-90% of WBC’s in peripheral blood</div>
<div class="1234">
<b>B.</b><span> </span>Basophils 10-19% of WBC’s in peripheral blood</div>
<div class="1234">
<b>C.</b><span> </span>Increasing spleen size unresponsive to therapy</div>
<div class="1234">
<b>D.</b><span> </span>Persistent thrombocytosis (> 1000 × 10<span style="font-size: 6.5pt; position: relative; top: -5pt;">9</span>/L
unresponsive to therapy)</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 94.<span> </span>CD 19 positive, CD 22 positive, CD 103 positive monoclonal
B-cells with bright kappa positivity were found to comprise 60% of the
peripheral blood lymphoid cells on flow cytometric analysis in a 55 year old
man with massive splenomegaly and a total leucocyte count of 3.3 ×10</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">9</span><span style="color: windowtext;">/L. Which one of
the following is the most likely diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Splenic lymphoma with villous lymphocytes</div>
<div class="1234">
<b>B.</b><span> </span>Mantle cell lymphoma</div>
<div class="1234">
<b>C.</b><span> </span>B-cell prolymphocytic leukemia</div>
<div class="1234">
<b>D.</b><span> </span>Hairy cell leukemia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 95.<span> </span>A 20 year old male has presented with repeated episodes of
hematemesis. There is no history of jaundice or liver decompensation. On
examination the significant findings include splenomegaly (8 cms below costal
margin), and presence of esophageal varices. There is no ascites or peptic
ulceration. The liver function tests are normal. The most likely diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Extrahepatic portal venous obstruction</div>
<div class="1234">
<b>B.</b><span> </span>Non cirrhotic portal fibrosis</div>
<div class="1234">
<b>C.</b><span> </span>Cirrhosis</div>
<div class="1234">
<b>D.</b><span> </span>Hepatic venous outflow tract obstruction</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 96.<span> </span>All of the following diseases cause massive splenomegaly <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Malaria</div>
<div class="1234">
<b>B.</b><span> </span>Kala azar</div>
<div class="1234">
<b>C.</b><span> </span>Lymphoblastic leukaemia</div>
<div class="1234">
<b>D.</b><span> </span>Idiopathic myelofibrosis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 97.<span> </span>A 48 year old woman was admitted with a history of weakness for
two months. On examination, cervical lymph nodes were found enlarged and spleen
was palpable 2 cm below the costal margin. Her hemoglobin was 10.5 g/dl,
platelet count 237 × 10</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">9</span><span style="color: windowtext;">/L and total leukocyte count 40 × 10</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">9</span><span style="color: windowtext;">/L, which included
80% mature lymphoid cells with coarse clumped chromatin. Bone marrow revealed a
nodular lymphoid infiltrate. The peripheral blood lymphoid cells were positive
for CD 19, CD 5, CD 20 and CD 23 and were negative for CD 79B and FMC-7.</span></div>
<div class="Ques">
<span style="color: windowtext;"><span> </span>Which
one of the following statements is <i>not</i> true about this disease?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Trisomy 12 correlates an aggressive clinical
course</div>
<div class="1234">
<b>B.</b><span> </span>Abnormalities of 13q 14 are associated with
long term survival</div>
<div class="1234">
<b>C.</b><span> </span>Cases with 11q 22-23 deletions have excessive
lymphadenopathy</div>
<div class="1234">
<b>D.</b><span> </span>t(11;14) translocation is present in most of
the cases</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 98.<span> </span>A 20 year old female weighing about 55 kg is admitted to an
emergency department having consumed 10 g of paracetamol (acetaminophen),
together with alcohol, 6 hours earlier. A serum paracetamol level is reported
as 400 micrograms/ml. Which one of the following is correct in this case?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Gastric lavage is mandatory</div>
<div class="1234">
<b>B.</b><span> </span>Administration of activated charcoal</div>
<div class="1234">
<b>C.</b><span> </span>Abnormalities of kidney function are likely to
be present</div>
<div class="1234">
<b>D.</b><span> </span>Hepatotoxicity is likely to occur</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 99.<span> </span>An unconscious man is brought into hospital suffering from methyl
alcohol poisoning. All of the following are correct <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Kussmaul’s breathing could be expected to be a
feature of the condition</div>
<div class="1234">
<b>B.</b><span> </span>Papilloedema would be consistent with this form
of intoxication</div>
<div class="1234">
<b>C.</b><span> </span>His plasma bicarbonate might be very low</div>
<div class="1234">
<b>D.</b><span> </span>Methyl alcohol would be metabolised to
acetaldehyde</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 100.<span> </span>All of the following drugs are used for managing status epileptics <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Phenytoin</div>
<div class="1234">
<b>B.</b><span> </span>Diazepam</div>
<div class="1234">
<b>C.</b><span> </span>Thiopentone sodium</div>
<div class="1234">
<b>D.</b><span> </span>Carbamazepine</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 101.<span> </span>A patient following head injury was admitted in intensive care ward
with signs of raised intracranial pressure. He was put on ventilator and
started on intravenous fluids and diuretics. Twenty four hours later his urine
output was 3.5 liters, serum sodium 156 mEq/l and serum osmolarity of 316
mOsm/kg. The most likely diagnosis based on these parameter is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>High output due to diuretics</div>
<div class="1234">
<b>B.</b><span> </span>Diabetes insipidus</div>
<div class="1234">
<b>C.</b><span> </span>To much infusion of normal saline</div>
<div class="1234">
<b>D.</b><span> </span>Cerebral salt retaining syndrome</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 102.<span> </span>A 52 year old male diagnosed as triple vessel coronary artery
disease with poor left ventricular function. Coronary artery bypass grafting
surgery was decided. During maintenance of anaesthesia which one of the
following agents should be preferred?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>IV opioids</div>
<div class="1234">
<b>B.</b><span> </span>Isoflurane</div>
<div class="1234">
<b>C.</b><span> </span>Halothane</div>
<div class="1234">
<b>D.</b><span> </span>Nitrous oxide</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 103.<span> </span>Urgent reversal of warfarin therapy can be done by administration
of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Cryoprecipitates</div>
<div class="1234">
<b>B.</b><span> </span>Platelet concentrates</div>
<div class="1234">
<b>C.</b><span> </span>Fresh frozen plasma</div>
<div class="1234">
<b>D.</b><span> </span>Packed red blood cells</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 104.<span> </span>Which one of the following organs should always be imaged in a
suspected case of bronchogenic carcinoma:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Adrenals</div>
<div class="1234">
<b>B.</b><span> </span>Kidneys</div>
<div class="1234">
<b>C.</b><span> </span>Spleen</div>
<div class="1234">
<b>D.</b><span> </span>Pancreas</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 105.<span> </span>A middle aged man presents with progessive atrophy and weakness of
hands and forearms. On examination he is found to have slight spasticity of the
legs, generalized hyper-reflexia and increased signal in the cortico-spinal
tracts on T2 weighted MRI. The most likely diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Multiple sclerosis</div>
<div class="1234">
<b>B.</b><span> </span>Amyotrophic lateral sclerosis</div>
<div class="1234">
<b>C.</b><span> </span>Subacute combined degeneration</div>
<div class="1234">
<b>D.</b><span> </span>Progressive spinal muscular atrophy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 106.<span> </span>Migratory thrombophlebitis is associated with the following
malignancies <i>except</i>:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Lung cancer</div>
<div class="1234">
<b>B.</b><span> </span>Prostate cancer</div>
<div class="1234">
<b>C.</b><span> </span>Pancreas cancer</div>
<div class="1234">
<b>D.</b><span> </span>Gastro-intestinal cancer</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 107.<span> </span>Which of the following is generally <i>not </i>seen in idiopathic
thrombocytopenic purpura (TIP)?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>More common in females</div>
<div class="1234">
<b>B.</b><span> </span>Petechiae, ecchymosis and bleeding</div>
<div class="1234">
<b>C.</b><span> </span>Palpable splenomegaly</div>
<div class="1234">
<b>D.</b><span> </span>Increased megakaryocytes in bone marrow</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 108.<span> </span>Which of the following statements is incorrect with regard to
hepatorenal syndrome in a patient with cirrhosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>The creatinine clearance is > 40 ml/min</div>
<div class="1234">
<b>B.</b><span> </span>The urinary sodium is less than 10 mmol/L</div>
<div class="1234">
<b>C.</b><span> </span>The urinary osmolality is lower than the plasma
osmolality</div>
<div class="1234">
<b>D.</b><span> </span>There is poor response to volume expansion</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 109.<span> </span>A young patient presenting with massive hematemesis was found to
have splenomegaly. In this case the most likely source of bleeding is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Duodenal ulcer</div>
<div class="1234">
<b>B.</b><span> </span>Esophageal varices</div>
<div class="1234">
<b>C.</b><span> </span>Erosive mucosal disease</div>
<div class="1234">
<b>D.</b><span> </span>Gastric ulcer</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 110.<span> </span>Following resuscitation, a patient with bleeding oesophageal
varices should be treated initially with:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Sclerotherapy</div>
<div class="1234">
<b>B.</b><span> </span>Sengstaken Blakmore tube</div>
<div class="1234">
<b>C.</b><span> </span>Propranolol</div>
<div class="1234">
<b>D.</b><span> </span>Surgery</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 111.<span> </span>A 62 year old diabetic female patient presented with history of
progressive right-sided weakness of one month duration. The patient was also
having speech difficulty. Fundus examination showed papilledema. Two months
ago, she also had a fall in her bathroom and struck her head against a wall.
The most likely clinical diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Alzheimer’s disease</div>
<div class="1234">
<b>B.</b><span> </span>Left parietal glioma</div>
<div class="1234">
<b>C.</b><span> </span>Left MCA territory stroke</div>
<div class="1234">
<b>D.</b><span> </span>Left chronic subdural hematoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 112.<span> </span>Ramkali bai, a 35 year old female presented with one year history
of menstrual irregularity and galactorrhea. She also had off-and-on headache.
Her examination revealed bitemporal superior quadrantanopia. Her fundus
examination showed primary optic atrophy. Which of the following is the most
likely diagnosis in this case?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Craniopharyngioma</div>
<div class="1234">
<b>B.</b><span> </span>Pituitary macroadenoma</div>
<div class="1234">
<b>C.</b><span> </span>Ophthalmic ICA aneurysm</div>
<div class="1234">
<b>D.</b><span> </span>Chiasmal glioma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 113.<span> </span>A young female patient with long history of sinusitis presented
with frequent fever along with personality changes and headache of recent
origin. The fundus examination revealed papilledema. The most likely diagnosis
is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Frontal lobe abscess</div>
<div class="1234">
<b>B.</b><span> </span>Meningitis</div>
<div class="1234">
<b>C.</b><span> </span>Encephalitis</div>
<div class="1234">
<b>D.</b><span> </span>Frontal bone osteomyelitis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
<br /></div>
<div class="Head">
Pediatrics</div>
<div class="Ques">
<span style="color: windowtext;">Q 114.<span> </span>A baby girl presents with bilateral inguinal masses, thought to he
hernias but are found to be testes in the inguinal canals. Which karyotype
would you expect to find in the child?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>46, XX</div>
<div class="1234">
<b>B.</b><span> </span>46, XY</div>
<div class="1234">
<b>C.</b><span> </span>47, XX</div>
<div class="1234">
<b>D.</b><span> </span>47, XYY</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 115.<span> </span>Oral rehydration mixture contains glucose and sodium because both
of them:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Are needed to maintain the plasma osmolality</div>
<div class="1234">
<b>B.</b><span> </span>Are prominent energy sources for the body</div>
<div class="1234">
<b>C.</b><span> </span>Facilitate the transport of each other from the
intestinal mucosa to the blood</div>
<div class="1234">
<b>D.</b><span> </span>Are required for the activation of sodium
potassium ATPase</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 116.<span> </span>A 13 year old boy has bilateral gynecomastia. His height is 148 cm,
weight 58 kg; the sexual maturity rating is stage 2. The gynecomastia is most
likely due to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Prolactinoma<span> </span></div>
<div class="1234">
<b>B.</b><span> </span>Testicular tumor</div>
<div class="1234">
<b>C.</b><span> </span>Pubertal gynecomastia<span> </span></div>
<div class="1234">
<b>D.</b><span> </span>Chronic liver disease</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 117.<span> </span>A 9 year old boy presents with growth retardation and propensity to
hypoglycemia. Physical examination reveals short stature, micropenis, increased
fat and high-pitched voice. The skeletal survey reveals bone age of 5 years.
Which of the following is most appropriate diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Malabsorption</div>
<div class="1234">
<b>B.</b><span> </span>Growth hormone deficiency</div>
<div class="1234">
<b>C.</b><span> </span>Adrenal tumor</div>
<div class="1234">
<b>D.</b><span> </span>Thyroxine deficiency</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 118.<span> </span>In a patient with Listeria meningitis who is allergic to
penicillin, the antimicrobial of choice is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Vancomycin</div>
<div class="1234">
<b>B.</b><span> </span>Gentamicin</div>
<div class="1234">
<b>C.</b><span> </span>Trimethoprim-sulphamethoxazole</div>
<div class="1234">
<b>D.</b><span> </span>Ceftriaxone</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 119.<span> </span>Which of the following is the aetiological agent most often
associated with epiglottitis in children?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span><i>Streptococcus pneumoniae</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Haemophilus influenzae </i>type b</div>
<div class="1234">
<b>C.</b><span> </span><i>Neisseria </i>sp</div>
<div class="1234">
<b>D.</b><span> </span><i>Moraxella catarrhalis</i></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 120.<span> </span>In a completely and adequately immunized child against diphtheria,
the throat swab was collected. It showed the presence of <i>Corynebacterium
diphtheriae </i>like organisms on Albert staining. These organisms can have one
of the following properties on further laboratory processing:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It can grow on potassium tellurite medium</div>
<div class="1234">
<b>B.</b><span> </span>It would show a positive Elek’s gel
precipitation test</div>
<div class="1234">
<b>C.</b><span> </span>It can be pathogenic to experimental guinae
pigs</div>
<div class="1234">
<b>D.</b><span> </span>It can produce cytotoxicity in tissue cultures</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 121.<span> </span>When does switch over from fetal to adult hemoglobin synthesis
begin:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>14 weeks gestation</div>
<div class="1234">
<b>B.</b><span> </span>30 weeks gestation</div>
<div class="1234">
<b>C.</b><span> </span>36 weeks gestation</div>
<div class="1234">
<b>D.</b><span> </span>7-10 days postnatal</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 122.<span> </span>A 2 month old girl has failure to thrive, polyuria and medullary
nephrocalcinosis affecting both kidneys. Investigations show blood pH 7.48,
bicarbonate 25 mEq/l, potassium 2 mEq/l, sodium 126 mEq/l and chloride 88
mEq/l. The most likely diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Distal renal tubular acidosis</div>
<div class="1234">
<b>B.</b><span> </span>Primary hyperaldosteronism</div>
<div class="1234">
<b>C.</b><span> </span>Bartter syndrome</div>
<div class="1234">
<b>D.</b><span> </span>Psuedohypoaldosteronism</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 123.<span> </span>A 3-year-old boy has bilateral renal calculi secondary to
idiophathic hypercalciuria. The dietary management includes all of the
following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Increased water intake</div>
<div class="1234">
<b>B.</b><span> </span>Low sodium diet</div>
<div class="1234">
<b>C.</b><span> </span>Reduced calcium intake</div>
<div class="1234">
<b>D.</b><span> </span>Avoidance of meat proteins</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 124.<span> </span>A 9 year old boy has steroid dependent nephrotic syndrome for the
last 5 years. The patient is markedly cushingoid with blood pressure of 120/86
mmHg and small subcapsular cataracts. The most appropriate therapy of choice
is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Long term furosemide with enalapril</div>
<div class="1234">
<b>B.</b><span> </span>Cyclophosphamide</div>
<div class="1234">
<b>C.</b><span> </span>Intravenous immunoglobulin</div>
<div class="1234">
<b>D.</b><span> </span>Intravenous pulse corticosteroids</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 125.<span> </span>An 8 day old breast fed baby presents with vomiting, poor feeding
and loose stools. On examination the heart rate is 190/minute, blood pressure
50/30 mmHg, respiratory rate 72 breaths/minute and capillary refill time of 4
seconds. Investigations show hemoglobin level of 15 g/dl, Na 120 mEq/l, K 6.8
mEq/l, bicarbonate 15 mEq/l, urea 30 mg/dL and creatinine 0.6 mg/dL. The most
likely diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Congenital adrenal hyperplasia</div>
<div class="1234">
<b>B.</b><span> </span>Acute tubular necrosis</div>
<div class="1234">
<b>C.</b><span> </span>Congenital hypertrophic pyloric stenosis</div>
<div class="1234">
<b>D.</b><span> </span>Renal tubular acidosis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 126.<span> </span>A 2 year old child is being evaluated for persistent metabolic
acidosis. Blood tests show Na</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>140 mEq/l, K</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>3 mEq/l, Ca</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">2+</span><span style="color: windowtext;"><span> </span>8 mg/dL, Mg</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">2+</span><span style="color: windowtext;"><span> </span>2 mg/dL, phosphate 3 mg/dl, pH 7.22,
bicarbonate 16 mEq/l and chloride 112 mEq/l. The plasma anion gap is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>9</div>
<div class="1234">
<b>B.</b><span> </span>15</div>
<div class="1234">
<b>C.</b><span> </span>22</div>
<div class="1234">
<b>D.</b><span> </span>25</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 127.<span> </span>A child underwent a tonsillectomy at 6 years of age with no
complications. He underwent a preoperative screening for bleeding at the age of
12 years before an elective laparotomy, and was found to have a prolonged
partial thromboplastin time but normal prothrombin time. There was no family
history of bleeding. The patient is likely to have:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Acquired vitamin K deficiency</div>
<div class="1234">
<b>B.</b><span> </span>Acquired liver disease</div>
<div class="1234">
<b>C.</b><span> </span>Factor XII deficiency</div>
<div class="1234">
<b>D.</b><span> </span>Mild hemophilia A</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 128.<span> </span>A child presents with peripheral circulatory failure. The arterial
pH is 7.0, pCO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>of 15 mmHg, PO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>76 mmHg. Which
of the following will be the immediate therapy?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Sodium bicarbonate infusion</div>
<div class="1234">
<b>B.</b><span> </span>Bolus of Ringer lactate</div>
<div class="1234">
<b>C.</b><span> </span>Bolus of hydroxyethyl starch</div>
<div class="1234">
<b>D.</b><span> </span>Dopamine infusion</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 129.<span> </span>A 5 year old child is rushed to casualty reportedly electrocuted
while playing in a park. The child is apneic and is ventilated with bag and a
mask. Which of the following will be the next step in the management?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Check pulses</div>
<div class="1234">
<b>B.</b><span> </span>Start chest compressions</div>
<div class="1234">
<b>C.</b><span> </span>Intubate</div>
<div class="1234">
<b>D.</b><span> </span>Check oxygen saturation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 130.<span> </span>A 12 year old girl has history of recurrent bulky stools and
abdominal pain since 3 years of age. She has moderate pallor and her wiehgt and
height are below the 3rd percentile. Which of the following is the most
appropriate investigation to make a specific diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Small intestinal biopsy</div>
<div class="1234">
<b>B.</b><span> </span>Barium studies</div>
<div class="1234">
<b>C.</b><span> </span>24-hour fecal fat estimation</div>
<div class="1234">
<b>D.</b><span> </span>Urinary d-xylose test</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 131.<span> </span>The treatment of choice for primary grade V vesicoureteric reflux
involving both kidneys in a 6 month old boy is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Antibiotic prophylaxis</div>
<div class="1234">
<b>B.</b><span> </span>Ureteric reimplantation</div>
<div class="1234">
<b>C.</b><span> </span>Cystoscopy followed by subureteric injection of
teflon</div>
<div class="1234">
<b>D.</b><span> </span>Bilateral ureterostomies</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 132.<span> </span>A four year old boy was admitted with a history of abdominal pain
and fever for two months, maculopapular rash for ten days, and dry cough,
dyspnea and wheezing for three days. On examination, liver and spleen were
enlarged 4 cm and 3 cm respectively below the costal margins. His hemoglobin
was 10.0 g/dl, platelet count 37 × 10</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">9</span><span style="color: windowtext;">/L and total leukocyte count 70 × 10</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">9</span><span style="color: windowtext;">/L, which included
80% eosinophils. Bone marrow examination revealed a cellular marrow comprising
45% blasts and 34% eosinophils and eosinophilic precursors. The blasts stained
negative for myeloperoxidase and non-specific esterase and were positive for CD
19, CD 10, CD 22 and CD 20.</span></div>
<div class="Ques">
<span style="color: windowtext;"><span> </span>Which
of the following is the most likely diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Biphenotypic acute leukemia (lymphoid and
eosinophil lineage)</div>
<div class="1234">
<b>B.</b><span> </span>Acute eosinophilic leukemia</div>
<div class="1234">
<b>C.</b><span> </span>Acute lymphoblastic leukemia with
hypereosinophilic syndrome</div>
<div class="1234">
<b>D.</b><span> </span>Acute myeloid leukemia with eosinophilia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 133.<span> </span>A neonate is being investigated for jaundice. A liver biopsy shows
features of a “giant cell neonatal hepatitis”. Which one of the following
conditions usually results in this case?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Congenital hepatic fibrosis</div>
<div class="1234">
<b>B.</b><span> </span>Hemochromatosis</div>
<div class="1234">
<b>C.</b><span> </span>Alpha-1-antitrypsin deficiency</div>
<div class="1234">
<b>D.</b><span> </span>Glycogen storage disease type 1</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 134.<span> </span>A male infant presented with distension of abdomen shortly after
birth with passing of less meconium. Subsequently a full-thickness biopsy of
the rectum was performed. The rectal biopsy is likely to show:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Fibrosis of submucosa</div>
<div class="1234">
<b>B.</b><span> </span>Lack of ganglion cells</div>
<div class="1234">
<b>C.</b><span> </span>Thickened muscularis propria</div>
<div class="1234">
<b>D.</b><span> </span>Hyalinization of the muscular coat</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 135.<span> </span>A 6 month old child with tetralogy of Fallot develops cyanotic
spell initiated by crying. Which of the following drugs you wound like to
avoid?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Sodium bicarbonate</div>
<div class="1234">
<b>B.</b><span> </span>Propranolol</div>
<div class="1234">
<b>C.</b><span> </span>Phenylephrine</div>
<div class="1234">
<b>D.</b><span> </span>Isoprenaline</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 136.<span> </span>A 10 days old neonate is posted for pyloric stenosis surgery. The
investigation report shows a serum calcium level of 6.0 mg/dl. What information
would you like to known before you supplement calcium to this neonate?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Blood glucose</div>
<div class="1234">
<b>B.</b><span> </span>Serum protein</div>
<div class="1234">
<b>C.</b><span> </span>Serum bilirubin</div>
<div class="1234">
<b>D.</b><span> </span>Oxygen saturation</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 137.<span> </span>A 6 year old boy has been complaining of headache, ignoring to see
the objects on the sides for four months. On examination, he is not mentally
retarded, his grades at school are good, and visual acuity is diminished in
both the eyes. Visual charting showed significant field defect. CT scan of the
head showed suprasellar mass with calcification. Which of the following is the
most probable diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Astrocytoma</div>
<div class="1234">
<b>B.</b><span> </span>Craniopharyngioma</div>
<div class="1234">
<b>C.</b><span> </span>Pituitary adenoma</div>
<div class="1234">
<b>D.</b><span> </span>Meningioma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 138.<span> </span>A 7 year old boy with left renal mass had bone pain and was
detected to have bone metastatic deposits. The most likely renal tumor is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Favorable histology Wilms’ tumor</div>
<div class="1234">
<b>B.</b><span> </span>Renal cell carcinoma</div>
<div class="1234">
<b>C.</b><span> </span>Clear cell sarcoma</div>
<div class="1234">
<b>D.</b><span> </span>Rhabdoid tumor</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Dermatology</div>
<div class="Ques">
<span style="color: windowtext;">Q 139.<span> </span>A patient with leprosy had slightly erythematous, anaesthetic
plaques on the trunk and upper limbs. He was treated with paucibacillary
multidrug therapy (PB-MDT) for 6 months. At the end of 6 months, he had
persistent erythema and induration in the plaque. The next step of action
recommended by the World Health Organization (WHO) in such a patient is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Stop anti leprosy treatment</div>
<div class="1234">
<b>B.</b><span> </span>Continue PB-MDT till erythema subsides</div>
<div class="1234">
<b>C.</b><span> </span>Biopsy the lesion to document activity</div>
<div class="1234">
<b>D.</b><span> </span>Continue dapsone alone for another 6 months</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 140.<span> </span>A 40 year old woman presented with a 8 month history of erythema
and swelling of the periorbital region and papules and plaques on the
dorsolateral aspect of forearms and knuckles with ragged cuticles. There was no
muscle weakness. The most likely diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Systemic lupus erythematosus</div>
<div class="1234">
<b>B.</b><span> </span>Dermatomyositis</div>
<div class="1234">
<b>C.</b><span> </span>Systemic sclerosis</div>
<div class="1234">
<b>D.</b><span> </span>Mixed connective tissue disorder</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 141.<span> </span>A 40 year old male had multiple blisters over the trunk and
extremities. Direct immunoflurescence studies showed linear IgG deposits along
the basement membrane. Which of the following is the most likely diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Pemphigus vulgaris</div>
<div class="1234">
<b>B.</b><span> </span>Pemphigus foliaceous</div>
<div class="1234">
<b>C.</b><span> </span>Bullous pemphigoid</div>
<div class="1234">
<b>D.</b><span> </span>Dermatitis herpetiformis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Psychiatry</div>
<div class="Ques">
<span style="color: windowtext;">Q 142.<span> </span>Many of our bad habits of day to day life can be removed by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Positive conditioning</div>
<div class="1234">
<b>B.</b><span> </span>Biofeedback</div>
<div class="1234">
<b>C.</b><span> </span>Negative conditioning</div>
<div class="1234">
<b>D.</b><span> </span>Generalization</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 143.<span> </span>A 30 year old unmarried woman of average socio-economic background
believes that her boss is in secretly love with her. She rings him up at odd
hours and writes love letters to him despite his serious warnings not to do so.
She holds this belief despite contradiction from her family members and his
denial. However, she is able to manage her daily activities as before. She is
most likely to be suffering from:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Depression</div>
<div class="1234">
<b>B.</b><span> </span>Schizophrenia</div>
<div class="1234">
<b>C.</b><span> </span>Delusional disorder</div>
<div class="1234">
<b>D.</b><span> </span>No psychiatric ailment</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 144.<span> </span>A 35 year old male, with pre-morbid anxious traits and heavy
smoker, believes that he has been suffering from ‘lung carcinoma’ for a year.
No significant clinical finding is detected on examination and relevant
investigations. He continues to stick to his belief despite evidence to the
contrary. In the process, he has spent a huge amount of money, time and energy
in getting himself unduly investigated. He is most likely suffering from:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Carcinoma lung</div>
<div class="1234">
<b>B.</b><span> </span>Delusional disorder</div>
<div class="1234">
<b>C.</b><span> </span>Hypochondriacal disorder</div>
<div class="1234">
<b>D.</b><span> </span>Malingering</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 145.<span> </span>A 14 year old boy has difficulty in expressing himself in writing,
and makes frequent spelling mistakes. He passes his examinations with poor
marks. However, his mathematical ability and social adjustment are appropriate
for his age. Which of the following is the most likely diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Mental retardation</div>
<div class="1234">
<b>B.</b><span> </span>Lack of interest in studies</div>
<div class="1234">
<b>C.</b><span> </span>Specific learning disability</div>
<div class="1234">
<b>D.</b><span> </span>Examination phobia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 146.<span> </span>A 35 year old man with an obsessive-compulsive personality disorder
is likely to exhibit all of the following features, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Perfectionism interfering with performance</div>
<div class="1234">
<b>B.</b><span> </span>Compulsive checking behaviour</div>
<div class="1234">
<b>C.</b><span> </span>Preoccupation with rule</div>
<div class="1234">
<b>D.</b><span> </span>Indecisiveness</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
<br /></div>
<div class="Head">
Surgery</div>
<div class="Ques">
<span style="color: windowtext;">Q 147.<span> </span>A posteriorly perforating ulcer in the pyloric antrum of the
stomach is likely to produce initial localized peritonitis or abscess formation
in the:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Greater sac</div>
<div class="1234">
<b>B.</b><span> </span>Left subhepatic and hepatorenal spaces (Pouch
of Morrison)</div>
<div class="1234">
<b>C.</b><span> </span>Omental bursa</div>
<div class="1234">
<b>D.</b><span> </span>Right subphrenic space</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 148.<span> </span>A 40 year old patient is suffering from carotid body tumor. Which
of the following is the best choice of treatment for him?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Excision of tumor</div>
<div class="1234">
<b>B.</b><span> </span>Radiotherapy</div>
<div class="1234">
<b>C.</b><span> </span>Chemotherapy</div>
<div class="1234">
<b>D.</b><span> </span>Carotid artery ligation both proximal and
distal to the tumor</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 149.<span> </span>Which of the following is the investigation of choice for
assessment of depth of penetration and perirectal nodes in rectal cancer?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Trans rectal ultrasound</div>
<div class="1234">
<b>B.</b><span> </span>CT scan pelvis</div>
<div class="1234">
<b>C.</b><span> </span>MRI scan</div>
<div class="1234">
<b>D.</b><span> </span>Double contrast barium enema</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 150.<span> </span>All of the following clinicopathologic features are seen more often
in seminomas as compared to non-seminomatous germ cell tumours of the testis, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Tumors remain localized to testis for a long
time</div>
<div class="1234">
<b>B.</b><span> </span>They are radiosensitive</div>
<div class="1234">
<b>C.</b><span> </span>They metastasize predominantely by lymphatics</div>
<div class="1234">
<b>D.</b><span> </span>They are often associated with raised levels of
serum alpha-feto protein and human chorionic gonadotrophin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 151.<span> </span>Which of the following is the most beneficial technique of using
chemotherapy with a course of radiotherapy in head and neck malignancies?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Neo adjuvant chemotherapy</div>
<div class="1234">
<b>B.</b><span> </span>Adjuvant chemotherapy</div>
<div class="1234">
<b>C.</b><span> </span>Concurrent chemotherapy</div>
<div class="1234">
<b>D.</b><span> </span>Alternating chemotherapy and radiotherapy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 152.<span> </span>The treatment of choice in renal cell carcinoma with the tumor of
less than 4 cm in size is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Partial nephrectomy</div>
<div class="1234">
<b>B.</b><span> </span>Radical nephrectomy</div>
<div class="1234">
<b>C.</b><span> </span>Radial nephrectomy + post operative
radiotherapy</div>
<div class="1234">
<b>D.</b><span> </span>Radical nephrectomy + chemotherapy</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 153.<span> </span>Hypoparathyroidism following thyroid surgery occurs within:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>24 hours</div>
<div class="1234">
<b>B.</b><span> </span>2-5 days</div>
<div class="1234">
<b>C.</b><span> </span>7-14 days</div>
<div class="1234">
<b>D.</b><span> </span>2-3 weeks</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 154.<span> </span>During bilateral adrenalectomy intraoperative dose of
hydrocortisone should be given after:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>On opening the abdomen</div>
<div class="1234">
<b>B.</b><span> </span>Ligation of left adrenal vein</div>
<div class="1234">
<b>C.</b><span> </span>Ligation of right adrenal vein</div>
<div class="1234">
<b>D.</b><span> </span>Excision of both adrenal glands</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 155.<span> </span>A 20-year-old female patient presented with a thyroid swelling.
Most probably, the fine needle aspiration cytology will not diagnose:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Papillary carcinoma of thyroid</div>
<div class="1234">
<b>B.</b><span> </span>Medullary carcinoma of thyroid</div>
<div class="1234">
<b>C.</b><span> </span>Non-Hodgkin’s lymphoma of thyroid</div>
<div class="1234">
<b>D.</b><span> </span>Follicular carcinoma of thyroid</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 156.<span> </span>A 40 year old woman has undergone a cholecystectomy. The
histopathology reveals that she has a 3 cm adenocarcinoma in the body of the
gallbladder infiltrating up to the serosa. Which of the following further
management would you advise her?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Chemotherapy</div>
<div class="1234">
<b>B.</b><span> </span>Radiotherapy</div>
<div class="1234">
<b>C.</b><span> </span>Radical cholecystectomy</div>
<div class="1234">
<b>D.</b><span> </span>Follow up with regular ultrasound examinations</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 157.<span> </span>Which one of the following is the treatment of choice for a 4 cm
retroperitoneal lymph node mass in a patient with non seminomatous germ cell
tumour of the testis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Radical radiotherapy alone</div>
<div class="1234">
<b>B.</b><span> </span>High orchidectomy + RPLND</div>
<div class="1234">
<b>C.</b><span> </span>RPLND alone</div>
<div class="1234">
<b>D.</b><span> </span>High orchidectomy alone</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 158.<span> </span>A 13 year old boy presents with acute onset right scrotal pain. The
pain is not relieved on elevation of the scrotum and he has no fever or
dysuria. The testis is enlarged and tender. His routine urinary examination is
normal. There is no history of trauma. Which of the following is the most
appropriate management?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Immediate exploration</div>
<div class="1234">
<b>B.</b><span> </span>Antibiotics</div>
<div class="1234">
<b>C.</b><span> </span>Psychiatric evaluation</div>
<div class="1234">
<b>D.</b><span> </span>Antibiotics and scrotal elevation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 159.<span> </span>A 25 year old lady presents with spontaneous nipple discharge of
3-months duration. On examination the discharge is bloody and from a single
duct. The following statements about management of this patient are true <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ultrasound can be a useful investigation</div>
<div class="1234">
<b>B.</b><span> </span>Radical duct excision is the operation of
choice</div>
<div class="1234">
<b>C.</b><span> </span>Galactogram, though useful, is not essential</div>
<div class="1234">
<b>D.</b><span> </span>Majority of blood-stained nipple discharges are
due to papillomas or other benign condition</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 160.<span> </span>All of the following statements are correct about renal
transplantation <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Renal transplantation is heterotopic</div>
<div class="1234">
<b>B.</b><span> </span>Cyclosporine is the mainstay of
immunosuppression</div>
<div class="1234">
<b>C.</b><span> </span>In India, organ harvesting from brain dead
patients is not permitted by law</div>
<div class="1234">
<b>D.</b><span> </span>Kidney after removal is flushed with cold
perfusion solution</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 161.<span> </span>All of the following statements are true about repair of groin
hernias <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Lichtenstein tension free repair has a low
recurrence rate</div>
<div class="1234">
<b>B.</b><span> </span>TEEP repair is an extraperitoneal approach to
laparoscopic repair of groin hernia</div>
<div class="1234">
<b>C.</b><span> </span>In Shouldice repair, non-absorbable mesh is
used</div>
<div class="1234">
<b>D.</b><span> </span>The surgery can be done under local anaesthesia
in selected cases</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 162.<span> </span>A 25 year old male presents to emergency with history of road
traffic accident two hours ago. The patient is hemodynamically stable. Abdomen
is soft. On catheterization of the bladder, hematuria is noticed. The next step
in the management should be:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Immediate laparotomy</div>
<div class="1234">
<b>B.</b><span> </span>Retrograde cystouretherography (RGU)</div>
<div class="1234">
<b>C.</b><span> </span>Diagnostic peritoneal lavage (DPL)</div>
<div class="1234">
<b>D.</b><span> </span>Contrast enhanced computed tomography (CECT) of
abdomen</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Orthopaedics</div>
<div class="Ques">
<span style="color: windowtext;">Q 163.<span> </span>A 15-year-old boy presented with painful swelling over the left
shoulder. Radiograph of the shoulder showed an osteolytic area with stippled
calcification over the proximal humeral epiphysis. Biopsy of the lesion
revealed an immature fibrous matrix with scattered giant cells. Which of the
following is the most likely diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Giant cell tumor</div>
<div class="1234">
<b>B.</b><span> </span>Chondroblastoma</div>
<div class="1234">
<b>C.</b><span> </span>Osteosarcoma</div>
<div class="1234">
<b>D.</b><span> </span>Chondromyxoid fibroma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 164.<span> </span>A 46-year-old known alcoholic, presented with pain in the dorsal
spine. On examination there is tenderness at the dorso-lumbar junction.
Radiograph shows destruction of the 12th dorsal vertebra with loss of the disc
space between D</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">12</span><span style="color: windowtext;">-L</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">1</span><span style="color: windowtext;"><span> </span>vertebrae. The most probable diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Metastatic spine disease</div>
<div class="1234">
<b>B.</b><span> </span>Pott’s spine</div>
<div class="1234">
<b>C.</b><span> </span>Missed trauma</div>
<div class="1234">
<b>D.</b><span> </span>Multiple myeloma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 165.<span> </span>A 50-year-old man sustained posterior dislocation of left hip in an
accident. Dislocation was reduced after 3 days. He started complaining of pain
in left hip after 6 months. X-rays of the pelvis were normal. The most relevant
investigation at this stage will be:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>CRP levels in blood</div>
<div class="1234">
<b>B.</b><span> </span>Ultrasonography of hip</div>
<div class="1234">
<b>C.</b><span> </span>Arthrography of hip</div>
<div class="1234">
<b>D.</b><span> </span>MRI of hip</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 166.<span> </span>A one and a half year old child holding her father’s hand slipped
and fell but did not let go of her father’s hand. After that, she continued to
cry and hold the forearm in pronated position and refused to move the affected
extremity. Which of the following management at this stage is most appropriate?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Supinate the forearm</div>
<div class="1234">
<b>B.</b><span> </span>Examine the child under GA</div>
<div class="1234">
<b>C.</b><span> </span>Elevate the limb and observe</div>
<div class="1234">
<b>D.</b><span> </span>Investigate for osteomyelitis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 167.<span> </span>A 30-year old man involved in fisticuffs, injured his middle finger
and noticed slight flexion of DIP joint. X-rays were normal. The most
appropriate management at this stage is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ignore</div>
<div class="1234">
<b>B.</b><span> </span>Splint the finger in hyperextension</div>
<div class="1234">
<b>C.</b><span> </span>Surgical repair of the flexor tendon</div>
<div class="1234">
<b>D.</b><span> </span>Buddy strapping</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Anaesthesia</div>
<div class="Ques">
<span style="color: windowtext;">Q 168.<span> </span>All of the following statements are incorrect about the treatment
of prolonged suxamethonium apnoea due to plasma cholinesterase deficiency
(after a single dose of suxamethonium) <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Reversal with incremental doses of neostigmine</div>
<div class="1234">
<b>B.</b><span> </span>Continue anaesthesia and mechanical ventilation
till recovery</div>
<div class="1234">
<b>C.</b><span> </span>Transfusion of fresh frozen plasma</div>
<div class="1234">
<b>D.</b><span> </span>Plasmapheresis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 169.<span> </span>The operating temperature in an ethylene oxide sterilization during
a warm cycle is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>20-35°C</div>
<div class="1234">
<b>B.</b><span> </span>49-63°C</div>
<div class="1234">
<b>C.</b><span> </span>68-88°C</div>
<div class="1234">
<b>D.</b><span> </span>92-110°C</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 170.<span> </span>Which of the following does not represent a significant anaesthetic
problem in the morbidly obese patient?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Difficulties in endotracheal intubation</div>
<div class="1234">
<b>B.</b><span> </span>Suboptimal arterial oxygen tension</div>
<div class="1234">
<b>C.</b><span> </span>Increased metabolism of volatile agents</div>
<div class="1234">
<b>D.</b><span> </span>Decreased cardiac output relative to total body
mass</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 171.<span> </span>Which one of the following statements regarding desflurane is
correct?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It causes severe myocardial depression</div>
<div class="1234">
<b>B.</b><span> </span>It is a structural analogue of isoflurane</div>
<div class="1234">
<b>C.</b><span> </span>It has very high blood and tissue-gas partition
coefficients</div>
<div class="1234">
<b>D.</b><span> </span>It is metabolically unstable</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 172.<span> </span>All of the following drugs are eliminated by kidney <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Pancuronium bromide</div>
<div class="1234">
<b>B.</b><span> </span>Atracurium besylate</div>
<div class="1234">
<b>C.</b><span> </span>Vecuronium bromide</div>
<div class="1234">
<b>D.</b><span> </span>Pipecuronium</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Ophthalmology</div>
<div class="Ques">
<span style="color: windowtext;">Q 173.<span> </span>A 35 year old insulin dependent diabetes mellitus (IDDM) patient on
insulin for the past 10 years complains of gradually progressive painless loss
of vision. Most likely he has:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Cataract</div>
<div class="1234">
<b>B.</b><span> </span>Vitreous hemorrhage</div>
<div class="1234">
<b>C.</b><span> </span>Total rhegmatogenous retinal detachment</div>
<div class="1234">
<b>D.</b><span> </span>Traditional retinal detachment not involving
the mucula</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 174.<span> </span>Which one of the following extraocular muscles is served by a
contralateral brain stem sub-nucleus?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Superior rectus</div>
<div class="1234">
<b>B.</b><span> </span>Medial rectus</div>
<div class="1234">
<b>C.</b><span> </span>Inferior oblique</div>
<div class="1234">
<b>D.</b><span> </span>Inferior rectus</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 175.<span> </span>A 20 year student has a myopia of –2.0 D and a post traumatic
nebular corneal opacity in her right eye. Which of the following is the best
refractive surgery option for her?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Photorefractive keratectomy</div>
<div class="1234">
<b>B.</b><span> </span>LASIK</div>
<div class="1234">
<b>C.</b><span> </span>Radial keratotomy</div>
<div class="1234">
<b>D.</b><span> </span>Epikeratoplasty</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 176.<span> </span>A 56 year old man has painful weeping rashes over the upper eyelid
and forehead for the last 2 days along with ipsilateral acute punctate
keratopathy. About a year back, he had chemotherapy for Non-Hodgkin’s lymphoma.
There is no other abnormality. Which of the following is the most likely
diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Impetigo</div>
<div class="1234">
<b>B.</b><span> </span>Systemic lupus erythematosus</div>
<div class="1234">
<b>C.</b><span> </span>Herpes zoster</div>
<div class="1234">
<b>D.</b><span> </span>Pyoderma gangrenosum</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 177.<span> </span>An 18 years old girl was using spectacles for last 10 years, came
with the history of photopsia and sudden loss of vision in right eye. Which one
of the following clinical examinations should be performed to clinch the
diagnosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Cycloplegia refraction</div>
<div class="1234">
<b>B.</b><span> </span>Indirect ophthalmoscopy</div>
<div class="1234">
<b>C.</b><span> </span>Schiotz tonometry</div>
<div class="1234">
<b>D.</b><span> </span>Gonioscopy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
ENT</div>
<div class="Ques">
<span style="color: windowtext;">Q 178.<span> </span>All of the following techniques are used to control bleeding from
bone during mastoid surgery <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Cutting drill over the bleeding area</div>
<div class="1234">
<b>B.</b><span> </span>Diamond drill over the bleeding area</div>
<div class="1234">
<b>C.</b><span> </span>Bipolar cautery over the bleeding area</div>
<div class="1234">
<b>D.</b><span> </span>Bone wax</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 179.<span> </span>To prevent synechiae formation after nasal surgery, which one of
the following packings is the most useful:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Mitomycin</div>
<div class="1234">
<b>B.</b><span> </span>Ribbon gauze</div>
<div class="1234">
<b>C.</b><span> </span>Ribbon gauze with liquid paraffin</div>
<div class="1234">
<b>D.</b><span> </span>Ribbin gauze steroids</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Obstetrics and Gynaecology</div>
<div class="Ques">
<span style="color: windowtext;">Q 180.<span> </span>All of the following are indications for post operative
radiotherapy in a case of carcinoma endometrium <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Myometrial invasion > ½ thickness</div>
<div class="1234">
<b>B.</b><span> </span>Positive lymph nodes</div>
<div class="1234">
<b>C.</b><span> </span>Endocervical involvement</div>
<div class="1234">
<b>D.</b><span> </span>Tumor positive for estrogen receptors</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 181.<span> </span>Use of the following drug to treat hypertension with pregnancy is
contraindicated:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Enalapril</div>
<div class="1234">
<b>B.</b><span> </span>Mehyldopa</div>
<div class="1234">
<b>C.</b><span> </span>Nifedipine</div>
<div class="1234">
<b>D.</b><span> </span>Labetolol</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 182.<span> </span>All of the following can cause DIC during pregnancy <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Diabetes mellitus</div>
<div class="1234">
<b>B.</b><span> </span>Amniotic fluid embolism</div>
<div class="1234">
<b>C.</b><span> </span>Intrauterine fetal death</div>
<div class="1234">
<b>D.</b><span> </span>Abruptio placentae</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 183.<span> </span>Use of oral contraceptive decreases the incidence of all of the
following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ectopic pregnancy</div>
<div class="1234">
<b>B.</b><span> </span>Epithelial ovarian malignancy</div>
<div class="1234">
<b>C.</b><span> </span>Hepatic adenoma</div>
<div class="1234">
<b>D.</b><span> </span>Pelvic inflammatory disease</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 184.<span> </span>In a young female of reproductive age an absolute containdication
for prescribing oral contraceptive pills is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Diabetes</div>
<div class="1234">
<b>B.</b><span> </span>Hypertension</div>
<div class="1234">
<b>C.</b><span> </span>Obesity</div>
<div class="1234">
<b>D.</b><span> </span>Impaired liver function</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 185.<span> </span>All of the following biochemical markers are included for triple
test <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Alfa feto protein (AFP)</div>
<div class="1234">
<b>B.</b><span> </span>Human chorionic gonadotropin (HCG)</div>
<div class="1234">
<b>C.</b><span> </span>Human placental lactogen (HPL)</div>
<div class="1234">
<b>D.</b><span> </span>Unconjugated oestriol</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 186.<span> </span>In a young female of reproductive age with regular menstrual cycles
of 28 days ovulation occurs around 14th day of periods. When is the first polar
body extruded:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>24 hours prior to ovulation</div>
<div class="1234">
<b>B.</b><span> </span>At the time of ovulation</div>
<div class="1234">
<b>C.</b><span> </span>48 hours after the ovulation</div>
<div class="1234">
<b>D.</b><span> </span>At the time of fertilization</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 187.<span> </span>The most common pure malignant germ cell tumor of the ovary is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Choriocarcinoma</div>
<div class="1234">
<b>B.</b><span> </span>Gonadoblastoma</div>
<div class="1234">
<b>C.</b><span> </span>Dysgeminoma</div>
<div class="1234">
<b>D.</b><span> </span>Malignant teratoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 188.<span> </span>During laparoscopy the preferred site for obtaining cultures in a
patient with acute pelvic inflammatory disease is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Endocervix</div>
<div class="1234">
<b>B.</b><span> </span>Pouch of Douglas</div>
<div class="1234">
<b>C.</b><span> </span>Endometrium</div>
<div class="1234">
<b>D.</b><span> </span>Fallopian tubes</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 189.<span> </span>The risk of complex hyperplasia of endometrium with atypia
progressing to malignancy in a postmenopausal woman is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>3%</div>
<div class="1234">
<b>B.</b><span> </span>8%</div>
<div class="1234">
<b>C.</b><span> </span>15%</div>
<div class="1234">
<b>D.</b><span> </span>28%</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 190.<span> </span>At 28 weeks gestation, aminocentesis reveals a </span><span style="color: windowtext; font-family: Symbol;">D</span><span style="color: windowtext;">OD
450 nm of 0.20, which is at the top of third zone of the Liley curve. Appropriate
management of such a case is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Immediate delivery</div>
<div class="1234">
<b>B.</b><span> </span>Intrauterine transfusion</div>
<div class="1234">
<b>C.</b><span> </span>Repeat amniocentesis after 1 week</div>
<div class="1234">
<b>D.</b><span> </span>Plasmapheresis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 191.<span> </span>A primigravida presents to casualty at 32 weeks gestation with
acute pain abdomen for 2 hours, vaginal, bleeding and decreased fetal
movements. She should be managed by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Immediate caesarean section</div>
<div class="1234">
<b>B.</b><span> </span>Immediate induction of labour</div>
<div class="1234">
<b>C.</b><span> </span>Tocolytic therapy</div>
<div class="1234">
<b>D.</b><span> </span>Magnesium sulphate therapy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 192.<span> </span>Women receiving oestrogen therapy have an increased risk of developing
all of the following cancers, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Breast cancer</div>
<div class="1234">
<b>B.</b><span> </span>Endometrial carcinoma</div>
<div class="1234">
<b>C.</b><span> </span>Carcinoma of gall bladder</div>
<div class="1234">
<b>D.</b><span> </span>Hepatocellular carcinoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Radiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 193.<span> </span>Which of the following techniques uses piezolectric crystals?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ultrasonography</div>
<div class="1234">
<b>B.</b><span> </span>NMR imaging</div>
<div class="1234">
<b>C.</b><span> </span>X-ray diffraction</div>
<div class="1234">
<b>D.</b><span> </span>Xeroradiography</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 194.<span> </span>In computed tomography (CT), the attenuation values are measured in
Hounsfield units (HU). An attenuation value of ‘0 (zero) HU corresponds to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Water</div>
<div class="1234">
<b>B.</b><span> </span>Air</div>
<div class="1234">
<b>C.</b><span> </span>Very dense bone structures</div>
<div class="1234">
<b>D.</b><span> </span>Fat</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 195.<span> </span>The EEG cabins should be completely shielded by a continuous sheet
of wire mesh of copper to avoid the picking up of noise from external
electromagnetic disturbances. Such a shielding is called as:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Maxwell cage</div>
<div class="1234">
<b>B.</b><span> </span>Faraday cage</div>
<div class="1234">
<b>C.</b><span> </span>Edison’s cage</div>
<div class="1234">
<b>D.</b><span> </span>Ohms cage</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 196.<span> </span>Which of the following is the incorrect statement regarding GI
bleeding?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>The sensitivity of angiography for detecting GI
bleeding is about 10-20% as compared to nuclear imaging</div>
<div class="1234">
<b>B.</b><span> </span>Angiography can image bleeding at a rate of
0.05/0.1 min or less</div>
<div class="1234">
<b>C.</b><span> </span><span style="font-size: 6.5pt; position: relative; top: -5pt;">99m</span>Tc-RBC scan image bleeding at rates
as low 0.05-0.1 ml/min</div>
<div class="1234">
<b>D.</b><span> </span>Angiography will detect bleeding only if
extravasation is occurring during the injection of contrast</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 197.<span> </span>Which one of the following hepatic lesions can be diagnosed with
high accuracy by using nuclear imaging?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hepatocellular carcinoma</div>
<div class="1234">
<b>B.</b><span> </span>Hepatic adenoma</div>
<div class="1234">
<b>C.</b><span> </span>Focal nodular hyperplasia</div>
<div class="1234">
<b>D.</b><span> </span>Cholangiocarcinoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 198.<span> </span>Which one of the following is the earliest radiographic
manifestation of childhood leukemia?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Radiolucent transverse metaphyseal bands</div>
<div class="1234">
<b>B.</b><span> </span>Diffuse demineralization of bones</div>
<div class="1234">
<b>C.</b><span> </span>Osteoblastic lesions in skull</div>
<div class="1234">
<b>D.</b><span> </span>Parenchymal pulmonary lesions on chest films</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 199.<span> </span>A 55 year old male presents with features of obstructive jaundice.
He also reports a weight loss of seven kilograms in last two months. On CT
scan, the CBD is dilated till the lower end and the main pancreatic duct is
also dilated. Pancreas is also normal. The most likely diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Choledocholithiasis</div>
<div class="1234">
<b>B.</b><span> </span>Carcinoma galbladder</div>
<div class="1234">
<b>C.</b><span> </span>Hilar cholangiocarcinoma</div>
<div class="1234">
<b>D.</b><span> </span>Periampullary carcinoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 200.<span> </span>In which of the following conditions the lead pipe appearance of
the colon on a barium enema is seen?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Amoebiasis</div>
<div class="1234">
<b>B.</b><span> </span>Ulcerative colitis</div>
<div class="1234">
<b>C.</b><span> </span>Tuberculosis of the colon</div>
<div class="1234">
<b>D.</b><span> </span>Crohn’s involvement of the colon</div>
<div class="Ans">
Ans.<span> </span>B</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-9091026707002354682012-01-07T19:44:00.000-08:002012-01-07T19:44:30.058-08:00AIIMS MAY 2005<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head">
Anatomy</div>
<div class="Ques">
<span style="color: windowtext;">Q 1.<span> </span>The gastroduodenal artery is derived from:</span></div>
<div class="1234">
<b>A.</b><span> </span>Celiac artery</div>
<div class="1234">
<b>B.</b><span> </span>Hepatic artery</div>
<div class="1234">
<b>C.<span> </span></b>Splenic artery</div>
<div class="1234">
<b>D.</b><span> </span>Cystic artery</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 2.<span> </span>Meckel’s diverticulum is a remnant of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Stenson’s duct</div>
<div class="1234">
<b>B.</b><span> </span>Wolffian duct</div>
<div class="1234">
<b>C.</b><span> </span>Mullerian duct</div>
<div class="1234">
<b>D.</b><span> </span>Vitellointestinal duct</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 3.<span> </span>Sensory fibers from the taste buds in the hard and soft palate
travel along:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Trigeminal nerve</div>
<div class="1234">
<b>B.</b><span> </span>Facial nerve</div>
<div class="1234">
<b>C.</b><span> </span>Glossopharyngeal nerve</div>
<div class="1234">
<b>D.</b><span> </span>Vagus nerve</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 4.<span> </span>The ducts of all the following glands consist of stratified
cuboidal epithelium <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Sweat glands</div>
<div class="1234">
<b>B.</b><span> </span>Sebaceous glands</div>
<div class="1234">
<b>C.</b><span> </span>Salivary glands</div>
<div class="1234">
<b>D.</b><span> </span>Pancreas</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 5.<span> </span>Neuro-epithelium type of sensory receptors are present in the
following system <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Visual</div>
<div class="1234">
<b>B.</b><span> </span>Auditory</div>
<div class="1234">
<b>C.</b><span> </span>Gustatory</div>
<div class="1234">
<b>D.</b><span> </span>Olfactory</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 6.<span> </span>The neck of pancreas is related on its posterior surface to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Gastroduodenal artery</div>
<div class="1234">
<b>B.</b><span> </span>Superior mesenteric vein</div>
<div class="1234">
<b>C.</b><span> </span>Inferior vena cava</div>
<div class="1234">
<b>D.</b><span> </span>Bile duct</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 7.<span> </span>The palatine tonsil receives its arterial supply from all of
the following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Facial</div>
<div class="1234">
<b>B.</b><span> </span>Ascending palatine</div>
<div class="1234">
<b>C.</b><span> </span>Sphenopalatine</div>
<div class="1234">
<b>D.</b><span> </span>Dorsal lingual</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 8.<span> </span>Compression of a nerve within the carpal tunnel produces
inability to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Abduct the thumb</div>
<div class="1234">
<b>B.</b><span> </span>Adduct the thumb</div>
<div class="1234">
<b>C.</b><span> </span>Flex the distal phalanx of the thumb</div>
<div class="1234">
<b>D.</b><span> </span>Oppose the thumb</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 9.<span> </span>Deep inguinal ring is a deficiency in the:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Internal oblique muscle</div>
<div class="1234">
<b>B.</b><span> </span>Transversus abdominis muscle</div>
<div class="1234">
<b>C.</b><span> </span>Internal spermatic fascia</div>
<div class="1234">
<b>D.</b><span> </span>Transversalis fascia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 10.<span> </span>Ceruminous glands present in the ear are:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Modified eccrine glands</div>
<div class="1234">
<b>B.</b><span> </span>Modified apocrine glands</div>
<div class="1234">
<b>C.</b><span> </span>Mucous gland</div>
<div class="1234">
<b>D.</b><span> </span>Modified holocrine glands</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Physiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 11.<span> </span>In a foetus the insulin secretion begins by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>3rd month</div>
<div class="1234">
<b>B.</b><span> </span>5th month</div>
<div class="1234">
<b>C.</b><span> </span>7th month</div>
<div class="1234">
<b>D.</b><span> </span>9th month</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 12.<span> </span>Which of the following hormones is an example of a peptide
hormone?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Parathormone</div>
<div class="1234">
<b>B.</b><span> </span>Adrenaline</div>
<div class="1234">
<b>C.</b><span> </span>Cortisol</div>
<div class="1234">
<b>D.</b><span> </span>Thyroxine</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 13.<span> </span>The intrapleural pressure is negative both during inspiration and
expiration because:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Intrapulmonary pressure is always negative</div>
<div class="1234">
<b>B.</b><span> </span>Thoracic cage and lungs are elastic structures</div>
<div class="1234">
<b>C.</b><span> </span>Transpulmonary pressure determines the
negativity</div>
<div class="1234">
<b>D.</b><span> </span>Surfacant prevents the lungs to collapse</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 14.<span> </span>Synaptic potentials can be recorded by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Patch clamp technique</div>
<div class="1234">
<b>B.</b><span> </span>Voltage clamp technique</div>
<div class="1234">
<b>C.</b><span> </span>Microelectrode</div>
<div class="1234">
<b>D.</b><span> </span>EEG</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 15.<span> </span>The ECG of a 40-year-old male was recorded using standard bipolar
limb leads. The sum of voltages of the three standard leads was found to be 5
millivolts. This indicates:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>A normal heart</div>
<div class="1234">
<b>B.</b><span> </span>Right ventricular hypertrophy</div>
<div class="1234">
<b>C.</b><span> </span>Left ventricular hypertrophy</div>
<div class="1234">
<b>D.</b><span> </span>Increased cardiac muscle mass</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 16.<span> </span>The velocity of blood is maximum in the:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Large veins</div>
<div class="1234">
<b>B.</b><span> </span>Small veins</div>
<div class="1234">
<b>C.</b><span> </span>Venules</div>
<div class="1234">
<b>D.</b><span> </span>Capillaries</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 17.<span> </span>Which of the following methods is <i>not </i>used for measurement
of body fluid volumes?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Antipyrine for total body water</div>
<div class="1234">
<b>B.</b><span> </span>Inulin for extracellular fluid</div>
<div class="1234">
<b>C.</b><span> </span>Evens blue for plasma volume</div>
<div class="1234">
<b>D.</b><span> </span><span style="font-size: 6.5pt; position: relative; top: -5pt;">125</span>I-albumin for blood volume</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 18.<span> </span>Group A nerve fibers are most susceptible to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Pressure</div>
<div class="1234">
<b>B.</b><span> </span>Hypoxia</div>
<div class="1234">
<b>C.</b><span> </span>Local anaesthetics</div>
<div class="1234">
<b>D.</b><span> </span>Temperature</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 19.<span> </span>Phantom limb sensations are best described by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Weber Fechner law</div>
<div class="1234">
<b>B.</b><span> </span>Power law</div>
<div class="1234">
<b>C.</b><span> </span>Bell-Magendie law</div>
<div class="1234">
<b>D.</b><span> </span>Law of projection</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 20.<span> </span>The following statements are true regarding the SA node <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Is located at the right border of the ascending
aorta</div>
<div class="1234">
<b>B.</b><span> </span>It contains specialized nodal cardiac muscle</div>
<div class="1234">
<b>C.</b><span> </span>It is supplied by the atrial branches of the
right coronary artery</div>
<div class="1234">
<b>D.</b><span> </span>It initiates cardiac conduction</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Biochemistry</div>
<div class="Ques">
<span style="color: windowtext;">Q 21.<span> </span>The molecule, which is the initiator of cataract formation in the
eye lens and whose 1-phosphate derivative is responsible for liver failure, is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Sorbitol</div>
<div class="1234">
<b>B.</b><span> </span>Mannitol</div>
<div class="1234">
<b>C.</b><span> </span>Inositol</div>
<div class="1234">
<b>D.</b><span> </span>Galactitol</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 22.<span> </span>Membrane fluidity is increased by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Stearic acid</div>
<div class="1234">
<b>B.</b><span> </span>Palmitic acid</div>
<div class="1234">
<b>C.</b><span> </span>Cholesterol</div>
<div class="1234">
<b>D.</b><span> </span>Linoleic acid</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 23.<span> </span>Which one of the following is <i>not</i> a transport or binding
protein?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Erythropoietin</div>
<div class="1234">
<b>B.</b><span> </span>Ceruloplasmin</div>
<div class="1234">
<b>C.</b><span> </span>Lactoferrin</div>
<div class="1234">
<b>D.</b><span> </span>Transferrin</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 24.<span> </span>All of the following enzymes are active within a cell <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Trypsin</div>
<div class="1234">
<b>B.</b><span> </span>Fumerase</div>
<div class="1234">
<b>C.</b><span> </span>Hexokinase</div>
<div class="1234">
<b>D.</b><span> </span>Alcohol dehydrogenase</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 25.<span> </span>Which of the following conditions leads to tissue hypoxia without
alteration of oxygen content of blood?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>CO poisoning</div>
<div class="1234">
<b>B.</b><span> </span>Met Hb</div>
<div class="1234">
<b>C.</b><span> </span>Cyanide poisoning</div>
<div class="1234">
<b>D.</b><span> </span>Respiratory acidosis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Microbiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 26.<span> </span>Autoimmunity can be caused due to all of the following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>The presence of forbidden clones</div>
<div class="1234">
<b>B.</b><span> </span>Expression of cryptic antigens</div>
<div class="1234">
<b>C.</b><span> </span>Negative selection of T-cells in the thymus</div>
<div class="1234">
<b>D.</b><span> </span>Inappropriate expression of the MHC proteins</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 27.<span> </span>In reference of mycoplasmas, the following are true <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>They are inhibited by penicillins</div>
<div class="1234">
<b>B.</b><span> </span>They can reproduce in cell free media</div>
<div class="1234">
<b>C.</b><span> </span>They have an affinity for mammalian cell
membranes</div>
<div class="1234">
<b>D.</b><span> </span>They can pass through filters of 450 nm pore
size</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 28.<span> </span>A 30-year-old patient presented with features of acute
meningoencephalitis in the casualty. His CSF on wet mount microscopy reveald
motile unicellular micro-organisms. The most likely organism is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span><i>Naegleria fowleri</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Acanthamoeba castellani</i></div>
<div class="1234">
<b>C.</b><span> </span><i>Entamoeba histolytica</i></div>
<div class="1234">
<b>D.</b><span> </span><i>Trypanosoma cruzi</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 29.<span> </span>The following methods of diagnosis utilize labelled antibodies <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>ELISA (Enzyme linked immunosorbent assay)</div>
<div class="1234">
<b>B.</b><span> </span>Haemagglutination inhibition test</div>
<div class="1234">
<b>C.</b><span> </span>Radio immunoassay</div>
<div class="1234">
<b>D.</b><span> </span>Immunofluorescence</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 30.<span> </span>A 3-week-old child presented to the pediatrician with meningitis.
A presumptive diagnosis of late onset of a perinatal infection was made. The
CSF culture was positive for gram positive bacilli. Which of the following
characteristic of this bacteria would be helpful in differentiating it from
other bacteria agents:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ability to grow on blood agar</div>
<div class="1234">
<b>B.</b><span> </span>Ability to produce catalase</div>
<div class="1234">
<b>C.</b><span> </span>Fermentative attack on sugars</div>
<div class="1234">
<b>D.</b><span> </span>Motility at 25°C</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 31.<span> </span>Reduvid bug is a vector for the transmission of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Relapsing fever</div>
<div class="1234">
<b>B.</b><span> </span>Lyme’s disease</div>
<div class="1234">
<b>C.</b><span> </span>Scrub typhus</div>
<div class="1234">
<b>D.</b><span> </span>Chagas disease</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 32.<span> </span>All of the following are a part of the innate immunity <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Complement</div>
<div class="1234">
<b>B.</b><span> </span>NK cells</div>
<div class="1234">
<b>C.</b><span> </span>Macrophages</div>
<div class="1234">
<b>D.</b><span> </span>T cells</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 33.<span> </span>The following statements are true regarding Chlamydia <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Erythromycin is effective for therapy of
Chlamydial infections</div>
<div class="1234">
<b>B.</b><span> </span>Their cell wall lacks a peptidoglycan layer</div>
<div class="1234">
<b>C.</b><span> </span>They can grow in cell free culture media</div>
<div class="1234">
<b>D.</b><span> </span>They are obligate intracellular bacteria</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 34.<span> </span>The following is the etiological agent of Rocky mountain spotted
fever:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span><i>Rickettsia rickettsii</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Rochalimaea quintana</i></div>
<div class="1234">
<b>C.</b><span> </span><i>Rickettsia tsutsugamushi</i></div>
<div class="1234">
<b>D.</b><span> </span><i>Coxiella burnetii</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 35.<span> </span>Intraspecies competition is the competition among:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Species</div>
<div class="1234">
<b>B.</b><span> </span>Individuals of a population</div>
<div class="1234">
<b>C.</b><span> </span>Individuals of a community</div>
<div class="1234">
<b>D.</b><span> </span>Populations and their regulatory factors</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 36.<span> </span>Recurrent facial/oropharyngeal/laryngeal edema in a patient has
low C</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">4</span><span style="color: windowtext;">,
normal C</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span style="color: windowtext;"><span> </span>and normal factor B. The pathogenesis is most
likely due to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Immune complex disease</div>
<div class="1234">
<b>B.</b><span> </span>C<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span><span> </span>esterase inhibitors deficiency</div>
<div class="1234">
<b>C.</b><span> </span>Hereditary deficiency of C<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span></div>
<div class="1234">
<b>D.</b><span> </span>Classical pathway activation by IgM</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 37.<span> </span>The hypersensitivity reaction involved in the hyper acute
rejection of renal transplant is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Type I</div>
<div class="1234">
<b>B.</b><span> </span>Type II</div>
<div class="1234">
<b>C.</b><span> </span>Type III</div>
<div class="1234">
<b>D.</b><span> </span>Type IV</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 38.<span> </span>Cell type which lacks HLA antigen is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Monocyte</div>
<div class="1234">
<b>B.</b><span> </span>Thrombocytes</div>
<div class="1234">
<b>C.</b><span> </span>Neutrophil</div>
<div class="1234">
<b>D.</b><span> </span>Red blood cell</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Pathology</div>
<div class="Ques">
<span style="color: windowtext;">Q 39.<span> </span>All of the following arteries are common sites of occlusion by a
thrombus <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Anterior interventricular</div>
<div class="1234">
<b>B.</b><span> </span>Posterior interventricular</div>
<div class="1234">
<b>C.</b><span> </span>Circumflex</div>
<div class="1234">
<b>D.</b><span> </span>Marginal</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 40.<span> </span>The tissue of origin of the Kaposi’s sarcoma is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Lymphoid</div>
<div class="1234">
<b>B.</b><span> </span>Vascular</div>
<div class="1234">
<b>C.</b><span> </span>Neural</div>
<div class="1234">
<b>D.</b><span> </span>Muscular</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 41.<span> </span>All of the following are mediators of inflammation <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Tumor necrosis factor-<span style="font-family: Symbol;">a</span> (TNF-<span style="font-family: Symbol;">a</span>)</div>
<div class="1234">
<b>B.</b><span> </span>Interleukin-1</div>
<div class="1234">
<b>C.</b><span> </span>Myeloperoxidase</div>
<div class="1234">
<b>D.</b><span> </span>Prostaglandins</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 42.<span> </span>For which one of the following tumors gastrin is a biochemical
marker:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Medullary carcinoma of thyroid</div>
<div class="1234">
<b>B.</b><span> </span>Pancreatic neuroendocrine tumor</div>
<div class="1234">
<b>C.</b><span> </span>Pheochromocytoma</div>
<div class="1234">
<b>D.</b><span> </span>Gastrointestinal stromal tumor</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 43.<span> </span>Which of the following is known as the “guardian of the genome”?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>p53</div>
<div class="1234">
<b>B.</b><span> </span>Mdm2</div>
<div class="1234">
<b>C.</b><span> </span>p14</div>
<div class="1234">
<b>D.</b><span> </span>ATM</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 44.<span> </span>Chemotherapeutic drugs can cause:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Only necrosis</div>
<div class="1234">
<b>B.</b><span> </span>Only apoptosis</div>
<div class="1234">
<b>C.</b><span> </span>Both necrosis and apoptosis</div>
<div class="1234">
<b>D.</b><span> </span>Anoikis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Pharmacology</div>
<div class="Ques">
<span style="color: windowtext;">Q 45.<span> </span>Which one of the following statement is <i>not </i>true about
NSAIDs?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Acetyl salicylic acid is an irreversible
inhibitor of COX enzyme</div>
<div class="1234">
<b>B.</b><span> </span>Salicylic acid reduces in vivo syntehsis of
prostaglandins</div>
<div class="1234">
<b>C.</b><span> </span>Duration of action of aspirin is primarily related
to the pharmacokinetic clearance of the drug from the body</div>
<div class="1234">
<b>D.</b><span> </span>Antiplatelet effect of low-dose aspirin is
related to presystemic COX inhibition</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 46.<span> </span>Resistance to zidovudine develops due to:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Mutations at reverse transcriptase</div>
<div class="1234">
<b>B.</b><span> </span>Increased efflux of the drug from inside the
cell</div>
<div class="1234">
<b>C.</b><span> </span>Increased metabolism of the drug</div>
<div class="1234">
<b>D.</b><span> </span>Decreased zidovudine 5 triphosphate formation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 47.<span> </span>Which one of the following is <i>not</i> an alpha-adrenoceptor
agonist?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Clonidine</div>
<div class="1234">
<b>B.</b><span> </span>Methyldopa</div>
<div class="1234">
<b>C.</b><span> </span>Guanabenz</div>
<div class="1234">
<b>D.</b><span> </span>Guanfacine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 48.<span> </span>All of the following are the indications for use of ACE
inhibitors, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hypertension</div>
<div class="1234">
<b>B.</b><span> </span>Myocardial infarction</div>
<div class="1234">
<b>C.</b><span> </span>Left ventricular dysfunction</div>
<div class="1234">
<b>D.</b><span> </span>Pheochromocytoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
<br /></div>
<div class="Head">
Forensic Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 49.<span> </span>The ideal place to record temperature in dead body is from:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Axilla</div>
<div class="1234">
<b>B.</b><span> </span>Groin</div>
<div class="1234">
<b>C.</b><span> </span>Rectum</div>
<div class="1234">
<b>D.</b><span> </span>Mouth</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 50.<span> </span>Diffusion of oxygen at the tissue level is affected in all the
following poisonings <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Carbon monoxide</div>
<div class="1234">
<b>B.</b><span> </span>Curare</div>
<div class="1234">
<b>C.</b><span> </span>Phosgene</div>
<div class="1234">
<b>D.</b><span> </span>Cyanides</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 51.<span> </span>Postmortem caloricity may be seen in all the following causes of
death <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Septicemia</div>
<div class="1234">
<b>B.</b><span> </span>Barbiturate poisoning</div>
<div class="1234">
<b>C.</b><span> </span>Strychnine poisoning</div>
<div class="1234">
<b>D.</b><span> </span>Tetanus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 52.<span> </span>When a group of muscles of a dead body were in state of strong
contraction immediately prior to death and remain so even after death, the
condition is termed as:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Gas stiffening</div>
<div class="1234">
<b>B.</b><span> </span>Rigor mortis</div>
<div class="1234">
<b>C.</b><span> </span>Cadaveric spasm</div>
<div class="1234">
<b>D.</b><span> </span>Cold stiffening</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 53.<span> </span>‘Patterned’ abrasion is variety of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Linear abrasion</div>
<div class="1234">
<b>B.</b><span> </span>Pressure abrasion</div>
<div class="1234">
<b>C.</b><span> </span>Sliding abrasion</div>
<div class="1234">
<b>D.</b><span> </span>Superficial bruise</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Preventive and Social Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 54.<span> </span>The most common cancer, affecting both males and females of the
world, is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Cancer of the pancreas</div>
<div class="1234">
<b>B.</b><span> </span>Buccal mucosa cancer</div>
<div class="1234">
<b>C.</b><span> </span>Lung cancer</div>
<div class="1234">
<b>D.</b><span> </span>Colo-rectal cencer</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 55.<span> </span>Which one of the following statements regarding pre- post
clinical trial is most appropriate?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>They cannot be randomized</div>
<div class="1234">
<b>B.</b><span> </span>They are useful studies involving mortality</div>
<div class="1234">
<b>C.</b><span> </span>They use the patient as his or her own control</div>
<div class="1234">
<b>D.</b><span> </span>They are usually easier to interpret than the
comparable parallel clinical trial</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 56.<span> </span>Mean and standard deviation can be worked out only if data is on:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Interval/Ratio scale</div>
<div class="1234">
<b>B.</b><span> </span>Dichotomous scale</div>
<div class="1234">
<b>C.</b><span> </span>Nominal scale</div>
<div class="1234">
<b>D.</b><span> </span>Ordinal scale</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 57.<span> </span>For a negatively skewed data mean will be:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Less than median</div>
<div class="1234">
<b>B.</b><span> </span>More than median</div>
<div class="1234">
<b>C.</b><span> </span>Equal to median</div>
<div class="1234">
<b>D.</b><span> </span>One</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 58.<span> </span>Which of the following is the national level system that provides
annual national as well as state level reliable estimates of fertility and
mortality?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Civil registration system</div>
<div class="1234">
<b>B.</b><span> </span>Census</div>
<div class="1234">
<b>C.</b><span> </span>Adhoc survey</div>
<div class="1234">
<b>D.</b><span> </span>Sample registration system</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 59.<span> </span>National Family Health Survey has successfully completed:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>One round</div>
<div class="1234">
<b>B.</b><span> </span>Two round</div>
<div class="1234">
<b>C.</b><span> </span>Three round</div>
<div class="1234">
<b>D.</b><span> </span>Four round</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 60.<span> </span>The following is true about prevalence and incidence:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Both are rates</div>
<div class="1234">
<b>B.</b><span> </span>Prevalence is a rate but incidence is not</div>
<div class="1234">
<b>C.</b><span> </span>Incidence is a rate but prevalence is not</div>
<div class="1234">
<b>D.</b><span> </span>Both are not rates</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 61.<span> </span>The age and sex structure of a population may be described by a:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Life table</div>
<div class="1234">
<b>B.</b><span> </span>Correlation coefficient</div>
<div class="1234">
<b>C.</b><span> </span>Population pyramid</div>
<div class="1234">
<b>D.</b><span> </span>Bar chart</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 62.<span> </span>The rate adjusted to allow for age distribution of the population
is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Perinatal mortality rate</div>
<div class="1234">
<b>B.</b><span> </span>Crude mortality rate</div>
<div class="1234">
<b>C.</b><span> </span>Fertility rate</div>
<div class="1234">
<b>D.</b><span> </span>Age-standardized mortality rate</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 63.<span> </span>A one day census of in patients in a mental hospital could:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Give good information about the patients in
that hospital at that time</div>
<div class="1234">
<b>B.</b><span> </span>Give reliable estimates of seasonal factors in
admissions</div>
<div class="1234">
<b>C.</b><span> </span>Enable us to draw conclusions about the mental
hospitals of India</div>
<div class="1234">
<b>D.</b><span> </span>Enable us to estimate the distribution of
different diagnosis in mental illness in the local area</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 64.<span> </span>If the prevalence is very low as compared to the incidence for a
disease, it implies:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Disease is very fatal and/or easily curable</div>
<div class="1234">
<b>B.</b><span> </span>Disease is non-fatal</div>
<div class="1234">
<b>C.</b><span> </span>Calculation of prevalence and incidence is
wrong</div>
<div class="1234">
<b>D.</b><span> </span>Nothing can be said, as they are independent</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 65.<span> </span>After applying a statistical test, an investigator gets the ‘p
value’ as 0.01. It means that:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>The probability of finding a significant
difference is 1%</div>
<div class="1234">
<b>B.</b><span> </span>The probability of declaring a significant
difference, when there is truly no difference, is 1%</div>
<div class="1234">
<b>C.</b><span> </span>The difference is not significant 1% times and
significant 99% times</div>
<div class="1234">
<b>D.</b><span> </span>The power of the test used is 99%</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 66.<span> </span>A bacterium can divide every 20 minutes. Beginning with a single
individual, how many bacteria will be there in the population if there is
exponential growth for 3 hours?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>18</div>
<div class="1234">
<b>B.</b><span> </span>440</div>
<div class="1234">
<b>C.</b><span> </span>512</div>
<div class="1234">
<b>D.</b><span> </span>1024</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 67.<span> </span>The carrying capacity of any given population is determined by
its:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Population growth rate</div>
<div class="1234">
<b>B.</b><span> </span>Birth rate</div>
<div class="1234">
<b>C.</b><span> </span>Death rate</div>
<div class="1234">
<b>D.</b><span> </span>Limiting resource</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 68.<span> </span>Which of the following is characteristic of a single exposure
common vehicle outbreak?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Frequent secondary cases</div>
<div class="1234">
<b>B.</b><span> </span>Severity increases with increasing age</div>
<div class="1234">
<b>C.</b><span> </span>Explosive</div>
<div class="1234">
<b>D.</b><span> </span>Cases occur continuously beyond the longest
incubation period</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 69.<span> </span>Which of the following is the drug of choice for chemoprophylaxis
of cholera?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Tetracycline</div>
<div class="1234">
<b>B.</b><span> </span>Doxyclycline</div>
<div class="1234">
<b>C.</b><span> </span>Furazolidone</div>
<div class="1234">
<b>D.</b><span> </span>Co-trimoxazole</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 70.<span> </span>Which of the following statements is true about BCG vaccination:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Distilled water is used as diluent for BCG
vaccine</div>
<div class="1234">
<b>B.</b><span> </span>The site for injection should be cleaned
thoroughly with spirit</div>
<div class="1234">
<b>C.</b><span> </span>Mantoux test becomes positive after 48 hours of
vaccination</div>
<div class="1234">
<b>D.</b><span> </span>WHO recommends Danish 1331 strain for vaccine
production</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 71.<span> </span>The most common cause of maternal mortality in India is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Toxaemias</div>
<div class="1234">
<b>B.</b><span> </span>Puerperal sepsis</div>
<div class="1234">
<b>C.</b><span> </span>Hemorrhage</div>
<div class="1234">
<b>D.</b><span> </span>Abortion</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 72.<span> </span>Which one of the following pulses has the highest content of
iron?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Bengal gram</div>
<div class="1234">
<b>B.</b><span> </span>Black gram</div>
<div class="1234">
<b>C.</b><span> </span>Red gram</div>
<div class="1234">
<b>D.</b><span> </span>Soya bean</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 73.<span> </span>Human development index is measured by all <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Under five mortality</div>
<div class="1234">
<b>B.</b><span> </span>Life expectancy at birth</div>
<div class="1234">
<b>C.</b><span> </span>Literacy</div>
<div class="1234">
<b>D.</b><span> </span>Per capita income</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 74.<span> </span>Which of the following is the drug of choice for syndrome of
inappropriate secretion of antidiuretic hormone (SIADH)?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Demeclocycline</div>
<div class="1234">
<b>B.</b><span> </span>Vasopressin</div>
<div class="1234">
<b>C.</b><span> </span>Thiazide diuretic</div>
<div class="1234">
<b>D.</b><span> </span>Chlorpropamide</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 75.<span> </span>The most common side-effect of chemotherapy administration is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Nausea</div>
<div class="1234">
<b>B.</b><span> </span>Alopecia</div>
<div class="1234">
<b>C.</b><span> </span>Myelosuppression</div>
<div class="1234">
<b>D.</b><span> </span>Renal distinction</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 76.<span> </span>Which of the following has a normal level of alpha fetoprotein
value is serum?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ovarian dysgerminoma</div>
<div class="1234">
<b>B.</b><span> </span>Hepatoblastoma</div>
<div class="1234">
<b>C.</b><span> </span>Embryonal carcinoma</div>
<div class="1234">
<b>D.</b><span> </span>Yolk sac tumors</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 77.<span> </span>Chronic adrenal insufficiency is characterized by all of the
following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Excess pigmentation</div>
<div class="1234">
<b>B.</b><span> </span>Asthenia</div>
<div class="1234">
<b>C.</b><span> </span>Weight gain</div>
<div class="1234">
<b>D.</b><span> </span>Hypoglycemic episodes</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 78.<span> </span>All of the following conditions are observed in gout, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Uric acid nephrolithiasis</div>
<div class="1234">
<b>B.</b><span> </span>Deficiency of enzyme xanthine oxidase</div>
<div class="1234">
<b>C.</b><span> </span>Increase in serum urate concentration</div>
<div class="1234">
<b>D.</b><span> </span>Renal disease involving interstitial tissues</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 79.<span> </span>The most common site of intestinal obstruction in gallstone ileus
is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Duodenum</div>
<div class="1234">
<b>B.</b><span> </span>Jejunum</div>
<div class="1234">
<b>C.</b><span> </span>Ileum</div>
<div class="1234">
<b>D.</b><span> </span>Sigmoid colon</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 80.<span> </span>Carcinoid syndrome produces valvular disease primarily involving:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Pulmonary valves</div>
<div class="1234">
<b>B.</b><span> </span>Tricuspid valves</div>
<div class="1234">
<b>C.</b><span> </span>Mitral valve</div>
<div class="1234">
<b>D.</b><span> </span>Aortic valve</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 81.<span> </span>Nelson’s syndrome is most likely seen after:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hypophysectomy</div>
<div class="1234">
<b>B.</b><span> </span>Adrenalectomy</div>
<div class="1234">
<b>C.</b><span> </span>Thyroidectomy</div>
<div class="1234">
<b>D.</b><span> </span>Orchidectomy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 82.<span> </span>Which one of the following is the earliest manifestation of
Cushing’s syndrome?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Loss of diurnal variation</div>
<div class="1234">
<b>B.</b><span> </span>Increased ACTH</div>
<div class="1234">
<b>C.</b><span> </span>Increased plasma cortisol</div>
<div class="1234">
<b>D.</b><span> </span>Increased urinary metabolites of cortisol</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 83.<span> </span>Multiple submucosal neuromas is most likely associated with:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Medullary carcinoma of the thyroid</div>
<div class="1234">
<b>B.</b><span> </span>Ovarian carcinoma</div>
<div class="1234">
<b>C.</b><span> </span>Testicular teratoma</div>
<div class="1234">
<b>D.</b><span> </span>Pancreatic beta cell carcinoma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 84.<span> </span>Which of the following does <i>not </i>occur in a patient with
gastrinoma?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Epigastric pain</div>
<div class="1234">
<b>B.</b><span> </span>Diarrhoea</div>
<div class="1234">
<b>C.</b><span> </span>Basal acid output (BAO) less than 15 mEq/litre</div>
<div class="1234">
<b>D.</b><span> </span>Serum gastrin levels > 200 pg/ml</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 85.<span> </span>The most appropriate drug for the treatment of bulimia nervosa
is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Amitriptyline</div>
<div class="1234">
<b>B.</b><span> </span>Lithium</div>
<div class="1234">
<b>C.</b><span> </span>Fluoxetine</div>
<div class="1234">
<b>D.</b><span> </span>Sertraline</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 86.<span> </span>D-dimer is the most sensitive diagnostic test for:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Pulmonary embolism</div>
<div class="1234">
<b>B.</b><span> </span>Acute pulmonary oedema</div>
<div class="1234">
<b>C.</b><span> </span>Cardiac tamponade</div>
<div class="1234">
<b>D.</b><span> </span>Acute myocardial infarction</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 87.<span> </span>Which of the following drugs can be safely prescribed in
pregnancy?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Warfarin</div>
<div class="1234">
<b>B.</b><span> </span>ACE inhibitors</div>
<div class="1234">
<b>C.</b><span> </span>Heparin</div>
<div class="1234">
<b>D.</b><span> </span>Beta-blockers</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 88.<span> </span>The best possible intervention for acute myocardial infarction
is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Streptokinase</div>
<div class="1234">
<b>B.</b><span> </span>Streptokinase and aspirin</div>
<div class="1234">
<b>C.</b><span> </span>Early primary coronary intervention</div>
<div class="1234">
<b>D.</b><span> </span>Streptokinase and heparin</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 89.<span> </span>Which of the following lymphomas is associated with HTLV-I virus
infection?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Burkitt’s lymphoma</div>
<div class="1234">
<b>B.</b><span> </span>B-cell lymphoma</div>
<div class="1234">
<b>C.</b><span> </span>Adult T-cell leukemia and lymphoma</div>
<div class="1234">
<b>D.</b><span> </span>Hodgkin’s disease</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 90.<span> </span>Which one of the following is <i>not</i> a feature of multiple
myeloma?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hypercalcemia</div>
<div class="1234">
<b>B.</b><span> </span>Anemia</div>
<div class="1234">
<b>C.</b><span> </span>Hyperviscosity</div>
<div class="1234">
<b>D.</b><span> </span>Elevated alkaline phosphatase</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 91.<span> </span>Which of the following antiretroviral drugs is a non-nucleoside
reverse transcriptase inhibitor?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Zidovudine</div>
<div class="1234">
<b>B.</b><span> </span>Efavirenz</div>
<div class="1234">
<b>C.</b><span> </span>Saquinavir</div>
<div class="1234">
<b>D.</b><span> </span>Stavudine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 92.<span> </span>Which one of the following diseases is an autosomal dominant
disorder?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hemochromatosis</div>
<div class="1234">
<b>B.</b><span> </span>Phenylketonuria</div>
<div class="1234">
<b>C.</b><span> </span>Maturity onset diabetes of the young</div>
<div class="1234">
<b>D.</b><span> </span>Glucose-6-phosphate dehydrogenase deficiency</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 93.<span> </span>All of the following are causes of microvesicular fatty liver <i>except</i>:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Reye’s syndrome</div>
<div class="1234">
<b>B.</b><span> </span>Obesity</div>
<div class="1234">
<b>C.</b><span> </span>Acute fatty liver of pregnancy</div>
<div class="1234">
<b>D.</b><span> </span>Valprpoc acid</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 94.<span> </span>Which of the following is <i>not</i> a precipitating factor for
hepatic encephalopahy in patirnts with chronic liver disease?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hypokalemia</div>
<div class="1234">
<b>B.</b><span> </span>Hyponatremia</div>
<div class="1234">
<b>C.</b><span> </span>Hypoxia</div>
<div class="1234">
<b>D.</b><span> </span>Metabolic acidosis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 95.<span> </span>Alpha-fetoprotein in maternal serum and/or amniotic fluid is
increased in all <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Fetal neural tube defects</div>
<div class="1234">
<b>B.</b><span> </span>Down’s syndrome</div>
<div class="1234">
<b>C.</b><span> </span>Anencephaly</div>
<div class="1234">
<b>D.</b><span> </span>Encephalocele</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 96.<span> </span>A 10-year-old school girl has recurrent episodes of boils on the
scalp. The boils subside with antibiotic therapy but recur after some time. The
most likely cause of the recurrences is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Primary immunodeficiency syndrome</div>
<div class="1234">
<b>B.</b><span> </span>Juvenile diabetes mellitus</div>
<div class="1234">
<b>C.</b><span> </span>Pediculosis capitis</div>
<div class="1234">
<b>D.</b><span> </span>HIV infection</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 97.<span> </span>A 25-year-old male had pigmented macules over the palm, sole and
oral mucosa. He also had anemia and pain in abdomen. The most probable
diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Albright’s syndrome</div>
<div class="1234">
<b>B.</b><span> </span>Cushing’s syndrome</div>
<div class="1234">
<b>C.</b><span> </span>Peutz-Jeghers syndrome</div>
<div class="1234">
<b>D.</b><span> </span>Incontinentia pigmenti</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 98.<span> </span>Which one of the following is the treatment of choice for
Kawasaki’s diseases?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Cyclosporine</div>
<div class="1234">
<b>B.</b><span> </span>Dapsone</div>
<div class="1234">
<b>C.</b><span> </span>Intravenous immunoglobulin</div>
<div class="1234">
<b>D.</b><span> </span>Methotrexate</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 99.<span> </span>Migratory necrolytic erythemia is seen in:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Glucaganoma syndrome</div>
<div class="1234">
<b>B.</b><span> </span>Peutz-Jeghers syndrome</div>
<div class="1234">
<b>C.</b><span> </span>Sarcoidosis</div>
<div class="1234">
<b>D.</b><span> </span>Amyloidosis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 100.<span> </span>Which one of the following is the treatment of choice for
dermatitis herpetiformis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Corticosteroids</div>
<div class="1234">
<b>B.</b><span> </span>Dapsone</div>
<div class="1234">
<b>C.</b><span> </span>Methotrexate</div>
<div class="1234">
<b>D.</b><span> </span>Retinoids</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 101.<span> </span>All of the following are features of absence seizures <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Usually seen in childhood</div>
<div class="1234">
<b>B.</b><span> </span>3-Hz spike wave in EEG</div>
<div class="1234">
<b>C.</b><span> </span>Postictal confusion</div>
<div class="1234">
<b>D.</b><span> </span>Precipitation by hyperventilation</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 102.<span> </span>A continous murmur is heard in all of the following conditions <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ventricular septal defect with aortic
regurgitation</div>
<div class="1234">
<b>B.</b><span> </span>Patent ductus arteriosus</div>
<div class="1234">
<b>C.</b><span> </span>Coronary arteriovenous fistula</div>
<div class="1234">
<b>D.</b><span> </span>Venous hum</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 103.<span> </span>Infliximab is directed against:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Tumor necrosis factor-<span style="font-family: Symbol;">a</span> (TNF-<span style="font-family: Symbol;">a</span>)</div>
<div class="1234">
<b>B.</b><span> </span>Interleukin-1 (IL-1)</div>
<div class="1234">
<b>C.</b><span> </span>Interleukin-12 (IL-12)</div>
<div class="1234">
<b>D.</b><span> </span>Intercellular adhesion molecule (ICAM)</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 104.<span> </span>All of the following statements about HRT (hormone replacement
therapy) are true <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>It increases the risk of coronary artery
disease</div>
<div class="1234">
<b>B.</b><span> </span>It increases bone mineral density</div>
<div class="1234">
<b>C.</b><span> </span>It increases the risk of breast cancer</div>
<div class="1234">
<b>D.</b><span> </span>It increases the risk of endometrial cancer</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 105.<span> </span>In which of the following arthritis erosions are <i>not</i> seen:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Rheumatoid arthritis</div>
<div class="1234">
<b>B.</b><span> </span>Systemic lupus erythematosus (SLE)</div>
<div class="1234">
<b>C.</b><span> </span>Psoriasis</div>
<div class="1234">
<b>D.</b><span> </span>Gout</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 106.<span> </span>Flapping tremors are seen in the following conditions <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Uremic encephalopathy</div>
<div class="1234">
<b>B.</b><span> </span>Parkinsonism</div>
<div class="1234">
<b>C.</b><span> </span>Hepatic encephalopathy</div>
<div class="1234">
<b>D.</b><span> </span>Carbon dioxide narcosis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 107.<span> </span>Which one of the following is <i>not</i> feature of irritable bowel
syndrome?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Abdominal pain</div>
<div class="1234">
<b>B.</b><span> </span>Constipation</div>
<div class="1234">
<b>C.</b><span> </span>Rectal bleeding</div>
<div class="1234">
<b>D.</b><span> </span>Bloating</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 108.<span> </span>In which of the following conditions of malabsorption, an
intestinal biopsy is diagnostic?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Celiac disease</div>
<div class="1234">
<b>B.</b><span> </span>Tropical sprue</div>
<div class="1234">
<b>C.</b><span> </span>Whipple’s disease</div>
<div class="1234">
<b>D.</b><span> </span>Lactose intolerance</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 109.<span> </span>At what value of one hour glucose challenge test will you recommend
a standard glucose tolerance test?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>120 mg/dl</div>
<div class="1234">
<b>B.</b><span> </span>140 mg/dl</div>
<div class="1234">
<b>C.</b><span> </span>150 mg/dl</div>
<div class="1234">
<b>D.</b><span> </span>160 mg/dl</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 110.<span> </span>All of the following are calcium channelopathies, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Episodic ataxia-1</div>
<div class="1234">
<b>B.</b><span> </span>Spinocerebellar ataxia-6</div>
<div class="1234">
<b>C.</b><span> </span>Familial hemiplegic migraine</div>
<div class="1234">
<b>D.</b><span> </span>Hypokalemic periodic paralysis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 111.<span> </span>All of the following herediatry conditions predispose to CNS
tumors, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Neurofibromatosis 1 & 2</div>
<div class="1234">
<b>B.</b><span> </span>Tuberous sclerosis</div>
<div class="1234">
<b>C.</b><span> </span>Von-Hippel-Lindau syndrome</div>
<div class="1234">
<b>D.</b><span> </span>Xeroderma pigmentosum</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 112.<span> </span>Which one of the following is <i>not </i>a non-metastatic
complication of malignancies?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Cushing’s syndrome</div>
<div class="1234">
<b>B.</b><span> </span>Cerebral cortical degeneration</div>
<div class="1234">
<b>C.</b><span> </span>Cerebellar degeneration</div>
<div class="1234">
<b>D.</b><span> </span>Polymyositis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 113.<span> </span>Complications of lobar pneumonia <i>do not </i>include:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Lung abscess</div>
<div class="1234">
<b>B.</b><span> </span>Amyloidosis</div>
<div class="1234">
<b>C.</b><span> </span>Suppurative arthritis</div>
<div class="1234">
<b>D.</b><span> </span>Infective endocarditis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 114.<span> </span>Hemolytic anemia may be characterized by all of the following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hyperbilirubinemia</div>
<div class="1234">
<b>B.</b><span> </span>Reticulocytosis</div>
<div class="1234">
<b>C.</b><span> </span>Hemoglobinuria</div>
<div class="1234">
<b>D.</b><span> </span>Increased plasma haptoglobin level</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 115.<span> </span>Which of the following is the most common type of pituitary
adenoma?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Thyrotropinoma</div>
<div class="1234">
<b>B.</b><span> </span>Gonadotropinoma</div>
<div class="1234">
<b>C.</b><span> </span>Prolactinoma</div>
<div class="1234">
<b>D.</b><span> </span>Corticotropinoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 116.<span> </span>Lung to lung metastasis is seen in:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Adenocarcinoma of lung</div>
<div class="1234">
<b>B.</b><span> </span>Squamous cell carcinoma of lung</div>
<div class="1234">
<b>C.</b><span> </span>Small cell carcinoma</div>
<div class="1234">
<b>D.</b><span> </span>Neuroendocrine tumor of lung</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 117.<span> </span>Which is the most common site of metastatic disease?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Lung</div>
<div class="1234">
<b>B.</b><span> </span>Bone</div>
<div class="1234">
<b>C.</b><span> </span>Liver</div>
<div class="1234">
<b>D.</b><span> </span>Brain</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 118.<span> </span>WHO ladder is for the rational titration of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Oral analgesia</div>
<div class="1234">
<b>B.</b><span> </span>Chemotherapy</div>
<div class="1234">
<b>C.</b><span> </span>Radiotherapy</div>
<div class="1234">
<b>D.</b><span> </span>Antidepressants</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Pediatrics</div>
<div class="Ques">
<span style="color: windowtext;">Q 119.<span> </span>The following cardiac defects are characterized by ductus dependent
blood flow <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Transposition of great arteries with intact
septum</div>
<div class="1234">
<b>B.</b><span> </span>Interrupted aortic arch</div>
<div class="1234">
<b>C.</b><span> </span>Truncus arteriosus</div>
<div class="1234">
<b>D.</b><span> </span>Hypoplastic left heart syndrome</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 120.<span> </span>Which of the following syndromes is best associated with congenital
heart disease?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Lesch-Nyhan syndrome</div>
<div class="1234">
<b>B.</b><span> </span>Rasmussen syndrome</div>
<div class="1234">
<b>C.</b><span> </span>Holt-Oram syndrome</div>
<div class="1234">
<b>D.</b><span> </span>LEOPARD syndrome</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 121.<span> </span>Which of the following would be the plasma osmolality of a child
with plasma Na</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>125 mEq/l, glucose of 108 mg/dl, and blood
urea nitrogen (BUN) of 140 mg/dl?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>300 mOsm/kg</div>
<div class="1234">
<b>B.</b><span> </span>306 mOsm/kg</div>
<div class="1234">
<b>C.</b><span> </span>312 mOsm/kg</div>
<div class="1234">
<b>D.</b><span> </span>318 mOsm/kg</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 122.<span> </span>Epiglottitis in a 2-year-old child occurs most commonly due to
infection with:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Influenza virus</div>
<div class="1234">
<b>B.</b><span> </span><i>Staphylococcus aureus</i></div>
<div class="1234">
<b>C.</b><span> </span><i>Hemophilus influenzae</i></div>
<div class="1234">
<b>D.</b><span> </span>Respiratory syncytial virus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 123.<span> </span>Which one of the following is the leading cause of mortality in
under five children in developing countries?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Malaria</div>
<div class="1234">
<b>B.</b><span> </span>Acute lower respiratory tract infections</div>
<div class="1234">
<b>C.</b><span> </span>Hepatitis</div>
<div class="1234">
<b>D.</b><span> </span>Prematurity</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 124.<span> </span>Dengue shock syndrome is characterized by the following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hepatomegaly</div>
<div class="1234">
<b>B.</b><span> </span>Pleural effusion</div>
<div class="1234">
<b>C.</b><span> </span>Thrombocytopenia</div>
<div class="1234">
<b>D.</b><span> </span>Decreased hemoglobin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 125.<span> </span>Characteristic radiological feature of transient tachypnoea of
newborn is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Reticulogranular apearance</div>
<div class="1234">
<b>B.</b><span> </span>Low volume lungs</div>
<div class="1234">
<b>C.</b><span> </span>Prominent horizontal fissure</div>
<div class="1234">
<b>D.</b><span> </span>Air bronchogram</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 126.<span> </span>Which mechanism in phototherapy is chiefly responsible for
reduction in serum biliruibin?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Photo-oxidation</div>
<div class="1234">
<b>B.</b><span> </span>Photo-isomerization</div>
<div class="1234">
<b>C.</b><span> </span>Structural isomerization</div>
<div class="1234">
<b>D.</b><span> </span>Conjugation</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 127.<span> </span>Which of the following is the most common inherited malignancy?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Infant leukemia</div>
<div class="1234">
<b>B.</b><span> </span>Retinoblastoma</div>
<div class="1234">
<b>C.</b><span> </span>Wilms’ tumor</div>
<div class="1234">
<b>D.</b><span> </span>Neuroblastoma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 128.<span> </span>Which of the following is true of mumps?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Salivary gland involvement is limited to the
parotids</div>
<div class="1234">
<b>B.</b><span> </span>The patient is not infectious prior to clinical
parotid enlargement</div>
<div class="1234">
<b>C.</b><span> </span>Meningoencephalitis can precede parotitis</div>
<div class="1234">
<b>D.</b><span> </span>Mumps orchitis frequently leads to infertility</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 129.<span> </span>All of the following are true regarding tetralogy of Fallot <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ejection systolic murmur in second intercostal
space</div>
<div class="1234">
<b>B.</b><span> </span>Single second heart sound</div>
<div class="1234">
<b>C.</b><span> </span>Predominantly left to right shunt</div>
<div class="1234">
<b>D.</b><span> </span>Normal jugular venous pressure</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ans">
<br /></div>
<div class="Ans">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 130.<span> </span>Deficiency of enzyme </span><span style="color: windowtext; font-family: Symbol;">a</span><span style="color: windowtext;">-keto acid
decarboxylase leading to a block in the metabolism of branch chain amino acids
is observed in:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Maple syrup urine disease</div>
<div class="1234">
<b>B.</b><span> </span>Hartnup disease</div>
<div class="1234">
<b>C.</b><span> </span>Alkaptonuria</div>
<div class="1234">
<b>D.</b><span> </span>Phenylketonuria</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 131.<span> </span>When does switch-over from fetal to adult hemoglobin synthesis
begin?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>14 weeks gestation</div>
<div class="1234">
<b>B.</b><span> </span>30 weeks gestation</div>
<div class="1234">
<b>C.</b><span> </span>36 weeks gestation</div>
<div class="1234">
<b>D.</b><span> </span>7-10 days postnatal</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 132.<span> </span>All of the following conditions are oberved in marasmus, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hepatomegaly</div>
<div class="1234">
<b>B.</b><span> </span>Muscle wasting</div>
<div class="1234">
<b>C.</b><span> </span>Low insulin levels</div>
<div class="1234">
<b>D.</b><span> </span>Extreme weakness</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Dermatology</div>
<div class="Ques">
<span style="color: windowtext;">Q 133.<span> </span>A 6-month-old infant presented with multiple papules and exudative
lesions on the face, scalp, trunk and few vesicles on the palms and soles for 2
weeks. His mother had history of itchy lesions. The most likely diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Scabies</div>
<div class="1234">
<b>B.</b><span> </span>Infantile eczema</div>
<div class="1234">
<b>C.</b><span> </span>Infantile seborrhoeic dermatitis</div>
<div class="1234">
<b>D.</b><span> </span>Impetigo contagiosa</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 134.<span> </span>A 27-year-old male had burning micturition and urethral discharge.
After 4 weeks he developed joint pains involving both the knees and ankles,
redness of the eye and skin lesion. The most probable clinical diagnosis is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Psoriasis vulgaris</div>
<div class="1234">
<b>B.</b><span> </span>Reiter’s syndrome</div>
<div class="1234">
<b>C.</b><span> </span>Behcet’s syndrome</div>
<div class="1234">
<b>D.</b><span> </span>Sarcoidosis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 135.<span> </span>“Pinch” purpura is diagnostic of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Primary systemic amyloidosis</div>
<div class="1234">
<b>B.</b><span> </span>Secondary systemic amyloidosis</div>
<div class="1234">
<b>C.</b><span> </span>Idiopathic thrombocytopenic purpura</div>
<div class="1234">
<b>D.</b><span> </span>Drug induced purpura</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Psychiatry</div>
<div class="Ques">
<span style="color: windowtext;">Q 136.<span> </span>Exercise is also prescribed as an adjuvant treatment for
depression. Most probably it acts by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Increasing pulse pressure</div>
<div class="1234">
<b>B.</b><span> </span>Improving hemodynamics</div>
<div class="1234">
<b>C.</b><span> </span>Raising endorphin levels</div>
<div class="1234">
<b>D.</b><span> </span>Inducing good sleep</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 137.<span> </span>A 16-years-old male is found to have a mental age of 9 years on IQ
testing. He has:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Mild mental retardation</div>
<div class="1234">
<b>B.</b><span> </span>Moderate mental retardation</div>
<div class="1234">
<b>C.</b><span> </span>Severe mental retardation</div>
<div class="1234">
<b>D.</b><span> </span>Profound mental retardation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 138.<span> </span>A 50-year-old male present with a 3-year history of irritability,
low mood, lack of interest in surroundings and general dissatisfaction with
everything. There is no significant disruption in his sleep or appetite. He is
likely to be suffering from:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Major depression</div>
<div class="1234">
<b>B.</b><span> </span>Non psychiatric disorder</div>
<div class="1234">
<b>C.</b><span> </span>Dysthymia</div>
<div class="1234">
<b>D.</b><span> </span>Chronic fatigue syndrome</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 139.<span> </span>A 25-year-old woman complains of intense depressed mood for 6
months with inability to enjoy previously pleasurable activities. This symptom
is known as:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Anhedonia</div>
<div class="1234">
<b>B.</b><span> </span>Avolition</div>
<div class="1234">
<b>C.</b><span> </span>Apathy</div>
<div class="1234">
<b>D.</b><span> </span>Amotivation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 140.<span> </span>Which of the following is an alternative to methadone for
maintenance treatment of opiate dependence?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Diazepam</div>
<div class="1234">
<b>B.</b><span> </span>Chlordiazepoxide</div>
<div class="1234">
<b>C.</b><span> </span>Buprenorphine</div>
<div class="1234">
<b>D.</b><span> </span>Dextropropoxyphene</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 141.<span> </span>All are adulterants of heroin, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Chalk powder</div>
<div class="1234">
<b>B.</b><span> </span>Quinine</div>
<div class="1234">
<b>C.</b><span> </span>Charcoal</div>
<div class="1234">
<b>D.</b><span> </span>Fructose</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 142.<span> </span>Which of the following is <i>not</i> an opioid peptide?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span><span style="font-family: Symbol;">b</span>-Endorphin</div>
<div class="1234">
<b>B.</b><span> </span>Epinephrine</div>
<div class="1234">
<b>C.</b><span> </span>Leu<span style="font-size: 6.5pt; position: relative; top: -5pt;">5</span>-enkephalins</div>
<div class="1234">
<b>D.</b><span> </span>Met<span style="font-size: 6.5pt; position: relative; top: -5pt;">5</span>-enkephalin</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Surgery</div>
<div class="Ques">
<span style="color: windowtext;">Q 143.<span> </span>A Warthin’s tumour is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>An adenolymphoma of parotid gland</div>
<div class="1234">
<b>B.</b><span> </span>A pleomorphic adenoma of the parotid</div>
<div class="1234">
<b>C.</b><span> </span>A carcinoma of the parotid</div>
<div class="1234">
<b>D.</b><span> </span>A carcinoma of submandibular salivary gland</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 144.<span> </span>Which of the following statements best represents<span> </span>Ludwig’s angina?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>A type of coronary artery spasm</div>
<div class="1234">
<b>B.</b><span> </span>An infection of the cellular tissues around
submandibular salivary gland</div>
<div class="1234">
<b>C.</b><span> </span>Oesophageal spasm</div>
<div class="1234">
<b>D.</b><span> </span>Retropharyngeal infection</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 145.<span> </span>Which of the following best represents ‘ranula’?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>A type of epulis</div>
<div class="1234">
<b>B.</b><span> </span>A thyroglossal cyst</div>
<div class="1234">
<b>C.</b><span> </span>Cystic swelling in the floor of mouth</div>
<div class="1234">
<b>D.</b><span> </span>Forked uvula</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 146.<span> </span>Complications of total thyroidectomy include all <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hoarseness</div>
<div class="1234">
<b>B.</b><span> </span>Airway obstruction</div>
<div class="1234">
<b>C.</b><span> </span>Hemorrhage</div>
<div class="1234">
<b>D.</b><span> </span>Hypercalcemia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 147.<span> </span>Treatment of choice for medullary carcinoma of thyroid is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Total thyroidectomy</div>
<div class="1234">
<b>B.</b><span> </span>Partial thyroidectomy</div>
<div class="1234">
<b>C.</b><span> </span>I<span style="font-size: 6.5pt; position: relative; top: -5pt;">131</span><span> </span>ablation</div>
<div class="1234">
<b>D.</b><span> </span>Hemithyroidectomy</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 148.<span> </span>Thoracic extension of cervical goiter is usually approached
through:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Neck</div>
<div class="1234">
<b>B.</b><span> </span>Chest</div>
<div class="1234">
<b>C.</b><span> </span>Combined cervico-thoracic route</div>
<div class="1234">
<b>D.</b><span> </span>Thoracoscopic</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 149.<span> </span>Which of the following is not an indication for cholecystectomy?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>70-year-old male with symptomatic gallstones</div>
<div class="1234">
<b>B.</b><span> </span>20-year-old male with sickle cell anemia and
symptomatic gallstones</div>
<div class="1234">
<b>C.</b><span> </span>65-year-old female with a large gallbladder
polyp</div>
<div class="1234">
<b>D.</b><span> </span>55-year-old with an asymptomatic gallstone</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 150.<span> </span>The initial investigation of choice for a post cholecystectomy
biliary stricture is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ultrasound scan of the abdomen</div>
<div class="1234">
<b>B.</b><span> </span>Endoscopic cholangiography</div>
<div class="1234">
<b>C.</b><span> </span>Computed tomography</div>
<div class="1234">
<b>D.</b><span> </span>Magnetic resonance cholangiography</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 151.<span> </span>The treatment of choice for an 8 mm retained common bile duct (CBD)
stone is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Laparoscopic CBD exploration</div>
<div class="1234">
<b>B.</b><span> </span>Percutaneous stone extraction</div>
<div class="1234">
<b>C.</b><span> </span>Endoscopic stone extraction</div>
<div class="1234">
<b>D.</b><span> </span>Extracorporeal shock wave lithotripsy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 152.<span> </span>The most common cause of morbidity and mortality in patients
undergoing major vascular surgery is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Renal complications</div>
<div class="1234">
<b>B.</b><span> </span>Thromboembolic phenomenon</div>
<div class="1234">
<b>C.</b><span> </span>Coagulopathies</div>
<div class="1234">
<b>D.</b><span> </span>Cardiac complications</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 153.<span> </span>All of the following clinicopathologic features are seen more often
in seminomas as compared to non-seminomatous germ cell tumors of the testis <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Tumors remain localized to testis for a long time</div>
<div class="1234">
<b>B.</b><span> </span>They are radiosensitive</div>
<div class="1234">
<b>C.</b><span> </span>They metastasize predominantly by lymphatics</div>
<div class="1234">
<b>D.</b><span> </span>They are often associated with raised levels of
serum AFP and HCG</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 154.<span> </span>The direction of flow of venous blood in conditions of valve
incompetence affecting perforating veins of lower limb is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Along gravity</div>
<div class="1234">
<b>B.</b><span> </span>Superficial to deep</div>
<div class="1234">
<b>C.</b><span> </span>Along osmotic gradient</div>
<div class="1234">
<b>D.</b><span> </span>Deep to superficial</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Orthopaedics</div>
<div class="Ques">
<span style="color: windowtext;">Q 155.<span> </span>De Quervain’s disease classically affects the:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Flexor pollicis longus and brevis</div>
<div class="1234">
<b>B.</b><span> </span>Extensor carpi radialis and extensor pollicis
longus</div>
<div class="1234">
<b>C.</b><span> </span>Abductor pollicis longus and brevis</div>
<div class="1234">
<b>D.</b><span> </span>Extensor pollicis brevis and abductor pollicis
longus</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 156.<span> </span>In trigger finger the level of tendon sheath constriction is found
at the level of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Middle phalanx</div>
<div class="1234">
<b>B.</b><span> </span>Proximal interphalangeal joint</div>
<div class="1234">
<b>C.</b><span> </span>Proximal phalanx</div>
<div class="1234">
<b>D.</b><span> </span>Metacarpo-phalangeal joint</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 157.<span> </span>What is pathognomonic feature of rheumatoid arthritis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Rheumatoid factor</div>
<div class="1234">
<b>B.</b><span> </span>Rheumatoid nodule</div>
<div class="1234">
<b>C.</b><span> </span>Morning stiffness</div>
<div class="1234">
<b>D.</b><span> </span>Ulnar drift of fingers</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 158.<span> </span>Which one of the following bone tumors typically affects the
epiphysis of a long bone?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Osteosarcoma</div>
<div class="1234">
<b>B.</b><span> </span>Ewing’s sarcoma</div>
<div class="1234">
<b>C.</b><span> </span>Chodroblastoma</div>
<div class="1234">
<b>D.</b><span> </span>Chondromyxoid fibroma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
<br /></div>
<div class="Head">
<br /></div>
<div class="Head">
Anaesthesia</div>
<div class="Ques">
<span style="color: windowtext;">Q 159.<span> </span>What is the most acute effect of smoking cessation?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Shift of oxyhemoglobin curve to the right</div>
<div class="1234">
<b>B.</b><span> </span>Increased ciliary function</div>
<div class="1234">
<b>C.</b><span> </span>Decreased mucous production</div>
<div class="1234">
<b>D.</b><span> </span>Decreased incidence of post operative pneumonia</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 160.<span> </span>There is mutation of gene coding for the ryanodine receptors in
malignant hyperthermia. Which of the following statements best explains the
increased heat production in malignant hyperthemia?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Increased muscle metabolism by excess of
calcium ions</div>
<div class="1234">
<b>B.</b><span> </span>Thermic effect of food</div>
<div class="1234">
<b>C.</b><span> </span>Increased sympathetic discharge</div>
<div class="1234">
<b>D.</b><span> </span>Mitochondrial thermogenesis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 161.<span> </span>A patient was administered epidural anaesthesia with 15 ml of 1.5%
lignocaine with adrenaline for hernia surgery. He developed hypotension and
respiratory depression within 3 minutes after administration of block. The most
common cause would be:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Allergy to drug administered</div>
<div class="1234">
<b>B.</b><span> </span>Systemic toxicity to drug administered</div>
<div class="1234">
<b>C.</b><span> </span>Patient got vasovagal shock</div>
<div class="1234">
<b>D.</b><span> </span>Drug has entered the subarachnoid space</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 162.<span> </span>The drug which is not suitable for patients with acute porphyria
for intravenous induction is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Thiopentone sodium</div>
<div class="1234">
<b>B.</b><span> </span>Propofol</div>
<div class="1234">
<b>C.</b><span> </span>Midazolam</div>
<div class="1234">
<b>D.</b><span> </span>Etomidate</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 163.<span> </span>Which one of the following device provides fixed performance oxygen
therapy:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Nasal cannula</div>
<div class="1234">
<b>B.</b><span> </span>Ventimask</div>
<div class="1234">
<b>C.</b><span> </span>O<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span> </span>by T-piece</div>
<div class="1234">
<b>D.</b><span> </span>Edinburgh mask</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 164.<span> </span>All of the following drugs are recommended for treatment of beta
blocker induced excessive bradycardia and/or decrease in cardiac output, <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Dopamine</div>
<div class="1234">
<b>B.</b><span> </span>Doubtamine</div>
<div class="1234">
<b>C.</b><span> </span>Glucagon</div>
<div class="1234">
<b>D.</b><span> </span>Calcium chloride</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 165.<span> </span>The physiologic dead space is decreased by:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Upright position</div>
<div class="1234">
<b>B.</b><span> </span>Positive pressure ventilation</div>
<div class="1234">
<b>C.</b><span> </span>Neck flexion</div>
<div class="1234">
<b>D.</b><span> </span>Emphysema</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 166.<span> </span>Which one of the following local anaesthetics is highly
cardio-toxic:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Lignocaine</div>
<div class="1234">
<b>B.</b><span> </span>Procaine</div>
<div class="1234">
<b>C.</b><span> </span>Mepivacaine</div>
<div class="1234">
<b>D.</b><span> </span>Bupivacaine</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 167.<span> </span>Sodium nitroprusside infusion may result in:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hypertension</div>
<div class="1234">
<b>B.</b><span> </span>Pulmonary oedema</div>
<div class="1234">
<b>C.</b><span> </span>Cyanide toxicity</div>
<div class="1234">
<b>D.</b><span> </span>Heart block</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 168.<span> </span>The most common rhythm disturbance during early postoperative
period is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Bradycardia</div>
<div class="1234">
<b>B.</b><span> </span>Ventricular fibrillation</div>
<div class="1234">
<b>C.</b><span> </span>Tachycardia</div>
<div class="1234">
<b>D.</b><span> </span>Complete heart block</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Obstetrics and Gynaecology</div>
<div class="Ques">
<span style="color: windowtext;">Q 169.<span> </span>The following are indications for post operative radiotherapy in a
case of carcinoma endometrium <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Myometrial invasion of more than half thickness</div>
<div class="1234">
<b>B.</b><span> </span>Positive lymph nodes</div>
<div class="1234">
<b>C.</b><span> </span>Endocervical involvement</div>
<div class="1234">
<b>D.</b><span> </span>Tumor positive for estrogen receptors</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 170.<span> </span>Which of the following drug is containdicated to treat hypertension
with pregnancy?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Enalapril</div>
<div class="1234">
<b>B.</b><span> </span>Methyldopa</div>
<div class="1234">
<b>C.</b><span> </span>Nifedipine</div>
<div class="1234">
<b>D.</b><span> </span>Labetolol</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 171.<span> </span>All the following can cause DIC during pregnancy <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Diabetes mellitus</div>
<div class="1234">
<b>B.</b><span> </span>Amniotic fluid embolism</div>
<div class="1234">
<b>C.</b><span> </span>Intrauterine death</div>
<div class="1234">
<b>D.</b><span> </span>Abruptio placentae</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 172.<span> </span>Use of oral contraceptives decreases the incidence of all the
following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ectopic pregnancy</div>
<div class="1234">
<b>B.</b><span> </span>Epithelial ovarian malignancy</div>
<div class="1234">
<b>C.</b><span> </span>Hepatic adenoma</div>
<div class="1234">
<b>D.</b><span> </span>Pelvic inflammatory disease</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 173.<span> </span>The best time to do chorionic villous sampling is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Between 6-8 weeks</div>
<div class="1234">
<b>B.</b><span> </span>Between 7-9 weeks</div>
<div class="1234">
<b>C.</b><span> </span>Between 9-11 weeks</div>
<div class="1234">
<b>D.</b><span> </span>Between 11-13 weeks</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 174.<span> </span>In a young female of reproductive age an absolute containdication
for prescribing oral contraceptive pills is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Diabetes</div>
<div class="1234">
<b>B.</b><span> </span>Hypertension</div>
<div class="1234">
<b>C.</b><span> </span>Obesity</div>
<div class="1234">
<b>D.</b><span> </span>Impaired liver function</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 175.<span> </span>All of the following are biochemical markers included for triple
test <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Alfa fetoprotein (AFP)</div>
<div class="1234">
<b>B.</b><span> </span>Human chorionic gonadotropin (HCG)</div>
<div class="1234">
<b>C.</b><span> </span>Human placental lactogen (HPL)</div>
<div class="1234">
<b>D.</b><span> </span>Unconjugated oestriol</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 176.<span> </span>In a young female of reproductive age with regular menstrual cycles
of 28 days ovulation occurs around 14th day of periods. When is the first polar
body extruded?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>24 hours prior to ovulation</div>
<div class="1234">
<b>B.</b><span> </span>Accompanied by ovulation</div>
<div class="1234">
<b>C.</b><span> </span>48 hours after the ovulation</div>
<div class="1234">
<b>D.</b><span> </span>At the time of fertilization</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 177.<span> </span>Which of the following is the most common pure malignant germ cell
tumor of the ovary?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Choricarcinoma</div>
<div class="1234">
<b>B.</b><span> </span>Gonadoblastoma</div>
<div class="1234">
<b>C.</b><span> </span>Dysgerminoma</div>
<div class="1234">
<b>D.</b><span> </span>Malignant teratoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 178.<span> </span>During laparoscopy the preferred site for obtaining cultures in a
patient wtih acute pelvic inflammatory disease is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Endocervix</div>
<div class="1234">
<b>B.</b><span> </span>Pouch of Douglas</div>
<div class="1234">
<b>C.</b><span> </span>Endometrium</div>
<div class="1234">
<b>D.</b><span> </span>Fallopian tubes</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 179.<span> </span>The risk of complex hyperplasia of endometrium with atypia
progressing to malignancy in a postmenopausal woman is about:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>3%</div>
<div class="1234">
<b>B.</b><span> </span>8%</div>
<div class="1234">
<b>C.</b><span> </span>15%</div>
<div class="1234">
<b>D.</b><span> </span>28%</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 180.<span> </span>At 28 weeks gestation, amniocentesis reveals a </span><span style="color: windowtext; font-family: Symbol;">D</span><span style="color: windowtext;">OD
450 of 0.20 which is at the top of third zone of the Liley curve. The most
appropriate management of such a case is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Immediate delivery</div>
<div class="1234">
<b>B.</b><span> </span>Intrauterine transfusion</div>
<div class="1234">
<b>C.</b><span> </span>Repeat Aminocentesis after 1 week</div>
<div class="1234">
<b>D.</b><span> </span>Plasmaphresis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 181.<span> </span>In the perspective of the busy life schedule in the modern society,
the accepted minimum period of sexual cohabitation resulting in no offpsring
for a couple to be declared infertile is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>One year</div>
<div class="1234">
<b>B.</b><span> </span>One and a half-year</div>
<div class="1234">
<b>C.</b><span> </span>Two years</div>
<div class="1234">
<b>D.</b><span> </span>Three years</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 182.<span> </span>Characteristics of an ideal candidate for copper-T insertion
include all of the following <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Has borne at least one child</div>
<div class="1234">
<b>B.</b><span> </span>Is willing to check IUD tail</div>
<div class="1234">
<b>C.</b><span> </span>Has a history of ectopic pregnancy</div>
<div class="1234">
<b>D.</b><span> </span>Has normal menstrual periods</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
ENT</div>
<div class="Ques">
<span style="color: windowtext;">Q 183.<span> </span>Otoacoustic emissions arise from:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Inner hair cells</div>
<div class="1234">
<b>B.</b><span> </span>Outer hair cells</div>
<div class="1234">
<b>C.</b><span> </span>Both inner and outer hair cells</div>
<div class="1234">
<b>D.</b><span> </span>Organ of Corti</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 184.<span> </span>A laryngocele arises from the:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>True vocal cord</div>
<div class="1234">
<b>B.</b><span> </span>Subglottis</div>
<div class="1234">
<b>C.</b><span> </span>Saccule of the ventricle</div>
<div class="1234">
<b>D.</b><span> </span>Anterior commissure</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 185.<span> </span>Which focal length in the objective piece of microscope is commonly
used for ear surgery?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>100 mm</div>
<div class="1234">
<b>B.</b><span> </span>250 mm</div>
<div class="1234">
<b>C.</b><span> </span>450 mm</div>
<div class="1234">
<b>D.</b><span> </span>950 mm</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 186.<span> </span>Which one of the following statements truly represents Bell’s
paralysis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Hemiparesis and contralateral facial nerve
paralysis</div>
<div class="1234">
<b>B.</b><span> </span>Combined paralysis of the facial, trigeminal
and abducens nerves</div>
<div class="1234">
<b>C.</b><span> </span>Idiopathic ipsilateral paralysis of the facial
nerve</div>
<div class="1234">
<b>D.</b><span> </span>Facial paralysis with a dry eye</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Ophthalmology</div>
<div class="Ques">
<span style="color: windowtext;">Q 187.<span> </span>Painless sudden visual loss is seen in all <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>CRAO</div>
<div class="1234">
<b>B.</b><span> </span>Retinal detachment</div>
<div class="1234">
<b>C.</b><span> </span>Vitreous hemorrhage</div>
<div class="1234">
<b>D.</b><span> </span>Angle closure glaucoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 188.<span> </span>In which of the following conditions Berlin’s edema is seen?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Open angle glaucoma</div>
<div class="1234">
<b>B.</b><span> </span>After cataract surgery</div>
<div class="1234">
<b>C.</b><span> </span>After concussional trauma</div>
<div class="1234">
<b>D.</b><span> </span>Diabetic retinopathy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 189.<span> </span>Magnification obtained with direct ophthalmoscope for an emmetropic
patient is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>5 times</div>
<div class="1234">
<b>B.</b><span> </span>10 times</div>
<div class="1234">
<b>C.</b><span> </span>15 times</div>
<div class="1234">
<b>D.</b><span> </span>20 times</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 190.<span> </span>Which laser is used in the management of after cataracts?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Argon</div>
<div class="1234">
<b>B.</b><span> </span>Krypton</div>
<div class="1234">
<b>C.</b><span> </span>Nd-YAG</div>
<div class="1234">
<b>D.</b><span> </span>Excimer</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 191.<span> </span>In human corneal transplantation, the donor tissue is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Synthetic polymer</div>
<div class="1234">
<b>B.</b><span> </span>Donated human cadaver eyes</div>
<div class="1234">
<b>C.</b><span> </span>Donated eyes from live human beings</div>
<div class="1234">
<b>D.</b><span> </span>Monkey eyes</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 192.<span> </span>The conversion of CO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>and H</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;">O into carbonic acid during the
formation of aqueous humour is catalysed by which one of the following enzymes?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Carboxylase</div>
<div class="1234">
<b>B.</b><span> </span>Carbamylase</div>
<div class="1234">
<b>C.</b><span> </span>Carbonic anhydrase</div>
<div class="1234">
<b>D.</b><span> </span>Carbonic deoxygenase</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 193.<span> </span>Which of the following best defines the “saccade”?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Voluntary slow eye movements</div>
<div class="1234">
<b>B.</b><span> </span>Involuntary slow eye movements</div>
<div class="1234">
<b>C.</b><span> </span>Abrupt, involuntary slow eye movements</div>
<div class="1234">
<b>D.</b><span> </span>Abrupt, involuntary rapid eye movements</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Radiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 194.<span> </span>Heberden’s nodes are found in:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>PIP joints in osteoarthritis</div>
<div class="1234">
<b>B.</b><span> </span>DIP joints in osteoarthritis</div>
<div class="1234">
<b>C.</b><span> </span>PIP joint in rheumatoid arthritis</div>
<div class="1234">
<b>D.</b><span> </span>DIP joints in osteoarthritis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 195.<span> </span>Investigation of choice for detection and characterization of
interstitial lung disease is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>MRI</div>
<div class="1234">
<b>B.</b><span> </span>Chest X-ray</div>
<div class="1234">
<b>C.</b><span> </span>High resolution CT scan</div>
<div class="1234">
<b>D.</b><span> </span>Ventilation perfusion scan</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 196.<span> </span>A 40-year-old female patient on long term steroid therapy presents
with recent onset of severe pain in the right hip. Imaging modality of choice
for this problem is:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>CT scan</div>
<div class="1234">
<b>B.</b><span> </span>Bone scan</div>
<div class="1234">
<b>C.</b><span> </span>MRI</div>
<div class="1234">
<b>D.</b><span> </span>Plain X-ray</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 197.<span> </span>Which of the following techniques is the bset for differentiating
recurrence of brain tumour from radiation therapy induced necrosis?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>MRI</div>
<div class="1234">
<b>B.</b><span> </span>Contrast enhanced MRI</div>
<div class="1234">
<b>C.</b><span> </span>PET scan</div>
<div class="1234">
<b>D.</b><span> </span>CT scan</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 198.<span> </span>Which of the following is the most common cause of a mixed cystic
and solid suprasellar mass seen on cranial MR scan a 10-year-old child?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Pituitary adenoma</div>
<div class="1234">
<b>B.</b><span> </span>Craniopharyngioma</div>
<div class="1234">
<b>C.</b><span> </span>Optic chiasmal glioma</div>
<div class="1234">
<b>D.</b><span> </span>Germinoma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 199.<span> </span>Which of the following is the most common cause of sclerotic
skeletal metastasis in a female patient?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Carcinoma breast</div>
<div class="1234">
<b>B.</b><span> </span>Carcinoma ovary</div>
<div class="1234">
<b>C.</b><span> </span>Endometrial carcinoma</div>
<div class="1234">
<b>D.</b><span> </span>Melanoma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 200.<span> </span>Which of the following is the most radiosensitive tumour?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Ewing’s tumour</div>
<div class="1234">
<b>B.</b><span> </span>Hodgkin’s disease</div>
<div class="1234">
<b>C.</b><span> </span>Carcinoma cervix</div>
<div class="1234">
<b>D.</b><span> </span>Malignant fibrous histocytoma</div>
<div class="Ans">
Ans.<span> </span>A</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-17941418817748287762012-01-07T19:35:00.000-08:002012-01-07T19:35:41.490-08:00AIIMS NOV 2005<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<span style="color: windowtext; font-size: 16pt; text-transform: uppercase;"></span><b><span style="font-size: 16pt;">ANATOMY</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 1.<span> </span></span>All<span style="color: windowtext;"> of the following
statements about the splenic artery are true <i>except</i> that it:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.5in; text-indent: 0in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Has a tortuous course</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.5in; text-indent: 0in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Is a branch of the coeliac trunk</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.5in; text-indent: 0in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Has branches that anastomose freely within the spleen</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.5in; text-indent: 0in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Supplies the greater curvature of stomach</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 2.<span> </span>Which of the following, among axillary lymph nodes, is a
terminal group:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pectoral</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Central</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Lateral</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Apical</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 3.<span> </span>The vertebral artery traverses all of the following <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Foramen magnum</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Subarachnoid space</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Intervertebral foramen</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Foramen transversarium</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 4.<span> </span>All of the following structures pass through the superior
aperture of thorax <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Right recurrent laryngeal nerve</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Left common carotid artery</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Left sympathetic trunk</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Thoracic duct</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 5.<span> </span>All of the following statements about the vagus nerve are true <i>except</i>
that it:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Supplies heart & lung</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Carries postganglionic parasympathetic fibers.</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Innervates right two third of transverse colon</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Stimulates peristalsis & relaxes sphincters</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 6.<span> </span>The narrowest part of the ureter is at the:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Uretero-pelvic junction</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Iliac vessel crossing</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pelvic ureter</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Uretero-vesical junction</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b></div>
<div class="answers" style="margin-bottom: 2pt;">
<br /></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">PHYSIOLOGY</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 7.<span> </span>An anterolateral cordotomy relieving pain in right leg is
effective because it interrupts the:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Left dorsal column</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Left ventral spinothalamic tract</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Left lateral spinothalamic tract</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Right lateral spinothalamic tract</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 8.<span> </span>Arterial blood gas of a 5 year old child done at sea level
gives the following results: pH 7.41, PaO</span><span style="color: windowtext; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>100 mmHg, and
PaCO</span><span style="color: windowtext; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>40 mmHg. The child is being ventilated with
80% oxygen. What is the (A-a) PO</span><span style="color: windowtext; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;">:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">570.4 mmHg</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">520.4 mmHg</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">470.4 mmHg</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">420.4 mmHg</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 9.<span> </span>Pulmonary function abnormalities in interstitial lung diseases
include all of the following <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Reduced vital capacity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Reduced FEV</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">1</span><span style="font-size: 12pt;">/FVC ratio</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Reduced diffusion capacity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Reduced total lung capacity</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 10.<span> </span>Which of the following situations will lead to increased
viscosity of blood:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fasting state</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hypoglycemia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Multiple myeloma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Amyloidogenesis</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 11.<span> </span>All of the following transport process follow ‘saturation
kinetics’ <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Facilitated diffusion</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Na</span><span style="font-size: 12pt; position: relative; top: -5pt;">+</span><span style="font-size: 12pt;">-Ca</span><span style="font-size: 12pt; position: relative; top: -5pt;">2+</span><span style="font-size: 12pt;"><span> </span>exchanger</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Simple diffusion</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Na</span><span style="font-size: 12pt; position: relative; top: -5pt;">+</span><span style="font-size: 12pt;"><span> </span>coupled active
transport</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 12.<span> </span>Fetal haemoglobin has all the following characteristic features <i>except</i>:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Strong affinity for 2,3-DPG</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Oxygen dissociation curve is shifted to left</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">At low fetal PO</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"><span> </span>gives up more
oxygen to tissues than adult haemoglobin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<br /></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Forms 80% of haemoglobin at birth</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 13.<span> </span>According to myogenic hypothesis of renal autoregulation, the
afferent arterioles contract in response to stretch induced by:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">NO release</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Noradrenaline release</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Opening of Ca</span><span style="font-size: 12pt; position: relative; top: -5pt;">2+</span><span style="font-size: 12pt;"><span> </span>channels</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Adenosine release</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 14.<span> </span>Beta waveforms in electroencephalogram designate which of the
following states of the patient:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Deep Anaesthesia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Surgical Anaesthesia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Light Anaesthesia, eyes closed, relaxed</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Awake/alert state</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt; text-transform: uppercase;">Biochemistry</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 15.<span> </span>At physiological pH, the carboxy-terminal of a peptide is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Positively charged</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Negatively charged</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Neutral</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Infinitely charged</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 16.<span> </span>Apart from occurring in nucleic acids, pyrimidines are also found
in:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Theophylline</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Theobromine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Flavin mononucleotide</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Thiamine</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 17.<span> </span>By which of the following anticoagulants used in estimating blood
glucose, glycolysis is prevented:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">EDTA</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Heparin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Sodium fluoride</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sodium citrate</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 18.<span> </span>Which of the following is a component of the visual pigment
rhodopsin:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-family: Symbol; font-size: 12pt;">b</span><span style="font-size: 12pt;">-carotene</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Retinal</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<br /></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Retinol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Retinoic acid</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 19.<span> </span>Vitamin A is stored mainly as retinol esters in:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Kidney</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Muscle</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Liver</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Retina</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 20.<span> </span>Xeroderma pigmentosa is caused due to a group of closely related
abnormalities in:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Mismatch repair</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Base excision repair</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Nucleotide excision repair</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">SOS repair</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 21.<span> </span>Substitution of which one of the following amino acids in place
of alanine would increase the absorbance of protein at 280 nm:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Leucine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Arginine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tryptophan</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Proline</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 22.<span> </span>Secretory proteins are synthesized in:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cytoplasm</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Endoplasmic reticulum</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">First in cytoplasm and then in Endoplasmic Reticulum</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">First in Endoplasmic Reticulum and then in cytoplasm</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 23.<span> </span>To synthesize insulin on a large scale basis, the most suitable
starting material obtained from the beta cells of the pancreas is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Genomic DNA</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Total cellular RNA</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">cDNA of insulin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">mRNA of insulin</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 24.<span> </span>If cellular proteins do not fold into a specific conformation,
their function are affected. Certain disorders arise, if specific proteins are
misfolded. Which of the following disorders arises due to conformational
isomerization:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Familial fatal insomnia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hepatitis delta</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pernicious anemia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lesch-Nyhan syndrome</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">FORENSIC <span style="text-transform: uppercase;">Medicine</span></span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 25.<span> </span>‘La facies sympathique’ is a condition seen in cases of.</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hanging</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Strangulation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Myocardial insufficiency</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Railway accidents</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 26.<span> </span>‘Vagitus uterinus’ is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">An infection of vagina</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">An infection of uterus</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">A cry of unborn baby from uterus</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Infection of both vagina and uterus</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 27.<span> </span>Gunshot residue on hands can be detected by:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Phenolphthalein test</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dermal nitrate test</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Benzidine test</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hydrogen activation analysis</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 28.<span> </span>A dead body is found to have marks like branching of a tree on
front of chest. The most likely cause of death could be due to:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fire-arm</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lightning injury</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Injuries due to bomb blast</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Road traffic accident</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 29.<span> </span>All of the following poison’s are dialyzable <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ethylene glycol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Methanol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Barbiturates</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Copper sulphate</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">PREVENTIVE AND SOCIAL MEDICINE </span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 30.<span> </span>In an investigation to study the effect of smoking on renal cell
cancer, it is observed that 30 of the 50 patients were smokers as compared to
10 out of 50 control subjects. The odds ratio of renal cancer associated with
smoking will be:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">3.0</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">0.33</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">6.0</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">0.16</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 31.<span> </span>It is probable that physician have a higher index of suspicion for
tuberculosis in children without BCG scar than those with BCG scar. If this is
so and an association is found between Tuberculosis and not having BCG scar,
the association may be due to:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Selection bias</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Interviewer bias</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Surveillance bias</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Non-response bias</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 32.<span> </span>According to WHO, blindness is defined as a visual acuity of the
better eye, less than:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">6/60</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">5/60</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">4/60</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">3/60</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 33.<span> </span>In a study 400 smokers and 600 non-smokers were followed up over
a period of 10 years to find out the incidence of hypertension. The following
table summarizes the data as the end of the study:</span></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 20.25pt; margin-right: 0in; padding: 0in;">
<div class="Ques" style="border: medium none; margin-left: 0in; padding: 0in; text-indent: 0in;">
<span style="color: windowtext;"><span> </span>Hypertension</span></div>
</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 20.25pt; margin-right: 0in; padding: 0in;">
<div class="Ques" style="border: medium none; margin-left: 0in; padding: 0in; text-indent: 0in;">
<span style="color: windowtext;"><span> </span>Yes<span> </span>No<span> </span>Total</span></div>
</div>
<div class="Ques" style="margin-left: 20.25pt; text-indent: 0in;">
<span style="color: windowtext;">Smoking<span> </span>Yes<span> </span>120<span> </span>280<span> </span>400</span></div>
<div class="Ques" style="margin-left: 20.25pt; text-indent: 0in;">
<span style="color: windowtext;"><span> </span>No<span> </span>30<span> </span>570<span> </span>600</span></div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 20.25pt; margin-right: 0in; padding: 0in;">
<div class="Ques" style="border: medium none; margin-left: 0in; padding: 0in; text-indent: 0in;">
<span style="color: windowtext;"><span> </span>Total<span> </span>150<span> </span>850<span> </span>1000</span></div>
</div>
<div class="Ques">
<span style="color: windowtext;"><span> </span>The
risk ratio in this study is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">0.06</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">0.60</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">6.0</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">60.0</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 34.<span> </span>If the objective of the investigator is to assess the incidence
of tuberculosis infection in a community, the most appropriate methodology
would be to:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Identify all individuals with positive tuberculin test</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Perform sputum examination of chest symptomatics</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Identify new converts to tuberculin test</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Screen all under-five children with tuberculin test</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 35.<span> </span>When an intervention is applied to community to evaluate its
usefulness, it is termed as a trial for:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Efficacy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Effectiveness</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Efficiency</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Effect modification</span></div>
<div class="Ques">
<span style="color: windowtext;">Q 36.<span> </span>The drug of choice for treating cholera in pregnant woman is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Tetracycline</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Doxycycline</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Furazolidone</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cotrimoxazole</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 37.<span> </span>The most common cause of blindness in India is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cataract</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Trachoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Refractive errors</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Vitamin A deficiency</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 38.<span> </span>Under National Programme for Prevention of Nutritional Blindness,
a child in the age group of 6-11 months is given a mega dose of vitamin A equal
to:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">50,000 IU</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">1 lakh IU</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">1.5 lakh IU</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">2 lakh IU</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 39.<span> </span>Which of the following statements is true about the
epidemiological determinants of measles:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Measles virus survives outside the human body for 5
days</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Carriers are important sources of infection</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Secondary attack rate is less than that of rubella</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Incidence of measles is more in males than females</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 40.<span> </span>Study the following table carefully and answer the questions:</span></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 27pt; margin-right: 0in; padding: 0in;">
<div class="ABCD" style="border: medium none; line-height: normal; margin: 2pt 0in 2pt 0.25in; padding: 0in;">
<span style="font-size: 12pt;"><span> </span><b>Disease</b></span></div>
</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 27pt; margin-right: 0in; padding: 0in;">
<div class="ABCD" style="border: medium none; line-height: normal; margin: 2pt 0in 2pt 0.25in; padding: 0in;">
<b><span style="font-size: 12pt;"><span> </span>Present<span> </span>Absent</span></b><span style="font-size: 12pt;"></span></div>
</div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt;">
<span style="font-size: 12pt;">Test result<span> </span>+ve<span> </span>40<span> </span>225</span></div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 27pt; margin-right: 0in; padding: 0in;">
<div class="ABCD" style="border: medium none; line-height: normal; margin: 2pt 0in 2pt 0.25in; padding: 0in;">
<span style="font-size: 12pt;"><span> </span>–ve<span> </span>10<span> </span>225</span></div>
</div>
<div class="Ques">
<span style="color: windowtext;"><span> </span>What
is the sensitivity of diagnostic test:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">45</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">20</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">80</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">50</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 41.<span> </span>The usual incubation period for pertussis is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">7-14 days</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">3-5 days</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">21-25 days</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Less then 3 days</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 42.<span> </span>Risk of the damage of fetus by maternal rubella is maximum if
mother gets infected in:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in; text-indent: -27pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">6-12 weeks of pregnancy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in; text-indent: -27pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">20-24 weeks of pregnancy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in; text-indent: -27pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">21-25 weeks of pregnancy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in; text-indent: -27pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">32-36 weeks of pregnancy</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 43.<span> </span>Deficit in weight for height in a 3 year old child indicates:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Acute malnutrition</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Chronic malnutrition</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Concomitant acute and chronic</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Under weight</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 44.<span> </span>Several studies have shown that 85% of cases of lung cancer are
due to cigarette smoking. It is a measure of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Incidence rate</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Relative risk</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Attributable risk</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Absolute risk</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 45.<span> </span>The distribution of random blood glucose measurements from 50
first year medical students was found to have a mean of 3.0 mmol/litre with a
standard deviation of 3.0 mmol/litre. Which of the following is a correct
statement about the shape of the distribution of random blood glucose in these
first year medical students:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Since both mean and standard deviation are equal, it
should be a symmetric distribution</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The distribution is likely to be positively skewed</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">The distribution is likely to be negatively skewed</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Nothing can be said conclusively</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 46.<span> </span>In the WHO recommended EPI cluster sampling for assessing primary
immunization coverage, the age group of children to be surveyed is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">0-12 months</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">6-12 months</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">9-12 months</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">12-23 months</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 47.<span> </span>According to a joint study “Health-care in India : The Road
Ahead” done by CII and Mekinsky and Company in 2002, India’s executing bed
population ratio is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">2:1000</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">1.5:1000</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">9:1000</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">2.5:1000</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 48.<span> </span>All of the following statements are true about the childhood
mortality rates in India <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Almost 3/5th of infant mortality rate (IMR) occurs in
neonatal period</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Almost 3/4th of the under-five mortality occurs in the
first five years</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">About one in ten children die before they reach the
age of five years</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Neonatal mortality is higher among female children as
compared to males</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 49.<span> </span>Of the different epidemiological study designs available to test
the association between risk factor and disease, the best design is of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Case-control study</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ecological study</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cohort study</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cross-sectional study</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 50.<span> </span>A 24 years old primigravida wt = 57 kg, Hb 11.0 gm% visits an
antenatal clinic during 2nd trimester of pregnancy seeking advice on dietary
intake. She should be advised:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Additional intake of 300 kcal</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Additional intake of 500 kcal</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Additional intake of 650 kcal</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">No extra kcal</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 51.<span> </span>A known HIV positive patient is admitted in an isolation ward
after an abdominal surgery following an accident. The resident doctor who
changed his dressing the next day found it to be soaked in blood. Which of the
following would be right method of choice of discarding the dressing:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pour 1% hypochlorite on the dressing material and send
it for incineration in an appropriate bag</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pour 5% hypochlorite on the dressing material and send
it for incineration in an appropriate bag</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Put the dressing material directly in an appropriate
bag and send for incineration</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pour 2% Lysol on the dressing material and send it for
incineration in an appropriate bag</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 52.<span> </span>A chest physician observed that the distribution of forced
expiratory volume (FEV) in 300 smokers had a median value of 2.5 litres with
the first and third quartiles being 1.5 and 4.5 litres respectively. Based on
this data how many persons in the sample are expected to have a FEV between 1.5
and 4.5 litres:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">75</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">150</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">225</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">300</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 53.<span> </span>If the distribution of intra-ocular pressure (IOP) seen in 100
glaucoma patients has an average 30 mm with a SD of 10, what is the lower limit
of the average IOP that can be expected 95% of times:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">28</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">26</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">32</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">25</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 54.<span> </span>A diagnostic test for a particular disease has a sensitivity of
0.90 and a specificity of 0.90. A single test is applied to each subject in the
population in which the diseased population is 10%. What is the probability
that a person positive to this test, has the disease:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">90%</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">81%</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">50%</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">91%</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">PHARMACOLOGY</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 55.<span> </span>The blood culture from a patient of febrile neutropenia has grown
Pseudomonas aeruginosa, It was found to be a producer of extended spectrum beta
lactamase enzyme. The best choice of antimicrobial therapy should be:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ceftazidime + amikacin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Aztreonam + Amikacin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cefpirone + Amikacin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Imipenem + Amikacin</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 56.<span> </span>Side effects of a drug arise due to the interactions of the drug
to molecules other than the target. These effects of a drug can be minimized by
its high:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Specificity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Affinity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Solubility</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hydrophobicity</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 57.<span> </span>Tetracycline inhibits protein synthesis by:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Inhibiting initiation and causing misreading of mRNA</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Binding to 30 S subunit and inhibits binding of
aminoacyl tRNA</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Inhibiting peptidyl transferase activity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Inhibiting translocation</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 58.<span> </span>Which of the following drugs is known to cause granuloma in the
liver:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Allopurinol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Nifedipine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tetracycline</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Methyl testosterone</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 59.<span> </span>All the following drugs may cause hyperkalemia <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cyclosporine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Amphotericin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Heparin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">NSAIDs</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 60.<span> </span>Which of the following is the established biological therapy for
Crohn’s disease:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Anti TNF </span><span style="font-family: Symbol; font-size: 12pt;">a</span><span style="font-size: 12pt;">-antibody</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">IL-1 antagonist</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">IL-6 antagonist</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">IL-8 antagonist</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 61.<span> </span>Which one of the following drugs does not produce central
anticholinergic syndrome:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Atropine sulphate</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Glycopyrrolate</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Antihistaminics</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tricyclic antidepressants</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 62.<span> </span>Heparin is the commonly used anticoagulant in cardiac surgery.
All of the following are true about heparin <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Weakest acid found in living things</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Most commercial preparations of heparin now utilize
pig intestinal slimes</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Act via antithrombin activation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Produce thrombocytopenia</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 63.<span> </span>Which of the following antiepileptic agents acts on the GABAergic
system to decrease the uptake of GABA into neurons and glial cells:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Vigabatrin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Progabide</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Gabapentin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tiagabine</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 64.<span> </span>The Mu receptor of the opioids is responsible for the following
clinical actions <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Analgesia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Respiratory depression</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Sedation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Diuresis</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 65.<span> </span>Which of the following chemotherapeutic drugs has selective
action on hypoxic tumor cells:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Mitomycin C</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Cisplatin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Doxorubicin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">5 Fluorouracil</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 66.<span> </span>The chemotherapeutic agent, most commonly administered by
continuous infusion is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ara-C</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">5-FU</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cisplatin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Etoposide</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 67.<span> </span>Nephrotoxicity is a side effect of one of the following
immuno-suppressives:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sirolimus</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tacrolimus</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mycophenolate mofetil</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Azathioprine</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 68.<span> </span>Which of the following drugs has covalent interaction with its
target:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Aspirin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Penicillin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Nitric oxide</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bosentan</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 69.<span> </span>In treatment of papillary carcinoma thyroid, radioiodine destroys
the neoplastic cells predominantly by:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">X rays</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-family: Symbol; font-size: 12pt;">b</span><span style="font-size: 12pt;"> rays</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-family: Symbol; font-size: 12pt;">g</span><span style="font-size: 12pt;"> rays</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-family: Symbol; font-size: 12pt;">a</span><span style="font-size: 12pt;"> particles</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 70.<span> </span>The new agent pemetrexed, useful in breast cancer, belongs to
which of the following category of drugs:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Antitumor antibiotic</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>Alkylating agent</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Hormonal agent</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span>Antimetabolite</span><span style="font-size: 12pt;"></span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 71.<span> </span>Which of the following property of drug will enable it to be used
in low concentrations:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">High affinity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">High specificity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Low specificity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">High stability</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">MICROBIOLOGY</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 72.<span> </span>A patient of Acute lymphocytic leukemia with fever and
neutropenia develops diarrhoea after administration of amoxicillin therapy,
which of the following organism is most likely to be causative agent:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Salmonella typhi</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Clostridium difficile</span></i><span style="font-size: 12pt;"></span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Clostridium perfringens</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Shigella flexneri</span></i><span style="font-size: 12pt;"></span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 73.<span> </span>The following statements are true with reference to Mycoplasma <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">They are the smallest prokaryotic organisms that can
grow in cell free culture media</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">They are obligate intracellular organisms</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">They lack a cell wall</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">They are resistant to beta-lactam drugs</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 74.<span> </span>In HIV Infected individual Gram stain of lung aspirate shows
yeast like morphology. All of the following are the most likely diagnosis <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Candida tropicalis</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Cryptococcus neoformans</span></i><span style="font-size: 12pt;"></span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Penicillium marneffi</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Aspergillus fumigatus</span></i><span style="font-size: 12pt;"></span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 75.<span> </span>A 45 year old female complains of lower abdominal pain and
vaginal discharge. On examination there is cervicitis along with a mucopurulent
cervical discharge. The best approach to isolate the possible causative agent
would be:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Culture chocolate agar supplemented with Haemin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Culture on McCoy cells</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Culture on a bilayer human blood agar</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Culture on vero cell lines</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 76.<span> </span>A major step in the pathogenesis of listeriosis is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The formation of antigen-antibody complexes with
resultant complement activation and tissue damage</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The release of hyaluronidase by <i>L. monocytogenes</i>,
which contributes to its dissemination from local sites</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">The antiphagocytic activity of the <i>L. monocytogenes</i>
capsule</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">The survival and multiplication of <i>L. monocytogenes
</i>within mononuclear phagocytes and host epithelial cells</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 77.<span> </span>The following is not a method of isolation of chlamydia from
clinical specimens:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Yolk sac inoculation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Enzyme immunoassay</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tissue culture using irradiated McCoy cells</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tissue culture using irradiated BHK cells</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 78.<span> </span>The sputum specimen of a 70 year old male was cultured on a 5%
sheep blood agar. The culture showed the presence of </span><span style="color: windowtext; font-family: Symbol;">a</span><span style="color: windowtext;">-haemolytic
colonies next day. The further processing of this organism is most likely to
yield.</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Gram positive cocci in short chains, catalase negative
and bile resistant</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Gram positive cocci in pairs, catalase negative and
bile soluble</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Gram positive cocci in clusters, catalase positive and
coagulase positive</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Gram negative coccobacilli catalase positive and
oxidase positive</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 79.<span> </span>A 25-year old farmer presented with history of high grade fever
for 7 days and altered sensorium for 2 days. On examination, He was comatosed
and had conjunctival hemorrhage. Urgent investigations showed a hemoglobin of
11 gm/dl, serum bilirubin 8 mg/dl and urea 78 mg/dl. Peripheral blood smear was
negative for malarial parasite. What is the most likely diagnosis:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Brucellosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Weil’s disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Acute viral hepatitis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Q fever</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">PATHOLOGY</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 80.<span> </span>The most common histological variant of renal cell carcinoma is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Clear cell type</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Chromophobe type</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Papillary type</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tubular type</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 81.<span> </span>The following diseases have defect in DNA repair mechanism except
for:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Xeroderma pigmentosa</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Fanconi syndrome</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Huntington’s disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hereditary non polyposis colon cancer</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 82.<span> </span>Which of the following carcinoma most frequently metastasizes to
brain:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Small cell carcinoma lung</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Prostate cancer</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rectal carcinoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Endometrial cancer</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 83.<span> </span>A metastatic carcinoma in the brain of an adult, most often comes
from a primary in the:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Stomach</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ovary</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Oral cavity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lung</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 84.<span> </span>The expression of the following oncogene is associated with a
high incidence of medullary carcinoma of thyroid:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">P 53</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Her 2 neu</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ret proto oncogene</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Rb gene</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 85.<span> </span>The lymphocytic and histiocytic variant of Reed-Sternberg cell is
seen in:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Follicular center lymphoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lymphocyte depleted Hodgkin’s disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Nodular sclerosis Hodgkin’s disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lymphocyte predominant Hodgkin’s disease</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 86.<span> </span>All of the following are examples of a round cell tumor, <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Neuroblastoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ewing’s sarcoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Non Hodgkin’s lymphoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Osteosarcoma</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 87.<span> </span>The inheritance pattern of familial retinoblastomas is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Autosomal recessive</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Autosomal dominant</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">X-linked dominant</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">X-linked recessive</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 88.<span> </span>Which of the following is not a common site for metastatic
calcification:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Gastric mucosa</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Kidney</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Parathyroid</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lung</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 89.<span> </span>Internucleosomal cleavage of DNA is characteristic of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Reversible cell injury</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Irreversible cell injury</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Necrosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Apoptosis</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 90.<span> </span>On electron microscopy amyloid characteristically exhibits:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-family: Symbol; font-size: 12pt;">b</span><span style="font-size: 12pt;">-pleated sheet</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hyaline globules</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">7.5-10 nm fibrils</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">20-25 nm fibrils</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 91.<span> </span>Acute diffuse proliferative glomerulonephritis will have all of
the following features, <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Microscopic haematuria</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Raised blood urea level</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Raised serum creatinine level</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hypoalbuminaemia</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 92.<span> </span>All of the following are mediators of acute inflammation <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Angiotensin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Prostaglandin E2</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Kallikrein</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">C 3a</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 93.<span> </span>Which of the following surface glycoproteins is most often
expressed in human hematopoietic stem cell:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">CD 22</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">CD 40</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">CD 15</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">CD 34</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 94.<span> </span>During which phase of the cell cycle the cellular content of DNA
is doubled:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Mitotic phase</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">G1 phase</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">G2 phase</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">S phase</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 95.<span> </span>The tumor suppressor gene p 53 induces cell cycle arrest at:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">G</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;">-M phase</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">S-G</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"><span> </span>phase</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">G</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">1</span><span style="font-size: 12pt;">-S phase</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">G</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">0</span><span style="font-size: 12pt;"><span> </span>phase</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 96.<span> </span>Which of the following is not compatible with a diagnosis of
juvenile myelomonocytic leukemia:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Peripheral blood monocytosis, more than 1 × 10</span><span style="font-size: 12pt; position: relative; top: -5pt;">9</span><span style="font-size: 12pt;">/L</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increased hemoglobin F levels for age</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Presence of bcr/abl fusion gene</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">GM-CSF hypersensitivity of myeloid progenitors in
vitro</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 97.<span> </span>Programmed cell death is known as:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cytolysis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Apoptosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Necrosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Proptosis</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 98.<span> </span>The most potent stimulator of naive T cells is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">B cell</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Mature dendritic cells</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Epithelial cells</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Macrophages</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">MEDICINE</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 99.<span> </span>In the treatment of severe bradycardia, all of the following can
be the best modality of treatment <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Atropine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pacing</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Isoproterenol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Diltiazem</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 100.<span> </span>Henoch-Schonlein purpura is characterized by the deposition of the
following immunoglobulin around the vessels:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">IgM</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">IgG</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">IgA</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">IgE</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 101.<span> </span>A 45 year old woman, presenting with the history of diplopia and dysphagia
worsening as the day progresses, can be diagnosed to have:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Thyrotoxicosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Myasthenia gravis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Muscular dystrophy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Brain tumor</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 102.<span> </span>A 63 year old man presents with a triad of angina, syncope and
congestive heart failure. Which of the following valvular heart lesion can be
suspected:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Mitral stenosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tricuspid regurgitation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Aortic stenosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Aortic regurgitation</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 103.<span> </span>A head injured patient, who opens eyes to painful stimulus, is
confused and localizes to pain. What is his Glasgow coma score:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">7</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">9</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">11</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">13</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 104.<span> </span>The most definitive method of diagnosing pulmonary embolism is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pulmonary arteriography</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Radioisotope perfusion pulmonary scintigraphy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">EKG</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Venography</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 105.<span> </span>Which of the following is the drug of choice for the treatment of
inappropriate anti-diuretic hormone secretion:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Frusemide</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hydrochlorothiazide</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Spironolactone</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Demeclocycline</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 106.<span> </span>A 2 year old boy presents with fever for 3 days which responded to
administration of paracetamol. Three days later he developed acute renal
failure, marked acidosis and encephalopathy. His urine showed plenty of oxalate
crystals. The blood anion gap and osmolal gap were increased. Which of the
following is the most likely diagnosis:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Paracetamol poisoning</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Diethyl glycol poisoning</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Severe malaria</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hanta virus infection</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 107.<span> </span>A young, tall, thin male with arachnodactyly has ectopia lentis in
both eyes. The most likely diagnosis is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Marfan’s Syndrome</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Marchesani’s Syndrome</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Homocystinuria</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ehlers Danlos syndrome</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 108.<span> </span>A 25 year old woman presents with recurrent abdominal pain and
anemia. Peripheral blood smear shows basophilic stippling of the red blood
cells. What is the most likely diagnosis:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Coeliac disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hookworm infestation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Sickle cell disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lead poisoning</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 109.<span> </span>A 30 year old lady presents with features of malabsorption and iron
deficiency anaemia. Duodenal biopsy shows complete villous atrophy. Which of
the following antibodies is likely to be present:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Antiendomysial antibodies</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Anti-goblet cell antibodies</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Anti-<i>Saccharomyces cerevisae</i> antibodies</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Antineutrophil cytoplasmic antibodies</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 110.<span> </span>Following liver transplantation, recurrence of primary disease in the
liver most likely occurs in:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Wilson’s disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Autoimmune hepatitis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Alpha-1 antitrypsin deficiency</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Primary biliary cirrhosis</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 111.<span> </span>A patient present with lower gastrointestinal bleed. Sigmoidoscopy
shows ulcers in the sigmoid. Biopsy from this area shows flask-shaped ulcers.
Which of the following is the most appropriate treatment:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intravenous ceftriaxone</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Intravenous metronidazole</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Intravenous steroids and sulphasalazine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hydrocortisone enemas</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 112.<span> </span>Minimal change glomerulopathy may be seen in association with all
of the following <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hepatitis B</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">HIV</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Drug-induced interstitial nephritis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hodgkin’s disease</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 113.<span> </span>What is the drug of choice to control supraventricular tachycardia:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Adenosine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Propranolol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Verapamil</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Digoxin</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 114.<span> </span>Which of the following is the most common location of intracranial
neurocysticercosis:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Brain parenchyma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Subarachnoid space</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Spinal cord</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Orbit</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 115.<span> </span>The paraneoplastic syndrome associated with Hodgkin’s disease is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Nephrotic syndrome</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Retinopathy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cerebellar degenerative disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Acanthosis nigricans</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 116.<span> </span>A 25 year old male presented with pigmentation of nose and pinna.
After voiding, his urine becomes dark. His spine is most likely to show:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Atlantoaxial subluxation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Spondyloptosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Basilar invagination</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Calcification of disc</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 117.<span> </span>A 50 year old lady presented with history of pain upper abdomen,
nausea, and decreased appetite for 5 days. She had undergone cholecystectomy 2
years back. Her bilirubin was 10 mg/dl, SGOT 900 IU/I SGPT 700 IU/I and serum
alkaline phosphatase was 280 IU/I. What is the most likely diagnosis:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Acute pancreatitis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Acute cholangitis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Acute viral hepatitis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Posterior penetration of peptic ulcer</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 118.<span> </span>A 70-year old male patient presented to the emergency department
with pain in epigastrium and difficulty in breathing for 6 hours. On
examination, his heart rate was 56 per minute and the blood pressure was 106/60
mmHg. Chest examination was normal. The patient has been taking omeprazole for
gastroesophageal reflux disease for last 6 months. What should be the initial
investigation:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">An ECG</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">An upper GI endoscopy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Urgent ultrasound of the abdomen</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">An x-ray chest</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 119.<span> </span>Which of the following signs is not suggestive of a cervical spinal
cord injury:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Flaccidity</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increased rectal sphincter tone</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Diaphragmatic breathing</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Priapism</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 120.<span> </span>A 48 year old woman was admitted with a history of weakness for two
months. On examination cervical lymph nodes were found enlarged and spleen was
palpable 2 cm below the costal margin. Her hemoglobin was 10.5 g/dl, platelet
count 237 × 10</span><span style="color: windowtext; position: relative; top: -5pt;">9</span><span style="color: windowtext;">/L and total leukocyte count 40 × 10</span><span style="color: windowtext; position: relative; top: -5pt;">9</span><span style="color: windowtext;">/L, which included
80% mature lymphoid cells with coarse clumped chromatin. Bone marrow revealed a
nodular lymphoid infiltrate. The peripheral blood lymphoid cells were positive
for CD 19, CD 5, CD 20 and CD 23 and were negative for CD 79 B and FMC-7.</span></div>
<div class="Ques">
<span style="color: windowtext;"><span> </span>What
is the most likely diagnosis?</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">T-cell rich B-cell lymphoma with leukemic spill over
in blood</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Chronic lymphocytic leukemia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mantle cell lymphoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">A definite diagnosis can not be made in this patient
without lymph node biopsy</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 121.<span> </span>The typical movement of mitral valve calcification is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Upwards and downwards</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Counterclockwise</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Side to side</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Circular</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">PEDIATRICS</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 122.<span> </span>Recurrent respiratory tract infections may occur in all of the
following <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ventricular septal defect</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tetralogy of Fallot</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Transposition of great arteries</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Total anomalous venous return</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 123.<span> </span>A female child has recently learned to eat with spoon without
spilling; to dress and undress herself with supervision: and to understand that
she is a girl. These skills are first mastered between the ages of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">2 and 3 years</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">3 and 4 years</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">4 and 5 years</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">5 and 6 years</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 124.<span> </span>A 30-year old lady delivered a healthy baby at 37 week of
gestation. She was a known case of chronic hepatitis B infection. She was
positive for HBsAg but negative for HBeAg. Which of the following is the most
appropriate treatment for the baby:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Both active passive immunization soon after birth</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Passive immunization soon after birth and active
immunization at 1 year of age</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Only passive immunization soon after birth</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Only active immunization soon after birth</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 125.<span> </span>At what gestation does the switch over from fetal to adult
hemoglobin synthesis begin:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">30 weeks</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">36 weeks</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">7 days postnatal</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">3 weeks postnatal</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 126.<span> </span>A 6-month old boy weighing 3.2 kg presents with recurrent vomiting
and polyuria. Investigations show blood area 60 mg/dl creatinine 0.7 mg/dL,
calcium 12.8 mg/dL, phosphate 3 mg/dL, pH 7.45, bicarbonate 25 mEq/L and PTH
140 pg ml (normal < 60 pg/ml). Daily urinary calcium excretion is reduced.
Ultrasound abdomen show bilateral nephrocalcinosis. The most likely diagnosis
is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Bartter syndrome</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Mutation of the calcium sensing receptor</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pseudo-pseudohypoparathyroidism</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Parathyroid adenoma</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 127.<span> </span>A child presents with diarrhea and peripheral circulatory failure.
The arterial pH is 7.0, PCO</span><span style="color: windowtext; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>15 mmHg, and PO</span><span style="color: windowtext; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>76 mmHg. What will be the most appropriate
therapy:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sodium bicarbonate infusion</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bolus of Ringer lactate</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bolus of hydroxyethyl starch</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">5% dextrose infusion</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 128.<span> </span>A 5 year old child is rushed to casualty reportedly electrocuted
while playing in a park. The child is apneic and is ventilated with bag and
mask. There are burns on each hand. What will be the next step in the
management:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Check pulses</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Start chest compressions</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Intubate</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Check oxygen saturation</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">SURGERY</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 129.<span> </span>Which of the following statements is true regarding fat embolism:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Most patients with major trauma involving long bones
have urinary fat globules</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">All patients with urinary fat globules develop fat
embolism</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Peak incidence of respiratory insufficiency for
pulmonary fat embolism is around day 7 after injury</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Heparin as an anticoagulant decreases mortality and
morbidity in fat embolism syndrome</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 130.<span> </span>The diagnosis of congenital megacolon is confirmed by:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Clinical features</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Barium enema</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rectal biopsy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Recto-sigmoidoscopy</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 131.<span> </span>The treatment of choice for Anaplastic carcinoma of thyroid
infiltrating trachea and sternum will be:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Radical excision</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Chemotherapy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Radiotherapy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Palliative/Symptomatic treatment</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 132.<span> </span>Which of the following is the commonest tumour of thyroid:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Anaplastic carcinoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Follicular carcinoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Papillary carcinoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Medullary carcinoma</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 133.<span> </span>A 16-year old boy presents with acute onset pain in the left
testis. The following statements about his management are true <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The patient should be prescribed antibiotics and asked
to come after a week</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Colour flow Doppler will be very useful in diagnosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Scrotal exploration should be done without delay if
Doppler is not available</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">If left testis is not viable on exploration, patient
should undergo left orchidectomy and right orchidopexy</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 134.<span> </span>All of the following extraintestinal manifestations of ulcerative
colitis respond to colectomy <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Primary sclerosing cholangitis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pyoderma gangrenosum</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Episcleritis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Peripheral arthralgia</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 135.<span> </span>Which of the following is the most effective intravesical therapy
for superficial bladder cancer:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Mitomycin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Adriamycin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Thiotepa</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">BCG</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 136.<span> </span>The most common facial abnormality seen in Gardener’s syndrome is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ectodermal dysplasia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Odontomes</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Multiple osteomas</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Dental cysts</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 137.<span> </span>All of the following soft tissue sarcomas have a propensity for
lymphatic spread <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Neurofibrosarcoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Synovial sarcoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rhabdomyosarcoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Epithelioid sarcoma</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 138.<span> </span>All of the following are features of Zollinger Ellison syndrome <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intractable peptic ulcers</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Severe diarrhoea</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Beta cell tumours of the pancreas</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Very high acid output</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 139.<span> </span>All of the following are modalities of therapy for hepatocellular
carcinoma <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Radiofrequency ablation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Transarterial catheter embolization</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Percutaneous acetic acid</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Nd Yag laser ablation</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 140.<span> </span>Which of the following statement is true regarding subclavian steal
syndrome:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Reversal of blood flow in the ipsilateral vertebral
artery</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Reversal of blood flow in the contralateral carotid
artery</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Reversal of blood flow in the contralateral vertebral
artery</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bilateral reversal of blood flow in the vertebral
arteries</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 141.<span> </span>Features, which are evaluated for histological grading of breast
carcinoma, include all of the following <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Tumour necrosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Mitotic count</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tubule formation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Nuclear pleomorphism</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 142.<span> </span>All the following can be used to predict severe acute pancreatitis <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Glasgow score </span><span style="font-family: Symbol; font-size: 12pt;">³</span><span style="font-size: 12pt;"> 3</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">APACHE II score </span><span style="font-family: Symbol; font-size: 12pt;">³</span><span style="font-size: 12pt;"> 9</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">CT severity score </span><span style="font-family: Symbol; font-size: 12pt;">³</span><span style="font-size: 12pt;"> 6</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">C-reactive protein < 100</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 143.<span> </span>A patient presented to emergency ward with massive upper
gastrointestinal bleed. On examination, he has mild splenomegaly. In the
absence of any other information available, which of the following is the most
appropriate therapeutic modality:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intravenous propranolol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Intravenous vasopressin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Intravenous pantoprazole</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Intravenous somatostatin</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 144.<span> </span>Regarding bile duct injuries following cholecystectomy which of the
following statement is false:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The incidence following open cholecystectomy is in the
range of 0.2-0.3%</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The incidence rate following laparoscopic
cholecystectomy is three times higher than the rates following open
cholecystectomy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Untreated cases may develop secondary biliary
cirrhosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Routine use of ‘open’ technique of laparoscopic port
insertion has resulted in a decline in the incidence of post-laparoscopic
cholecystectomy bile duct injuries</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 145.<span> </span>Platelets can be stored at:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">20-24°C for 5 days</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">20-24°C for 8 days</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">4-8°C for 5 days</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">4-8°C for 8 days</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 146.<span> </span>The most common cause of peripheral limb ischaemia in India is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Trauma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Atherosclerosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Buerger’s disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Takayasu disease</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 147.<span> </span>A 45 year old male presents with 4 × 4 cm, mobile right solitary
thyroid nodule of 5 months duration. The patient is euthyroid. The following
statements about his management are true <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cold nodule on thyroid scan is diagnostic of
malignancy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">FNAC is the investigation of choice</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">The patient should undergo hemithyroidectomy if FNAC
report is inconclusive</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Indirect laryngoscopy should be done in the
preoperative period to assess mobility of vocal cords.</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 148.<span> </span>In patients with breast cancer, chest wall involvement means
involvement of any one of the following structures <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Serratus anterior</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pectoralis major</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Intercostal muscles</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ribs</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 149.<span> </span>All of the following are indications for surgery in gastric
lymphoma <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Bleeding</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Perforation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Residual disease following chemotherapy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Intractable pain</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 150.<span> </span>A person has been brought in casualty with history of road
accident. He had lost consciousness transiently and then gained consciousness
but again became unconscious. Most likely, he is having brain hemorrhage of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intracerebral</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Subarachnoid</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Subdural</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Extradural</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 151.<span> </span>In which of the following tumors alpha fetoprotein is elevated:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Choriocarcinoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Neuroblastoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hepatocellular carcinoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Seminoma</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 152.<span> </span>Acalculous cholecystitis can be seen in all the following
conditions <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Enteric fever</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dengue haemorrhagic fever</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Leptospirosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Malaria</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">ORTHOPAEDICS</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 153.<span> </span>A 50 year old man presented with multiple pathological fractures.
His serum calcium was 11.5 mg/dl and phosphate was 2.5 mg/dl. Alkaline
phosphatase was 940 IU/dl. The most probable diagnosis is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Osteoporosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Osteomalacia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Multiple myeloma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hyperparathyroidism</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 154.<span> </span>The pain around the hip with flexion, adduction & internal
rotation of lower limb in a young adult after a road traffic accident is
suggestive of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intracapsular fracture of the femoral neck</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Extracapsular fracture of the femoral neck</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Posterior dislocation of hip</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Anterior dislocation of hip</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 155.<span> </span>Pain & tenderness over the lateral condyle of humerus with a
painful dorsiflexion of the wrist is indicative of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Golfer’s elbow</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tennis elbow</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pitcher’s elbow</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cricket elbow</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 156.<span> </span>A one year old child presented with multiple fractures seen in
various stages of healing. The most probable diagnosis in this case is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Scurvy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Rickets</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Battered baby syndrome</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sickle cell disease</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt; text-transform: uppercase;">Gynaecology & Obstetrics</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 157.<span> </span>All of the following are the markers for malignant germ cell tumors
of ovary <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">CA-125</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Alpha fetoprotein</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-family: Symbol; font-size: 12pt;">b</span><span style="font-size: 12pt;">-HCG</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">LDH</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 158.<span> </span>In which of the following conditions would maternal serum </span><span style="color: windowtext; font-family: Symbol;">a</span><span style="color: windowtext;">-fetoprotein
values be the highest:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Down’s syndrome</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Omphalocele</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Gastroschisis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Spina bifida occulta</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 159.<span> </span>Which of the following test is the most sensitive for detection of
iron depletion in pregnancy:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Serum iron</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Serum transferrin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Serum ferritin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Serum erythropoietin</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 160.<span> </span>The one measurement of fetal maturity that is not affected by a
‘bloody tap’ during amniocentesis is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">L/S ratio</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Phosphatidyl glycerol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-family: Symbol; font-size: 12pt;">a</span><span style="font-size: 12pt;"> fetoprotein</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bilirubin as measured by </span><span style="font-family: Symbol; font-size: 12pt;">D</span><span style="font-size: 12pt;">OD 450</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 161.<span> </span>The drug of choice in treatment of typhoid fever in pregnancy is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ampicillin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Chloramphenicol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ciprofloxacin</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ceftriaxone</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 162.<span> </span>The most important indication for surgical repair of a bicornuate
uterus is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Infertility</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dysmenorrhoea</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Menorrhagia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Habitual abortion</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 163.<span> </span>Which of the following strategy has been recommended to reduce the
hereditary risk for ovarian cancer in woman with BRCA I & BRCA II mutation:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Use of oral contraceptive pill</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Screening with transvaginal ultrasound</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Screening with CA-125</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Prophylactic oophorectomy</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 164.<span> </span>Which of the following antihypertensives is not safe in pregnancy:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Clonidine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">ACE inhibitors</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-family: Symbol; font-size: 12pt;">a</span><span style="font-size: 12pt;">-methyldopa</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Amlodipine</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">OPHTHALMOLOGY</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 165.<span> </span>A 55 year old female comes to the eye casualty with history of
severe eye pain, redness and diminution of vision. On examination the visual
acuity is 6/60, there is circumcorneal congestion, corneal oedema and a shallow
anterior chamber, Which of the following is the best drug of choice:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Atropine ointment</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">IV mannitol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ciprofloxacin eye drops</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Betamethasone eye drops</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 166.<span> </span>A 30 year old patient with history of recurrent headache was sent
for fundus evaluation. He was found to be having generalized arterial
attenuation with multiple cotton wool spots and flame shaped haemorrhages in
both eyes. The most likely cause is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Diabetic retinopathy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hypertensive retinopathy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Central retinal artery occlusion</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Temporal arteritis</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 167.<span> </span>A female presented with loss of vision in both eyes and on
examination has normal pupillary responses and normal fundus, Her visually
evoked response (VER) examination shows extinguished responses. The most likely
diagnosis is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hysteria</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Cortical blindness</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Optic neuritis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Retinal detachment</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 168.<span> </span>The most common retrobulbar orbital mass in adults is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Neurofibroma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Meningioma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cavernous haemangioma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Schwannoma</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 169.<span> </span>Which of the following drugs is contraindicated in a patient with
history of sulfa allergy presenting with an acute attack of angle closure
glaucoma:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Glycerol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Acetazolamide</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mannitol</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Latanoprost</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 170.<span> </span>The most common systemic association of scleritis is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ehlers Danlos syndrome</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Disseminated systemic sclerosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rheumatoid arthritis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Giant cell arteritis</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 171.<span> </span>Angioid streaks in the eyes are seen in:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pseudoxanthoma elasticum</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tendinous xanthoma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Xanthelasma</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Eruptive xanthoma</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 172.<span> </span>The corneal transparency is maintained by:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Keratocytes</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bowman’s membrane</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Descemet’s membrane</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Endothelium</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 173.<span> </span>A 55 year old patient complains of decreased distance vision.
However, now he does not require his near glasses for near work. The most
likely cause is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Posterior subcapsular cataract</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Zonular cataract</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Nuclear sclerosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Anterior subcapsular cataract</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 174.<span> </span>A patient has a right homonymous hemianopia with saccadic pursuit
movements and defective optokinetic nystagmus. The lesion is most likely to be
in the:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Frontal lobe</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Occipital lobe</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Parietal lobe</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Temporal lobe</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 175.<span> </span>Idiopathic nyctalopia is due to a hereditary:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Absence of rod function</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Absence of cone function</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Absence of rod and cone function</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Decrease of cone function</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">ENT</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 176.<span> </span>A 10 year old boy developed hoarseness of voice following and
attack of diphtheria. On examination, his right vocal cord was paralysed. The
treatment of choice for paralysed vocal cord will be:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Gel foam injection of right vocal cord</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Fat injection of right vocal cord</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Thyroplasty type-I</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Wait for spontaneous recovery of vocal cord</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 177.<span> </span>The current treatment of choice for a large antro-choanal polyp in
a 30 year old man is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intranasal polypectomy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Caldwell Luc operation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">ESS (Endoscopic sinus surgery)</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lateral rhinotomy and excision</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 45pt; text-align: center;">
<b><span style="font-size: 16pt;">SKIN</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 178.<span> </span>‘Exclamation mark’ hair is a feature of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Telogen effluvium</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Androgenetic alopecia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Alopecia areata</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Alopecia mucinosa</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 179.<span> </span>Pautrier’s micro-abscess is a histological feature of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sarcoidosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tuberculosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mycosis fungoides</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pityriasis lichenoides chronica</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 180.<span> </span>‘Adenoma sebaceum’ is a feature of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Neurofibromatosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tuberous sclerosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Xanthomatosis</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Incontinentia pigmenti</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 8pt 0in 4pt 45.35pt; text-align: center;">
<b><span style="font-size: 16pt;">ANAESTHESIA</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 181.<span> </span>Bradycardia is common after injection of:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Midazolam</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Succinyl choline</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Dopamine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Isoprenaline</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 182.<span> </span>With regard to Ketamine, all of the following are true <i>except</i>:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is a direct myocardial depressant</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Emergence phenomena are more likely if anticholinergic
premedication is used</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It may induce cardiac dysarrhythmias in patients
receiving tricyclic antidepressants</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Has no effect on intracranial pressure</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 183.<span> </span>Which of the following is not a cardiovascular monitoring
technique:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Transesophageal echocardiography</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Central venous pressure monitoring</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pulmonary artery catheterization</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Capnography</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 184.<span> </span>Placement of a double lumen tube for lung surgery is best confirmed
by:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">ETCO</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><b><span style="font-size: 12pt;"></span></b></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Airway pressure measurement</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Clinically by auscultation</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bronchoscopy</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 185.<span> </span>The most sensitive and practical technique for detection of
myocardial ischemia in the periooperative period is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Magnetic Resonance Spectroscopy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Radio labeled lactate determination</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Direct measurement of end diastolic pressure</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Regional wall motion abnormality detected with the
help of 2D transoesophageal echocardiography</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 186.<span> </span>The most common cause of hypoxia during one lung ventilation is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Malposition of the double lumen tube</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increased shunt fraction</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Collapse of one lung</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Soiling of lung by secretions</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 187.<span> </span>A 30 year old woman with coarctation of aorta is admitted to the
labour room for elective caesarean section. Which of the following is the
anaesthesia technique of choice:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Spinal anaesthesia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Epidural anaesthesia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">General anaesthesia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Local anaesthesia with nerve blocks</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 188.<span> </span>A 5 year old child is suffering from cyanotic heart disease. He is
planned for corrective surgery. The induction agent of the choice would be:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Thiopentone</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ketamine</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Halothane</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Midazolam</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 189.<span> </span>While introducing the Swan-Ganz catheter, its placement in the
pulmonary artery can be identified by the following pressure tracing:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Diastolic pressure is lower in PA than in RV</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Diastolic pressure is higher in PA than in RV</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">PA pressure tracing has diacrotic notch from closure
of pulmonary valve</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">RV pressure tracing for plateau and sharp drop in
early diastole.</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 190.<span> </span>The outcome following resuscitation of a cardiac arrest is worsened
if during resuscitation patient is given:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ringer’s lactate</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Colloids</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">5% dextrose</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Whole blood transfusion</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 191.<span> </span>A 6 month old child is suffering from patent ductus arteriosus
(PDA) with congestive cardiac failure. Ligation of ductus arteriosus was
decided for surgical management. The most appropriate inhalational anaesthetic
agent of choice with minimal haemodynamic alteration from induction of
anaesthesia is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sevoflurane</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Isoflurane</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Enflurane</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Halothane</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>A</span></b></div>
<div class="answers" style="margin-bottom: 2pt;">
<br /></div>
<div class="answers" style="margin-bottom: 2pt;">
<br /></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 8pt 0in 4pt 45.35pt; text-align: center;">
<b><span style="font-size: 16pt;">RADIOLOGY</span></b><b><span style="font-size: 12pt;"></span></b></div>
<div class="Ques">
<span style="color: windowtext;">Q 192.<span> </span>The posterior urethra is best visualized by:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Static cystogram</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Retrograde urethrogram</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Voiding cystogram</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">CT cystogram</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C<span> </span></span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 193.<span> </span>For which malignancy, intensity modulated radiotherapy (IMRT) is
the most suitable:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Lung</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Prostate</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Leukemias</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Stomach</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 194.<span> </span>Which of the following radioactive isotopes is not used for
brachytherapy:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Iodine-125</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Iodine-131</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cobalt-60</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Iridium-192</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>B</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 195.<span> </span>Solitary hypoechoic lesion of the liver without septae or debris is
most likely to be:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hydatid cyst</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Caroli’s disease</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Liver abscess</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Simple cyst</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div align="center" class="ABCD" style="line-height: normal; margin: 8pt 0in 4pt 45.35pt; text-align: center;">
<b><span style="font-size: 16pt;">PSYCHIATRY</span></b><span style="font-size: 16pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 196.<span> </span>A 50 year old male feels uncomfortable in using lift, being in
crowded places and travelling. The most appropriate line of treatment is:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Counselling</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Relaxation therapy</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Exposure</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Covert sensitization</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 197.<span> </span>Which of the following statements differentiates the obsessional
idea from delusions:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The idea is not a conventional belief</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The idea is held in spite of contrary evidence</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">The idea is regarded as senseless by patient</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">The idea is held on inadequate ground</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 198.<span> </span>Dementia of Alzheimer’s type is not associated with one of the
following:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Depressive symptoms</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Delusions</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Apraxia and aphasia</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cerebral infarcts</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>D</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 199.<span> </span>A person who laughs one minute and cries the next without any clear
stimulus is said to have:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Incongruent affect</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Euphoria</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Labile affect</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">“Split personality”</span></div>
<div class="answers" style="margin-bottom: 2pt;">
<b><span style="font-size: 12pt;">Ans.<span> </span>C</span></b><span style="font-size: 12pt;"></span></div>
<div class="Ques">
<span style="color: windowtext;">Q 200.<span> </span>A 9 year old child disturbs other people, is destructive,
interferes when two people are talking, does not follow instructions and cannot
wait for his turn while playing a game. He is likely to be suffering from:</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Emotional disorders</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Behavioural problems</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">No disorder</span></div>
<div class="ABCD" style="line-height: normal; margin: 2pt 0in 2pt 0.75in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Attention deficit hyperactivity disorder</span></div>
<div class="Ans">
Ans.<span> </span>D</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-28773170492803269862012-01-07T19:34:00.000-08:002012-01-07T19:34:03.066-08:00AIIMS NOV 2006<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head" style="margin-top: 0in;">
ANATOMY</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>In
case of IVC obstruction, the collaterals open through all the following EXCEPT<span> </span>(AI 2003)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Superior
epigastric and inferior epigastric vein</div>
<div class="ABCD">
<b>B.<span> </span></b>Posterior
Intercostal and iliolumbar vein</div>
<div class="ABCD">
<b>C.<span> </span></b>Azygous vein and
internal thoracic</div>
<div class="ABCD">
<b>D.<span> </span></b>Lateral thoracic
and superior circumflex iliac veins</div>
<div class="Ans">
<b>Ans is B</b> (Posterior intercostal and iliolumbar vein)</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>True
about posterior cruciate ligament</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Intrasynovial</div>
<div class="ABCD">
<b>B.<span> </span></b>Attached to
lateral epicondyle of tibia</div>
<div class="ABCD">
<b>C.<span> </span></b>Prevents
posterior displacement of tibia</div>
<div class="ABCD">
<b>D.<span> </span></b>Buckling of the
posterior cruciate ligament is an indirect sign of meniscal tear</div>
<div class="Ans">
<b>Ans is C</b> (Prevents post displacement of tibia) </div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Structure
passing from thorax to abdomen behind the attachment of diaphragm are all
EXCEPT</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Thoracic duct<span> </span><b>B.<span> </span></b>Aorta</div>
<div class="ABCD">
<b>C.<span> </span></b>Azygous vein<span> </span><b>D.<span> </span></b>Greater splanchnic nerve</div>
<div class="Ans">
<b>Ans is D</b> (Greater splanchnic nerve)</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Not
true regarding trigone of bladder</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Lined by
transitional epithelium</div>
<div class="ABCD">
<b>B.<span> </span></b>Mucosa is loosely
attached to muscular coat.</div>
<div class="ABCD">
<b>C.<span> </span></b>It develops
by-investing of mesonephric duct and urogenital sinus.</div>
<div class="ABCD">
<b>D.<span> </span></b>The mucosa is
smooth.</div>
<div class="Ans">
<b>Ans is B</b> (Mucosa is loosely attached to muscular coat.)</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>Morgagni
hernia is common through</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Left anterior
aspect of the diaphragm<span> </span><b>B.<span> </span></b>Right anterior of the diaphragm</div>
<div class="ABCD">
<b>C.<span> </span></b>Right posterior
of the diaphragm<span> </span><b>D.<span> </span></b>Left posterior of the diaphragm</div>
<div class="Ans">
<b>Ans is B</b> (Right anterior of the diaphragm)</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Common
peroneal nerve is related to</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Neck of fibula<span> </span><b>B.<span> </span></b>Shaft of fibula</div>
<div class="ABCD">
<b>C.<span> </span></b>Medial tibial
condyle<span> </span><b>D.<span> </span></b>Posteromedial aspect of proximal tibial
shaft</div>
<div class="Ans">
<b>Ans is A</b> (Neck of fibula)</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Supination
pronation does not occur at</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Radiocarpal joint<span> </span><b>B.<span> </span></b>Superior radioulnar joint</div>
<div class="ABCD">
<b>C.<span> </span></b>Middle radiounlar
joint<span> </span><b>D.<span> </span></b>Inferior radioulnar joint</div>
<div class="Ans">
<b>Ans is A</b> (Radiocarpal joint)</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span>Which
is not rue about oculomotor nerve?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>It is
parasympathetic.</div>
<div class="ABCD">
<b>B.<span> </span></b>Passes through
inferior orbital fissure</div>
<div class="ABCD">
<b>C.<span> </span></b>In case of palsy,
there is lateral deviation of eye</div>
<div class="ABCD">
<b>D.<span> </span></b>The paired
oculomotor nerves exit from the caudal aspect of the interpeduncular fossa.</div>
<div class="Ans">
<b>Ans is B</b> (Passes through inferior orbital fissure) </div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>Meralgia paresthetica affects</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Lateral cutaneous
nerve of thigh<span> </span><b>B.<span> </span></b>Medial cutaneous nerve of thigh</div>
<div class="ABCD">
<b>C.<span> </span></b>Genitofemoral
nerve<span> </span><b>D.<span> </span></b>Common femoral nerve</div>
<div class="Ans">
<b>Ans is A</b> (Lateral cutaneous nerve of thigh)</div>
<div class="Head">
PHYSIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">11.<span> </span>Goigi tendon organ functions for</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Dynamic length<span> </span><b>B.<span> </span></b>Static length</div>
<div class="ABCD">
<b>C.<span> </span></b>Muscle tension<span> </span><b>D.<span> </span></b>Stimulates the motor neurons of the same.</div>
<div class="Ans">
<b>Ans is C</b> (Muscle tension)</div>
<div class="Ques">
<span style="color: windowtext;">12.<span> </span>Continuous stimulation at low threshold leads to increase in
threshold for action potential. This is called as</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Adaptation<span> </span><b>B.<span> </span></b>Accommodation</div>
<div class="ABCD">
<b>C.<span> </span></b>Resistance<span> </span><b>D.<span> </span></b>Initiation</div>
<div class="Ans">
<b>Ans is A</b> (Adaptation)</div>
<div class="Ques">
<span style="color: windowtext;">13.<span> </span>Noradrenaline, adrenaline, dopamine, and serotonin receptor</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">belong
to which family?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>7 pass receptor<span> </span><b>B.<span> </span></b>2 pass receptor</div>
<div class="ABCD">
<b>C.<span> </span></b>5 pass receptor<span> </span><b>D.<span> </span></b>Ligand gated</div>
<div class="Ans">
<b>Ans is A</b> (7 Pass receptor)</div>
<div class="Ques">
<span style="color: windowtext;">14.<span> </span>Difference between pulmonary and systemic circulations</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Resistance is
more than that in systemic circulation</div>
<div class="ABCD">
<b>B.<span> </span></b>Vasoconstriction
in response to hypoxia</div>
<div class="ABCD">
<b>C.<span> </span></b>BP is more in
pulmonary circulation</div>
<div class="ABCD">
<b>D.<span> </span></b>Flow velocity is
more in pulmonary circulation</div>
<div class="Ans">
<b>Ans is B</b> (Vasoconstriction in response to hypoxia)</div>
<div class="Ques">
<span style="color: windowtext;">15.<span> </span>Which of the following statements is true for high altitude pulmonary
oedema?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>It occurs in
non-acclimatized individuals.</div>
<div class="ABCD">
<b>B.<span> </span></b>It reduces after
exercise.</div>
<div class="ABCD">
<b>C.<span> </span></b>It is associated
with pulmonary hypertension.</div>
<div class="ABCD">
<b>D.<span> </span></b>It is more likely
to occur above the height of 3000 m.</div>
<div class="Ans">
<b>Ans is C</b> & 4 (It is more likely to occur above the
height of 3000 m) & 3 (It is associated palm hypertension)</div>
<div class="Ques">
<span style="color: windowtext;">16.<span> </span>Turbulence occurs with</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Low viscosity of
blood<span> </span><b>B.<span> </span></b>Reynold’s number < 1000</div>
<div class="ABCD">
<b>C.<span> </span></b>Increase is
radius of vessel<span> </span><b>D.<span> </span></b>Decrease in flow rate.</div>
<div class="ABCD">
<b>Ans is </b>1 (Low viscosity of blood). </div>
<div class="Ques">
<span style="color: windowtext;">17.<span> </span>Mean arterial blood pressure</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Heart rate ×
Total peripheral resistance<span> </span><b>B.<span> </span></b></div>
<div class="ABCD">
<b>C.<span> </span></b>Diastolic BP +
Pulse pressure<span> </span><b>D.<span> </span></b>Systolic + Diastolic pressure</div>
<div class="Ans">
<b>Ans is B</b> </div>
<div class="Ques">
<span style="color: windowtext;">18.<span> </span>Most efficient method of glomerular clearance estimation</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Jaffey’s<span> </span><b>B.<span> </span></b>Kinetic Jaffey’s</div>
<div class="ABCD">
<b>C.<span> </span></b>Technician<span> </span><b>D.<span> </span></b>Enzymatic</div>
<div class="Ans">
<b>Ans is B</b> (Kinetic Jaffey’s)</div>
<div class="Ques">
<span style="color: windowtext;">19.<span> </span>Inhypothermia all are seen except</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Cardiac
arrhythmias<span> </span><b>B.<span> </span></b>Decreased peripheral vascular resistance</div>
<div class="ABCD">
<b>C.<span> </span></b>Reversible
coagulation defect<span> </span><b>D.<span> </span></b>Renal function abnormality</div>
<div class="Ans">
<b>Ans is B</b> (Decreased peripheral vascular resistance)</div>
<div class="Ques">
<span style="color: windowtext;">20.<span> </span>Filtration at arterial end of capillary is dependent on</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Low capillary
hydrostatic pressure<span> </span><b>B.<span> </span></b>Low capillary oncotic pressure</div>
<div class="ABCD">
<b>C.<span> </span></b>Low interstitial
oncotic pressure<span> </span><b>D.<span> </span></b>Low atmospheric pressure</div>
<div class="Ans">
<b>Ans is B</b> (Low capillary oncotic pressure)</div>
<div class="Ques">
<span style="color: windowtext;">21.<span> </span>In Schwartz formula for GFR estimation, constant Kf is inde</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">pendent,
of</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Age<span> </span><b>B.<span> </span></b>Body mass</div>
<div class="ABCD">
<b>C.<span> </span></b>Method of
estimation of creatinine clearance<span> </span><b>D.<span> </span></b>Renal functions</div>
<div class="Ans">
<b>Ans is C</b> (Method of estimation of creatinine clearance)</div>
<div class="Head">
BIOCHEMISTRY</div>
<div class="Ques">
<span style="color: windowtext;">22.<span> </span>About chymotrypsinogen, true is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>It is zymogen.<span> </span><b>B.<span> </span></b>It is carboxypeptidase.</div>
<div class="ABCD">
<b>C.<span> </span></b>It causes clot
lysis.<span> </span><b>D.<span> </span></b>It is activated by enterokinase.</div>
<div class="Ans">
<b>Ans is A</b> (It is zymogen)</div>
<div class="Ques">
<span style="color: windowtext;">23.<span> </span>Steroid regulatory protein mediate the act by binding at</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Leucine zipper
motif<span> </span><b>B.<span> </span></b>Zinc finger motif</div>
<div class="ABCD">
<b>C.<span> </span></b>Helix turn helix
motif<span> </span><b>D.<span> </span></b>Histone helix motif</div>
<div class="Ans">
<b>Ans is B</b> (Zinc Finger motif)</div>
<div class="Ques">
<span style="color: windowtext;">24.<span> </span>When one AA cod codes for more than one AA<span> </span>(JIPMER
2003)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Degeneracy<span> </span><b>B.<span> </span></b>Frame - Shift mutation</div>
<div class="ABCD">
<b>C.<span> </span></b>Mutation<span> </span><b>D.<span> </span></b>Transcription</div>
<div class="Ans">
<b>Ans is A</b> (Degeneracy)</div>
<div class="Ques">
<span style="color: windowtext;">25.<span> </span>Most common defect in beta-thalassaemia</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Single base
mutation<span> </span><b>B.<span> </span></b>Inversion</div>
<div class="ABCD">
<b>C.<span> </span></b>3.7 deletion<span> </span><b>D.<span> </span></b>619 bp. Mutation</div>
<div class="Ans">
<b>Ans is D</b> (619 bp. Mutation)</div>
<div class="Ques">
<span style="color: windowtext;">26.<span> </span>Eicosapentanoic acid is maximum in</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Corn oil<span> </span><b>B.<span> </span></b>Soya bean oil</div>
<div class="ABCD">
<b>C.<span> </span></b>Fish oil<span> </span><b>D.<span> </span></b>Coconut oil</div>
<div class="Ans">
<b>Ans is C</b> (Fish oil)</div>
<div class="Ques">
<span style="color: windowtext;">27.<span> </span>Agranular endoplasmic reticulum takes part in synthesis of</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Lipids<span> </span><b>B.<span> </span></b>Proteins</div>
<div class="ABCD">
<b>C.<span> </span></b>Carbohydrates<span> </span><b>D.<span> </span></b>Vitamins</div>
<div class="Ans">
<b>Ans is A</b> (Lipids)</div>
<div class="Ques">
<span style="color: windowtext;">28.<span> </span>IN PUFA omega -3 fatty chains causes</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Total cholesterol
<span style="font-family: Symbol;">¯</span> & LDL <span style="font-family: Symbol;">¯</span><span> </span><b>B.<span> </span></b><span style="font-family: Symbol;"></span>
Total <span style="font-family: Symbol;">¯</span> LDL</div>
<div class="ABCD">
<b>C.<span> </span></b><span style="font-family: Symbol;"></span> Total <span style="font-family: Symbol;"></span>
LDL<span> </span><b>D.<span> </span></b><span style="font-family: Symbol;"></span>
LDL <span style="font-family: Symbol;">¯</span> Total</div>
<div class="Ans">
<b>Ans is A</b> (Total cholesterol <span style="font-family: Symbol;">¯</span>
& LDL <span style="font-family: Symbol;">¯</span>)</div>
<div class="Ques">
<span style="color: windowtext;">29.<span> </span>Hyaluronic acid occurs maximally at (DNB 19B9)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Outer layer
epidermis<span> </span><b>B.<span> </span></b>Vitreous humour</div>
<div class="ABCD">
<b>C.<span> </span></b>Retina<span> </span><b>D.<span> </span></b>Cornea</div>
<div class="Ans">
<b>Ans is B</b> (Vitreous humour)</div>
<div class="Ques">
<span style="color: windowtext;">30.<span> </span>Sample for blood glucose estimation pressured while sending</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">it
from PHC to Civil Hospital</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Sodium fluoride<span> </span><b>B.<span> </span></b>Citrate</div>
<div class="ABCD">
<b>C.<span> </span></b>EDTA<span> </span><b>D.<span> </span></b>Heparin</div>
<div class="Ans">
<b>Ans is A</b> (Sodium fluoride)</div>
<div class="Ques">
<span style="color: windowtext;">31.<span> </span>40 mm gap between two fibers of tropocollagen help in main
taining bone structure is filled by</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Fe++<span> </span><b>B.<span> </span></b>Hydroxyapatite</div>
<div class="ABCD">
<b>C.<span> </span></b>Carbohydrate<span> </span><b>D.<span> </span></b>Calcium</div>
<div class="Ans">
<b>Ans is D</b> (Calcium)</div>
<div class="Ques">
<span style="color: windowtext;">32.<span> </span>Which substance in breast milk helps in brain development in</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">a
child?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Docosahexanoic
acid<span> </span><b>B.<span> </span></b>Linolenic acid</div>
<div class="ABCD">
<b>C.<span> </span></b>Linoleic acid<span> </span><b>D.<span> </span></b>Arachidonic acid</div>
<div class="Ans">
<b>Ans is A</b> (Docosahexanoic acid)</div>
<div class="Ques">
<span style="color: windowtext;">33.<span> </span>Apolipoprotein A predisposes to</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Nephrotic
syndrome<span> </span><b>B.<span> </span></b>Liver cirrhosis</div>
<div class="ABCD">
<b>C.<span> </span></b>Atherosclerosis<span> </span><b>D.<span> </span></b>Hypertension.</div>
<div class="Ans">
<b>Ans is C</b> (Atherosclerosis)</div>
<div class="Head">
PATHOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">34.<span> </span>Antiapoptotic molecule:<span> </span>(AI
2002)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Bel - X<span> </span><b>B.<span> </span></b>Brax</div>
<div class="ABCD">
<b>C.<span> </span></b>Box<span> </span><b>D.<span> </span></b>Ras</div>
<div class="Ans">
<b>Ans is A</b> (Bcl - X)</div>
<div class="Ques">
<span style="color: windowtext;">35.<span> </span>Cytosolic cytochrome ‘c’ takes part in</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Apoptosis<span> </span><b>B.<span> </span></b>Necrosis</div>
<div class="ABCD">
<b>C.<span> </span></b>Electron
transport<span> </span><b>D.<span> </span></b>Cell development</div>
<div class="Ans">
<b>Ans is A</b> (Apoptosis)</div>
<div class="Ques">
<span style="color: windowtext;">36.<span> </span>Indicator of irreversible cell injury on electron microscopy</span><span style="color: windowtext; font-weight: normal;"><span> </span></span><span style="color: windowtext;">(AI 2000)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Amorphous
densities in mitochondria<span> </span><b>B.<span> </span></b>Swelling of ER</div>
<div class="ABCD">
<b>C.<span> </span></b>Detachment of
ribosomes<span> </span><b>D.<span> </span></b>Swelling of cell membrane</div>
<div class="Ans">
<b>Ans is A</b> Amorphous densities in mitochondria </div>
<div class="Ques">
<span style="color: windowtext;">37.<span> </span>Beta-pleated sheet configuration of amyloid is seen in<span> </span>(Kerala
94)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Plain polarised
right<span> </span><b>B.<span> </span></b>X-ray crystallography</div>
<div class="ABCD">
<b>C.<span> </span></b>Staining with
Congo red<span> </span><b>D.<span> </span></b>Electron microscopy</div>
<div class="Ans">
<b>Ans is B</b> (X-ray crystallography)</div>
<div class="Ques">
<span style="color: windowtext;">38.<span> </span>In case of acute inflammation endothelial retraction due to</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">cytoskeletal
reorganization results in<span> </span><span> </span>(Orrisa
98)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Immediate and
transient increase in permeability</div>
<div class="ABCD">
<b>B.<span> </span></b>Immediate and
prolonged increase in permeability</div>
<div class="ABCD">
<b>C.<span> </span></b>Delayed and
transient increase in permeability</div>
<div class="ABCD">
<b>D.<span> </span></b>Delayed and
prolonged increase in permeability</div>
<div class="Ans">
<b>Ans is A</b> (Immediate and transient increase in permeability)
</div>
<div class="Ques">
<span style="color: windowtext;">39.<span> </span>Free radical injury is associated with deposition of</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Melanin<span> </span><b>B.<span> </span></b>Lipofuschin</div>
<div class="ABCD">
<b>C.<span> </span></b>Bilirubin<span> </span><b>D.<span> </span></b>Haemosiderin</div>
<div class="Ans">
<b>Ans is B</b> (Lipofuschin)</div>
<div class="Ques">
<span style="color: windowtext;">40.<span> </span>A C-C type of chemokine</span></div>
<div class="ABCD">
<b>A.<span> </span></b>IL-8<span> </span><b>B.<span> </span></b>Eotaxin</div>
<div class="ABCD">
<b>C.<span> </span></b>Lymphotactin<span> </span><b>D.<span> </span></b>Fractalkine.</div>
<div class="Ans">
<b>Ans is B</b> (Eotaxin)</div>
<div class="Ques">
<span style="color: windowtext;">41.<span> </span>Spherocytes on peripheral smear are diagnosed by<span> </span>(PGI
98)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Osmotic fragility
test<span> </span><b>B.<span> </span></b>Coomb’s test</div>
<div class="ABCD">
<b>C.<span> </span></b>Ham’s test<span> </span><b>D.<span> </span></b>Russell viper venoJJ}-test</div>
<div class="Ans">
<b>Ans is A</b> (Osmotic fragility test)</div>
<div class="Ques">
<span style="color: windowtext;">42.<span> </span>Acid phosphatase is the maker for</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>B-cell<span> </span><b>B.<span> </span></b>Neutrophil</div>
<div class="ABCD">
<b>C.<span> </span></b>T-cell<span> </span><b>D.<span> </span></b>Monocyte</div>
<div class="Ans">
<b>Ans is D</b> (Monocyte)</div>
<div class="Ques">
<span style="color: windowtext;">43.<span> </span>Adult cells cannot proliferate like fetal cells because</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Cyclin-dependent
kinase inhibitor (CDK inhibitor) act at ‘5’ phase to prevent proliferation of
adult cell.</div>
<div class="ABCD">
<b>B.<span> </span></b>In fetal cells,
protease is absent for degrading CDK.</div>
<div class="ABCD">
<b>C.<span> </span></b>Cell cycle arrest
in adults in response to DNA damage is more.</div>
<div class="ABCD">
<b>D.<span> </span></b>Cyclin-dependent
kinase inhibitors block the cell cycle without binding to cyclin-CDK
complexes.</div>
<div class="Ans">
<b>Ans is A</b> (Cyclin-dependent kinase inhibitors act at ‘5’
phase to prevent proliferation of adult cells)</div>
<div class="Head">
PHARMACOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">44.<span> </span>Which NSAID undergoes enterohepatic circulation?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Aspirin<span> </span><b>B.<span> </span></b>Phenylbutazone</div>
<div class="ABCD">
<b>C.<span> </span></b>Piroxicam<span> </span><b>D.<span> </span></b>Ibuprofen</div>
<div class="Ans">
<b>Ans is C</b> (Piroxicam)</div>
<div class="Ques">
<span style="color: windowtext;">45.<span> </span>Drugs undergoing acetylation include except</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Dapsone<span> </span><b>B.<span> </span></b>Metoclopramide</div>
<div class="ABCD">
<b>C.<span> </span></b>Procainamide<span> </span><b>D.<span> </span></b>INH</div>
<div class="Ans">
<b>Ans is B</b> (Metoclopramide)</div>
<div class="Ques">
<span style="color: windowtext;">46.<span> </span>Loading dose depends on</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Half life<span> </span><b>B.<span> </span></b>Plasma volume</div>
<div class="ABCD">
<b>C.<span> </span></b>Volume of
distribution<span> </span><b>D.<span> </span></b>Rate of clearance</div>
<div class="Ans">
<b>Ans is C</b> (Volume of distribution)</div>
<div class="Ques">
<span style="color: windowtext;">47.<span> </span>Which of the following is a prodrug? (Maharashtra Super Speciality
Entrance Test 2005)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Clonidine<span> </span><b>B.<span> </span></b>Enalapril</div>
<div class="ABCD">
<b>C.<span> </span></b>Salmeterol<span> </span><b>D.<span> </span></b>Acetazolamide</div>
<div class="Ans">
<b>Ans is B</b> (Enalapril)</div>
<div class="Ques">
<span style="color: windowtext;">48.<span> </span>Long acting B</span><span style="color: windowtext; font-size: 5.5pt; position: relative; top: 1pt;">2</span><span style="color: windowtext;"><span> </span>sympathomimetic</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Salmeterol<span> </span><b>B.<span> </span></b>Orciprenaline</div>
<div class="ABCD">
<b>C.<span> </span></b>Penoterol<span> </span><b>D.<span> </span></b>Pexbaterol</div>
<div class="Ans">
<b>Ans is A</b> (Salmeterol)</div>
<div class="Ques">
<span style="color: windowtext;">49.<span> </span>All are 2nd generation antihistaminic except</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Atavastin<span> </span><b>B.<span> </span></b>Cyclizine</div>
<div class="ABCD">
<b>C.<span> </span></b>Fexofenadine<span> </span><b>D.<span> </span></b>Loratidine</div>
<div class="Ans">
<b>Ans is B</b> (Cyclizine)</div>
<div class="Ques">
<span style="color: windowtext;">50.<span> </span></span><span style="color: windowtext; font-weight: normal;">All are
atypical anti-psychotic agents EXCEPT</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Thioridazone<span> </span><b>B.<span> </span></b>Risperidone</div>
<div class="ABCD">
<b>C.<span> </span></b>Olanzapine<span> </span><b>D.<span> </span></b>Clozapine</div>
<div class="Ans">
<b>Ans is A</b> (Thioridazone)</div>
<div class="Ques">
<span style="color: windowtext;">51.<span> </span>Drugs used for H. pylori except</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Bismuth<span> </span><b>B.<span> </span></b>Amoxicillin</div>
<div class="ABCD">
<b>C.<span> </span></b>Mosapride<span> </span><b>D.<span> </span></b>Clarithromycin</div>
<div class="Ans">
<b>Ans is C</b> (Mosapride)</div>
<div class="Ques">
<span style="color: windowtext;">52.<span> </span>Benzodiazepine antagonist (Maharashtra Superspeciality Entrance
Test 2005)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Flumazenil<span> </span><b>B.<span> </span></b>Fentanyl</div>
<div class="ABCD">
<b>C.<span> </span></b>Fomepizole<span> </span><b>D.<span> </span></b>Flurazepam</div>
<div class="Ans">
<b>Ans is A</b> (Flumazenil)</div>
<div class="Ques">
<span style="color: windowtext;">53.<span> </span>Against MRSA drugs useful are all the following EXCEPT</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Ciprofloxacin<span> </span><b>B.<span> </span></b>Cotrimoxazole</div>
<div class="ABCD">
<b>C.<span> </span></b>Vancomycin<span> </span><b>D.<span> </span></b>Cefaclor</div>
<div class="Ans">
<b>Ans is A</b> (Ciprofloxacin)</div>
<div class="Ques">
<span style="color: windowtext;">54.<span> </span>Which anti-TB drug can cause transient memory loss?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Ethionamide<span> </span><b>B.<span> </span></b>INH</div>
<div class="ABCD">
<b>C.<span> </span></b>Ethambutol<span> </span><b>D.<span> </span></b>Pyrazinamide</div>
<div class="Ans">
<b>Ans is B</b> (INH)</div>
<div class="Ques">
<span style="color: windowtext;">55.<span> </span>Anti-TB drug contraindicated in pregnancy<span> </span>(PGI
2000 Dec)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Streptomycin<span> </span><b>B.<span> </span></b>Ethambutol</div>
<div class="ABCD">
<b>C.<span> </span></b>Pyrazinamide<span> </span><b>D.<span> </span></b>INH</div>
<div class="Ans">
<b>Ans is A</b> (Streptomycin)</div>
<div class="Ques">
<span style="color: windowtext;">56.<span> </span>Antiarrhythmic that does not belong to class IC</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Propafenone<span> </span><b>B.<span> </span></b>Flecainide</div>
<div class="ABCD">
<b>C.<span> </span></b>Tocainide<span> </span><b>D.<span> </span></b>Encainide</div>
<div class="Ans">
<b>Ans is C</b> (Tocainide)</div>
<div class="Ques">
<span style="color: windowtext;">57.<span> </span>Naltrexone is used in treatment of</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Opioid withdrawal<span> </span><b>B.<span> </span></b>Opioid overdose</div>
<div class="ABCD">
<b>C.<span> </span></b>Used to prevent
relapse<span> </span><b>D.<span> </span></b>Opioid dependence</div>
<div class="Ans">
<b>Ans is D</b> (Opioid dependence)</div>
<div class="Ques">
<span style="color: windowtext;">58.<span> </span>Drug used in management of long-term opioid dependence</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Methadone<span> </span><b>B.<span> </span></b>Fentanyl</div>
<div class="ABCD">
<b>C.<span> </span></b>Pethidine<span> </span><b>D.<span> </span></b>Naloxone</div>
<div class="Ans">
<b>Ans is A</b> (Methadone)</div>
<div class="Ques">
<span style="color: windowtext;">59.<span> </span>HIV transmission from mother to fetus can be prevented by</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Nevirapine<span> </span><b>B.<span> </span></b>Stavudine</div>
<div class="ABCD">
<b>C.<span> </span></b>Lamivudine<span> </span><b>D.<span> </span></b>Abacavir</div>
<div class="Ans">
<b>Ans is A</b> (Nevirapine)</div>
<div class="Ques">
<span style="color: windowtext;">60.<span> </span>Which drug acts by inhibiting cell wall?<span> </span>(AI
2006)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Cefepime<span> </span><b>B.<span> </span></b>Tetracycline</div>
<div class="ABCD">
<b>C.<span> </span></b>Erythromycin<span> </span><b>D.<span> </span></b>Ciprofloxacin</div>
<div class="Ans">
<b>Ans is A</b> (Cefepime)</div>
<div class="Ques">
<span style="color: windowtext;">61.<span> </span>If the creatinine clearance is 10 mL/hr, duration of action of</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">which
of the following drugs will be prolonged?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Amphotericin-B<span> </span><b>B.<span> </span></b>Amikacin<span> </span>.</div>
<div class="ABCD">
<b>C.<span> </span></b>Rifampicin<span> </span><b>D.<span> </span></b>Vanomycin</div>
<div class="Ans">
<b>Ans is B</b> (Amikacin)</div>
<div class="Ques">
<span style="color: windowtext;">62.<span> </span>Drug of choice for treatment of absence seizures</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Valproate<span> </span><b>B.<span> </span></b>Gabapentin</div>
<div class="ABCD">
<b>C.<span> </span></b>Vigabatrin<span> </span><b>D.<span> </span></b>Lomotrigine</div>
<div class="Ans">
<b>Ans is A</b> (Valproate)</div>
<div class="Head">
MICROBIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">63.<span> </span>NK cells kill virus-infected cells with</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Self MHC-I
expression<span> </span><b>B.<span> </span></b>Absence of MHC-I expression</div>
<div class="ABCD">
<b>C.<span> </span></b>Presence of
MHC-II expression<span> </span><b>D.<span> </span></b>Absence of MHC-II expression</div>
<div class="Ans">
<b>Ans is B</b> (Absence of MHC-I expression)</div>
<div class="Ques">
<span style="color: windowtext;">64.<span> </span>The mechanism of phagocytosis of bacteria infected cells by</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">N
K cells is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Peforin mediated<span> </span><b>B.<span> </span></b>Granygyme</div>
<div class="ABCD">
<b>C.<span> </span></b>Gas ligand eath
domain<span> </span><b>D.<span> </span></b>Nf-kb transcription - releasecytokine.</div>
<div class="Ans">
<b>Ans is D</b> (Nf-kb transcription - releasecytokine)</div>
<div class="Ques">
<span style="color: windowtext;">65.<span> </span>A patient having urethral discharge and pus cells without organisms
on microscopy. Culture study for this patient should be done on</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>McCoy cell
culture<span> </span><b>B.<span> </span></b>Thayer Martin agqr</div>
<div class="ABCD">
<b>C.<span> </span></b>Lowenstein Jensen
media<span> </span><b>D.<span> </span></b>Corn meal agar</div>
<div class="Ans">
<b>Ans is A</b> (McCoy cell culture)</div>
<div class="Ques">
<span style="color: windowtext;">66.<span> </span>All true about Chlamydia trachomatis except</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Reticulate body
divide by binary fission</div>
<div class="ABCD">
<b>B.<span> </span></b>Elementary body
is metabolically active</div>
<div class="ABCD">
<b>C.<span> </span></b>Characterized by
biphasic cycle</div>
<div class="ABCD">
<b>D.<span> </span></b>Presents fusion
with phagolysosome after being intracellular.</div>
<div class="Ans">
<b>Ans is B</b> (Elementary body is metabolically active.)</div>
<div class="Ques">
<span style="color: windowtext;">67.<span> </span>A 37-year-old male presented with chest pain, high-grade fever,
and dry cough. The gram-negative ‘organism responsible for causing it which can
be grown on BCYE agar is<span> </span>(AIIMS
2001)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Legionella
pneumophila<span> </span><b>B.<span> </span></b>Moraxella catarrhalis</div>
<div class="ABCD">
<b>C.<span> </span></b>Borrelia
burgdorferri<span> </span><b>D.<span> </span></b>Burkholderia cepacia</div>
<div class="Ans">
<b>Ans is A</b> (Legionella pneumophila)</div>
<div class="Ques">
<span style="color: windowtext;">68.<span> </span>Brucella transmitted by all the following routes except</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Transplacental<span> </span><b>B.<span> </span></b>Milk borne</div>
<div class="ABCD">
<b>C.<span> </span></b>Person to person<span> </span><b>D.<span> </span></b>Inhalation</div>
<div class="Ans">
<b>Ans is C</b> (Person to person)</div>
<div class="Ques">
<span style="color: windowtext;">69.<span> </span>Which toxin act through adenylate cyclase activity?<span> </span>(AIIMS</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">2005)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Diphtheria
pertusis<span> </span><b>B.<span> </span></b>Vibrio cholerae</div>
<div class="ABCD">
<b>C.<span> </span></b>Campylobacter
jejuni<span> </span><b>D.<span> </span></b>Salmonella typhi</div>
<div class="Ans">
<b>Ans is B</b> (Vibrio cholera)</div>
<div class="Ques">
<span style="color: windowtext;">70.<span> </span>A worker developed pustule on back of hand, it ulcerated and
discharge was started from it. Which of the following would be the best
staining material for this necrotic ulcer?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Polychrome
methylene blue<span> </span><b>B.<span> </span></b>Modified Kinyoun stain</div>
<div class="ABCD">
<b>C.<span> </span></b>Cakafher white<span> </span><b>D.<span> </span></b>Carbolfuchsin</div>
<div class="Ans">
<b>Ans is A</b> (Polychrome methylene blue)</div>
<div class="Ques">
<span style="color: windowtext;">71.<span> </span>SYBR green stain is used for</span></div>
<div class="ABCD">
<b>A.<span> </span></b>PCR<span> </span><b>B.<span> </span></b>Elisa</div>
<div class="ABCD">
<b>C.<span> </span></b>Immunofluorescence<span> </span><b>D.<span> </span></b>H PLC</div>
<div class="Ans">
<b>Ans is A</b> (PCR)</div>
<div class="Ques">
<span style="color: windowtext;">72.<span> </span>A fungal stain used in tissue biopsy is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>PAS<span> </span><b>B.<span> </span></b>Alizarin red</div>
<div class="ABCD">
<b>C.<span> </span></b>LPCB<span> </span><b>D.<span> </span></b>Masson trichrome</div>
<div class="Ans">
<b>Ans is A</b> (PAS)</div>
<div class="Ques">
<span style="color: windowtext;">73.<span> </span>With reference to Bacteroides fragilis the following statements</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">are
true, EXCEPT (AIIMS 2006 May)</span></div>
<div class="ABCD">
<b>A.<span> </span></b><i>B. fragilis </i>is
the most frequent anaerobe isolated from clinical samples.</div>
<div class="ABCD">
<b>B.<span> </span></b><i>B. fragilis </i>is
not uniformly sensitive to metronidazole.</div>
<div class="ABCD">
<b>C.<span> </span></b>The
lipopolysaccharide formed by <i>B. fragilis </i>is structurally and
functionally different from the conventional endotoxin.</div>
<div class="ABCD">
<b>D.<span> </span></b>Shock and
disseminated intravascular coagulation are common in <i>Bacteroides </i>bacteraemia.</div>
<div class="Ans">
<b>Ans is D</b> (Shock and disseminated intravascular coagulation
are common in <i>Bacteroides </i>bacteraemia)</div>
<div class="Ques">
<span style="color: windowtext;">74.<span> </span>Lice are not the vectors of<span> </span>(AIIMS
2006 May)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Relapsing fever<span> </span><b>B.<span> </span></b>Q fever</div>
<div class="ABCD">
<b>C.<span> </span></b>Trench fever<span> </span><b>D.<span> </span></b>Epidemic typhus</div>
<div class="Ans">
<b>Ans is B</b> (Q fever)</div>
<div class="Ques">
<span style="color: windowtext;">75.<span> </span>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 and 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 two weeks of therapy. The most likely organism causing infection is:<span> </span>(AIIMS
2006 May)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Staphylococcus
aureus<span> </span><b>B.<span> </span></b>Viridans streptococci</div>
<div class="ABCD">
<b>C.<span> </span></b>Enterococcus
faecalis<span> </span><b>D.<span> </span></b>Coagulase negative Staphylococcus.</div>
<div class="Ans">
<b>Ans is C</b> <i>(Enterococcus faecalis)</i></div>
<div class="Ques">
<span style="color: windowtext;">76.<span> </span>Group A streptococci can be differentiated from other bacteria by</span></div>
<div class="ABCD">
1)<span> </span>Optochin sensitivity<span> </span>2)<span> </span>Bacitracin susceptibility</div>
<div class="ABCD">
3)<span> </span>Bile solubility<span> </span>4)<span> </span>Catalase negativity</div>
<div class="Ans">
<b>Ans is B</b> (Bacitracin susceptibility)</div>
<div class="Ques">
<span style="color: windowtext;">77.<span> </span>True about culture media</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Nutrient broth is
basal media<span> </span><b>B.<span> </span></b>Chocolate agar is selective media</div>
<div class="ABCD">
<b>C.<span> </span></b>Solid medium is
with addition of growth factors<span> </span><b>D.<span> </span></b>Agar adds nutrition to media</div>
<div class="Ans">
<b>Ans is A</b> (Nutrient broth is basal media)</div>
<div class="Head">
FORENSIC MEDICINE AND TOXICOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">78.<span> </span>In judicial hanging, the position of the knot on the neck is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>At the nape of
the neck<span> </span><b>B.<span> </span></b>Under the chin</div>
<div class="ABCD">
<b>C.<span> </span></b>Lateral aspect of
neck<span> </span><b>D.<span> </span></b>Just beneath the angle of jaw</div>
<div class="Ans">
<b>Ans is C</b> (Lateral aspect of neck)</div>
<div class="Ques">
<span style="color: windowtext;">79.<span> </span>Brain sample is not preserved in which poisoning?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Organophosphorus<span> </span><b>B.<span> </span></b>Heavy metal</div>
<div class="ABCD">
<b>C.<span> </span></b>Alkaloids<span> </span><b>D.<span> </span></b>Volatile toxins</div>
<div class="Ans">
<b>Ans is B</b> (Heavy metal)</div>
<div class="Ques">
<span style="color: windowtext;">80.<span> </span>Malaria-like fever and chills are present in which poisoning?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Mercury<span> </span><b>B.<span> </span></b>Zinc</div>
<div class="ABCD">
<b>C.<span> </span></b>Red phosphorus<span> </span><b>D.<span> </span></b>Arsenic</div>
<div class="Ans">
<b>Ans is B</b> (Zinc)</div>
<div class="Ques">
<span style="color: windowtext;">81.<span> </span>Mode of action of abortion sticks in “criminal abortion” Zn,</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">Cu,
Mg, Ni, Hg &. lead are known to cause this</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Separation of
placenta<span> </span><b>B.<span> </span></b>Uterine contraction</div>
<div class="ABCD">
<b>C.<span> </span></b>Necrosis and
infection of uterine walls<span> </span><b>D.<span> </span></b>Nerve stimulation of uterus</div>
<div class="Ans">
<b>Ans is B</b> (Contraction of uterus)</div>
<div class="Ques">
<span style="color: windowtext;">82.<span> </span>Sexual asphyxia is feature of:</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Masochism<span> </span><b>B.<span> </span></b>Fetishism</div>
<div class="ABCD">
<b>C.<span> </span></b>Voyeurism<span> </span><b>D.<span> </span></b>Sadism</div>
<div class="Ans">
<b>Ans is A</b> (Masochism)</div>
<div class="Head">
COMMUNITY MEDICINE</div>
<div class="Ques">
<span style="color: windowtext;">83.<span> </span>Active search for undetected disease in apparently healthy</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">people
is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Screening<span> </span><b>B.<span> </span></b>Surveillance</div>
<div class="ABCD">
<b>C.<span> </span></b>Case finding<span> </span><b>D.<span> </span></b>Sampling</div>
<div class="Ans">
<b>Ans is A</b> (Screening)</div>
<div class="Ques">
<span style="color: windowtext;">84.<span> </span>Which of the following is not true about a point source epidemic?<span> </span>(UP 2002, SGPGI 2002)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>All the cases
occur within a single incubation period of the disease</div>
<div class="ABCD">
<b>B.<span> </span></b>The epidemic
curve rises rapidly and plateaus off</div>
<div class="ABCD">
<b>C.<span> </span></b>Cases keep
occurring over a period of time</div>
<div class="ABCD">
<b>D.<span> </span></b>No secondary wave
occurs</div>
<div class="Ans">
<b>Ans is C</b> (Cases keep occurring over a period of time) </div>
<div class="Ques">
<span style="color: windowtext;">85.<span> </span>Specificity means</span></div>
<div class="ABCD">
<b>A.<span> </span></b>True negativity<span> </span><b>C.<span> </span></b>False positivity</div>
<div class="ABCD">
<b>B.<span> </span></b>True positivity<span> </span><b>D.<span> </span></b>False negativity</div>
<div class="Ans">
<b>Ans is A</b> (True negativity)</div>
<div class="Ques">
<span style="color: windowtext;">86.<span> </span>Loss of anatomical psychological physiological function means</span><span style="color: windowtext; font-weight: normal;"><span> </span></span><span style="color: windowtext;">(Maharashtra 2002)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Impairment<span> </span><b>B.<span> </span></b>Disability</div>
<div class="ABCD">
<b>C.<span> </span></b>Handicap<span> </span><b>D.<span> </span></b>Rehabilitation</div>
<div class="Ans">
<b>Ans is A</b> (Impairment)</div>
<div class="Ques">
<span style="color: windowtext;">87.<span> </span>Which one of the following methods is used for the estimation</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">of
chlorine demand of water?<span> </span><span> </span>(AIIMS
2006 May)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Chlorometer<span> </span><b>B.<span> </span></b>Horrock’s apparatus</div>
<div class="ABCD">
<b>C.<span> </span></b>Berkefeld filter<span> </span><b>D.<span> </span></b>Double pot method</div>
<div class="Ans">
<b>Ans is B</b> (Horrock’s apparatus)</div>
<div class="Ques">
<span style="color: windowtext;">88.<span> </span>“Problem village” include all EXCEPT (JIPMER 1998; ESIS 2005;</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">Maharashtra
2006, UPSC 2006, AIIMS 2006 Nov)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Where no water
source in a distance of 1.6 km from community.</div>
<div class="ABCD">
<b>B.<span> </span></b>Water is more
than depth of 15 meters.</div>
<div class="ABCD">
<b>C.<span> </span></b>There is no
excess of Na+, K+, f+ salts.</div>
<div class="ABCD">
<b>D.<span> </span></b>Risk of Guinea
worm infection.</div>
<div class="Ans">
<b>Ans is D</b> (Risk of Guinea worm infection)</div>
<div class="Ques">
<span style="color: windowtext;">89.<span> </span>Newly applied test to 10 people repeatedly showed Hb value of
standard and by calorimetry the true value was 10.2.<span> </span>What can be said
about that newly applied test?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>High reliability,
low validity<span> </span><b>B.<span> </span></b>High reliability, high validity</div>
<div class="ABCD">
<b>C.<span> </span></b>Low reliability,
low validity<span> </span><b>D.<span> </span></b>Low reliability, high validity</div>
<div class="Ans">
<b>Ans is A</b> (High reliability, low validity)</div>
<div class="Ques">
<span style="color: windowtext;">90.<span> </span>Physical quality of life index (PQLI) consists of all EXCEPT (AI</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">2000;
Maharashtra 2006, AIIMS 2006 May)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Infant mortality<span> </span><b>B.<span> </span></b>Life expectancy</div>
<div class="ABCD">
<b>C.<span> </span></b>Literacy<span> </span><b>D.<span> </span></b>Maternal mortality</div>
<div class="Ans">
<b>Ans is D</b> (Maternal mortality)</div>
<div class="Ques">
<span style="color: windowtext;">91.<span> </span>Socialization of medicine means all EXCEPT<span> </span>(UPSC
99)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Prevents
competition between practitioners and clients.</div>
<div class="ABCD">
<b>B.<span> </span></b>Provision of
medical services supported by state government.</div>
<div class="ABCD">
<b>C.<span> </span></b>It is sufficient
in itself for provision of health services.</div>
<div class="ABCD">
<b>D.<span> </span></b>Ensures social
equity that is universally operated by profes sional health services.</div>
<div class="Ans">
<b>Ans is C</b> (It is sufficient in itself for provision of
health services) </div>
<div class="Ques">
<span style="color: windowtext;">92.<span> </span>Endemic ascites is caused by (Maharashtra Superspeciality</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">Entrance
Test 2005)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Aflatoxin<span> </span><b>B.<span> </span></b>Sanguinarine</div>
<div class="ABCD">
<b>C.<span> </span></b>Pyrazolidone<span> </span><b>D.<span> </span></b>Ergot alkaloid</div>
<div class="Ans">
<b>Ans is C</b> (Pyrazolidone)</div>
<div class="Ques">
<span style="color: windowtext;">93.<span> </span>Direct standardization is done for</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Age distribution<span> </span><b>B.<span> </span></b>Sex distribution</div>
<div class="ABCD">
<b>C.<span> </span></b>Cause of death<span> </span><b>D.<span> </span></b>Age distribution</div>
<div class="Ans">
<b>Ans is A</b> (Age distribution)</div>
<div class="Ques">
<span style="color: windowtext;">94.<span> </span>According to RNTCP diagnosis of a suspected case of pulmonary
tuberculosis should be done by:</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Sputum microscopy<span> </span><b>B.<span> </span></b>Sputum culture</div>
<div class="ABCD">
<b>C.<span> </span></b>X-ray<span> </span><b>D.<span> </span></b>Antigen detection by PCR</div>
<div class="Ans">
<b>Ans is A</b> (Sputum microscopy)</div>
<div class="Ques">
<span style="color: windowtext;">95.<span> </span>Study consisting of consumption of anti-asthma drugs and increase
in deaths due to asthma was done in UK from 1960 1975. This from of study is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Case reference<span> </span><b>B.<span> </span></b>Cohort</div>
<div class="ABCD">
<b>C.<span> </span></b>Ecological<span> </span><b>D.<span> </span></b>Experimental</div>
<div class="Ans">
<b>Ans is B</b> (Cohort)</div>
<div class="Ques">
<span style="color: windowtext;">96.<span> </span>About ASHA (Accredited Social Health Activist) true is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Replaces
anganwadi worker in ICDS program.</div>
<div class="ABCD">
<b>B.<span> </span></b>There is one ASHA
worker per 1000 population.</div>
<div class="ABCD">
<b>C.<span> </span></b>From recent
health policy of 2001, they are the part of social and sanitation management.</div>
<div class="ABCD">
<b>D.<span> </span></b>Involved in
mental health programme.</div>
<div class="Ans">
<b>Ans is B</b> (There is one ASHA worker per 1000 population)</div>
<div class="Ques">
<span style="color: windowtext;">97.<span> </span>Best study for evaluation</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Prospective
cohort study<span> </span><b>B.<span> </span></b>Retrospective cohort study</div>
<div class="ABCD">
<b>C.<span> </span></b>Randomized double
blind study<span> </span><b>D.<span> </span></b>Randomized single blind study</div>
<div class="Ans">
<b>Ans is C</b> (Randomized double blind study) </div>
<div class="Ques">
<span style="color: windowtext;">98.<span> </span>Bayer’s theorem is related to</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Conditional
probability<span> </span><b>B.<span> </span></b>Subjective probability</div>
<div class="ABCD">
<b>C.<span> </span></b>Elementary
probability<span> </span><b>D.<span> </span></b>Risk factor</div>
<div class="Ans">
<b>Ans is B</b> (Subjective probability)</div>
<div class="Ques">
<span style="color: windowtext;">99.<span> </span>To agree the result of new test and the gold standard test
(Statistical analysis can be best correlated between the two), best among the
following would be</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Test of
significance<span> </span><b>B.<span> </span></b>Regression</div>
<div class="ABCD">
<b>C.<span> </span></b>Correlation<span> </span><b>D.<span> </span></b>Chi square test</div>
<div class="Ans">
<b>Ans is A</b> (Test of significance)</div>
<div class="Ques">
<span style="color: windowtext;">100.<span> </span>Chronic
malnutrition is indicated by</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Weight for age<span> </span><b>B.<span> </span></b>Height for age</div>
<div class="ABCD">
<b>C.<span> </span></b>Weight for height<span> </span><b>D.<span> </span></b>Body mass index</div>
<div class="Ans">
<b>Ans is C</b> (Weight for height)</div>
<div class="Ques">
<span style="color: windowtext;">101.<span> </span>Chronic
malnutrition is indicated by</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Weight for age<span> </span><b>B.<span> </span></b>Linear growth for age</div>
<div class="ABCD">
<b>C.<span> </span></b>Weight for height<span> </span><b>D.<span> </span></b>Arm circumference</div>
<div class="Ans">
<b>Ans is B</b> (Linear growth for age)</div>
<div class="Ques">
<span style="color: windowtext;">102.<span> </span>SAFE
strategy include all the following EXCEPT<span> </span>(AI
2006)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Screening<span> </span><b>B.<span> </span></b>Antibiotics</div>
<div class="ABCD">
<b>C.<span> </span></b>Face washing<span> </span><b>D.<span> </span></b>Environmental improvement</div>
<div class="Ans">
<b>Ans is A</b> (Screening)</div>
<div class="Ques">
<span style="color: windowtext;">103.<span> </span>The most sensitive indicator for monitoring the impact of Iodine
Deficiency Disorders Control Programme is<span> </span>(AP
2004)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Goiter in age
group of 12 to 18 years<span> </span><b>B.<span> </span></b>Urinary iodine levels among pregnant
women</div>
<div class="ABCD">
<b>C.<span> </span></b>Neonatal hypothyroidism<span> </span><b>D.<span> </span></b>Iodine level in soil.</div>
<div class="Ans">
<b>Ans is C</b> (Neonatal hypothyroidism)</div>
<div class="Head">
MEDICINE</div>
<div class="Ques">
<span style="color: windowtext;">104.<span> </span>Two different germ cells line in a single individual originating</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">from
more than one zygote is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Chimerism<span> </span><b>B.<span> </span></b>Mosaicism</div>
<div class="ABCD">
<b>C.<span> </span></b>Segregation<span> </span><b>D.<span> </span></b>Nonpenetrance</div>
<div class="Ans">
<b>Ans is A</b> (Chimerism)</div>
<div class="Ques">
<span style="color: windowtext;">105.<span> </span>Single
gene defect with multiple effcts</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Genetic
heterogeneity<span> </span><b>B.<span> </span></b>Pleotropism</div>
<div class="ABCD">
<b>C.<span> </span></b>Penetrance<span> </span><b>D.<span> </span></b>Pseudopenetrance</div>
<div class="Ans">
<b>Ans is B</b> (Pleotropism)</div>
<div class="Ques">
<span style="color: windowtext;">106.<span> </span>Differential diagnosis for pancytopenia with bone marrow</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">cellularity
will include all the following except</span></div>
<div class="ABCD">
<b>A.<span> </span></b>G6PD deficiency<span> </span><b>B.<span> </span></b>Myelodysplasia</div>
<div class="ABCD">
<b>C.<span> </span></b>Paroxysmal
Nocturnal haemoglobinuria<span> </span><b>D.<span> </span></b>Megaloblastic anaemia</div>
<div class="Ans">
<b>Ans is A</b> (G-6 PD deficiency)</div>
<div class="Ques">
<span style="color: windowtext;">107.<span> </span>Ham’s
test is useful for the detection of</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Mannose binding
protein<span> </span><b>B.<span> </span></b>Spectrin</div>
<div class="ABCD">
<b>C.<span> </span></b>Reduced
complement<span> </span><b>D.<span> </span></b>GPI anchor</div>
<div class="Ans">
<b>Ans is C</b> (Reduced complement)</div>
<div class="Ques">
<span style="color: windowtext;">108.<span> </span>Collagen
type IV IX 5 chain<span> </span>helps in diagnosis
of:</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Thin basement
membrane disease<span> </span><b>B.<span> </span></b>Alport syndrome</div>
<div class="ABCD">
<b>C.<span> </span></b>TIP<span> </span><b>D.<span> </span></b>Haemochromatosis</div>
<div class="Ans">
<b>Ans is B</b> (Alport syndrome)</div>
<div class="Ques">
<span style="color: windowtext;">109.<span> </span>True
about malaria is all except</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Gametocytes of
plasmodium vivax appear after 4-5 days of appearance of asexual parasites in
blood.</div>
<div class="ABCD">
<b>B.<span> </span></b>Gametocytes of
plasmodium falciparum appear after 4-5 days of appearance of asexual parasites
in blood in.</div>
<div class="ABCD">
<b>C.<span> </span></b>Initially less,
but with time the gametocyte density increase and may exceed 1000/mm.</div>
<div class="ABCD">
<b>D.<span> </span></b>As the disease
progresses the number of gametocytes show no change.</div>
<div class="Ans">
<b>Ans is B</b> (Gametocytes of Plasmodium Falciparum appear after
4-5 days of appearance of asexual parasites in blood in.)</div>
<div class="Ques">
<span style="color: windowtext;">110.<span> </span>A lS-year-old female presents with primary amenorrhea. Her breasts
are tanner 4 but she has no axillary or pubic hair. She has bilateral inguinal
masses. Uterus is found to be absent on further evaluation. The most likely
diagnosis is<span> </span>(AI
2006)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Turner’s syndrome<span> </span><b>B.<span> </span></b>Mullerian agenesis</div>
<div class="ABCD">
<b>C.<span> </span></b>Klinefelter’s
syndrome<span> </span><b>D.<span> </span></b>Androgen insensitivity syndrome</div>
<div class="Ans">
<b>Ans is D</b> (Androgen insensitivity syndrome)</div>
<div class="Ques">
<span style="color: windowtext;">111.<span> </span>Which of the following is least likely to be
associated with</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">constrictive pericarditis?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Tuberculosis<span> </span><b>B.<span> </span></b>Staphylococcal infection</div>
<div class="ABCD">
<b>C.<span> </span></b>Post surgery<span> </span><b>D.<span> </span></b>Rheumatic fever</div>
<div class="Ans">
<b>Ans is D</b> (Rheumatic fever)</div>
<div class="Ques">
<span style="color: windowtext;">112.<span> </span>Serum C3 is persistently low in the following except<span> </span>(Manipal</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">97)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Post
streptococcal glomerulonephritis<span> </span><b>B.<span> </span></b>Membranoproliferative glomerulonephritis</div>
<div class="ABCD">
<b>C.<span> </span></b>Lupus nephritis<span> </span><b>D.<span> </span></b>Glomerulonephritis related to bacterial
endocarditis</div>
<div class="Ans">
<b>Ans is A</b> (Post streptococcal glomerulonephritis)</div>
<div class="Ques">
<span style="color: windowtext;">113.<span> </span>Steroid-resistant nephrotic syndrome is associated
with mutation in which gene?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>NPHS1<span> </span>2)<span> </span>PAX</div>
<div class="ABCD">
<b>C.<span> </span></b>HOX II<span> </span>4)<span> </span>NPHS2</div>
<div class="Ans">
<b>Ans is D</b> (NPHS2)</div>
<div class="Ques">
<span style="color: windowtext;">114.<span> </span>Nephrotic
range proteinuria occurs in</span></div>
<div class="ABCD">
<b>A.<span> </span></b>FSGN<span> </span><b>B.<span> </span></b>Nodular glomerulosclerosis</div>
<div class="ABCD">
<b>C.<span> </span></b>Membranous GN<span> </span><b>D.<span> </span></b>RPGN</div>
<div class="Ans">
<b>Ans is A</b> (FSGN)</div>
<div class="Ques">
<span style="color: windowtext;">115.<span> </span>In bilateral reflux nephropathy associated acute pyelonephritis,
which of the following microscopic findings can be seen?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>FSGN<span> </span><b>B.<span> </span></b>Proliferation with crescent formation</div>
<div class="ABCD">
<b>C.<span> </span></b>Membranous GN<span> </span><b>D.<span> </span></b>RPGN</div>
<div class="Ans">
<b>Ans is A</b> (FSGN)</div>
<div class="Ques">
<span style="color: windowtext;">116.<span> </span>Most
specific test for acute pyelonephritis</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Leucocyte
esterase test<span> </span><b>B.<span> </span></b>WBC cast</div>
<div class="ABCD">
<b>C.<span> </span></b>Nitrite test<span> </span><b>D.<span> </span></b>NBT test</div>
<div class="Ans">
<b>Ans is B</b> (WBC cast)</div>
<div class="Ques">
<span style="color: windowtext;">117.<span> </span>Limb-girdle muscular dystrophies
(LGMD) include all the following EXCEPT</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Sarcoglycanopathies<span> </span><b>B.<span> </span></b>Dysferlinopathy</div>
<div class="ABCD">
<b>C.<span> </span></b>Calpainopathy<span> </span><b>D.<span> </span></b>Duchenne dystrophy</div>
<div class="Ans">
<b>Ans is D</b> (Duchenne dystrophy)</div>
<div class="Ques">
<span style="color: windowtext;">118.<span> </span>Drug
of choice in multiple sclerosis</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>IFN <s>a</s>
alpha<span> </span><b>B.<span> </span></b>IFN <s>b</s> beta</div>
<div class="ABCD">
<b>C.<span> </span></b>IFN <i><s>g</s> </i>gamma<span> </span><b>D.<span> </span></b>Infliximab</div>
<div class="Ans">
<b>Ans is B</b> (IFN <s>b</s> beta)</div>
<div class="Ques">
<span style="color: windowtext;">119.<span> </span>False regarding
Denosumab - used in treatment of osteoporosis:</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Denosumab is
human a monoclonal antibody.</div>
<div class="ABCD">
<b>B.<span> </span></b>It combines with
receptor activator of nuclear factor KP ligand (RANKL)</div>
<div class="ABCD">
<b>C.<span> </span></b>By binding RANKL
with high affinity, Denosumab reduces bone resorption.</div>
<div class="ABCD">
<b>D.<span> </span></b>It is useful in
treatment of SLE.</div>
<div class="Ans">
<b>Ans is D</b> (It is useful in treatment of SLE.) </div>
<div class="Ques">
<span style="color: windowtext;">120.<span> </span>All the following are increased in obstructive jaundite EXCEPT<span> </span>(CMC
Vellore 2003)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Alkaline
phosphatase<span> </span><b>B.<span> </span></b>Glutamate dehydrogenase</div>
<div class="ABCD">
<b>C.<span> </span></b>5-nucleotidase<span> </span><b>D.<span> </span></b><s><span style="font-family: Symbol;">g</span></s>-Glutamyl
transpeptidase</div>
<div class="Ans">
<b>Ans is B</b> (Glutamate dehydrogenase)</div>
<div class="Ques">
<span style="color: windowtext;">121.<span> </span>Most
specific antibody in rheumatoid arthritis</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>IgG RF<span> </span><b>B.<span> </span></b>IgM RF</div>
<div class="ABCD">
<b>C.<span> </span></b>IgA RF<span> </span><b>D.<span> </span></b>Anti-CCP Ab</div>
<div class="Ans">
<b>Ans is D</b> (Anti-CCP Ab) </div>
<div class="Ques">
<span style="color: windowtext;">122.<span> </span>A newborn baby presented with profuse umbilical cord bleeding after
birth. Probably diagnosis is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Factor XIII deficiency<span> </span><b>B.<span> </span></b>Glanzmann thrombosthenia</div>
<div class="ABCD">
<b>C.<span> </span></b>VWD<span> </span><b>D.<span> </span></b>Bernard-Soulier syndrome</div>
<div class="Ans">
<b>Ans is A</b> (Factor XIII deficiency)</div>
<div class="Ques">
<span style="color: windowtext;">123.<span> </span>Pure
neuronal lesion is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Spinocerebellar
ataxia<span> </span><b>B.<span> </span></b>Progressive supranuclear palsy</div>
<div class="ABCD">
<b>C.<span> </span></b>Multisystem
atrophy<span> </span><b>D.<span> </span></b>Corticopasal ganglionic degeneration</div>
<div class="Ans">
<b>Ans is A</b> (Spinocerebellar ataxia)</div>
<div class="Ques">
<span style="color: windowtext;">124.<span> </span>For
diagnosis of syncope least helpful will be</span></div>
<div class="ABCD">
<b>A.<span> </span></b>PET scan<span> </span><b>B.<span> </span></b>Holter monitoring</div>
<div class="ABCD">
<b>C.<span> </span></b>Electrophysiological
study<span> </span><b>D.<span> </span></b>Tilt table test</div>
<div class="Ans">
<b>Ans is A</b> (PET scan)</div>
<div class="Ques">
<span style="color: windowtext;">125.Hypotension in spinal cord
injury occurs due to</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Loss of sympathetic
tone<span> </span><b>B.<span> </span></b>Loss of parasympathetic tone</div>
<div class="ABCD">
<b>C.<span> </span></b>Vasovagal shock<span> </span><b>D.<span> </span></b>Blood loss</div>
<div class="Ans">
<b>Ans is A</b> (Loss of sympathetic tone)</div>
<div class="Ques">
<span style="color: windowtext;">126.<span> </span>True
regarding Carey Coomb’s murmur is all EXCEPT</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Low pitch<span> </span><b>B.<span> </span></b>Diastolic murmur</div>
<div class="ABCD">
<b>C.<span> </span></b>Associated with
aortic regurgitation<span> </span><b>D.<span> </span></b>Associated with rheumatic fever</div>
<div class="Ans">
<b>Ans is C</b> (Associated with aortic regurgitation)</div>
<div class="Ques">
<span style="color: windowtext;">127.<span> </span>Anaemia with increased transferrin saturation, and serum ferritin
levels, and normal TIBC (AIIMS-2002 NOV)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Iron deficiency
anaemia<span> </span><b>B.<span> </span></b>Beta-thalassaemia minor</div>
<div class="ABCD">
<b>C.<span> </span></b>Sideroblastic
anaemia<span> </span><b>D.<span> </span></b>Anaemia due to chronic infection</div>
<div class="Ans">
<b>Ans is B</b> (Sideroblastic anaemia)</div>
<div class="Ques">
<span style="color: windowtext;">128.<span> </span>Worst prognosis of
AML is seen in its association with (AI</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">2006)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Monosomy 7<span> </span><b>B.<span> </span></b>Inv 16</div>
<div class="ABCD">
<b>C.<span> </span></b>t (8, 21)<span> </span><b>D.<span> </span></b>Normal karyotype</div>
<div class="Ans">
<b>Ans is A</b> (Monosomy 7)</div>
<div class="Ques">
<span style="color: windowtext;">129.<span> </span>Triglycerides-140 mg/dL, LDL-60
mg/dL are likely to be as</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">sociated with</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Tendon xanthomas<span> </span><b>B.<span> </span></b>Plantar canthomas</div>
<div class="ABCD">
<b>C.<span> </span></b>Lipemia retinalis<span> </span><b>D.<span> </span></b>Eruptive xanthomas</div>
<div class="Ans">
<b>Ans is A</b> (Tendon xanthomas)</div>
<div class="Head">
PAEDIATRICS</div>
<div class="Ques">
<span style="color: windowtext;">130.<span> </span>A baby presented with polydactyly, cleft lip, cleft palate, microcephaly,
and micropthalmia. These features may be seen in which of the following
chromosomal anomaly</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Trisomy 21<span> </span><b>B.<span> </span></b>Trisomy 18</div>
<div class="ABCD">
<b>C.<span> </span></b>Trisomy 13<span> </span><b>D.<span> </span></b>Trisomy 16</div>
<div class="Ans">
<b>Ans is C</b> (Trisomy 13)</div>
<div class="Ques">
<span style="color: windowtext;">131.<span> </span>A
6 years old child with 50% IQ is able to</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Ride bicycle<span> </span><b>B.<span> </span></b>Draw triangle</div>
<div class="ABCD">
<b>C.<span> </span></b>Read simple
sentence<span> </span><b>D.<span> </span></b>Identify colour</div>
<div class="Ans">
<b>Ans is D</b> (Identify colour)</div>
<div class="Ques">
<span style="color: windowtext;">132.<span> </span>Neonate
uses all defenses against hypothermia except</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Shivering<span> </span><b>B.<span> </span></b>Child tries taking limbs towards body</div>
<div class="ABCD">
<b>C.<span> </span></b>Peripheral
vasoconstriction<span> </span><b>D.<span> </span></b>Release of NA in brown adipose tissue</div>
<div class="Ans">
<b>Ans is A</b> (Shivering)</div>
<div class="Ques">
<span style="color: windowtext;">133.<span> </span>A 3 years old child is poor in language development, has poor
concentration, no friends, plays only with himself, and has some delay in
milestones. The likely diagnosis is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>ADHD<span> </span><b>B.<span> </span></b>Autism</div>
<div class="ABCD">
<b>C.<span> </span></b>Specific learning
disorder<span> </span><b>D.<span> </span></b>Normal for age</div>
<div class="Ans">
<b>Ans is B</b> (Autism)</div>
<div class="Head">
PSYCHIATRY</div>
<div class="Ques">
<span style="color: windowtext;">134.<span> </span>Delusion is disorder of<span> </span>(Maharashtra
2003)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Thought<span> </span><b>B.<span> </span></b>Insight</div>
<div class="ABCD">
<b>C.<span> </span></b>Perception<span> </span><b>D.<span> </span></b>Behaviour</div>
<div class="Ans">
<b>Ans is A</b> (Thought)</div>
<div class="Ques">
<span style="color: windowtext;">135.<span> </span>Drug
of choice for obsessive compulsive disorder (OCD)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Imipramine<span> </span><b>B.<span> </span></b>Fluoxetine</div>
<div class="ABCD">
<b>C.<span> </span></b>Haloperidol<span> </span><b>D.<span> </span></b>Clozapine</div>
<div class="Ans">
<b>Ans is B </b>(Fluoxetine)</div>
<div class="Head">
DERMATOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">136.<span> </span>Which of the following tests should be done for evaluation of a
neonate with bullous skin lesion and X-ray showing periostitis at long bones?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>VDRL<span> </span><b>B.<span> </span></b>PCR for tubercular DNA</div>
<div class="ABCD">
<b>C.<span> </span></b>Evaluation of
mother<span> </span><b>D.<span> </span></b>ELISA.</div>
<div class="Ans">
<b>Ans is D</b> (VDRL)</div>
<div class="Ques">
<span style="color: windowtext;">137.<span> </span>A child has presented with eczematous dermatitis on extensor
aspects of extremities with severe itching. His mother has history of bronchial
asthma. The likely diagnosis is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Acute eczematous
reaction<span> </span><b>B.<span> </span></b>Scabies</div>
<div class="ABCD">
<b>C.<span> </span></b>Atopic dermatitis<span> </span><b>D.<span> </span></b>Infectious eczematoid dermatitis</div>
<div class="Ans">
<b>Ans is C</b> (Atopic dermatitis)</div>
<div class="Ques">
<span style="color: windowtext;">138.<span> </span>Regarding
pityriasis rosea true is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Self limiting
condition<span> </span><b>B.<span> </span></b>Chronic relapsing condition</div>
<div class="ABCD">
<b>C.<span> </span></b>Dermatophytic
infection<span> </span><b>D.<span> </span></b>Common in neonates</div>
<div class="Ans">
<b>Ans is A</b> (Self limiting condition)</div>
<div class="Ques">
<span style="color: windowtext;">139.<span> </span>After eating peanuts, a child developed sudden swelling of</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">tongue
and neck, with hoarseness of voice. Likely diagnosis</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Angioedema<span> </span><b>B.<span> </span></b>Foreign body in bronchus</div>
<div class="ABCD">
<b>C.<span> </span></b>Foreign body is
larynx<span> </span><b>D.<span> </span></b>Retropharyngeal abscess</div>
<div class="Ans">
<b>Ans is A</b> (Angioedema)</div>
<div class="Ques">
<span style="color: windowtext;">140.<span> </span>Which of the
following is not true about Mycosis fungoides?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Most common
cutaneous lymphoma<span> </span><b>B.<span> </span></b>Pautrier’s abscess occur</div>
<div class="ABCD">
<b>C.<span> </span></b>Diffuse
erythroderma common<span> </span><b>D.<span> </span></b>Often curable by therapy and has indolent
course.</div>
<div class="Ans">
<b>Ans is D</b> (Often curable by therapy and has indolent course)</div>
<div class="Ques">
<span style="color: windowtext;">141.<span> </span>Posttransplant
malignancy arises from</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>T cell<span> </span><b>B.<span> </span></b>8 cell</div>
<div class="ABCD">
<b>C.<span> </span></b>Myeloid cells<span> </span><b>D.<span> </span></b>Fibroblasts</div>
<div class="Ans">
<b>Ans is B</b> (8 cell)</div>
<div class="Head">
SURGERY</div>
<div class="Ques">
<span style="color: windowtext;">142.<span> </span>Most
important prognostic factor in head injury</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Glasgow coma
scale<span> </span><b>B.<span> </span></b>CT scan head</div>
<div class="ABCD">
<b>C.<span> </span></b>Age of the
patient<span> </span><b>D.<span> </span></b>Skull fracture</div>
<div class="Ans">
<b>Ans is A</b> (Glasgow coma scale)</div>
<div class="Ques">
<span style="color: windowtext;">143.<span> </span>Which of the. following
is least associated with carcinoma</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">breast?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Rb1<span> </span><b>B.<span> </span></b>B’RACA1</div>
<div class="ABCD">
<b>C.<span> </span></b>BRACA2<span> </span><b>D.<span> </span></b>ATM gene</div>
<div class="Ans">
<b>Ans is D</b> (ATM gene)</div>
<div class="Ques">
<span style="color: windowtext;">144.<span> </span>Adjuvant
chemotherapy is of proven value in</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Ca colon<span> </span><b>B.<span> </span></b>Ca oesophagus</div>
<div class="ABCD">
<b>C.<span> </span></b>Ca pancreas<span> </span><b>D.<span> </span></b>Breast cancer</div>
<div class="Ans">
<b>Ans is A</b> (Ca colon)</div>
<div class="Ques">
<span style="color: windowtext;">145.<span> </span>Barret’s
oesophagus is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Intestinal
metaplasia<span> </span><b>B.<span> </span></b>Squamous metaplasia</div>
<div class="ABCD">
<b>C.<span> </span></b>Columnar
metaplasia<span> </span><b>D.<span> </span></b>Intestinal dysplasia</div>
<div class="Ans">
<b>Ans is A</b> (Intestinal metaplasia)</div>
<div class="Ques">
<span style="color: windowtext;">146.<span> </span>Biochemical
change characteristic of CHPS is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Hypochloraemic,
hypokalaemic metabolic alkalosis</div>
<div class="ABCD">
<b>B.<span> </span></b>Hypochloraemic,
hYlperkalaemic metabolic alkalosis</div>
<div class="ABCD">
<b>C.<span> </span></b>Hyperchloraemic,
hypokalaemic metabolic alkalosis</div>
<div class="ABCD">
<b>D.<span> </span></b>Hypochloraemic,
hypokalaemic metabolic alkalosis</div>
<div class="Ans">
<b>Ans is A</b> (Hypochloraemic, hypokalaemic metabolic alkalosis)
</div>
<div class="Ques">
<span style="color: windowtext;">147.<span> </span>True
regarding CARCINOID is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Most common tumor
of small intestine</div>
<div class="ABCD">
<b>B.<span> </span></b>Not known to be
associated with endomyocardial fibrosis</div>
<div class="ABCD">
<b>C.<span> </span></b>Most Comonly
Found in duodenum</div>
<div class="ABCD">
<b>D.<span> </span></b>Carcinoid is
small intestine may be associated with lung carcinoid.</div>
<div class="Ans">
<b>Ans is D</b> (Carcinoid is small intestine may be associated
with lung carcinoid)</div>
<div class="Ques">
<span style="color: windowtext;">148.<span> </span>Most
common ileostomy complications</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Diarrhea<span> </span><b>B.<span> </span></b>Stenosis</div>
<div class="ABCD">
<b>C.<span> </span></b>Necrosis<span> </span><b>D.<span> </span></b>Prolapse</div>
<div class="Ans">
<b>Ans is A</b> (Diarrhea)</div>
<div class="Ques">
<span style="color: windowtext;">149.<span> </span>Haematemesis of about 500 mL with palpable spleen below</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">costal
margin. The likely diagnosis is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Portal
hypertension<span> </span><b>B.<span> </span></b>Duodenal ulcer</div>
<div class="ABCD">
<b>C.<span> </span></b>Gastric ulcer<span> </span><b>D.<span> </span></b>Drug induced gastritis</div>
<div class="Ans">
<b>Ans is A</b> (Portal hypertension)</div>
<div class="Ques">
<span style="color: windowtext;">150.<span> </span>Which of the following colonic polyps is not premalignant?</span><span style="color: windowtext; font-weight: normal;"><span> </span></span><span style="color: windowtext;">(JIPMER 2001)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Juvenile polyps</div>
<div class="ABCD">
<b>B.<span> </span></b>Hamartomatous
polyps associated with Peutz-Jegher’s syndrome</div>
<div class="ABCD">
<b>C.<span> </span></b>Tubular adenomas</div>
<div class="ABCD">
<b>D.<span> </span></b>Villous adenomas</div>
<div class="Ans">
<b>Ans is A</b> (Juvenile polyps)</div>
<div class="Ques">
<span style="color: windowtext;">151.<span> </span>Best screening technique in
patients with HNPCC for colonic</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">cancer is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>APC gene genetic
screening<span> </span><b>B.<span> </span></b>Colonoscopy</div>
<div class="ABCD">
<b>C.<span> </span></b>Sigmidoscopy<span> </span><b>D.<span> </span></b>CEA levels</div>
<div class="Ans">
<b>Ans is B</b> (Colonoscopy)</div>
<div class="Ques">
<span style="color: windowtext;">152.ln patients with HNPCC
following screening is must</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Colon cancer
screening<span> </span><b>B.<span> </span></b>Endometrial cancer screening</div>
<div class="ABCD">
<b>C.<span> </span></b>Ovarian cancer
screening<span> </span><b>D.<span> </span></b>Screening for other HNPCC-associated
cancers</div>
<div class="Ans">
<b>Ans is A</b> (Colon Cancer Screening)</div>
<div class="Ques">
<span style="color: windowtext;">152.<span> </span>All the following can be used to predict severe acute
pan</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">creatitis EXCEPT: (PGI 2003)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Elevated serum
aminotranferases<span> </span><b>B.<span> </span></b>Elevated serum amylase</div>
<div class="ABCD">
<b>C.<span> </span></b>Hyperglycaemia<span> </span><b>D.<span> </span></b>Hypocalcaemia</div>
<div class="Ans">
<b>Ans is B</b> (Elevated serum amylase) </div>
<div class="Ques">
<span style="color: windowtext;">153.<span> </span>Best approach for surgical repair of the injury to abdominal aorta
above the level of renal artery involving superior mesenteric artery, coeliac
trunk, and the suprarenal branch</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Left Medial
visceral rotation<span> </span><b>B.<span> </span></b>Right Medial visceral rotation</div>
<div class="ABCD">
<b>C.<span> </span></b>Caudal visceral
rotation<span> </span><b>D.<span> </span></b>Cranial visceral rotation</div>
<div class="Ans">
<b>Ans is A</b> (Left Medial visceral rotation)</div>
<div class="Ques">
<span style="color: windowtext;">154.<span> </span>Consumption of
which of the following fruit juice prevents</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">UTI?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Raspberry juice<span> </span><b>B.<span> </span></b>Cranberry juice</div>
<div class="ABCD">
<b>C.<span> </span></b>Orange juice<span> </span><b>D.<span> </span></b>Grape juice</div>
<div class="Ans">
<b>Ans is B</b> (Cranberry juice)</div>
<div class="Ques">
<span style="color: windowtext;">155.<span> </span>A 60-year-old smoker presented with painless haematuria. Which of
the following would be most useful step for evaluation</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>USG KUB<span> </span><b>B.<span> </span></b>Urine RIM</div>
<div class="ABCD">
<b>C.<span> </span></b>Plain x-ray KUB<span> </span><b>D.<span> </span></b>Urine microscopy for malignant cells</div>
<div class="Ans">
<b>Ans is D</b> (Urine microscopy for malignant cells)</div>
<div class="Ques">
<span style="color: windowtext;">156.<span> </span>True
regarding external haemorrhoids is all except</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Painful</div>
<div class="ABCD">
<b>B.<span> </span></b>They occur above
the dentate line</div>
<div class="ABCD">
<b>C.<span> </span></b>They are formed
due to swelling up of anal eushions & their supportive tissue.</div>
<div class="ABCD">
<b>D.<span> </span></b>Extensive ones
require removal by surgery</div>
<div class="Ans">
<b>Ans is B</b> (They occur above the dentate line)</div>
<div class="Ques">
<span style="color: windowtext;">157.<span> </span>Regarding
congenital torticollis true is all except</span></div>
<div class="ABCD">
<b>A.<span> </span></b>In 2/3rd cases
sternomastoid mass is palpable<span> </span><b>B.<span> </span></b>If untreated leads to
plagiocephaly</div>
<div class="ABCD">
<b>C.<span> </span></b>80% undergo
spontaneous resolution<span> </span><b>D.<span> </span></b>Always associated with breech
presentation</div>
<div class="Ans">
<b>Ans is D</b> (Always associated with breech presentation)</div>
<div class="Ques">
<span style="color: windowtext;">158.<span> </span>Ideal
time for orchiopexy in case of undescended testis</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Neonate<span> </span><b>B.<span> </span></b>1-2 years of age</div>
<div class="ABCD">
<b>C.<span> </span></b>5 years of age<span> </span><b>D.<span> </span></b>Before puberty</div>
<div class="Ans">
<b>Ans is B </b>(1-2 years of age)</div>
<div class="Ques">
<span style="color: windowtext;">159.<span> </span>True
about branchial cyst</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Arises from 2nd
branchial arch<span> </span><b>B.<span> </span></b>Branchial sinus is more common than cyst</div>
<div class="ABCD">
<b>C.<span> </span></b>Resection of
branchial sinus is not necessary<span> </span><b>D.<span> </span></b>Presents with dysphagia and hoarseness of
yoice</div>
<div class="Ans">
<b>Ans is A</b> (Arises from 2nd branchial arch.)</div>
<div class="Head">
ORTHOPAEDICS</div>
<div class="Ques">
<span style="color: windowtext;">160.<span> </span>In
Bankart lesion glenoid labrum is torn at</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Anterior aspect<span> </span><b>B.<span> </span></b>Posterior aspect</div>
<div class="ABCD">
<b>C.<span> </span></b>Anterosuperior
aspect<span> </span><b>D.<span> </span></b>Anteroinferior aspect</div>
<div class="Ans">
<b>Ans is D</b> (Anteroinferior aspect)</div>
<div class="Ques">
<span style="color: windowtext;">161.<span> </span>Pigmented
villonodular synovitis most commonly involves:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Shoulder<span> </span><b>B.<span> </span></b>Ankle</div>
<div class="ABCD">
<b>C.<span> </span></b>Knee<span> </span><b>D.<span> </span></b>Metatarsophalangeal.</div>
<div class="Ans">
<b>Ans is C</b> (Knee)</div>
<div class="Ques">
<span style="color: windowtext;">162.<span> </span>Which
tumour occurs at the epiphysis of long bone?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Osteosarcoma<span> </span><b>B.<span> </span></b>Ewing’s sarcoma</div>
<div class="ABCD">
<b>C.<span> </span></b>Osteoclastoma<span> </span><b>D.<span> </span></b>Chondromyxoid fibroma</div>
<div class="Ans">
<b>Ans is C</b> (Osteoclastoma)</div>
<div class="Ques">
<span style="color: windowtext;">163.<span> </span>Chemoresistant
tumour is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Osteosarcoma<span> </span><b>B.<span> </span></b>Malignant fibrous histiocytoma</div>
<div class="ABCD">
<b>C.<span> </span></b>Synovial sarcoma<span> </span><b>D.<span> </span></b>Rhabdomyosarcoma</div>
<div class="Ans">
<b>Ans is B</b> (Malignant fibrous histiocytoma)</div>
<div class="Head">
EAR, NOSE AND THROAT</div>
<div class="Ques">
<span style="color: windowtext;">164.<span> </span>Treatment
of choice for glue ear</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Medical treatment<span> </span><b>B.<span> </span></b>Myringotemy with ventilation tube</div>
<div class="ABCD">
<b>C.<span> </span></b>Gromet insertion<span> </span><b>D.<span> </span></b>Wait and watch</div>
<div class="Ans">
<b>Ans is B</b> (Myringotomy with ventilation tube)</div>
<div class="Ques">
<span style="color: windowtext;">165.<span> </span>Treatment for child with acute otitis media and bulging tympanic
membrane<span> </span>(AIIMS
96)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Cold knife
surgery<span> </span><b>B.<span> </span></b>Laser</div>
<div class="ABCD">
<b>C.<span> </span></b>Myringotomy<span> </span><b>D.<span> </span></b>Gromet insertion</div>
<div class="Ans">
<b>Ans is C</b> (Myringotomy)</div>
<div class="Ques">
<span style="color: windowtext;">166.<span> </span>A child presented with history of recurrent nasal blockade,</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">mounth
breathing 8r. URTI. The treatment of choice will be</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Adnoidectomy with
Grommet insertion<span> </span><b>B.<span> </span></b>Tonsillectomy</div>
<div class="ABCD">
<b>C.<span> </span></b>Bilateral
myringotomy<span> </span><b>D.<span> </span></b>Unilateral myringotomy.</div>
<div class="Ans">
<b>Ans is A</b> (Adenoidectomy with Grommet insertion) </div>
<div class="Ques">
<span style="color: windowtext;">167.<span> </span>A woman complains of conductive deafness after pregnancy.</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">The
type of curve likely to be seen on tympanogram is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Ad<span> </span><b>B.<span> </span></b>A</div>
<div class="ABCD">
<b>C.<span> </span></b>As<span> </span><b>D.<span> </span></b>B</div>
<div class="Ans">
<b>Ans is C</b> (As.) </div>
<div class="Head">
OPTHALMOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">168.<span> </span>Least
common cause of childhood blindness in India</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Congenital
dacrocystitis<span> </span><b>B.<span> </span></b>Ophthalmia neonatrum</div>
<div class="ABCD">
<b>C.<span> </span></b>Malnutrition<span> </span><b>D.<span> </span></b>Glaucoma</div>
<div class="Ans">
<b>Ans is A</b> (Congenital dacrocystitis) </div>
<div class="Ques">
<span style="color: windowtext;">169.<span> </span>A young male patient complained of orbital mass with proptosis
which increases on forward bending. The swelling was compressible. There is no
bruit or thrill. On U5G, the lesion was retroorbital and hypoechoic. The likely
diagnosis is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Orbital varix<span> </span><b>B.<span> </span></b>Orbital encephalocele</div>
<div class="ABCD">
<b>C.<span> </span></b>Neurofibroma<span> </span><b>D.<span> </span></b>AV malformation</div>
<div class="Ans">
<b>Ans is A</b> (Orbital varix)</div>
<div class="Ques">
<span style="color: windowtext;">170.<span> </span>Following
are features of oculomotor nerve palsy except</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Diplopia<span> </span><b>B.<span> </span></b>Ptosis</div>
<div class="ABCD">
<b>C.<span> </span></b>Miosis<span> </span><b>D.<span> </span></b>Lateral deviation of eye</div>
<div class="Ans">
<b>Ans is C</b> (Miosis)</div>
<div class="Ques">
<span style="color: windowtext;">171.<span> </span>All of the following
are new strategies for cataract surgery</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">except</span></div>
<div class="ABCD">
<b>A.<span> </span></b>TOL,implantation<span> </span><b>B.<span> </span></b>Free oph~halmic service</div>
<div class="ABCD">
<b>C.<span> </span></b>Fixed facility
surgical approach<span> </span><b>D.<span> </span></b>Outreach eye camps</div>
<div class="Ans">
<b>Ans is D</b> (Outreach eye camps)</div>
<div class="Ques">
<span style="color: windowtext;">172.<span> </span>Which of the following is
an autosomal dominant disorder of</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">retina?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Bardet-Biedel
syndrome</div>
<div class="ABCD">
<b>B.<span> </span></b>Best disease</div>
<div class="ABCD">
<b>C.<span> </span></b>Gyrate atrophy
(defective arentihine ketoacid aminatransferse activity)</div>
<div class="ABCD">
<b>D.<span> </span></b>Bassen-Kornweg
syndrome</div>
<div class="Ans">
<b>Ans is B</b> (Best syndrome)</div>
<div class="Head">
ANAESTHESIA</div>
<div class="Ques">
<span style="color: windowtext;">173.<span> </span>Dissociative anaesthesia is associated with<span> </span>(Maharashtra</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">2003)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Propofol<span> </span><b>B.<span> </span></b>Ketamine</div>
<div class="ABCD">
<b>C.<span> </span></b>Thiopental<span> </span><b>D.<span> </span></b>Halothane</div>
<div class="Ans">
<b>Ans is B</b> (Ketamine)</div>
<div class="Ques">
<span style="color: windowtext;">174.<span> </span>True
regarding xenon anaesthesia is all EXCEPT</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Non-inflammable<span> </span><b>B.<span> </span></b>Low blood gas solubility</div>
<div class="ABCD">
<b>C.<span> </span></b>Slow induction
and slow recovery<span> </span><b>D.<span> </span></b>Minimal cardiac effect</div>
<div class="Ans">
<b>Ans is C</b> (SlbW induction and slow recovery)</div>
<div class="Ques">
<span style="color: windowtext;">175.<span> </span>Generalized
depression in EEG is seen in</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Nitrous oxide<span> </span><b>B.<span> </span></b>Early hypoxia</div>
<div class="ABCD">
<b>C.<span> </span></b>Ketamine<span> </span><b>D.<span> </span></b>Hypothermia</div>
<div class="Ans">
<b>Ans is D</b> (Hypothermia) </div>
<div class="Head">
RADIOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">176.<span> </span>Aneuploidy
in first trimester can be best diagnosed by</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Nuchallucency<span> </span><b>B.<span> </span></b>CRL</div>
<div class="ABCD">
<b>C.<span> </span></b>Amniotic fluid
volume<span> </span><b>D.<span> </span></b>B-HCG</div>
<div class="Ans">
<b>Ans is A</b> (Nuchal translucency)</div>
<div class="Ques">
<span style="color: windowtext;">177.<span> </span>Which of the following
is seen on bone scan in multiple myeloma?</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Hot spots<span> </span><b>B.<span> </span></b>Cold spots</div>
<div class="ABCD">
<b>C.<span> </span></b>Diffuse decreased
uptake<span> </span><b>D.<span> </span></b>Diffuse increased uptake</div>
<div class="Ans">
<b>Ans is B</b> (Cold spots)</div>
<div class="Ques">
<span style="color: windowtext;">178.<span> </span>Charcot’s joint is
caused by all of the following except (PGI</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">2002)</span></div>
<div class="ABCD">
1.<span> </span>Syringomyelia</div>
<div class="ABCD">
2.<span> </span>Arthrogyposis congenita</div>
<div class="ABCD">
3.<span> </span>Leprosy</div>
<div class="ABCD">
4.<span> </span>Diabetes</div>
<div class="Ans">
<b>Ans is B</b> (Arthrogyposis congenita)</div>
<div class="Ques">
<span style="color: windowtext;">179.<span> </span>Craniovertebral junction is likely to
be affected in all the following EXCEPT</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Odontoid
dysplasia<span> </span><b>B.<span> </span></b>Juvenile rheumatoid arteritis</div>
<div class="ABCD">
<b>C.<span> </span></b>Ankylosing
spondylitis<span> </span><b>D.<span> </span></b>Osteoarthritis</div>
<div class="Ans">
<b>Ans is D</b> (Osteoarthritis)</div>
<div class="Ques">
<span style="color: windowtext;">180.<span> </span>A neonate developed CCF at birth. fie had bruit on auscultation at
AF. Through the open AF cranial ultrasonography was done which revealed a
well-defined round to oval midline hypoechoic lesion in between the lateral
ventricles. The CCF was not responding to treatment. The likely diagnosis is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Arachnoid cyst<span> </span><b>B.<span> </span></b>Teratoma</div>
<div class="ABCD">
<b>C.<span> </span></b>Vein of Galen
malformation<span> </span><b>D.<span> </span></b>Choroid plexus tumour</div>
<div class="Ans">
<b>Ans is </b>a (Vein of Galen malformation)</div>
<div class="Ques">
<span style="color: windowtext;">181.<span> </span>A young male was brought to emergency department in unconscious
state with history of head injury. CT scan head revealed small multiple
haemorrhages in both cerebral hemispheres with compressed basilar cisterns. No
midline shift. The likely diagnosis is</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Diffuse axonal
injury<span> </span><b>B.<span> </span></b>Cerebral contusion</div>
<div class="ABCD">
<b>C.<span> </span></b>Cerebral
laceration<span> </span><b>D.<span> </span></b>Multiple infarcts</div>
<div class="ABCD">
<b>Ans is </b>1 (Diffuse axonal injury)</div>
<div class="Ques">
<span style="color: windowtext;">182.<span> </span>A middle aged female had progressive paraplegia and urinary
retention. CEMRI revealed an enhancing iso to hyperintense extramedullary intradural
mass. The spinal cord was displaced and compressed. The likely diagnosis is</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Teratoma<span> </span><b>B.<span> </span></b>Ependymoma</div>
<div class="ABCD">
<b>C.<span> </span></b>Meningioma<span> </span><b>D.<span> </span></b>Dermoid</div>
<div class="Ans">
<b>Ans is C</b> (Meningiorna)</div>
<div class="Head">
OBSTETRICS AND GYNAECOLOGY</div>
<div class="Ques">
<span style="color: windowtext;">183.<span> </span>All the following can be a -caase for obstruction of after
coming head of breech EXCEPT</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Hydrocephalus<span> </span><b>B.<span> </span></b>Placenta previa</div>
<div class="ABCD">
<b>C.<span> </span></b>Incomplete
dilatation<span> </span><b>D.<span> </span></b>Extended head</div>
<div class="Ans">
<b>Ans is B</b> (Placentia previa)</div>
<div class="Ques">
<span style="color: windowtext;">184.<span> </span>A patient having infertility is found to have bilateral cornual
block on investigations. Best treatment that can be offered to her include<span> </span>(JIPMER
2004)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>In vitro
fertilization<span> </span><b>B.<span> </span></b>Tuboplasty</div>
<div class="ABCD">
<b>C.<span> </span></b>Hydrotubation<span> </span><b>D.<span> </span></b>Laparoscopy and hysteroscopy</div>
<div class="Ans">
<b>Ans is D</b> (In vitro fertilization)</div>
<div class="Ans">
<b>185. Test to be done in a female with history of recurrent
abortion</b></div>
<div class="ABCD">
<b>A.<span> </span></b>PT<span> </span><b>B.<span> </span></b>Bleeding time</div>
<div class="ABCD">
<b>C.<span> </span></b>Snake venom viper
test<span> </span><b>D.<span> </span></b>dot lysis test</div>
<div class="Ans">
<b>Ans is C</b> (Snake venom viper test)</div>
<div class="Ques">
<span style="color: windowtext;">186.<span> </span>With which
heart diseases in pregnancy is prognosis worst</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Eisenmenger’s
syndrome<span> </span><b>B.<span> </span></b>Aortic stenosis</div>
<div class="ABCD">
<b>C.<span> </span></b>Mitral stenosis<span> </span><b>D.<span> </span></b>MVP</div>
<div class="Ans">
<b>Ans is A</b> (Eisenmenger’s- syndrome)</div>
<div class="Ques">
<span style="color: windowtext;">187.<span> </span>Hyperglycaemia
in late pregnancy associated with</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Macrosomia<span> </span><b>B.<span> </span></b>Post-maturity</div>
<div class="ABCD">
<b>C.<span> </span></b>IUGR<span> </span><b>D.<span> </span></b>Congenital abnormalities</div>
<div class="ABCD">
<b>Ans is </b>1 (Macrosomia)</div>
<div class="Ques">
<span style="color: windowtext;">188.<span> </span>Most
common abnormality in baby of diabetic mother</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Neural tube
defect<span> </span><b>B.<span> </span></b>Cardiac anomaly</div>
<div class="ABCD">
<b>C.<span> </span></b>Renal defects<span> </span><b>D.<span> </span></b>Limb defects</div>
<div class="Ans">
<b>Ans is B</b> (Cardiac anomaly)</div>
<div class="Ques">
<span style="color: windowtext;">189.<span> </span>Hypothyroidism in
pregnancy can result in all the following except</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Recurrent
abortion<span> </span><b>B.<span> </span></b>PIH</div>
<div class="ABCD">
<b>C.<span> </span></b>Polyhydramnios<span> </span><b>D.<span> </span></b>Prematurity</div>
<div class="Ans">
<b>Ans is C</b> (Polyhydramnios)</div>
<div class="Ques">
<span style="color: windowtext;">190.<span> </span>Acetylcholineesterase
levels are highly specific for</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Omphalocele<span> </span><b>B.<span> </span></b>Gastroschisis</div>
<div class="ABCD">
<b>C.<span> </span></b>Open s’pina
bifida<span> </span><b>D.<span> </span></b>Sacrococcygeal teratoma</div>
<div class="Ans">
<b>Ans is C</b> (Open spina bifida)</div>
<div class="Ques">
<span style="color: windowtext;">191.<span> </span>Red
degeneration of fibroid is associated with<span> </span>(AI
90)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>Postpartum<span> </span><b>B.<span> </span></b>3rd trimester<span> </span>.</div>
<div class="ABCD">
<b>C.<span> </span></b>2nd trimester<span> </span><b>D.<span> </span></b>1st trimester</div>
<div class="Ans">
<b>Ans is B</b> (3rd trimester)</div>
<div class="Ques">
<span style="color: windowtext;">192.<span> </span>Most logical step after diagnosing CIN on Pap smear<span> </span>(Karnataka
92)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Conization<span> </span><b>B.<span> </span></b>Colposcopy and biopsy</div>
<div class="ABCD">
<b>C.<span> </span></b>Hysterectomy<span> </span><b>D.<span> </span></b>USG</div>
<div class="Ans">
<b>Ans is B</b> (Colposcopy and biopsy)</div>
<div class="Ques">
<span style="color: windowtext;">193.<span> </span>Uterine prolapse is prevented by all the following EXCEPT</span><span style="color: windowtext; font-weight: normal;"><span> </span></span><span style="color: windowtext;">(AIIMS 92)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Broad ligament <i>ct
</i>uterus<span> </span><b>B.<span> </span></b>Levator ani mustle</div>
<div class="ABCD">
<b>C.<span> </span></b>Uterosacral
ligament<span> </span><b>D.<span> </span></b>Transcervical Iiament</div>
<div class="Ans">
<b>Ans is A</b> (Broad ligament of uterus)</div>
<div class="Ques">
<span style="color: windowtext;">194.<span> </span>Physiological changes
in pregnancy include the following EXCEPT<span> </span>(MP
2005)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Increased intra
vascular volume<span> </span><b>B.<span> </span></b>Increased cardiac output</div>
<div class="ABCD">
<b>C.<span> </span></b>Increased
peripheral vascular resistance<span> </span><b>D.<span> </span></b>Increased stroke volume</div>
<div class="Ans">
<b>Ans is A</b> (Peripheral vascular resistance)</div>
<div class="Ques">
<span style="color: windowtext;">195.<span> </span>Nile blue sulphatase test is done for assessing<span> </span>(JIPMER
93)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Fetal lung
maturity<span> </span><b>B.<span> </span></b>Fetal skin maturity</div>
<div class="ABCD">
<b>C.<span> </span></b>Fetal kidney
maturity<span> </span><b>D.<span> </span></b>Fetal liver maturity</div>
<div class="Ans">
<b>Ans is A</b> (Fetal lung maturity)</div>
<div class="Ques">
<span style="color: windowtext;">196.<span> </span>Lactational
amenorrhoea occurs because</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Prolactin
inhibits GnRH<span> </span><b>B.<span> </span></b>Prolactin inhibits FSH</div>
<div class="ABCD">
<b>C.<span> </span></b>Stimulation 9f
GnRH<span> </span><b>D.<span> </span></b>Stimulation of FSH</div>
<div class="Ans">
<b>Ans is A</b> (Prolactin inhibits GNRH)</div>
<div class="Ques">
<span style="color: windowtext;">197.<span> </span>Hormone replacement therapy (HRT) is beneficial in reducing
all the following EXCEPT<span> </span><span> </span><span> </span>(AIIMS-2002
Dec)</span></div>
<div class="ABCD">
<b>A.<span> </span></b>Hot flushes<span> </span><b>B.<span> </span></b>Breast carcinoma</div>
<div class="ABCD">
<b>C.<span> </span></b>Osteoporosis<span> </span><b>D.<span> </span></b>Vaginal dryness</div>
<div class="Ans">
<b>Ans is B</b> (Breast carcinoma)</div>
<div class="Ques">
<span style="color: windowtext;">198.<span> </span>HIV
transmission to the newborn is most commonly during</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
<b>A.<span> </span></b>First trimester<span> </span><b>B.<span> </span></b>Second trimester</div>
<div class="ABCD">
<b>C.<span> </span></b>Third trimester<span> </span><b>D.<span> </span></b>Delivery</div>
<div class="Ans">
<b>Ans is B</b> (Delivery)</div>
<div class="Ques">
<span style="color: windowtext;">199.<span> </span>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:<span> </span>(AIIMS
2006 May & Nov)</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="ABCD">
a) Prior probability to SLE; sensitivity and specificity of each
test.</div>
<div class="ABCD">
b) Incidence of SLE and predictive value of each test.</div>
<div class="ABCD">
c) Incidence and prevelance of SLE.</div>
<div class="ABCD">
d) Relative risk of SLE in this patient.</div>
<div class="Ans">
<b>Ans is A</b> (Prior probability to SLE; sensitivity and
specificity of each test.)</div>
<div class="MsoNormal">
200.<span> </span>The Q. 199 was
asked twice in the exam</div>
</div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-521225683707508693.post-55284388601731297652012-01-07T19:32:00.000-08:002012-01-07T19:32:22.888-08:00AIIMS MAY 2007<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head">
Chapter One Anatomy</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Y
chromosome is:</span></div>
<div class="ABCD">
A.<span> </span>Acrocentric<span> </span>B.<span> </span>Metacentric</div>
<div class="ABCD">
C.<span> </span>Submetacentric<span> </span>D.<span> </span>Telocentric</div>
<div class="Ans">
Ans. (A) Acrocentric</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Cells
in intestine that migrate to surface include the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Paneth cells<span> </span>B.<span> </span>Enterocytes</div>
<div class="ABCD">
C.<span> </span>Goblet cells<span> </span>D.<span> </span>Enteroendocrine cells</div>
<div class="Ans">
Ans. (A) Paneth cells</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Common
carotid artery bifurcation occurs at the level of:</span></div>
<div class="ABCD">
A.<span> </span>Hyoid bone<span> </span>B.<span> </span>Cricoid cartilage</div>
<div class="ABCD">
C.<span> </span>Superior border of
thyroid cartilage<span> </span>D.<span> </span>Inferior border of thyroid cartilage</div>
<div class="Ans">
Ans. (C) Superior border of thyroid cartilage.</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>While
exposing left subclavian artery which of the following muscle is not dissected?</span></div>
<div class="ABCD">
A.<span> </span>Omohyoid<span> </span>B.<span> </span>Scalenus anticus</div>
<div class="ABCD">
C.<span> </span>Scalenus medius<span> </span>D.<span> </span>Sternocleidomastoid</div>
<div class="Ans">
Ans. (C) Scalenus medius</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>Typical
cervical vertebral can be easily differentiated from thoracic vertebral by:</span></div>
<div class="ABCD">
A.<span> </span>Large vertebral body<span> </span>B.<span> </span>Foramen transversarium</div>
<div class="ABCD">
C.<span> </span>Superior articular facet<span> </span>D.<span> </span>Wide triangular vertebral canal</div>
<div class="Ans">
Ans. (B) Foramen transversarium</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Facial
nerve can be assessed by testing action of which ofthe following muscle?</span></div>
<div class="ABCD">
A.<span> </span>Orbicularis oris<span> </span>B.
Temporalis</div>
<div class="ABCD">
C.<span> </span>Masseter<span> </span>D.
Pterygoid</div>
<div class="Ans">
Ans. (A) Orbicularis oris</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Pudendal
nerve supplying sphincter of bladder : has the root value of?</span></div>
<div class="ABCD">
A.<span> </span>T12-L1<span> </span>B.<span> </span>S1-S2</div>
<div class="ABCD">
C.<span> </span>S2-S3<span> </span>D.<span> </span>L2-L3</div>
<div class="Ans">
Ans. (C) S2-S3</div>
<div class="Head">
Chapter Two Biochemistry</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Fastest
technique to detect X-Y intersex:</span></div>
<div class="ABCD">
A.<span> </span>PCR with sequencing<span> </span>B.<span> </span>FISH</div>
<div class="ABCD">
C.<span> </span>RFLP<span> </span>D.<span> </span>Single-strand conformational polymorphism
(SSCP)</div>
<div class="Ans">
Ans. (B) FISH</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Which
of the following is not required in PCR?</span></div>
<div class="ABCD">
A.<span> </span>DNTP<span> </span>B.<span> </span>Primer</div>
<div class="ABCD">
C.<span> </span>DNA probe<span> </span>D.<span> </span>Heat stable DNA Polymerase</div>
<div class="Ans">
Ans. (C) DNA probe</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>All
the following reaction occur in the mito <i>chondria except:<span> </span>(JIPMER </i>1988)</span></div>
<div class="ABCD">
A.<span> </span>Embeden Meroff pathway<span> </span>B.<span> </span>Krebs cycle</div>
<div class="ABCD">
C.<span> </span>Urea cycle<span> </span>D.<span> </span>Fatty acid cycle of oxidation</div>
<div class="Ans">
Ans. (A) Embeden Meroffpathway</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Enzymes
of glycolysis are present in:</span></div>
<div class="ABCD">
A.<span> </span>Cytosol<span> </span>B.<span> </span>Mitochondria</div>
<div class="ABCD">
C.<span> </span>Nucleus<span> </span>D.<span> </span>Cell membrane</div>
<div class="Ans">
Ans. (A) Cytosol</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>CO2
+ H2O are formed in which of the following?</span></div>
<div class="ABCD">
A.<span> </span>Cytosol<span> </span>B.<span> </span>Mitochondria</div>
<div class="ABCD">
C.<span> </span>Extracellular matrix<span> </span>D.<span> </span>Cell membrane</div>
<div class="Ans">
Ans. (B) Mitochondria</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Final
product of Purine metabolism in Don primate mammals:</span></div>
<div class="ABCD">
A.<span> </span>lonosine<span> </span>B.<span> </span>Xanthine</div>
<div class="ABCD">
C.<span> </span>Uric acid<span> </span>D.<span> </span>Allantoin</div>
<div class="Ans">
Ans. (D) Allantoin</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Ammonia
is formed from which ofthe following amino acid?</span></div>
<div class="ABCD">
A.<span> </span>Glutamine<span> </span>B.<span> </span>Alanine</div>
<div class="ABCD">
C.<span> </span>Leucine<span> </span>D.<span> </span>Histidine</div>
<div class="Ans">
Ans. (A) Glutamine</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span>Essential
amino acids include the following <i>except:<span> </span>(AI
1991)</i></span></div>
<div class="ABCD">
A.<span> </span>Lysine<span> </span>B.<span> </span>Methionine</div>
<div class="ABCD">
C.<span> </span>Leucine<span> </span>D.<span> </span>Alanine</div>
<div class="Ans">
Ans. (D) Alanine</div>
<div class="Ques">
<span style="color: windowtext;">9.<span> </span>Triglyceride
content is highest in:</span></div>
<div class="ABCD">
A.<span> </span>LDL<span> </span>B.<span> </span>VLDL</div>
<div class="ABCD">
C.<span> </span>Chylomicrons<span> </span>D.<span> </span>HDL</div>
<div class="Ans">
Ans. (C) Chylomicrons</div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>Thymine deficiency is not seen in:</span></div>
<div class="ABCD">
A.<span> </span>Homocystinuria<span> </span>B.<span> </span>Beriberi</div>
<div class="ABCD">
C.<span> </span>Wernicke’s-KarsokofPs
psychosis<span> </span>D.<span> </span>Hartnup disease</div>
<div class="Ans">
Ans. (A) Homocystinuria</div>
<div class="Ques">
<span style="color: windowtext;">11.<span> </span>Vitamin A in its overdose/toxicity acts by causing damage to:</span></div>
<div class="ABCD">
A.<span> </span>Cytosol<span> </span>B.<span> </span>Mitochondria</div>
<div class="ABCD">
C.<span> </span>Lysosome<span> </span>D.<span> </span>Cell membrane</div>
<div class="Ans">
Ans. (C) Lysosome</div>
<div class="Ques">
<span style="color: windowtext;">12.<span> </span>Vitamin excreted in urine:</span></div>
<div class="ABCD">
A.<span> </span>Vitamin A<span> </span>B.<span> </span>Vitamin D</div>
<div class="ABCD">
C.<span> </span>Vitamin C<span> </span>D.<span> </span>Vitamin E</div>
<div class="Ans">
Ans. (C) Vitamin C</div>
<div class="Ques">
<span style="color: windowtext;">13.<span> </span>Antioxidants in eye include following <i>except:<span> </span></i>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Vitamin A<span> </span>B.<span> </span>Vitamin C</div>
<div class="ABCD">
C.<span> </span>Vitamin E<span> </span>D.<span> </span>Catalase</div>
<div class="Ans">
Ans. (A) Vitamin A</div>
<div class="Ques">
<span style="color: windowtext;">14.<span> </span>Richest source of vitamin D:</span></div>
<div class="ABCD">
A.<span> </span>Fish<span> </span>B.<span> </span>Egg</div>
<div class="ABCD">
C.<span> </span>Citrus fTuit<span> </span>D.<span> </span>Pappya</div>
<div class="Ans">
Ans. (A) Fish</div>
<div class="Ques">
<span style="color: windowtext;">15.<span> </span>Active form of vitamin D?</span></div>
<div class="ABCD">
A.<span> </span>25-ergosterol<span> </span>B.<span> </span>1,25-dihydroergosterol</div>
<div class="ABCD">
C.<span> </span>25-hydroxycholecalciferol<span> </span>D.<span> </span>1,25-dihydroxycholecalciferol</div>
<div class="Ans">
Ans. (D) 1,25-dihydroxycholecalciferol</div>
<div class="Ques">
<span style="color: windowtext;">16.<span> </span>Hyaluronic acid occurs maximally at:<span> </span><i>(DNB </i>1989; <i>AIIMS
2006 Nov.)</i></span></div>
<div class="ABCD">
A.<span> </span>Outer layer epidennis<span> </span>B.<span> </span>Vitreous humour</div>
<div class="ABCD">
C.<span> </span>Retina<span> </span>D.<span> </span>Cornea</div>
<div class="Ans">
Ans. (B) Vitreous humour</div>
<div class="Ques">
<span style="color: windowtext;">17.<span> </span>Krebs cycle begins with:</span></div>
<div class="ABCD">
A.<span> </span>Pyruvate<span> </span>B.<span> </span>Acetyl-CoA</div>
<div class="ABCD">
C.<span> </span>Fatty acid<span> </span>D.<span> </span>Succinyl CoA</div>
<div class="Ans">
Ans. (A) Pyruvate</div>
<div class="Ques">
<span style="color: windowtext;">18.<span> </span>Bile acid is produced from:</span></div>
<div class="ABCD">
A.<span> </span>Bilirubin<span> </span>B.<span> </span>Lipoprotein</div>
<div class="ABCD">
C.<span> </span>Cholesterol<span> </span>D.<span> </span>Amino acids</div>
<div class="Ans">
Ans. (C) Cholesterol</div>
<div class="Head">
ChapteR Three Physiology</div>
<div class="Ques">
<span style="color: windowtext;">1. Not true regarding action
ofENDOTHELIN-l:</span></div>
<div class="ABCD">
A.<span> </span>Vasoconstriction<span> </span>B.<span> </span>Bronchodilatation</div>
<div class="ABCD">
C.<span> </span>Decreased GFR<span> </span>D.<span> </span>Water retention</div>
<div class="Ans">
Ans. (B) Bronchodilatation</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Iron
is absorbed in:</span></div>
<div class="ABCD">
A.<span> </span>Stomach<span> </span>B.<span> </span>Duodenum and proximal jejunum</div>
<div class="ABCD">
C.<span> </span>Jejunum and ileum<span> </span>D.<span> </span>Colon</div>
<div class="Ans">
Ans. (B) Duodenum and proximal jejunum</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Oxygen
toxicity can cause all <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Increases lung
compliance<span> </span>B.<span> </span>Decreased vital capacity</div>
<div class="ABCD">
C<span> </span>Atelectatic collapse<span> </span>D.<span> </span>Endothelial damage</div>
<div class="Ans">
Ans: (A) Increases lung compliance</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>O</span><span style="color: windowtext; font-size: 5.5pt; position: relative; top: 1pt;">2</span><span style="color: windowtext;"><span> </span>transfer to the tissue does not depend on:</span></div>
<div class="ABCD">
A.<span> </span>Hemoglobin concentration<span> </span>B.<span> </span>Cardiac output</div>
<div class="ABCD">
C.<span> </span>Type of fluid
administered<span> </span>D.<span> </span>O<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span>concentration</div>
<div class="Ans">
Ans. (D) Type of fluid administered</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>Cerebral
blood flow is not dependent on:</span></div>
<div class="ABCD">
A.<span> </span>Cerebral Metabolic rate<span> </span>B.<span> </span>CO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span></div>
<div class="ABCD">
C.<span> </span>Blood pressure<span> </span>D.<span> </span>K+</div>
<div class="Ans">
Ans. (D) K<span style="font-size: 5.5pt; position: relative; top: -4pt;">+</span></div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Non-endogenous
catecholamine:</span></div>
<div class="ABCD">
A.<span> </span>Epinephrine<span> </span>B.<span> </span>Norepinephrine</div>
<div class="ABCD">
C.<span> </span>Dopamine<span> </span>D.<span> </span>Dobutamine</div>
<div class="Ans">
Ans. (D) Dobutamine</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>All
are true about the blood pressure measurement <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Korotkoff sound IV
correspond to intra arterial diastolic blood pressure</div>
<div class="ABCD">
B.<span> </span>BP cuff should be 40% of
arm circumference</div>
<div class="ABCD">
C.<span> </span>Small cuff gives rise to
spuriously high diastolic BP</div>
<div class="ABCD">
D.<span> </span>Monkeberg sclerosis may
give rise to spuriously high BP</div>
<div class="Ans">
Ans. (C) Small cuff gives rise to spuriously high diastolic BP</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span>Renal
Free water clearance is:</span></div>
<div class="ABCD">
A.<span> </span>ADH dependent<span> </span>B.<span> </span>Renin dependent</div>
<div class="ABCD">
C.<span> </span>Aldosterone dependent<span> </span>D.<span> </span>Increased by frusemide</div>
<div class="Ans">
Ans. (A) ADH dependent</div>
<div class="Ques">
<span style="color: windowtext;">9.<span> </span>Mineralocorticoid
receptors are not present in:</span></div>
<div class="ABCD">
A<span> </span>DCT<span> </span>B.<span> </span>Colon</div>
<div class="ABCD">
C.<span> </span>Hippocampus<span> </span>D.<span> </span>Liver</div>
<div class="Ans">
Ans. (D) Liver</div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>Renin is secreted in:</span></div>
<div class="ABCD">
A.<span> </span>PCT<span> </span>B.<span> </span>Ascending loop of Henle</div>
<div class="ABCD">
C.<span> </span>Descending loop of Henle<span> </span>D.<span> </span>DCT</div>
<div class="Ans">
Ans. (D) DCT</div>
<div class="Ques">
<span style="color: windowtext;">11.<span> </span>Juxtaglomerular apparatus is located in:</span></div>
<div class="ABCD">
A.<span> </span>Proximal convoluted
tubule<span> </span>B.<span> </span>Ascending loop of distal convoluted tubule</div>
<div class="ABCD">
C.<span> </span>Descending loop of
distal convoluted tubule<span> </span>D.<span> </span>Glomerulus</div>
<div class="Ans">
Ans. (B) Ascending loop of distal convoluted tubule</div>
<div class="Ques">
<span style="color: windowtext;">12.<span> </span>True about hemodynamic changes occurring during isometric exercise
include all <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Increased Cardiac output<span> </span>B.<span> </span>Increased Coronary blood flow</div>
<div class="ABCD">
C.<span> </span>Increased Peripheral
vascular resistance<span> </span>D.<span> </span>O<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span>dissociation curve shift to right</div>
<div class="Ans">
Ans. (C) Increased Coronary blood flow</div>
<div class="Ques">
<span style="color: windowtext;">13.<span> </span>Brain natriuretic peptide (BNP) is degraded by:</span></div>
<div class="ABCD">
A.<span> </span>Neutral Endopeptidase<span> </span>B.<span> </span>Protease</div>
<div class="ABCD">
C.<span> </span>Protinase<span> </span>D.<span> </span>Altepase</div>
<div class="Ans">
Ans. (A) Neutral Endopeptidase</div>
<div class="Head">
Chapter Four Pathology</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Not
a feature of apoptosis:</span></div>
<div class="ABCD">
A.<span> </span>Cell shrinkage<span> </span>B.<span> </span>Chromatin condensation</div>
<div class="ABCD">
C.<span> </span>Cytoplasmic blebs and
apoptotic bodies<span> </span>D.<span> </span>Inflammation.</div>
<div class="Ans">
Ans. (D) Inflammation</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Which
is not a B-cell marker?</span></div>
<div class="ABCD">
A.<span> </span>CD-15<span> </span>B.<span> </span>CD-21</div>
<div class="ABCD">
C.<span> </span>CD-24<span> </span>D.<span> </span>CD-19</div>
<div class="Ans">
Ans. (A) CD-15</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Hb
electrophoresis is helpful diagnosis due to which of the following proper,ty?</span></div>
<div class="ABCD">
A.<span> </span>Charge and mobility<span> </span>B.<span> </span>Molecular weight</div>
<div class="ABCD">
C.<span> </span>Particle size<span> </span>D.<span> </span>Solubility</div>
<div class="Ans">
Ans. (A) Charge and mobility</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Steroid-resistant
nephrotic syndrome is associated with mutation in - gene?<span> </span>(AIIMS 2006 Nov.)</span></div>
<div class="ABCD">
A.<span> </span>NPHSl<span> </span>B.<span> </span>PAX</div>
<div class="ABCD">
C.<span> </span>HOX II<span> </span><b>D.<span> </span></b>NPHS2</div>
<div class="Ans">
<b>Ans. (D) </b>NPHS2</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>Michaelis
Guttman bodies are characteristic of:</span></div>
<div class="ABCD">
A.<span> </span>Multiple myeloma<span> </span>B.<span> </span>Malakoplakia</div>
<div class="ABCD">
C.<span> </span>Sarcoidosis<span> </span>D.<span> </span>Pilomatrixoma</div>
<div class="Ans">
Ans. (B) Malakoplakia</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Histological
appearance ofIiver in malaria:</span></div>
<div class="ABCD">
A.<span> </span>Kuffer cell hyperplasia<span> </span>B.<span> </span>Eosinophilic infiltrate</div>
<div class="ABCD">
C.<span> </span>Mononuclear infiltrate<span> </span>D.<span> </span>Foamy cells</div>
<div class="Ans">
Ans. (A) Kuffer cell hyperplasia</div>
<div class="ABCD">
<br /></div>
<div class="Head">
Chapter Five Forensic Medicine</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Spalding’s
sign seen in:</span></div>
<div class="ABCD">
A.<span> </span>Drowning<span> </span>B.<span> </span>Maceration</div>
<div class="ABCD">
C.<span> </span>Hanging<span> </span>D.<span> </span>Poisoning</div>
<div class="Ans">
Ans. (B) Maceration</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Site
of action of Mercury:<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Loop of Henle<span> </span>B.<span> </span>PCT</div>
<div class="ABCD">
C.<span> </span>OCT<span> </span>D.<span> </span>Collecting ducts</div>
<div class="Ans">
Ans. (B) PCT</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Which
of he following is nota dialysable poison?<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Ethylene glycol<span> </span>B.<span> </span>Copper sulphate</div>
<div class="ABCD">
C.<span> </span>Barbiturate<span> </span>D.<span> </span>Alcohol</div>
<div class="Ans">
Ans. (B) Copper sulphate</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Hemoperfusion
with Charcoal is used in treatment of poisoning with:</span></div>
<div class="ABCD">
A.<span> </span>Ethylene glycol<span> </span>B.<span> </span>Lithiwn</div>
<div class="ABCD">
C.<span> </span>Methanol<span> </span>D.<span> </span>Barbiturates</div>
<div class="Ans">
Ans. (D) Barbiturates</div>
<div class="Head">
Chapter Six Microbiology</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Most
common cause of IV catheter infection?</span></div>
<div class="ABCD">
A.<span> </span>E co!i<span> </span>B.<span> </span>Kleihsiella</div>
<div class="ABCD">
C.<span> </span>Streptococci<span> </span>D.<span> </span>Coagulase negative staphylococcus aureus</div>
<div class="Ans">
Ans. (D) Coagulase negative staphylococcus aureus</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Traveler’s
diarrhoea is most commonly caused by:<span> </span><i>(SGPGI2002)</i></span></div>
<div class="ABCD">
A.<span> </span>EIEC<span> </span>B.<span> </span>S. dysenteriae</div>
<div class="ABCD">
C.<span> </span>EPEe<span> </span>D.<span> </span>Salmonella</div>
<div class="Ans">
Ans. (A) ETEC</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Hemolytic
Uremic Syndrome can be caused by the following <i>except:<span> </span>(JIPMER </i>/995)</span></div>
<div class="ABCD">
A.<span> </span><i>Campylobacter jejuni<span> </span></i>B.<span> </span>Enterohaemorrhagic E. coli</div>
<div class="ABCD">
C.<span> </span>Shigella<span> </span>D.<span> </span>Vibrio cholerae</div>
<div class="Ans">
Ans. (D) Vibrio cholerae</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Infective
endocarditis by <i>pseudomonas </i>is common in patients with:</span></div>
<div class="ABCD">
A.<span> </span>Drug addiction with
pethidine<span> </span>B.<span> </span>Immunosuppression</div>
<div class="ABCD">
C.<span> </span>Splenectomy<span> </span>D.<span> </span>Steroid therapy</div>
<div class="Ans">
Ans. (D) Steroid therapy</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>Most
common cause of neonatal sepsis in hospitals:</span></div>
<div class="ABCD">
A.<span> </span>Klebsiella<span> </span>B.<span> </span>Betahemdytic streptococci</div>
<div class="ABCD">
C.<span> </span>Streptococci<span> </span>D.<span> </span>E. coli</div>
<div class="Ans">
Ans. (D) E. coli</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Group
A streptococci can be differentiated from other bacteria by:<i><span> </span>(AIIMS 2006 Nov.)</i></span></div>
<div class="ABCD">
A.<span> </span>Optochin sensitivity.<span> </span>B.<span> </span>Bacitracin susceptibility.</div>
<div class="ABCD">
C.<span> </span>Bile Solubility.<span> </span>D.<span> </span>Catalase negativity.</div>
<div class="Ans">
Ans. (B) Bacitracin susceptibility</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>True
about pseudo membranous colitis?</span></div>
<div class="ABCD">
A.<span> </span>Toxin A of <i>Clostridium
difjicile </i>is mainly involved in pathogenesis</div>
<div class="ABCD">
B.<span> </span>Toxin B of <i>Clostridium
difjicile </i>is mainly involved in pathogenesis</div>
<div class="ABCD">
C.<span> </span>Summit lesion is a early
histological finding</div>
<div class="ABCD">
D.<span> </span>Blood in stools is a
common feature</div>
<div class="Ans">
Ans. (A) A toxin of Clostridium difficile is mainly involved in
pathogenesis</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span>Which
of the following statements about Lepromin test is not true?<i><span> </span>(AI 2007)</i></span></div>
<div class="ABCD">
A.<span> </span>It is negative in most
children in first 6 months oflife.</div>
<div class="ABCD">
B.<span> </span>It is a diagnostic test.</div>
<div class="ABCD">
C.<span> </span>It is an important aid
to classify type ofleprosy disease.</div>
<div class="ABCD">
D.<span> </span>BCG vaccination may
convert lepra reaction from negative to positive.</div>
<div class="Ans">
Ans. (B) It is a diagnostic test</div>
<div class="Ques">
<span style="color: windowtext;">9.<span> </span>A
2 year old child on 8th day of 10 day <i>Cefaclor </i>course presented with
fever malaise lymphadenopathy and a mildly pruritic rash on body. What is the
most likely diagnosis?</span></div>
<div class="ABCD">
A.<span> </span>Partially treated
meningitis<span> </span>B.<span> </span>Kawasaki disease</div>
<div class="ABCD">
C.<span> </span>Infectious mononucleosis<span> </span>D.<span> </span>Type III hypersensitivity reaction</div>
<div class="Ans">
Ans. (D) Type III hypersensitivity reaction</div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>Which ofthe following is cultivable in vitro?</span></div>
<div class="ABCD">
A.<span> </span>HAV<span> </span>B.<span> </span>HBV</div>
<div class="ABCD">
C.<span> </span>HCV<span> </span>D.<span> </span>HEV</div>
<div class="Ans">
Ans. (A) HAV</div>
<div class="Head">
Chapter Seven Pharmacology</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Regarding
prodrug and active drug, untrue is:</span></div>
<div class="ABCD">
A.<span> </span>The placebo response is
usually quantitated by administration of an inert material, with exactly the
same physical appearance, odor, consistency, etc., as the active dosage form.</div>
<div class="ABCD">
B.<span> </span>The magnitude of the
response is same in all patients</div>
<div class="ABCD">
C.<span> </span>The incidence of the
placebo response is fairly constant, being observed in 20-40% of patients in
almost all studies.</div>
<div class="ABCD">
D.<span> </span>Placebo “toxicity” also
occurs but usually involves subjective effects: stomach upset, insomnia,
sedation, etc.</div>
<div class="Ans">
Ans. (B) The magnitude of the response is same in all patients</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Anti-emetics
are the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Domeperidone<span> </span>B.<span> </span>Ondansetron</div>
<div class="ABCD">
C.<span> </span>Cyclizine<span> </span>D.<span> </span>Phenacizine</div>
<div class="Ans">
Ans. (D) Phenacizine</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Against
MRSA drugs useful are all the following except:<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Ciprofloxacin</div>
<div class="ABCD">
B.<span> </span>Cotrimoxazole</div>
<div class="ABCD">
C.<span> </span>Vancomycin</div>
<div class="ABCD">
D.<span> </span>Cefaclor</div>
<div class="Ans">
Ans. (D) Cefaclor</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Imatinib
mesylate acts by:<span> </span><i>(AIIMS
2006 May)</i></span></div>
<div class="ABCD">
A.<span> </span>Inhibiting Glutathione
reductase.</div>
<div class="ABCD">
B.<span> </span>Blocking the action of
chimeric fusion protein ofbcr-abl</div>
<div class="ABCD">
C.<span> </span>Competitive inhibition A
TP binding site of Abl kinase</div>
<div class="ABCD">
D.<span> </span>Inhibiting Protein
kinase</div>
<div class="Ans">
Ans. (C) Competitive inhibition A TP binding site of Abl kinase</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>Carbimazole
if given in pregnancy is known to cause the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Choanal atresia<span> </span>B.<span> </span>Cleft palate and lip</div>
<div class="ABCD">
C.<span> </span>Scalp defect<span> </span>D.<span> </span>Goiter</div>
<div class="Ans">
Ans. (B) Cleft palate and lip</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Antihypertensive
having highest risk of causing impotence?</span></div>
<div class="ABCD">
A.<span> </span>ACE inhibitors<span> </span>B.<span> </span>Beta blockers</div>
<div class="ABCD">
C.<span> </span>Aldosterone antagonist<span> </span>D.<span> </span>Calcium channel blockers</div>
<div class="Ans">
Ans. (B) Beta blockers</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Bone
marrow depression can be caused by the following drugs <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Methicillin<span> </span>B.<span> </span>Chloramphenicol</div>
<div class="ABCD">
C.<span> </span>Chlorpromazine<span> </span>D.<span> </span>Alpha methyl hydantoin</div>
<div class="Ans">
Ans. (A) Methicillin</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span>Action
of digoxin is not significantly altered by:</span></div>
<div class="ABCD">
A.<span> </span>Myocardial infarction<span> </span>B.<span> </span>Liver disease</div>
<div class="ABCD">
C.<span> </span>Renal failure<span> </span>D.<span> </span>Electrolyte imbalance</div>
<div class="Ans">
Ans. (B) Liver disease</div>
<div class="Ques">
<span style="color: windowtext;">9.<span> </span>Drug
that can cause gynecomastia?</span></div>
<div class="ABCD">
A.<span> </span>Testosterone<span> </span>B.<span> </span>Spironolactone</div>
<div class="ABCD">
C.<span> </span>Ampicillin<span> </span>D.<span> </span>Atenolol</div>
<div class="Ans">
Ans. (B) Spironolactone</div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>Drugs contraindicated in pregnancy?</span></div>
<div class="ABCD">
A.<span> </span>Beta blockers<span> </span>B.<span> </span>ACE inhibitors</div>
<div class="ABCD">
C.<span> </span>Calcium channel blockers<span> </span>D.<span> </span>Sodium channel blockers</div>
<div class="Ans">
Ans. (B) ACE inhibitors</div>
<div class="Ques">
<span style="color: windowtext;">11.<span> </span>Which does not cause activation of NO?</span></div>
<div class="ABCD">
A.<span> </span>Fenoldopam<span> </span>B.<span> </span>Hydralazine</div>
<div class="ABCD">
C.<span> </span>Niroprusside<span> </span>D.<span> </span>Nitrogycerine</div>
<div class="Ans">
Ans. (A) Fenoldopam</div>
<div class="Ques">
<span style="color: windowtext;">12.<span> </span>Antihypertensive drug that can be used in pregnancy?</span></div>
<div class="ABCD">
A.<span> </span>Labetolol<span> </span>B.<span> </span>Enalapril</div>
<div class="ABCD">
C.<span> </span>Hydralazine<span> </span>D.<span> </span>Amlodepine</div>
<div class="Ans">
Ans. (A) Labetolol</div>
<div class="Ques">
<span style="color: windowtext;">13.<span> </span>Which ofthe following immunosuppressant is a macrolide antibiotic?</span></div>
<div class="ABCD">
A.<span> </span>Cyclosporine<span> </span>B.<span> </span>Azathioprine</div>
<div class="ABCD">
C.<span> </span>Mycophenolate<span> </span>D.<span> </span>Tacrolimus</div>
<div class="Ans">
Ans. (D) Tacrolimus</div>
<div class="Ques">
<span style="color: windowtext;">14.<span> </span>FK 506 is:</span></div>
<div class="ABCD">
A.<span> </span>Macrolide antibiotic<span> </span>B.<span> </span>TNF alpha inhibitor</div>
<div class="ABCD">
C.<span> </span>Anti-leukemic drug<span> </span>D.<span> </span>Monoclonal antibody</div>
<div class="Ans">
Ans. (A) Macrolide antibiotic</div>
<div class="Ques">
<span style="color: windowtext;">15.<span> </span>Interstitial nephritis can be caused by the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Diuretics<span> </span>B.<span> </span>INH</div>
<div class="ABCD">
C.<span> </span>Allopurinol<span> </span>D.<span> </span>Beta lactamase inhibitors</div>
<div class="Ans">
Ans. (B) INH</div>
<div class="Ques">
<span style="color: windowtext;">16.<span> </span>Prophylaxis in patients with penicillin sensitive allergy can be
given with?</span></div>
<div class="ABCD">
A.<span> </span>Erythromycin<span> </span>B.<span> </span>Cephalosporins</div>
<div class="ABCD">
C.<span> </span>Carbapenems<span> </span>D.<span> </span>Oxacilin</div>
<div class="Ans">
Ans. (A) Erythromycin</div>
<div class="Ques">
<span style="color: windowtext;">17.<span> </span>Which of the following drug does not cause hypertension?</span></div>
<div class="ABCD">
A.<span> </span>Cyclosporin<span> </span>B.<span> </span>Erythropoetin</div>
<div class="ABCD">
C.<span> </span>NSAIDS<span> </span>D.<span> </span>L-dopa</div>
<div class="Ans">
Ans. (D) L-dopa</div>
<div class="Ques">
<span style="color: windowtext;">18.<span> </span>Which of the following is an antimetabolite?</span></div>
<div class="ABCD">
A.<span> </span>Methotrexate<span> </span>B.<span> </span>Cyclosporine</div>
<div class="ABCD">
C.<span> </span>Etoposide<span> </span>D.<span> </span>Vinblastine</div>
<div class="Ans">
Ans. (A) Methotrexate</div>
<div class="Ques">
<span style="color: windowtext;">19.<span> </span>Naloxone is contraindicated in neonatal resuscitation ifthe mother
is taking:</span></div>
<div class="ABCD">
A.<span> </span>Cocaine<span> </span>B.<span> </span>Amphetamine</div>
<div class="ABCD">
C.<span> </span>Methadone<span> </span>D.<span> </span>Phencyclidine</div>
<div class="Ans">
Ans. (C) Methadone</div>
<div class="Head">
Chapter Eight Medicine</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Mutation
of which gene related to pulmonary hypertension is?</span></div>
<div class="ABCD">
A.<span> </span>Bone morphogenic protein
receptor 2 gene<span> </span>B.<span> </span>Endothelin gene</div>
<div class="ABCD">
C.<span> </span>Fabrin gene<span> </span>D.<span> </span>RANK Ligand gene</div>
<div class="Ans">
Ans. (A) Bone morphogenic protein receptor 2 gene</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Clubbing
is feature of all the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Aortic dissection<span> </span>B.<span> </span>Tricuspid atresia</div>
<div class="ABCD">
C.<span> </span>Fungal endocarditis<span> </span>D.<span> </span>Pulmonary A V fistula</div>
<div class="Ans">
Ans. (A) Aortic dissection</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>‘Half
and halP nail seen in uremia occurs due to:</span></div>
<div class="ABCD">
A.<span> </span>Hemorrhages at the nail
bed<span> </span>B.<span> </span>Capillary proliferation under nail plate</div>
<div class="ABCD">
C.<span> </span>Deposition of uremic
crystals at nail base<span> </span>D.<span> </span>Melanin deposition</div>
<div class="Ans">
Ans. (B) Capillary proliferation under nail plate</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Water
hammer pulse is a feature of:</span></div>
<div class="ABCD">
A.<span> </span>Aortic regurgitation<span> </span>B.<span> </span>Mitral regurgitation</div>
<div class="ABCD">
C.<span> </span>Aortic stenosis<span> </span>D.<span> </span>Mitral stenosis</div>
<div class="Ans">
Ans. (A) Aortic regurgitation</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>Differential
diagnosis of raised JVP with shock will include the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Heart failure<span> </span>B.<span> </span>Cardiac tamponade</div>
<div class="ABCD">
C.<span> </span>Second degree heart
block<span> </span>D.<span> </span>Right ventricular infarction</div>
<div class="Ans">
Ans. (B) Second degree heart block</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>A
30 year old male has diarrhoea, anaemia, and raised liver enzymes. Which of the
following will you do for further evaluation?</span></div>
<div class="ABCD">
A.<span> </span>Anti-thyroid antibodies<span> </span>B.<span> </span>Anti-smooth muscle antibodies</div>
<div class="ABCD">
C.<span> </span>Anti-mitochondrial
antibodies<span> </span>D.<span> </span>Anti-endomysial antibodies</div>
<div class="Ans">
Ans. (D) Anti-endomysial antibodies</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Least
Common complication of measles?<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Cranial nerve palsy<span> </span>B.<span> </span>Otitis media</div>
<div class="ABCD">
C.<span> </span>Pneumonia<span> </span>D.<span> </span>Subacute sclerosing panencephalitis</div>
<div class="Ans">
Ans. (D) (Subacute sclerosing panencephalitis)</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span></span><span style="color: windowtext;">Loeffiet’s
syndrome is caused by the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Giardia lamblia<span> </span>B.<span> </span>Aspergillus</div>
<div class="ABCD">
C.<span> </span><i>Strongyloides
stercoralis<span> </span></i>D.<span> </span>Inherited L-tryptophan deficiency</div>
<div class="Ans">
Ans. (A) Giardia lamblia</div>
<div class="Ques">
<span style="color: windowtext;">9.<span> </span>Tests
for neurocardiogenic syncope include all the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Duplex doppler of
carotid<span> </span>B.<span> </span>Table tilt test</div>
<div class="ABCD">
C.<span> </span>Carotid massage<span> </span>D.<span> </span>24 hours orthostatic monitoring ofBP</div>
<div class="Ans">
Ans. (A) Duplex doppler of carotid</div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>In acute graft verses host disease (Acute GVHD), organ not involved
is?</span></div>
<div class="ABCD">
A.<span> </span>Skin<span> </span>B.<span> </span>Lung</div>
<div class="ABCD">
C.<span> </span>Liver<span> </span>D.<span> </span>Intestine</div>
<div class="Ans">
Ans. (B) Lung</div>
<div class="Ques">
<span style="color: windowtext;">11.<span> </span>Which is not a characteristic feature of hemolysis?</span></div>
<div class="ABCD">
A.<span> </span>Burr cells and tear drop
cells<span> </span>B.<span> </span>Decreased haptoglobin</div>
<div class="ABCD">
C.<span> </span>Hemoglobinuria<span> </span>D.<span> </span>Reticulocytosis</div>
<div class="Ans">
Ans. (A) Burr cells and tear drop cells</div>
<div class="Ques">
<span style="color: windowtext;">12.<span> </span>Reticulocytosis is seen in all the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Postsplenectomy<span> </span>B.<span> </span>Chronic hemolytic anemia</div>
<div class="ABCD">
C.<span> </span>Iron deficiency anemia<span> </span>D.<span> </span>Paroxysmal nocturnal hemoglobinuria</div>
<div class="Ans">
Ans. (D) Paroxysmal nocturnal hemoglobinuria</div>
<div class="Ques">
<span style="color: windowtext;">13.<span> </span>A 21 years old male has anaemia (Hb=5g/dl) with hepatosplenomegaly
and history of single blood transfusion till date. The most probable clinical
diagnosis should be?</span></div>
<div class="ABCD">
A.<span> </span>B-thalassemia major<span> </span>B.<span> </span>B-thalassemia intermedia</div>
<div class="ABCD">
C.<span> </span>B- Thalassemia minor<span> </span>D.<span> </span>HbH disease</div>
<div class="Ans">
Ans. (B) B-thalassemia intermedia</div>
<div class="Ques">
<span style="color: windowtext;">14.<span> </span>DIC is feature of:</span></div>
<div class="ABCD">
A.<span> </span>Acute lymphatic leukemia<span> </span>B.<span> </span>Acute Myelomonocytic leukemia</div>
<div class="ABCD">
C.<span> </span>Acute promyelocytic
leukemia<span> </span>D.<span> </span>Acute Erythroleukemic leukemia</div>
<div class="Ans">
Ans. (C) Acute promyelocytic leukemia</div>
<div class="Ques">
<span style="color: windowtext;">15.<span> </span>Plasma exchange is of therapeutic benefit in which ofthe following?</span></div>
<div class="ABCD">
A.<span> </span>DIC<span> </span>B.<span> </span>TIP</div>
<div class="ABCD">
C.<span> </span>HUS<span> </span>D.<span> </span>Autoimmune hemolytic anemia (AIHA)</div>
<div class="Ans">
Ans. (B) TTP</div>
<div class="Ques">
<span style="color: windowtext;">16.<span> </span>A 3-year-old child presented with pallor, petechiae, and ecchymotic
patches all over the body with history of pain abdomen. Spleen is not.
palpable. What is the most probable diagnosis?</span></div>
<div class="ABCD">
A.<span> </span>ITP.<span> </span>B.<span> </span>TIP</div>
<div class="ABCD">
C.<span> </span>Aplastic anemia<span> </span>D.<span> </span>Acute leukemias</div>
<div class="Ans">
Ans. (B) ITP</div>
<div class="Ques">
<span style="color: windowtext;">17.<span> </span>Earliest phenotypic feature of idiopathic hereditary
hemochromatosis is?</span></div>
<div class="ABCD">
A.<span> </span>Postprandial rise in
serum iron level<span> </span>B.<span> </span>Slate grey pigmentation of skin</div>
<div class="ABCD">
C.<span> </span>Elevated ferritin levels<span> </span>D.<span> </span>Increased serum transferrin saturation</div>
<div class="Ans">
Ans. (D) Increased serum transferrin saturation</div>
<div class="Ques">
<span style="color: windowtext;">18.<span> </span>Most common cause of renal artery stenosis in childhood in India:</span></div>
<div class="ABCD">
A.<span> </span>Medial fibroplasia<span> </span>B.<span> </span>Intimal fibroplasia</div>
<div class="ABCD">
C.<span> </span>Takayasu’s arteritis<span> </span>D.<span> </span>Polyarteritis nodosa</div>
<div class="Ans">
Ans. (A) Medial fibroplasia</div>
<div class="Ques">
<span style="color: windowtext;">19.<span> </span>Nephrocalcinosis is not seen in:</span></div>
<div class="ABCD">
A.<span> </span>Sarcoidosis<span> </span>B.<span> </span>Distal Renal tubular acidosis</div>
<div class="ABCD">
C.<span> </span>Medullary cystic disease
of kidney<span> </span>D.<span> </span>Milk alkali syndrome</div>
<div class="Ans">
Ans. (C) Medullary cystic disease of kidney</div>
<div class="Ques">
<span style="color: windowtext;">20.<span> </span>High anion-gap acidosis is seen the following <i>except:<span> </span>(JIPMER
</i>94)</span></div>
<div class="ABCD">
A.<span> </span>Salicylate toxicity<span> </span>B.<span> </span>Renal failure</div>
<div class="ABCD">
C.<span> </span>Lactic acidosis<span> </span>D.<span> </span>Diarrhea</div>
<div class="Ans">
Ans. (D) Diarrhea</div>
<div class="Ques">
<span style="color: windowtext;">21.<span> </span>All the following can be seen in Addison’s disease <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Serum cortisol <8
mmol /L<span> </span>B.<span> </span>Decreased renin</div>
<div class="ABCD">
C.<span> </span>Decreased diastolic BP<span> </span>D.<span> </span>Cardiac atrophy</div>
<div class="Ans">
Ans. (B) Decreased renin</div>
<div class="Ques">
<span style="color: windowtext;">22.<span> </span>MEN2 is associated with the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Pheochromocytoma<span> </span>B.<span> </span>Islet cell hyperplasia</div>
<div class="ABCD">
C.<span> </span>Parathyroid adenoma<span> </span>D.<span> </span>Thyroid cancer</div>
<div class="Ans">
Ans. (B) Islet cell hyperplasia</div>
<div class="Ques">
<span style="color: windowtext;">23.<span> </span>Heterotopic Calcification can be best monitored by:<i><span> </span>(AI
2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Serum Calcium Levels<span> </span>B.<span> </span>Follow up X-rays</div>
<div class="ABCD">
C.<span> </span>Alkaline phosphatase<span> </span>D.<span> </span>Acid phosphatase</div>
<div class="Ans">
Ans. (A) Serum Calcium Levels</div>
<div class="Ques">
<span style="color: windowtext;">24.<span> </span>A 60-year-old man with sensorineural deafness and bony abnormality
in left leg has sr.ca2+-9.5 and serum alkaline phosphate 440mu/I skeletal
survey shows cotton wool lesions in skull and ivory vertebra. The ~ost probable
diagnosis is?</span></div>
<div class="ABCD">
A.<span> </span>Paget’s disease<span> </span>B.<span> </span>Osteosclerotic metastasis</div>
<div class="ABCD">
C.<span> </span>Osteoporosis<span> </span>D.<span> </span>Fibrous dysplasia</div>
<div class="Ans">
Ans. (A) Paget’s disease</div>
<div class="Ques">
<span style="color: windowtext;">25.<span> </span>Pituitary apoplexy is not associated with which of the following?</span></div>
<div class="ABCD">
A.<span> </span>Hypertension<span> </span>B.<span> </span>Diabetes Mellitus</div>
<div class="ABCD">
C.<span> </span>Hyperthyroidism<span> </span>D.<span> </span>Sickle cell anaemia</div>
<div class="Ans">
Ans. (C) Hyperthyroidism</div>
<div class="Ques">
<span style="color: windowtext;">26.<span> </span>Following cranial radiation therapy production of which ofthe
following Pituitary hormone is first affected?</span></div>
<div class="ABCD">
A.<span> </span>ACTH<span> </span>B.<span> </span>G-I</div>
<div class="ABCD">
C.<span> </span>Gonadotropin<span> </span>D.<span> </span>Prolactin</div>
<div class="Ans">
Ans. (B) Growth hormone</div>
<div class="Ques">
<span style="color: windowtext;">27.<span> </span>Arsenic is useful in treatment of</span></div>
<div class="ABCD">
A<span> </span>Acute Promyelocytic
Leukemia<span> </span>B.<span> </span>Myelodysplastic syndrome</div>
<div class="ABCD">
C.<span> </span>Transient
myeloproliferative disorders<span> </span>D.<span> </span>ALL</div>
<div class="Ans">
Ans: (A) Acute Promyelocytic Leukemia</div>
<div class="Ques">
<span style="color: windowtext;">28.<span> </span>Which will prolong life in a patient of PostMyocardial Infarction?</span></div>
<div class="ABCD">
A.<span> </span>Omega-3 fatty acids<span> </span>B.<span> </span>High fiber diet</div>
<div class="ABCD">
C.<span> </span>VitaminE<span> </span>D.<span> </span>Steroids</div>
<div class="Ans">
Ans. (A) Omega-3 fatty acids</div>
<div class="Ques">
<span style="color: windowtext;">29.<span> </span>Atkins diet is:</span></div>
<div class="ABCD">
A.<span> </span>Low carbohydrate diet<span> </span>B.<span> </span>Low protein diet</div>
<div class="ABCD">
C.<span> </span>Low fat diet<span> </span>D.<span> </span>Low mineral diet</div>
<div class="Ans">
Ans. (A) Low carbohydrate diet</div>
<div class="Head">
Chapter Nine Surgery</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Gold
Standard tool for monitoring intracranial tension:</span></div>
<div class="ABCD">
A.<span> </span>Intraventricular
catheter<span> </span>B.<span> </span>Subarachnoid bolt</div>
<div class="ABCD">
C.<span> </span>Epidural catheter<span> </span>D.<span> </span>Parenchymal electrode</div>
<div class="Ans">
Ans. (A) Intraventricular catheter</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Ideal
time for orchiopexy in case ofU ndescended testis:</span></div>
<div class="ABCD">
A.<span> </span>Neonate<span> </span>B.<span> </span>1-2 years of age</div>
<div class="ABCD">
C.<span> </span>5 years of age<span> </span>D.<span> </span>Before puberty</div>
<div class="Ans">
Ans. (B) 1-2 years of age</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>True
about branchial cyst:<span> </span><i>(AIIMS
Nov. 2006)</i></span></div>
<div class="ABCD">
A.<span> </span>Arises from 2nd
branchial arch<span> </span>B.<span> </span>Branchial sinus is more common than cyst</div>
<div class="ABCD">
C.<span> </span>Resection of branchial
sinus is not necessary<span> </span>D.<span> </span>Presents with dysphagia and hoarseness of
voice</div>
<div class="Ans">
Ans. (A) Arises from 2nd branchial arch</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>In
a 44-years-old male with carcinoma involving right lateral border tongue with
enlarged level III lymph node of 4 cnf diameter on left side of neck, the
staging would be:</span></div>
<div class="ABCD">
A.<span> </span>N0<span> </span>B.<span> </span>N2</div>
<div class="ABCD">
C.<span> </span>N3<span> </span>D.<span> </span>N4</div>
<div class="Ans">
Ans. (B) N2</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>A
20-year.~old girl presents with history of neck swelling sihce 6 months. She
also has sy~ptoms of hyp~rthyroidism. On palpation she has a 2 x 2 cm thyroid
nodule. The most appropriate next investigation in further evaluation ofthis
patient would be:</span></div>
<div class="ABCD">
A.<span> </span>Ultrasonography<span> </span>B.<span> </span>Thyroid scan</div>
<div class="ABCD">
C.<span> </span>Radioactive iodine
uptake (RAIU)<span> </span>D.<span> </span>CT scan</div>
<div class="Ans">
Ans. (B) Thyroid scan</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Treatment
of choice for carcinoma breast with positive axillary lymph nodes with modified
radical mastectomy done:</span></div>
<div class="ABCD">
A.<span> </span>Adriyamycin</div>
<div class="ABCD">
B.<span> </span>Adriyamycin and tamoxifen
together, ifthere is estrogen receptor positivity</div>
<div class="ABCD">
C.<span> </span>Adriyamycin followed
bytamoxifen ifthere is estrogen receptor positivity</div>
<div class="ABCD">
D.<span> </span>Adriyamycin and
tamoxifen ifthere is estrogen receptor negativity</div>
<div class="Ans">
Ans. (C) Adriyamycin followed by tamoxifen if there is estrogen
receptor positivity</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Renal
angle:</span></div>
<div class="ABCD">
A.<span> </span>11th rib and lateral
border of quadratus lumborum</div>
<div class="ABCD">
B.<span> </span>12th rib and lateral
border of quadratus lumborum</div>
<div class="ABCD">
C<span> </span>11th rib and lateral
border of sacrospinalis muscle</div>
<div class="ABCD">
D.<span> </span>12th rib and lateral
border of sacrospinalis muscle</div>
<div class="Ans">
Ans. (D) 12th rib and lateral border of sacrospinalis muscle</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span>Which
of the fpllowing not a complication of surgery for right thoracic outlet
syndrome:</span></div>
<div class="ABCD">
A.<span> </span>Injury to Long thoracic
nerve.<span> </span>B.<span> </span>Brachial plexus injury</div>
<div class="ABCD">
C.<span> </span>Lymphatic fistula<span> </span>D.<span> </span>Pneumothorax</div>
<div class="Ans">
Ans (C) Lymphatic fistula</div>
<div class="Ques">
<span style="color: windowtext;">9.<span> </span>AST
: AL T > 1 is seen in:</span></div>
<div class="ABCD">
A.<span> </span>Non-alcoholic liver
disease<span> </span>B.<span> </span>Alcoholic hepatitis</div>
<div class="ABCD">
C.<span> </span>Wilson’s disease<span> </span>D.<span> </span>All of the above</div>
<div class="Ans">
Ans. (B) Alcoholic hepatitis</div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>Which of the following protein is not synthesized in liver?</span></div>
<div class="ABCD">
A.<span> </span>Immunoglobulin<span> </span>B.<span> </span>c3 complement</div>
<div class="ABCD">
C.<span> </span>Fibrinogen<span> </span>D.<span> </span>Haptoglobin</div>
<div class="Ans">
Ans: (A) Immunoglobulin</div>
<div class="Ques">
<span style="color: windowtext;">11.<span> </span>In creased Urinary Copper excretion can be seen in all the
following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Cholestasis<span> </span>B.<span> </span>Wilson’s disease</div>
<div class="ABCD">
C.<span> </span>Hepatic tumors<span> </span>D.<span> </span>Primary Biliary Cirrhosis</div>
<div class="Ans">
Ans. (C) Hepatic tumors</div>
<div class="Ques">
<span style="color: windowtext;">12.<span> </span>Which of the following can be most beneficial in the patients with
alcoholic liver disease?</span></div>
<div class="ABCD">
A.<span> </span>S-adenosyl methionine<span> </span>B.<span> </span>N acetyl cysteine<span> </span>.</div>
<div class="ABCD">
C.<span> </span>Silmyras<span> </span>D.<span> </span>Pethidine</div>
<div class="Ans">
Ans. (A) S-adenosyl methionine</div>
<div class="Ques">
<span style="color: windowtext;">13.<span> </span>A 9 months pregnant lady presents with jaundice, abdominal
distension, and pedal edema. Though she delivered a normal baby, her clinical
condition deteriorated with increasing abdominal discomfort and distension. On
examination she has tender hepatomegaly 6cm below costal margin. Her bilirubin
is 5d/dl, the ALT levels are 345IU, SAP was 4450/1 and liver enzymes were
elevated. Her ascetic fluid shows 3g/dl albumin with 10 Iymphocytes/ml. Which
of the following is most likely diagnosis?</span></div>
<div class="ABCD">
A.<span> </span>Acute viral hepatitis<span> </span>B.<span> </span>Budd Chiari syndrome</div>
<div class="ABCD">
C.<span> </span>Acute Fatty liver of pregnancy<span> </span>D.<span> </span>HELLP syndrome</div>
<div class="Ans">
Ans. (B) Budd Chiari syndrome</div>
<div class="Ques">
<span style="color: windowtext;">14.<span> </span>Tumor markers for hepatocellular carcinoma include the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Fucosylated AFP<span> </span>B.<span> </span>Neurotensin</div>
<div class="ABCD">
C.<span> </span>PIVKA<span> </span>D.<span> </span>Alpha 2 macroglobulin</div>
<div class="Ans">
Ans. (D) Alpha 2 macroglobulin</div>
<div class="Ques">
<span style="color: windowtext;">15.<span> </span>Hypertrophic Pyloric Stenosis is characterized by:<i><span> </span>(AIIMS
May 2006)</i></span></div>
<div class="ABCD">
A.<span> </span>Hypochloremic
hypokalemic metabolic alkalosis</div>
<div class="ABCD">
B.<span> </span>Hyperchloremic
hypokalemic metabolic alkalosis</div>
<div class="ABCD">
C.<span> </span>Hypochloremic
hypokalemic metabolic acidosis</div>
<div class="ABCD">
D.<span> </span>Hyperchloremic
hypokalemic metabolic acidosis</div>
<div class="Ans">
Ans. (A) Hypochloremic hypokalemic metabolic alkalosis</div>
<div class="Ques">
<span style="color: windowtext;">16.<span> </span>CEA is tumor marker for all the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Ca breast<span> </span>B.<span> </span>Ca colon</div>
<div class="ABCD">
C.<span> </span>Ca stomach<span> </span>D.<span> </span>Osteosarcoma</div>
<div class="Ans">
Ans. (D) Osteosarcoma</div>
<div class="Ques">
<span style="color: windowtext;">17.<span> </span>Accessory pancreatic tissue is most commonly located at:</span></div>
<div class="ABCD">
A.<span> </span>Stomach<span> </span>B.<span> </span>Appendix</div>
<div class="ABCD">
C.<span> </span>Ileum<span> </span>D.<span> </span>Splenic hilum</div>
<div class="Ans">
Ans. (B) Stomach</div>
<div class="Ques">
<span style="color: windowtext;">18.<span> </span>Most common complication ofERCP:</span></div>
<div class="ABCD">
A.<span> </span>Bleeding<span> </span>B.<span> </span>Acute cholangitis</div>
<div class="ABCD">
C.<span> </span>Acute pancreatitis<span> </span>D.<span> </span>Duodenal perforation</div>
<div class="Ans">
Ans. (B) Acute cholangitis</div>
<div class="Ques">
<span style="color: windowtext;">19.<span> </span>The histological pattern typically seen in Solitary rectal ulcer:</span></div>
<div class="ABCD">
A.<span> </span>The characteristic
muscle fibres with fibrosis and collagen proliferation in lamina propria</div>
<div class="ABCD">
B.<span> </span>The trapped mucosa. with
submucosal cysts</div>
<div class="ABCD">
C.<span> </span>The chronic inflammatory
cells and granulomas</div>
<div class="ABCD">
D.<span> </span>Intraepithelial
collection oflymphocytes</div>
<div class="Ans">
Ans. (A) The characteristic muscle fibres with fibrosis and
collagen proliferation in lamina propria</div>
<div class="Ques">
<span style="color: windowtext;">20.<span> </span>Investigation of choice for diverticulosis:</span></div>
<div class="ABCD">
A.<span> </span>Barium enema<span> </span>B.<span> </span>Colonoscopy</div>
<div class="ABCD">
C.<span> </span>Ultrasonography<span> </span>D.<span> </span>CT scan</div>
<div class="Ans">
Ans. (D) CT scan</div>
<div class="Ques">
<span style="color: windowtext;">21.<span> </span>Screening is most helpful for early detection of which of the
following cancer:</span><span style="color: windowtext; font-weight: normal;"><span> </span></span><span style="color: windowtext;">(AIIMS
May 2006)</span></div>
<div class="ABCD">
A.<span> </span>Colonic cancer<span> </span><b>B.<span> </span></b>Brain tumor</div>
<div class="ABCD">
C.<span> </span>Ovarian Cancer<span> </span>D.<span> </span>Prostatic Cancers</div>
<div class="Ans">
Ans. (A) Colonic Cancer</div>
<div class="Ques">
<span style="color: windowtext;">22.<span> </span>A middle aged man presented with a bout of hematemesis. His upper
GI endoscopy was done for the same which tUrD.ed out to be normal. Patient was
treated symptomatically and was relieved. After some hours he again had bouts
of hematemesis. Which ofthe following would be most appropriate step in further
evaluation of this patient:</span></div>
<div class="ABCD">
A.<span> </span>Repeat endoscopic
examination<span> </span>B.<span> </span>Nuclear scan</div>
<div class="ABCD">
C.<span> </span>Angiography<span> </span>D.<span> </span>Barium study</div>
<div class="Ans">
Ans. (A) Repeat endoscopic examination</div>
<div class="Ques">
<span style="color: windowtext;">23.<span> </span>Which of the following should not be done in evaluation of
Pheochromocytoma?</span></div>
<div class="ABCD">
A.<span> </span>FNAC<span> </span>B.<span> </span>USG</div>
<div class="ABCD">
C.<span> </span>MIBG scan<span> </span>D.<span> </span>MRI</div>
<div class="Ans">
Ans. (A) FNAC</div>
<div class="Ques">
<span style="color: windowtext;">24.<span> </span>Most specific test for acute pyelonephritis:<span> </span>(AIIMS 2006
Nov)</span></div>
<div class="ABCD">
A.<span> </span>Leucocyte esterase test<span> </span>B.<span> </span>Leucocyte cast</div>
<div class="ABCD">
C.<span> </span>Nitrite test<span> </span>D.<span> </span>Gram staining of urine sample</div>
<div class="Ans">
Ans. (D) Gram staining of urine sample</div>
<div class="Ques">
<span style="color: windowtext;">25.<span> </span>Consumption of which of the following fruit juice prevents UTI?<i><span> </span>(AIIMS 2006 Nov)</i></span></div>
<div class="ABCD">
A.<span> </span>Raspberry juice<span> </span>B.<span> </span>Cranberry juice</div>
<div class="ABCD">
C.<span> </span>Orange juice<span> </span>D.<span> </span>Grape juice</div>
<div class="Ans">
Ans. (B) Cranberry juice</div>
<div class="Ques">
<span style="color: windowtext;">26.<span> </span>Which of the following renal calculi are most difficult to treat
with lithotripsy?</span></div>
<div class="ABCD">
A.<span> </span>Uric acid stones<span> </span>B.<span> </span>Cystine stones</div>
<div class="ABCD">
C.<span> </span>Calcium oxalate stones<span> </span>D.<span> </span>Triple phosphate stones</div>
<div class="Ans">
Ans. (B) Cystine stones</div>
<div class="Ques">
<span style="color: windowtext;">27.<span> </span>A 70-year-old patient with benign prostatic hyperplasia underwent
transurethral resection of prostate (fURP) under spinal anaesthesia. One hour
later, he developed vomiting, drowsiness, and altered sensorium. The most probable
is:<span> </span><i>(AIPGE
2003)</i></span></div>
<div class="ABCD">
A.<span> </span>Over dosage of spinal
anaesthetic agent<span> </span>B.<span> </span>Rupture of bladder</div>
<div class="ABCD">
C.<span> </span>Hyperkalemia<span> </span>D.<span> </span>Hyponatremia</div>
<div class="Ans">
Ans. (D) Hyponatremia</div>
<div class="Ques">
<span style="color: windowtext;">28.<span> </span>Life threatening conditions common to diabetic patients include the
following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Malignant otitis extema<span> </span>B.<span> </span>Emphysematous pyelonephritis</div>
<div class="ABCD">
C.<span> </span>Emphysematous
appendicitis<span> </span>D.<span> </span>Rhinocerebral mucormycosis</div>
<div class="Ans">
Ans. (C) Emphysematous appendicitis</div>
<div class="Head">
Chapter Ten Paediatrics</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Nile
blue test is done for:<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Fetal lung maturity<span> </span>B.<span> </span>Fetal renal maturity</div>
<div class="ABCD">
C.<span> </span>Fetal skin maturity<span> </span>D.<span> </span>Fetal liver maturity</div>
<div class="Ans">
Ans. (C) Fetal skin maturity</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Neonatal
Reflex present at birth:<span> </span><i>(AI
2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Crossed extensor reflex<span> </span>B.<span> </span>Asymmetric tonic neck reflex</div>
<div class="ABCD">
C.<span> </span>Symmetric tonic neck
reflex<span> </span>D.<span> </span>Rooting reflex</div>
<div class="Ans">
Ans. (D) Rooting reflex</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Moro’s
Reflex is considered abnormal if it persists even after:<i><span> </span>(AI
2007)</i></span></div>
<div class="ABCD">
A.<span> </span>3 months<span> </span>B.<span> </span>4 months</div>
<div class="ABCD">
C.<span> </span>5 months<span> </span>D.<span> </span>6 months</div>
<div class="Ans">
Ans. (D) 6 months</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>A
6 years old child with 50% IQ is able to:<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Ride bicycle<span> </span>B.<span> </span>Draw triangle</div>
<div class="ABCD">
C.<span> </span>Read simple sentence<span> </span>D.<span> </span>Identify colour</div>
<div class="Ans">
Ans. (D) Identifies colour</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>A
3 years old child is poor in language development has poor concentration, no
friends, plays only with himself, and has some delay in mile stones. The
likely diagnosis is:<i><span> </span>(AI
2007)</i></span></div>
<div class="ABCD">
A.<span> </span>ADHD<span> </span>B.<span> </span>Autism</div>
<div class="ABCD">
C.<span> </span>Specific learning
disorder<span> </span>D.<span> </span>Normalfor age</div>
<div class="Ans">
Ans. (B) Autism</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Highest
Acetylcholine esterase levels in amniotic fluid are seen with:<i><span> </span>(AIIMS 2006 Nov.)</i></span></div>
<div class="ABCD">
A.<span> </span>Open spina bifida</div>
<div class="ABCD">
B.<span> </span>Gastroschisis</div>
<div class="ABCD">
C.<span> </span>Omphalocele</div>
<div class="ABCD">
D.<span> </span>Sacrococcygeal teratoma</div>
<div class="Ans">
Ans. (A) Open spina bifida</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Most
common anomaly in Infant of Diabetic Mother:</span></div>
<div class="ABCD">
A.<span> </span>Neural tube defect<span> </span>B.<span> </span>Renal anomalies</div>
<div class="ABCD">
C.<span> </span>Cardiac malformation<span> </span>D.<span> </span>Bony abnormalities</div>
<div class="Ans">
Ans. (A) Neural tube defect</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span>A
full term neonate presented on 14th day with jaundice with 18 mg/dL of
unconjugated bilirubin. Which of the following is the least likely diagnosis?<span> </span>.</span></div>
<div class="ABCD">
A.<span> </span>Hypothyroidism<span> </span>B.<span> </span>G6PD deficiency</div>
<div class="ABCD">
C.<span> </span>Breastmilk jaundice<span> </span>D.<span> </span>Neonatal cholangiopathy</div>
<div class="Ans">
Ans. (D) Neonatal cholangiopathy</div>
<div class="Ques">
<span style="color: windowtext;">9.<span> </span>Acute
and Chronic malnutrition is indicated by:<span> </span>(AIIMS
2006 Nov.)</span></div>
<div class="ABCD">
A.<span> </span>Weight for age<span> </span>B.<span> </span>Height for age</div>
<div class="ABCD">
C.<span> </span>Weight for height<span> </span>D.<span> </span>Body mass index</div>
<div class="Ans">
Ans. (C) Weight for height</div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>Rickets in infancy is characterized by the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Irritability<span> </span>B.<span> </span>Craniotabes</div>
<div class="ABCD">
C.<span> </span>Enlargement of the
costochondral junctions<span> </span>D.<span> </span>Bowing oflegs</div>
<div class="Ans">
Ans. (D) Bowing oflegs</div>
<div class="Ques">
<span style="color: windowtext;">11.<span> </span>What is not true for cow’s milk?</span></div>
<div class="ABCD">
A.<span> </span>It has lower
carbohydrate than breast milk</div>
<div class="ABCD">
B.<span> </span>It has higher potassium
and sodium than infant formula feeds</div>
<div class="ABCD">
C.<span> </span>Higher protein than
breast milk</div>
<div class="ABCD">
D.<span> </span>It contain more amount
of whey protein than casein</div>
<div class="Ans">
Ans. (D) It contain more amount of whey protein than casem</div>
<div class="Ques">
<span style="color: windowtext;">12.<span> </span>A child presented with fever, non productive cough, and mild
dyspnoea. After the course of mild antibiotic the condition of child improved
transiently but he again presented with high fever productive cough and
increased respiratory distress with chest X-ray showing hypertranslucent I~ngs
and PFT suggestive of severe obstructive changes. What is the following is most
likely diagnosis?</span></div>
<div class="ABCD">
A.<span> </span>Post viral syndrome<span> </span>B.<span> </span>Alveolar microlithasis</div>
<div class="ABCD">
C.<span> </span>Bronchiolitis obliterans<span> </span>D.<span> </span>Follicular bronchilitis</div>
<div class="Ans">
Ans. (C) Bronchiolitis obliterans</div>
<div class="Ques">
<span style="color: windowtext;">13.<span> </span>A newborn baby presented with profuse bleeding from umbilical stump
after birth. Probably diagnosis is:<i><span> </span>(AI
2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Factor XIII deficiency<span> </span>B.<span> </span>GIanzmann thrombosthenia</div>
<div class="ABCD">
C<span> </span>vWF Deficiency<span> </span>D.<span> </span>Bernord Soulier syndrome</div>
<div class="Ans">
Ans. (A) Factor XIII deficiency</div>
<div class="ABCD">
(Ref: Harrison’s Medicine 16th EdlP-677)</div>
<div class="Ques">
<span style="color: windowtext;">14.<span> </span>A Infant presented with weight loss, anorexia, vomiting,
dehydration, weakness, hypotension. Lab studies revealed hyponatremia and hyperkalemia.
What is the likely diagnosis?</span></div>
<div class="ABCD">
A.<span> </span>2 I-hydroxylase
deficiency<span> </span>B.<span> </span>II-hydroxylase deficiency</div>
<div class="ABCD">
C.<span> </span>3-P-hydroxylase
deficiency<span> </span>D.<span> </span>Conn’s syndrome</div>
<div class="Ans">
Ans. (A) 2 I-hydroxylase deficiency</div>
<div class="Ques">
<span style="color: windowtext;">15.<span> </span>A 15-year-old female presents with primary amenorrhea. Her breasts
are Tanner 4 but she has no axillary or pubic hair. She has bilateral inguinal
masses. Uterus is found to be absent on further evaluation. The most likely
diagnosis is:<span> </span>(AI
2006)</span></div>
<div class="ABCD">
A.<span> </span>Turner’s syndrome<span> </span>B.<span> </span>Mullerian agenesis</div>
<div class="ABCD">
C.<span> </span>Klinefelter’s syndrome.<span> </span>D.<span> </span>Androgen insensitivity syndrome</div>
<div class="Ans">
Ans. (D) Androgen insensitivity syndrome</div>
<div class="Ques">
<span style="color: windowtext;">16.<span> </span>Not true regarding Congenital Torticollis:<span> </span><i>(AIIMS
2006 Nov.)</i></span></div>
<div class="ABCD">
A.<span> </span>In 2/3 cases
sternomastoid mass is palpable<span> </span>B.<span> </span>If untreated leads to Plagiocephaly</div>
<div class="ABCD">
C.<span> </span>80% undergo Spontaneous
resolution<span> </span>D.<span> </span>Always associated with breech presentation</div>
<div class="Ans">
Ans. (D) Always associated with breech presentation</div>
<div class="Head">
Chapter Eleven Orthopedics</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>In
patients with osteoarthritis of knee joint, atrophy occurs most commonly in
which muscle?<span> </span>(AI 2007)</span></div>
<div class="ABCD">
A.<span> </span>Quadriceps only<span> </span>B.<span> </span>Gastrocnemius</div>
<div class="ABCD">
C.<span> </span>Quadriceps and
Hamstrings<span> </span>D.<span> </span>Hamstrings</div>
<div class="Ans">
Ans. (A) Quadriceps only</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Bohler’s
angle is lost in fracture of:</span></div>
<div class="ABCD">
A.<span> </span>Talus<span> </span>B.<span> </span>Femoral neck</div>
<div class="ABCD">
C.<span> </span>Calcaneum<span> </span>D.<span> </span>Tibial plateau</div>
<div class="Ans">
Ans. (C) Calcaneum</div>
<div class="Head">
Chapter Twelve ENT</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>A
woman complains of conductive deafness after pregnancy. The type of curve
likely to be seen on tympanogram is:</span></div>
<div class="ABCD">
A.<span> </span>Ad<span> </span>B.<span> </span>A</div>
<div class="ABCD">
C.<span> </span>As<span> </span>D.<span> </span>B</div>
<div class="Ans">
Ans. (C) As</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>A
6 years old child presents history of with nasal blockade, mouth breathing,
recurrent URQ, and hearing loss. Which ofthe following would be most
appropriate treatment for this child?<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Tonsillectomy<span> </span>B.<span> </span>Adenoidectomy with grommet insertion</div>
<div class="ABCD">
C.<span> </span>Grommet insertion<span> </span>D.<span> </span>Myringoplasty with grommet insertion</div>
<div class="Ans">
Ans. (B) Adenoidectomy with grommet insertion)</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Treatment
of choice for Glue ear:<span> </span>(AIIMS
2006 Nov.)</span></div>
<div class="ABCD">
A.<span> </span>Medical Treatment<span> </span>B.<span> </span>Myringotomy with ventilation tube</div>
<div class="ABCD">
C.<span> </span>Grommet insertion<span> </span>D.<span> </span>Wait and watch</div>
<div class="Ans">
Ans. (B) Myringotomy with ventilation tube</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>A
person developed sudden stridor, hoarseness of voice, tongue swelling, and
edematous neck after eating a peanut. What is the likely diagnosis?<i><span> </span>(AIIMS
2006 Nav)</i></span></div>
<div class="ABCD">
A.<span> </span>Foreign body aspiration<span> </span>B.<span> </span>Pharyngeal perforation</div>
<div class="ABCD">
C.<span> </span>Angioneurotic edema<span> </span>D.<span> </span>Para pharyngeal abscess</div>
<div class="Ans">
Ans. (C) Angioneurotic edema</div>
<div class="Head">
Chapter Thirteen Ophthalmology</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Least
common cause of childhood blindness in India:</span></div>
<div class="ABCD">
A.<span> </span>Congenital dacrocystitis<span> </span>B.<span> </span>Ophthalmia neonatorum</div>
<div class="ABCD">
C.<span> </span>Malnutrition<span> </span>D.<span> </span>Glaucoma</div>
<div class="Ans">
Ans. (A) Congenital dacrocystitis</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Which
of the following is an autosomal dominant disorder of Retina?<i><span> </span>(AI 2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Bardet Biedel syndrome</div>
<div class="ABCD">
B.<span> </span>Best disease</div>
<div class="ABCD">
C.<span> </span>Gyrate atrophy
(defective arentihine ketoacid aminatransferse activity)</div>
<div class="ABCD">
D.<span> </span>Bassen-Komweg syndrome</div>
<div class="Ans">
Ans. (B) Best syndrome</div>
<div class="Head">
Chapter Fourteen Preventive and Social Medicine</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>L-J
chart is for:</span></div>
<div class="ABCD">
A.<span> </span>Accuracy<span> </span>B.<span> </span>Positivity</div>
<div class="ABCD">
C.<span> </span>Sensitivity<span> </span>D.<span> </span>Specificity</div>
<div class="Ans">
Ans. (A) Accuracy</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Which
of the following is a disability limitation?<span> </span>(AIIMS
Nov. 2006)</span></div>
<div class="ABCD">
A.<span> </span>Reducing occurrence of
polio by immunization<span> </span>B. Arranging for
schooling of child suffering fromPRPP</div>
<div class="ABCD">
C.<span> </span>Resting affected limbs
in neutral position<span> </span>D.<span> </span>Provide calipers for walking</div>
<div class="Ans">
Ans. (C) Resting affected limbs in neutral position</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Most
commonly abused agent in India:<span> </span><i>(AI
2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Cannabis indica<span> </span>B.<span> </span>Tobacco</div>
<div class="ABCD">
C.<span> </span>Heroine<span> </span>D.<span> </span>Amphetamine</div>
<div class="Ans">
Ans. (B) Tobacco</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Conditions
that have been identified as immediate priorities within VISION 2020 include
the following <i>except:</i></span></div>
<div class="ABCD">
A.<span> </span>Cataract<span> </span>B.<span> </span>Trachoma</div>
<div class="ABCD">
C.<span> </span>Onchocerciasis<span> </span>D.<span> </span>Epidemic conjunctivitis</div>
<div class="Ans">
Ans. (D) Epidemic conjunctivitis</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>Brucellosis
can be transmitted by all the following routes <i>except:<span> </span>(AI 2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Transplacental<span> </span>B.<span> </span>Milk borne</div>
<div class="ABCD">
C.<span> </span>Person to person<span> </span>D.<span> </span>Inhalation</div>
<div class="Ans">
Ans. (C) Person to person</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Lice
are not the vectors of:<span> </span><i>(AIIMS
2006 May)</i></span></div>
<div class="ABCD">
A.<span> </span>Relapsing fever<span> </span>B.<span> </span>Q fever</div>
<div class="ABCD">
C.<span> </span>Trench fever<span> </span>D.<span> </span>Epidemic typhus</div>
<div class="Ans">
Ans. (B) Q fever</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Which
one of the following methods is used for the estimation of chlorine demand of
water?<span> </span><span> </span>(AIIMS
2006 May)</span></div>
<div class="ABCD">
A.<span> </span>Chlorometer<span> </span>B.<span> </span>Berkefeld filter</div>
<div class="ABCD">
C.<span> </span>Horrock’s apparatus<span> </span>D.<span> </span>Double pot method</div>
<div class="Ans">
Ans. (B) Horrock’s apparatus</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span>Which
is the best method to compare the results obtained by a new test and a gold
standard test?<span> </span><span> </span><span> </span>(AIIMS
2006 Nov)</span></div>
<div class="ABCD">
A.<span> </span>Correlation study<span> </span>B.<span> </span>Regression study</div>
<div class="ABCD">
C.<span> </span>Bland and Altman
analysis<span> </span>D.<span> </span>Kolmogorov-Smirnov test</div>
<div class="Ans">
Ans. (C) Bland and Altman analysis</div>
<div class="Ques">
<span style="color: windowtext;">9.<span> </span>Standard
error is:</span></div>
<div class="ABCD">
A.<span> </span>S.D/n<span> </span>B.<span> </span>S.Dxn</div>
<div class="ABCD">
C.<span> </span>SD/2n<span> </span>D.<span> </span>S.D/square root of n</div>
<div class="Ans">
Ans. (C) S.D/square root of n</div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>In a sample of 100 people mean hb is 10 and standard deviation is
one. What is the standard error?</span></div>
<div class="ABCD">
A.<span> </span>0.1<span> </span>B.<span> </span>1</div>
<div class="ABCD">
C.<span> </span>0.001<span> </span>D.<span> </span>10</div>
<div class="Ans">
Ans. (A) 0.1</div>
<div class="Ques">
<span style="color: windowtext;">11.<span> </span>A survey was done to study the effect of insulin dose and
corresponding “bAle levels corrected for age. What would be the best test to
study the relation?</span></div>
<div class="ABCD">
A.<span> </span>Linear regression<span> </span>B.<span> </span>Logistic regression</div>
<div class="ABCD">
C.<span> </span>Pearson correlation<span> </span>D.<span> </span>Student <i>t </i>test</div>
<div class="Ans">
Ans. (D) Student t test</div>
<div class="Ques">
<span style="color: windowtext;">12.<span> </span>Not true about ideal screening test?</span></div>
<div class="ABCD">
A.<span> </span>High Sensitivity<span> </span>B.<span> </span>High ppecificity</div>
<div class="ABCD">
C.<span> </span>Posittve predictive
value<span> </span>D.<span> </span>Negative predictive value</div>
<div class="Ans">
Ans. (A) High Sensitivity</div>
<div class="Ques">
<span style="color: windowtext;">13.<span> </span>Increase in confidence limit causes:</span></div>
<div class="ABCD">
A.<span> </span>No insignificant change<span> </span>B.<span> </span>Significant change</div>
<div class="ABCD">
C.<span> </span>No change<span> </span>D.<span> </span>Change from significant to nonsignificant</div>
<div class="Ans">
Ans. (A) No insignificant change</div>
<div class="Ques">
<span style="color: windowtext;">14.<span> </span>About ASHA (Accredited Social Health Activist) true is all <i>except:<span> </span>(AIIMS Nov. 2006)</i></span></div>
<div class="ABCD">
A.<span> </span>They are preferably
females<span> </span>B.<span> </span>There is one ASHA worker per 1000 population</div>
<div class="ABCD">
C.<span> </span>ASHA is skilled birth
attendant<span> </span>D.<span> </span>Provides primary medical care for minor
ailments</div>
<div class="Ans">
Ans. (C) ASHA is skilled birth attendant</div>
<div class="Ques">
<span style="color: windowtext;">15.<span> </span>Aryl group containing phosphorous compounds are the followings <i>except:<span> </span>(AI 2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Tik 20<span> </span>B.<span> </span>Propoxur</div>
<div class="ABCD">
C.<span> </span>Metformin<span> </span>D.<span> </span>Phenformin</div>
<div class="Ans">
Ans. (A) Tik 20</div>
<div class="Head">
Chapter Fifteen Obstetrics and Gynaecology</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Birth
weight of baby can be increased by:</span></div>
<div class="ABCD">
A.<span> </span>Cessation of smoking<span> </span>B.<span> </span>Aspirin therapy</div>
<div class="ABCD">
C.<span> </span>Calcium and magnesium<span> </span>D.<span> </span>Rest</div>
<div class="Ans">
Ans. (A) Cessation of smoking</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Test
most likely to be positive in a female with history of recurrent abortion and
prolonged APIT:<i><span> </span><span> </span>(AI
2007)</i></span></div>
<div class="ABCD">
A.<span> </span>APT<span> </span>B.<span> </span>Bleeding time</div>
<div class="ABCD">
C.<span> </span>Lupus anticoagulant<span> </span>D.<span> </span>Clot lysis test</div>
<div class="Ans">
Ans. (C) Lupus anticoagulant</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Mortality
rate is maximum in Pregnancy with which ofthe following heart diseases?<span> </span>(AIIMS 2006 Nov)</span></div>
<div class="ABCD">
A.<span> </span>Eisenmenger’s syndrome<span> </span>B.<span> </span>Aortic Stenosis</div>
<div class="ABCD">
C.<span> </span>Mitral Stenosis<span> </span>D.<span> </span>MVP</div>
<div class="Ans">
Ans. (A) Eisenmenger’s syndrome</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Not
a part of emergency obstetrics care (EmOC):</span></div>
<div class="ABCD">
A.<span> </span>Blood transfusion<span> </span>B.<span> </span>Manual removal of placenta</div>
<div class="ABCD">
C.<span> </span>Caesarean section<span> </span>D.<span> </span>Hysterectomy</div>
<div class="Ans">
Ans. (C) Caesarean section</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>Which
of the following is most common bilateral ovarian tumor?</span></div>
<div class="ABCD">
A.<span> </span>Dermoid<span> </span>B.<span> </span>Endodermal sinus tumor</div>
<div class="ABCD">
C.<span> </span>Dysgerminoma<span> </span>D.<span> </span>GranuJosa cell tumor</div>
<div class="Ans">
Ans. (C) Dysgerminoma</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Most
commonly removed/resected part of loop in tubectomy include:<i><span> </span>(AI 2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Intramural part<span> </span>B.<span> </span>Isthmus</div>
<div class="ABCD">
C.<span> </span>Ampulla<span> </span>D.<span> </span>Fimbrial end</div>
<div class="Ans">
Ans. (B) Isthmus</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Most
common cause of postmenopausal bleecting in India:</span></div>
<div class="ABCD">
A.<span> </span>Carcinoma cervix<span> </span>B.<span> </span>Atrophic vaginitis.</div>
<div class="ABCD">
C.<span> </span>Endometrial hyperplasia.<span> </span>D.<span> </span>Endometrial cancer.</div>
<div class="Ans">
Ans. (A) Carcinoma cervix</div>
<div class="Ques">
<span style="color: windowtext;">8.<span> </span>Schiller-Duval
bodies are seen in:<span> </span>(Orrisa
2000)</span></div>
<div class="ABCD">
A.<span> </span>Choriocarcinoma<span> </span>B.<span> </span>Embryonal cell Ca</div>
<div class="ABCD">
C.<span> </span>Endodennal sinus tumour<span> </span>D.<span> </span>Immature teratoma</div>
<div class="Ans">
Ans. (C) Endodennal sinus tumour</div>
<div class="Ques">
<span style="color: windowtext;">9.<span> </span>Shape
of cervical canal in nulliparous women is:<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Circular<span> </span>B.<span> </span>Tubular</div>
<div class="ABCD">
C.<span> </span>Transverse<span> </span>D.<span> </span>Longitudinal</div>
<div class="Ans">
Ans. (C) Transverse</div>
<div class="Ques">
<span style="color: windowtext;">10.<span> </span>Which of the following has halflife of 10 years?<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Cu T200<span> </span>B.<span> </span>Cu380A</div>
<div class="ABCD">
C.<span> </span>Lippes loop<span> </span>D.<span> </span>LNG-IUD</div>
<div class="Ans">
Ans. (C) Lippes loop</div>
<div class="Ques">
<span style="color: windowtext;">11.<span> </span>Hormone replacement therapy (HRT) is beneficial in reducing all the
following <i>except:<span> </span>(AIIMS Nov. 2006)</i></span></div>
<div class="ABCD">
A.<span> </span>Hot flushes<span> </span>B.<span> </span>Cardiovascular mortality</div>
<div class="ABCD">
C.<span> </span>Osteoporosis<span> </span>D.<span> </span>Vaginal dryness</div>
<div class="Ans">
Ans. (B) Cardiovascular mortality</div>
<div class="Head">
Chapter Sixteen Dermatology</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>A
child has presented with eczematous dermatitis on extensor aspects of
extremities with severe itching. His mother has history of bronchial asthma.
The likely diagnosis is:<i><span> </span>(AI
2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Acute eczematous
reaction<span> </span>B.<span> </span>Scabies</div>
<div class="ABCD">
C.<span> </span>Atopic dermatitis<span> </span>D.<span> </span>Infectious eczematoid dermatitis</div>
<div class="Ans">
Ans. (C) Atopic dermatitis</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Which
of the foUowing is TUBERCULIDE?<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Lupus vulgaris<span> </span>B.<span> </span>Lupus scrofulaceum</div>
<div class="ABCD">
C.<span> </span>Scrofuloderma<span> </span>D.<span> </span>Tuberculosis verruca cutis</div>
<div class="Ans">
Ans. (B) Lupus scrofulaceum</div>
<div class="Head">
Chapter Seventeen Radiology</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Spongy
mass in pancreas with central ‘Sunburst’ calcification seen on CT scan is
characteristic of:<span> </span><span> </span><i>(JK
2005)</i></span></div>
<div class="ABCD">
A.<span> </span>Serous cystadenoma of
pancreas<span> </span>B.<span> </span>Mucinous cystadenoma of pancreas</div>
<div class="ABCD">
C.<span> </span>Somatostationoma<span> </span>D.<span> </span>Adenocarcinoma of pancreas</div>
<div class="Ans">
Ans. (A) Serous cystadenoma of pancreas</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Which
of the following test should be done for evaluation of a neonate with bullous
skin lesion and X-ray showing periostitis at long bones?<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>VORL of both mother and
child<span> </span>B.<span> </span>PCR for tubercular ONA</div>
<div class="ABCD">
C.<span> </span>Evaluation of mother<span> </span>D.<span> </span>ELISA study of child</div>
<div class="Ans">
Ans. (A) VORL of both mother and child</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Most
common site ofinvolvement in Histiocytosis X:</span></div>
<div class="ABCD">
A.<span> </span>Skin<span> </span>B.<span> </span>Bone</div>
<div class="ABCD">
C.<span> </span>Lung<span> </span>D.
Liver</div>
<div class="Ans">
Ans. (B) Bone</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Most
common site of osteogenic sarcoma?</span></div>
<div class="ABCD">
A.<span> </span>Lower end of femur<span> </span>B.<span> </span>Upper end of tibhi</div>
<div class="ABCD">
C.<span> </span>Upper end of humerus<span> </span>D.<span> </span>Flat bones</div>
<div class="Ans">
Ans. (A) Lower end offemur</div>
<div class="Ques">
<span style="color: windowtext;">5.<span> </span>The
most common location of hypertensive bleed in the brain?<i><span> </span>(AIIMS May 2003, AI 2003)</i></span></div>
<div class="ABCD">
A.<span> </span>Putamen/external capsule<span> </span>B.<span> </span>Pons</div>
<div class="ABCD">
C.<span> </span>Ventricles<span> </span>D.<span> </span>Lobar white matter</div>
<div class="Ans">
Ans. (A) Putamen/external capsule</div>
<div class="Ques">
<span style="color: windowtext;">6.<span> </span>Which
of the foUowing is radioresistant tumor?<span> </span><i>(AIIMS
</i>1992)</span></div>
<div class="ABCD">
A.<span> </span>Seminoma<span> </span>B.<span> </span>Squamous cell Carcinoma</div>
<div class="ABCD">
C.<span> </span>Neuroma<span> </span>D.<span> </span>Osteosarcoma</div>
<div class="Ans">
Ans. (D) Osteosarcoma</div>
<div class="Ques">
<span style="color: windowtext;">7.<span> </span>Not
a fotm of mechanical deep heat therapy?<span> </span>(AI
2007)</span></div>
<div class="ABCD">
A.<span> </span>Short wake diathermy<span> </span>B.<span> </span>Infrared therapy</div>
<div class="ABCD">
C.<span> </span>High Frequency
Ultrasound<span> </span>D.<span> </span>Microwave</div>
<div class="Ans">
Ans. (B) Infrared therapy</div>
<div class="Head">
Chapter Eighteen Anaesthesia</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Anaesthetic
agent of choice in patient with renal and hepatic failure:</span></div>
<div class="ABCD">
A.<span> </span>Cisatracurium<span> </span>B.<span> </span>Vecuronium</div>
<div class="ABCD">
C.<span> </span>Pipecuronium<span> </span>D.<span> </span>Doxacurium</div>
<div class="Ans">
Ans. (A) Cisatracurium</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Merit
ofnasotracheal intubation is:</span></div>
<div class="ABCD">
A.<span> </span>Good oral hygiene</div>
<div class="ABCD">
B.<span> </span>Less infection</div>
<div class="ABCD">
C.<span> </span>Less mucosal damage and
bleeding</div>
<div class="ABCD">
D.<span> </span>More movement or
displacement of endotracheal tube</div>
<div class="Ans">
Ans. (A) Good oral hygiene</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Not
a feature of malignant hyperthermia:</span></div>
<div class="ABCD">
A.<span> </span>DIC<span> </span>B.<span> </span>Hypertension</div>
<div class="ABCD">
C.<span> </span>Hyperkalemia<span> </span>D.<span> </span>Bradycardia</div>
<div class="Ans">
Ans. (D) Bradycardia</div>
<div class="Ques">
<span style="color: windowtext;">4.<span> </span>Perioperative
neuromuscular monitoring can be best tested on:</span></div>
<div class="ABCD">
A.<span> </span>Facial nerve<span> </span>B.<span> </span>Ulnar nerve</div>
<div class="ABCD">
C.<span> </span>Radial nerve<span> </span>D.<span> </span>Femoral nerve</div>
<div class="Ans">
Ans. (B) Ulnar nerve</div>
<div class="Head">
Chapter Nineteen Psychiatry</div>
<div class="Ques">
<span style="color: windowtext;">1.<span> </span>Naltrexone
(opiate antagonist) is used in treat mentof:<i><span> </span>(AI 2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Opioid withdrawal<span> </span>B.<span> </span>Opioid overdose</div>
<div class="ABCD">
C.<span> </span>Opioid dependence
relapse<span> </span>D.<span> </span>Ethanol toxicity</div>
<div class="Ans">
Ans. (C) Opioid dependence relapse</div>
<div class="Ques">
<span style="color: windowtext;">2.<span> </span>Delusion
is disorder of:<span> </span>(Maharashtra
2003, AI 2007)</span></div>
<div class="ABCD">
A.<span> </span>Thought<span> </span>B.<span> </span>Insight</div>
<div class="ABCD">
C.<span> </span>Perception<span> </span>D.<span> </span>Behaviour</div>
<div class="Ans">
Ans. (A) Thought</div>
<div class="Ques">
<span style="color: windowtext;">3.<span> </span>Drug
of choice for obsessive compulsive disorder (OCD):<i><span> </span>(AI 2007)</i></span></div>
<div class="ABCD">
A.<span> </span>Imipramine<span> </span>B.<span> </span>Fluoxetine</div>
<div class="ABCD">
C.<span> </span>Haloperidol<span> </span>D.<span> </span>Clozapine</div>
<div class="MsoNormal">
Ans. (B) Fluoxetine</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-61448165539212727702012-01-07T19:30:00.000-08:002012-01-07T19:30:22.869-08:00AIIMS NOV 2007<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<span style="color: windowtext; font-size: 18pt;"></span><span style="color: windowtext;"></span>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;"> ANATOMY
AND EMBRYOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Which is the most superior strcture at
hilum of left lung?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Pulmonary
vein</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Pulmonary
artery</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Bronchus</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Bronchial
artery</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Intrinsic muscles of tongue develop from?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Cervical
somite</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Mesoderm
of pharyngeal pouch</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Occipital
somite</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Gall bladder epithelium is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Simple
squamous</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Simple
cuboidal with stereocilia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Simple
columnar</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Simple
columnar with brush border</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Which does not occur in ulnar nerve injury
in the arm?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Claw
hand</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Atrophy
of hypothenar eminence</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Loss
of sensation of medial one third of hand</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Adduction
of thumb</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>In post-ductal coarctation of the aorta,
blood flow to the lower limbs is maintained by increased blood flow through :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Inferior
Phrenic and pericardiophrenic vessels</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Intercostal
and Superior epigastric</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Subcostal
and Ubmilical</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Intercostal
and Inferior epigastric vessels</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>Urothelium lines all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Minor
calyces</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Ureter</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Urinary
bladder</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Collecting
duct</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Violent inversion of the foot will lead to
avulsion of tendon of the following muscle attached to the tuberosity of the
5th metatarsal :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Peroneus
brevis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Peroneus
longus</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Peroneus
tertius</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Extensor
digitorum brevis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>Primitive streak initiation and
maintenance is due to :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Barchyury
gene</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>BMPR-4</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Nodal
gene</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>FGR-8</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>Left renal vein crosses the Aorta :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Anteriorly,
above the superior mesenteric artery</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Anteriorly,
below the<span> </span>superior mesenteric artery</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Posteriorly,
at the level of superior mesenteric artery</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Anteriorly,
below the inferior mesenteric artery</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>Occlusion occurs at the 2nd part of Axillary
artery, blood flow is maintained by anasomosis between :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Anterior
and posterior circumflex humeral artery</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>
Suprascapular and posterior curcumflex artery</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Deep
branch of the tranverse cervical artery and Subscapular artery</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Anterior
circumflex artery and subscapular artery</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>If the circumflex artery gives off the
posterior interventricular artery, them the arterial supply is called :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Right
dominance</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Left
domisance</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Balanced
dominance</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">12.<span> </span>Regarding genital development, true is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Y
Chromosome is associated with ovary development</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Genital
ridge starts developing at 5th week</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Male
genitals develop earlier than female genitals</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Genital
development is complete by 10th week</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">13.<span> </span>Meiosis occurs at which of the following
trasforamtion :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Primary
spermatocyte to intermediate spermatocyte</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Primary
spermatocyte to secondary spermatocyte</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Secondary
spermatocyte to round spermatid</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Round
spermatid to elongated spermatid</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">14.<span> </span>The ureter develops from :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Metanephros</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Mesonephros</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Mesonephric
duct</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Paramesonephric
duct</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">15.<span> </span>Perforators are not present at the :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Ankle</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Distal
calf</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Mid
thigh</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Below
the inguinal ligament</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">16.<span> </span>A female come with complaints of chest pain.
One examination she is found to have pericarditis with pericardial effusion.
The pain is mediated by :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Deep
cardiac plexus</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Superficial
cardiac plexus</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Phrenic
nerve</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Subcostal
nerve</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">17.<span> </span>Which muscle is not punctured while doin a
thoracic procedure in the mid-axillary line :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Innermost
intercostals</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Transverses
thoracis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>External
intercostals</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Internal
intercostals</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">18.<span> </span>According to Couinaud’s classification the
4th segment of the liver is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Caudate
lobe</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Quadrate
lobe</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Left
lobe</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Right
lobe</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">19.<span> </span>After fracture of the penis (injury to the
tunica albuinea) with intact Buck’s fascia, there occurs hematoma at :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>The
penis and acrotum</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>At
the perineum in a butterfly shape</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Penis,
scrotum, perineum and lower part of anterior abdominal wall</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Shaft
of the penis only</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PHYSIOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">20.<span> </span>About myocardial O2 demand, true is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Inverse
relation with heart rate</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Inverse
relation to systemic hypertansion</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Constant
relation to external work done</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Negligible
in quiescent heart</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">21.<span> </span>Corneal endothelium ion exchange pumps are
inhibited by :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Increase
in anaerobic glycolysis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Activation
of anaerobic glycolysis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Activation
of cAMP phosphodiesterase inhibitors</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Interference
with electron chain transport</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">22.<span> </span>Regarding nitric oxide, false is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Seen
in the lung of smokers</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Increases
cAMP levels</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Used
to treat hypertension</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">23.<span> </span>Sertoli cells in the testis have receptors
for :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>FSH</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>LH</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Inhibin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">24.<span> </span>Bicarbonate is maximally abosrbed from :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>PCT</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>DCT</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Collecting
duct</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Thich
ascending loop of Henle</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">25.<span> </span>A 12 year old girl presents with Acute
rheumatic carditis with mitral insufficiency, She is likely to have :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Increased
peak expiratory flow</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Increased
total lung capacity</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Increased
residual volume</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Decreased
functional residual capacity</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">26.<span> </span>The mechanism af action of surfactant is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Breaks
the structure of water in the alveoli</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Lubricates
the flow of CO2 diffusion</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Makes
the capillary surface hydrophilic</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">27.<span> </span>The ‘c’-waves in JVP are due to :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Atrial
contraction</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Bulging
of the reicuspid valve into the right atrium</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Ventricular
systole when the tricuspid valve is closed</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">28.<span> </span>Fast axonal transport is by all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Dynenin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Kinesin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Microfilaments</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Neurofilaments</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">29.<span> </span>Ureteric peristalsis is due to :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Symparhetic
innervation</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Parasympathetic
innervation</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Both
sympathetic and parasympathetic innervation</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Pacemaker
activity of the smooth muscle cells in the renal pelvis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">30.<span> </span>Metabolic alkalosis is seen in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Mineralocorticoid
excess</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Increased
excretion of base</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Decreased
secretion of H+ion</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Deficiency
of mineralocorticoids</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">31.<span> </span>When a person changes position from standing
to lying down position, following occurs :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Heart
rate increases and settles at a higher level</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Venous
return to the heart rises immediately</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Cerebral
blood flow becomes more than that in standing position and settles at a higher
level</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Decrease
in blood flow to th lung apex</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">32.<span> </span>All of the following occur when the blood
flows through systemic capillaries except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Increase
in hematocrit</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Hb
curve shifts to the left</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Increased
protein content</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Decrease
in Ph</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">33.<span> </span>Effect of Exercise does not include :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Increased
blood flow to the muscles after half minute of exercise</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Increase
in cerebral blood flow due to increase in systolic blood pressure</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Body
temperature rise</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">34.<span> </span>Which of the following is correctly matched
:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>B
cells - Somatostain</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>D
cells - Insulin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>G
cells - Gastrin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">35.<span> </span>18 year old male presents with pectus
excavatum. He denies history of any dyspnoea or chest pain. On examination
there is mild pectus exacavtum and intermittent wheezing on exertion. Surgery
in this patient is indicated if he has :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>FEVI
/ FVC less than 0.60</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Limitation
of maximum inspiration during exercise</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Peak
work capacity 60% of expected</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Functional
work capacity 80% of expected</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">BIOCHEMISTRY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">36.<span> </span>Peroxidase is used to detect :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Glucose</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Ammonia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Hemoglobin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Creatinine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">37.<span> </span>For biochemical analysis vitreous in sent in
:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hydrochloric
acid</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Phenol
/ xylol</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Formalin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Fluoride</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">38.<span> </span>Blood spills on the floor are cleaned by :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Sodium
hypochlorite</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Iodine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>A
bsolute alcohol</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Quarternary
ammonium compounds</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">39.<span> </span>PCR requires :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Li++</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Ca++</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Na++</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Mg++</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">40.<span> </span>In Lysosomal Storage Disorders, true is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>The
lysosomes are deficient in the enzyme hydrolase</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>There
is a defect in the fusion of lysosomes and phagosomes</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>There
is a defect in the lysosomal membrane</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">41.<span> </span>Vitamin K is required for :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Carboxylation</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Hydroxylation</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">42.<span> </span>Proteins which are different in peptide
sequence but have a similar structure in the process of evolution are said to
be :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Convergent</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Divergent</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Opportunistic</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Incidental</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">43.<span> </span>Hemoglobin estiamtion is not done by :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Drabkin’s
method</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Sahil’s
method</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Spectrometry</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Wintrobe’s
method</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">44.<span> </span>Nephelometry is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Lambert-beer
law</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Scattering
of light by particulate solution</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Defraction
of light</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Decreased
intensity of light</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PATHOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">45.<span> </span>Stem cell transforms to form other tissues
the process is called as :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Dedifferentiation</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Redifferentiation</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Transdifferentiation</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Subdifferentiation</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">46.<span> </span>A 2-year old child presents with scattered
lesions in the skull. Biopsy revealed Langerhans giant cells. Most commonly
associated is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>CDla</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>CD57</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>CD3</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>DC68</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">47.<span> </span>Caspases are involved in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Apoptosis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">48.<span> </span>In mitral valve prolapse, the histological
finding is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>
Hyalinization of the valve</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Fibrinoid
necrosis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Myzomatous
degeneratin of the valve</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">49.<span> </span>Acridine orange is used as a stain for :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>DNA
and RNA</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Proteins</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Carbohydrate</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Lipids</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">50.<span> </span>PAs does not stain :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Fungal
cell wall</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Basement
membrane of bacteria</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Glycogen</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Lipids</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">51.<span> </span>Not used to stain facts :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Oil
red O</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Congo
red</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Sudan
III</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Sudan
black</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">52.<span> </span>Cryoprecipitate contains all of the
following execpt :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Factor
VIII</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Factor
IX</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Von
Willebrand factor</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Fibrinogen</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">53.<span> </span>In Hyaline cartilage, type of collagen
present is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Type
1</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Type
2</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Type
3</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Type
4</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">54.<span> </span>FNAC needly gauge size is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>26
- 28</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>22
- 26</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>18
- 22</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>16
- 18</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">55.<span> </span>Basement membrane consists of all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Laminin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Nidogen</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Entactin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Rhodopsin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">56.<span> </span>Senile cardiac amyloidosis is due to defect
in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>a2
_ microglobulin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Transthyretin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>AANE</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Pyrin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">57.<span> </span>Shock lung is characterized histologically
by :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Diffuse
alveolar oedema</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Hemosiderosis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Interstitial
pneumonia</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Pulmonary
oedema</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">58.<span> </span>Feature of Irreversible cell injury is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Amorphous
deposit in the mitochondria</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Swelling
of endoplasmic reticulum</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Detachment
of ribosome</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">59.<span> </span>Micronodular cirrhosis is seen in all except
:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Chronic
hepatitis B</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Alcoholic
hepatitis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Chronic
cirrhosis secondary to biliary stasis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Hemochromatosis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">60.<span> </span>Councilman bodies are seen in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Alcoholic
cirrhosis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Wilson’s
disease</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Acute
viral hepatitis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">61.<span> </span>What is true linkage analysis in familial
gene disorders :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Characteristic
DNA ploymorphism in a family is associated with disorders</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Characteristic
DNA polymorphism with a clinical phenotype</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Useful
to make pedigree chart to show affected and non-affected family members</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Used
to make a pedigree chart to show non-paremity</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PHARMACOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">62.<span> </span>OC pills are contraindicated in parients
reveiving :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Rifampicin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Ethambutol</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Streptomycin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Pyrainamide</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">63.<span> </span>True about fibrates is all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>activate
PPARa</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Absorped
better on empty stomach and decreased on food intake</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Side
effects include rash, myalgia, impotence and many others</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>They
are the drug of choice in type III hyperlipidemia and hypertriglyceridemia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">64.<span> </span>True about Benzodiazepines as compared to
other bypnotics is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>They
alter sleep pattern more than other hypnotics</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>More
sedative than other hypnotics</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Overdose
is better tolerated compared to other hypnotics</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">65.<span> </span>Thiazides cause all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hyperglycemia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Increased
calcium excretion</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Increased
uric acid excretion</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Useful
in congestive heart failure</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">66.<span> </span>Regarding Furosemide true is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Given
by parenteral route only</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Used
in pulmonary edema</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Acts
at the PCT</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Causes
hypercalcemia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">67.<span> </span>Uterine relaxant with the least side effect
:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Ritogrine</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>MgSO4</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Nifedipine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Progesterone</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">68.<span> </span>Bisphosphonates are not used in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hypercalcemia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Osteoporosis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Cancer</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Vitamin
D intoxication</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">69.<span> </span>True about protease inhibitor are all except
:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Acts
as a substrate for P-glycoprotein and action is mediated by MDR-1 gene</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Undergo
hepatic oxidative metabolism</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>All
protease inhibitors interfere with metabolism by drug interactions</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Saquinavir
causes maximum induction of CYP3A4</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">70.<span> </span>Therapeutic monitoring is done for all of
the following except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Tacrolimus</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Metformin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Cyclosporine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Phenytoin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">71.<span> </span>Antiemetic with most “affinity” for “5Ht3”
is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Ondansetron</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Granisetron</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Dolasetron</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Palonosetron</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">72.<span> </span>Regarding Phenytoin false is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Induces
microsomal enzymes</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>At
very low doses, zero order kinetics occurs</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Higher
the dose, higher is the half life</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Highly
protein bound</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">73.<span> </span>Hyperglycemia is caused by all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Beta
blockers</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Glucocorticoids</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>NSAID</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Indinetgacin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">74.<span> </span>Which of the following is not used as a
sedative, but causes sedation as a side effect :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Digitalis,
anit-arrhythmics</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Antihistaminics,
antidepressants</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Mactolides</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">75.<span> </span>All but one acts via GABA A except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Thiopentone</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Midazolam</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Zolpidem
/ zopiclone</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Promethazine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">76.<span> </span>A patient is posted for elective surgery.
Which of the following drugs should be stopped on the day of surgery :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Atenolol</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Amlodepine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Statins</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Metformin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">77.<span> </span>Hypercalcemia is caused by all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Loop
diuretics</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Lithium</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Vitamin
D intoxication</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">78.<span> </span>All of the following can be used for
thromboprophylaxis except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Heparin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Aspirin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Warfarin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Antithrombin-III<b><span> </span></b></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">79.<span> </span>Used for the treatment of migraine, the
triptans act through :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>5HT-1A</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>5HT-1B</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>5HT-1F</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>5HT-3</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">80.<span> </span>Good clinical practices required in all
except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Preclinical
phase</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Phase
1</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Phase
2</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Phase
4</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">FORENSIC
MEDICINE</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">81.<span> </span>Telefona is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Beating
on the feet (soles)</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Pulling
of hair</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Beating
on both the ears</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">82.<span> </span>In death due to asphyxia, last to be opened
is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Head</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Neck</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Thorax</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Abodomen</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">83.<span> </span>All of the following are included in
grievous hurt except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Loss
of testis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Loss
of eye</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Loss
of kidney</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Abrasion
of the face</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">84.<span> </span>Not a part of informed consent is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>All
information should be given about treatment options</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>All
iformation about expected complications should be told</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Any
treatment option better than the treatment being provided should be told</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Concealed
information</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">85.<span> </span>In tandem number of bullets fired :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>1</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>2</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>3</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>4</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">MICROBIOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">86.<span> </span>HACEK group includes all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hemophilus
aprophillus</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Acinetrobacter
baumanni</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Eikenella
corrodens</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Cardobacterium
bominis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">87.<span> </span>A male patient with symptoms of urethritis.
Examination reveals only pus cell but no organisms Lesions are caused mostly by
:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Chalmydia
trachomatis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>H.ducreyi</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Treponema
pallidum</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">88.<span> </span>Lancefield grouping of streptococci is done
by using :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>M
protein</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Group
C peptidoglycan cell wall</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Groups
C carbohydrate antigen</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">89.<span> </span>The medium used for Vibrio cholerae is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Thayer-martin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>TCBS
medium</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Scirrow’s
medium</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Loeffer’s</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">90.<span> </span>Prions consist of :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>DNA
and RNA</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>DNA,
RNA and proteins</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>RNA
and proteins</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Only
proteins</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">91.<span> </span>Regarding mumps all are true except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>SSPe</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Mumps
causes aseptic meningitis in adults</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">92.<span> </span>In active chronic hepatitis B, all are seen
except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>HbsAg</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>IgM
anti-HbcAg</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Anti-HbsAg</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">93.<span> </span>True about polioviruses is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Most
cases are symptomatic</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Inactivated
vaccines given I.M. produce spastic paralysis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Inactivated
polio vaccine are given to child less than 3 years of age</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">94.<span> </span>Positive Schick’s test indicates that the
person is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Immune
to diphtheria</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Hypersensitive
to diphtheria</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Susceptible
to diphtheria</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Susceptible
& hypersensitive to diphtheria</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">95.<span> </span>True about Corynebacterium diphrheria is :
A/E</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Deep
invasion is not seen</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Elek’s
test is done for toxigenicity</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Metachromatic
granules are seen</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Toxigenicity
is mediated by chromosomal change</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PSM</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">96.<span> </span>Which of the following will cause an icrease
in the prevalence of the disease :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Immigration
of healthy perosons</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Increased
cure rate of the disease</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Longer
duration of the disease</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">97.<span> </span>Which vaccine should not be given to a child
suffering from convulsions?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Measles</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>BCG</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>DPT</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>OPV</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">98.<span> </span>Under the National Programme for control of
blindness who is supposed to conduct the vision screening of school students ?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>School
teachers</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Medical
officers of health centers</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Ophthalmologists</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Health
assistants</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">99.<span> </span>Active method to detect undiagnosed cases in
apparently helthy persons is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Screening</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Surveillance</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Case
finding</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Notification</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">100.<span> </span>A 18 month old child come to you with history
of immunization taken only for a single dose of OPV and DPT. What will you give
now?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Re-srart
the immunization according to age</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Give
BCG, Measles and booster doses of OPV and DPT</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Give
Measles and booster doses of OPV and DPT</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Give
BCG and second doses of OPV and DPT</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">101.<span> </span>Regarding National Polio surveillance all are
true except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Mopping
up is done in areas with active cases found</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Better
routine immunization</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Acute
Flaccid Paralysis (AFP) Surveillance is not done in childern < 5years of
age.</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">102.<span> </span>Epidemic Dropsy is due to :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>BOAA</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Sanguinarine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Aflatioxin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">103.<span> </span>In an epidemic the first case of come to the
notice of the investigator is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Index
case</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Primary
case</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Secondary
case</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Tertiary
cse</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">104.<span> </span>Maternal Mortality Rate is calculated by :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Maternal
deaths/live birth</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Maternal
deaths/1000 live births</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Maternal
deaths/100000 live births</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Maternal
deaths/100000 live births</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">105.<span> </span>Comparison of the value obtained and a
predetermined objective is done by:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Ealuation</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Monitoring</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Input
- output analysis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Network
analysis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">106.<span> </span>Not included in the National Immunisation
Programme is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Tetanus
toxoid</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Hepatitis
B</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>BCG</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Measles</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">107.<span> </span>Kala-azar, vector is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>lea</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Tsetse
fly</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Sand
fly</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Mite</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">108.<span> </span>Scrub typhus is transmitted by :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Reduvid
bug</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Trombiculid
mite</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Enteric
pathogens</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Cyclops</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">109.<span> </span>Mirena is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Used
in abortion</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Anti-progesterone</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Progesterone
IUCD</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Hormonal
implant</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">110.<span> </span>True about dietary allowance are all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Adequate
intake</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>RDA</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Dietary
intake according to food compose</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">111.<span> </span>Which of the following person is present in a
lab-centre :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Multipurpose
worker</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Laboratory
technician</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Health
educator</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Medical
officer</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">112.<span> </span>SAFE strategy is recommended for :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Trachoma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Glaucoma</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Diabetic
retinopathy</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Cataract</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">113.<span> </span>Regarding flourosis all are true except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Flourosis
is the most common cause of dental caries in children</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Deposition
of fluorides in the skeletal system and muscles</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Defluoridation
is done by Nalgonda technique</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Genu
valgum</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">114.<span> </span>All of the following are sources of U-3 PUFA
except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Mustard
oil</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Groundnut
oil</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Corn
oil</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Fish
oil</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">115.<span> </span>All are measure of dispersion around central
value except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Mode</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Range</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Variable</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Standard
deviation</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">116.<span> </span>Primary Health Care is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Health
for all</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">ENT</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">117.<span> </span>In emergency tracheostomy the following
structures are damaged except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Isthmus
of the thyroid</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Inferior
thyroid artery</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Thyroidea
ima</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Inferior
thyroid vein</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">118.<span> </span>After laparoscopic appendicectomy a female
patient slipped and hurt her nose on the bed. She developed swelling of the
nose, injury to anterior nasal bone and had mild difficulty in breathing. What
would you do next?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Intravenous
antibiotics for 7-10 days</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Observation
in hospital</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Surgical
drainage</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Discharge
after 2 days and follow up of the patient after 8 weeks</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">119.<span> </span>A patient presents with Carcinoma of the larynx
involving the left false cords, left arytenoids and the left aryepiglottic
folds with bilateral mobile true cords. Treatment of choice is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Vertical
hemilaryngectomy</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Horizontal
hemilaryngectomy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Radiotherapy
followed by chemotherapy</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Total
laryngectomy</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">120.<span> </span>A child presents with ear infection with foul
smelling discharge. On further exploration a small perforation is found in the
pars flaccida of the tympanic membrane. Most appropriate next step in the
management would be :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Topical
antibiotics and decongestants for 4 weeks</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>IV
antibiotics and follow up after a month</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Tympanoplasty</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Tympano-mastoid
exploration</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">121.<span> </span>A 30 year old man presents with 6 month history
of nasal discharge, facial pain and fever. On antibiotic therapy, fever
subsided. After 1 month again had symptoms of mucopurulent discharge from the
middle meatus and the mucosa of the meatus appeared congested and oedematous.
Next best investigation would be :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>MRI
of the brain</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>NCCT
of the nose and para-nasal sinuses</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Plain
x-ray of the para-nasal sinuses</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Inferior
meatus puncture</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">OPTHALMOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">122.<span> </span>Dangerous area of the eye is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Ciliary
body</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Sclera</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Optic
nerve</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Retina</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">123.<span> </span>Transparency of the cornea is maintained by all
except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Mitotic
figures in the central cornea</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Wide
separated collagen bands</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Hydration
of the corneal epithelium</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Unmyelinated
nerve fibers</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">MEDICINE</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">124.<span> </span>A patient is on a Low calcium diet for 6 weeks.
He is most likely to have :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Raised
parathyroid hormone levels</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Raised
calcitonin levels</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Increased
phosphate levels</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Increase
in levels of 24, 2<s>a</s> Hydroxylase in liver</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">125.<span> </span>Not seen in SIADH is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hyponatremia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Hypopuricemia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Volume
depletion causing hypotension</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">126.<span> </span>A 40-year-old man, heavy smoker, complains of
epigastric pain since an hour. On electrocardiographic examination he is found
to have ST elevations in inferior leads. What is the immediate therapy :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Aspirin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Thrombolytics</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Pantoprazole</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Beta-blockers</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">127.<span> </span>Most common site of subependymal giant cell
astrocytomas is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Foramen
of Monro</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Temporal
horn of the lateral ventricle</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Trigone
of the lateral ventricle</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Fourth
ventricle</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">128.<span> </span>In HIV window period indicates :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Time
period between infection and onset of first symptoms</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Time
period between infection and detection of antibodies against HIV</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">129.<span> </span>In collapsing glomerulopathy, the following is
seen :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hypertrophy
and degeneration of the visceral epithelium</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Proliferation
of the parietal epithelium</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Tuft
necrosis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Mesangiolysis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">130.<span> </span>Persistent foetal lobulation of adult kidney is
due to :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Congenital
renal defect</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Obstructive
uropathy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Intrauterine
infections and scar</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Is
a normal variant</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">131.<span> </span>A patient presents with hyperparathyroidism. He
has a family history of his siblings having pituitary involvement, thyroid
nodules, pancreatic involvement, parathyroid hyperplasia and cutaneous
angiofibromas. Most likely diagnosis:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>MEN
1</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>MEN
2A</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>MEN
2B</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>MEN
2C</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">132.<span> </span>Pancytopenia with cellular bone marrow is seen
in all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>PNH</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Megaloblastic
anaemia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Myelodysplastic
anaemia</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Congenital
Dyserythropoetic Anaemia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">133.<span> </span>Most common tumour in NF-1 is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Astrocytoma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Optic
tract glioma</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Glioblastoma
multiforme</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">134.<span> </span>Fractional excretion of Na</span><span style="color: windowtext; font-size: 5.5pt; position: relative; top: -3pt;">+</span><span style="color: windowtext;"><span> </span>< 1% is seen in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Pre-renal
azotemia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>ATN</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Intrinsic
renal failure</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Renal
artery stenosis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">135.<span> </span>With CSF all are true except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Persistent
leakage causes headache</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Neutrophils
are normally not present</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>pH
is less than that of blood</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Secreted
by the arachnoid villi</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">136.<span> </span>Not a feature of DKA is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Tachypnoea</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Bradycardia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Abdominal
pain</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Dehydration</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">137.<span> </span>Primary Pulmonary Hypertension is caused by all
except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hyperventilation</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Morbid
obesity</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Fenfluramine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>High
altitude</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">138.<span> </span>Cushing’s disease includes all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Central
obesity</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Episodic
hypertension</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Easy
bruisability</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Glucose
intolerance</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">139.<span> </span>Hypertension with hypokalemia is seen in all
except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Renal
artery stenosis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>End
stage renal disease</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Caushing’s
disease</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Primary
hyperaldosteronism</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">140.<span> </span>Seen in agenesis of corpus collosum is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Astereognosis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Hemiparesis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Hemisensoriloss</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>No
neurological deficit</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">141.<span> </span>Marker for acute Hepatitis B is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>HBV-DNA
polymerase</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>IgG
anti-HBc</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Core
antigen (HbcAg)</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Anti-HbsAg</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">142.<span> </span>Reye’s syndrome is ultrastructurally
characterized by :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Mitochondrial
blebs and enlarged mitochondria</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Depletion
of glycogen</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Dilatation
of the endoplasmic reticulum</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Perinuclear
staining</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">143.<span> </span>Von Hippel Lindau syndrome includes all except
:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Endolymphatic
sac tumours</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Pheochromocytoma</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Hemangioendotheliomas</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Islet
cell tumours</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">144.<span> </span>Which of the following is not included in
intensive management of diabetes mellitus :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Pregnancy</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Postural
hypotension due to autonomic neuropathy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>DM
with acute MI</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Post
kidney tranplant</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">145.<span> </span>Extensive involvement of deep white matter with
hyperintense thalamic lesion on MRI of the brain is seen in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Alexender’s
disease</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Krabbe’s
ds.</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Canavan’s
ds</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Metachromatic
leucodystrophy</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">146.<span> </span>Most common site of spinal cord tumour is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Intradural
extramedullary</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Extradural</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Intramedullary</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>All
have equal distribution</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">147.<span> </span>The best investigation is thromboembolism is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>D-dimer
levels</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Multidetector
CT angiography</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Colour
Doppler USG</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Catheter
angiography</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">148.<span> </span>ECG was shown. 70 year old man with no previous
significant medical history presenting with sudden onset syncope. Most likely
diagnosis is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Vasovagal
shock</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Pulmonary
embolism</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Complete
heart block</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Temporal
lobe epilepsy</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans.
ECG tracing is required to answer this question.</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">149.<span> </span>All are essential components of TOF except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Valvular
pulmonic stenosis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Right
ventricular hypertrophy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Infundibular
stenosis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Aorta
overriding</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">SURGERY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">150.<span> </span>Inflammation of a retrocaecal appendix will
produce pain when there is which of the following movements at the hip :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Flexion</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Extension</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Medial
rotation</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Lateral
rotation</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">151.<span> </span>True about Ogilive’s syndrome are all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>It
is caused by mechanical obstruction of the colon</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>It
involves entier / part of the large colon</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>It
occurs after previous surgery</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>It
occurs commonly after narcotic use</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">152.<span> </span>Shoulder pain post laparoscopy is due to :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Subphrenic
abscess</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>CO<span style="font-size: 5.5pt; position: relative; top: 3pt;">2</span><span> </span>insufflation</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Positioning
of the patient</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Compression
of the lung</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">153.<span> </span>A 3-year old girl is posted for tonsillectomy.
On examination it is found that she has a midline cystic swelling extending
till below the hyoid bone. It is painless and moves with deglutition. The
thyroid examination is normal. What should be done next?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Percutaneous
aspiration</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>I.V.
antibiotics</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Surgical
removal</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Observation</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">154.<span> </span>A 30 year old male patient presents with a
peptic ulcer in the posterior duodenum with a bleeding vessel at the base. The
bleeding is not controlled endoscopically, on examination his heart rate is
100/min, BP is 110/76 mm of Hg and Hb is 10 gm/dl after transfusion. Next step
in his management will be :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Proton
pump inhibitors</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Duodenotomy
with controlled bleeder and pyloroplasty</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Duedenotomy
with controlled bleeder and truncal vegotomy with antrectomy</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Partial
gastrectomy involving the bleeding ulcer</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">155.<span> </span>For a lower end esophagus adenocarcinoma, a
transhiatal oesophagectomy is planned. The approach would be in the following
order :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Abdomen
– Neck</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Chest
– Abdomen – Neck</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Abdomen
– Chest – Neck</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Right
chest – Neck</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">156.<span> </span>A 23 year old male who is otherwise normal
complains of mild pain in his right iliac fossa in a waveform pattern which
increases during the night and he becomes exhausted and is admitted in the
hospital. On examination there is mild hematuria. Urine examination reveals
plenty of RBCs, 50WBCs/hpf. Urine pH<span> </span>is
5.5. Most likely diagnosis :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Glomerulonephritis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Ca-Urinary
bladder</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Ureteral
calculus</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">OBS
& GYNAE</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">157.<span> </span>In a patient with post partum hemorrhage with
rheumatic heart disease, which is contraindicated :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Misoprostol</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Methylergometrine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Oxytocin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Carboprost</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">158.<span> </span>THE BEST agent used for fixation of Pap smear
is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Ethyl
alcohol</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Acetone</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Formalin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Xylol</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">159.<span> </span>Post-operative radiotherapy in a patient
operated for Ca-endometrium is indicated in all of the following except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Deep
myometrial invasion</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Pelvic
lymph node involvement</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Enlarged
uterine cavity</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Poor
tumour differentiation</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">160.<span> </span>Polyhyramnios is associated with all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Tracheo-esophageal
fistula</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Anencephaly</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Bilateral
renal agenesis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Bowel
atresia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">161.<span> </span>A 18 year old primigravida complained of
decreaed fetal movements. She deliveerd a baby weighing 2000 gms at 30 weeks of
gestation. The APGAR scores of the baby were 4 and 5 at 1 and 5 minutes
respectively. The baby died in an hour. Post-mortem examination revealed
multiple, peripheral, radially arranged cysts in the kidney. Most common
associated finding in the baby would be:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Holoprosencephaly</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Hepatic
cysts and hepatic fibrosis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Ureteral
agenesis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Medullary
sponge kidney</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">162.<span> </span>In which of the following heart diseases is
maternal mortality during pregnancy is found to be the highest?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Coarcatation
of aorta</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Eisenmenger’s
complex</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Aortic
stenosis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Mitral
stenosis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">163.<span> </span>Clomiphene citrate is associated with all
except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Polycystic
ovarian disease</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Multiple
pregnancies</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Ovarian
cancer</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Teratogenecity</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">164.<span> </span>Following is associated with maximum risk of
invasive carcinoma of cervix :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Low
grade squamous intraepithelial lesion</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>High
grade squamous intraepithelial lesion</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Squamous
intraepithelial lesion associated with HPV-16</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Squamous
intraepithelial lesion associated with HIV</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">165.<span> </span>According to the new WHO criteria, all are true
in a normal person except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Sperm
count > 20 million</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Volume
> 1 ml</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Normal
morphology in > 15% (strict criteria)</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Aggressive
forward motility in > 25%</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">166.<span> </span>A third gravida female with a history of 2
previous 2nd trimester abortions present at 22 weeks of gestation with
funnelling of the cervix. Most appropriate management would be :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Administer
Dinoprostone and bed rest</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Administer
mifipristone and bed rest</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Apply
Fothergill’s stitch</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Apply
McDonald’s stitch</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">167.<span> </span>Internal Podalic Version done in cases of
transverse lie is associated with the following complication:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Uterine
rupture</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Vaginal
laceration</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Uterine
atony</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Cervical
laceration</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">168.<span> </span>Decrease in maternal serum AFP levels is seen
in all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Down’s
syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Molar
pregnancy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Over
estimated gestational age</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Congenital
Nephrotic Syndrome</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">169.<span> </span>An 18-year-old girl presents with amenorrhoea,
weight loss and milky discharge from the nipples. Most likely diagnosis is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Anorexia
nervosa</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Occult
carcinoma</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Hypothyroidism</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>HIV</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">170.<span> </span>Goniometry is measurement of :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Number
of gonococci</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Length
of the genital hiatus</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Urethrovesicla
angle</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Genital
secretion</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">171.<span> </span>Asherman’s syndrome is diagnosed by all except
:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>HSG</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Hysteroscopy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Endometrial
culture</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Saline
infusion USG</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PEDIATRICS</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">172.<span> </span>Most common type of seizures in neonates are :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Clonic</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Tonic</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Subtle</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Myoclonic</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">173.<span> </span>In Down’s syndrome, false is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Increased
PAPP-A</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Increased
<s>b</s>-HCG</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Absent
nasal bone</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Increased
ductus venous blood flow</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">174.<span> </span>A newborn female child, weight 3.5 kg,
delivered by uncomplicated delivery, developed respiratory distress immediately
after birth. On chest x-ray ground glass appearance was seen. Baby put on
mechanical ventilation and was give surfactant but condition of baby deteriorates
and increasing hypoxemia was present. A full term female ‘sibling’ died within
a week with the same complaints. ECHO is normal. Usual cultures are negative.
Your diagnosis is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Total
anomalous pulmonary vein connection</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Meconium
aspiration syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Neonatal
pulmonary alveolar proteinosis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Disseminated
HSV infection</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">175.<span> </span>In a survey, many children are examined and
were found to have urogenital abnormalities. The ones having urothelial cancers
are most likely to be associated with which anomaly :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Medullary
sponge kidney</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Bladder
extrophy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Unilateral
renal agenesis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Double
ureter</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">176.<span> </span>A 71/2 year old child presents with non
productive cough, mild stridoe since 6 months. On oral antibiotics, patient is
improving but suddenly develops wheezing, productive cough, mild fever. X-ray
shows hyperlucency and PFT shows obstructive curve. Most probable diagnosis is
:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Post
viral syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Bronchiolitis
obliterans</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Follicular
bronchitis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Pulmonary
alveolar microlithiasis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">177.<span> </span>A 2-year-old female child developed fever,
cough and respiratory distress. On chest xray consolidation is seen in right
lower lobe. She improved with antibiotics but on follow up at 8 weeks was
against found to have increasing consolidation in right lower lobe and fever.
Your next investigation would be :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Bronchoscopy</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Bacterial
culture of the nasopharynx</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>CT
scan of the chest</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Allergen
sensitivity test</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">178.<span> </span>A child presents with history of respiratory
infections. His sweat chlorides levels are 36 and 41 mEq/L on two different
occasions. Which other test would you do to exclude the diagnosis of cystic
fibrosis :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Repeat
sweat chloride measurements</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Nasal
electrode potential difference</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Fat
in stool for next 72 hours</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>DNA
analysis for A 508 mutation</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">179.<span> </span>A term infant has not passed meconium for 48
hours. He presents with distension of abdomen and emesis since one day. Next
most appropriate investigation would be :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Genetic
testing for cystic fibrosis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Manometry</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Lower
bowel contrast enema</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Oesophagoscopy</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">180.<span> </span>A 12 year old child presents with nonblanching
rash over the extensor aspect of arm with swelling over hematuris +++. On
kidney biopsy which finding will be most commonly seen :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Fusion
of podocytes</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Acute
tubular necrosis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Deposition
of IgA</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Thickened
basement membrane</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">181.<span> </span>A child presented with respiratory distress was
brought to emergency with bag and mask ventilation. After few minutes he was
intubated. Chest x ray shows right sided deviation of mediastinum with scaphoid
abdomen. His Pulse impulse has shifted to the right. What is the next step?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Remove
the Endotracheal tube</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Put
a nasogastric tube</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Surgery</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Tube
thoracostomy</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">SKIN</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">182.<span> </span>22 year female taken medicine for typhoid fever
3 months back. She developed generalized loss of hair:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Telogen
effluvium</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Anagen
effluvium</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Alopecia
areata</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">183.<span> </span>Regarding vitiligo all are true except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Occurs
in genetically predisposed individual</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>UV
B therapy given</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Local
steroid</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Leukotrichia
is a good prognosis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">184.<span> </span>Cicatrical alopecia is seen in all except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Alopecia
areata</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Pseudopalady</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Lichen
planus</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>DLE</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">RADIOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">185.<span> </span>Floating water lily sign sign on X ray chest –</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hydatid
disease of liver</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Aspergillosis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Tubercular
cavity</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Bronchiectasis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">186.<span> </span>‘Egg-on-side’ apearance on X-ray chest is seen
in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Tetralogy
of Fallor</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Uncorrected
TGA</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Tricuspid
atresia</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Ebstein’s
anomaly</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">187.<span> </span>Hampton’s hump is seen in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Pulmonary
embolism</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Tuberculosis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Broncogenic
CA</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PSYCHIATRY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">191.<span> </span>Regarding type A personality, false is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hostility</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Time
pressure</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Competitiveness</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Mood
fluctuations</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">192.<span> </span>All are characteristics of schizophrenia
except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Third
person auditory hallucinations</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Inappropriate
emotions</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Long
stretches of mood changes</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Formal
thought disorder</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">193.<span> </span>Altered perception of real objects is :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Illusion</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Delusion</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Hallucination</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Delirium</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">194.<span> </span>Psychodynamic therapy of mental illness is
based on:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Unconscious
conflict</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>NMaladaptive
reinforcement</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Organic
neurological problem</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>CNV</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">195.<span> </span>Learning does not include:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Modeling</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Catharsis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Exposure</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Sensitization</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">ORTHOPAEDICS</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">196.<span> </span>Kanavel sign present in :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Tenosynovitis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Dupuytren’s
contracture</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Carpal
tunnel syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Trigger
finger</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">197.<span> </span>In osteomalacia, all are true except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Increased
serum alkaline phosphatase</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Increaed
serum calcium</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Looser’s
zones</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Proximal
myopathy</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">198.<span> </span>Staging of bone tumours is done by :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Enneking</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Manchester</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Edmonton</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>TNM</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">199.<span> </span>Primary impact injury is seen externally most
commonly in the:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Head</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Chest</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Legs</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Abdomen</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">200.<span> </span>One of the following is the watershed area of the
colon between the superior and inferior mesenteric arteries:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.<span> </span></b>Hepatic
flexure</div>
<div class="ABCD" style="text-align: justify;">
<b>B.<span> </span></b>Splenic
flexure</div>
<div class="ABCD" style="text-align: justify;">
<b>C.<span> </span></b>Ascending
colon</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Descending
colon</div>
<div class="MsoNormal">
Ans. <b>B</b></div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-76830610385485919322012-01-07T19:27:00.001-08:002012-01-07T19:27:23.826-08:00AIIMS MAY 2008<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
ANATOMY
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Movement take place during abduction of
shoulder joint are all except?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Medial rotation of scapula</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Axial movement at acromioclavicualar joint</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Elevation of humerus</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Movement
at clavicular end of sternoclavicular joint</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Structures in deep perineal pouch are all
except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Dorsal nerve of penis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Sphincter urethera</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Bulbouethral gland</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Root
of penis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Nerve compressed by aneurysm of post
communicating Artery is?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Oculomotor nerve</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Optic nerve</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Hypopyhsis cerebri</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Trochlear
nerve</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Which is not a part of cavernous part of
internal carotid artery?<span> </span><span style="text-transform: uppercase;">(Repeat From Aipg-07)</span></span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Cavernous branch</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Inf. hypophyseal </div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Meningeal</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Opthalmic</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>U/L injury to hypoglossal nerve leads to all
except :</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Deviation of tongue toward paralysed side</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Hemiatrophy of involved side</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Deviation of larynx toward normal side</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Loss
of tactile sensation of tongue</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>As compared to embryo adult cell does not
divide because?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>CDK inhibitors are persent in adults which prevents cell from
entering in S phase</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Adult cell can’t divide</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Not recalled</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Thoracic duct receives all except?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Bilateral ascending lumbar</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Bilateral descending thoracic</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Left upper intercostal</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Right
thoracic duct</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>True about valves in portal venous system:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Valves throughout the system</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Valves in splenic vein</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>No valves</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Valve
at junction of splenic and sup. mesenteric artery?</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>In case of post-ductal coarctation distal
anastomotic artery, which is NOT involved?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Subscapular artery</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Posterior intercostal artery</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Vertebral arteries</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Axillary
arteries</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>If median nerve is injured at the wrist then
loss of function of all of the following will take place except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Lumbrical to the index finger</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Lumbrical to the middle finger</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Muscles on the thenar eminence</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Adductor
policis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span style="font-family: "Palatino","serif"; font-size: 10pt;">PHYSIOLOGY</span></b><span style="font-family: "Palatino","serif"; font-size: 10pt;"></span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Which does not influence cerebral blood
flow?<span> </span><span style="text-transform: uppercase;">(Repeat may AIIMS 07)</span></span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Potassium level</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Blood pressure</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Cerebral metabolic rate</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Arterial
CO2</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Steroid receptor has attachment site for
all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Steroid hormone</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Transcription enhancer</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Transcription repressor</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Steroid
hormone responsive element</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>True for high altitude pulmonary oedema
is?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Occurs in unacclimatized partients only</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Associated with pulmonary hypertension</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Associated with low cardiac output</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Not
recalled</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>While standing, which does not contribute
to increased venous return to lower limbs?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Muscle contraction of soleus</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Arterial BP</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Competence of perforators</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Deep
fascia in leg</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>Non-noxious stimulus is perceived as pain
in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Allodynia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Dysesthesia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Parasesthesia</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Hyperaesthesia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>Sweating is absent in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Heat syncope</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Heat exhaustion</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Heat cramps</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Heat
stroke</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Concentration of ion at equilibrium is
explained by all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Nerst eq.</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Gibbs Donnan eq.</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Goldman eq</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Not
recalled</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>Main factor regulating CSF pressure?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Rate of formation</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Cerebral blood flow</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Rate of absorption</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Not
recalled</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>Pulmonary circulation differs from
systemic circulation?<span> </span><span style="text-transform: uppercase;">(Repeat may aiims 06)</span></span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Pulmonary vasoconstriction ovvurs in response to hypoxia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Pulmonary vasodilatation ovvurs in response to hypoxia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Decreased blood vol. during systole</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Increased
basal vasoconstrictor tone</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>Golgi tendon organ meausres?<span> </span><span style="text-transform: uppercase;">(Repeat
May Aiims 06)</span></span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Dynamic length</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Static length</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Senses muscle tension</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Alpha
molar neuron stimulation</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>Increase in threshold level on applying
subthreshold, slowly rising stimulus is known as :<span> </span>(REPEAT NOV AIIMS 06)</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Accommodation</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Adaptation</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Refractoriness</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Electrotonus</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">12.<span> </span>All are true about facilitated diffusion
except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>It is carrier mediated</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>It requires energy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Occur across biological membranes</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">BIOCHEMISTRY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>True about G Protein-Coupled Receptors
(GPCR)?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>It has 2 forms one stimulatory and one inhibitory</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>------- units are when associated leads to activation</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>GTP binds in inactive state</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Binds
to effector at cell surface</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>All present in cystinosis except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Renal calculi</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Fanconi syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Presence of leukocyte cystine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Photophobia
and blond hari</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Insulin causing lipogenesis by all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Causes glucose 2 move inside cell</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Increase activity of pyruvate dehydrogenase</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Increase cAMP</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Increases
activity of acetyl CoA carboxylase</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Poly-A tail forms:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Polylysine</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Polyproline</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Polyalanine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Polyglycine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>Which of the following is not true about
vitamin D?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>1 hydroxylation occur in kidney</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>24 hydroxylation occur in liver</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>In absence of sunlight 400-600 IU of vitamin required</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Williams
syndrome consists of precocious puberty, mental retardation and obesity</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>White/blue color screening used in DNA
cloning is for:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Finding a vector</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>For finding that DNA of interest is cloned into vector</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>For finding final product of cloning</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Not
recalled</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Prion protein are?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Extended</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Helical</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Random</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Beta
sheets</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>Thiamine def. causes decreased energy
production because?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Not recalled</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Decreased activity of transketolase</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Not recalled</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Decreased
activity of alpha-keto glutarate dehydrogenase and private dehydrogenase</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>Phosphatidyl choline in a lipid monolayer
its ph=3.5 (below its pKa) leads to?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Increases surface potential</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Decreases surface potential</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Decreases dipole movement</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Zero
dipole movement</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>True about denaturation of proteins is all
except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Disruption of secondary structure</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Biological activity is retained</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Sequence of amino acids remain the same</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Uncoiling
occurs</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>During catabolic phase excess of amino acids
lead to increase nitrogen mechanism:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Increased protein synthesis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Decreased protein degradation</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Both increased protein synthesis and decreased protein
degradation</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Increased
gluconeogenesis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">12.<span> </span>All are functions of glutathione except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Conversion of hemoglobin to methemoglobin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Protection from oxidative stress</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Disposal of H<span style="font-size: 5.5pt; position: relative; top: 3pt;">2</span>O<span style="font-size: 5.5pt; position: relative; top: 3pt;">2</span></div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Not
recalled</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PATHOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>A patient presents with mediastinal mass
with sheets of lymphocytes and an arborizing pattern of keratin reactivity. The
apt diagnosis would be:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Thymoma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Thymic carcinoid</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Primary mediastinal lymphoma</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Non-Hodgkin
lymphoma</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>A 30-yrs old female, RBC counts 4.5
million, MCV 55 fl, TC 8000, no history of blood transfusion?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Iron deficiency anemia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Thalessemia major</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Thalessemia minor</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Megaloblastic
anemia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Ulcerative colitis what is seen?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Cryptitis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Crypt loss</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Crypt branching</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>The gene responsible for folic acid
transport is situated on which chromosome?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>10</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>5</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>X</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>21</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>Hematoxylin bodies seen in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>SLE</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>PAN</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Rheumatoid arthritis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Wegeners
granulomatosus</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>CD-99 is for?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Ewing’s sarcoma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>SLL</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Dermatofibroma protruberans</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Malignant
histiocytic fibroma</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Loss of hetrozygosity associated with:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Acute myeloid leukemia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>ALL</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Retinoblastoma</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Promyelocitic
leukemia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>AML with gum infiltration,
hepatoslenomegaly:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>ALL</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>M3</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>M2</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>M4</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>The Electron Microscopy is virtually
diagnostic in renal biopsy study of:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Goodpasture’s syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Churg-Strauss syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Alport syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Wegner’s
granulomatosis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>Bone resorption markers are except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Tartarate resistant alk. phosphatase (TRAP)</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Osteocalcin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Pyridine cross peptides</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Free
glutamic acid cross linkages</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>Marker for granulocytic sarcoma:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>CD33</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>CD38</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>CD117</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>CD137</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">12.<span> </span>Which type of FSGS has worst prognosis?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Tip variant</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Collapsing</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>NOS</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Perihilar</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">13.<span> </span>Shock lung is characterized by?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Alveolar proteinosis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Bronchiolitis obliterans</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Diffuse pulmonary hemorrhage</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Diffuse
alveolar damage</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">14.<span> </span>Ultrastructural finding in case of
paraganglioma?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Deposition of glycogen</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Not recalled</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Not recalled</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Dense
core granules</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">15.<span> </span>Which is not tumor suppressor gene?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>WT-1</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Rb</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>p53</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>RAS</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">16.<span> </span>Steroid resistant nephritic syndrome?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Nephrin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Alpha-actinin 4</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Podocin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Transient
Receptor Potential 6</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">17.<span> </span>A patient with HB-6 gm, TLC 1200,
PLATELET-60,000, MCV 12FL, what is the DIAGNOSIS?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Aplastic anemi</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Megaloblastic anemia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>PNH</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Myelofibrosis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PHARMACOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Cross-resistance of isoniazid is seen
with:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Rifampicin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Ethionamide</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Cycloserine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Ethambutol</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Which drug is not acetylated?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>NH</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Dapsone</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Hydralazine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Metoclopropamide</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Which is a prodrug?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Enalapril</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Clonidine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Free water clearance decreased by?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Vincristine</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Vinblastine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Chlorpropamide</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Freusamide</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>Which of the following antibiotics acts by
inhibiting cell wall synthesis?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Cefepime</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Aminogycosides</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Crythromycin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Doxycycline</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>Which drug would treat both dermatophysis
and candidal infection?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Ketoconazole</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Griesofulfin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Nystatin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Tolnafet</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Siadh is caused by all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Vincristine</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Vinblastine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Actinomycin D</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Cylophophamide</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>Which teratogen causes deafness?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Valproate</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Chloroquine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Alcohol</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Warfarin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>Imatinib is used in treatment of?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Chronic myelomonocytic leaukemia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>MDS</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>ALL</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>GIST</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D,
A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>Sustained neutropenia is seen with?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Vinblastin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Cisplatin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Carmustin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>NOT used in scabies?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>BHC</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Permethrin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Ciclopirox oleamine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Crotamiton</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">12.<span> </span>Not used in erectile dysfunction?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Apomorphine</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Taldanafil</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Phenylephrine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">13.<span> </span>Which is not a 2nd generation antihistamanic?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Loratidine</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Acrivastatine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.</b><span> </span>Cyclizine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">14.<span> </span>True about aminoglycoside is all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Are bacteriostatic</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Distributed only extracellularly</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Excreted unchanged in urine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">15.<span> </span>Loading dose depends on:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Volume of distribution</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Clearance</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Rate of administration</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Half
life</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">16.<span> </span>Drug not used in H. pylori:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Metronidazole</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Omeprazole</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Mosapride</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Amoxicillin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">17.<span> </span>Long acting beta agonist?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Terbutaline</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Salmeterol</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Ciclesonide</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Ipratropium</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">18.<span> </span>Benzodiazepine antagonist?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Flumazenil</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Beta carboline</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Flunarazine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Diazepam</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">19.<span> </span>Which is Cyt. p</span><span style="color: windowtext; font-size: 5.5pt; position: relative; top: 3pt;">450</span><span style="color: windowtext;"><span> </span>inhibitor?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Ketoconazole</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Rifampicin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Phenytoin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>INH</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">20.<span> </span>Which statement is true about carbamazepine?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Used in trigeminal neuralgia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Carbamazepine is an enzyme inhibitor</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">21.<span> </span>Which drug can be used against keratomycosis
of eye?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Clofazamine</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Oxytetracycline</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Amoxicillin</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Silver
sulfadia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">22.<span> </span>Drug used in uncomplicated alcohol
withdrawal?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Diazepam</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Clonidine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Propanolol</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Methadone</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">23.<span> </span>Buprenorphine is?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Pure agonist</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Pure antagonist</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Partial agonist</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>None</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">MICROBIOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Nocardia is stained by all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Acid fast stain</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Kiram’s stain</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Alcian blue</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Mucin
stain</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Selective media for vibrio:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>TCBS</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Stuart</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Skirrows</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>MYPA</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Mark true in following:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Hanta virus pulmonary syndrome is caused by inhalation of rodent
urine and feces</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Kyansur forest disease is caused by bite of wild animal</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Lyssa virus is transmitted by ticks</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>True about mycoplasma all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>They are 1 forms</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Sterol enhances growth</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Can grow in cell free media</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>When
grown in liquid medium do not produces turbidity</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>About HUS all is true except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Not commonly caused by verocytogenic E coli in Asia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Causes mild to severe Coombs positive hemolytic anemia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Recurrences rare</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Transient
thrombocytopenia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A,
B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>True about mycobacterium other than
tuberculosis:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Causes disseminated infection</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Occurs in persons with normal immunity</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Causes decreased efficacy of BCG due to cross immunity</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Person
to person transmissions is seen</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Malta fever is caused by:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Option not recalls</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Borrelia burgdorferi</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Brucella melitensis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Pseudomonas</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>Acute Primary Amoebic Meningoencephalitis
true is?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Meningitis caused acanthamoeba species is acute in nature</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Diagnosis by trophozite in CSF</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Caused by feco oral transmission</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>More
common in tropical climate</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>Parvovirus B</span><span style="color: windowtext; font-size: 5.5pt; position: relative; top: 3pt;">19</span><span style="color: windowtext;"><span> </span>does not cause:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Roseola infantum</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Aplastic anemia in sickle cell</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Fetal hydrops</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Collapsing
FSGS</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>Reactive arthritis is caused by:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Staphylococcus</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>H.influenzae</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>N. gonorrhoe</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>What is true about Histoplasmosis?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>In early stages it is indistinguishable from TB</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Blood culture is not diagnostic</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Hyphal forms are infectious form</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Person
to person spread occurs by droplet infection</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">12.<span> </span>True about polio:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Paralytic polio is most common</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Only one type exists</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Increased muscular activity leads to increased paralysis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Polio
drop given only in < 3 year</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">13.<span> </span>Which is not a part of HACEK?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Hemophilus</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Acinetobacter</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Cardiobacterium</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Kingella</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">FORENSIC
MEDICINE</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Corpus delicti is meaning:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Essence of crime</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Inquest into death</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Postmortem examination</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Irresistible sexual desire in a male is
otherwise known as:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Nymphomania</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Tribadism</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Satyriasis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Sadism</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>In asphyxia structure to be open last is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Head</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Neck</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Abdomen</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Thorax</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Fingerprint bureau was 1st established in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>India</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>UK</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>USA</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Poland</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. <span style="text-transform: uppercase;">A</span></span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext; text-transform: uppercase;">Preventive and Social Medicine</span><span style="color: windowtext;"></span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>NOT included in a problem village?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>No source of safe water available within a distance of 1.6 km</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Water available at a depth > 15mt</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Water source has excess Fe, fluoride, toxic elements, salinity</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Guinea
worm in water</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Progesterone of choice in emergency
contraception:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>MDPA</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Micronized progest.</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Norethesterone</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Levonorgestrol</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Occupational cancer involve following
organs except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Lung</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Breast</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Bladder</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Liver</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Adjuvant used in DPT vaccine:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Aluminium</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Zinc</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Copper</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Magnesium</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>Which is the best distribution to study
the dily amission of head injury parients in a trauma care centre?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Normal distribution</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Binomial distribution</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Uniform distribution</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Poison
distribution</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>All are criteria for normal Indian
Reference male, except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>60 kg</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>22000 kcal/day</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>8 hours in bed</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>20-39
age</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Vision 2020 includes all the following,
except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Onchocerciasis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Trachoma</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Epidemic conjuctivitis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Cataract</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>Endemic ascites is associated with the
following:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>BOAA</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Aflatoxin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Sanguinarine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Pyrrolidazone</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>Life cycle of filariasis in humans:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Cyclodevelopmental</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Cyclopropagative.</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Propagative</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Transovarial</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>Specifictiy measures:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>True nagative</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>True positive</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>False negative</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>False
positive</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>In India, the cause for maximum maternal
mortality is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Hemorrhage</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Anemia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Sepsis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">12.<span> </span>If mean is less than the median then the
data is said to be:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Equitable distribution</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Positively skewed</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Normal distribution</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Negatively
skewed</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">13.<span> </span>Which is, e.g. of disbility limitation?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Reducing occurrence of polio by immunization</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Arrangement for schooling of child suffering from PRPP</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Resting affected limbs in neutral position</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Providing
callipers for walking</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">14.<span> </span>A study conducted regarding asthma drug and
deaths due to drug/asthma patients taking the drug in the period 15 years from
(1975 - 1989) the study is an example for...?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Ecological study</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Cohort study</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Experimental</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Case
study</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">15.<span> </span>Coeffcient of variation of BP and creatinine
measurements are 20 and 15 respectively, true statement is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>SD of BP measurements is more</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>SD of creatinine measurements is more</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Variation in BP measurements is more than creatinine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Variation
in BP measurements is less than creatinine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">16.<span> </span>Mean bone density amongst 2 group of 50
people each is compared, which would be the best test?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Chi square</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Student t test</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Mc nemar chi square test</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Fischer
test</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">17.<span> </span>The P valve of a test comparing 2 drugs is
0.01, what is the inference?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Power is 1</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Probability that drug A is better than drug B when in truth it is
not is 1%</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Probability that drug B is better than drug A when is truth it is
not is 1%</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">ENT</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Which is the correct statement regarding
facial nerve palsy?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>More common with transverse fracture of temporal bone</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>More common with Longitudinal fracture of temporal bone</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Flat part fracture of temporal bone</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Always
associated with CSF leak</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>The area that we connot visualise via
bronchoscopy?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Vocal cord</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Subcranial lymph nodes (I think they meant sub carinal, but they
did typing mistake)</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Tracheal bifurcation</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>1st
segmentalsubdivision of bronchi</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Laryngocele arises from</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>True cords</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Anterior commissure</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Saccule</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>An elderly diabetic, 70 year-old, with
excruciating pain in ear, appearance of granulation in meatus, skull base
infection with facial paralysis shud be treated with</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Ciprodloxacin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Penicillin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>2nd generation cephalosporin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">OPHTHALMOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Retinitis pigmentose is not associated
with:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Usher syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Kornzewig syndrome (Abetalipoprotinemia)</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Kearns-Sayre syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Marfan
syndrome</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Choroidal neovascularizatin is seen in all
except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Hypermetropia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Myopia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Angiod streaks</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Trauma</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Pterygium is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>An inflammatory response</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>A connective tissue degeneration</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>An infection</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Associated
with Vit. A deficiency</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Which of the following does not handle
free redical in lens?<span> </span>(REPEAT AI2007)</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Vit.A</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Vit.C</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Vit.E</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Catalase</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>A mass present in muscle cone,
encapsulated, presentation in 3rd-4th decade with gradually increasing
proptosis:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Capillary hemangioma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Cavernous hemangiona</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Dermoid</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>A 12-year-old boy comes into room with
left sided head tilt, on correcting that he has right sided hypertropia, which
increases on left gaze and tilting the head towards right-which muscle is
AFFECTED?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Right superior oblique</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Left superior oblique</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Right superior rectus</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Left
superior rectus</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Diabetic macular edema is due to all
except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Disruption of retinal pigment epithelium</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Oxidative stress</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Increase VEGF</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Increase
expression of protein kinase C</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>True about telecanthus is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Increase in intercanthal distance with normal inter papillary
distance</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Widely separated medial wall of orbits</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>True about chalazion:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Chronic non-specific inflammation</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Lipogranulomatous inflammation</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>Iridocorneal endothelial syndrome is
associated with:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Progressive atrophy of iris stroma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>B/L symmetrical stromal edema of iris and cornea</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Deposition of collagen in descemet’s membrane</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Deposition
of glycosaminoglycan in descemet’s membrane</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>Equal and opposite innervation is explained
by which law?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Hering law</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Sherrington law</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Sherring</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Donder</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">MEDICINE</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Post transplant lymphoma is?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>T cell</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>B cell</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Null cell</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>NK
cell</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>A man with painful opthalmoplegia,
cavernous sinus dilatation:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Gradinego syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Tolosa Hunt syndrome</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Which of the following is a absolute
contraindication for MRI?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Prosthetic heart valve</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Pacemaker</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Insulin pump</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Lhermitte duclos disease true is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Thickened cerebeller folli.</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Atrophic cerebeller folli.</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Vermian hypoplasia.</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Septum
pellucidumagenesis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>A man with chest pain, ST segment
depression in lead v1-v4, after one hour will not be given:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Beta blocker</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Thrombolytic</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Morphine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Aspirin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>Most cmmon primary lymphoma of spleen?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Hodgkin’s lymphoma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Small lymphocytic lymphoma</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Anaplastic lymphoma</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Burkitt’s
lymphoma</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Rituximab is used in all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>NHL</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>PNH</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>RA</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>SLE</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>Kasabaach Merrit Syndroma is associated
with:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Giant hemangioma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Large aneurysm of aorta</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Giant Thrombocytes</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>All are causes of increased anion gap
except?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>DKA</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Starvation</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Ethylene glycol poisoning</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Glue
sniffing</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>Which valve is least affected in Rheumatic
fever?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Pulmonary valve</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Tricuspid valve</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Mitral valve</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Aortic
valve</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>Drug used to perform stress ECHO?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Thallium</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Dobutamine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Adrenaline</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Adenosine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">12.<span> </span>Torsades de pointes causes?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Eide QRS</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Short QRS</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Wide QT</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Short
QT</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">13.<span> </span>Rue about autonomic neuropathy are all
except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Resting tachycardia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Silent MI</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Orthostatic hypotension</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Bradyardia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">14.<span> </span>In millard Gubler syndrome all are involved
except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>5th cranial nerve</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>6th crania nerve</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>7th crania nerve</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Contralateral
hemiplegia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">15.<span> </span>For differentiaing between Insulinoma and
Sulfonylurea related hypoglycemia, the test which is useful is?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Antibody to Insulin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Plasma C-peptide level</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Plasma Insulin level</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Insulin:
Glucose ratio</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">16.<span> </span>All are used for treating Pulmonary
hypertension except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Endothelin receptor antagonists</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Phosphodiesterase inhibitors</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Calcium Channel Blockers</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Beta
blockers</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">17.<span> </span>Goodpasture’s disease is characterized by
all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Glomerulonephritis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Leukocytoclastic vasculitis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Diffuse alveolar hemorrhage</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Presence
of antibodies to BM</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">18.<span> </span>Alzheimer’s disease, which is involved?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Frontal cortex</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Cortical atrophy of temporoparietal cortex</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Frontal and parietal cortex</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">19.<span> </span>Rasmussen’s aneurysm involves?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Bronchial aneurysm</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Pulmonary aneurysm</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">20.<span> </span>Damage to categorical hemisphere usually
leads to:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Normal speech</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Increased speech</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Decreased speech</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Senseless,
fluent speech</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">21.<span> </span>1st drug to be used in absence seizures:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Phentoin</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>BZD</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Valproate</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">SURGERY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Lymph node metastasis is uncommon in which
tumor of head and neck?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Tongue</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Floor of mouth</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Hard plate</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Lower
gingiva</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>True about gatric lymphoma is all except?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Chemo and surgery treatment of choice</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Most common in stomach</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>B-cell type</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>60%
5 year survival</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>The causative organism of chronic
burrowing skin ulcer:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Mictoaerophilic strptococci</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Peptostreptococi</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Staphylococcus</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Pseudomonas</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Abbey estender flap is based on:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Lingual artery</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Labial artery</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Facial artery</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Internal
maxillary artery</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>Metabolic abnormality seen in villous
adenoma?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Chlorine resistant metabolic alkalosis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Chlorine sensitive metabolic alkalosis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Normal anion gap acidosis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Increased
anion gap acidosis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>Metabolic abnormality seen in gastric
outlet obstruction?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Hyperchloremic hypokalemic alkalosis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Hypochloremic hypokalemic alkalosis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Hypochloremic hyperkalemic alkalosis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>6-year-old female presents with urinary
retention and fecal retention and with a retro rectal mass diagnosis is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Malignant sacral teratoma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Rectal duplication cyst</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Posterior neuroblastoma</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Anterior
meningocele</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A,
B, C, D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>Auziliary orthoripic liver transplant is
indicated for:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Metabolic liver disease</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Acute fulminant liver failure for any cause</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>As a standby procedure until finding a suitable donor</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Drug-induced
hepatic failure</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>Internal oblique, external oblique and
transverses is retracted laterally in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Classiscal renal approach</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Laproscopic renal approch</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Spigelian hernia</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>True about treatment of early breast
carcinoma?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Radiotherapy is given after conservative surgery in parient with
> 4 positive lymph node</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Aromatase inhibitors are replacing tamoxifen in premenopausal
patient</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Combined chemotherapy has better results in selected partient</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>Most common testicular tumor in prepubertal
adults:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Endodermal sinus tumor</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Teratocarcinoma</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Embryonalcarinoma</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Seminoma</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PEDIATRICS</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Absent thumb, radial deviation of wrist,
bowing of forearm, which inv. need not to be done?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Echocardiography</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Bone marrow examination</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Platelet count</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Karyotyping</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Macrocephaly is seen in which of the
following syndromes?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Metachromatic leucodystrophy</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Adrenoleukodystrophy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Canavan’s disease</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Most common inherited childhood tumor:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Leukemia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Neuroblastoma</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Retinoblastoma</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Turner syndrome is maximally associated
with:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Horseshoe kidney</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>coarctation of aorta</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>VSD</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>Only females are affected in?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Scheie’s syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Hunters syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Hurlers syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Gauchers
disease</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans.
None</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>Females are rarely affected in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Scheis’s syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Hunters syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Hurlers syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Gauachers
disease</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Most common cause of seizure in newborn
is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Hypoxia induced ischemic encephalopathy</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Hypocalcemia</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Metabolic abnormality</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Sepsis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>A infant with cleft lip, cleft palate,
polydactly, microcephaly with holoprosencephaly, ectodermal scalp defect is
suffering from:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Trisomy 21</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Trisomy 18</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Trisomy 13</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Turner</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">OBSTETRICS
AND GYNAECOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Pre-conceptional intake of which of the
following reseults in decrease in incidence of neural tube defect?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Vit. A</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Folate</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Vit. E</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Vit.
C</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Which is most commonly implicated in
genital (vulval) warts?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>HPV 16</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>HPV 18</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>HPV 31</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>HPV
6</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>The cause of fetal death in ectopic
pregnancy is postulated as:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Vascular accident</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Nutritonal adequacy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Endocrine insuffisciency</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Immune
reponse of mother</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>When in labor, a diagnosis of occipito
posterior presentation is made. The most appropriate management in this case
would be:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Emergency CS</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Wait and watch for progress of labour</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Early rupture of membranes</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Start
oxytocin drip</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>Most valubale diagnostic test in a case of
suspected ectopic pregnancy:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Serial ß-hCG levels </div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Transvaginal USG</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Progesterone measurement</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Culdocentesis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>Call-Exner bodies are seen in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Granulosa cell tumor</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Yolk Sac tumor</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>A lady with CA ovary with follow up with
raised CA 125 level, NEXT STEP:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>CT</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>PET</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>MRI</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Clinical
exam and serial follow up of CA 125</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>Blood in urine in a patient in labour.</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Impending scar rupture</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Urethral injury</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">9.<span> </span>Androgen insensitivity syndrome true is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Phemotype may be completely female</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Predominantly ovarian component in gonads</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Always in female</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Testes
formed abnormally and receptors are normal</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">10.<span> </span>10 year old girt with primary amenorrhoea,
absent breasts, malformed uterus. The most likely diagnosis:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>MRKH syndrone</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Turner’s</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Swyer sydrome</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Mixedgonadal
dysgenesis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">11.<span> </span>Regarding Alpha Fetoprotein true statement
is:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Major source of fetal life is yolk sac</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Commonly elevated in Wilm’s tumor</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Max levels at 20th week</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Half-life
5-7 days</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">12.<span> </span>Diabetes in pregnancy all except:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Glucose challenge test is done between 24-28 week</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>50 gm of sugar given after post-meal as screening test</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Insulin resistance improves with pregnancy</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Diabetes
control before conception is imp to prevent malformatuion</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">13.<span> </span>Maker for granulosa cell tumor:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>CA 19-9</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>CA 50</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Inhibin</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">14.<span> </span>A 35 year old female, with post coital
bleeding, next step:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Clinical examination and pap smear</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Visual inspection with acetowhite</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Visual inspection with lugol’s iodine</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">15.<span> </span>Clue cells are seen in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Bacterial vaginosis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Candidiasis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Trichomoniasis</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Gonorrhoea</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">ORTHOPAEDIC</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Not seen in OSTEOPETROSIS:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Pancytopenia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Delayed healing of factures</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Compression of cranial nerve</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Osteomyelitis
of mandible</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Best prognosis after nerve repair:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Radial</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Median</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Sciatic</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Common
nerve</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Marerial used in vertebroplasty?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Polymethyl methacrylate</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Isomethyl methacrylate</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Isoethyl methacrylayte</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">RADIOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Gold standard test for diagnosis of
acoustic meuroma:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>CT with contrast</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>MRI with contrast</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>CT without contrast</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Angiography</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Loss of cardiac silhoutee is seen in
pathology o:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Rt. middle lobe</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Rt. lower lobe</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Rt. atria</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Rt.
ventricle</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Snowman’s appearance is seen in which
cardiac pathology?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Fallot’s tetralogy</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Corrected TGA</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>TAPVC</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Egg on side appearance is seen in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Ebstein anomaly</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Uncorrected TGA</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Tricuspid atresia</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Tetralogy
of fallot</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">5.<span> </span>The most chemoresistant tumor amongst the
following:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Synovial sarcoma</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Malignant fibrous histicoytoma</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Osteosarcoma</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Clear
cell sarcoma</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">6.<span> </span>Which of this is not a sign of increased ICT?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Copper beaten appearance</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Erosion of dorsum sella</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Ballooning of sella</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Sutural
diastasis</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">7.<span> </span>Hair on end appearance is seen in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Thalassemia</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Scurvy</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Rickets</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. A</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">8.<span> </span>PACS in medical imaging stands for:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Portal archiving common system</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Planning archiving communication scheme</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Picture archiving communication system</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Photo
archiving computerised system</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">PSYCHIATRY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Atypical antipsychotic all except?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Olanzepine</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Clozapine</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Risperidone</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Thioridazone</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. D</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>A 25 year old female patient history of 6
months, loss of cone., convulsions, abnormal movements, forgetfulness, 4 attack
during day, 2 attack at night, CT normal:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Epilepsy</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Dissociative disorder</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Somatoform disorder</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Somatization
disorder</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. C</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>A girl spend her time alone seeing her own
hand, do not interact with others, what is the siagnosis?</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>ADHD</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Autism</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Depression</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">4.<span> </span>Increased suicidal tendency is associated
with:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Noradrenaline</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Serotonin</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Dopamine</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>GABA</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">DERMATOLOGY</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">1.<span> </span>Auspitz sign is seen in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Pustular psoriasis</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Plaque type psoriasis</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Lichen planus</div>
<div class="ABCD" style="text-align: justify;">
<b>D.<span> </span></b>Pityriasis
rubra pilaris</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">2.<span> </span>Keratoderma blenorrhagicum is seen in:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Lichen planus</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Reiter’s syndrome</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Pityriasis rubra pilaris</div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">Ans. B</span></div>
<div class="Ques" style="text-align: justify;">
<span style="color: windowtext;">3.<span> </span>Most common cause of plant induced
dematitis in India:</span></div>
<div class="ABCD" style="text-align: justify;">
<b>A.</b><span> </span>Poison ivy</div>
<div class="ABCD" style="text-align: justify;">
<b>B.</b><span> </span>Partenium</div>
<div class="ABCD" style="text-align: justify;">
<b>C.</b><span> </span>Ragweed</div>
<div class="MsoNormal">
Ans. <b>B</b></div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-78285409619199657502012-01-07T19:25:00.001-08:002012-01-07T19:25:56.281-08:00AIIMS NOV 2008<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">Anatomy</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">1.<span> </span>Terminal group of Colic lymph nodes</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Epicolic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pre
aortic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Paracolic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intermediate</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">2.<span> </span>Boundaries of triangle of DOOM are all
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ductus
deferens</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Testicular
vessels</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cooper’s
ligament</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Reflected
fold of peritoneum</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">3.<span> </span>Blood supply of sternocleidomastoid muscle
are all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Superior
thyroid artery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thyrocervical
trunk</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Occipital
artery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Posterior
auricular artery</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">4.<span> </span>Buccinator muscle is pierced by all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Parotid
duct</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Buccal
branch of facial nerve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Buccal
branch of mandibular nerve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Molar
mucosal glands of buccopharyngeal fascia</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">5.<span> </span>Boundaries of triangle of auscultation all
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Scapula</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lattissimus
dorsi</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Serratus
anterior</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Trapezius</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">6.<span> </span>Axillary sheath is derived from</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pre-vertebral
fascia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Clavipectoral
fascia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Axillary
fascia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pectoral
fascia</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">7.<span> </span>Thrombosis of subclavian artery at the
outer border of first rib, flow in axillary artery is maintained by all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Subscapular
artery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Superior
thoracic artery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Suprascapular
artery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Transverse
cervical artery</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">8.<span> </span>Derivates of alar plate are all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inferior
olivary nucleus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hypoglossal
nucleus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dentate
nucleus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Substantia
nigra</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">9.<span> </span>Spleen projects into</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Greater
sac</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Left
paracolic gutter</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Left
subhepatic space</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Infra
colic gutter</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">PHYSIOLOGY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">10.<span> </span>Introns are present in all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Z
DNA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>B
DNA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mitochondrial
DNA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Nuclear
DNA</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">11.<span> </span>Mineralocorticoid receptor is present in
all/Except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Liver</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Colon</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hippocampus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Kidney</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">12.<span> </span>Stimulation of vagus leads to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
heart rate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increase
in RR interval</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increase
in EF</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
cardiac output</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">13.<span> </span>Mammalian circadian rhythm is maintained by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Supra
optic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Suprachiasmatic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Para
ventricular</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Median
eminence</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">14.<span> </span>ICT is primarily maintained by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CSF
absorption rate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cerebral
blood flow</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CSF
production</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Choroidal
blood pressure</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">15.<span> </span>Gene coding for transport of folic acid is
present in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chromosome
5</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>10</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>21</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>X</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">16.<span> </span>Presynaptic inhibition</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Reduction
of neurotransmiter release from the pre synaptic nerve ending</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Block
of conduction of AP in the presynaptic neuron</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Depoalarises
the presynaptic membrane of afferent neuron</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>First
order afferent neuron</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">17.<span> </span>Weber fechner law is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intensity
of stimulus is proportional to strength of stimulus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Stimulation
is equal to the magnitude</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intensity
is related to the number of receptors stimulated</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intensity
of stimulus is proportionalto magnitude of sensation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">18.<span> </span>Mean circulatory filling pressure is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Difference
between systemic arterial pressure and pulmonary artery pressure</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
is pressure everywhere in the circulation when heart is suddenly stopped</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pressure
in the atrium during the filling</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Signifies
the pulmonary and aortic pressure</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">19.<span> </span>Post prandial maximal contractility is in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ascending
colon</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Descending
colon</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Transverse
colon</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sigmoid
colon</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">20.<span> </span>All are secondary messengers except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Guanyl
cylase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inositol
tri phosphate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cyclic
GMP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>DAG</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">21.<span> </span>Firefly produces intesnse photolumonsity due
to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ATP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>GTP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>NADH</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phospho
creatinine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">22.<span> </span>In kidney</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Clearance
is greater than GFR, Only if secreted into tubular fluid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>If
a substance is secreted into the tubules then the Glomerular Filtration Rate
must be more than the clearance</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Descending
loop of henle is freely permeable to electrolytes only</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>The
fluid entering the descending loop of hene is siginifantly hypotonic to plasma</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">23.<span> </span>All are present in medulla except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Collecting
duct</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>JG
apparatus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vasa
recta</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Loop
of henle</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">24.<span> </span>For severe bullous emphysema, total lung
volumes are measured by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Helium
dilution technique</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Transdiaphragmatic
pressure</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Body
plethysmography</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Diffusion
capacity of CO</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">25.<span> </span>Hybridoma technique false is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ab
producing cells are fused with immortalized plasma cell.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HGPRT
& Thymidine kinase is required for Denovo pathwaw & salvage pathway</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aminopterine
a folate analogue inhibite denovo synthesis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Myeloma
cells proliferate abundantly in HAT medium</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">26.<span> </span>Not present in cerebellar cortex</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Purkinje
cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Golgi
cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bipolar
cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Granular
cells</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">27.<span> </span>Persussis toxin does not lead to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ADA
ribosylation of Gi alpha subunit</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Blocks
adenlyl cyclase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
calcium release from sarcoplasm reticulum</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Persistent
activation of Gs alpha subunit</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">BIOCHEMISTRY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">28.<span> </span>Vit K causes carboxylation of</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glutamic
acid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aspartic
acid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Histidine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Histamine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">29.<span> </span>Cofactor for carboxylation reaction</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Biotin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thiamine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Niacin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Coenzyme
A</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">30.<span> </span>Enzyme activity present in Ribosomes is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aminoacyl
t-RNA Synthetase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Peptidyl
Transferase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Peptidase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>GTP
ASE</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">31.<span> </span>TPP deficiency cause energy production defect
by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Alpha
Ketogutarate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pyruvate
Dehydrogenase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Transketolase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Acetyl
Co-A Carboxylase</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">32.<span> </span>In muscle, phosphorylase b is kept in inactivated
state by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>cAMP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ATP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Calcium</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glucose</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">33.<span> </span>Non functional plasma enzymes are all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ALP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prostatic
acid phosphatise</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lipoprotein
lipase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hormone
sensitive lipase</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">34.<span> </span>For absorption at 280 nm, alanine is replaced
by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tryptophan</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Histidine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lysine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Proline</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">35.<span> </span>Regarding glutathione all are true except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Haemoglobin
to meth haemoglobin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Scavenging
free radicals</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Acts
as a co factor for some enzyme</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sulfur
content helps in detoxification</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">36.<span> </span>Refsum disease cause by defect in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thiophorase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phytanic
acid hydroxylase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Acyl
CoA dehydrogenase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CPT-1</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">37.<span> </span>Regarding Isotype deteminants of Ig true is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>The
changes in the hypervariable domain of both light & heavy chain.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>The
changes in the constant domain of both heavy chain.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>To
differentiate the subclass Ig</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Changes
in antigen binding sites of the variable region</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">38.<span> </span>Which of the following differentiates
secretory Ig from membranous Ig</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>RNA
processing</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>One
turn/two turn joining rule</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Allelic
exclusion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Class
switching</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">39.<span> </span>Intrinsic enzyme activity of GTP has
following properties</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>GTP
dependent kinase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Converts
GTP to GDP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>GTPase
activity</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>GTP
donates gamma Phosphate to serine residues of intracellular proteins.</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">40.<span> </span>All of the following Detoxification Reactions
occur in Phase I Xenobiotics except:</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Reduction</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Oxidation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hydrolysis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Conjugation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">41.<span> </span>Biomolecules are measured by all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Xray
crystallography</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>NMR
Spectrometry</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HPLC</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mass
spectrometry</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">pathology</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">42.<span> </span>BRCA 1 gene is located in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chr
17</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chr
13</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chr
22</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chr
11</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">43.<span> </span>MCH Locus is present in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chr
5</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chr
6</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chr
1</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chr
10</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">44.<span> </span>Hypersensitive vasculitis involves</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Arterioles</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Post
capillary venules</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Capillaries</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Medium
sized arteries</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">45.<span> </span>Metastasis is due to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Angiogenesis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Down
regulation of tyrosine kinase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tumerogenesis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Apoptosis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">46.<span> </span>Virchow’s triad includes all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hypercoagulable
state</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thrombosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vein
injury</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Stasis
in veins</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">47.<span> </span>Interlinking of antibody dependent and
antibody independent complement pathway is by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>C8</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>C3</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>C5</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>C1q</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">48.<span> </span>Oxidative respirative burst is caused by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Peroxidise</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Oxidase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>SOD</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Catalase</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">49.<span> </span>Most potent stimulus for naive T cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Macrophages</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>B
cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Follicular
dendritic cells</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mature
dendritic cells</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">50.<span> </span>Which of the following antibodies involved in
myositis?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anti
scl70</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anti
jo1</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anti
ku</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anti
sm</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">51.<span> </span>NBT test is done for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>B
cell</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>T
cell</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phagocytosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Complements</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">MICROBIOLOGY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">52.<span> </span>30 years female from Shimla withfever,
hypotension, lymphadenopathy, glucose broth shows stalactile growth, what is the
cause</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Yersinia
pestis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Franscisella
tularensis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Brucella
abortus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Coxiella
burnetti</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">53.<span> </span>Bacteriophages which is true</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Toxicity
transfer</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Transformation
of bacteria</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Only
transfers Chromosomal DNA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
is a bacteria infects virus</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">54.<span> </span>Plasmodium falciparum is diagnosed by all
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HRP
1</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>LDH</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Immuno
chromato graphy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aldolase</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">55.<span> </span>All are RNA viruses except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ebola</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Rabies</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Simian
virus 40</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vesicular
stomatitis virus</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">56.<span> </span>Farmer with forearm lymphocutaneous swelling
diagnosis is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Trichophyton</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sporothrix
schenkii</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cladosporium
botunea</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Philophora</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">57.<span> </span>Pseudomonas organism caued infection in
intravascular devices</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ps.
aeruginosa</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ps.
capasia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ps.
putida</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ps.
Multocida</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">58.<span> </span>Regarding Polysaccharide Antigen which is
true</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Less
immunogenic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Memory
function</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>T
Cell independent</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Polyclonal
B cell activation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">PHARMACOLOGY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">59.<span> </span>In a patient with renal failure which of the
following cephalosporin can be given</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cefuroxine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cefoperazone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cefepine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cefoxitin</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">60.<span> </span>10 years old female treated for upper
respiratory tract infection with cofactor for 10 days following with the
developed fever, lymphadenopathy, rashes, what is the propable cause</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Type
iii hypersensitivity reaction</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Infectious
mononucleosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Kawasaki
disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inadequately
treated upper respiratory tract infection</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">61.<span> </span>Digoxin toxicity increased by all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Renal
failure</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperkalaemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hypomagnesemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hypercalcemia</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">62.<span> </span>To which class does ifosfamide belong to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Camptothecans</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Alkylating
agent</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Antimetabolite</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Antibiotic</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">63.<span> </span>All of the following are alkylating agents
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>5
FU</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Melphalan</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cyclophosphamide</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chlorambucil</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">64.<span> </span>Which of the following is not an
immunosuppressant</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cyclosporine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Azathiprine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Steroids</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cephalosporins</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">65.<span> </span>In cirrhosis patients, dose reduction is
needed for all the following drugs except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lorazepam</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Paracetamol</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metranidazole</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Therophylline</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">66.<span> </span>All the following drugs produce neuroleptic
malignant syndrome except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Domperidone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metaclopramide</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Haloperidol</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Amantadine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">67.<span> </span>In detrusor overactivity all the following
drugs are indicated except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Flavoxate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tolterodine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Solifenazine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Duloxetine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">68.<span> </span>Regarding acarbose all the following are true
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Decreases
both fasting and post prandial blood sugar</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inhibits
alpha glucosidase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Decreases
fibrinogen</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prevents
progression of impaired glucose tolerance to type II DM</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">69.<span> </span>Thalidomide is indicated in all the following
conditions except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HIV
neuropathy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HIV
oral ulcers</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ENL</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Behcet’s
disease</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">70.<span> </span>Regarding ACE inhibitors which of the
following in true</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ACE
converts angiotensiongen to AT I</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>T½
of enalapril is more than lisinopril</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
should be used only in decompensated left ventricular dysfunction</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pre
treatment stoppage of diuretics decreases first dose hypotension</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">71.<span> </span>In osteoporosis which of the following drug
causes both increased bone formation and decreased bone resorption</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ibandronate</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Calcitonin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Teriperatide</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Strontium
Renelete</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">72.<span> </span>Regarding herception which is true</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Injection
of herceptin Ag increases antibody response</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Her-2/neu
is positive in most of the breast cancers so it can be used as a good target</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Development
of mouse Ab</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
is used in patient with metastatic breast Ca.</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">73.<span> </span>Vasopressor of choice in obstetrics patients</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ephedrine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phenylephrine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Methoxamine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mephentermine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">74.<span> </span>Which of the following anticancer is excreted
by lung</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Doxorubicin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cyclophosphamide</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cisplatin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>5FU</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">75.<span> </span>Recurrent histiocytosis is treated by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Fludarabine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cladrabine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>High
dose cytosine arabinoside</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>High
dose methotraxate</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">FORENSIC
MEDICINE</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">76.<span> </span>Pest control man, came with nausea, vomiting,
abdominal pain, transverse ridges on nails, caused by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Arsenic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mercury</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lead</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cadmium</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">77.<span> </span>Hydrocution is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Electrocution
in water</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cold
water drowing</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hot
water drowning</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Post
mortem submersion in water</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">78.<span> </span>Embalming fluid contains all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phenol</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ethanol</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Formalin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Glycerine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">79.<span> </span>Falanga is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sitting
in abnormal position</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hitting
the feet with stick</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Electric
current for torture</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pulling
of hair</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">80.<span> </span>Thanatology is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Study
of death</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Essence
of crime</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Traumatology</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Trichology</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">OPHTHALMOLOGY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">81.<span> </span>All of the following are true horner’s
syndrome except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ptosis
& miosis in ipsilateral eye</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Heterochromia
of the iris</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anhydrosis
of the ipsilateral face</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Apparent
exophthalmos</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">82.<span> </span>Left abducens nerve palsy true is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Left
side adduction weakness</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Diplopia
on left gaze</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ptosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Accomodation
paralysis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">83.<span> </span>Refractory index is maximum for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cornea</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anterior
surface of lens</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Posterior
of surface of lens</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Centroid
of lens</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">84.<span> </span>Inclusion conjunctivitis is caused by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chlamydia
trachomatis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chlamydia
psittaci</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gornorrhoea</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Herpes</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">ENT</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">85.<span> </span>Nasolabial cyst true except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Usually
bilateral</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Arises
from odontogenic epithelium</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Present
in submucosal anterior nasal floor</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Usually
adult onset</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">86.<span> </span>Spontaneous CSF leak is not associated with</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Partial
or total empty sella syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pseudo
tumor cerebri</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
ICP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Low
risk in encephalocele</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">87.<span> </span>Sustained release Micro Catheter (Micro Wick)
is indicated in which of the following conditions</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Delivery
of drug to round window</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Frey’s
syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Drooling
of saliva</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Epistaxis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">MEDICINE</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">88.<span> </span>Which will not improve with dialysis in
uremic patients</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pericarditis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Peripheral
neuropathy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Seizures</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metabolic
acidosis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">89.<span> </span>Progressive multifocal leuckoencephalopathy
is associated with all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Indolent
course for many years</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Deep
white matter demyelination</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Brain
biopsy diagnostic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Usually
presents with visual defects and speech problems</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">90.<span> </span>PRIONS</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Protect
disulfide bonds from oxidation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Catalyses
abnormal protein folding</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
is virus encoded</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cleaves
normal proteins</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">91.<span> </span>All the following diseases are caused by
protein folding defects except?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Amyloidosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prion
diseases</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Multiple
sclerosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CJD</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">92.<span> </span>TNF antagonists are used in all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>SLE</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Psoriasis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Seronegative
spondyloarthritis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Behcet’s
syndrome</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">93.<span> </span>All are minor criteria in multiple myeloma
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Plasma
cell count 20% in bone marrow</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>M
spike IgG at 3 g/dl, IgA at 1.5 g/dl</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Plasmacytoma
on biopsy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Multiple
lytic lesions</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">94.<span> </span>In congestive heart Failure all are major
framingham critera except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cardiomegaly</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hepatomegaly</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>S3
gallop</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Paroxysmal
nocturnal dyspnoea</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">95.<span> </span>54 year old smoker presents with history of
fever, hemoptysis, oligoarthritis and weight loss for 6 months. Serial X rays
showed fleeting opacities. What is the diagnosis?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Carcinoma
lung</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Wegener’s
granulomatosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>TB</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>ABPA</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">96.<span> </span>Regarding TTP all are true except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyaline
fibrin thrombi</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Low
complement levels</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Minimal
activation of coagulation system</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Coombs
negative hemolytic anemia</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">97.<span> </span>A 16 year old girl on exposure to light first
complaints of pallor, then cyanosis, later presents with erythema of fingers.
What is the expected clinical suspicion?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Systemic
juvenile RA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>SLE</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Scleroderma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>PAN</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">98.<span> </span>According to ARC modified criteria of 1987,
which joint is not included in RA?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ankle</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metatarsophalangeal</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tarso
metatarsal</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Elbow</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">99.<span> </span>Mucocutaneous lesions of Reiter’s syndrome
includes all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Oral
ulcers</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Circinate
balanitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Subcutaneous
nodules</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Keratoderma
blenorrhagica</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">100.<span> </span>A lady of 29 years comes with progressive
breathlessness since 4 months. General physical and clinical examination was
insignificant. Investigations revealed FVC 90%, FEV1/FVC 92, DLCO 56% and
oxygen saturation after exercise reduced from 92% to 86%. What is the
diagnosis?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anxiety</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Primary
alveolar hypoventilation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Primary
pulmonary hypertension</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Interstitial
lung disease</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">101.<span> </span>Most common cause of mononeuritis multiplex in
India is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>RA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hansen’s</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>PAN</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>SLE</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">102.<span> </span>Vasodilation in spider naevi is due to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hepato
toxins</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Estrogen</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tetosterone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aldosterone</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">103.<span> </span>Microangiopathic haemolytic anemia is seen in
all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metal
valves in heart</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>TTP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Microscopic
polyangiitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Antiphospholipid
antibody syndrome</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">104.<span> </span>All of the following indicate replication phase
in chronic hepatitis B patient except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HBV
DNA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HBV
DNA polymarase</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anti
HbC antibody</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Elevated
Liver enzymes</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">105.<span> </span>A middle aged female presents with
polyarthritis with elevated rheumatoid factor and ANA levels, which among the
following will help you to differentiate RHEUMATOID ARTHRITIS from SLE?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Soft
tissue swelling at the proximal inter phalangeal join</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Juxta
articular osteoporosis on x ray</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Articular
erosions on X ray</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Elevated
ESR</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">106.<span> </span>A girl comes with pain abdomen. She was treated
with sulpha drugs for recent infection following which she developed fever,
rash. She developed hypertension and seizures. The diagnosis is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Acute
intermittent porphyria</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Adenosine
deaminase deficiency</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Congenital
erythropoeitic porphyria</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HGPRTase
deficiency</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">107.<span> </span>A 24 years old young patient presenting with
arthritis, urethritis and conjunctivitis, positive for HLA B 27. Which of the
following is the causative organism?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ureaplasma
Urealyticum</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Trichomonas
Vaginalis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mycoplasma
Hominis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Group
A B hemolytic streptococci</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">108.<span> </span>Dengue - most sensitive diagnostic test is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IgM
ELISA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Tissue
culture</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CFT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Electron
microscopy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">109.<span> </span>Acrodermatitis enteropathica true all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Due
to decreased zinc levels</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Produces
diarrhea, dementia, dermatitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Zinc
can be given for treatment</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
has autosomal recessive inheritance</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">110.<span> </span>GERD gold standard test for diagnosis is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>24
hour pH monitoring</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Manometry</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mucosal
biopsy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Esophagoscopy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">111.<span> </span>Which of the following pair is incorrect</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Selenium
deficiency causes cardiomyopathy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Zinc
deficiency causes pulmonary fibrosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
calcium intake cause iron deficiency</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vit
A deficiency occurs after 6 months to 1 year of low vit A diet</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">SURGERY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">112.<span> </span>Hunterian ligature is used for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Aneurysm</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>AV
malformation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Varicose
veins</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dissection</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">113.<span> </span>Most common site of peripheral aneurysm</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Femoral</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Popliteal</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Carotid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Iliac</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">114.<span> </span>In deep posterior compartmental syndrome pain
is produced on</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Toe
flexion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Toe
extension</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Foot
dorsiflexion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Foot
inversion</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">115.<span> </span>Most common cause of Mesenteric Ischemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Arterial
embolism</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Venous
thrombosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Non
occlusive mesenteric ischemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Arterial
thrombosis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">116.<span> </span>In a multiple injuries patient developed fever,
tachycardia, tachypnea, rash around umbilicus on 2nd day, what is the cause</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Fat
embolism</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pulmonary
embolism</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Meningitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Drug
hypersensitivity</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">117.<span> </span>Left Breast ca with left supra-clavicular lymph
node what is the stage</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IIIb</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IV</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IIIc</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IIb</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">118.<span> </span>Glomus tummor most common site is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Finger</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Adrenal</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Liver</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pituitary</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">119.<span> </span>Medullary Ca of thyroid treatment is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Surgery
only</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Surgery
+ RAI</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CT
+ RT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Radiotherapy
alone</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">120.<span> </span>Cholangiocarcinoma common site is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hilum</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intrahepatic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Distal
bile duct</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Multifocal</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">121.<span> </span>24 years female came with right hypochondrial
pain, cholecystectomy done, HPE shows stage IA carcinoma, next line of
management</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Follow
up</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Radical
cholecystectomy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CT
+ RT</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">122.<span> </span>Surgery done is morbid obesity are all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sleeve
gastrectomy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gastric
byepass</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Biliary
and pancreatic diversion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ileal
transposition</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">123.<span> </span>Curling’s ulcer in burns present at</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Esophagus</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Stomach</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Colon</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Duodenum</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">124.<span> </span>Gleason’s score all are true except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Staging
from 1-10</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Higher
the stage poor prognosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Used
for grading the disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Used
for treatment purpose</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">125.<span> </span>Complication of parenteral nutrition are all
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Essential
fatty acid deficiency</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metabolic
bone disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyper-phosphatemia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cardiopulmonary
failure</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">126.<span> </span>Post neck dissection shoulder syndrome all are
present except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Shoulder
pain</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Normal
electromyography</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Limitation
of movement</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Shoulder
drop</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">127.<span> </span>25 years female nipple discharge duct ectasia
with normal mammogram treatment is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Microdochotomy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Radical
duct dissection</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Simpel
mastectomy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Central
quadrentectomy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">128.<span> </span>Trendelberg’s sign is seen injury of</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Superior
gluteal Nerve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Inferior
Gluteal Nerve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Obturator
Nerve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Femoral
Nerve</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">ORTHOPAEDICS</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">129.<span> </span>Nikoladni’s sign other name is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Murray’s</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Branham’s
sign</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Darrier’s
sign</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Frey’s
sign</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">130.<span> </span>Velpeau sling Y swathe bandages are used for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Acromio-clavicular
joint dislocation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Scapular
fracture</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Clavile
fracture</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Shoulder
dislocation</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">131.<span> </span>Risser’s brace is used for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thoracolumbar
scoliosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lumbar
scoliosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Kyphosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Spondylolosthesis
grade III</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">132.<span> </span>Insertive Achilles tendinitis is caused by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chronic
repetitive stress</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Wearing
ill fit shoes</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Common
in jumpers</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Due
to steroid treatment</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">133.<span> </span>Watson & Jones surgery is done for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Neglected
CTEV</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Paralytic
deformity</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Valgus
foot</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Peroneal
tendons</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">OBSTETRICS
AND GYNAECOLOGY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">134.<span> </span>Tubal motility is lost in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Kartagener’s
syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Turner’s
syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Noonan’s
syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Down’s
syndrome</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">135.<span> </span>Ovarian reserve is best indicated by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>FSH</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>LH</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>LH/FSH
ratio</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Estradiol</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">136.<span> </span>PCOS all are true except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
DHEAS</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
LH secretion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
LH/FSH ratio</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Marked
hyperprolactinemia</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">137.<span> </span>Para 3 withobstructed labour, patient is
dehydrated, with tachycardia and fetal demise. What will you do?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Craniotomy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Decepitation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>C.S.</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Wait
and watch</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">138.<span> </span>Patient with h/o infertility treatment with 6
weeks amenorrhea, serum beta HCG 1000 IU, no gastational sac is visible on
ultrasound. What is the next in management?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Expectant
management</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Medical
management</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Repeat
beta HCG after 48 hours</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Repeat
beta HCG after 7 days</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">139.<span> </span>25 year old nulliparous female has undergone
laparoscopic ovarian cystectomy. HPE shows serous cystadenocarcinoma, what is
the next step in management?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Regular
CA 125 and follow up</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Staging
salpingo oophorectomy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>TAH
with BSO</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chemotherapy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">140.<span> </span>CLUE CELLS are present in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Trichomonas
vaginalis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bacterial
vaginosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Candida</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gonorrhoea</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">141.<span> </span>Primi with 37 weeks of amenorrhoea, mild
uterine contractions, cervix 1 cm even after 10 hours, uneffeced cervix. What
is the next step?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sedation
and watch</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Syntocinon
infusion</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Amniotomy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Caesarian
Section</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">142.<span> </span>45 year old female with DUB, endometrial
thickness 8mm on USG, next step is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hysterectomy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Endometrial
HPE</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Progesterone
therapy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Estrogen
therapy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">143.<span> </span>Shoulder dystocia, which procedure is
contraindicated</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>McRober’s
procedure</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Fundal
pressure</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Suprapubic
pressure</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Wood’s
maneuver</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">144.<span> </span>FIGO staging of Ca Cervix does not include</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IVP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CECT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cystoscopy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Proctosigmoidoscopy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">145.<span> </span>Suden hyperflexion of thigh over abdomen
(McRober’s Procedure), which of the following nerves is commonly involved</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Common
peroneal nerve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Obturator
nerve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lumbosacral
trunk</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lateral
femoral cutaneous nerve of thigh</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">146.<span> </span>Contraceptive efficacy is measured by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Keta
thermometer</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pearl
index</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Chandler
index</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sullivan’s
index</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">147.<span> </span>Which of the following is most pathognomonic of
cholestasis of pregnancy?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Serum
bilirubin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Serum
bile acid</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Serum
ALP</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Liver
enzymes</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">PEDIATRICS</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">148.<span> </span>CHEOPS (Children’s Hospital Eastern Ontario
Pain Scale) – children pain assessment – all are criteria except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Touch</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cry</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Oxygen
saturation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Torso</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">149.<span> </span>ALL – the following are good prognostic factors
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>2-8
years old</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>t(9/22),
8/14</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Total
lymphocyte count <50,000</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hyperdiploidy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">150.<span> </span>Wiskott Aldrich syndrome is associated with all
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thrombocytopenia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Autosomal
recessive</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>No
platelet aggregation with agonists</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Recurrent
infections</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">151.<span> </span>A mother developed chicken pox rashes 3 days
before delivery which among the following is true</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Both
mother and baby not affected</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>At
risk of congenital varicella syndrome</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Child
is immune to varicella</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mother
has to receive intra partum viral treatment</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">152.<span> </span>3.5 kg term male baby, born on uncomplicated
pregnancy, developed respiratory distress at birth, not responded to
surfactant, ECHO finding revealed nothing abnormal, x-ray showed ground glass
appearance and culture negative. Apgars 4 and 5 at 1 and 5 minutes. History of
one month female sibling died before. What is the diagnosis?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>TAPVC</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Meconium
aspiration</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Neonatal
pulmonary alveolar proteinosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Diffuse
herpes simplex infection</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">153.<span> </span>A 7½ year old girl with non reductive cough,
mild stridor for 3 months duration, patient is improving but suddenly developed
wheeze, productive cough, mild fever and on x-ray hyperlucency and PFT shows
obstructive curve. The most probable diagnosis is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bronchiolitis
obliterans</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hemosiderosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Pulmonary
alveolar microlithiasis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Follicular
bronchitis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">154.<span> </span>Which of the following is true regarding BCG</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Diluents
used are normal saline and distilled water</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Spirit
can be used for swabbing injection site</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lymphadenopathy
is observed in 6 weeks</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>WHO
recommends Danish 1331 strain</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">155.<span> </span>A 2 year old boy came to emergency department
at 3 am with dyspnoea and fever. It was associated with barking cough and
stridor was present only on crying. But child was consolable and well hydrated
and was able to drink. Next management is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Nebulized
epinephrine (racemic)</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dexamethasone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Bloo
culture and blood examination</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Nasal
washings of RSV and influenza virus</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">156.<span> </span>A 7½ year old girl was not able to comb her
hair and climb upstairs with gower’s sign positivity. She also had palpable
rash on metacarpophalangeal joints. Next investigation should be,</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Creatine
kinase serum level</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Nerve
conduction studies</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
ESR level</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>RA
factor</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">157.<span> </span>Which is not true regarding vaccines</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thiomersal
is used as preservative in DPT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Magnesium
chloride is used as stabilizing agent in OPV</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Neomycin
is used in BCG</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Kanamycin
is used in measles vaccine</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">158.<span> </span>HIV transmission from mother to child can be
reduced by all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Zidovudine
to mother</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vitamine
A supplementation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vaginal
delivery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Avoid
breast feeding</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">159.<span> </span>False about Rubella is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>IgM
Ab in fetal blood</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ig
G antibody after 6 months can be diagnostic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Neonate
presents with cataract, deafness, congenital heart disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>More
dangerous if transmission occurs after 16 weeks</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">160.<span> </span>A child 10 years old present with
hyperactivity, in attention. Parents are extreely worried, what would you say
to the parents?</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Normal
behavior</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Behavioral
problem and behavior therapy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Serious
problem and medical therapy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">ANAESTHESIA</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">161.<span> </span>Nitogen narcosis is due to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>High
affinity to nitrogen</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Increased
nitric oxide production</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Interferes
with dismutase enzyme</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Reducing
free radical damage</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">162.<span> </span>NO is contraindicated in all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Laser
microlaryngeal surgery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vitreo
retinal surgery</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cochlear
implants</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Extration
surgery</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">163.<span> </span>Maximum absorption of local anaesthetic is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Caudal</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Epidural</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Brachial
plexus block</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intercostal
block</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">RADIOLOGY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">164.<span> </span>Early diagnosis by USG is done for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Anencephaly</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Encephalocele</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cystic
hygroma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Spina
bifida</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">165.<span> </span>Central dot sign is seen in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>PSC</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CAROLI’s
diseases</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Polycystic
liver disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Biliary
hamartoma</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">166.<span> </span>USG shows thickened gall bladder mucosa and
comet tail artefact what is the diagnosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Xanthogranulomatous
cholecystitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Adenomatous
polyp</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Adenomyomatosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gall
bladder cancer</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">167.<span> </span>Re garding CT scan all are true except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Decrease
in milliamperes in tube decreases dose significantly in paediatric ct chest</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Automated
control of mA current passage will help reduce radiation exposure</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>50%
decrease in KVP reduces 50% radiation dose</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">168.<span> </span>Permanent folds are the except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gastric
rugae</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Spiral
valve</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Plica
cirularis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Transverse
rectal fold</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">169.<span> </span>24 years male, CT shows necrotic mass in left
hilum of kidney with heterogenous contrast enhancement what is the diagnosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Malignant
melanoma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metastatic
transitional ca</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Metastatic
germ cell tumor</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Lymphoma</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">170.<span> </span>Female 25 years, with abducens palsy, seizures
with Cavernous sinus mass hyperlucency on T2W image and slow gradual filling on
CECT, what is the diagnosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Meningioma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cavernous
hemangioma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Astrocytoma</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Schwannoma</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B,A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">171.<span> </span>Investigation of choice for recurrent GIST</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>PET</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CECT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>MRI</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>MIBG</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">172.<span> </span>A 24 years. Man had stab injury involving his
right flank, he was stable haemodynamically; most appropriate next step</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CECT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>DPL</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Exploratory
Coeliotomy</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Coeliac
angiography</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">DERMATOLOGY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">173.<span> </span>Female with central forehead circular
hypopigmentation causes</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Hydroquinone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Isobenzyol
form of hydro quinone</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Para
tertiary catechol</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Paratertiary
phenol</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">174.<span> </span>Congenital epidermolysis bullosa is caused by
mutation in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Laminin
V</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Collagen
VII</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Keratin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>PLET
antigen</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">175.<span> </span>2 month old girl with linear verrucous plaque
in the trunk. On histological examination vacuolar degeneration of
keratinocytes in granular and spinosal layer. Probable diagnosis is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Linear
Darier’s disease</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Incontienta
pigmenti</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Linear
hyperkeratotic</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Linear
verrucous epidermal nevus</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">PSYCHOLOGY</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">176.<span> </span>Cognitive model of depression is given by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Beck’s</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Ellis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Goldfried</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Meicheinbanon</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">177.<span> </span>Features of type II schizophrenia [T.J.CROWE]
are all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Abnormal
CT findings</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Disorganization</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Poor
response to treatment</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>More
of Negative symptoms</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">178.<span> </span>Most recent biomarker for ECT is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CSF
dopamine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>CSF
HIAA</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Brain
derived growth factor</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Thyroid
hormone</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Sec">
<span style="color: windowtext; font-family: "Arial","sans-serif";">SPM</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">179.<span> </span>SAFE strategy does not include</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sanitation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Oral
azithromycin</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vitamin
A supplementation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Face
washing</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">180.<span> </span>Kaplan meier Method is for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Survival</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Incidence</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prevalence</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Frequency</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">181.<span> </span>All of the following are anti larval measures
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Intermittent
irrigation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Paris
green</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Gambusia</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>DDT</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">182.<span> </span>Which one of the following is not true about
DDT</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>It
is a contact poison</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Causes
immediate death</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Residual
action remains for 18 months</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Has
synergistic action with pyrethrum</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">183.<span> </span>Fish contains all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Iron</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Vitamin
A</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Iodine</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phosphorus</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">184.<span> </span>Cluster sampling – true is all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sampling
frame is necessary</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sample
size is equal to that of simple random sampling</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Clusters
are select from the clusters in the community</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sample
size may vary according to study design</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">185.<span> </span>Cover of syringe is discarded in</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Black</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Blue</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Yellow</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Red</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">186.<span> </span>All of the following are discarded by
incineration except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Animal
waste</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cytotoxic
drugs</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sharps</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Human
anatomical waste</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">187.<span> </span>Average Indian woman all are true except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Age
20-39 years</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Healthy
and Wt. 55 kg</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>8
hours for active work</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>2
hours for recreation, 2 hours for exercise, 2 hours of household work</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">188.<span> </span>In community false positivity of a test
increases with</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prevalence
is high</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prevalence
is low</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>High
specificity</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>High
sensitivity</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">189.<span> </span>NPU refers to</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Amount
of nitrogen retained to amount of nitrogen intake X 100</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Indicates
the quality of protein</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Amount
of Nitrogen absorbed to amount of nitrogen in food</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Amount
of total energy intake</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">190.<span> </span>All of the following about breast milk is true
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Maximum
secretion is at 12 months</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Calcium
absorption is better with mother’s milk when compared with cow’s milk</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mother’s
milk has high lactose</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Milk
is a reference protein</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">191.<span> </span>Incidence can be calculated by</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Case
control study</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Cross
section study</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prospective
study</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Retrospective
study</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (C)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">192.<span> </span>Cyclodevelopmental in vector</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Filaria</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Plague</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Malaria</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Japanese
encephalitis</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">193.<span> </span>National population policy all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>To
bring TFR to replacement level by 2015</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>To
bring IMR 30/1000 live births</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>To
bring MMR below 100/1,00,000 live births</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>100%
registration for birth death, marriage and pregnancy</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (A)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">194.<span> </span>RCT true are all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Baseline
characteristics are comparable</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Investigator
bias is eliminated by double blinding</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Sample
size depends on the type of study</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Dropouts
are excluded from study</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">195.<span> </span>Lepromin test is most important for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Diagnosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Prognosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Treatment</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Epidemiological
study</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">196.<span> </span>Typhoid fever – period of isolation</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>3
days after of starting Chloramphenicol</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Till
WIDAL is negative</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Till
fever subsides</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Til
3 consecutive samples of urine and stools are negative</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">197.<span> </span>According to “prevention of disabilities act of
1995”, the seventh illness which was added is</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mental
illness</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Neurological
illness</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Road
traffic accident</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Substance
abuse</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">198.<span> </span>Biosafety level 3 includes all of the following
except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>St.
Louis encephalitis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Coxiella
burnetti</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Mycobaterium
tuberculosis</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Human
influenza virus</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">199.<span> </span>Test for Pasteurized milk are all except</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Phosphatase
test</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Standard
plate count</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Coliform
count</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Methylene
blue reduction test</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (D)</span></div>
<div class="Ques">
<span style="font-family: "Arial","sans-serif";">200.<span> </span>Minimal incubation period is for</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">A.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Rubella</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">B.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>Influenza</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">C.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HBV</span></div>
<div class="ABCD">
<b><span style="font-family: "Arial","sans-serif";">D.</span></b><span style="font-family: "Arial","sans-serif";"><span> </span>HAV</span></div>
<div class="Ans">
<span style="font-family: "Arial","sans-serif";">Ans. (B)</span></div>
<div class="MsoNormal">
<br /></div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-50261598042984126342012-01-07T18:59:00.000-08:002012-01-07T18:59:49.181-08:00ALL INDIA 2001<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head" style="margin: 2pt 0in;">
<span style="font-size: 16pt;">ANATOMY</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 1.<span> </span>False statement regarding pudendal nerve
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Both sensory and motor</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Derived from S</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2,3,4</span><span style="font-size: 12pt;"><span> </span>spinal nerve roots</span><span style="font-size: 12pt; position: relative; top: 1.5pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Leaves pelvis through the
lesser sciatic foramen</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">It is the only somatic nerve
to innervate the pelvic organs</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 2.<span> </span>Wrong statement regarding the coronary
artery is:<span> </span></span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Left coronary artery is
present in anterior interventricular groove</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Usually 3 obtuse marginal
arteries arise from left coronary artery</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Posterior interventricular
artery arises from right coronary artery</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Left atrial artery is a
branch of left coronary artery</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 3.<span> </span>All are true statements regarding inguinal
canal <i>except</i>:<span> </span></span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Roof is formed by conjoint
tendon</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Deep inguinal ring is
formed by transversus abdominis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Superficial inguinal ring
is formed by external oblique muscle</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Internal oblique forms
anterior and posterior wall</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 4.<span> </span>Right gastroepiploic artery is a branch
of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Left gastric<span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Coeliac trunk</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Splenic</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Gastroduodenal</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 5.<span> </span>In fracture of middle cranial fossa,
absence of tears is due to lesion in the:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Trigeminal ganglion <span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ciliary ganglion</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Lesser petrosal nerve</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Greater petrosal nerve</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 6.<span> </span>Motor supply to diaphragm is by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Thoracodorsal nerve<span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Phrenic nerve</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Intercostal nerves</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sympathetic nerves</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 7.<span> </span>All of the following are supplied by
facial nerve <i>except</i>:<span> </span></span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Lacrimal gland</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Submandibular gland</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Nasal glands</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Parotid gland</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 8.<span> </span>In left coronary artery thrombosis, area
most likely to be involved is:<span> </span></span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Anterior wall of right
ventricle</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Anterior wall of left
ventricle</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Anterior wall of right
atrium</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Inferior surface of right
ventricle</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Physiology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 9.<span> </span>Tidal volume is calculated by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Inspiratory capacity minus
the inspiratory reserve volume</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Total lung capacity minus
the residual volume</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Functional residual
capacity minus residual volume</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Vital capacity minus
expiratory reserve volumes</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 10.<span> </span>Surfactant production in lungs starts at:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">28 weeks</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">32 weeks</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">34 weeks</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">36 weeks</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 11.<span> </span>Initiation of nerve impulse occurs at the
axon hillock because:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It has a lower threshold
than the rest of the axon</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It is unmyelinated</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Neurotransmitter release
occurs here</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 12.<span> </span>Albumin contributes the maximum to oncotic
pressure because it has:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">High molecular weight, low
concentration</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Low molecular weight, low
concentration</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">High molecular weight,
high concentration</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Low molecular weight, high
concentration</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<br /></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<br /></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 13.<span> </span>After 5 days of fasting a man undergoes oral
GTT, <i>true</i> is all <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">GH levels are increased</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increased glucose
tolerance</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Decreased insulin levels</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Glucagon levels are
increased</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 14.<span> </span>Metalloproteins help in jaundice by the
following mechanism:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Increased glucoronyl
transferase activity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Inhibit heme oxygenase</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Decrease RBC lysis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Increase Y and Z receptors</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 15.<span> </span>Which protein prevents contraction by
covering binding sites on actin and myosin:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Troponin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Calmodulin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Thymosin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tropomyosin</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 16.<span> </span>Which of the following is<i> not</i> correct
regarding capillaries:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Greatest cross sectional
area</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Contain 25% of blood</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Contains less blood than
veins</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Have single layer of cells
bounding the lumen</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 17.<span> </span>A 0.5 litre blood loss in 30 minutes will
lead to:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Increase in HR, decrease
in BP</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Slight increase in HR,
normal BP</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Decrease in HR and BP</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Prominent increase in HR</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 18.<span> </span>Single most important factor in control of
automatic contractility of heart is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Myocardial wall thickness</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Right atrial volume</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">SA node pacemaker
potential</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sympathetic stimulation</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 19.<span> </span>Which of the following is<i> not</i>
mediated through negative feedback mechanism:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 0.75in; text-indent: -0.25in;">
<b><span style="font-size: 12pt;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span style="font-size: 12pt;">TSH release</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 0.5in; text-indent: 0in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">GH
formation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 0.5in; text-indent: 0in;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Thrombin formation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 0.5in; text-indent: 0in;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">ACTH
release</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 20.<span> </span>Force generating proteins are:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Myosin and myoglobin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dynein and kinesin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Calmodulin and G protein</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Troponin</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 21.<span> </span>Which is <i>true</i> about measurement of BP
with sphygmomanometer versus intraarterial pressure measurements:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Less than intravascular
pressure</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">More than intravascular
pressure</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Equal to intravascular
pressure</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Depends upon blood flow</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 22.<span> </span>Secondary hyperparathyroidism due to vitamin
D deficiency shows:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 0.75in; text-indent: -0.25in;">
<b><span style="font-size: 12pt;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span style="font-size: 12pt;">Hypocalcemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 0.5in; text-indent: 0in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hypercalcemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hypophosphatemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hyperphosphatemia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 23.<span> </span>Maximum absorption of water takes place in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Proximal convoluted tubule</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Distal convoluted tubule</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Collecting duct</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Loop of Henle</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Biochemistry</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 24.<span> </span>Basic amino acids are:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Aspartate and glutamate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Serine and glycine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Lysine and arginine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 25.<span> </span>Amino acid with dissociation constant
closest to physiological pH is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Serine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Histidine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Threonine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Proline</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 26.<span> </span>Sources of the nitrogen in urea cycle are:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Aspartate and ammonia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">glutamate and ammonia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Arginine and ammonia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Uric acid</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 27.<span> </span>If urine sample darkens on standing: the
most likely condition is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Phenylketonuria</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Alkaptonuria</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Maple syrup disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tyrosinemia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 28.<span> </span>A baby presents with refusal to feed, skin
lesions, seizures, ketosis organic acids in urine with normal ammonia; likely
diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Propionic aciduria</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Multiple carboxylase
deficiency</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Maple syrup urine disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Urea cycle enzyme
deficiency</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 29.<span> </span>Force<i> not</i> acting in an enzyme
substrate complex:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Electrostatic</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Covalent</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Van der Wall</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hydrogen</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 30.<span> </span>Cellular oxidation is inhibited by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cyanide</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Carbon dioxide</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Chocolate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Carbonated beverages</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 31.<span> </span>Triple bonds are found between which base
pairs:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">A-T</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">C-G</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">A-G</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">C-T</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 32.<span> </span>Which of the following RNA has abnormal
purine bases:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">tRNA</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">mRNA</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">rRNA</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">16SRNA</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 33.<span> </span>False regarding gout is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Due to increased
metabolism of pyrimidines</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Due to increased
metabolism of purines</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Uric acid levels may not
be elevated</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Has a predilection for the
great toe</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 34.<span> </span>All of the following statements are <i>true</i>
regarding lipoproteins <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">VLDL transports endogenous
lipids</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">LDL transports lipids to
the tissues.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Increased blood
cholesterol is associated with increased LDL receptors</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Increased HDL is
associated with decreased risk of coronary disease</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 35.<span> </span>A destitute woman is admitted to the
hospital with altered sensorium and dehydration; urine analysis shows mild
proteinuria and no sugar; what other test would be desirable:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fouchet</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Rothera</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hays</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Benedict’s</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 36.<span> </span>Which of these fatty acids is found
exclusively in breast milk:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Linolaete</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Linolenic</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Palmitic</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">d-hexanoic</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 37.<span> </span>Blood is<i> not</i> a newtonian fluid
because:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Viscosity does not
changing with velocity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Viscosity changes with
velocity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Density does not change
with velocity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Density changes with
velocity</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Microbiology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 38.<span> </span>Regarding NK cells, false statement is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is activated by IL-2</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Expresses CD 3 receptor</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It is a variant of large
lymphocyte</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">There is antibody induced
proliferation of NK cells</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 39.<span> </span>Adenosine deaminase deficiency is seen in
the following:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Common variable
immunodeficiency.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Severe combined
immunodeficiency</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Chronic granulomatous
disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Nezelof syndrome</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 40.<span> </span>A beta hemolytic bacteria is resistant to
vancomycin, shows growth in 6.5% NaCI, is non-bile sensitive. It is likely to
be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Strep. agalactiae</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Strep. pneumoniae</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Enterococcus</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Strep. bovis</span></i><span style="font-size: 12pt;"></span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 41.<span> </span>False statement about the streptococcus is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.</span></b><span style="font-size: 12pt;"><span> </span>M protein is
responsible for production of mucoid colonies</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>M protein is the
major surface protein of group A streptococci</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Mucoid colonies
are virulent</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span>Endotoxin causes
rash of scarlet fever</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 42.<span> </span>Toxin involved in the streptococcal toxic
shock syndrome is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 0.75in; text-indent: -0.25in;">
<b><span style="font-size: 12pt;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span style="font-size: 12pt;">Pyrogenic toxin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 0.5in; text-indent: 0in;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Erythrogenic
toxin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hemolysin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Neurotoxin</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 43.<span> </span>A child presents with a white patch over the
tonsils; diagnosis is best made by culture in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Loeffler medium</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">LJ medium</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Blood agar</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tellurite medium</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 44.<span> </span>A patient with 14 days of fever is suspected
of having typhoid. What investigation should be done:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Blood culture</span><span> </span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Widal test</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Stool culture</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Urine culture</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 45.<span> </span>All are <i>true</i> about EHEC <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sereny test is positive</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Fails to ferment sorbitol</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Causes HUS</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Elaborates shiga like
exotoxin</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 46.<span> </span>An organism grown on agar shows green
coloured colonies, likely organism is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Staphylococcus</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">E. coli</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Pseudomonas</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Peptostreptococcus</span></i><span style="font-size: 12pt;"></span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 47.<span> </span>Congenital syphilis can be best diagnosed
by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">IgM FTAbs</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">IgG FTAbs</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">VDRL</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">TPI</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 48.<span> </span>All<span>
</span>are features of <i>Ureaplasma urealyticum except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Non gonococcal urethritis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Salpingitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Epididymitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bacterial vaginosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 49.<span> </span>Regarding HIV infection,<i> not</i> <i>true</i>
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">p24 is used for early
diagnosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lysis of infected CD 4
cells is seen</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Dendritic cells do not
support replication</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Macrophage is a reservoir
for the virus</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 50.<span> </span>A pregnant woman from Bihar presents with
hepatic encephalopathy. The likely diagnosis:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hepatitis E</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hepatitis B</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Sepsis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Acute fatty liver of
pregnancy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 51.<span> </span>Virus causing hemorrhagic cystitis, diarrhea
and conjunctivitis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">RSV</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Rhinovirus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Adenovirus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Rotavirus</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 52.<span> </span>Cystine lactose enzyme deficient (CLED)
medium is preferred over McConkey agar in UTI because:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Former prevents swarming of
proteus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Is a selective medium</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Prevents growth of
pseudomonas</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Promotes growth of candida</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 53.<span> </span>In which stage of filariasis are
microfilaria seen in peripheral blood:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Tropical eosinophilia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Early adenolymphangitis
stage</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Late adenolymphangitis
stage</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Elephantiasis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 54.<span> </span>Pancreatic CA is caused by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fasciola</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Clonorchis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Paragonimus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 55.<span> </span>All of the following are <i>true</i> <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">E.coli </span></i><span style="font-size: 12pt;">is an aerobe and facultative anaerobe</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Proteus </span></i><span style="font-size: 12pt;">forms uric acid stones</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">E. coli </span></i><span style="font-size: 12pt;">is motile by peritrichate flagella</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Proteus </span></i><span style="font-size: 12pt;">causes deamination of phenylalanine to phenylpyruvic
acid</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 56.<span> </span>Consumption of uncooked pork is likely to
cause which of the following helminthic disease:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Tinea saginata</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Tinea solium</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hydatid cyst</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Trichuris trichura</span></i><span style="font-size: 12pt;"></span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Pathology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 57.<span> </span>Enzyme that protects the brain from free
radical injury is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Myeloperoxidase</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Superoxide dismutase</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">MAO</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hydroxylase</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 58.<span> </span>Autoimmune haemolytic anemia is seen in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">ALL<b><span> </span>B.<span> </span></b>AML</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">CLL<b><span> </span>D.<span> </span></b>CML</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 59.<span> </span>All of following are correct about
thromboxane A2 <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Low dose aspirin inhibits
its synthesis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Causes vasoconstriction in
blood vessels</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Causes broncoconstriction</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Secreted by WBC</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 60.<span> </span>Which of the following complications is
likely to result after several units of blood have been transfused:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Metabolic alkalosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Metabolic acidosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Respiratory alkalosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Respiratory acidosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 61.<span> </span>The mother has sickle cell disease and
father is normal. Chances of children having sickle cell disease and sickle
cell trait respectively are:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">0 and 100%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">25 and 25%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">50 and 50%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">10 and 50%</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 62.<span> </span>Father has a blood group B, mother has AB;
children are<i> not</i> likely to have the following blood group:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.</span></b><span style="font-size: 12pt;"><span> </span>O</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">A</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">B</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">AB</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 63.<span> </span>Protein involved in intercellular
connections is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Connexin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Integrin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Adhesin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<br /></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Pharmacology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 64.<span> </span>All are reasons for reducing drug dosage in
elderly <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">They are lean and their
body mass is less</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Have decreasing renal
function with age</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Have increased baroceptor
sensitivity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Body water is decreased</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 65.<span> </span><i>True</i> statement regarding inverse
agonists is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Binds to receptor and
causes intended action</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Binds to receptor and
causes opposite action</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Binds to receptor and
causes no action</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Binds to receptor and
causes submaximal action</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 66.<span> </span><i>True</i> statement regarding first order
kinetics is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Independent of plasma
concentration</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">A constant proportion of
plasma concentration is eliminated</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">T½ increases with dose</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Clearance decreases with
dose</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 67.<span> </span>A diabetic female on INH and rifampicin for
TB suffers DVT. She is started on warfarin. PT is<i> not</i> raised. Next step
should be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Long term heparin therapy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Replace warfarin with
acecoumarin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Switch ethambutol for
rifampin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Use LMW heparin</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 68.<span> </span>Beta blocker that can be used in renal failure
is:<span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.</span></b><span style="font-size: 12pt;"><span> </span>Propranolol</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>Pindolol</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Sotalol</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span>Nadolol</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 69.<span> </span>All of the following are correct about
steroids <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Inhibit the release of
arachidonic acid from vessel wall through action of phospholipase A</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bind plasma membrane
receptors and following internalization influence nuclear changes</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Inhibit vascular membrane
permeability</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Increase glucose synthesis,
glycogen deposition in liver</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 70.<span> </span>All of the following statements are <i>true</i>
<i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">PGs and leukotrienes are
derived from arachidonic acid</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt; text-transform: uppercase;">Cox</span><span style="font-size: 12pt;"> I is an inducible enzyme</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt; text-transform: uppercase;">Cox
</span><span style="font-size: 12pt;">II is induced by cytokines at sites of
inflammation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Leukotrienes cause smooth
muscle constriction</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 71.<span> </span>Which of the following is a false statement:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.</span></b><span style="font-size: 12pt;"><span> </span>IV noradrenaline
increases systolic and diastolic BP and cause tachycardia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>IV adrenaline
increases systolic BP, no change or increase diastolic BP and causes
tachycardia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>IV isoproterenol
causes increase in systolic BP, decreases diastolic BP and causes tachycardia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span>Dopamine
improves renal function, increases cardiac output and systolic BP</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 72.<span> </span>Digoxin is<i> not</i> indicated in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Atrial flutter</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Atrial fibrillation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">High output failure</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">PSVT</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 73.<span> </span>All of the following statements are <i>true</i>
about theophylline <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Increase in dose is
required in cardiopulmonary disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increases cAMP</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Increase in dose is
required in smokers</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Inhibits phosphodiesterase</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 74.<span> </span>Mechanism of action of tetracycline is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Binds to A site and
inhibit attachment of t-RNA.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Inhibits peptidyl
transferase</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Causes misreading of mRNA</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Causes termination of
peptide chain elongation</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 75.<span> </span>False statement about selegeline is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is a MAO-A inhibitor</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Does not cause cheese
reaction</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Not useful in advanced
cases of on-off phenomenon</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">It is used in parkinsonism</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 76.<span> </span>A patient on phenytoin for treatment of
seizures develops depression for which he is prescribed tricyclics. He now
complains of lassitude and his Hb reads 8. Next step in managing this patient
should be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Chest X-ray</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">MCV should be estimated</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">GGT should be estimated</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bone marrow examination</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 77.<span> </span>Which of the following drugs would be
removed by dialysis?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Digoxin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Salicylates</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Benzodiazepines</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Organophosphates</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 78.<span> </span>In low doses aspirin acts on:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cyclooxygenase</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Thromboxane A</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">PGI</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lipoxygenase</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 79.<span> </span>True statement about ticlopidine is:<span> </span></span><i><span style="color: windowtext; font-size: 12pt; font-weight: normal;"></span></i></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.</span></b><span style="font-size: 12pt;"><span> </span>Directly
interacts with platelet membrane</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>Onset of action
is delayed</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Inhibits
platelet gp IIb/IIIa receptors</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span>Has fibrinolytic
activity</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 80.<span> </span>All of the following statements about
methotrexate are <i>true</i> <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Folinic acid enhances the
action of methotrexate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Methotrexate inhibit
dehydrofolate reductase</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Non proliferative cells
are resistant to metho- trexate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Methotrexate is used in
treatment of psoriasis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 81.<span> </span>Drug containing two sulfhydryl groups in a
molecule:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">BAL</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">EDTA</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pencillamine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Desferioxamine</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Forensic
Medicine</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 82.<span> </span>Gettler’s test is done for death by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Drowning<b><span> </span>B.<span> </span></b>Hanging</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bums<b><span> </span>D.<span> </span></b>Phophorus poisoning</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<br /></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 83.<span> </span>Feature indicative of antimortem drowning
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cutis anserina</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Rigor mortis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Washer woman’s feet</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Grass and weeds grasped in
the hand</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 84.<span> </span>A boy has 20 permanent teeth and 8 temporary
teeth. His age is likely to be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">9 years</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">10 years</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">11 years</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">12 years</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 85.<span> </span>A patient has sensation of bugs crawling all
over his body. This may be effect of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cocaine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Alcohol</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cannabis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Benzodiazepines</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 86.<span> </span>A person comes in contact with other. This
is called:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Locard principle</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Quetlet’s rule</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Petty’s principle</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 87.</span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"><span> </span></span><span style="color: windowtext; font-size: 12pt;">A patient of head injury, has no relatives and requires
urgent cranial decompression; Doctor should:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Operate without formal
consent</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Take police consent</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Wait for relatives to take
consent</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Take magistrate consent</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 88.<span> </span>A boy attempts suicide. He is brought to a
private doctor and he is successfully cured. Doctor should:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Inform police<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Not required to inform
police</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Report to magistrate<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Refer to a psychiatrist</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Preventive
and Social Medicine</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 89.<span> </span>All are <i>true</i> about DOTS <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Continuation phase drugs
are given in a multi- blister combipack</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Medication is to be taken
in presence of a health worker</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Alternate day treatment</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Improves compliance</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 90.<span> </span>Basanti a 29 years aged female from Bihar
presents with active tuberculosis. She delivers baby. All of the following are
indicated <i>except</i>: </span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Administer INH to the baby</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Withhold breastfeeding</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Give ATT to mother for 2
years</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ask mother to ensure
proper disposal of sputum</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 91.<span> </span>Under the national TB programme, for a PHC
to be called a PHC-R, requisite is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Microscopy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Microscopy plus radiology</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Radiology</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 92.<span> </span>A person has received complete immunization
against tetanus 10 years ago, now he presents with a clean wound without any
lacerations from an injury sustained 3 hours ago. He should now be given:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Full course of tetanus
toxoid</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Single dose of tetanus
toxoid</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Human tetanus globulin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Human tetanus globulin and
single dose of toxoid</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 93.<span> </span>The <i>false</i> statement regarding tetanus
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Five doses of immunisation
provide life long immunity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">TT affords no protection
in the present injury</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">TIG is useful in lacerated
wound</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">TT and Ig<span> </span>both may be given in suspected tetanus</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 94.<span> </span>A certain community has 100 children out of
whom 28 are immunised against measles. 2 of them acquired measles
simultaneously. Subsequently 14 get measles. Assuming the efficacy of the
vaccine to be 100%. What is the secondary attack rate?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">5%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">10%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">20%</span><span> </span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">21.5%</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 95.<span> </span>A community has a population of 10,000 and a
birth rate of 36 per 1000. 5 maternal deaths were reported in the current year.
The MMR is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">14.5</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">13.8</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">20</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">5</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 96.<span> </span>10 babies are born in a hospital on same
day. All weigh 2.8 kg each. Calculate the standard deviation:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Zero</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">One</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Minus one</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">0.28</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 97.<span> </span>Out of 11 births in a hospital, 5 babies
weighed over 2.5 kg and 5 weighed less than 2.5 kg. What value does 2.5
represent:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Geometric average</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Arithmetic average</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Median </span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Mode</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 98.<span> </span>A man weighing 68 kg, consumes 325 gm
carbohydrate, 65 gm protein and 35 gms fat in his diet. The most applicable
statement here is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">His total calorie intake
is 3000 kcal</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The proportion of
proteins, fats and carbohydrates is correct and in accordance with a balanced
diet</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">He has a negative nitrogen
balance</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">30% of his total energy
intake is derived from fat</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 99.<span> </span>A country has a population of 1000 million;
birth rate is 23 and death rate is 6. In which phase of the demographic cycle
does this country lie:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Early expanding</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Late expanding</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Plateau</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Declining</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 100.<span> </span>In a population of 10,000, beta carotene was
given to 6000; it was<i> </i>not given to the remainder. 3 out of the first
group got lung cancer while 2 out of the other 4000 also got lung cancer. The
best conclusion is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Beta carotene and lung
cancer have no relation to one another</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The p value is not
significant</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">The study is not designed
properly</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Beta carotene is associated
with lung cancer</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 101.<span> </span>A subcentre in a hilly area caters to a
population of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">1000</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">2000</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">3000</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">5000</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 102.<span> </span>In a community, an increase in new cases
denotes:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Increase in incidence rate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increase in prevalence
rate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Decrease in incidence rate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Decrease in prevalence
rate</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 103.<span> </span>More false positive cases on screening in a
community signify that the disease has:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">High prevalence</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">High sensitivity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Low prevalence</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Low sensitivity</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 104.<span> </span>The same screening test is applied to two
communities X and Y; Y shows more false +ve cases as compared to X. The
possibility is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">High sensitivity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">High specificity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Y community has high
prevalence</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Y community has low
prevalence</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 105.<span> </span>ELISA is performed on a population with low
prevalence of hepatitis B. What would be the result of performing double
screening ELISA tests?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Increased sensitivity and
positive predictive value</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increased sensitivity and
negative predictive value</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Increased specificity and
positive predictive value</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Increased specificity and
negative predictive value</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 106.<span> </span>While testing a hypolipidemic drug, serum
lipid levels were tested both before and after its use. Which test is best
suited for the statistical analysis of the result:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Paired t-test</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Student’s test</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Chi square test</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 107.<span> </span>Type 1 sampling error is classified as:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Alpha error</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Beta error</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Gamma error</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Delta error</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 108.<span> </span>Virulence of a disease is indicated by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Proportional mortality
rate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Specific mortality rate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Case fatality ratio</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Amount of GDP spent on
control of disease</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 109.<span> </span>Which of the following diseases needs<i> not</i>
to be screened for in workers to be employed in a dye industry in Gujarat?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Anemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bronchial asthma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bladder cancer</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Precancerous lesion</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 110.<span> </span>Best test to detect iron deficiency in
community is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Serum transferrin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Serum ferritin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Serum iron</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hemoglobin</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 111.<span> </span>Which of the following is<i> not</i> a complete
sterilization agent:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Glutaraldehyde</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Absolute alcohol</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hydrogen peroxide</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sodium hypochlorite</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 112.<span> </span>Seasonal trend is due to:<span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.</span></b><span style="font-size: 12pt;"><span> </span>Vector variation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>Environmental
factors</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Change in herd
immunity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span>All of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Medicine</span><span style="font-size: 16pt;"></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 113.<span> </span>False statement about type I respiratory
failure is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Decreased PaO</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><b><span style="font-size: 12pt;"></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Decreased PaCO</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Normal PaCO</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><b><span style="font-size: 12pt;"></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Normal A-a gradient</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 114.<span> </span>A 60 years old man presents with nonproductive
cough for 4 weeks. He has grade III clubbing, and a lesion in the apical lobe
on X-ray. Most likely diagnosis here is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Small cell <span style="text-transform: uppercase;">ca</span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Non-small cell <span style="text-transform: uppercase;">ca</span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Fungal infection</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tuberculosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 115.<span> </span>A 60 years old man is suspected of having
bronchogenic <span style="text-transform: uppercase;">ca</span>. TB has been
ruled out in this patient. What should be the next investigation:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">CT guided FNAC</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bronchoscopy and biopsy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Sputum cytology</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">X-ray chest</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 116.<span> </span>A man presents with fever, weight loss and
cough. Mantoux reads an induration of 17 × 19 mm; sputum cytology is negative
for AFB. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pulmonary tuberculosis<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Fungal infection</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Viral infection<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pneumonia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 117.<span> </span>Pulmonary edema associated with normal PCWP is
observed, which of these is<i> not</i> a cause:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">High altitude</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Cocaine overdose</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Post cardiopulmonary
bypass</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bilateral renal artery
stenosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 118.<span> </span>An ABG analysis shows: pH 7.2, raised pCO</span><span style="color: windowtext; font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext; font-size: 12pt;">, decreased HCO</span><span style="color: windowtext; font-size: 12pt; position: relative; top: 1.5pt;">3</span><span style="color: windowtext; font-size: 12pt;">.
Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Respiratory acidosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Compensated metabolic
acidosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Respiratory and metabolic
acidosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Respiratory alkalosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 119.<span> </span>ABG analysis of a patient on ventilator shows
decreased pCO</span><span style="color: windowtext; font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext; font-size: 12pt;">, normal pO</span><span style="color: windowtext; font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext; font-size: 12pt;">, pH 7.5. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Respiratory acidosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Metabolic alkalosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Respiratory alkalosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Metabolic acidosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 120.<span> </span>In a patient of acute inferior wall MI. Best
modality of treatment is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">IV fluids</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Digoxin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Diuretics</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Vasodilators</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 121.<span> </span>A 26 years old asymptomatic woman is found to
have arrhythmias and a systolic murmur associated with midsystolic clicks.
Which investigation would you use:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Electrophysiological
testing</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">CT scan</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Echocardiography</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Angiography</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 122.<span> </span>A patient complains of intermittent
claudication, dizziness and headache. Most likely cardiac lesion is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">TOF</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">ASD</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">PDA</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Coarctation of aorta</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 123.<span> </span>All of the following are <i>true</i> about ASD
<i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Right atrial hypertrophy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Left atrial hypertrophy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Right ventricular
hypertrophy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pulmonary hypertension</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 124.<span> </span>Mitral valve vegetations do<i> not</i> usually
embolise to:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Lung</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Liver</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Spleen</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Brain</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 125.<span> </span>A woman has septic abortion done, vegetation
on tricuspid valve is likely to go to:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Septic infarcts to lung</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Liver</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Spleen infarcts</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Emboli to brain </span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 126.<span> </span>Kussmaul’s sign is<i> not </i>seen in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Restrictive cardiomyopathy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Constrictive pericarditis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cardiac tamponade</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">RV infarct</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 127.<span> </span>A patient presents with engorged neck veins,
BP 80/50 mmHg and pulse rate of 100/min following blunt trauma to the chest.
Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pneumothorax</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Right ventricular failure</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cardiac tamponade</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hemothorax</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 128.<span> </span>Which of the following is<i> not</i> seen on
hemoglobin electrophoresis in sickle cell anemia:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">HbA</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">HbA</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">HbF</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">HbS</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 129.<span> </span>False statement regarding DIC is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Thrombocytopenia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Decreased fibrinogen</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Decreased PTT</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Increased PT</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 130.<span> </span>Thrombocytopenia occurs in all <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Henoch Schonlein purpura</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">TTP</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">DIC</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Leukemia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 131.<span> </span>A patient with an Hb of 6 g%, WBC count of
2000/cmm, has a normal different count <i>except</i> for having 6% blasts,
platelets are reduced to 80,000/cmm; moderate splenomegaly is present. Possible
diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Leukemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Aplastic anemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hemolysis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">lTP</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 132.<span> </span>A patient being investigated for anemia has a
dry marrow tap; peripheral smear reveals tear drop cells. Most likely diagnosis
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Leukemia<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lymphoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Myelofibrosis<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Polycythemia rubra vera</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 133.<span> </span>Tumor associated with polycythemia vera is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sarcoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pituitary adenoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cerebellar
haemangioblastoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 134.<span> </span>A young patient presents with jaundice. Total
bilirubin is 21 mg%, direct is 9.6 mg%, alkaline phosphatase is 84 KA units.
Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hemolytic jaundice</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Viral hepatitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Chronic active hepatitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Obstructive jaundice</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 135.<span> </span>A young male with gallbladder stones shows the
following test results: serum bilirubin 2.5 mg%, Hb 6 g%, urine test positive
for urobilinogen. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hemolytic jaundice<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Obstructive jaundice</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hepatocellular jaundice<span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Protoporphyria</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 136.<span> </span>An 18 years old male presents with massive
hematemesis. He has history of fever for the past 14 days for which he was
managed with drugs. Moderate splenomegaly is present. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">NSAID induced duodenal
ulcer</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Drug induced gastritis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Esophageal varices</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 137.<span> </span>Urinalysis shows RBC casts. Likely source is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Kidney</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ureter</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bladder</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Urethra</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 138.<span> </span>A young man develops gross hematuria 3 days
after an attack of URTI. Most likely renal pathology is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Acute glomerulonephritis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Minimal change disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">IgA nephropathy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Membranous
glomerulonephritis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 139.<span> </span>A patient’s CSF report reads as follows:
sugar<span> </span>40 mg%, protein 150 mg%, chloride
550 mg%; lymphocytosis present. The picture is suggestive of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fungal meningitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Viral meningitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">TB meningitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Leukemia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 140.<span> </span>Lacunar infarcts are caused by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Lipohyalinosis of
penetrating arteries</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Middle carotid artery
involvement</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Emboli to anterior
circulation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 141.<span> </span>Dinesh, a 56 years aged man presents with
complaints of slowness of movements, postural instability, tremors, rigidity
and memory loss. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Multi-infarct dementia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Alzheimer’s disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Parkinsonism</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 142.<span> </span>All of the following may be seen in Wilson’s
disease <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cerebellar ataxia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Peripheral neuropathy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Dysphagia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Chorea</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 143.<span> </span>An elderly man presents with features of
dementia, ataxia, difficulty in downward gaze and a history of frequent falls.
Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Parkinson disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Progressive supranuclear
gaze palsy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Alzheimer’s disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 144.<span> </span>A chromosomal anomaly associated with
Alzheimer’s dementia is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Trisomy 18</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Patau syndrome</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Trisomy 21</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Turner syndrome</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 145.<span> </span>All are <i>true</i> about Huntington’s
disease, <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Chorea</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Depression, apathy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Progressive dementia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cog-wheel rigidity</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 146.<span> </span>A 30-year-old male complains of loss of
erection; he has low testosterone and high prolactin level in blood. What is
the likely diagnosis:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pituitary adenoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Testicular failure</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Craniopharyngioma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cushing’s syndrome</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 147.<span> </span>A patient meets with an accident with
resultant transection of the pituitary stalk. What will<i> not</i> occur:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Diabetes mellitus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Diabetes insipidus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hyperprolactinemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hypothyroidism</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 148.<span> </span>A woman has bilateral headache that worsens
with emotional stress. She has two children, both doing badly in school. Diagnosis
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Migraine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Cluster headache</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tension headache</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Trigeminal neuralgia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 149.<span> </span>A female aged 30 years, presents with episodic
throbbing headache for past 4 years with nausea and vomiting. Most likely
diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Migraine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Cluster headache</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Angle closure glaucoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Temporal arteritis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 150.<span> </span>A woman complains of headache associated with
paresthesias of the right upper and lower limb. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Trigeminal neuralgia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Glossopharyngeal neuralgia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Migraine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cluster headache</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 151.<span> </span>All of the following are features of MEN IIa, <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pituitary tumor<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pheochromocytoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Medullary <span style="text-transform: uppercase;">ca </span>thyroid<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Parathyroid adenoma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 152.<span> </span>A patient with Cushingoid features presents
with hemoptysis. He shows no response to dexamethasone suppression test. Most
likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Adrenal hyperplasia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Adrenal adenoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt; text-transform: uppercase;">Ca</span><span style="font-size: 12pt;"> lung with ectopic ACTH production</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pituitary microadenoma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 153.<span> </span>An obese patient presented in casualty in an
unconscious state. His blood sugar measured 400 mg%, urine tested positive for
sugar and ketones. Drug most useful in management is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Glibenclamide</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Troglitazone</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Insulin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Chlorpropamide</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 154.<span> </span>Which of the following is<i> not</i>
associated with thymoma:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Red cell aplasia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Myasthenia gravis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hypergammaglobulinemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Compression of the
superior mediastinum</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 155.<span> </span>A young basketball player with height 188 cm
and arm span 197 cm has a diastolic murmur best heard in second right
intercostal space. Likely cause of murmur is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">AS</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Coarctation of aorta</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">AR</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">MR</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 156.<span> </span>A patient presents with arthritis,
hyperpigmen- tation of skin and hypogonadism. Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hemochromatosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ectopic ACTH secreting
tumor of lung</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Wilson’s disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Rheumatoid arthrits</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 157.<span> </span>In myasthenia gravis, correct statement
regarding thymectomy is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Should be done in all
cases</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Should be done in cases
with ocular involvement only</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Not required if controlled
by medical management</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Should be done only in
cases that are associated with thymoma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 158.</span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"><span> </span></span><span style="color: windowtext; font-size: 12pt;">Most common fungal infection in febrile neutropenia is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Aspergillus niger</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Candida</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mucormycosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Aspergillus fumigatus</span></i><span style="font-size: 12pt;"></span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 159.<span> </span>The following group of tests should be done to
optimise graft uptake in bone marrow transplant:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Blood grouping</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">HLA matching</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Culture for infection</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">All
of the above</span><span style="font-size: 12pt;"></span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 160.<span> </span><i>True</i> statement about neurocysticercosis
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Seizures due to
neurocysticercosis are resistant to antiepileptic drugs</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Albendazole is superior to
praziquantel in the treatment of above condition</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Common presentation is 6th
cranial nerve palsy and hemiparesis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Steroids are used in the
management of hydrocephalus</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 161.<span> </span>All of the following are <i>true</i> regarding
a patient with acid peptic disease <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Misoprostol is the drug of
choice in patients on NSAIDs</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">DU is preventable by the
use of single night-time H</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"><span> </span>blockers</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Omeprazole may help ulcers
refractory to H</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"><span> </span>blockers</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Misoprostol is DOC in
pregnant patients</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 162.<span> </span>A man presents with mass at duodenojejunal
flexure invading renal papillae. Histopathology reports it as lymphoma. <i>True</i>
statement is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">II E stage</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">III E stage</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">IV E stage</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Staging cannot be done
until bone marrow examination is performed</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 163.<span> </span>A 45 years male presents with hypertension. He
has sudden abnormal flinging movements in right upper and lower limbs. Most
likely site of hemorrahge is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Substantia nigra</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Caudate nuclei</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pons</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Subthalamic nuclei</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 164.<span> </span><i>True</i> about haemophilia A are all <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">PTT increased</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">PT increased</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Clotting time is increased</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Serum levels of factor
VIII are decreased</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 165.<span> </span>IPPV can cause:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Barotrauma<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pleural effusion</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Increased venous return<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 166.<span> </span>Characteristic finding in CT in a TB<span> </span>is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Exudate seen in basal
cistern</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hydrocephalus is non
communicating</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Calcification commonly
seen in cerebellum</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ventriculitis is a common
finding</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<br /></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 167.<span> </span>Vegetations on undersurface of AV valves are
found in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Acute rheumatic carditis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Limban Sack’s endocarditis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Non thrombotic bacterial
endocarditis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Chronic rheumatic carditis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 168.<span> </span>Triage means:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sorting out of cases on
availability of medical resources and severity of patient’s condition</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Patients are divided into
3 groups</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Severely injured patients
are attended first in military camps</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Pediatrics</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 169.<span> </span>Which of the following is not true about
atrial septal defect:</span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"><span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.</span></b><span style="font-size: 12pt;"><span> </span>There is a
defect in region of fossa ovalis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>Blood flow from
left atrium to right atrium</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Increased blood
flow through lungs lead to pulmonary plethora</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span>There is
splitting of first heart sound</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 170.<span> </span>A neonate presents with jaundice and clay
white stools. On liver biopsy giant cells are seen. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Physiological jaundice</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Neonatal hepatitis with
extra biliary atresia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Neonatal hepatitis with
physiological jaundice</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Extra biliary atresia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 171.<span> </span>A newborn has dribbling after feeds. He has
respiratory distress and froth at the mouth. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Tracheoesophageal fistula</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tetralogy of Fallot</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Respiratory distress
syndrome</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 172.<span> </span>Ramu, a 8-years-old boy presents with upper GI
bleeding. On examination, he is found to have splenomegaly; there are no signs
of ascites, or hepatomegaly; esophageal varices are found on UGIE. Most likely
diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Budd Chiari syndrome</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Non cirrhotic portal
fibrosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cirrhosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Veno-occlusive disease</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 173.<span> </span>A 5-years-old child suffering from nephrotic
syndrome is responding well to steroid therapy. What would be the most likely
finding on light microscopy:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">No finding</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Basement membrane
thickening</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hypercellular glomeruli</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Fusion of foot processes</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 174.<span> </span>Most common cause of urinary obstruction in a
male infant is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Anterior urethral valves</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Posterior urethral valves</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Stone</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Stricture</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 175.<span> </span>A 5-years-old child presents with a calculus
of size 2 cm in the upper ureter. He also complains of haematuria. USG shows no
further obstruction in the urinary tract. Treatment of choice for this patient
would be: </span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ureterolithotomy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Endoscopic removal</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">ESWL</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Observation</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 176.<span> </span>A patient presents with LVH and pulmonary
complications. ECG shows left axis deviation. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">TOF</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tricuspid atresia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">TAPVC</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">VSD</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 177.<span> </span>Potts shunt is anastomosis of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Right subclavian artery to
right pulmonary artery</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Descending aorta to left
pulmonary artery</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Left subclavian to left
pulmonary artery</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ascending aorta to right
pulmonary artery</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 178.<span> </span>A neonate has recurrent attacks of abdominal
pain, restless, irritability and diaphoresis on feeding. Cardiac auscultation
reveals a nonspecific murmur. He is believed to be at risk for MI. Likely
diagnosis<span> </span>is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">ASD</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">VSD</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">TOF</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Anomalous coronary artery</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 179.<span> </span>A child aged 2 years presents with nonspecific
symptoms suggestive of anemia. On peripheral blood smear target cells are seen.
He has hypochromic microcytic picture and Hb of 6 gm%. He also has ‘a positive
family history’. Next investigation of choice is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hb electrophoresis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Coombs’ test</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Liver function tests</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Osmotic fragility test</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 180.<span> </span>Most common cause of meningitis in children
between 6 months to 2 years of age is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Pneumococcus</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Staphylococcus</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">H. influenzae</span></i><b><span style="font-size: 12pt;"></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">E. coli</span></i><span style="font-size: 12pt;"></span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 181.<span> </span>A child presents with seborrheic dermatitis,
lytic skull lesions, ear discharge and hepatosplenomegaly. Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Leukemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lymphoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Histiocytosis X</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Multiple myeloma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 182.<span> </span>Which of the following is <i>true</i>
regarding cretinism:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Short limbs compared to
trunk</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Proportionate shortening</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Short limbs and short
stature</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Short limbs and long
stature</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 183.<span> </span>Manifestations of endemic cretinism include:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Deafness and facial nerve
involvement</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Blindness and
hypothyroidism</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Goitre and hypothyroidism</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Multinodular goitre and
mental retardation</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 184.<span> </span>A 10 day old male pseudohermaphrodite child
with 46 XY karyotype presents with BP of 110/80 mmHg. Most likely enzyme
deficiency is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">21 hydroxylase</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">17 hydroxylase</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">11 hydroxylase</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">3-beta hydroxylase</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 185.<span> </span>Treatment of Kawasaki disease in children is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Oral steroids</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">IV steroids</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">IV Ig</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Mycophenolate mefentil</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 186.<span> </span>A neonate delivered at 32 weeks, is put on a
ventilator. X-ray shows ‘white out lung’ and ABG reveals PO</span><span style="color: windowtext; font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext; font-size: 12pt;"><span> </span>of 75. Ventilator
settings are on, FIO</span><span style="color: windowtext; font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext; font-size: 12pt;"><span> </span>of 70, and rate of 50/minute. Next step to be
taken should be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Increase rate to 60 per
minute</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increase FIO</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"><span> </span>to 80</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Continue ventilation with
the same settings</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Weaning ventilator</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">DermatologY</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 187.<span> </span>A man aged 50 years presents with, alopecia,
boggy scalp swelling and easily pluckable hair. Next step in establishing the
diagnosis would be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">KOH smear</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Culture sensitivity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Biopsy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 188.<span> </span>Most common organism causing tinea capitis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Trichophyton tonsurans</span></i><b><span style="font-size: 12pt;"><span> </span></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Microsporum</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Epidermophyton</span></i><span style="font-size: 12pt;"><span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span><i>Candida
albicans</i></span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 189.<span> </span>A young man aged 19 years develops a painless
penile ulcer 9 days after sexual intercourse with a professional sex worker.
Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Chancroid</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Herpes</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Primary chancre</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Traumatic ulcer</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 190.<span> </span>An infant presents with itchy lesions over the
groin and prepuce. All of the following are indicated in this patient <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Bathe and apply scabicidal
solution</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Treatment should be
extended to all family members</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Dispose all clothes by
burning</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Start the patient on IV
antibiotics</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 191.<span> </span>A boy aged 8 years from Tamil Nadu presents
with a white, non anesthetic, nonscaly, hypopigmented macule on his face. Most
likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pityriasis alba</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pityriasis versicolor</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Indeterminate leprosy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pure neuritic leprosy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 192.<span> </span>A 20 years old, male patient, from jaipur
presents with an erythematous lesion on the cheek with central crusting. Most
likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">SLE</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lupus vulgaris</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Chillblains</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cutaneous leishmaniasis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 193.<span> </span>A 19 year old pregnant girl presents with
light brown pigmentation over the malar eminences. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Chloasma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">SLE</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Melasma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Melanoma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 194.<span> </span>A girl aged 19, presents with arthritis and a
photosensitive rash on the cheek. Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">SLE</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Chloasma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Stevens Johnson syndrome</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lyme’s disease</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Psychiatry</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 195.<span> </span>A patient with pneumonia for 5 days is
admitted to the hospital. He suddenly ceases to recognize the doctor and staff,
thinks that he is in jail and complains of scorpions attacking him. He is in
altered sensorium. This condition is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Acute delirium</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Acute dementia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Acute schizophrenia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Acute paranoia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 196.<span> </span>A person missing from home, is found wandering
purposefully. He is well groomed, and denies of having any amnesia. Most likely
diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Dissociative fugue</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dissociative amnesia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Schizophrenia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Dementia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 197.<span> </span>Babu, a 40 years aged male complains of sudden
onset palpitations and apprehension. He is sweating for the last 10 minutes and
fears of impending death. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hysteria</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Cystic fibrosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Panic attack</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Generalized anxiety
disorder</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 198.<span> </span>A lady, while driving a car meets with an
accident. She was admitted in an ICU for 6 months. After being discharged, she
often gets up in night and feels terrified She is afraid to sit in a car again.
The diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Panic disorder</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Phobia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Conversion disorder</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Post traumatic stress
disorder</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 199.<span> </span>A patient present with waxy flexibility,
negativitism and rigidity. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Catatonic schizophrenia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Paranoid schizophrenia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hebephrenic schizophrenia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Simple schizophrenia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 200.<span> </span>Chandu, age 32 presents with abdominal pain
and vomiting. He also complains of some psychiatric symptoms and visual
hallucinations. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intermittent porphyria</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hypothyroidism</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hyperthyroidism</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hysteria</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 201.<span> </span>Basanti 27 years aged, female thinks her nose
is ugly; her idea is fixed and<i> not</i> shared by anyone else. Whenever she
goes out of home, she hides her face with a cloth. She visits a Surgeon. Next
step would be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Investigate and then
operate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Refer to psychiatrist</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Reassure the patient</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Immediate operation</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Surgery</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 202.<span> </span>A male aged 60 years has foul breath. He
regurgitates food that is eaten 3 days ago. Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Zenker’s diverticulum</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Meckel’s diverticulum</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Scleroderma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Achalasia cardia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 203.<span> </span>Most common site for squamous cell carcinoma
esophagus is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Upper third</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Middle third</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Lower third</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Gastro-esophageal
junction.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 204.<span> </span>What is <i>true</i> regarding congenital
hypertrophic pyloric stenosis:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">More common in girls</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hypochloremic alkalosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Heller’s myotomy is the
procedure of choice.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Most often manifests at
birth</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 205.<span> </span>Patient presents with recurrent duodenal ulcer
of 2.5 cm size. Procedure of choice is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Truncal vagotomy and
antrectomy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Truncal vagotomy and
gastrojejunostomy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Highly selective vagotomy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Laparoscopic vagotomy and
gastrojejunostomy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 206.<span> </span>All are features of hyperplastic tuberculosis
of gastrointestinal tract <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Presents with a mass in
RIF</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Barium meal shows pulled
up caecum</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Most common site is
ileocecal junction</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">ATT is the treatment of
choice</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 207.<span> </span>A 56 year old woman has<i> not</i> passed
stools for the last 14 days. X-ray shows no air/fluid levels. Probable
diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Paralytic ileus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Aganglionosis of the colon</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Intestinal
pseudo-obstruction</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Duodenal obstruction.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 208.<span> </span>A man aged 60 years has history of IHD and
atherosclerosis. He presents with abdominal pain and maroon stools. Most likely
diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Acute intestinal
obstruction</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Acute mesenteric ischemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Peritonitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Appendicitis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 209.<span> </span><i>True</i> statement regarding ‘fistula in
ano’ is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Posterior fistulae have
straight tracks</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">High fistulae can be
operated with no fear of incontinence</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">High and low divisions are
made in relation to the pelvic floor</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Intersphincteric is the
most common type</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 210.<span> </span>In a 27 year old male most common cause of a
colovesical fistula would be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Crohn’s disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ulcerative colitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">TB</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cancer colon</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 211.<span> </span>Following trauma, a patient presents with a
drop of blood at the tip of urinary meatus. He complains of inability to pass
urine. Next step should be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">IVP should be done</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">MCU should be done</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Catheterize, drain bladder
and remove the catheter thereafter</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Catheterize, drain bladder
and retain the catheter thereafter</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 212.<span> </span>Chandu, a 45 years male shows calcification on
the right side of his abdomen in an AP view. In lateral view the calcification
is seen to overlie the spine. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Gallstones</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Calcified mesenteric nodes</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Renal stones</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Calcified rib</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 213.<span> </span><span style="text-transform: uppercase;">Ca</span>
prostate commonly metastasises to the vertebrae because:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Valveless communication
exist with Batson’s prevertebral plexus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Via drainage to sacral
lymph node</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Of direct spread</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 214.<span> </span>Following sexual intercourse, a person
develops pain in the left testes that does<i> not</i> get relieved on elevation
of scrotum. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Epididymo-orchitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Torsion testis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Fournier’s gangrene</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tumor testes</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 215.<span> </span>A testicular tumor in a man aged 60 years is most
likely to be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Germ cell tumor</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Sertoli cell tumor</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Teratocarcinoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lymphoma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 216.<span> </span>A patient presents with bilateral proptosis,
heat intolerance and palpitations. Most unlikely diagnosis here would be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hashimoto’s thyroiditis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Thyroid adenoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Diffuse thyroid igoitre</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Reidel’s thyroiditis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 217.<span> </span>A patient with long standing multinodular
goitre develops hoarseness of voice. Also, the swelling undergoes sudden
increase in size. Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Follicular <span style="text-transform: uppercase;">ca</span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Papillary <span style="text-transform: uppercase;">ca</span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Medullary <span style="text-transform: uppercase;">ca</span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Anaplastic <span style="text-transform: uppercase;">ca</span></span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 218.<span> </span>A patient presents with swelling in the neck
following a thyroidectomy. What is the most likely resulting complication:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Respiratory obstruction</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Recurrent laryngeal nerve
palsy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hypovolemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hypocalcemia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 219.<span> </span>A patient on the same evening following
thyroidectomy presents with a swelling in the neck and difficulty in breathing.
Next management would be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Open sutures immediately</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Intubate oro-tracheally</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Wait and watch</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Administer oxygen by mask</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 220.<span> </span>Patient presents with neck swelling and
respiratory distress few hours after a thyroidectomy surgery. Next management
would be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Open immediately</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tracheostomy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Wait and watch</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Oxygen by mask</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 221.<span> </span>A patient undergoes thyroid surgery, following
which he develops perioral tingling. Blood Ca</span><span style="color: windowtext; font-size: 12pt; position: relative; top: -5pt;">2+</span><span style="color: windowtext; font-size: 12pt;"><span> </span>is 8.9 mEq. Next step is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Vitamin D orally</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Oral Ca</span><span style="font-size: 12pt; position: relative; top: -5pt;">2+ </span><span style="font-size: 12pt;">and vitamin D</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Intravenous calcium
gluconate and serial monitoring</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Wait for Ca</span><span style="font-size: 12pt; position: relative; top: -5pt;">2+</span><span style="font-size: 12pt;"><span> </span>to decrease to < 7.0 before taking further
action</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 222.<span> </span>A case of blunt trauma is brought to the
emergency in a state of shock. He is<i> not</i> responding to IV crystalloids.
Next step in his management would be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Immediate laparotomy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Blood transfusion</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Albumin transfusion</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Abdominal compression</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 223.<span> </span>Babu is brought to the emergency as a case of
road- traffic accident. He is hypotensive. Most likely ruptured organ is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Spleen</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Mesentery</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Kidney</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Rectum</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 224.<span> </span>A patient is brought to the emergency as a
case of head injury, following a head on collision road traffic accident. His
BP is 90/60 mmHg. Tachycardia is present. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">EDH</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">SDH</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Intracranial hemorrhage</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Intra-abdominal bleed</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 225.<span> </span>Ulcer that may develop in burn tissue is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Marjolin’s</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Rodent</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Melanoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Curling’s</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 226.<span> </span>An elderly man presents with history of
abdominal pain. He is found to have a fusiform dilatation of the descending
aorta. Likely cause is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Trauma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Atherosclerosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Right ventricular failure</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Syphilitic aortitis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 227.<span> </span>All of the following are correct regarding AV
fistula <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Arterialization of the
veins</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Proximal compression
causes increase in heart rate</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Overgrowth of a limb</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Causes LV enlargement and
LV failure</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 228.<span> </span>All of the following are correct about
axillary vein thrombosis <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">May be caused by a
cervical rib</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Treated with IV
anticoagulant</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Embolectomy is done in all
cases</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">May occur following
excessive exercise</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 229.<span> </span>A 80 year old patient presents with a midline
tumor of the lower jaw, involving the alveolar margin. He is edentulous.
Treatment of choice is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hemimandibulectomy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Commando operation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Segmental mandiblectbmy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Marginal mandibulectomy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 230.<span> </span>Most common cause of unilateral parotid
swelling in a 27 year old male is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Warthin’s tumor</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pleomorphic adenoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Adenocarcinoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Haemangioma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 231.<span> </span>A 45 year old woman presents with a hard and
mobile lump in the breast. Next investigation is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">FNAC</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">USG</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mammography</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Excision biopsy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 232.<span> </span>A 45 years old man presents with progressive
cervical lymph nodes enlargement since 3 month. Most diagnostic investigation
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">X-ray soft tissue</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">FNAC</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Lymph node biopsy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 233.<span> </span>All of the following are <i>true</i> about
fibrolamellar carcinoma of the liver <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Equal incidence in males
and females</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Better prognosis than HCC</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">AFP levels always greater
than > 1000</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Occur in younger
individuals</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 234.<span> </span>A child presents with an expansible swelling
on medial side of the nose. Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Teratoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Meningocele</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Dermoid cyst</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lipoma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Orthopaedics</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 235.<span> </span>Following anterior dislocation of the
shoulder, a patient develops weakness of flexion at elbow and lack of sensation
over the lateral aspect fore arm. Nerve injured is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Radial nerve</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Musculocutaneous nerve</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Axillary nerve</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ulnar nerve</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 236.<span> </span>Babloo a 10 years old boy presents with
fracture of humerus. X-ray reveals a lytic lesion at the upper end. Likely
condition is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Unicameral bone cyst</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Osteosarcoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Osteoclastoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Aneurysmal bone cyst</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 237.<span> </span>A patient sustained injury to the upper limb 3
years back. He now presents with valgus deformity in the elbow and paresthesias
over the medial border of the hand. The injury is likely to have been: </span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Supracondylar fracture
humerus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lateral condyle fracture
humerus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Medial condyle fracture
humerus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Posterior dislocation of
the humerus</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 238.<span> </span>A woman aged 60 years suffers a fall. Her
lower limb is abducted and externally rotated. Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Neck of femur fracture</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Intertrochanteric femur
fracture</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Posterior dislocation of
hip</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Anterior dislocation of
hip</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 239.<span> </span>Triple arthrodesis involves:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Calcaneocuboid,
talonavicular and talocalcaneal</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tibiotalar, calcaneocuboid
and talonavicular</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ankle joint,
calcaneocuboid and talonavicular</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 240.<span> </span>Babu a 19 years old male has a small
circumscribed sclerotic swelling over diaphysis of femur. Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Osteoclastoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Osteosarcoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ewing’s sarcoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Osteoid osteoma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 241.<span> </span>Most common site of osteogenic sarcoma is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Femur, upper end</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Femur, lower end</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tibia, upper end</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tibia, lower end</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 242.<span> </span>Involvement of PIP joint, DIP joint and the
carpometacarpal joint of base of thumb with sparing the wrist is seen in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Rheumatoid arthritis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Osteoarthritis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Psoriatic arthritis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pseudogout</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 243.<span> </span>The pivot test is for:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Anterior cruciate ligament</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Posterior cruciate
ligament</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Medial meniscus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lateral meniscus</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 244.</span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"><span> </span></span><span style="color: windowtext; font-size: 12pt;">Iliotibial band contracture following polio is likely to
result in:</span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"><span> </span></span><span style="color: windowtext; font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.</span></b><span style="font-size: 12pt;"><span> </span>Extension at hip</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>Extension at
knee</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Flexion at hip
and knee</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span>Extension at hip
and knee</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Anaesthesia</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 245.<span> </span>All of the following agents can be given for
induction of anaesthesia in children <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Halothane</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Servoflurane</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Morphine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Nitrous oxide</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 246.<span> </span>Anaesthetic agent of choice in renal failure
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Methoxyflurane</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Isoflurane</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Enflurane</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 247.<span> </span>A man with alcoholic liver failure requires
general anaesthesia for surgery. Anaesthetic agent of choice is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ether</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Halothane</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Methoxyflurane</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Isoflurane</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 248.<span> </span>All of the following are <i>true</i> <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Halothane is good as an
analgesic agent</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Halothane sensitises the
heart to action of catacholamines</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Halothane relaxes brochi
& is preferred as anaesthetics</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Halothane may cause liver
cell necrosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Ophthalmology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 249.<span> </span>A patient has a miotic pupil, IOP= 25, normal
anterior chamber, hazy cornea and a shallow anterior chamber in fellow eye.
Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Acute anterior uveitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Acute angle closure
glaucoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Acute open angle glaucoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Senile cataract</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 250.<span> </span>A woman complains of coloured haloes around
lights in the evening, with nausea and vomiting, IOP is normal. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Incipient stage, glaucoma
open angle</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Prodromal stage, closed
angle glaucoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Migraine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Raised ICT</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 251.<span> </span>Babloo, a 5 years old child, presents with
large cornea, lacrimation and photophobia. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Megalocornea</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Congenital glaucoma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Congenital cataract</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Anterior uveitis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 252.<span> </span>Herpes zoster ophthalmicus causes all <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Nummular keratitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Vitreal haemorrhage</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Uveitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cranial nerve palsies</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 253.<span> </span>Bilateral ptosis is<i> not</i> seen in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Marfan’s syndrome</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Myaesthenia gravis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Myotonic dystrophy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Kearns-Sayre syndrome</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 254.<span> </span>Eye is deviated laterally and downwards and
patient is unable to look up or medially. Likely nerve involved is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Trochlear</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Trigeminal</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Oculomotor</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Abducent</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 255.<span> </span>Left sided lateral gaze is affected in lesion
of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Right frontal lobe</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Right occipital lobe</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Left occipital lobe</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Left frontal lobe</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 256.<span> </span>An elderly male with heart disease presents
with sudden loss of vision in one eye. Examination reveals cherry red spot.
Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Central retinal vein
occlusion</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Central retinal artery
occlusion</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Amaurosis fugax</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Acute ischemic optic
neuritis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 257.<span> </span>Which of following, is<i> not</i> a feature in
diabetic retinopathy on fundus examination:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Microaneurysms</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Retinal hemorrhages</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Arteriolar dilatation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Neovascularisation</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 258.<span> </span>Vitamin B12 deficiency is likely to cause:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Bitemporal hemianopia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Binasal hemianopia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Heteronymous hemianopia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Centrocecal scotoma</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 259.<span> </span>All are <i>true</i> regarding optic neuritis <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Decreased visual acuity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Decreased pupillary reflex</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Abnormal electroretinogram</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Abnormal visual evoked
response retinogram</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 260.<span> </span>Chalky white optic disc on fundus examination
is seen in all <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Syphilis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Leber’s hereditary optic
neuropathy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Post papilledema optic
neuritis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Traumatic injury to the
optic nerve</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">ENT</span><span style="font-size: 12pt;"></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 261.<span> </span>A 3 months old child presents with
intermittent stridor. Most likely cause is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Laryngotracheobronchitis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Laryngomalacia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Respiratory obstruction</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Foreign body aspiration</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 262.<span> </span>A patient presents with facial nerve palsy
following head trauma with fracture of the mastoid. Best intervention here is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Immediate decompression</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Wait and watch</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Facial sling</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Steroids</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 263.<span> </span>A case of Bell’s palsy on steroids shows no
improvement after 2 weeks. The next step in management should be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Vasodilators and ACTH</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Physiotherapy and
electrical stimulation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Increase steroid dosage</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Electrophysiological nerve
testing</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 264.<span> </span>Chandu a 15 years aged boy presents with
unilateral nasal blockade, mass in the cheek and epistaxis. Likely diagnosis
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Nasopharyngeal <span style="text-transform: uppercase;">ca</span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Angiofibroma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Inverted papilloma</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 265.<span> </span>A 40 years old diabetic presents with blackish
nasal discharge and a mass in the nose. Likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Mucormycosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Actinomycosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rhinosporiodosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Histoplasmosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 266.<span> </span>Most radiosensitive tumour of the following
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Supraglortic <span style="text-transform: uppercase;">ca</span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt; text-transform: uppercase;">Ca
</span><span style="font-size: 12pt;">glottis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt; text-transform: uppercase;">Ca
</span><span style="font-size: 12pt;">nasopharynx</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Subglottic <span style="text-transform: uppercase;">ca</span></span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Obstetrics
& Gynaecology</span><span style="font-size: 12pt;"></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 267.<span> </span>Rokitansky Kuster Hauser syndrome is
associated with:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ovarian agenesis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Absent fallopian tube</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Vaginal atresia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bicornuate uterus</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 268.<span> </span>A patient of 47 XXY karyotype presents with
features of hypogonadism. The likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Turner syndrome</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Klinefelter syndrome</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Edward syndrome</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Down syndrome</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 269.<span> </span>A girl presents with primary amenorrhea, grade
V thelarche, grade II pubarche, no axillary hair. The likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Testicular feminization</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Mullerian agenesis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Turner syndrome</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Gonadal dysgenesis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 270.<span> </span>A woman presents with amenorrhea of 6 weeks
duration and lump in the right iliac fossa. Investigation of choice is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">USG abdomen</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Laparoscopy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">CT scan</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Shielded X-ray</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 271.<span> </span>A woman presents with amenorrhea of 2 months
duration lower abdominal pain, facial pallor, fainting and shock. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ruptured ovarian cyst</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ruptured ecotopic
pregnancy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Threatened abortion</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Septic abortion</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 272.<span> </span>A young woman with six weeks amenorrhea
presents with mass abdomen. USG shows empty uterus. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ovarian cyst</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ectopic pregnancy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Complete abortion</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 273.<span> </span>A 30 years old female, presents to the
emergency with complaint of sudden severe abdominal pain. An abdominal mass is
palpable on examination. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Torsion of subserous
fibroid</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Torsion of ovarian cyst</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rupture of ectopic
pregnancy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Rupture of ovarian cyst</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 274.<span> </span>Basanti, a 28 years aged female with a history
of 6 weeks of amenorrhea, presents with pain in abdomen. USG shows fluid in
pouch of Douglas. Aspiration yields dark colour blood that fails to clot. Most
probable diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ruptured ovarian cyst</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ruptured ectopic pregnancy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Red degeneration of fibroid</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pelvic abscess</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 275.<span> </span>A patient complains of post coital bleed. No
growth is seen on per speculum examination. Next step should be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Colposcopic biopsy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Conization</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pap smear</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Culdoscopy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 276.<span> </span>A 50 years old woman presents with post coital
bleeding. A visible growth on cervix is detected on per speculum examination.
Next investigation is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Punch biopsy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Colposcopic biopsy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pap smear</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cone biopsy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 277.<span> </span>Rekha, a 45 years woman, has negative pap
smear with +ve endocervical curretage. Next step in management will be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Colposcopy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Vaginal hysterectomy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Conization</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Wartheim’s hysterectomy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 278.<span> </span>A case of carcinoma cervix is found in altered
sensorium and is having hiccups. The likely cause is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Septicemia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Uremia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Raised ICT</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Intestinal obstruction</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 279.<span> </span>Bilateral ovarian cancer with capsule
breached, ascites positive for malignant cells. Stage is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">I</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">II</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">III</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">IV</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 280.<span> </span>The <i>true</i> regarding adenomyosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">More common in nullipara</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Progestins are the agents
of choice for medical management</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Presents with menorrhagia,
dysmenorrhoea, and an enlarged uterus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">More common in young women</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 281.<span> </span>In an infertile woman, endometrial biopsy
reveals proliferative changes. Which hormone should be preferred?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">MDPA</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Desogestrel</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Norethisterone</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 282.<span> </span>A patient semen sample reveals: 15 million
sperms/ml, 60 % normal morphology, 60% motile sperms volume is 2 ml; no
agglutination is seen. Diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Azoospermia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Aspermia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Oligospermia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Normospermia</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 283.<span> </span>Primary peritonitis is more common in females
because:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ostia of fallopian tubes
communicate with abdominal cavity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Peritoneum overlies the
uterus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rupture of functional
ovarian cysts</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 284.<span> </span>False statement regarding HCG is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is secreted by
cytotrophoblasts</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It acts on same receptor
as LH does</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It has luteotrophic action</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">It is a glycoprotein</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 285.<span> </span>All of the following are false <i>except:<span> </span></i></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.</span></b><span style="font-size: 12pt;"><span> </span>Oxytocin
sensitivity increased during delivery</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>Prostaglandins
should be given during 2nd trimester</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.</span></b><span style="font-size: 12pt;"><span> </span>Ergot
derivatives relax lower segment of uterus</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.</span></b><span style="font-size: 12pt;"><span> </span>Oxytocin is best
for induction of labour in IUD</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 286.<span> </span>Snow storm appearance on USG is seen in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hydatidiform mole</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ectopic pregnancy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Anencephaly</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 287.<span> </span>All of the following are indications for
termination of pregnancy in APH patient <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">37 weeks</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">IUD</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Transverse lie</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Continous bleeding</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 288.<span> </span>A lady with 37 weeks pregnancy, presented with
bleeding per vagina. Invetigation shows severe degree of placenta previa. The
treatment is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Immediate CS<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Blood transfusion</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Conservative<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Medical induction of
labour</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 289.<span> </span>A pregnant woman presents with red
degeneration of fibroid. Management is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Myomectomy<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Conservative</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hysterectomy<b><span> </span></b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Termination of pregnancy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 290.<span> </span>An ovarian cyst is detected in a pregnant
woman. Management is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Immediate removal by laprotomy</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.</span></b><span style="font-size: 12pt;"><span> </span>Wait and watch</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Removal by laparotomy in
second trimester</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Remove at time of
caesarean section</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 291.<span> </span>Most useful investigation in the first
trimester to identify risk of fetal malformation in a fetus of a diabetic
mother is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Glycosylated Hb</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ultrasound</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">MS-AFP</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Amniocentesis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 292.<span> </span>A pregnant diabetic on oral sulphonyl urea
therapy is shifted to insulin. All of the followings are <i>true</i> regarding
this, <i>except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Oral hypoglycaemics cause
PIH</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Insulin does not cross placenta</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Oral hypoglycaemics cross
placenta and deplete fetal insulin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">During pregnancy insulin
requirement increases and cannot be met with sulphonylureas</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 293.<span> </span>Condition associated with lack of a single
pelvic ala is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Robert’s pelvis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Naegele’s pelvis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rachitic pelvis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Osteomalacia pelvis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 294.<span> </span>Consequence of maternal use of cocaine is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hydrops fetalis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Sacral agenesis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cerebral infarction</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hypertrichosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 295.<span> </span>DNA analysis of chorionic villus/amniocentesis
is<i> not</i> likely to detect:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Tay Sachs’ disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hemophilia A</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Sickle cell disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Duchenne muscular
dystrophy</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 296.<span> </span>A woman has had 2 previous anencephalic
babies, risk of having a third one is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">0%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">10%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">25%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">50%</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<br /></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<br /></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Radiology</span><span style="font-size: 12pt;"></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 297.<span> </span>A neonate presents with respiratory distress,
contralateral mediastinal shift and multiple cystic airfilled lesions in the
chest. Most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Congenital diaphragmatic
hernia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Congenital lung cysts</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pneumonia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">None of the above</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 298.<span> </span>Ground glass appearance is<i> not</i> seen in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hyaline membrane disease</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pneumonia</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Left to right shunt</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Obstructive TAPVC</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 299.<span> </span>Drug that is radioprotective:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Paclitaxel</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Vincristine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Amifostine</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Etoposide</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 300.<span> </span>Most radiosensitive tumour of the following
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt; text-transform: uppercase;">Ca</span><span style="font-size: 12pt;"> kidney</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt; text-transform: uppercase;">Ca
</span><span style="font-size: 12pt;">colon</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt; text-transform: uppercase;">Ca
</span><span style="font-size: 12pt;">pancreas</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt; text-transform: uppercase;">Ca</span><span style="font-size: 12pt;"> cervix</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-72151358693751830612012-01-07T18:56:00.000-08:002012-01-07T18:56:46.837-08:00ALL INDIA 2002<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head">
Anatomy</div>
<div class="Ques">
<span style="color: windowtext;">Q 1.<span> </span>All the following are derivatives of the neural crest, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Melanocyte</div>
<div class="1234">
<b>B.<span> </span></b>Adrenal medulla</div>
<div class="1234">
<b>C.</b><span> </span>Sympathetic ganglia</div>
<div class="1234">
<b>D.<span> </span></b>Cauda equina</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 2.<span> </span>Which of the following is true regarding gastrulation:</span></div>
<div class="1234">
<b>A.</b><span> </span>Establishes all the three germ layers</div>
<div class="1234">
<b>B.<span> </span></b>Occurs at the caudal end of the embryo prior to</div>
<div class="1234">
<span> </span>its cephalic end</div>
<div class="1234">
<b>C.<span> </span></b>Involves the hypoblastic cells of inner cell mass</div>
<div class="1234">
<b>D.<span> </span></b>Usually occurs at 4 weeks</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 3.<span> </span>All the following features are seen in neurons from dorsal root
ganglia, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>They have centrally located nuclei</div>
<div class="1234">
<b>B.<span> </span></b>They are derived from neural crest cells</div>
<div class="1234">
<b>C.<span> </span></b>They are multipolar</div>
<div class="1234">
<b>D.<span> </span></b>They contain lipofuscin granules</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 4.<span> </span>Elastic cartilage is found in:</span></div>
<div class="1234">
<b>A.</b><span> </span>Auditory tube</div>
<div class="1234">
<b>B.<span> </span></b>Nasal septum</div>
<div class="1234">
<b>C.<span> </span></b>Articular cartilage</div>
<div class="1234">
<b>D.<span> </span></b>Costal cartilage</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 5.<span> </span>The weight of the upper limb is transmitted to the axial
skeleton by:</span></div>
<div class="1234">
<b>A.</b><span> </span>Coracoclavicular ligament</div>
<div class="1234">
<b>B.<span> </span></b>Coracoacromial ligament</div>
<div class="1234">
<b>C.<span> </span></b>Costoclavicular ligament</div>
<div class="1234">
<b>D.<span> </span></b>Coracohumeral ligament</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 6.<span> </span>The superficial external pudendal artery is a branch of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Femoral artery</div>
<div class="1234">
<b>B.<span> </span></b>External iliac artery</div>
<div class="1234">
<b>C.<span> </span></b>Internal iliac artery</div>
<div class="1234">
<b>D.<span> </span></b>Aorta</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 7.<span> </span>Diaphragmatic hernia can occur through all the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Esophageal opening</div>
<div class="1234">
<b>B.<span> </span></b>Costovertebral triangle</div>
<div class="1234">
<b>C.<span> </span></b>Costal and sternal attachment of diaphragm</div>
<div class="1234">
<b>D.<span> </span></b>Inferior vena cava opening</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 8.<span> </span>Ureteric constriction is seen at all the following positions, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ureteropelvic junction</div>
<div class="1234">
<b>B.<span> </span></b>Ureterovesicle junction</div>
<div class="1234">
<b>C.<span> </span></b>Crossing of iliac artery</div>
<div class="1234">
<b>D.<span> </span></b>Ischial spine</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 9.<span> </span>All the following are true regarding blood supply to the
kidney, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Stellate veins drain superficial zone</div>
<div class="1234">
<b>B.<span> </span></b>It is site of portosystemic anastomosis</div>
<div class="1234">
<b>C.<span> </span></b>The renal artery divides into five segmental arteries before
entering the hilum</div>
<div class="1234">
<b>D.<span> </span></b>Its segmental arteries are end-arteries</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 10.<span> </span>A patient with external hemorrhoids develops pain while passing
stools. The nerve mediating this pain is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypogastric nerve</div>
<div class="1234">
<b>B.<span> </span></b>Pudendal nerve</div>
<div class="1234">
<b>C.<span> </span></b>Splachnic visceral nerve</div>
<div class="1234">
<b>D.<span> </span></b>Sympathetic plexus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 11.<span> </span>Which of the following muscles is supplied by mandibular nerve:</span></div>
<div class="1234">
<b>A.<span> </span></b>Masseter</div>
<div class="1234">
<b>B.<span> </span></b>Buccinator</div>
<div class="1234">
<b>C.<span> </span></b>Tensor veli palati</div>
<div class="1234">
<b>D.<span> </span></b>Posterior belly of digastric</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 12.<span> </span>The sensoy supply of the palate is through all of the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Facial nerve</div>
<div class="1234">
<b>B.<span> </span></b>Hypoglossal nerve</div>
<div class="1234">
<b>C.<span> </span></b>Glossopharyngeal nerve</div>
<div class="1234">
<b>D.<span> </span></b>Maxillary division of trigeminal nerve</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 13.<span> </span>All of the following are features of large intestine, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Large intestine secretes acidic mucus which helps in formation
of stools</div>
<div class="1234">
<b>B.<span> </span></b>It is a site of mucocutaneous junction</div>
<div class="1234">
<b>C.<span> </span></b>Its epithelium contains globlets cells in large numbers</div>
<div class="1234">
<b>D.<span> </span></b>Absorbs salt and water</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 14.<span> </span>In flexion and abduction of shoulder all of the following
structures are compressed <i>except:</i></span></div>
<div class="1234">
<b>A.<span> </span></b>Subacromial bursa</div>
<div class="1234">
<b>B.<span> </span></b>Long head of biceps</div>
<div class="1234">
<b>C.</b><span> </span>Suprascapular nerve</div>
<div class="1234">
<b>D.</b><span> </span>Supraspinatus tendon</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Physiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 15.<span> </span>SI unit for measuring blood pressure is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Torr</div>
<div class="1234">
<b>B.<span> </span></b>mrnHg</div>
<div class="1234">
<b>C.<span> </span></b>kPa</div>
<div class="1234">
<b>D.<span> </span></b>Bar</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 16.<span> </span>Glucose mediated insulin release is mediated through:</span></div>
<div class="1234">
<b>A.<span> </span></b>ATP dependent K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>channels</div>
<div class="1234">
<b>B.<span> </span></b>cAMP</div>
<div class="1234">
<b>C.<span> </span></b>Carrier modulators</div>
<div class="1234">
<b>D.<span> </span></b>Receptor phosphorylation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 17.<span> </span>Sudden decrease in serum calcium is associated with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increased thyroxine and PTH secretion</div>
<div class="1234">
<b>B.<span> </span></b>Increased phosphate</div>
<div class="1234">
<b>C.<span> </span></b>Increased excitability of muscle and nerve</div>
<div class="1234">
<b>D.<span> </span></b>Cardiac conduction abnormalities</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 18.<span> </span>Ablation of the ‘somatosensory area 1’ of the cerebral cortex
leads to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Total loss of pain sensation</div>
<div class="1234">
<b>B.<span> </span></b>Total loss of touch sensation</div>
<div class="1234">
<b>C.<span> </span></b>Loss of tactile localization but not of two point discrimination</div>
<div class="1234">
<b>D.<span> </span></b>Loss of tactile localization and two point discrimination</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 19.<span> </span>Non shivering thermogenesis in adults is due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Thyroid hormone</div>
<div class="1234">
<b>B.<span> </span></b>Brown fat between the shoulders</div>
<div class="1234">
<b>C.<span> </span></b>Adrenaline from adrenal medulla</div>
<div class="1234">
<b>D.<span> </span></b>Muscle metabolism</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 20.<span> </span>In metabolic acidosis, which of the following changes are seen:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increased K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span>excretion</div>
<div class="1234">
<b>B.<span> </span></b>Decreased K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>excretion</div>
<div class="1234">
<b>C.<span> </span></b>Increased Na<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>excretion</div>
<div class="1234">
<b>D.<span> </span></b>Increased Na<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>reabsorption</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 21.<span> </span>Tropomyosin:</span></div>
<div class="1234">
<b>A.<span> </span></b>Helps in the fusion of actin and myosin</div>
<div class="1234">
<b>B.<span> </span></b>Covers myosin and prevents attachments of actin and myosin</div>
<div class="1234">
<b>C.<span> </span></b>Slides over myosin</div>
<div class="1234">
<b>D.<span> </span></b>Causes Ca<span style="font-size: 6.5pt; position: relative; top: -5pt;">2+</span><span> </span>release</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 22.<span> </span>TRH stimulation testing is useful in diagnosis of disorders of
following hormones:</span></div>
<div class="1234">
<b>A.<span> </span></b>Insulin</div>
<div class="1234">
<b>B.<span> </span></b>ACTH</div>
<div class="1234">
<b>C.<span> </span></b>Prolactin</div>
<div class="1234">
<b>D.<span> </span></b>PTH</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 23.<span> </span>During muscular exercise all are seen <i>except:</i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Increase in blood flow to muscles </div>
<div class="1234">
<b>B.</b><span> </span>Stroke volume increases </div>
<div class="1234">
<b>C.</b><span> </span>O<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span> </span>dissociation curve shifts to left </div>
<div class="1234">
<b>D.</b><span> </span>O<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span> </span>consumption increases</div>
<div class="Ans">
Ans.<span> </span>C<span style="font-weight: normal;"></span></div>
<div class="Head">
Biochemistry</div>
<div class="Ques">
<span style="color: windowtext;">Q 24.<span> </span>“All enzymes are not proteins.” This statement is justified by:</span></div>
<div class="1234">
<b>A.<span> </span></b>All enzymes do not follow the Michaelis Menten hypothesis</div>
<div class="1234">
<b>B.<span> </span></b>RNAs act as ribozymes</div>
<div class="1234">
<b>C.<span> </span></b>Antibodies take part in the catalysis of many reactions</div>
<div class="1234">
<b>D.<span> </span></b>Metals are involved in attachment to enzymes and catalysts</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 25.<span> </span>Enzymes mediating transfer of one molecule to another are:</span></div>
<div class="1234">
<b>A.<span> </span></b>Transferases</div>
<div class="1234">
<b>B.<span> </span></b>Oxidases</div>
<div class="1234">
<b>C.<span> </span></b>Lysases</div>
<div class="1234">
<b>D.<span> </span></b>Peptidases</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 26.<span> </span>In which of the following reactions is magnesium required:</span></div>
<div class="1234">
<b>A.<span> </span></b>Na<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span>K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>ATPase</div>
<div class="1234">
<b>B.<span> </span></b>Dismutase</div>
<div class="1234">
<b>C.<span> </span></b>Phosphatase</div>
<div class="1234">
<b>D.<span> </span></b>Aldolase</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 27.<span> </span>In oxidative phosphorylation, the ATP production and respiratory
chain are linked by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Chemical methods</div>
<div class="1234">
<b>B.<span> </span></b>Physical methods</div>
<div class="1234">
<b>C.<span> </span></b>Chemiosmotic methods</div>
<div class="1234">
<b>D.<span> </span></b>Conformational changes</div>
<div class="Ans">
Q Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 28.<span> </span>Thiamine level is best monitored by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Transketolase level in RBC</div>
<div class="1234">
<b>B.<span> </span></b>Thiamine level in blood</div>
<div class="1234">
<b>C.<span> </span></b>G-6-PD activity</div>
<div class="1234">
<b>D.<span> </span></b>Reticulocytosis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 29.<span> </span>Vitamin B</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">12</span><span style="color: windowtext;"><span> </span>and folic acid
supplementation in megaloblastic anemia leads to the improvement of anemia due
to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increased DNA synthesis in bone marrow</div>
<div class="1234">
<b>B.<span> </span></b>Increased hemoglobin production</div>
<div class="1234">
<b>C.<span> </span></b>Erythroid hyperplasia</div>
<div class="1234">
<b>D.<span> </span></b>Increased iron absorption</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 30.<span> </span>Nitric oxide synthase:</span></div>
<div class="1234">
<b>A.<span> </span></b>Is inhibited by Ca<span style="font-size: 6.5pt; position: relative; top: -5pt;">++</span></div>
<div class="1234">
<b>B.<span> </span></b>Catalyses a dioxygenase reaction</div>
<div class="1234">
<b>C.<span> </span></b>Accepts electrons from NADH</div>
<div class="1234">
<b>D.<span> </span></b>Requires NADH, FAD, FMN & heme iron</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 31.<span> </span>Phenylalanine is the precursor of all the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tyrosine</div>
<div class="1234">
<b>B.<span> </span></b>Epinephrine</div>
<div class="1234">
<b>C.<span> </span></b>Thyroxine</div>
<div class="1234">
<b>D.<span> </span></b>Melatonin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 32.<span> </span>In a well fed state, acetyl CoA obtained from diet is least used
in the synthesis of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Palmity CoA</div>
<div class="1234">
<b>B.<span> </span></b>Citrate</div>
<div class="1234">
<b>C.<span> </span></b>Acetoacetate</div>
<div class="1234">
<b>D.<span> </span></b>Oxalosuccinate</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 33.<span> </span>Substrate level phosphorylation in citric acid cycle is seen in
the conversion of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Acetoacetate to <span style="font-family: Symbol;">a</span>-ketoglutarate</div>
<div class="1234">
<b>B.<span> </span></b>Succinyl CoA to succinate</div>
<div class="1234">
<b>C.<span> </span></b>Fumarate to malate</div>
<div class="1234">
<b>D.<span> </span></b>Succinate to fumarate</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 34.<span> </span>Apo B48 and apo B100 are expressed as two different apo-proteins
because of difference in:</span></div>
<div class="1234">
<b>A.<span> </span></b>RNA editing</div>
<div class="1234">
<b>B.<span> </span></b>RNA splicing</div>
<div class="1234">
<b>C.<span> </span></b>Chromosomal loci</div>
<div class="1234">
<b>D.<span> </span></b>Apo-B gene</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 35.<span> </span>All the following can be used to detect mutation, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Single strand conformational polymorphism</div>
<div class="1234">
<b>B.<span> </span></b>Ligase chain reaction</div>
<div class="1234">
<b>C.<span> </span></b>Polymerase chain reaction</div>
<div class="1234">
<b>D.<span> </span></b>DNA sequencing</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 36.<span> </span>Which of the following is true regarding hydroxy ethyl starch:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is an anesthetic agent</div>
<div class="1234">
<b>B.<span> </span></b>It is a plasma expander</div>
<div class="1234">
<b>C.</b><span> </span>It is a crystalloid</div>
<div class="1234">
<b>D.<span> </span></b>Used as a nutritional agent</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 37.<span> </span>Elasticity of the corneal layer of skin is due to the presence
of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Histidine</div>
<div class="1234">
<b>B.<span> </span></b>Keratin</div>
<div class="1234">
<b>C.<span> </span></b>Lysine</div>
<div class="1234">
<b>D.<span> </span></b>Cysteine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 38.<span> </span>In dividing cells, spindle is formed by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ubiquitin</div>
<div class="1234">
<b>B.<span> </span></b>Tubulin</div>
<div class="1234">
<b>C.<span> </span></b>Laminin</div>
<div class="1234">
<b>D.<span> </span></b>Keratin</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 39.<span> </span>Entropy in a biological system is constant because:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is an open system</div>
<div class="1234">
<b>B.<span> </span></b>It is a closed system</div>
<div class="1234">
<b>C.<span> </span></b>It is a governed by vitalism</div>
<div class="1234">
<b>D.<span> </span></b>Has exothermic-endothermic reactions</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 40.<span> </span>Which of the following is true regarding a system which favours
oscillatory responses:</span></div>
<div class="1234">
<b>A.<span> </span></b>Has proportional component</div>
<div class="1234">
<b>B.<span> </span></b>Has a greater gain</div>
<div class="1234">
<b>C.<span> </span></b>Has a lesser gain</div>
<div class="1234">
<b>D.<span> </span></b>Positive feedback system</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ans">
Q 41.<span> </span>Highest binding of iron
is seen with:</div>
<div class="1234">
<b>A.</b><span> </span>Transferrin</div>
<div class="1234">
<b>B.</b><span> </span>Ferritin</div>
<div class="1234">
<b>C.</b><span> </span>Haemoglobin</div>
<div class="1234">
<b>D.</b><span> </span>Ceruloplasmin</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Pathology</div>
<div class="Ques">
<span style="color: windowtext;">Q 42.<span> </span>The epitheloid cell and multinucleated gaint cells of
granulomatous inflammation are derived from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Basophils</div>
<div class="1234">
<b>B.<span> </span></b>Eosinophils</div>
<div class="1234">
<b>C.<span> </span></b>CD4 T lymphocytes</div>
<div class="1234">
<b>D.<span> </span></b>Monocytes-macrophages</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 43.<span> </span>The following host tissue responses can be seen in acute
infection, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Exudation</div>
<div class="1234">
<b>B.<span> </span></b>Vasodilation</div>
<div class="1234">
<b>C.<span> </span></b>Margination</div>
<div class="1234">
<b>D.<span> </span></b>Granuloma formation</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 44.<span> </span>The following feature is common to both cytotoxic T cells and NK
cells:</span></div>
<div class="1234">
<b>A.<span> </span></b>Synthesize antibody</div>
<div class="1234">
<b>B.<span> </span></b>Require antibodies to be present for action</div>
<div class="1234">
<b>C.<span> </span></b>Effective against virus infected cells</div>
<div class="1234">
<b>D.<span> </span></b>Recognize antigen in association with HLA class II markers</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 45.<span> </span>In the intra-epithelial region of the mucosa of intestine the
predominant cell population is that of:</span></div>
<div class="1234">
<b>A.<span> </span></b>B cell</div>
<div class="1234">
<b>B.<span> </span></b>T<span> </span>cells</div>
<div class="1234">
<b>C.<span> </span></b>Plasma cells</div>
<div class="1234">
<b>D.<span> </span></b>Basophils</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 46.<span> </span>In primary tuberculosis, all of the following may be seen <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cavitation</div>
<div class="1234">
<b>B.<span> </span></b>Caseation</div>
<div class="1234">
<b>C.<span> </span></b>Calcification</div>
<div class="1234">
<b>D.<span> </span></b>Langerhan giant cell</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 47.<span> </span>A mylocardial infarct showing early granulation tissue has most
likely occurred:</span></div>
<div class="1234">
<b>A.<span> </span></b>Less than 1 hours</div>
<div class="1234">
<b>B.<span> </span></b>Within 24 hours</div>
<div class="1234">
<b>C.<span> </span></b>Within 1 week</div>
<div class="1234">
<b>D.<span> </span></b>Within 1 month</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 48.<span> </span>A 10 year old boy, died of acute rheumatic fever. All the
following can be expected at autopsy <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ashoff nodules</div>
<div class="1234">
<b>B.<span> </span></b>Rupture of chordae tendinae</div>
<div class="1234">
<b>C.<span> </span></b>McCallum patch</div>
<div class="1234">
<b>D.<span> </span></b>Fibrinous pericarditis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 49.<span> </span>All of the following are seen in asbestosis <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Diffuse alveolar damage</div>
<div class="1234">
<b>B.<span> </span></b>Calcified pleural plaques</div>
<div class="1234">
<b>C.<span> </span></b>Diffuse pulmonary interstitial fibrosis</div>
<div class="1234">
<b>D.<span> </span></b>Mesotheliomas</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 50.<span> </span>Macrophages containing large quantities of undigested and partial
digested bacteria in intestine are seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Whipple’s disease</div>
<div class="1234">
<b>B.<span> </span></b>Amyloidosis</div>
<div class="1234">
<b>C.<span> </span></b>Immunoproliferative small instetinal disease</div>
<div class="1234">
<b>D.<span> </span></b><i>Vibrio cholerae</i> infection</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 51.<span> </span>The histological features of celiac disease include all of the
following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Crypt hyperplasia</div>
<div class="1234">
<b>B.<span> </span></b>Increase in thickness of the mucosa</div>
<div class="1234">
<b>C.<span> </span></b>Increase in intraepithelial lymphocytes</div>
<div class="1234">
<b>D.<span> </span></b>Increase in inflammatory cells in lamina propria</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 52.<span> </span>In a chronic alcoholic all the following may be seen in the liver
<i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fatty degeneration</div>
<div class="1234">
<b>B.<span> </span></b>Chronic hepatitis</div>
<div class="1234">
<b>C.<span> </span></b>Granuloma formation</div>
<div class="1234">
<b>D.<span> </span></b>Cholestatic hepatitis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 53.<span> </span>Crescent formation is characteristic of the following glomerular
disease:</span></div>
<div class="1234">
<b>A.<span> </span></b>Minimal change disease</div>
<div class="1234">
<b>B.<span> </span></b>Rapidly progressive glomerulonephritis</div>
<div class="1234">
<b>C.<span> </span></b>Focal and segmental glomerulosclerosis</div>
<div class="1234">
<b>D.<span> </span></b>Rapidly non prgressive glomerulonephritis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 54.<span> </span>Necrotizing papillitis may be seen in all of the following
conditions <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sickle cell disease</div>
<div class="1234">
<b>B.<span> </span></b>Tuberculous pyelonephritis</div>
<div class="1234">
<b>C.<span> </span></b>Diabetes mellitus</div>
<div class="1234">
<b>D.<span> </span></b>Analgesic nephropathy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 55.<span> </span>Disease or infarction of neurological tissue causes it to be
replaced by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fluid</div>
<div class="1234">
<b>B.<span> </span></b>Neuroglia</div>
<div class="1234">
<b>C.<span> </span></b>Proliferation of adjacent nerve cells</div>
<div class="1234">
<b>D.<span> </span></b>Blood vessel</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 56.<span> </span>Flat small vegetations in the cusps of both tricuspid and mitral
valves are seen in:</span></div>
<div class="1234">
<b>A.</b><span> </span>Viral myocarditis <span> </span></div>
<div class="1234">
<b>B.</b><span> </span>Libmann Sach’s endocarditis </div>
<div class="1234">
<b>C.</b><span> </span>Rheumatic carditis </div>
<div class="1234">
<b>D.</b><span> </span>Infective endocarditis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Microbiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 57.<span> </span>Bacteria may acquire characteristics by all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Taking up soluble DNA fragments across their cell wall from
other species</div>
<div class="1234">
<b>B.<span> </span></b>Incorporating part of host DNA</div>
<div class="1234">
<b>C.<span> </span></b>Through bacteriophages</div>
<div class="1234">
<b>D.<span> </span></b>Through conjugation</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 58.<span> </span>Neonatal thymectomy leads to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Decreased size of germinal center</div>
<div class="1234">
<b>B.<span> </span></b>Decreased size of paracortical areas</div>
<div class="1234">
<b>C.<span> </span></b>Increased antibody production by B cells</div>
<div class="1234">
<b>D.<span> </span></b>mcreased bone marrow production of lymphocytes</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 59.<span> </span><i>Staphylococcus aureus</i> differs from <i>Staphylococcus epidermidis</i>
by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Is coagulase positive</div>
<div class="1234">
<b>B.<span> </span></b>Forms white colonies</div>
<div class="1234">
<b>C.<span> </span></b>A common cause of UTI</div>
<div class="1234">
<b>D.<span> </span></b>Causes endocarditis in drug addicts</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 60.<span> </span>Positive Shick’s test indicates that person is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Immune to diptheria</div>
<div class="1234">
<b>B.<span> </span></b>Hypersensitive to diptheria</div>
<div class="1234">
<b>C.<span> </span></b>Susceptible to diptheria</div>
<div class="1234">
<b>D.<span> </span></b>Carrier of diptheria</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 61.<span> </span>In a patient with typhoid, diagnosis after 15 days of onset of
fever is best done by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Blood culture</div>
<div class="1234">
<b>B.<span> </span></b>Widal</div>
<div class="1234">
<b>C.<span> </span></b>Stool culture</div>
<div class="1234">
<b>D.<span> </span></b>Urine culture</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 62.<span> </span>Which of the following is transmitted by rat urine?</span></div>
<div class="1234">
<b>A.<span> </span></b>Leptospira</div>
<div class="1234">
<b>B.<span> </span></b>Listeria</div>
<div class="1234">
<b>C.<span> </span></b>Legionella</div>
<div class="1234">
<b>D.<span> </span></b>Mycoplasma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 63.<span> </span>AII the following are true about <i>Listeria except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Transmitted by contaminated milk</div>
<div class="1234">
<b>B.<span> </span></b>Gram negative bacteria</div>
<div class="1234">
<b>C.<span> </span></b>Causes abortion in pregnancy</div>
<div class="1234">
<b>D.<span> </span></b>Causes meningitis in neonates</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 64.<span> </span>Which of the following statement is true about <i>Bacteroides</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is gram positive bacilli</div>
<div class="1234">
<b>B.<span> </span></b>It is strictiy aerobic</div>
<div class="1234">
<b>C.<span> </span></b>It may cause peritonitis</div>
<div class="1234">
<b>D.<span> </span></b>Presence in stool culture indicates need for treatment</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 65.<span> </span>Heat stable enterotoxin causing food poisoning is caused by all
the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Bacillus cereus</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Yersinia enterocolitica</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Staphylococcus</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Clostridium perfringens</i></div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 66.<span> </span>HIV virus contains:</span></div>
<div class="1234">
<b>A.<span> </span></b>Single stranded DNA</div>
<div class="1234">
<b>B.<span> </span></b>Single stranded RNA</div>
<div class="1234">
<b>C.<span> </span></b>Double stranded DNA</div>
<div class="1234">
<b>D.<span> </span></b>Double stranded RNA</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 67.<span> </span>Regarding HIV which of the following is <i>not </i>true:</span></div>
<div class="1234">
A.<span> </span>It is a DNA retrovirus</div>
<div class="1234">
<b>B.<span> </span></b>Contains reverse transcriptase</div>
<div class="1234">
<b>C.<span> </span></b>May infect host CD4 cells other than T-lymphocytes</div>
<div class="1234">
<b>D.<span> </span></b>Causes a reduction in host CD4 cells at late stage of disease</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 68.<span> </span>CMV retinitis in HIV occurs when the CD4 counts fall below:</span></div>
<div class="1234">
<b>A.<span> </span></b>50</div>
<div class="1234">
<b>B.<span> </span></b>100</div>
<div class="1234">
<b>C.<span> </span></b>200</div>
<div class="1234">
<b>D.<span> </span></b>150</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 69.<span> </span>Epstein Barr virus causes all the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Infectious mononucleosis</div>
<div class="1234">
<b>B.<span> </span></b>Measles</div>
<div class="1234">
<b>C.<span> </span></b>Nasopharyngeal carcinoma</div>
<div class="1234">
<b>D.<span> </span></b>Non Hodgkin’s lymphoma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 70.<span> </span>In a patient, corneal scraping reveals narrow angled septate
hyphae. Which of the following is the likely etiologic agent:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mucor</div>
<div class="1234">
<b>B.<span> </span></b>Aspergillus</div>
<div class="1234">
<b>C.<span> </span></b>Histoplasma</div>
<div class="1234">
<b>D.<span> </span></b>Candida</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 71.<span> </span>Which of the following is true regarding globi in a patient with
lepromatous leprosy:</span></div>
<div class="1234">
<b>A.<span> </span></b>Consists of lipid laden macrophages.</div>
<div class="1234">
<b>B.<span> </span></b>Consists of macrophages filled with AFB</div>
<div class="1234">
<b>C.<span> </span></b>Consists of neutrophils filled with bacteria</div>
<div class="1234">
<b>D.<span> </span></b>Consists of activated lymphocytes</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 72.<span> </span>The following diagnostic tests are useful for corresponding
purposes <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Zeil-Neelson staining – Detection of mycobacteria</div>
<div class="1234">
<b>B.<span> </span></b>Immunoflorescence – Detection of influenza virus</div>
<div class="1234">
<b>C.<span> </span></b>Specific IgM antibodies – Immunity against rubella</div>
<div class="1234">
<b>D.<span> </span></b>Specific IgM antibodies – Detection of acute infection</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 73.<span> </span>IL-1 produces:</span></div>
<div class="1234">
<b>A.<span> </span></b>T lymphocyte activation</div>
<div class="1234">
<b>B.<span> </span></b>Delayed wound healing</div>
<div class="1234">
<b>C.<span> </span></b>Increased pain perception</div>
<div class="1234">
<b>D.<span> </span></b>Decreased PMN release from bone marrow</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 74.<span> </span>Microfilaria are seen in peripheral blood in which stage of
filariasis:</span></div>
<div class="1234">
<b>A.</b><span> </span>Tropical eosinophilia</div>
<div class="1234">
<b>B.</b><span> </span>Early elephantiasis</div>
<div class="1234">
<b>C.</b><span> </span>Early adenolymphangitis stage</div>
<div class="1234">
<b>D.<span> </span></b>None of the above</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 75.<span> </span>Confirmation of diagnosis of rota virus infection is by:<span> </span></span></div>
<div class="1234">
<b>A.</b><span> </span>Antigen detection in stool by ELISA </div>
<div class="1234">
<b>B.</b><span> </span>Antibody titres in serum </div>
<div class="1234">
<b>C.</b><span> </span>Antigen detection by immunoflurescence</div>
<div class="1234">
<b>D.</b><span> </span>Antigen detection in serum by ELISA</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Pharmacology</div>
<div class="Ques">
<span style="color: windowtext;">Q 76.<span> </span>Regarding efficacy and potency of a drug, all are true, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>In a clinical setup, efficacy is more important than potency</div>
<div class="1234">
<b>B.<span> </span></b>In the log dose response curve, the height of the curve corresponds
with efficacy</div>
<div class="1234">
<b>C.<span> </span></b>ED<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">50</span><span> </span>of the
drug corresponds to efficacy</div>
<div class="1234">
<b>D.<span> </span></b>Drugs that produce a similar pharmacological effect can have
different levels of efficacy</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 77.<span> </span>All the following are selective beta blockers, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Atenolol</div>
<div class="1234">
<b>B.<span> </span></b>Esmolol</div>
<div class="1234">
<b>C.<span> </span></b>Bisprolol</div>
<div class="1234">
<b>D.<span> </span></b>Celiprolol</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 78.<span> </span>All of the following factors increase the risk of aminoglycoside
renal toxicity, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Elderly person</div>
<div class="1234">
<b>B.<span> </span></b>Dehydration</div>
<div class="1234">
<b>C.<span> </span></b>Simultaneous use with penicillin</div>
<div class="1234">
<b>D.<span> </span></b>Aminoglycoside administration in recent past</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 79.<span> </span>In which of the following disorders is administration of
barbiturates contraindicated in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Anxiety disorders</div>
<div class="1234">
<b>B.<span> </span></b>Acute intermittent porphyria</div>
<div class="1234">
<b>C.<span> </span></b>Kemincterus</div>
<div class="1234">
<b>D.<span> </span></b>Refractive status epilepticus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 80.<span> </span>Mechanism of action tianeptin in the brain is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Selective serotonin reuptake inhibition</div>
<div class="1234">
<b>B.<span> </span></b>Selective norepinephfine reuptake inhibition</div>
<div class="1234">
<b>C.<span> </span></b>Selective serotonin reuptake enchancer</div>
<div class="1234">
<b>D.<span> </span></b>Selective dopamine reuptake inhibition</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 81.<span> </span>Proton pump inhibitors are most effective when they are given:</span></div>
<div class="1234">
<b>A.<span> </span></b>After meals</div>
<div class="1234">
<b>B.<span> </span></b>Shortly before meals</div>
<div class="1234">
<b>C.<span> </span></b>Along with H<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2 </span>blockers</div>
<div class="1234">
<b>D.<span> </span></b>During prolonged fasting periods</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 82.<span> </span>Which of the following is correctly matched:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dimercaprol:Iron</div>
<div class="1234">
<b>B.<span> </span></b>Calcium di-sodium EDTA:Arsenic</div>
<div class="1234">
<b>C.<span> </span></b>Penicillamine:Copper</div>
<div class="1234">
<b>D.<span> </span></b>Desferrioxamine:Lead</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 83.<span> </span>Digoxin is contraindicated in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Supraventricular tachycardia</div>
<div class="1234">
<b>B.<span> </span></b>Atrial fibrillation</div>
<div class="1234">
<b>C.<span> </span></b>Congestive heart failure</div>
<div class="1234">
<b>D.<span> </span></b>Hypertrophic obstructive cardiomyopathy</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 84.<span> </span>All the following drugs cause renal failure <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cephaloridine</div>
<div class="1234">
<b>B.<span> </span></b>Amphoterecin B</div>
<div class="1234">
<b>C.<span> </span></b>Cefoperazone</div>
<div class="1234">
<b>D.<span> </span></b>Gentamicin</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 85.<span> </span>All of the following statements are true regarding losartan <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is a competitive angiotensin receptor antagonist</div>
<div class="1234">
<b>B.<span> </span></b>It has a long acting metabolite</div>
<div class="1234">
<b>C.<span> </span></b>Associated with negligible cough</div>
<div class="1234">
<b>D.<span> </span></b>Causes hyperuricemia</div>
<div class="Ans">
Q Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">86.<span> </span>Gemcitabine is effective in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Head and neck cancers</div>
<div class="1234">
<b>B.<span> </span></b>Pancreatic cancer</div>
<div class="1234">
<b>C.<span> </span></b>Small-cell lung cancer</div>
<div class="1234">
<b>D.<span> </span></b>Soft tissue sarcoma</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 87.<span> </span>All of the following drugs can cross placenta <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Phenytoin</div>
<div class="1234">
<b>B.<span> </span></b>Diazepam</div>
<div class="1234">
<b>C.<span> </span></b>Morphine</div>
<div class="1234">
<b>D.<span> </span></b>Heparin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 88.<span> </span>A highway truck driver has profuse rhinorrhea and sneezing. Which
amongst the following durgs would you prescibe him?</span></div>
<div class="1234">
<b>A.<span> </span></b>Pheniramine</div>
<div class="1234">
<b>B.<span> </span></b>Promethazine</div>
<div class="1234">
<b>C.<span> </span></b>Dimerhydrinate</div>
<div class="1234">
<b>D.</b> Cetrizine</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 89.<span> </span>The mechanism of action of sodium nitroprusside is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increased cAMP</div>
<div class="1234">
<b>B.<span> </span></b>Increased guanylate cyclase</div>
<div class="1234">
<b>C.<span> </span></b>Calcium channel blockage</div>
<div class="1234">
<b>D.<span> </span></b>K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>channel
opener</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 90.<span> </span>All the following belong to the steroid receptor superfamily <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Vitamin D3 receptor</div>
<div class="1234">
<b>B.<span> </span></b>Thyroid receptor</div>
<div class="1234">
<b>C.<span> </span></b>Retinoid receptor</div>
<div class="1234">
<b>D.<span> </span></b>Epinephrine receptor</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 91.<span> </span>All of the following undergo hepatic metabolism before excretion <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Phenytoin</div>
<div class="1234">
<b>B.<span> </span></b>Diazepam</div>
<div class="1234">
<b>C.<span> </span></b>Penicillin G</div>
<div class="1234">
<b>D.<span> </span></b>Cimetidine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 92.<span> </span>In a patient taking oral contraceptive, the chance of pregnancy
increases after taking any of the following drugs <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Phenytoin</div>
<div class="1234">
<b>B.<span> </span></b>Carbamazepine</div>
<div class="1234">
<b>C.<span> </span></b>Ampicillin</div>
<div class="1234">
<b>D.<span> </span></b>Cimetidine</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 93.<span> </span>The primary mechanism of action of fluoride on topical
application is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Conversion of hydroxyapatite to fluoroapatite by replacing the
–OH ions</div>
<div class="1234">
<b>B.<span> </span></b>Inhibition of plaque bacteria</div>
<div class="1234">
<b>C.<span> </span></b>Form a reservoir in saliva</div>
<div class="1234">
<b>D.<span> </span></b>Improvement in tooth morphology</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 94.<span> </span>A 65 year old man was consuming opium for 20 years. He stops
consumption suddenly and comes to casualty after 2 days. Which is likely to occur
due to withdrawal:<span> </span></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Rhinorrhoea</div>
<div class="1234">
<b>B.</b><span> </span>Hypotension</div>
<div class="1234">
<b>C.</b><span> </span>Drowsiness</div>
<div class="1234">
<b>D.</b><span> </span>Miosis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 95.<span> </span>Which of the following causes hepatic granuloma?</span></div>
<div class="1234">
<b>A.</b><span> </span>Amiodarone</div>
<div class="1234">
<b>B.</b><span> </span>Alcohol</div>
<div class="1234">
<b>C.</b><span> </span>Cimetidine</div>
<div class="1234">
<b>D.</b><span> </span>Metronidazole</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 96.<span> </span>Coronary steal commonly is seen with:<span> </span></span></div>
<div class="1234">
<b>A.</b><span> </span>Atenolol </div>
<div class="1234">
<b>B.</b><span> </span>Diltiazem </div>
<div class="1234">
<b>C.</b><span> </span>Nitroglycerine</div>
<div class="1234">
<b>D.</b><span> </span>Dipyridamole</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 97.<span> </span>A patient is taking ketoconazole for fungal infection develops
cold for which he is prescribed terfenadine. Possible interaction between
terfenadine and ketoconazole is:<span> </span></span></div>
<div class="1234">
<b>A.</b><span> </span>Ketoconazole decreases metabolism of terfenadine
</div>
<div class="1234">
<b>B.</b><span> </span>Terfenadine increases levels of ketoconazole </div>
<div class="1234">
<b>C.</b><span> </span>Ketoconazole decreases levels of terfenadine </div>
<div class="1234">
<b>D.</b><span> </span>No interaction</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Forensic Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 98.<span> </span>What would be the race of individual if skull bone having
following feature – rounded nasal opening, horseshoe shaped palate, round orbit
& cephalic index above 80:</span></div>
<div class="1234">
<b>A.<span> </span></b>Negro</div>
<div class="1234">
<b>B.<span> </span></b>Mongol</div>
<div class="1234">
<b>C.<span> </span></b>European</div>
<div class="1234">
<b>D.<span> </span></b>Aryans</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 99.<span> </span>A sample to look for uric crystal (gouty tophus) would be
submitted to the pathology laboratory in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Formalin</div>
<div class="1234">
<b>B.<span> </span></b>Distilled water</div>
<div class="1234">
<b>C.<span> </span></b>Alcohol</div>
<div class="1234">
<b>D.<span> </span></b>Normal saline</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 100.<span> </span>Not a feature of brain death:</span></div>
<div class="1234">
<b>A.<span> </span></b>Complete apnea</div>
<div class="1234">
<b>B.<span> </span></b>Absent pupillary reflex</div>
<div class="1234">
<b>C.<span> </span></b>Absence of deep tendon reflex</div>
<div class="1234">
<b>D.<span> </span></b>Heart rate unresponsive to atropine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 101.<span> </span>At autopsy, a body is found to have copious fine leathery froth in
mouth & nostrils which increased on pressure over chest. Death was likely
due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Epilepsy</div>
<div class="1234">
<b>B.<span> </span></b>Hanging</div>
<div class="1234">
<b>C.<span> </span></b>Drowning</div>
<div class="1234">
<b>D.<span> </span></b>Opium poisoning</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 102.<span> </span>In fire arm injury, entery-wound blackening is due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Flame</div>
<div class="1234">
<b>B.<span> </span></b>Hot gases</div>
<div class="1234">
<b>C.<span> </span></b>Smoke</div>
<div class="1234">
<b>D.<span> </span></b>Deposition from bullet</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 103.<span> </span>Tentative cut is a feature of: </span></div>
<div class="1234">
<b>A.<span> </span></b>Fall from the height</div>
<div class="1234">
<b>B.<span> </span></b>Homicidal assault</div>
<div class="1234">
<b>C.<span> </span></b>Accidental injury</div>
<div class="1234">
<b>D.<span> </span></b>Suicidal attempt</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 104.<span> </span>Gastric lavage is indicated in all cases of acute poisoning ideally
because of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fear of aspiration</div>
<div class="1234">
<b>B.<span> </span></b>Danger of cardiac arrest</div>
<div class="1234">
<b>C.<span> </span></b>Danger of respiratory arrest</div>
<div class="1234">
<b>D.<span> </span></b>Inadequat ventilation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 105.<span> </span>All of the following method used for detecting heavy metals, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Harrison & Gilroy test</div>
<div class="1234">
<b>B.</b><span> </span>Paraffin test</div>
<div class="1234">
<b>C.<span> </span></b>Neutron activation analysis</div>
<div class="1234">
<b>D.<span> </span></b>Atomic adsorption spectroscopy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 106.<span> </span>The sensation of creping, bugs over the body is a feature of
poisoning due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cocaine</div>
<div class="1234">
<b>B.<span> </span></b>Diazepam</div>
<div class="1234">
<b>C.<span> </span></b>Barbiturates</div>
<div class="1234">
<b>D.<span> </span></b>Brown sugar</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 107.<span> </span>Which type of cattle poisoning occurs due to ingestion of linseed
plant:</span></div>
<div class="1234">
<b>A.<span> </span></b>Aconite</div>
<div class="1234">
<b>B.<span> </span></b>Pilocarpine</div>
<div class="1234">
<b>C.<span> </span></b>Atropine</div>
<div class="1234">
<b>D.<span> </span></b>Hydro cyanic acid</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 108.<span> </span>A 10 years old child present in casualty with snake bite since six
hours. On examination no systemic signs are found & laboratory
investigation are normal <i>except</i> localized swelling over the leg<span> </span>< 5 cm. Next step in management would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Incision & suction of local swelling</div>
<div class="1234">
<b>B.<span> </span></b>IV antivenom</div>
<div class="1234">
<b>C.<span> </span></b>Subcutaneous antivenom at local swelling</div>
<div class="1234">
<b>D.<span> </span></b>Observe the patient for progression of symptoms wait for antivenom
therapy</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 109.<span> </span>‘Gold chloride’ test is done in poisoning with:</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.</b><span> </span>Heroin</div>
<div class="1234">
<b>B.</b><span> </span>Barbiturates</div>
<div class="1234">
<b>C.</b><span> </span>Cocaine</div>
<div class="1234">
<b>D.</b><span> </span>Heavy metals</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Preventive and Social Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 110.<span> </span>Iron and folic acid supplementation forms:</span></div>
<div class="1234">
<b>A.<span> </span></b>Health promotion</div>
<div class="1234">
<b>B.<span> </span></b>Specific protection</div>
<div class="1234">
<b>C.<span> </span></b>Primordial prevention</div>
<div class="1234">
<b>D.<span> </span></b>Primary prevention</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 111.<span> </span>The most important function of sentinel surveillance is:</span></div>
<div class="1234">
<b>A.<span> </span></b>To find the total amount of disease in a population</div>
<div class="1234">
<b>B.<span> </span></b>To plan effective control measures</div>
<div class="1234">
<b>C.<span> </span></b>To determine the trend of disease in a population</div>
<div class="1234">
<b>D.<span> </span></b>To notify disease</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 112.<span> </span>Serial interval is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Time gap between primary and secondary case</div>
<div class="1234">
<b>B.<span> </span></b>Time gap between index and primary case</div>
<div class="1234">
<b>C.<span> </span></b>Time taken for a person from infection to develop maximum
infectivity</div>
<div class="1234">
<b>D.<span> </span></b>The time taken from infection till a person infects another
person</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 113.<span> </span>All the following are advantages of case control studies <i>except</i>:
</span></div>
<div class="1234">
<b>A.<span> </span></b>Useful in rare disease</div>
<div class="1234">
<b>B.<span> </span></b>Relative risk can be calculated</div>
<div class="1234">
<b>C.<span> </span></b>Odds ratio can be calculated</div>
<div class="1234">
<b>D.<span> </span></b>Cost effective and inexpensive</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 114.<span> </span>The association between coronary artery disease and smoking was
found to be as follows:</span></div>
<div class="Ques" style="margin-left: 45pt;">
<span style="color: windowtext;"><span> </span>CAD<span> </span>No<span> </span>CAD</span></div>
<div class="Ques" style="margin-left: 45pt;">
<span style="color: windowtext;"><span> </span>Smokers<span> </span>30<span> </span>20</span></div>
<div class="Ques" style="margin-left: 45pt;">
<span style="color: windowtext;"><span> </span>Non
smokers<span> </span>20<span> </span>30</span></div>
<div class="Ques">
<span style="color: windowtext;"><span> </span>The
Odds ratio can be estimated as:</span></div>
<div class="1234">
<b>A.<span> </span></b>0.65</div>
<div class="1234">
<b>B.<span> </span></b>0.85</div>
<div class="1234">
<b>C.<span> </span></b>1.35</div>
<div class="1234">
<b>D.<span> </span></b>2.25</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 115.<span> </span>In a prospective study comprising 10,000 subjects, 6000 subjects
were put on beta carotene and 4000 were not, 3 out of the first 6000 developed
lung cancer and 2 out of the second 4000 developed lung cancer. What is the
interpretation of the above results?</span></div>
<div class="1234">
<b>A.<span> </span></b>Beta carotene is protective in lung cancer</div>
<div class="1234">
<b>B.<span> </span></b>Beta carotene and lung cancer have no relation to each other</div>
<div class="1234">
<b>C.<span> </span></b>The study design is not sufficient to draw any meaningful
conclusions</div>
<div class="1234">
<b>D.<span> </span></b>Beta carotene is carcinogenic</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 116.<span> </span>About direct standardization all are true <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Age specific death rates are not needed</div>
<div class="1234">
<b>B.<span> </span></b>A standard population is needed</div>
<div class="1234">
<b>C.<span> </span></b>Population should be comparable</div>
<div class="1234">
<b>D.<span> </span></b>Two propulations are compared</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 117.<span> </span>Which vaccine is contraindicated in pregnancy?</span></div>
<div class="1234">
<b>A.<span> </span></b>Rubella</div>
<div class="1234">
<b>B.<span> </span></b>Diphtheria</div>
<div class="1234">
<b>C.<span> </span></b>Tetanus</div>
<div class="1234">
<b>D.<span> </span></b>Hepatitis B</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 118.<span> </span>Which of the following statements is true regarding pertussis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Neurological complication rate of DPT is 1 in 50000</div>
<div class="1234">
<b>B.<span> </span></b>Vaccine efficacy is more than 95%</div>
<div class="1234">
<b>C.<span> </span></b>Erythromycin is useful for prophylaxis</div>
<div class="1234">
<b>D.<span> </span></b>The degree of polymorphonuclear leukocytosis correlates with the
severity of cough</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 119.<span> </span>Drugs A & B are both used for treating a particular skin
infection. After one standard application, drug A eradicates the infection in
95% of both adults and children. drug B eradicates the infection in 47% of
adults & 90% of children. There are otherwise no significant
pharmacological differences between the two drugs, and there are no significant
side effects. However, the cost of drug A is twice that of drug B. Dr. Sunil, a
general practitioner, always uses drug B for the first treatment, and resorts
to drug A if the infection persists. Dr. Sudhir, another general practitioner,
always uses drug A for adults and drug B for children. Ignoring indirect costs,
which of the following statement is incorrect:</span></div>
<div class="1234">
<b>A.<span> </span></b>Drug A is more effective than B for treating children</div>
<div class="1234">
<b>B.<span> </span></b>Drug A is more cost-effective than drug B for treating children</div>
<div class="1234">
<b>C.<span> </span></b>Drug A is more cost-effective than drug B for treating adults</div>
<div class="1234">
<b>D.<span> </span></b>Dr. Sudhir’s regime achieves a higher level of
cost-effectiveness than Dr. Sunil’s</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 120.<span> </span>The infectivity of chicken pox lasts for:</span></div>
<div class="1234">
<b>A.<span> </span></b>Till the last scab falls off</div>
<div class="1234">
<b>B.<span> </span></b>6 days after onset of rash</div>
<div class="1234">
<b>C.<span> </span></b>3 days after onset of rash</div>
<div class="1234">
<b>D.<span> </span></b>Till the fever subsides</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 121.<span> </span>Carriers are important in all the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Polio</div>
<div class="1234">
<b>B.<span> </span></b>Typhoid</div>
<div class="1234">
<b>C.<span> </span></b>Measles</div>
<div class="1234">
<b>D.<span> </span></b>Diphtheria</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 122.<span> </span>Acute flaccid paralysis is reported in a child aged:</span></div>
<div class="1234">
<b>A.<span> </span></b>0-3 years</div>
<div class="1234">
<b>B.<span> </span></b>0-5 years</div>
<div class="1234">
<b>C.<span> </span></b>0-15 years</div>
<div class="1234">
<b>D.<span> </span></b>0-25 years</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 123.<span> </span>A 2-years-old boy, presented with cough, fever & difficulty in
breathing. His RR 50/min. There was no chest indrawing. Auscultation of chest
reveals bilateral crepitions. The most probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Very severe pneumonia<b><span> </span></b></div>
<div class="1234">
<b>B.<span> </span></b>Severe pneumonia</div>
<div class="1234">
<b>C.<span> </span></b>Pneumonia<b><span> </span></b></div>
<div class="1234">
<b>D.<span> </span></b>No pneumonia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 124.<span> </span>Active and passive immunity should be given together in all <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tetanus</div>
<div class="1234">
<b>B.<span> </span></b>Rabies</div>
<div class="1234">
<b>C.<span> </span></b>Measles</div>
<div class="1234">
<b>D.<span> </span></b>Hepatitis B</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 125.<span> </span>Cereals and proteins are considered complemen- tary because:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cereals are deficient in methionine</div>
<div class="1234">
<b>B.<span> </span></b>Cereals are deficient in methionine and pulse are deficient in
lysine</div>
<div class="1234">
<b>C.<span> </span></b>Cereals are deficient in lysine and pulses are deficient in
methionine</div>
<div class="1234">
<b>D.<span> </span></b>Cereal proteins contain non-essential amino-acids, while pulse
proteins contain essential amino acids</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 126.<span> </span>For a 60 kg Indian male, the minimum daily protein requirement has
been calculated to be 40 g (mean) & standard deviation is 10. The
recommended daily allowance of protein would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>60 g/day</div>
<div class="1234">
<b>B.<span> </span></b>70 g/day</div>
<div class="1234">
<b>C.<span> </span></b>40 g/day</div>
<div class="1234">
<b>D.<span> </span></b>50 g/day</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 127.<span> </span>A population study showed a mean glucose of 86 mg/ dL. In a sample
of 100 showing normal curve distribution, what percentage of people have
glocose above 86%?</span></div>
<div class="1234">
<b>A.<span> </span></b>65<b><span> </span>B.<span> </span></b>50</div>
<div class="1234">
<b>C.<span> </span></b>75<b><span> </span>D.<span> </span></b>60</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 128.<span> </span>The best method to show the association between height and weight
of children in a class is by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Bar chart</div>
<div class="1234">
<b>B.<span> </span></b>Line diagram</div>
<div class="1234">
<b>C.<span> </span></b>Scatter diagram</div>
<div class="1234">
<b>D.<span> </span></b>Histogram</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 129.<span> </span>The correlation between variables A and B in a study was found to
be 1.1. This indicates:</span></div>
<div class="1234">
<b>A.<span> </span></b>Very strong correlation</div>
<div class="1234">
<b>B.<span> </span></b>Moderately strong correlation</div>
<div class="1234">
<b>C.<span> </span></b>Weak correlation</div>
<div class="1234">
<b>D.<span> </span></b>Computational mistake in calculating correlation</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 130.<span> </span>The biological oxygen demand indicates:</span></div>
<div class="1234">
<b>A.<span> </span></b>Organic matter</div>
<div class="1234">
<b>B.<span> </span></b>Bacterial content</div>
<div class="1234">
<b>C.<span> </span></b>Anaerobic bacteria</div>
<div class="1234">
<b>D.<span> </span></b>Chemicals</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 131.<span> </span>In a surveillance centre for hepatitis B, in a low prevalance area,
the method for testing for hepatitis B was single ELISA. This policy was
changed to double testing in series. This would result in the following 2
parameters of the test being affected:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increased specificity and positive predictive value</div>
<div class="1234">
<b>B.<span> </span></b>Increased sensitivity and positive predictive value</div>
<div class="1234">
<b>C.<span> </span></b>Increased sensitivity and negative predictive value</div>
<div class="1234">
<b>D.<span> </span></b>Increased specificity and negative predictive value</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 132.<span> </span>In a study, variation in cholesterol was seen before and after
giving a drug. The test of significance would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Unpaired t test</div>
<div class="1234">
<b>B.<span> </span></b>Paired t test</div>
<div class="1234">
<b>C.<span> </span></b>Chi square test</div>
<div class="1234">
<b>D.<span> </span></b>Fisher test</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 133.<span> </span>Ravi and Ashok stay in the same hostel of the same university. Ravi
develops infection with group B meningococcus. After a few days Ashok develops
infection due to group C meningococcus. All the following are true statements <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Educate students about meningococcal trans- mission and take
preventive measures</div>
<div class="1234">
<b>B.<span> </span></b>Chemotheraphylaxis to all against both group B and group C</div>
<div class="1234">
<b>C.<span> </span></b>Vaccine prophylaxis of contacts of Ravi</div>
<div class="1234">
<b>D.<span> </span></b>Vaccine prophylaxis of contacts of Ashok</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 134.<span> </span>All of the following are common cause of post neonatal infant
mortality in India, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tetanus</div>
<div class="1234">
<b>B.<span> </span></b>Malnutrition</div>
<div class="1234">
<b>C.<span> </span></b>Diarrhoeal diseases</div>
<div class="1234">
<b>D.<span> </span></b>Acute respiratory infection</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 135.<span> </span>True about ‘total fertility rate’ is:<span> </span><i><span> </span></i></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.<span> </span></b>Sensitive indicator of family planning achievement</div>
<div class="1234">
<b>B.<span> </span></b>Completed family size</div>
<div class="1234">
<b>C.<span> </span></b>Number of live births per 1000 married women in reproductive
age group</div>
<div class="1234">
<b>D.<span> </span></b>Average number of girls born to a woman</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 136.<span> </span>‘Silent epidemic’ of the century is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Coronary artery disease<span> </span></div>
<div class="1234">
<b>B.<span> </span></b>Chronic liver disease</div>
<div class="1234">
<b>C.<span> </span></b>Chronic obstructive lung disease</div>
<div class="1234">
<b>D.<span> </span></b>Alzheimer’s disease</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 137.<span> </span>The following condition is not associated with an increased
anion-gap type of metabolic acidosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Shock</div>
<div class="1234">
<b>B.<span> </span></b>Ingestion of ante-freeze</div>
<div class="1234">
<b>C.<span> </span></b>Diabetic ketoacidosis</div>
<div class="1234">
<b>D.<span> </span></b>COPD</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 138.<span> </span>Acute metabolic acidosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Has biphasic effect on K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>excretion</div>
<div class="1234">
<b>B.<span> </span></b>Does not effect K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>excretion significantly</div>
<div class="1234">
<b>C.<span> </span></b>Decreases urinary K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>excretion</div>
<div class="1234">
<b>D.<span> </span></b>Increases urinary K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>excretion</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 139.<span> </span>Urinary anion gap an indication of excretion of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ketoacids</div>
<div class="1234">
<b>B.<span> </span></b>Na</div>
<div class="1234">
<b>C.<span> </span></b>H<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>ion</div>
<div class="1234">
<b>D.<span> </span></b>K<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>ion</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 140.<span> </span>The most common mode of inheritance of congenital heart disease is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Autosomal dominant</div>
<div class="1234">
<b>B.<span> </span></b>Autosomal recessive</div>
<div class="1234">
<b>C.<span> </span></b>Sex linked dominant</div>
<div class="1234">
<b>D.<span> </span></b>Multifactorial</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 141.<span> </span>Which one of the following is an autosomal dominant disorder:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cystic fibrosis</div>
<div class="1234">
<b>B.<span> </span></b>Hereditary spherocytosis</div>
<div class="1234">
<b>C.<span> </span></b>Sickle cell anemia</div>
<div class="1234">
<b>D.<span> </span></b>G-6-PD deficiency</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 142.<span> </span>Which type diabetes is HLA associated:</span></div>
<div class="1234">
<b>A.<span> </span></b>Type I diabetes</div>
<div class="1234">
<b>B.<span> </span></b>Tyep II diabetes</div>
<div class="1234">
<b>C.<span> </span></b>Malnutrition related type disease</div>
<div class="1234">
<b>D.<span> </span></b>Pregnancy related type diabetes</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 143.<span> </span>All of the following are sexually transmitted, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Candida albicans</i></div>
<div class="1234">
<b>B.<span> </span></b>Echionococcus</div>
<div class="1234">
<b>C.<span> </span></b>Molluscum contagiosum</div>
<div class="1234">
<b>D.<span> </span></b>Group B streptococcus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 144.<span> </span>All of the following infections may be transmitted via blood
transfusion, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Parvo B19</div>
<div class="1234">
<b>B.<span> </span></b>Dengue virus</div>
<div class="1234">
<b>C.<span> </span></b>Cytomegalovirus</div>
<div class="1234">
<b>D.<span> </span></b>Hepatitis G virus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 145.<span> </span>Hypoglycemia is a recognized feature of all of the following
conditions <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Uremia</div>
<div class="1234">
<b>B.<span> </span></b>Acromegaly</div>
<div class="1234">
<b>C.<span> </span></b>Addison’s disease</div>
<div class="1234">
<b>D.<span> </span></b>Hepatocellular failure</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 146.<span> </span>All of the following feature may be seen in thrombotic
thrombocytopenic purpura, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fever</div>
<div class="1234">
<b>B.<span> </span></b>Haemolysis</div>
<div class="1234">
<b>C.<span> </span></b>Hypertension</div>
<div class="1234">
<b>D.<span> </span></b>Low platelet count</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 147.<span> </span>The following laboratory determinants is abnormally prolonged in
ITP:</span></div>
<div class="1234">
<b>A.<span> </span></b>APTT</div>
<div class="1234">
<b>B.<span> </span></b>Prothrombin time</div>
<div class="1234">
<b>C.<span> </span></b>Bleeding time</div>
<div class="1234">
<b>D.<span> </span></b>Clotting time</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 148.<span> </span>PNH is associated with all of the following condition <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Aplastic anemia</div>
<div class="1234">
<b>B.<span> </span></b>Increased LAP scores</div>
<div class="1234">
<b>C.<span> </span></b>Venous thrombosis</div>
<div class="1234">
<b>D.<span> </span></b>Iron deficiency anemia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 149.<span> </span>A 20 years adult presents with severe hypoplastic anemia. What is
most effective treatment:</span></div>
<div class="1234">
<b>A.<span> </span></b><span style="font-family: Symbol;">a</span>-interferon</div>
<div class="1234">
<b>B.<span> </span></b>IL-2</div>
<div class="1234">
<b>C.<span> </span></b>ATG therapy</div>
<div class="1234">
<b>D.<span> </span></b>Bone marrow transplant</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 150.<span> </span>Which of the following is not commonly seen in polycythemia vera? </span></div>
<div class="1234">
<b>A.<span> </span></b>Thrombosis</div>
<div class="1234">
<b>B.<span> </span></b>Hyperuricemia</div>
<div class="1234">
<b>C.<span> </span></b>Prone for acute leukemia</div>
<div class="1234">
<b>D.<span> </span></b>Spontaneous severe infection</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 151.<span> </span>The following condition is not associated with an anti-phopholipid
syndrome:</span></div>
<div class="1234">
<b>A.<span> </span></b>Venous thrombosis</div>
<div class="1234">
<b>B.<span> </span></b>Recurrent foetal loss</div>
<div class="1234">
<b>C.<span> </span></b>Thrombocytosis</div>
<div class="1234">
<b>D.<span> </span></b>Neurological manifestations</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 152.<span> </span>Hypergastrinemia with hypochlorhydria is seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Zollinger-Ellison syndrome</div>
<div class="1234">
<b>B.<span> </span></b>VIPoma</div>
<div class="1234">
<b>C.<span> </span></b>Pernicious anemia</div>
<div class="1234">
<b>D.<span> </span></b>Glucagonoma</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 153.<span> </span>All of the following phases of the jugular venous pulse and their
causes are correctly matched, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>‘c’wave – onset of atrial systole</div>
<div class="1234">
<b>B.<span> </span></b>‘a-x’ descent – atrial relaxation</div>
<div class="1234">
<b>C.<span> </span></b>‘v-y’ descent – emptying of blood from right atrium into right
ventricle</div>
<div class="1234">
<b>D.<span> </span></b>‘y-a’ ascent – filling of the right atrium from the vena cava</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 154.<span> </span>Which of the following is the correct statement regarding findings
in JVP:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cannon wave: Complete heart block</div>
<div class="1234">
<b>B.<span> </span></b>Slow vy descent: Tricuspid regurgitation</div>
<div class="1234">
<b>C.<span> </span></b>Giant c wave: Tricuspid stenosis</div>
<div class="1234">
<b>D.<span> </span></b>Increased JVP with prominent pulsations:SVC obstruction</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 155.<span> </span>While inseting a central venous catheter, a patient develops
respiratory distress. The most likely cause is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hemothorax</div>
<div class="1234">
<b>B.<span> </span></b>Pneumothorax</div>
<div class="1234">
<b>C.<span> </span></b>Pleural effusion</div>
<div class="1234">
<b>D.<span> </span></b>Hypovolemia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 156.<span> </span>All of the following are clinical features of myxoma, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fever</div>
<div class="1234">
<b>B.<span> </span></b>Clubbing</div>
<div class="1234">
<b>C.<span> </span></b>Hypertension</div>
<div class="1234">
<b>D.<span> </span></b>Embolic phenomenon</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 157.<span> </span>Renal vein thrombosis is most commonly associated with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Diabetic nephropathy</div>
<div class="1234">
<b>B.<span> </span></b>Membranous glomerulonephritis</div>
<div class="1234">
<b>C.<span> </span></b>Minimal change disease</div>
<div class="1234">
<b>D.<span> </span></b>Membranoproliferative glomerulonephritis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 158.<span> </span>Characteristic of Henoch-Schonlein purpura is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Blood in stool</div>
<div class="1234">
<b>B.<span> </span></b>Thrombocytopenia</div>
<div class="1234">
<b>C.<span> </span></b>Intracranial hemorrhage</div>
<div class="1234">
<b>D.<span> </span></b>Susceptibility to infection</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 159.<span> </span>Renal osteodystropy differs from nutritional and genetic forms of
osesteomalacia in having:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypocalcaemia</div>
<div class="1234">
<b>B.<span> </span></b>Hypercalcemia</div>
<div class="1234">
<b>C.<span> </span></b>Hypophostaemia</div>
<div class="1234">
<b>D.<span> </span></b>Hyerphosphatema</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 160.<span> </span>Medullary cystic disease of the kidney is best diagnosed by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ultrasound</div>
<div class="1234">
<b>B.<span> </span></b>Nuclear scan</div>
<div class="1234">
<b>C.<span> </span></b>Urography</div>
<div class="1234">
<b>D.<span> </span></b>Biopsy</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 161.<span> </span>A patient with nephrotic syndrome on long- standing corticosteroid
therapy may develop all the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hyperglycemia</div>
<div class="1234">
<b>B.<span> </span></b>Hypertophy of muscle</div>
<div class="1234">
<b>C.<span> </span></b>Neuropsychiatric symptoms</div>
<div class="1234">
<b>D.<span> </span></b>Suppression of the pituitary adrenal axis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 162.<span> </span>A 40 years old man presented with repeated episodes of bronchospasm
and hemoptysis. Chest X-ray revealed perihilar bronchiectasis. The most likely
diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sarcoidosis</div>
<div class="1234">
<b>B.<span> </span></b>Idiopathic pulmonary fiborsis</div>
<div class="1234">
<b>C.<span> </span></b>Extrinsic allergic alveolitis</div>
<div class="1234">
<b>D.<span> </span></b>Bronchopulmonary aspergillosis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 163.<span> </span>Which of the following is characteristically not associated with
the development of interstitial lung disease?</span></div>
<div class="1234">
<b>A.<span> </span></b>Coal dust</div>
<div class="1234">
<b>B.<span> </span></b>Sulfur dioxide</div>
<div class="1234">
<b>C.<span> </span></b>Thermophilic actenomycetes</div>
<div class="1234">
<b>D.<span> </span></b>Tobacco smoke</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 164.<span> </span>A 35 years old man was found +ve for HBsAg and HBeAg, accidentally
during screening of blood donation. On laboratory examination SGOT and SGPT are
normal. What should you do next:</span></div>
<div class="1234">
<b>A.<span> </span></b>Liver biopsy</div>
<div class="1234">
<b>B.<span> </span></b>Interferon therapy</div>
<div class="1234">
<b>C.<span> </span></b>Observation</div>
<div class="1234">
<b>D.<span> </span></b>HBV-DNA estimation</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 165.<span> </span>A 25 years women presents with bloody diarrhea and is diagnosed as
a case of ulcerative colitis. Which of the following condition is not
associated:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sclerosing cholengitis</div>
<div class="1234">
<b>B.<span> </span></b>Iritis</div>
<div class="1234">
<b>C.<span> </span></b>Ankylosing spondylitis</div>
<div class="1234">
<b>D.<span> </span></b>Pancreatitis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 166.<span> </span>Investigation of choice for invasive amebiasis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Indirect heamagglutination</div>
<div class="1234">
<b>B.<span> </span></b>ELISA</div>
<div class="1234">
<b>C.<span> </span></b>Counter immune electrophoresis</div>
<div class="1234">
<b>D.<span> </span></b>Microscopy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 167.<span> </span>A diabetic patient with blood glucose of 600 mg/dL and Na 122 mEq/L
was treated with insulin. After giving insulin the blood glucose decreased to
100 mg/dL.What changes in blood Na level is expected?</span></div>
<div class="1234">
<b>A.<span> </span></b>Increase in Na<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>level</div>
<div class="1234">
<b>B.<span> </span></b>Decrease in Na<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>level</div>
<div class="1234">
<b>C.<span> </span></b>No change would be expected</div>
<div class="1234">
<b>D.<span> </span></b>Na<span style="font-size: 6.5pt; position: relative; top: -5pt;">+</span><span> </span>would
return to previous level spontaneously on correction of blood glucose:</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 168.<span> </span>A 20 years young man presents with exertional dyspnoea, headache,
and giddiness. On examination, there is hypertension and L VR. X-ray picture
shows notching of the anterior ends of the ribs. The most like diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pheochromocytoma</div>
<div class="1234">
<b>B.<span> </span></b>Carcinoid syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Coarctation of the aorta</div>
<div class="1234">
<b>D.<span> </span></b>Superior mediastinal syndrome</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 169.<span> </span>Rheumatoid factor in rheumatoid arthritis is important because:</span></div>
<div class="1234">
<b>A.<span> </span></b>RA factor is associated with bad prognosis</div>
<div class="1234">
<b>B.<span> </span></b>Absent RA factor rules out the diagnosis of rheumatoid arthritis</div>
<div class="1234">
<b>C.<span> </span></b>It is very common in childhood-rheumatoid arthritis</div>
<div class="1234">
<b>D.<span> </span></b>It correlates with disease activity</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 170.<span> </span>Conn’s syndrome is associated with all <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypertension</div>
<div class="1234">
<b>B.<span> </span></b>Hypernatremia</div>
<div class="1234">
<b>C.<span> </span></b>Hypokalemia</div>
<div class="1234">
<b>D.<span> </span></b>Oedema</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 171.<span> </span>The triad originally described by Zollinger-Ellison syndrome is
characterized by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Peptic ulceration, gastric hypersecretion, non beta cell tumour</div>
<div class="1234">
<b>B.<span> </span></b>Peptic ulceration, gastric hypersecretion, beta cell tumour</div>
<div class="1234">
<b>C.<span> </span></b>Peptic ulceration, achlorhydria, non beta cell tumour</div>
<div class="1234">
<b>D.<span> </span></b>Peptic ulceration, achlorhydria, beta cell tumour</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 172.<span> </span>All of the following are features of pheochromocytoma <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypertensive paraoxysm</div>
<div class="1234">
<b>B.<span> </span></b>Headache</div>
<div class="1234">
<b>C.<span> </span></b>Orhtostatic hypotension</div>
<div class="1234">
<b>D.<span> </span></b>Wheezing</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 173.<span> </span>The treatment of choice in young patient suffering from aplastic
anaemia is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Danazol<span> </span></div>
<div class="1234">
<b>B.</b><span> </span>G-CSF</div>
<div class="1234">
<b>C.</b><span> </span>Bone marrow transplantation</div>
<div class="1234">
<b>D.</b><span> </span>ATG</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 174.<span> </span>Raised anion gap in blood is not seen in which of the following?<span> </span></span></div>
<div class="1234">
<b>A.</b><span> </span>Renal failure</div>
<div class="1234">
<b>B.</b><span> </span>Antifreeze ingestion</div>
<div class="1234">
<b>C.</b><span> </span>Diabetic ketoacidosis</div>
<div class="1234">
<b>D.</b><span> </span>Chronic respiratory failure</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Pediatrics</div>
<div class="Ques">
<span style="color: windowtext;">Q 175.<span> </span>A Down syndrome girl has 21/21 translocation and her father is
carrier of balanced translocation. Risk of Down syndrome in next pregnancy is:</span></div>
<div class="1234">
<b>A.</b><span> </span>100%</div>
<div class="1234">
<b>B.<span> </span></b>0%</div>
<div class="1234">
<b>C.<span> </span></b>50%</div>
<div class="1234">
<b>D.<span> </span></b>25%</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 176.<span> </span>The following signs would warrant further evaluation of
developmental status in a healthy 12 weeks old infant:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dose not vocalize</div>
<div class="1234">
<b>B.<span> </span></b>Dose not babble</div>
<div class="1234">
<b>C.<span> </span></b>Dose not raise head up to 90°</div>
<div class="1234">
<b>D.<span> </span></b>Dose not transfer a bright red ring from one hand to the other,
even when the ring is directly placed in the hand of child</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 177.<span> </span>A 2 years child weighing 6.7 kg presents in the casualty with
history of vomiting & diarrhoea for last 2 days. On examination skin pinch
over the anterior abdominal wall go quickly to its original position.
Interpretation of skin pinch test in this child will be:</span></div>
<div class="1234">
<b>A.<span> </span></b>No dehydration</div>
<div class="1234">
<b>B.<span> </span></b>Some dehydration</div>
<div class="1234">
<b>C.<span> </span></b>Severe dehydration</div>
<div class="1234">
<b>D.<span> </span></b>Skin pinch can not be evaluated in this child</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 178.<span> </span>An infant presents with history of seizures & skin rashes.
Investigations show metabolic acidosis and increased blood ketone levels. This
child is likely to be suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Propionic aciduria</div>
<div class="1234">
<b>B.<span> </span></b>Urea cycle disorder</div>
<div class="1234">
<b>C.<span> </span></b>Phenylketonuria</div>
<div class="1234">
<b>D.<span> </span></b>Multiple carboxylase deficiency</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 179.<span> </span>With reference to RDS, all of the following statements are true, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Usually occurs in infants born before 34 weeks of gestation</div>
<div class="1234">
<b>B.<span> </span></b>Is more common in babies born to diabetic mothers</div>
<div class="1234">
<b>C.<span> </span></b>Leads to cyanosis</div>
<div class="1234">
<b>D.<span> </span></b>Is treated by administering 100% oxygen</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 180.<span> </span>Which of the following is not a common manifestation of congenital
rubella:</span></div>
<div class="1234">
<b>A.<span> </span></b>Deafness</div>
<div class="1234">
<b>B.<span> </span></b>PDA</div>
<div class="1234">
<b>C.<span> </span></b>Aortic stenosis</div>
<div class="1234">
<b>D.<span> </span></b>Mental retardation</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 181.<span> </span>An 8 years old boy presented with fever and bilateral cervical lymphadenopathy
with prior history of sore throat. There was no hepatomegaly. The peripheral
blood smear shows > 20% lymphoplasmacytoid cells. The most likely diagnosis
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Influenza</div>
<div class="1234">
<b>B.<span> </span></b>Tuberculosis</div>
<div class="1234">
<b>C.<span> </span></b>Infectious mononucleosis</div>
<div class="1234">
<b>D.<span> </span></b>Acute lymphoblastic leukemia</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 182.<span> </span>The most common genetic cause of liver disease in children is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Haemochromatosis</div>
<div class="1234">
<b>B.<span> </span></b><span style="font-family: Symbol;">a</span><span style="font-family: Symbol; font-size: 6.5pt; position: relative; top: 1.5pt;">1</span><span> </span>antitrypsin deficiency</div>
<div class="1234">
<b>C.<span> </span></b>Cystic fibrosis</div>
<div class="1234">
<b>D.<span> </span></b>Glycogen storage disease</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 183.<span> </span>Which of the following childhood tumors most frequently metastasizes
to the bone:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neuroblastoma</div>
<div class="1234">
<b>B.<span> </span></b>Ganglioneuroma</div>
<div class="1234">
<b>C.<span> </span></b>Wilms’ tumor</div>
<div class="1234">
<b>D.<span> </span></b>Ewing’s sarcoma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 184.<span> </span>A six months old girl is having recurrent UTI. Ultrasound abdomen
shows bilateral hydronephrosis. MCU (micturating cystourethrogram) shows
bilateral grade IV vesicoureteral reflux. The treatment of choice is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Endoscopic injection of polyteflon at the ureteric orifices</div>
<div class="1234">
<b>B.<span> </span></b>Ureteric reimplantation</div>
<div class="1234">
<b>C.<span> </span></b>Bilateral ureterostomy</div>
<div class="1234">
<b>D.<span> </span></b>Prophylactic antibiotics</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 185.<span> </span>The most common cause of ambiguous genitalia in a newborn is:</span></div>
<div class="1234">
<b>A.<span> </span></b>21 hydroxylase deficiency</div>
<div class="1234">
<b>B.<span> </span></b>11 <span style="font-family: Symbol;">b</span>-hydroxylase
deficiency</div>
<div class="1234">
<b>C.<span> </span></b>17 <span style="font-family: Symbol;">a</span>-hydroxyalse
deficiency</div>
<div class="1234">
<b>D.<span> </span></b>3 <span style="font-family: Symbol;">b</span>-hydroxysteroid
deficiency</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Dermatology</div>
<div class="Ques">
<span style="color: windowtext;">Q 186.<span> </span>Multiple erythematous annular lesions with peripheral collarette of
scales arranged predominantly over trunk are seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pityriasis versicolor</div>
<div class="1234">
<b>B.<span> </span></b>Pityriasis rubra</div>
<div class="1234">
<b>C.<span> </span></b>Pityriasis rosea </div>
<div class="1234">
<b>D.<span> </span></b>Pityriasis lichennoides</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 187.<span> </span>All of the following are given for the treatment of pityriasis
versicolor, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ketoconazole</div>
<div class="1234">
<b>B.<span> </span></b>Griesofiilvin</div>
<div class="1234">
<b>C.<span> </span></b>Clotrimazole</div>
<div class="1234">
<b>D.<span> </span></b>Selenium sulphide</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 188.<span> </span>A patient with psoriasis was started on systemic steroids. After
stopping treatment, the patient developed generalized pustules all over the
body. The cause is most likely to be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Drug induced reaction</div>
<div class="1234">
<b>B.<span> </span></b>Pustular psoriasis</div>
<div class="1234">
<b>C.<span> </span></b>Bacterial infections</div>
<div class="1234">
<b>D.<span> </span></b>Septicemia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 189.<span> </span>Wickham’s striae are seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lichen niditus</div>
<div class="1234">
<b>B.<span> </span></b>Lichenoid eruption</div>
<div class="1234">
<b>C.<span> </span></b>Lichen striates</div>
<div class="1234">
<b>D.<span> </span></b>Lichen planus</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 190.<span> </span>Griseofulvin is given for the treatment of fungal infection in finger
nail dermatophytosis for:</span></div>
<div class="1234">
<b>A.<span> </span></b>4 weeks</div>
<div class="1234">
<b>B.<span> </span></b>6 weeks</div>
<div class="1234">
<b>C.<span> </span></b>2 months</div>
<div class="1234">
<b>D.<span> </span></b>3 months</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 191.<span> </span>After 3 days of fever patient developed maculoerythematous rash
that lasted for 48 hours. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fifth disease</div>
<div class="1234">
<b>B.<span> </span></b>Rubella</div>
<div class="1234">
<b>C.<span> </span></b>Measles</div>
<div class="1234">
<b>D.<span> </span></b>Roseola infantum</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 192.<span> </span>Exfoliative dermatitis can be due to all the following diseases, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Drug hypersensitivity</div>
<div class="1234">
<b>B.<span> </span></b>Pityriasis rubra</div>
<div class="1234">
<b>C.<span> </span></b>Pityriasis rosea</div>
<div class="1234">
<b>D.<span> </span></b>Psoriasis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 193.<span> </span>Genital elephantiasis is caused by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Donovanosis</div>
<div class="1234">
<b>B.<span> </span></b>Congenital syphilis</div>
<div class="1234">
<b>C.<span> </span></b>Herpes genitalis</div>
<div class="1234">
<b>D.<span> </span></b>Lymphogranuloma venereum</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Psychiatry</div>
<div class="Ques">
<span style="color: windowtext;">Q 194.<span> </span>All of the following are features of hallucination, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Depends on will of the observer</div>
<div class="1234">
<b>B.<span> </span></b>Occurs in inner subjective space</div>
<div class="1234">
<b>C.<span> </span></b>It is a vivid sensory perception</div>
<div class="1234">
<b>D.<span> </span></b>It occurs in absence of perceptual stimulus</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 195.<span> </span>The following is suggestive of an organic cause of the behavioural
symptoms:</span></div>
<div class="1234">
<b>A.<span> </span></b>Formal thought disorder</div>
<div class="1234">
<b>B.<span> </span></b>Auditory hallucinations</div>
<div class="1234">
<b>C.<span> </span></b>Delusion of fruit</div>
<div class="1234">
<b>D.<span> </span></b>Visual hallucinations</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 196.<span> </span>Delusion is not present in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Delirium</div>
<div class="1234">
<b>B.<span> </span></b>Mania</div>
<div class="1234">
<b>C.<span> </span></b>Depresion</div>
<div class="1234">
<b>D.<span> </span></b>Compulsive disorder</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 197.<span> </span>An alcoholic is brought to the casualty, 3 days after he quit
alcohol, with the complaint of irrelevant talking. On examination, he is found
to be disoriented in time, place and person. He also has visual illusions and
hallucinations. There is no history of head injury. The most probable diagnosis
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dementia praecox</div>
<div class="1234">
<b>B.<span> </span></b>Delirium tremens</div>
<div class="1234">
<b>C.<span> </span></b>Schizophrenia</div>
<div class="1234">
<b>D.<span> </span></b>Korsakoff psychosis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 198.<span> </span>Ram Lal, a 45 years old male came to the psychiatric OPD complaning
of continuous, dull, non- progressive headache for the last 8 years. The
patient has seen numerous neurologists in the belief that he has a brain tumor
even though all his investigations have been normal. The patient insisted that
he had a brain tumor and requested yet another workup. Psychiatric evaluation
reveals disease conviction in the background of normal investigations. The most
probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypochondriasis</div>
<div class="1234">
<b>B.<span> </span></b>Somatization disorer</div>
<div class="1234">
<b>C.<span> </span></b>Somatoform pain disorder</div>
<div class="1234">
<b>D.<span> </span></b>Conversion disorder</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 199.<span> </span>A patient presented with short lasting episodic behavioural changes
which include agitation & dream like state with thrashing movements of his
limbs. He does not recall these episodes & has no apparant precipitating
factor. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Schizophrenia</div>
<div class="1234">
<b>B.<span> </span></b>Temporal lobe epilepsy</div>
<div class="1234">
<b>C.<span> </span></b>Panic episodes</div>
<div class="1234">
<b>D.<span> </span></b>Dissociative disorder</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 200.<span> </span>A young lady presented with repeated episodes of overeating
followed by purging after use of laxatives. She is probably suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Bulimia nervosa</div>
<div class="1234">
<b>B.<span> </span></b>Schizophrenia</div>
<div class="1234">
<b>C.<span> </span></b>Aorexia nervosa</div>
<div class="1234">
<b>D.<span> </span></b>Binge eating disorder</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 201.<span> </span>An 11 years old boy is all the time so restless that the rest of
the class is unable to concentrate. He is hardly ever in his seat and roams
around the hall. He has difficulty in playing quietly. The most likely
diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Attention-deficit hyperactivity disorder</div>
<div class="1234">
<b>B.</b><span> </span>Conduct disorder</div>
<div class="1234">
<b>C.</b><span> </span>Depressive disorder</div>
<div class="1234">
<b>D.</b><span> </span>Schizophrenia</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Surgery</div>
<div class="Ques">
<span style="color: windowtext;">Q 202.<span> </span>A patient suddenly experienced pain radiating along the medial
border of the dorsum of foot. Which of the following nerve is most likely to be
accidently ligated:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sural nerve</div>
<div class="1234">
<b>B.<span> </span></b>Saphenous nerve</div>
<div class="1234">
<b>C.<span> </span></b>Deep peroneal nerve</div>
<div class="1234">
<b>D.<span> </span></b>Genicular nerve</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 203.<span> </span>In an adult patient with pleural effusion, the most appropriate
site for pleurocentesis done by inserting a needle is in:</span></div>
<div class="1234">
<b>A.<span> </span></b>5th intercostal space in midclavicular line</div>
<div class="1234">
<b>B.<span> </span></b>7th intercostal space in midaxillary line</div>
<div class="1234">
<b>C.<span> </span></b>2nd intercostal space adjacent to the sternum</div>
<div class="1234">
<b>D.<span> </span></b>10th intercostal space adjacent to the vertebral column</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 204.<span> </span>Measurements of intravascular pressure by a pulmonary artery
catheter should be done:</span></div>
<div class="1234">
<b>A.<span> </span></b>At end expiration</div>
<div class="1234">
<b>B.<span> </span></b>At peak of inspiration</div>
<div class="1234">
<b>C.<span> </span></b>During mid inspiration</div>
<div class="1234">
<b>D.<span> </span></b>During mid expiration</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 205.<span> </span>A 24 years old man falls on the ground when he is struck in the
right temple by a baseball. While being driven to the hospital, he lapses into
coma. He is unresponsive with the dilated right pupil when he reaches the
emergency department. The most important step in initial management is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Craniotomy</div>
<div class="1234">
<b>B.<span> </span></b>CT scan of the head</div>
<div class="1234">
<b>C.<span> </span></b>X-ray of the skull and cervical spine</div>
<div class="1234">
<b>D.<span> </span></b>Doppler ultrasound examination of the neck</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 206.<span> </span>Kamla Rani, 75 years old woman, presents after 6 weeks with post
myocardial infarction with mild CHF. There was past history of neck surgery for
parathyroid adenoma 5 years ago. EKG shows slow artrial fibrillation. Serum Ca</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">2+ </span><span style="color: windowtext;">13.0 mg/L and
urinary Ca</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">2+</span><span style="color: windowtext;"><span> </span>is 300 g/24 h. On examination these is small
mass in the paratracheal position behind the right clavicle. Appropriate
management at this time is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Repeat neck surgery</div>
<div class="1234">
<b>B.<span> </span></b>Treatment with technetium -99</div>
<div class="1234">
<b>C.<span> </span></b>Observation and repeat serum Ca<span style="font-size: 6.5pt; position: relative; top: -5pt;">2+</span><span> </span>in two months</div>
<div class="1234">
<b>D.<span> </span></b>Ultrasound-guided alcohol injection of the mass</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 207.<span> </span>Not a feature of de Quervain’s disease:</span></div>
<div class="1234">
<b>A.<span> </span></b>Autoimmune in etiology</div>
<div class="1234">
<b>B.<span> </span></b>Raised ESR</div>
<div class="1234">
<b>C.<span> </span></b>Tends to regress spontaneously</div>
<div class="1234">
<b>D.<span> </span></b>Painful & associated with enlargement of thyroid</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 208.<span> </span>A 35 years old woman has had recurrent episodes of headache and
sweating. Her mother had renal calculi and died of thyroid cancer. Physical
observations revealed a thyroid nodule and ipsilateral enlarged cervical lymph
nodes. Before performing thyroid surgery the woman’s physician should order:</span></div>
<div class="1234">
<b>A.<span> </span></b>Thyroid scan</div>
<div class="1234">
<b>B.<span> </span></b>Estimation of hydroxy indole acetic acid in urine </div>
<div class="1234">
<b>C.<span> </span></b>Estimation of urinary metanephrines, VMA and catecholamines </div>
<div class="1234">
<b>D.<span> </span></b>Estimation of TSH, and TRH levels in serum</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 209.<span> </span>All of the following are associated with thyroid storm, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Surgery for thyroiditis</div>
<div class="1234">
<b>B.<span> </span></b>Surgery for thyrotoxicosis</div>
<div class="1234">
<b>C.<span> </span></b>Stressful illness in thyrotoxicosis</div>
<div class="1234">
<b>D.<span> </span></b>I<span style="font-size: 6.5pt; position: relative; top: -5pt;">131 </span>therapy for thyrotoxicosis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 210.<span> </span>Needle biopsy of solitary thyroid nodule in a young woman with
palpable cervical lymph nodes on the same sides demonstrates amyloid in stroma
of lesion. Likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Medullary carcinoma thyroid</div>
<div class="1234">
<b>B.<span> </span></b>Follicular carcinoma thyroid</div>
<div class="1234">
<b>C.<span> </span></b>Thyroid adenoma</div>
<div class="1234">
<b>D.<span> </span></b>Multinodular goitre</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 211.<span> </span>A 26 years old woman presents with a palpable thyroid nodule, and
needle biopsy demonstrates amyloid in the stroma of the lesion. A cervical
lymph node is palpable on the same side as the lesion. The preferred treatment
should be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Removal of the involved node, the isthmus,and the enlarged lymph
node</div>
<div class="1234">
<b>B.<span> </span></b>Removal of the involved lobe, the isthmus, a portion of the
opposite lobe, and the enlarged lymph node</div>
<div class="1234">
<b>C.<span> </span></b>Total thyroidectomy and modified neck dissection on the side of
the enlarged lymph node</div>
<div class="1234">
<b>D.<span> </span></b>Total thyroidectomy and irradiation of the cervical lymph nodes</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 212.<span> </span>The most common tumor of the salivary gland is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mucoepidermoid tumor</div>
<div class="1234">
<b>B.<span> </span></b>Warthin’s tumor</div>
<div class="1234">
<b>C.<span> </span></b>Acinic cell tumor</div>
<div class="1234">
<b>D.<span> </span></b>Pleomorphic adenoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 213.<span> </span>The premalignant condition with the highest probability of
progression to malignancy is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dysplasia</div>
<div class="1234">
<b>B.<span> </span></b>Hyperplasia</div>
<div class="1234">
<b>C.<span> </span></b>Leucoplakia</div>
<div class="1234">
<b>D.<span> </span></b>Erythroplakia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 214.<span> </span>An old man who is edentulous developed squamous cell CA in buccal
mucosa that has infiltrated to the alveolus. Following is not indicated in
treatment:</span></div>
<div class="1234">
<b>A.<span> </span></b>Radiotherapy</div>
<div class="1234">
<b>B.<span> </span></b>Segmental mandibulectomy</div>
<div class="1234">
<b>C.<span> </span></b>Marginal mandibulectomy involving removal of the outer table
only</div>
<div class="1234">
<b>D.<span> </span></b>Marginal mandibulectomy involving removal of upper half of
mandible</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 215.<span> </span>Corkscrew esophagus is seen in which of the following condition?</span></div>
<div class="1234">
<b>A.<span> </span></b>Carcinoma esophagus</div>
<div class="1234">
<b>B.<span> </span></b>Scleroderma</div>
<div class="1234">
<b>C.<span> </span></b>Achalasia cardia</div>
<div class="1234">
<b>D.<span> </span></b>Diffuse esophagus spasm</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 216.<span> </span>Treatment for achalasia associated with high rate of recurrence:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pneumatic dilatation</div>
<div class="1234">
<b>B.<span> </span></b>Laparoscopic myotomy</div>
<div class="1234">
<b>C.<span> </span></b>Opefl surgical myotomy</div>
<div class="1234">
<b>D.<span> </span></b>Botulinum toxin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 217.<span> </span>Barrett’s esophagus is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lower esophagus lined by columnar epithelium</div>
<div class="1234">
<b>B.<span> </span></b>Upper esophagus lined by columnar epithelium</div>
<div class="1234">
<b>C.<span> </span></b>Lower esophagus lined by ciliated epithelium</div>
<div class="1234">
<b>D.<span> </span></b>Lower esophagus lined by pseudostratified epithelium</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 218.<span> </span>The adenocarcinoma of esophagus developes in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Barrett’s esophagus</div>
<div class="1234">
<b>B.<span> </span></b>Long standing achalasia</div>
<div class="1234">
<b>C.<span> </span></b>Corrosive stricture</div>
<div class="1234">
<b>D.<span> </span></b>Alcohol abuse</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 219.<span> </span>The lowest recurrence of peptic ulcer is associated with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Gastric resection</div>
<div class="1234">
<b>B.<span> </span></b>Vagotomy + drainage</div>
<div class="1234">
<b>C.<span> </span></b>Vagotomy + antrectomy</div>
<div class="1234">
<b>D.<span> </span></b>Highly selective vagotomy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 220.<span> </span>Risk factor for development of gastric C<span style="text-transform: uppercase;">a</span>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Blood group O</div>
<div class="1234">
<b>B.<span> </span></b>Duodenal ulcer</div>
<div class="1234">
<b>C.<span> </span></b>Intestinal hyperplasia</div>
<div class="1234">
<b>D.<span> </span></b>Intestinal metaplasia type III</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 221.<span> </span>In a case of hypertrophic pyloric stenosis, the metabolic
disturbance is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Respiratory alkalosis</div>
<div class="1234">
<b>B.<span> </span></b>Metabolic acidosis</div>
<div class="1234">
<b>C.<span> </span></b>Metabolic alkalosis with paradoxical aciduria</div>
<div class="1234">
<b>D.<span> </span></b>Metabolic alkalosis with alkaline urine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 222.<span> </span>All the following indicates early gastric cancer <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Involvement of mucosa</div>
<div class="1234">
<b>B.<span> </span></b>Involvement of mucosa and submucosa</div>
<div class="1234">
<b>C.<span> </span></b>Involvement of mucosa, submucosa and muscularis</div>
<div class="1234">
<b>D.<span> </span></b>Involvement of mucosa, submucosa and adjacent lymph nodes</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 223.<span> </span>In gastric outlet obstruction in a peptic ulcer patient, the site
of obstruction is most likely to be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Antrum</div>
<div class="1234">
<b>B.<span> </span></b>Duodenum</div>
<div class="1234">
<b>C.<span> </span></b>Pylorus</div>
<div class="1234">
<b>D.<span> </span></b>Pyloric canal</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 224.<span> </span>Ramesh met an accident with a car and has been in ‘deep coma’ for
the last 15 days. The most suitable route for the administration of protein and
calories is by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Jejunostomy tube feeding</div>
<div class="1234">
<b>B.<span> </span></b>Gastrostomy tube feeding</div>
<div class="1234">
<b>C.<span> </span></b>Nasogastric tube feeding</div>
<div class="1234">
<b>D.<span> </span></b>Central venous hyperalimentation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 225.<span> </span>A 10 months old infant present with acute intestinal obstruction.
Contrast enema X-ray shows the intussusception. Likely cause is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Peyer’s patch hypertrophy</div>
<div class="1234">
<b>B.<span> </span></b>Mekel’s diverticulum</div>
<div class="1234">
<b>C.<span> </span></b>Mucosal polyp</div>
<div class="1234">
<b>D.<span> </span></b>Duplication cyst</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 226.<span> </span>After undergoing surgery, for carcinoma of colon, a 44 year old
patient developed single liver metastasis of 2 cm. What do you do next:</span></div>
<div class="1234">
<b>A.<span> </span></b>Resection</div>
<div class="1234">
<b>B.<span> </span></b>Chemo-radiation</div>
<div class="1234">
<b>C.<span> </span></b>Acetic acid injection</div>
<div class="1234">
<b>D.<span> </span></b>Radiofrequency ablation</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 227.<span> </span>Ten days after a splenectomy for blunt abdominal trauma, a 23 years
old man complains of upper abdominal and lower chest pain exacerbated by deep
breathing. He is anorectic but ambulatory and otherwise making satisfactory
progress. On physical examination, his temperature is 38.2°C(108°F) rectally,
and he has decreased breath sounds at the left lung base. His abdominal wound
appears to be healing well,. bowel sound are active and there are no peritoneal
signs. Rectal examination is negative. The WBC count is 12,500 per mm</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">3</span><span style="color: windowtext;"><span> </span>with a shift to left. Chest X-ray shows plate
like atelectasis of the left lung field. Abdominal X-rays show a nonspecific
gas pattern in the bowel and an air-fluid level in the left upper quadrant.
Serum amylase is 150 Somogyi units/ dl (normal 60 to 80). The most likely diagnosis
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Subphrenic abscess</div>
<div class="1234">
<b>B.<span> </span></b>Pancreatitis</div>
<div class="1234">
<b>C.<span> </span></b>Pulmonary embolism</div>
<div class="1234">
<b>D.<span> </span></b>Subfascial wound infection</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 228.<span> </span>Sentinel lymph node biopsy is an important part of the management
of which of the following conditions?</span></div>
<div class="1234">
<b>A.<span> </span></b>Carcinoma prostate</div>
<div class="1234">
<b>B.<span> </span></b>Carcinoma breast</div>
<div class="1234">
<b>C.<span> </span></b>Carcinoma lung</div>
<div class="1234">
<b>D.<span> </span></b>Carcinoma nasopharynx</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 229.<span> </span>A man who weighs 70 kg (154 pounds) is transfered to a burn center
4 weeks after sustaining a second and third-degree burn injury to 45% of his
total body surface area. Prior to accident, the patients weight was 90 kg (198
pounds). The patient has not been given anything by mouth since the injury <i>except</i>
for antacids because of previous ulcer history. On physical examination, the
patient’s burn wounds are clean, but only minimal healing is evident and thick
adherent eschar is present. The patient’s abdomen is soft and nondistended, and
active bowel sounds are heard. His stools are trace-positive for blood, and he
has a right inguinal hernia, which appears to be easily reducible. He has poor
range of motion of all involved joints and has developed early axillary and
popliteal fossae flexion contractures. In managing this patient at this stage
of his injury, top priority must be given to correcting:</span></div>
<div class="1234">
<b>A.<span> </span></b>The presence of blood in stools by the increasing the dose of
antacids and H<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span><span> </span>receptor
blocker</div>
<div class="1234">
<b>B.<span> </span></b>The open, poorly healing burn wounds treated by surgical
excision and grafting</div>
<div class="1234">
<b>C.<span> </span></b>The inguinal hernia treated by surgical repair using local
anesthesia</div>
<div class="1234">
<b>D.<span> </span></b>The nutritional status by oral supplementation or parenteral
hyperalimentation</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 230.<span> </span>A 14 years old girl sustains a steam bum measuring 6 by 7 inches
over the ulnar aspect of her right forearm. Blisters develop over the entire
area of the bum wound, and by the time the patient is seen 6 hours after the
injury, some of the blisters have ruptured spontaneously. In addition to
debridement of the necrotic epithelium, all the following therapeutic regiments
might be considered appropriate for this patient <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Application of silver sulfadiazine and daily washes, but no
dressing</div>
<div class="1234">
<b>B.<span> </span></b>Application of polyvinylpyrrolidone foam, daily washes and a
light occlusive dressing changed daily</div>
<div class="1234">
<b>C.<span> </span></b>Application of mafenide acetate cream, but no daily washes or
dressing</div>
<div class="1234">
<b>D.<span> </span></b>Heterograft application with sutures to secure it in place and
daily washes, but no dressing</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 231.<span> </span>All of the following are the clinical features of thromboangitis
obliterans <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Raynaud’s phenomenon</div>
<div class="1234">
<b>B.<span> </span></b>Claudication of extremeties</div>
<div class="1234">
<b>C.<span> </span></b>Absence of popliteal pulse</div>
<div class="1234">
<b>D.<span> </span></b>Migratory superficial thrombophlebitis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 232.<span> </span>Rani, a 16 years old girl who has non-pitting edema of recent onset
affecting her right leg but no other symptoms is referred for evaluation. True
statements about this patient include:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prophylactic antibiotics are indicated</div>
<div class="1234">
<b>B.<span> </span></b>A lymphagiongram will show hypoplasia of the lymphatics</div>
<div class="1234">
<b>C.<span> </span></b>Elastic stocking and diuretics will lead to a normal appearance
of the limb</div>
<div class="1234">
<b>D.<span> </span></b>A variety of operations will ultimately lead to a normal
appearance of the limb</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 233.<span> </span>Kamla, a 59 years old woman, has a left femoral vein thrombosis
during a pregnancy 30 year ago. The left greater saphenous vein had been
stripped at age 21. She now presents with a large non healing ulceration over
the medial left calf, which has continuously progressed despite bedrest,
elevation, and use of a support stocking. Descending phlebography of the left
leg demonstrates a patent deep venous system, with free flow of dye from the
groin to foot. The first profunda femoris valve is competent. Appropriate
management might include which of the following:</span></div>
<div class="1234">
<b>A.<span> </span></b>Division of the superficial femoral vein in the groin and
transposition of its distal end onto the profunda femoris vein below the level
of the competent profunda valve</div>
<div class="1234">
<b>B.<span> </span></b>Saphenous venous crossover graft with anastomosis of the end of
the right saphenous vein onto the side of competent femoral vein</div>
<div class="1234">
<b>C.<span> </span></b>Ligated iliofemoral venous thrombectomy with creation of the
temporary arteriovenous fistula</div>
<div class="1234">
<b>D.<span> </span></b>Subfascial ligation of perforating veins in the left</div>
<div class="1234">
<span> </span>calf.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 234.<span> </span>On her third day of hospitalization, a 70 years old woman who is
being treated with antibiotics for acute cholecystitis develops increased pain
and tenderness in the right upper quadrant with a palpable mass. Her
temperature rises to 40°C (104°F) her blood pressure falls to 80/60 mmHg.
Hematemesis, and melena ensue and petechiae are noted. Laboratory studies
reveal thrombocytopenia, prolonged prothrombin time, and a decreased fibrinogen
level. The most important step in the correction of this patient’s coagulopathy
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Exploratory laparotomy</div>
<div class="1234">
<b>B.<span> </span></b>Administration of heparin</div>
<div class="1234">
<b>C.<span> </span></b>Administration of <span style="font-family: Symbol;">e</span>-aminocaproic
acid</div>
<div class="1234">
<b>D.<span> </span></b>Administration of fresh frozen plasma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 235.<span> </span>A 64 years old previously healthy man is admitted to a hospital
because of a closed head injury and ruptured spleen following a road side
automobile accident. During the first 4 days of hospitalization, following
laparotomy and splenectomy, he receives 5% dextrose, 0.5% normal saline
solution at a rate of 125 mL/h. Recorded daily fluid outputs include 450 to 600
mL of nasogastric drainage and 700 to 1000 mL of urine. The patient is
somnolent but easily aroused until the morning of the 5th hospital day, when he
is noted to be in deep coma. By the afternoon, he begins having seizures. The
following laboratory data are obtained. Serum electrolytes (mEq/L): Na</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>130; K</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>1.9; CI</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">–</span><span style="color: windowtext;"><span> </span>96; HCO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">–</span><span style="color: windowtext;"><span> </span>19. Serum osmolality 260 mOsm/L. Urine
electrolytes (mEq/L): Na</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>61; K</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">+</span><span style="color: windowtext;"><span> </span>18. Which of the following statements about
diagnosis or treatment of this patient’s condition is true:</span></div>
<div class="1234">
<b>A.<span> </span></b>Emergency carotid arteriogram is to be done</div>
<div class="1234">
<b>B.<span> </span></b>Secondary to metabolic acidosis there is hypokalemia</div>
<div class="1234">
<b>C.<span> </span></b>A small qantity of hypertonic saline should be given</div>
<div class="1234">
<b>D.<span> </span></b>IV infusion of 20 ml of 50% MgSO<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">4 </span>is given over a
period of 4 hours</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 236.<span> </span>All of the following statements about acute adrenal insufficiency
are true <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hyperglycemia is usually present</div>
<div class="1234">
<b>B.<span> </span></b>Acute adrenal insufficiency usually is secondary to exogenous
glucocorticoid administration</div>
<div class="1234">
<b>C.<span> </span></b>Acute adrenal insufficiency presents with weakness, vomiting,
fever, and hypotension</div>
<div class="1234">
<b>D.<span> </span></b>Hyponatremia occurs because of impaired renal tubule sodium
resorption</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 237.<span> </span>All of the following are correct statements about radiological
evaluation of a pateint with Cushing’s syndrome <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>MRI of the sella turcica will identify a pituitary cause for
Cushing’s syndrome</div>
<div class="1234">
<b>B.<span> </span></b>Petrosal sinus sampling is the best way to distinguish a
pituitary tumor from an ectopic ACTH producing tumor.</div>
<div class="1234">
<b>C.<span> </span></b>MRI of the adrenals may distinguish adrenal adenoma from carcinoma</div>
<div class="1234">
<b>D.<span> </span></b>Adrenal CT scan distinguishes adrenal cortical hyperplasia from
an adrenal tumor</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Orthopaedics</div>
<div class="Ques">
<span style="color: windowtext;">Q 238.<span> </span>Carpel tunnel syndrome is due to compression of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Radial nerve</div>
<div class="1234">
<b>B.<span> </span></b>Ulnar nerve</div>
<div class="1234">
<b>C.<span> </span></b>Palmar branch of the ulnar nerve</div>
<div class="1234">
<b>D.<span> </span></b>Median nerve</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 239.<span> </span>Most common nerve involved in the fracture of surgical neck of
humerus is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Median</div>
<div class="1234">
<b>B.<span> </span></b>Radial</div>
<div class="1234">
<b>C.<span> </span></b>Ulnar</div>
<div class="1234">
<b>D.<span> </span></b>Axillary</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 240.<span> </span>All of the following are associated with supracondylar fracture of
humerus, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is uncommon after 15 years of age</div>
<div class="1234">
<b>B.<span> </span></b>Extension type fracture is more common than the flexion type</div>
<div class="1234">
<b>C.<span> </span></b>Cubitus varus deformity commonly results following malunion</div>
<div class="1234">
<b>D.<span> </span></b>Ulnar nerve is most commonly involved</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 241.<span> </span>A 40 years old man, was admitted with fracture shaft femur
following a road traffic accident. On 2nd day he became disoriented. He was
found to be tachypnoeic, and had conjunctival petechiae. Most likely diagnosis
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pulmonary embolism</div>
<div class="1234">
<b>B.<span> </span></b>Sepsis syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Fat embolism</div>
<div class="1234">
<b>D.<span> </span></b>Haemothorax</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 242.<span> </span>Kumar, a 31 years old motorcyclist sustained injury over his right
hip joint. X-ray revealed a posterior dislocation of the right hip joint. The
clinical attitude of the affected lower limb will be:</span></div>
<div class="1234">
<b>A.<span> </span></b>External rotation, extension & abduction</div>
<div class="1234">
<b>B.<span> </span></b>Internal rotation, flexion & adduction</div>
<div class="1234">
<b>C.<span> </span></b>Internal rotation, extension & abduction</div>
<div class="1234">
<b>D.<span> </span></b>External rotation, flexion & abduction</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 243.<span> </span>Pappu, 7 years old young boy, had fracture of lateral condyle of
femur. He developed malunion as the fracture was not reduced anatomically.
Malunion will produce:</span></div>
<div class="1234">
<b>A.<span> </span></b>Genu valgum</div>
<div class="1234">
<b>B.<span> </span></b>Genu varum</div>
<div class="1234">
<b>C.<span> </span></b>Genu recurvatum</div>
<div class="1234">
<b>D.<span> </span></b>Dislocation of knee</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 244.<span> </span>Patellar tendon bearing POP cast is indicated in the following
fracture:</span></div>
<div class="1234">
<b>A.<span> </span></b>Patella</div>
<div class="1234">
<b>B.<span> </span></b>Tibia</div>
<div class="1234">
<b>C.<span> </span></b>Medial malleolus</div>
<div class="1234">
<b>D.<span> </span></b>Femur</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 245.<span> </span>Inversion injury at the ankle can cause all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fracture tip of lateral melleolus</div>
<div class="1234">
<b>B.<span> </span></b>Fracture base of the 5th metatarsal</div>
<div class="1234">
<b>C.<span> </span></b>Sprain of extensor digitorum brevis</div>
<div class="1234">
<b>D.<span> </span></b>Fracture of sustentaculam tali</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 246.<span> </span>A previously healthy 45 years old laborer suddenly develops acute
lower back pain with right-leg pain & weakness of dorsiflexion of the right
great toe. Which of the following is true:</span></div>
<div class="1234">
<b>A.<span> </span></b>Immediate treatment should include analgesics, muscle relaxants
& back strengthening exercises</div>
<div class="1234">
<b>B.<span> </span></b>The appearance of the foot drop indicates early surgical
intervention</div>
<div class="1234">
<b>C.<span> </span></b>If the neurological signs resolve within 2 to 3 weeks but low
back pain persists, the proper treatment would include fusion of affected
lumbar vertebra</div>
<div class="1234">
<b>D.<span> </span></b>If the neurological signs fail to resolve within 1 week, lumbar
laminectomy and excision of any herniated nucleus pulposus should be done</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 247.<span> </span>Acute osteomylitis is most commonly caused by:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Staphylococcus aureus</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Actinomyces bovis</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Nocardia asteroides</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Borrelia vincentii</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 248.<span> </span>A 45 years male presented with an expansile lesion in the centre of
femoral metaphysis. The lesion shows endosteal scalloping & punctuate
calcifications. Most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Osteosarcoma</div>
<div class="1234">
<b>B.<span> </span></b>Chondrosarcoma</div>
<div class="1234">
<b>C.<span> </span></b>Simple bone cyst</div>
<div class="1234">
<b>D.<span> </span></b>Fibrous dysplasia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 249.<span> </span>Raju, a 10 years old child, presents with predisposition to
fractures, anemia, hepatosplenomegaly and a diffusely increased radiographic
density of bones. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Osteogenesis imperfecta</div>
<div class="1234">
<b>B.<span> </span></b>Pyenodysotosis</div>
<div class="1234">
<b>C.<span> </span></b>Myelofibrosis</div>
<div class="1234">
<b>D.<span> </span></b>Osteopetrosis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 250.<span> </span>Hari Vardhman, 9 years old child, presents with scoliosis, hairy
tuft in the skin of back and neurological deficit. Plain X-rays reveal multiple
vertebral anomalies & a vertical bony spur overlying lumbar spine on AP view.
The most probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dorsal dermal sinus</div>
<div class="1234">
<b>B.<span> </span></b>Diastometamyelia</div>
<div class="1234">
<b>C.<span> </span></b>Tight filum terminale</div>
<div class="1234">
<b>D.<span> </span></b>Caudal regresion syndrome</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 251.<span> </span>In a patient with head injury, unexplained hypotension warrants
evaluation of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Upper cervical spine</div>
<div class="1234">
<b>B.<span> </span></b>Lower cervical spine</div>
<div class="1234">
<b>C.<span> </span></b>Thoracic spine</div>
<div class="1234">
<b>D.<span> </span></b>Lumbar spine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 252.<span> </span>Complete transection of the spinal cord at the C1 level produces
all of the following effects <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hypotension</div>
<div class="1234">
<b>B.<span> </span></b>Limited respiratory effort</div>
<div class="1234">
<b>C.<span> </span></b>Anaesthesia below the level of the lesion</div>
<div class="1234">
<b>D.<span> </span></b>Areflexia below the level of the lesion</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Anaesthesia</div>
<div class="Ques">
<span style="color: windowtext;">Q 253.<span> </span>The gas which produces systemic toxicity without causing local
irritation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ammonia</div>
<div class="1234">
<b>B.<span> </span></b>Carbon monoxide</div>
<div class="1234">
<b>C.<span> </span></b>Hydrocyanic acid</div>
<div class="1234">
<b>D.<span> </span></b>Sulfur dioxide</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 254.<span> </span>In a patient with fixed respiratory obstruction helium is used
along with oxygen instead of plain oxygen because:</span></div>
<div class="1234">
<b>A.<span> </span></b>It increases oxygenation</div>
<div class="1234">
<b>B.<span> </span></b>It decreases turbulence</div>
<div class="1234">
<b>C.<span> </span></b>It decreases the dead space</div>
<div class="1234">
<b>D.<span> </span></b>It provides analgesia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 255.<span> </span>Upper respiratory tract infection is a common problem in children.
All the following anesthetic complications can occur in children with
respiratory infections, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Bacteremia</div>
<div class="1234">
<b>B.<span> </span></b>Halothane granuloma</div>
<div class="1234">
<b>C.<span> </span></b>Increased mucosal bleeding</div>
<div class="1234">
<b>D.<span> </span></b>Laryngospasm</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Ophthalmology</div>
<div class="Ques">
<span style="color: windowtext;">Q 256.<span> </span>In the normal human right eye, the peripheral field of vision is
usually least:</span></div>
<div class="1234">
<b>A.<span> </span></b>On the left side (nasally)</div>
<div class="1234">
<b>B.<span> </span></b>In the downward direction</div>
<div class="1234">
<b>C.<span> </span></b>In the upward direction</div>
<div class="1234">
<b>D.<span> </span></b>On the right side (temporally)</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 257.<span> </span>Tonography helps you to determine:</span></div>
<div class="1234">
<b>A.<span> </span></b>The rate of formation of aqueous</div>
<div class="1234">
<b>B.<span> </span></b>The facility of outflow of aqueous</div>
<div class="1234">
<b>C.<span> </span></b>The levels of intraocular presure at different times</div>
<div class="1234">
<b>D.<span> </span></b>The field changes</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 258.<span> </span>Any spectral colour can be matched by a mixture of three
monochromatic lights (red, green, blue) in different proportions. If a person
needs more of one of the colour for matching than a normal person, then he has
a colour anomaly. More red colour is needed in the case of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Deuteranomaly</div>
<div class="1234">
<b>B.<span> </span></b>Tritanomaly</div>
<div class="1234">
<b>C.<span> </span></b>Protanomaly</div>
<div class="1234">
<b>D.<span> </span></b>Tritanomaly</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 259.<span> </span>The colours best appreciated by the central cones of our
foveo-macular area are:</span></div>
<div class="1234">
<b>A.<span> </span></b>Red and blue</div>
<div class="1234">
<b>B.<span> </span></b>Blue and green</div>
<div class="1234">
<b>C.<span> </span></b>Red and green</div>
<div class="1234">
<b>D.<span> </span></b>Blue and yellow</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 260.<span> </span>Epiphora is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cerebrospinal fluid running from the nose after fracture of
anterior cranial fossa</div>
<div class="1234">
<b>B.<span> </span></b>An epiphenomenors of a cerebral tumor</div>
<div class="1234">
<b>C.<span> </span></b>An abnormal overflow of tears due to obstruction of lacrimal
duct</div>
<div class="1234">
<b>D.<span> </span></b>Eversion of lower eyelid following injury</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 261.<span> </span>A 35 years old hypermetrope is using 1.50 D sphere both eyes.
Whenever his glasses slip downward on his nose he will feel that his near
vision:</span></div>
<div class="1234">
<b>A.<span> </span></b>Becomes enlarged</div>
<div class="1234">
<b>B.<span> </span></b>Becomes distorted</div>
<div class="1234">
<b>C.<span> </span></b>Becomes decreased</div>
<div class="1234">
<b>D.<span> </span></b>Remains the same</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 262.<span> </span>Occulomoter nerve palsy affects all of the following muscles, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Medial rectus</div>
<div class="1234">
<b>B.<span> </span></b>Inferior oblique</div>
<div class="1234">
<b>C.<span> </span></b>Lateral rectus</div>
<div class="1234">
<b>D.<span> </span></b>Levetor palpabrae superioris</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 263.<span> </span>Kusum Lata presents with acute painful red eye and mildly dilated
vertically oval pupil. Most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Acute retrobulbar neuritis</div>
<div class="1234">
<b>B.<span> </span></b>Acute angle closure glaucoma</div>
<div class="1234">
<b>C.<span> </span></b>Acute anterior uveitis</div>
<div class="1234">
<b>D.<span> </span></b>Severe keratoconjunctivitis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 264.<span> </span>You have been referred a midle-aged patient to rule out open angle
glaucoma. Which of the following findings will help in the diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cupping of the disc</div>
<div class="1234">
<b>B.<span> </span></b>Depth of anterior chamber</div>
<div class="1234">
<b>C.<span> </span></b>Visual acuity and refractive error</div>
<div class="1234">
<b>D.<span> </span></b>Angle of the anterior chamber</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 265.<span> </span>In a case of hypertensive uveitis, most useful drug to reduce
intraocular pressure is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pilocarpine</div>
<div class="1234">
<b>B.<span> </span></b>Latanoprost</div>
<div class="1234">
<b>C.<span> </span></b>Physostigmine</div>
<div class="1234">
<b>D.<span> </span></b>Dipivefrine</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 266.<span> </span>A patient having glaucoma develops blepharoconjunctivitis after
instilling some anti- glaucoma drug. Which of the following drug can be
responsible for it:</span></div>
<div class="1234">
<b>A.<span> </span></b>Timolol</div>
<div class="1234">
<b>B.<span> </span></b>Latanoprost</div>
<div class="1234">
<b>C.<span> </span></b>Dipivefrine</div>
<div class="1234">
<b>D.<span> </span></b>Pilocarpine</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 267.<span> </span>A 12 years old child complains of headache and decreased vision. On
examination he has a visual acuity of 6/36 in the right eye and 6/6 in the left
eye. On retinoscopy at 66 cm, the left eye showed correction of 1.5 D and the
right eye of 5 D. The anterior chamber and fundus of eye were normal. What may
be the cause of decreased vision in the right eye:</span></div>
<div class="1234">
<b>A.<span> </span></b>Amblyopia</div>
<div class="1234">
<b>B.<span> </span></b>Occipital lobe infarct</div>
<div class="1234">
<b>C.<span> </span></b>Optic neuritis</div>
<div class="1234">
<b>D.<span> </span></b>Refractive error</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 268.<span> </span>Wericke’s hemianopic pupillary response is seen in lesions at:</span></div>
<div class="1234">
<b>A.<span> </span></b>Optic tract</div>
<div class="1234">
<b>B.<span> </span></b>Optic chiasma</div>
<div class="1234">
<b>C.<span> </span></b>Optic radiation</div>
<div class="1234">
<b>D.<span> </span></b>Lateral geniculate body</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
ENT</div>
<div class="Ques">
<span style="color: windowtext;">Q 269.<span> </span>Weber test is done by: </span></div>
<div class="1234">
<b>A.<span> </span></b>Placing the tuning fork on the mastoid process and comparing the
bone conduction of the patient with that, of the examiner</div>
<div class="1234">
<b>B.<span> </span></b>Placing the tunning fork on the vertex of the skull and
determining the effect of gently occluding the auditory canal on the threshold
of low frequencies</div>
<div class="1234">
<b>C.<span> </span></b>Placing the tuning fork on the mastoid process and comparing the
bone conduction in the patient</div>
<div class="1234">
<b>D.<span> </span></b>Placing the tuning fork on the forehead and asking him to report
in which ear he hears it better</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 270.<span> </span>On otological examination all of the following will have positive
fistula test, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dead ear</div>
<div class="1234">
<b>B.<span> </span></b>Labyrinthine fistula</div>
<div class="1234">
<b>C.<span> </span></b>Hypermobile stapes foot plate</div>
<div class="1234">
<b>D.<span> </span></b>Following fenestration surgery</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 271.<span> </span>Acute otitis media in children is most commonly due to:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Morexiella catarrhalis</i></div>
<div class="1234">
<b>B.<span> </span></b><i>H. influenzae</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Streptococcus pneumoniae</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Staphylococcus aureus</i></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 272.<span> </span>All of the following are true for Ramsay Hunt syndrome, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It has viral etiology</div>
<div class="1234">
<b>B.<span> </span></b>Involves VII nerve</div>
<div class="1234">
<b>C.<span> </span></b>May involve VlII nerve</div>
<div class="1234">
<b>D.<span> </span></b>Results of spontaneous recovery are excellent</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 273.<span> </span>Rajesh, a 7 months old child, presents with failure to gain weight
& noisy breathing which becomes worse when the child cries. Laryngoscopy
shows a reddish mass in subglottis. Treatment modality may include all <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Radiotherapy</div>
<div class="1234">
<b>B.<span> </span></b>Steroids</div>
<div class="1234">
<b>C.<span> </span></b>Tracheostomy</div>
<div class="1234">
<b>D.<span> </span></b>Carbon dioxide laser treatment</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 274.<span> </span>A 50 years old male chronic smoker complains of hoarseness for the
past 4 months. Microlaryngoscopic biopsy shows it to be keratosis of the
larynx. All are suggested treatment modalities for this condition, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Laser vaporizer</div>
<div class="1234">
<b>B.<span> </span></b>Stop smoking</div>
<div class="1234">
<b>C.<span> </span></b>Stripping of vocal cord</div>
<div class="1234">
<b>D.<span> </span></b>Partial laryngectomy</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 275.<span> </span>The treatment of choice of a T</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">1</span><span style="color: windowtext;">N</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">0</span><span style="color: windowtext;">M</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">0</span><span style="color: windowtext;"><span> </span>glottic
carcinoma:</span></div>
<div class="1234">
<b>A.<span> </span></b>External beam radiography</div>
<div class="1234">
<b>B.<span> </span></b>Brachytherapy</div>
<div class="1234">
<b>C.<span> </span></b>Surgery</div>
<div class="1234">
<b>D.<span> </span></b>Chemotherapy</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Obstetrics & Gynaecology</div>
<div class="Ques">
<span style="color: windowtext;">Q 276.<span> </span>Complete failure of mullerian duct fusion will result in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Uterus didelphys</div>
<div class="1234">
<b>B.<span> </span></b>Arcuate uterus</div>
<div class="1234">
<b>C.<span> </span></b>Subseptate uterus</div>
<div class="1234">
<b>D.<span> </span></b>Unicornuate uterus</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 277.<span> </span>Commonest cause of female pseudohermaphroditism is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Virlizing ovarian tumor</div>
<div class="1234">
<b>B.<span> </span></b>Ovarian dygenesis</div>
<div class="1234">
<b>C.<span> </span></b>Exogenous androgen</div>
<div class="1234">
<b>D.<span> </span></b>Congenital adrenal hyperplasia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 278.<span> </span>Basanti Devi 45 years old women, presents with hot flushes after
stopping of menstruation. Hot flush can be relieved by administration of
following agent:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ehinyl estradiol</div>
<div class="1234">
<b>B.<span> </span></b>Testesterone</div>
<div class="1234">
<b>C.<span> </span></b>Fluoxymesterone</div>
<div class="1234">
<b>D.<span> </span></b>Danazol</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 279.<span> </span>Contraceptive LNG-IUD (levonorgesterel intrauterine device) has the
cumulative pregnancy rate at 5 years of:</span></div>
<div class="1234">
<b>A.<span> </span></b>0.5</div>
<div class="1234">
<b>B.<span> </span></b>1.0</div>
<div class="1234">
<b>C.<span> </span></b>1.5</div>
<div class="1234">
<b>D.</b><span> </span>2.0</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 280.<span> </span>A 25 years old infertile male underwent semen analysis. Results
show sperm count -15 million/ ml; pH -7.5 ; volume-2 ml; no agglutination is
seen. Morphology shows 60% normal & 60% motile sperms. Most likely
diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Normospermia</div>
<div class="1234">
<b>B.<span> </span></b>Oligospermia</div>
<div class="1234">
<b>C.<span> </span></b>Azoospermia</div>
<div class="1234">
<b>D.<span> </span></b>Aspermia</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 281.<span> </span>A 28 years old lady,<span> </span>is
suspected to have polycystic ovarian disease. Sample for testing LH & FSH
are best taken on the which days of menstrual cycle:</span></div>
<div class="1234">
<b>A.<span> </span></b>1-4</div>
<div class="1234">
<b>B.<span> </span></b>8-10</div>
<div class="1234">
<b>C.<span> </span></b>13-15</div>
<div class="1234">
<b>D.<span> </span></b>24-26</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 282.<span> </span>Kamla, a 20 years old young lady, presents with history of
hirsutism and amenorrhea with change in voice. To establish a diagnosis you
would like to proceed with which of the following tests in blood:</span></div>
<div class="1234">
<b>A.<span> </span></b>17-OH progesterone</div>
<div class="1234">
<b>B.<span> </span></b>DHEA</div>
<div class="1234">
<b>C.<span> </span></b>Testosterone</div>
<div class="1234">
<b>D.<span> </span></b>LH + FSH estimation</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 283.<span> </span>A 35 years old mother of two children is suffering from amenorrhea
for last 12 months. She has history of failure of lactation following 2nd
delivery but remained asymptomatic thereafter. Skull X-ray shows “empty sella”.
Most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Menopause</div>
<div class="1234">
<b>B.<span> </span></b>Pituitary tumor</div>
<div class="1234">
<b>C.<span> </span></b>Sheehan’s syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Intraductal papilloma of breast</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 284.<span> </span>A 35 years old female patient, having children aged 5 and 6 years
has history of amenorrhea and galactorrhea. Blood examination reveals increased
prolactin. The CT of the head is likely to reveal:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prolactinoma</div>
<div class="1234">
<b>B.<span> </span></b>Craniopharyngioma</div>
<div class="1234">
<b>C.<span> </span></b>Sheehan’s syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Pinealoma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 285.<span> </span>A 45 years old women present with history of polymenorrhea for last
six months. The first line of management is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hysterectomy</div>
<div class="1234">
<b>B.<span> </span></b>Progesterone for 3 cycles</div>
<div class="1234">
<b>C.<span> </span></b>Dilatation and curettage</div>
<div class="1234">
<b>D.<span> </span></b>Oral contraceptive for 3 cycles</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 286.<span> </span>Which of the following is, not indicated in menorrhagia:</span></div>
<div class="1234">
<b>A.<span> </span></b>NSAIDs</div>
<div class="1234">
<b>B.<span> </span></b>Clomiphene</div>
<div class="1234">
<b>C.<span> </span></b>Norethisterone</div>
<div class="1234">
<b>D.<span> </span></b>Tranexamic acid</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 287.<span> </span>Most common genital prolapse is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cystocoele</div>
<div class="1234">
<b>B.<span> </span></b>Procidentia</div>
<div class="1234">
<b>C.<span> </span></b>Rectocoele</div>
<div class="1234">
<b>D.<span> </span></b>Entrocoele</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 288.<span> </span>A 30 years old lady examined for infertility by
hysterosalpingography, reveals ‘bead-like’ fallopian tube & clubbing of
ampulla. Most likely cause is:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Gonococcus</i><b><span> </span></b></div>
<div class="1234">
<b>B.<span> </span></b><i>Mycoplasma</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Chlamydia</i><b><span> </span></b></div>
<div class="1234">
<b>D.<span> </span></b><i>Mycobacterium tuberculosis</i></div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 289.<span> </span>A 25 year old patient presents with vaginal discharge. Examination
of the discharge reveals the presence of Chamydial infection. The treatment of
choice is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Azithromycin + contact tracing</div>
<div class="1234">
<b>B.<span> </span></b>Doxycycline + metronidazole</div>
<div class="1234">
<b>C.<span> </span></b>Fluconazole + doxycycline</div>
<div class="1234">
<b>D.<span> </span></b>Metronidazole</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 290.<span> </span>All of the following may predispose to endometrial CA, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Unopposed estrogen</div>
<div class="1234">
<b>B.<span> </span></b>Oral contraceptive</div>
<div class="1234">
<b>C.<span> </span></b>Nulliparity</div>
<div class="1234">
<b>D.<span> </span></b>Tamoxifen therapy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Radiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 291.<span> </span>Which of the following has greatest penetrating power?</span></div>
<div class="1234">
<b>A.<span> </span></b><span style="font-family: Symbol;">a</span>-particle</div>
<div class="1234">
<b>B.<span> </span></b><span style="font-family: Symbol;">b</span>-particle</div>
<div class="1234">
<b>C.<span> </span></b><span style="font-family: Symbol;">g</span>-radiation</div>
<div class="1234">
<b>D.<span> </span></b>Electron beam</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 292.<span> </span>What contrast is needed for proper radiographic image in a heavy
built person?</span></div>
<div class="1234">
<b>A.<span> </span></b>Increased mA</div>
<div class="1234">
<b>B.<span> </span></b>Increased kvp</div>
<div class="1234">
<b>C.<span> </span></b>Increased exposer time</div>
<div class="1234">
<b>D.<span> </span></b>Increased developing time</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 293.<span> </span>A 2 years old boy, is brought with sudden onset of stridor and
respiratory difficulty. The chest examination reveals decreased breath sounds
& wheeze in the right side. The chest X-ray showed an opaque right
hemithorax. Which of the following is the most likely diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pneumothorax</div>
<div class="1234">
<b>B.<span> </span></b>Acute epiglottitis</div>
<div class="1234">
<b>C.<span> </span></b>Massive pleural effusion</div>
<div class="1234">
<b>D.<span> </span></b>Foreign body aspiration</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 294.<span> </span>A child with acute respiratory distress shows hyperinflation of
unilateral lung in chest X-ray. Most likely cause for above presentation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Staphylococcal bronchopneumonia</div>
<div class="1234">
<b>B.<span> </span></b>Aspiration pneumonia</div>
<div class="1234">
<b>C.<span> </span></b>Congenital lobar emphysema</div>
<div class="1234">
<b>D.<span> </span></b>Foreign body aspiration</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 295.<span> </span>Abdominal ultrasonography in a 3 years old boy shows a solid well
circumscribed hypoechoic renal mass. Most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Wilms’ tumor</div>
<div class="1234">
<b>B.<span> </span></b>Renal cell carcinoma</div>
<div class="1234">
<b>C.<span> </span></b>Mesoblastic nephroma</div>
<div class="1234">
<b>D.<span> </span></b>Oncocytoma</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 296.<span> </span>A newborn presenting with intestinal obstruction showed, on
abdominal X-ray, multiple air fluid levels. The diagnosis is most likely to be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pyloric obstruction</div>
<div class="1234">
<b>B.<span> </span></b>Duodenal atresia</div>
<div class="1234">
<b>C.<span> </span></b>Ileal atresia</div>
<div class="1234">
<b>D.<span> </span></b>Ladd’s bands</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 297.<span> </span>Which one of the following statement is false about loculated
pleural effusion:</span></div>
<div class="1234">
<b>A.<span> </span></b>They form obtuse angles against the mediasti- num/chest wall
when viewed in profile</div>
<div class="1234">
<b>B.<span> </span></b>They have unsharp margins when viewed enface</div>
<div class="1234">
<b>C.<span> </span></b>They do not conform to segmental distribution</div>
<div class="1234">
<b>D.<span> </span></b>The opacity may show air bronchogram</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 298.<span> </span>Radiographic appearance of Pindborg’s tumor is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Onion-peel appearance</div>
<div class="1234">
<b>B.<span> </span></b>Sunburst appearance</div>
<div class="1234">
<b>C.<span> </span></b>Cherry-blossom appearance</div>
<div class="1234">
<b>D.<span> </span></b>Driven-snow appearance</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 299.<span> </span>Craniospinal irradiation is employed in the treatment of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Oligodendroglioma</div>
<div class="1234">
<b>B.<span> </span></b>Pilocytic astrocytoma</div>
<div class="1234">
<b>C.<span> </span></b>Mixed oligoastrocytoma</div>
<div class="1234">
<b>D.<span> </span></b>Medulloblastoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 300.<span> </span>Prophylactic cranial irradiation is indicated in the treatment of
all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Small cell CA of lung<b><span> </span></b></div>
<div class="1234">
<b>B.<span> </span></b>ALL</div>
<div class="1234">
<b>C.<span> </span></b>Hodgkin’s lymphoma<b><span> </span></b></div>
<div class="1234">
<b>D.<span> </span></b>NHL</div>
<div class="Ans">
Ans.<span> </span>C</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-80115178279557418642012-01-07T18:54:00.000-08:002012-01-07T18:54:16.040-08:00ALL INDIA 2003<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head">
Anatomy</div>
<div class="Ques">
<span style="color: windowtext;">Q 1.<span> </span>The commonest variation in the arteries arising from the arch
of aorta is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Absence of brachiocephalic trunk.</div>
<div class="1234">
<b>B.<span> </span></b>Left vertebral artery arising from the arch.</div>
<div class="1234">
<b>C.<span> </span></b>Left common carotid artery arising from brachiocephalic trunk.</div>
<div class="1234">
<b>D.<span> </span></b>Presence of retroesophageal subclavian artery.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 2.<span> </span>The blood vessel related to the paraduodenal fossa is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Gonadal vein</div>
<div class="1234">
<b>B.<span> </span></b>Superior mesenteric artery</div>
<div class="1234">
<b>C.<span> </span></b>Portal vein</div>
<div class="1234">
<b>D.<span> </span></b>Inferior mesenteric vein</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 3.<span> </span>The nerve commonly damaged during McBurney’s incision is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Subcostal</div>
<div class="1234">
<b>B.<span> </span></b>Iliohypogastric</div>
<div class="1234">
<b>C.<span> </span></b>11th thoracic</div>
<div class="1234">
<b>D.<span> </span></b>10th thoracic</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 4.<span> </span>The lumbar region of the vertebral column permits all the
following movements, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Flexion</div>
<div class="1234">
<b>B.<span> </span></b>Extension</div>
<div class="1234">
<b>C.<span> </span></b>Lateral flexion</div>
<div class="1234">
<b>D.<span> </span></b>Rotation</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 5.<span> </span>All of the following are examples of traction epiphysis, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mastoid process</div>
<div class="1234">
<b>B.<span> </span></b>Tubercles of humerus</div>
<div class="1234">
<b>C.<span> </span></b>Trochanter of femur</div>
<div class="1234">
<b>D.<span> </span></b>Condyles of tibia</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 6.<span> </span>All of the following statements are true for metaphysis of bone,
<i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is the strongest part of the bone.</div>
<div class="1234">
<b>B.<span> </span></b>It is the most vascular part of bone.</div>
<div class="1234">
<b>C.<span> </span></b>Growth activity is maximized here.</div>
<div class="1234">
<b>D</b>.<span> </span>It is the region favouring hematogenous spread
of infection.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 7.<span> </span>All of the following features can be observed after the injury
to axillary nerve, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Loss of rounded contour of shoulder.</div>
<div class="1234">
<b>B.<span> </span></b>Loss of sensation along lateral side of upper arm.</div>
<div class="1234">
<b>C.<span> </span></b>Loss of overhead abduction.</div>
<div class="1234">
<b>D.<span> </span></b>Atrophy of deltoid muscle.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 8.<span> </span>All of the following muscles are grouped together as ‘muscles
of mastication’, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Buccinator</div>
<div class="1234">
<b>B.<span> </span></b>Masseter</div>
<div class="1234" style="margin-left: 0.75in; text-indent: -0.25in;">
<b><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></b>Temporalis</div>
<div class="1234" style="margin-left: 0.5in; text-indent: 0in;">
<b>D.<span> </span></b>Pterygoids</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 9.<span> </span>Referred pain from ureteric colic is felt in the groin due to
involvement of the following nerve:</span></div>
<div class="1234">
<b>A.<span> </span></b>Subcostal</div>
<div class="1234">
<b>B.<span> </span></b>Iliohypogastric</div>
<div class="1234">
<b>C.<span> </span></b>Ilioinguinal</div>
<div class="1234">
<b>D.<span> </span></b>Genitofemoral</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 10.<span> </span>The right coronary artery supplies all of the following parts of
the conducting system in the heart, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>SA Node</div>
<div class="1234">
<b>B.<span> </span></b>AV Node</div>
<div class="1234">
<b>C.<span> </span></b>AV Bundle</div>
<div class="1234">
<b>D.<span> </span></b>Right bundle branch</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 11.<span> </span>The cells belonging to the following type of epithelium are
provided with extra reserve of cell membrane:</span></div>
<div class="1234">
<b>A.<span> </span></b>Transitional</div>
<div class="1234">
<b>B.<span> </span></b>Stratified squamous</div>
<div class="1234">
<b>C.<span> </span></b>Stratified cuboidal</div>
<div class="1234">
<b>D.<span> </span></b>Stratified columnar</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 12.<span> </span>Injury to radial nerve in lower part of spiral groove:</span></div>
<div class="1234">
<b>A.<span> </span></b>Spares nerve supply to extensor carpi radialis longus</div>
<div class="1234">
<b>B.<span> </span></b>Results in paralysis of anconeus muscle</div>
<div class="1234">
<b>C.<span> </span></b>Leaves extension at elbow joint intact</div>
<div class="1234">
<b>D.<span> </span></b>Weakens pronation movement</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 13.<span> </span>A 30 year old man came to the outpatient department because he
had suddenly developed double vision. On examination it was found that his
right eye, when at rest, was turned medially. The most likely anatomical
structures involved are:</span></div>
<div class="1234">
<b>A.<span> </span></b>Medial rectus and superior division of oculomotor nerve</div>
<div class="1234">
<b>B.<span> </span></b>Inferior oblique and inferior division of oculomotor nerve</div>
<div class="1234">
<b>C.<span> </span></b>Lateral rectus and abducent nerve</div>
<div class="1234">
<b>D.<span> </span></b>Superior rectus and trochlear nerve</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 14.<span> </span>In a patient with a tumour in superior mediastinum compressing
the superior vena cava, all the following veins would serve as alternate
pathways for the blood to return to the right atrium, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lateral thoracic vein</div>
<div class="1234">
<b>B.<span> </span></b>Internal thoracic vein</div>
<div class="1234">
<b>C.<span> </span></b>Hemiazygos vein</div>
<div class="1234">
<b>D.<span> </span></b>Vertebral venous plexus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 15.<span> </span>The middle cardiac vein is located at the:</span></div>
<div class="1234">
<b>A.</b><span> </span>Anterior interventricular sulcus.</div>
<div class="1234">
<b>B.</b><span> </span>Posterior interventricular sulcus.</div>
<div class="1234">
<b>C.<span> </span></b>Posterior AV groove.</div>
<div class="1234">
<b>D.</b><span> </span>Anterior AV groove.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 16.<span> </span>Which of the following statements is true about the autonomic
nervous system?</span></div>
<div class="1234">
<b>A.</b><span> </span>The sympathetic outflow from the CNS is through
both the cranial nerves and the sympathetic chain.</div>
<div class="1234">
<b>B.</b><span> </span>The parasympathetic outflow from the CNS is
through cranial nerves only.</div>
<div class="1234">
<b>C.<span> </span></b>The superior hypogastric plexus is located at the anterior
aspect of the aortic bifurcation and fifth lumbar vertebra.</div>
<div class="1234">
<b>D.</b><span> </span>The superior hypogastric plexus contains
sympathetic fibers only.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Physiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 17.<span> </span>An increase in which of the following parameters will shift the O</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2 </span><span style="color: windowtext;">dissociation curve to the left:</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.<span> </span></b>Temperature</div>
<div class="1234">
<b>B.<span> </span></b>Partial pressure of CO<span style="position: relative; top: 1.5pt;">2</span></div>
<div class="1234">
<b>C.<span> </span></b>2,3 DPG concentration</div>
<div class="1234">
<b>D.<span> </span></b>Oxygen affinity of haemoglobin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 18.<span> </span>A lesion of ventrolateral part of spinal cord will lead to loss
(below the level of lesion) of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pain sensation on the ipsilateral side</div>
<div class="1234">
<b>B.<span> </span></b>Proprioception on the contralateral side</div>
<div class="1234">
<b>C.<span> </span></b>Pain sensation on the contralateral side</div>
<div class="1234">
<b>D.<span> </span></b>Proprioception on the ipsilateral side</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 19.<span> </span>Two students, Vineet and Kamlesh were asked to demonstrate in
dogs the role of sinus nerve in hypovolemic shock.Vineet severed the sinus
nerve when the mean blood pressure (MBP) was 85 mm Hg and Kamlesh cut the sinus
nerve when the mean blood pressure was 60 mm Hg. On cutting the sinus nerve:</span></div>
<div class="1234">
<b>A.</b><span> </span>Vineet recorded an increase in MBP but Kamlesh
recorded a decrease in MBP.</div>
<div class="1234">
<b>B.</b><span> </span>Vineet<span>
</span>recorded a decrease in MBP but Kamlesh recorded an increase in MBP.</div>
<div class="1234">
<b>C.<span> </span></b>Both recorded an increase in MBP.</div>
<div class="1234">
<b>D.</b><span> </span>Both recorded a decrease in MBP.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 20.<span> </span>As a part of space-research program, a physiologist was asked to
investigate the effect of flight-induced stress on blood pressure. Accordingly
the blood pressure of the cosmonauts were to be measured twice: once before the
take-off, and once after the spacecraft entered the designated orbit around the
earth. For a proper comparison, the preflight blood pressure should be recorded
in:</span></div>
<div class="1234">
<b>A.</b><span> </span>The lying down position.</div>
<div class="1234">
<b>B.</b><span> </span>The sitting position.</div>
<div class="1234">
<b>C.<span> </span></b>The standing position</div>
<div class="1234">
<b>D.</b><span> </span>Any position, as long as the post-flight
recording is made in the same position.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 21.<span> </span>The renal plasma flow (RPF) of a patient was to be estimated
through the measurement <span style="letter-spacing: -0.75pt;">of Para Amino
Hippuric acid (PAH) clearance.</span> The technician observed the procedure
correctly but due to an error in the weighing inadvertently used thrice the
recommended dose of PAH. The RPF estimated is likely to be:</span></div>
<div class="1234">
<b>A.</b><span> </span>False-high</div>
<div class="1234">
<b>B.</b><span> </span>False-low</div>
<div class="1234">
<b>C.<span> </span></b>False-high or false-low depending on the GFR.</div>
<div class="1234">
<b>D.</b><span> </span><span style="letter-spacing: -0.75pt;">Correct and
is unaffected by the PAG overdose.</span></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 22.<span> </span>The EEG record shown below is normally recordable during which
stage of sleep ?</span></div>
<div align="center" class="1234" style="text-align: center;">
<img height="115" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image002.png" width="193" /></div>
<div class="1234">
<b>A.</b><span> </span>Stage I.</div>
<div class="1234">
<b>B.</b><span> </span>Stage II.</div>
<div class="1234">
<b>C.<span> </span></b>Stage III.</div>
<div class="1234">
<b>D.</b><span> </span>Stage IV.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 23.<span> </span>Figure below represents the pH of the digestive juice aspirated
from the alimentary tract as a function of position along the alimentary tract
during digestion of a meal:</span></div>
<div align="center" class="1234" style="margin-left: 0in; text-align: center; text-indent: 0in;">
<img height="160" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image004.png" width="133" /></div>
<div class="1234">
<b>A.</b><span> </span>A typical value for Y2 is 9.0.</div>
<div class="1234">
<b>B.</b><span> </span>A typical value for Y3 is 10.0.</div>
<div class="1234">
<b>C.<span> </span></b>The segment C represents the pylorus.</div>
<div class="1234">
<b>D.</b><span> </span>The digestive enzymes active in segment A are
inactivated in segment B.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">24.<span> </span>Which of the following statements is true for excitatory
postsynaptic potentials (EPSP):</span></div>
<div class="1234">
<b>A.</b><span> </span>Are self propagating.</div>
<div class="1234">
<b>B.</b><span> </span>Show all or none response.</div>
<div class="1234">
<b>C.<span> </span></b>Are proportional to the amount of transmitter released by the
presynaptic neuron.</div>
<div class="1234">
<b>D.</b><span> </span>Are inhibitory at presynaptic terminal.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">25.<span> </span>Synaptic conduction is mostly orthodromic because:</span></div>
<div class="1234">
<b>A.</b><span> </span>Dendrites cannot be depolarized.</div>
<div class="1234">
<b>B.</b><span> </span>Once repolarized, an area cannot be
depolarized.</div>
<div class="1234">
<b>C.<span> </span></b>The strength of antidromic impulse is less.</div>
<div class="1234">
<b>D.</b><span> </span>Chemical mediator is located only in the
presynaptic terminal.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">26.<span> </span>The cell junctions allowing exchange of cytoplasmic molecules
between the two cells are called:</span></div>
<div class="1234">
<b>A.</b><span> </span>Gap junctions.</div>
<div class="1234">
<b>B.</b><span> </span>Tight junctions.</div>
<div class="1234">
<b>C.<span> </span></b>Anchoring junctions</div>
<div class="1234">
<b>D.</b><span> </span>Focal junctions.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Biochemistry</div>
<div class="Ques">
Q <span style="color: windowtext;">27.<span> </span>The main enzyme responsible for activation of xenobiotics is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cytochrome P-450</div>
<div class="1234">
<b>B.<span> </span></b>Glutathione S-transferase</div>
<div class="1234">
<b>C.<span> </span></b>NADPH cytochrome P-450-reductase</div>
<div class="1234">
<b>D.<span> </span></b>Glucoronyl transferase</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">28.<span> </span>The primary defect which leads to sickle cell anemia is:</span></div>
<div class="1234">
<b>A.<span> </span></b>An abnormality in prophyrin part of hemo-globin.</div>
<div class="1234">
<b>B.<span> </span></b>Replacement of glutamate by valine in <span style="font-family: Symbol;">b</span>-chain of HbA.</div>
<div class="1234">
<b>C.<span> </span></b>A nonsense mutation in the <span style="font-family: Symbol;">b</span>-chain
of HbA.</div>
<div class="1234">
<b>D.<span> </span></b>Substitution of valine by glutanmate in the <span style="font-family: Symbol;">a</span>-chain of HbA.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">29.<span> </span>Decreased glycolytic activity impairs oxygen transport by
hemoglobin due to:<span> </span></span></div>
<div class="1234">
<b>A.<span> </span></b>Reduced energy production </div>
<div class="1234">
<b>B</b>.<span> </span>Decreased production of 2,3-biphospho-glycerate</div>
<div class="1234">
<b>C.<span> </span></b>Reduced synthesis of hemoglobin</div>
<div class="1234">
<b>D.<span> </span></b>Low level of oxygen</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">30.<span> </span>The primary role of chaperones is to help in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Protein synthesis</div>
<div class="1234">
<b>B.<span> </span></b>Protein degradation</div>
<div class="1234">
<b>C.<span> </span></b>Protein denaturation</div>
<div class="1234">
<b>D.<span> </span></b>Protein folding</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">31.<span> </span>The conversion of an optically pure isomer (enantiomer) into a
mixture of equal amounts of both dextro and levo form is called as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Polymerization<b><span> </span></b></div>
<div class="1234">
<b>B.<span> </span></b>Stereoisomerization</div>
<div class="1234">
<b>C.<span> </span></b>Racemization<b><span> </span></b></div>
<div class="1234">
<b>D.<span> </span></b>Fractionation</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">32.<span> </span>The protein rich in basic amino acids, which functions in the
packaging of DNA in chromosomes, is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Histone</div>
<div class="1234">
<b>B.<span> </span></b>Collagen</div>
<div class="1234">
<b>C.<span> </span></b>Hyaluronic acid binding protein</div>
<div class="1234">
<b>D.<span> </span></b>Fibrinogen</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">33.<span> </span>An enzyme involved in the catabolism of fructose<span style="letter-spacing: -0.75pt;"> to pyruvate in the liver is:</span></span></div>
<div class="1234">
<b>A.<span> </span></b>Glyceraldehyde-3-phosphate dehydrogenase</div>
<div class="1234">
<b>B.<span> </span></b>Phosphoglucomutase</div>
<div class="1234">
<b>C.<span> </span></b>Lactate dehydrogenase</div>
<div class="1234">
<b>D.<span> </span></b>Glucokinase</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">34.<span> </span></span><span style="color: windowtext; font-family: Symbol;">b</span><span style="color: windowtext;">-oxidation
of odd-chain fatty acids produces:</span></div>
<div class="1234">
<b>A.<span> </span></b>Succinyl CoA</div>
<div class="1234">
<b>B.<span> </span></b>Propionyl CoA</div>
<div class="1234">
<b>C.<span> </span></b>Acetyl CoA</div>
<div class="1234">
<b>D.<span> </span></b>Malonyl CoA</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">35.<span> </span>The buffering capacity of a buffer is maximum at pH equal to:</span></div>
<div class="1234">
<b>A.<span> </span></b>0.5 pKa</div>
<div class="1234">
<b>B.<span> </span></b>pKa</div>
<div class="1234">
<b>C.<span> </span></b>pKa+1</div>
<div class="1234">
<b>D.<span> </span></b>2pKa</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">36.<span> </span>Which of the following is present intracellulary in muscle cells:</span></div>
<div class="1234">
<b>A.<span> </span></b>Insulin<b><span> </span></b></div>
<div class="1234">
<b>B.<span> </span></b>Corticosteroid</div>
<div class="1234">
<b>C.<span> </span></b>Epinephrine</div>
<div class="1234">
<b>D.<span> </span></b>Glucagon</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">37.<span> </span>Which of the following is not a post transcriptional modification
of RNA?</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.<span> </span></b>Splicing<b><span> </span></b></div>
<div class="1234">
<b>B.<span> </span></b>5<span style="font-family: Symbol;">¢</span> capping</div>
<div class="1234">
<b>C.<span> </span></b>3<span style="font-family: Symbol;">¢</span> polyadenylation</div>
<div class="1234">
<b>D.<span> </span></b>Glycosylation</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">38.<span> </span>Serum total lactate dehydrogenase level will NOT be raised in:</span></div>
<div class="1234">
<b>A</b><b>.</b><span> </span>Muscle crush
injury</div>
<div class="1234">
<b>B.</b><span> </span>Stroke</div>
<div class="1234">
<b>C.</b><span> </span>Myocardial
infarction</div>
<div class="1234">
<b>D</b><b>.<span> </span></b>Hemolysis</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">39.<span> </span>Porphobilinogen in urine produces pink colour with:</span></div>
<div class="1234">
<b>A.</b><span> </span>Fouchet’s reagent.</div>
<div class="1234">
<b>B.</b><span> </span>Benedict’s reagent.</div>
<div class="1234">
<b>C.<span> </span></b>Sodium nitropruside.</div>
<div class="1234">
<b>D.</b><span> </span>Ehrlich’s aldehyde reagent.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">40.<span> </span>The collagen triple helix structure is <i>not</i> found in:</span></div>
<div class="1234">
<b>A.</b><span> </span>Cytoplasm.</div>
<div class="1234">
<b>B.</b><span> </span>Golgi apparatus.</div>
<div class="1234">
<b>C.<span> </span></b>Lumen of endoplasmic reticulum.</div>
<div class="1234">
<b>D.</b><span> </span>Intracellular vesicles.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Microbiology and Parasitalogy</div>
<div class="Ques">
Q <span style="color: windowtext;">41.<span> </span>An anxious mother brought her 4 year old daughter to the
pediatrician. The girl was passing loose bulky stools for the past 20 days.
This was often associated with pain in abdomen. The pediatrician ordered the
stool examination which showed the following organisms. Identify the organism:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Entamoeba
histolytica</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Giardia
lamblia</i></div>
<div class="1234">
<b>C.<span> </span></b>Cryptosporidium<b><span> </span></b></div>
<div class="1234">
<b>D.<span> </span></b><i>E.
coli</i></div>
<div align="center" class="1234" style="text-align: center;">
<img height="131" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image006.png" width="192" /></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">42.<span> </span>Heat labile instruments for use in surgical procedures can be
best sterilized by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Absolute alcohol</div>
<div class="1234">
<b>B.<span> </span></b>Ultra violet rays</div>
<div class="1234">
<b>C.<span> </span></b>Chlorine releasing compounds</div>
<div class="1234">
<b>D.<span> </span></b>Ethylene oxide gas</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">43.<span> </span>Thirty-eight children consumed eatables procured from a picnic
party. Twenty children developed abdominal cramps followed by vomiting and
watery diarrhoea 6-10 hours after the party. The most likely etiology for the
outbreak is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Rotavirus infection</div>
<div class="1234">
<b>B.<span> </span></b>Entero-toxigenic <i>E. coli</i> infection</div>
<div class="1234">
<b>C.<span> </span></b>Staphylococcol toxin</div>
<div class="1234">
<b>D.<span> </span></b><i>Clostridium perfringens</i> infection</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">44.<span> </span>The following are true for <i>Bordetella pertussis except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>It is a strict human pathogen.</div>
<div class="1234">
<b>B.</b><span> </span>It can be cultured from the patient during
catarrhal stage.</div>
<div class="1234">
<b>C.<span> </span></b>It leads to invasion of the respiratory mucosa.</div>
<div class="1234">
<b>D.</b><span> </span>Infection can be prevented by a acellular
vaccine.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">45.<span> </span>A chest physician performs bronchoscopy in the procedure room of
the out patient department. To make the instrument safe for use in the next
patient waiting outside, the most appropriate method to disinfect the endoscope
is by:</span></div>
<div class="1234">
<b>A.</b><span> </span>70% alcohol for 5 min.</div>
<div class="1234">
<b>B.</b><span> </span>2% gluteraldelyde for 20 min.</div>
<div class="1234">
<b>C.<span> </span></b>2% formaldehyde for 10 min.</div>
<div class="1234">
<b>D.</b><span> </span>1% sodium hypochlorite for 15 min.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">46.<span> </span>Which of the following statements is true about rabies virus:</span></div>
<div class="1234">
<b>A.</b><span> </span>It is a double stranded RNA virus.</div>
<div class="1234">
<b>B.</b><span> </span>Contains a DNA-dependent RNA polymerase.</div>
<div class="1234">
<b>C.<span> </span></b>RNA has a negative polarity</div>
<div class="1234">
<b>D.</b><span> </span>Affects motor neurons.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">47.<span> </span>Which of the following statements is true about endemic typhus:</span></div>
<div class="1234">
<b>A.</b><span> </span>Is caused by R. rickettsii.</div>
<div class="1234">
<b>B.</b><span> </span>Is transmitted by the bite of fleas.</div>
<div class="1234">
<b>C.<span> </span></b>Has no mammalian reservoir.</div>
<div class="1234">
<b>D.</b><span> </span>Can be cultured in chemical defined culture
medium.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">48.<span> </span>The organism most commonly causing genital filariasis in most
parts of Bihar and eastern UP is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Wuchereria bancrofti.</div>
<div class="1234">
<b>B.</b><span> </span>Brugia malayi.</div>
<div class="1234">
<b>C.<span> </span></b>Onchocerca volvulus.</div>
<div class="1234">
<b>D.</b><span> </span>Dirofilaria.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Pathology</div>
<div class="Ques">
Q <span style="color: windowtext;">49.<span> </span>A married middle aged female gives history of repeated abortions
for the past 5 years. The given below is conceptions prenatal karyogram.</span></div>
<div align="center" class="1234" style="margin: 8pt 0in 4pt 51.1pt; page-break-before: always; text-align: center;">
<img height="189" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image008.png" width="218" /></div>
<div class="1234">
<span> </span><b>This karyogram suggests the following:</b></div>
<div class="1234">
<b>A.<span> </span></b>Klinfelter’s syndrome</div>
<div class="1234">
<b>B.<span> </span></b>Turner’s syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Down’s syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Patau’s syndrome</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">50.<span> </span><span style="letter-spacing: -0.75pt;">An increased incidence of
cholangiocarcinoma</span> is seen in all of the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hydatid cyst of liver</div>
<div class="1234">
<b>B.<span> </span></b>Polycystic disease of liver</div>
<div class="1234">
<b>C.<span> </span></b>Sclerosing cholangitis</div>
<div class="1234">
<b>D.<span> </span></b>Liver flukes</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">51.<span> </span>Strong correlation with colorectal cancer is seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Peutz-Jeghers polyp</div>
<div class="1234">
<b>B.<span> </span></b>Familial polyposis coli</div>
<div class="1234">
<b>C.<span> </span></b>Juvenile polyposis</div>
<div class="1234">
<b>D</b>.<span> </span>Hyperplastic polyp</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">52.<span> </span>Which of the following is the most common location of
hypertensive hemorrhage?</span></div>
<div class="1234">
<b>A.</b><span> </span>Pons.</div>
<div class="1234">
<b>B.</b><span> </span>Thalamus.</div>
<div class="1234">
<b>C.<span> </span></b>Putamen/external capsule.</div>
<div class="1234">
<b>D.</b><span> </span>Subcortical white matter.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">53.<span> </span>A 63-year old man presented with massive splenomegaly,
lymphadenopathy and a total leucocyte count of 17000 per mm</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">3</span><span style="color: windowtext;">. The
flowcytometry showed CD19 positive, CD5 positive, CD23 negative, monoclonal
B-cells with bright kappa positivity comprising 80% of the peripheral blood
lymphoid cells. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Mantle cell lymphoma.</div>
<div class="1234">
<b>B.</b><span> </span>Splenic lymphoma with villous lymphocytes.</div>
<div class="1234">
<b>C.<span> </span></b>Follicular lymphoma.</div>
<div class="1234">
<b>D.</b><span> </span>Hairy cell leukemia.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">54.<span> </span>The HLA class III region genes are important elements in:</span></div>
<div class="1234">
<b>A.</b><span> </span>Transplant rejection phenomenon.</div>
<div class="1234">
<b>B.</b><span> </span>Governing susceptibility to autoimmune
diseases.</div>
<div class="1234">
<b>C.<span> </span></b>Immune surveillance.</div>
<div class="1234">
<b>D.</b><span> </span>Antigen presentation and elimination.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">55.<span> </span>All the statements about lactoferrin are true, <i>except</i>:</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.</b><span> </span>It is present in secondary granules of
neutrophil.</div>
<div class="1234">
<b>B.</b><span> </span>It is present in exocrine secretions of body.</div>
<div class="1234">
<b>C.<span> </span></b>It has great affinity for iron.</div>
<div class="1234">
<b>D.</b><span> </span>It transports iron for erythropoiesis.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">56.<span> </span>Which of the following procedures are used as routine technique
for karyotyping using light microscopy?</span></div>
<div class="1234">
<b>A.<span> </span></b>C-banding<span> </span><b>B.</b><span> </span>G-
banding</div>
<div class="1234">
<b>C.<span> </span></b>Q-banding<span> </span><b>D.<span> </span></b>Brd
V-banding</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">57.<span> </span>Restriction fragment length polymorphism is used for:</span></div>
<div class="1234">
<b>A.</b><span> </span>Analysis of chromosome structure.</div>
<div class="1234">
<b>B.</b><span> </span>DNA estimation.</div>
<div class="1234">
<b>C.<span> </span></b>Synthesis of nucleic acid.</div>
<div class="1234">
<b>D.<span> </span></b>Detecting proteins in a cell.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Pharmacology</div>
<div class="Ques">
Q <span style="color: windowtext;">58.<span> </span>Granulocytopenia, gingival hyperplasia and facial hirsutism are
all possible side effects of one of the following anticonvulsant drugs:</span></div>
<div class="1234">
<b>A.<span> </span></b>Phenytoin</div>
<div class="1234">
<b>B.<span> </span></b>Valproate</div>
<div class="1234">
<b>C.<span> </span></b>Carbamazepine</div>
<div class="1234">
<b>D.<span> </span></b>Phenobarbitone</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">59.<span> </span>Bacitracin acts on:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cell wall</div>
<div class="1234">
<b>B.<span> </span></b> Cell membrane</div>
<div class="1234">
<b>C.<span> </span></b>Nucleic acid</div>
<div class="1234">
<b>D.<span> </span></b> Ribosomes</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">60.<span> </span>All of the following drugs act on cell membrane, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Nystatin<b><span> </span></b></div>
<div class="1234">
<b>B.<span> </span></b>Griseofulvin</div>
<div class="1234">
<b>C.<span> </span></b>Amphotericin B</div>
<div class="1234">
<b>D.<span> </span></b>Polymixin B</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">61.<span> </span>All of the following statements regarding bioavailability of a
drug are true <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>It is the proportion (fraction) of unchanged
drug that reaches the systemic circulation.</div>
<div class="1234">
<b>B.</b><span> </span>Bioavailability of an orally administered drug
can be calculated by comparing the area <span style="letter-spacing: -0.75pt;">under
curve (O-</span><span style="font-family: Symbol; letter-spacing: -0.75pt;">µ</span><span style="letter-spacing: -0.75pt;">) after oral and intravenous</span> (<span style="text-transform: uppercase;">iv</span>) administration.</div>
<div class="1234">
<b>C.<span> </span></b><span style="letter-spacing: -0.75pt;">Low oral bioavailability
always and necessarily</span> mean poor absorption.</div>
<div class="1234">
<b>D.</b><span> </span>Bioavailability can be determined from plasma
concentration or urinary excretion data.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">62.<span> </span>The extent to which ionization of a drug takes place is dependent
upon pKa of the drug and the pH of the solution in which the drug is dissolved.
Which of the following statements is <i>not </i>correct:</span></div>
<div class="1234">
<b>A.</b><span> </span>pKa of a drug is the pH at which the drug is
50% ionized.</div>
<div class="1234">
<b>B.</b><span> </span>Small changes of pH near the pKa of a weak
acidic drug will not affect its degree of ionization.</div>
<div class="1234">
<b>C.<span> </span></b>Knowledge of pKa of a drug is useful in predicting its behaviour
in various body fluids.</div>
<div class="1234">
<b>D.</b><span> </span>Phenobarbitone with a pKa of 7.2 is largely
ionized at acid pH and will be about 40% non-ionised in plasma.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">63.<span> </span>Presence of food might be expected to interfere with drug
absorption by slowing gastric emptying, or by altering the degree of ionisation
of the drug in the stomach. Which of the following statement is <i>not</i>
correct example:</span></div>
<div class="1234">
<b>A.</b><span> </span>Absorption of digoxin is delayed by the
presence of food.</div>
<div class="1234">
<b>B.</b><span> </span>Concurrent food intake may severely reduce the
rate of absorption of phenytoin.</div>
<div class="1234">
<b>C.<span> </span></b>Presence of food enhances the absorption of hydrochlorothiazide.</div>
<div class="1234">
<b>D.</b><span> </span>Antimalarial drug halofantrine is more extensively
absorbed if taken with food.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">64.<span> </span> Bosentan is a:</span></div>
<div class="1234">
<b>A.</b><span> </span>Serotonin uptake inhibitor.</div>
<div class="1234">
<b>B.</b><span> </span>Endothelin receptor antagonist.</div>
<div class="1234">
<b>C.<span> </span></b>Leukotriene modifier.</div>
<div class="1234">
<b>D.</b><span> </span>Calcium sensitizer.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Forensic Medicine</div>
<div class="Ques">
Q <span style="color: windowtext;">65.<span> </span>Mummification refers to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hardening of muscles after death</div>
<div class="1234">
<b>B.<span> </span></b>Colliquative putrification</div>
<div class="1234">
<b>C.<span> </span></b>Saponification of subcutaneous fat</div>
<div class="1234">
<b>D.<span> </span></b>Dessication of a dead body</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">66.<span> </span>A patient has been allegedly bitten by cobra snake. The venom in
such a bite would be:</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.<span> </span></b>Musculotoxic</div>
<div class="1234">
<b>B.<span> </span></b>Vasculotoxic</div>
<div class="1234">
<b>C.<span> </span></b>Cardiotoxic</div>
<div class="1234">
<b>D.<span> </span></b>Neurotoxic</div>
<div class="Ans">
Ans.<span> </span>D<span style="font-weight: normal;"></span></div>
<div class="Ques">
Q <span style="color: windowtext;">67.<span> </span>All the following are related to legal responsibility of an
insane person <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mc Naughten’s rule</div>
<div class="1234">
<b>B.<span> </span></b>Durham’s rule</div>
<div class="1234">
<b>C.<span> </span></b>Curren’s rule</div>
<div class="1234">
<b>D.<span> </span></b>Rule of nine</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">68.<span> </span>In a suspected case of death due to poisoning where cadaveric
rigidity is lasting longer than usual, it may be a case of poisoning due to:</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.<span> </span></b>Lead</div>
<div class="1234">
<b>B.<span> </span></b>Arsenic</div>
<div class="1234">
<b>C.<span> </span></b>Mercury</div>
<div class="1234">
<b>D.<span> </span></b>Copper</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">69.<span> </span>Blackening and tattooing of skin and clothing can be best
demonstrated by:</span></div>
<div class="1234">
<b>A.</b><span> </span>Luminol spray.</div>
<div class="1234">
<b>B.</b><span> </span>Infrared photography.</div>
<div class="1234">
<b>C.<span> </span></b>Ultraviolet light.</div>
<div class="1234">
<b>D.</b><span> </span>Magnifying lens.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">70.<span> </span>Postmortem lividity is unlikely to develop in a case of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Drowning in well.</div>
<div class="1234">
<b>B.</b><span> </span>Drowning in a fast flowing river.</div>
<div class="1234">
<b>C.<span> </span></b>Postmortem submersion.</div>
<div class="1234">
<b>D.</b><span> </span>Drowning in chlorinated swimming pool.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">71.<span> </span>The following situations are associated with rise of temperature
after death <i>except</i> :</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.</b><span> </span>Burns.</div>
<div class="1234">
<b>B.</b><span> </span>Heat
stroke.</div>
<div class="1234">
<b>C.<span> </span></b>Pontine
hemorrhage.</div>
<div class="1234">
<b>D.</b><span> </span>Septicemia.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">72.<span> </span>In prenatal diagnostic technique Act 1994 which one of the
following is not a ground for carrying out prenatal test ?</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.</b><span> </span>Pregnant women above 35 years of age.</div>
<div class="1234">
<b>B.</b><span> </span>History of two or more spontaneous abortion or
fetal loss.</div>
<div class="1234">
<b>C.<span> </span></b>When fetal heart rate is 160 per min at fifth and 120 per min at
ninth month.</div>
<div class="1234">
<b>D.</b><span> </span>History of exposure to potentially teratogenic
drugs.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">73.<span> </span>Perjury means giving willful false evidence by a witness while
under oath, the witness is liable to be prosecuted for perjury and the
imprisonment may extend to seven years. This falls under which section of IPC?</span></div>
<div class="1234">
<b>A.</b><span> </span>190 of Indian Penal Code.</div>
<div class="1234">
<b>B.</b><span> </span>191 of Indian Penal Code.</div>
<div class="1234">
<b>C.<span> </span></b>192 of Indian Penal Code</div>
<div class="1234">
<b>D.</b><span> </span>193 of Indian Penal code.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">74.<span> </span>The most reliable criteria in Gustafson’s method of
identification is:</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.</b><span> </span>Cementum apposition.</div>
<div class="1234">
<b>B.</b><span> </span>Transparency of root.</div>
<div class="1234">
<b>C.<span> </span></b>Attrition.</div>
<div class="1234">
<b>D.</b><span> </span>Root resorption.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Preventive and Social Medicine</div>
<div class="Ques">
Q <span style="color: windowtext;">75.<span> </span>The parameters of sensitivity and specificity are used for
assessing:</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.<span> </span></b>Criterion validity<b><span> </span></b></div>
<div class="1234">
<b>B.<span> </span></b>Construct validity</div>
<div class="1234">
<b>C.<span> </span></b>Discriminant validity</div>
<div class="1234">
<b>D.<span> </span></b>Content validity</div>
<div class="Ans">
Ans.<span> </span>A<span style="font-weight: normal;"></span></div>
<div class="Ques">
Q <span style="color: windowtext;">76.<span> </span>Chi-square test is used to measure the degree of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Causal relationship between exposure and effect.</div>
<div class="1234">
<b>B.<span> </span></b>Association between two variables.</div>
<div class="1234">
<b>C.<span> </span></b>Correlation between two variables.</div>
<div class="1234">
<b>D.<span> </span></b>Agreement between two observations.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">77.<span> </span>Elements of primary health care include all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Adequate supply of safe water and basic sanitation.</div>
<div class="1234">
<b>B.<span> </span></b>Providing essential drugs.</div>
<div class="1234">
<b>C.<span> </span></b>Sound referral system.</div>
<div class="1234">
<b>D.<span> </span></b>Health education.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">78.<span> </span>For the calculation of positive predictive value of a screening
test, the denominator is comprised of:</span></div>
<div class="1234">
<b>A.<span> </span></b>True positive + False negative</div>
<div class="1234">
<b>B.<span> </span></b>False positive + True negative</div>
<div class="1234">
<b>C.<span> </span></b>True positive + False positive</div>
<div class="1234">
<b>D.<span> </span></b>True positive + True negative</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">79.<span> </span>Elemental iron and folic acid contents of pediatric iron-folic
acid tablets supplied under Rural Child Health (RCH) program are:</span></div>
<div class="1234">
<b>A.<span> </span></b>20 mg iron & 100 micrograms folic acid.</div>
<div class="1234">
<b>B.<span> </span></b>40 mg iron & 100 micrograms folic acid.</div>
<div class="1234">
<b>C.<span> </span></b>40 mg iron & 50 micrograms folic acid.</div>
<div class="1234">
<b>D.<span> </span></b>60 mg iron & 100 micrograms folic acid.</div>
<div class="Ans">
Ans.<span> </span>A<span style="font-weight: normal;"></span></div>
<div class="Ques">
Q <span style="color: windowtext;">80.<span> </span>In the management of leprosy, lepromin test is most useful for:</span></div>
<div class="1234">
<b>A.<span> </span></b>Herd immunity</div>
<div class="1234">
<b>B.<span> </span></b>Prognosis</div>
<div class="1234">
<b>C.<span> </span></b>Treatment</div>
<div class="1234">
<b>D.<span> </span></b>Epidemiological investigations</div>
<div class="Ans">
Ans.<span> </span>B<span style="font-weight: normal;"></span></div>
<div class="Ques">
Q <span style="color: windowtext;">81.<span> </span>A measure of location which divides the distribution in the ratio
of 3:1 is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Median</div>
<div class="1234">
<b>B.<span> </span></b>First quartile</div>
<div class="1234">
<b>C.<span> </span></b>Third quartile</div>
<div class="1234">
<b>D.<span> </span></b>Mode</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">82.<span> </span>The following statements about meningococcal meningitis are true,
<i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>The source of infection is mainly clinical cases.</div>
<div class="1234">
<b>B.<span> </span></b>The disease is more common in dry and cold months of the year.</div>
<div class="1234">
<b>C.<span> </span></b>Chemoprophylaxis of close contacts of cases is recommended.</div>
<div class="1234">
<b>D.<span> </span></b>The vaccine is not effective in children below 2 years of age.</div>
<div class="Ans">
Ans.<span> </span>A<span style="font-weight: normal;"></span></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
Q <span style="color: windowtext;">83.<span> </span>The Protein Efficiency Ratio (PER) is defined as:</span></div>
<div class="1234">
<b>A.<span> </span></b>The gain in weight of young animals per unit weight of
protein-consumed.</div>
<div class="1234">
<b>B.<span> </span></b>The product of digestibility coeffecient and biological value.</div>
<div class="1234">
<b>C.<span> </span></b>The percentage of protein absorbed into the blood.</div>
<div class="1234">
<b>D.<span> </span></b>The percentage of nitrogen absorbed from the protein absorbed
from the diet.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">84.<span> </span>The Vitamin A supplement administered in “Prevention of
nutritional blindness in children programme” contain:</span></div>
<div class="1234">
<b>A.<span> </span></b>25,000 i.u./ml</div>
<div class="1234">
<b>B.<span> </span></b>1 lakh i.u./ml</div>
<div class="1234">
<b>C.<span> </span></b>3 lakh i.u./ml</div>
<div class="1234">
<b>D.<span> </span></b>5 lakh i.u./ml</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">85.<span> </span>A 5 year old boy passed 18 loose stools in last 24 hours and
vomited twice in last 4 hours. He is irritable but drinking fluids. The optimal
therapy for this child is:<span> </span></span></div>
<div class="1234">
<b>A.<span> </span></b>Intravenous fluids</div>
<div class="1234">
<b>B.<span> </span></b>Oral rehydration therapy</div>
<div class="1234">
<b>C.<span> </span></b>Intravenous fluid initially for 4 hours followed by oral fluids.</div>
<div class="1234">
<b>D.<span> </span></b>Plain water add libitum.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">86.<span> </span>Study this formula carefully:</span></div>
<div align="center" class="MsoNormal" style="margin-left: 33pt; text-align: center; text-indent: -33pt;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 10pt;"><img height="45" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image010.png" width="283" /></span></div>
<div class="Ques">
<span style="font-weight: normal;"><span> </span></span>This
denotes:</div>
<div class="1234">
<b>A.</b><span> </span>Sensitivity.</div>
<div class="1234">
<b>B.</b><span> </span>Specificity.</div>
<div class="1234">
<b>C.<span> </span></b>Positive Predictive value.</div>
<div class="1234">
<b>D.</b><span> </span>Negative Predictive value.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">87.<span> </span>The ‘P’ value of a randomized controlled trial comparing
operation A (new procedure) and operation B (Gold standard is 0.04). From this,
we conclude that:</span></div>
<div class="1234">
<b>A.</b><span> </span>Type II error is small and we can accept the
findings of the study.</div>
<div class="1234">
<b>B.</b><span> </span>The probability of false negative conclusion
that operation A is better than operation B, when in truth it is not, is 4%.</div>
<div class="1234">
<b>C.<span> </span></b>The power of study to detect a difference between operation A
and B is 96%.</div>
<div class="1234">
<b>D.</b><span> </span>The probability of a false positive conclusion
that operation A is better than operation B, when in truth it is not, is 4%.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<br /></div>
<div class="Ques">
Q <span style="color: windowtext;">88.<span> </span>The commonest cause of low vision in India is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Uncorrected refractive error</div>
<div class="1234">
<b>B.</b><span> </span>Cataract.</div>
<div class="1234">
<b>C.<span> </span></b>Glaucoma</div>
<div class="1234">
<b>D.</b><span> </span>Squint.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">89.<span> </span>Most important epidemiological tool used for assessing disability
in children is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Activities of Daily Living (ADL) scale.</div>
<div class="1234">
<b>B.</b><span> </span>Wing’s Handicaps, Behaviour and Skills (HBS)
Schedule.</div>
<div class="1234">
<b>C.<span> </span></b>Binet and Simon IQ tests.</div>
<div class="1234">
<b>D.<span> </span></b>Physical Quality of Life Index (PQLI).</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">90.<span> </span>Scope of family planning services include all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Screening for cervical cancer.</div>
<div class="1234">
<b>B.</b><span> </span>Providing services for unmarried mothers.</div>
<div class="1234">
<b>C.<span> </span></b>Screening for HIV infection.</div>
<div class="1234">
<b>D.</b><span> </span>Providing adoption services.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">91.<span> </span>Class II exposure in animal bites includes the following:</span></div>
<div class="1234">
<b>A.</b><span> </span>Scratches without oozing of blood.</div>
<div class="1234">
<b>B.</b><span> </span>Licks on a fresh wound.</div>
<div class="1234">
<b>C.<span> </span></b>Scratch with oozing of blood on palm.</div>
<div class="1234">
<b>D.</b><span> </span>Bites from wild animals.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">92.<span> </span>Elemental iron and folic acid contents of iron and folic acid
adult tablets supplied under the “National Programme for Anaemia Prophylaxis”
are:</span></div>
<div class="1234">
<b>A.</b><span> </span>60 mg of elemental iron and 250 microgram of
folic acid.</div>
<div class="1234">
<b>B.</b><span> </span>100 mg of elemental iron and 500 micrograms of
folic acid.</div>
<div class="1234">
<b>C.<span> </span></b>20 mg of elemental iron and 750 micrograms of folic acid.</div>
<div class="1234">
<b>D.</b><span> </span>200 mg of elemental iron and 1000 micro-grams
of folic acid.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext; letter-spacing: -0.75pt;">93.<span> </span>Denominator while calculating the
secondary attack rate includes:</span><span style="color: windowtext;"></span></div>
<div class="1234">
<b>A.</b><span> </span>All the people living in next fifty houses.</div>
<div class="1234">
<b>B.</b><span> </span>All<span> </span>the
close contacts.</div>
<div class="1234">
<b>C.<span> </span></b>All susceptibles amongst close contact.</div>
<div class="1234">
<b>D.</b><span> </span>All susceptibles in the whole village.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">94.<span> </span>The response which is graded by an observer on an agree or
disagree continuum is based on:</span></div>
<div class="1234">
<b>A.</b><span> </span>Visual analog scale.</div>
<div class="1234">
<b>B.</b><span> </span>Guttman scale.</div>
<div class="1234">
<b>C.<span> </span></b>Likert scale.<b><span> </span></b></div>
<div class="1234">
<b>D.</b><span> </span>Adjectival scale.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">95.<span> </span>For calculation of sample size for a prevalence study all of the
following are necessary <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Prevalence of disease in population.</div>
<div class="1234">
<b>B.</b><span> </span>Power of the study.</div>
<div class="1234">
<b>C.<span> </span></b>Significance level.</div>
<div class="1234">
<b>D.</b><span> </span>Desired precision.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">96.<span> </span>Leprosy is considered a public health problem if the prevalence
of leprosy is more than:</span></div>
<div class="1234">
<b>A.</b><span> </span>1 per 10,000</div>
<div class="1234">
<b>B.</b><span> </span>2 per 10,000</div>
<div class="1234">
<b>C.<span> </span></b>5 per 10,000</div>
<div class="1234">
<b>D.</b><span> </span>10 per 10,000</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">97.<span> </span><span style="letter-spacing: -0.75pt;">For controlling an outbreak
of cholera, all of the following measures are recommended</span> <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Mass chemoprophylaxis.</div>
<div class="1234">
<b>B.</b><span> </span>Proper disposal of excreta.</div>
<div class="1234">
<b>C.<span> </span></b>Chlorination of water.</div>
<div class="1234">
<b>D.</b><span> </span>Early detection and management of cases.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">98.<span> </span><span style="letter-spacing: -0.75pt;">A child aged 24 months was
brought to the Primary Health Centre with complaints of cough and fever for the
past 2 days. On examination, the child weighed 11 kg., respiratory rate was 38
per minute, chest indrawing was present. The most appropriate line of
management for this patient is?</span></span></div>
<div class="1234">
<b>A.</b><span> </span>Classify as pneumonia and refer urgently to
secondary level hospital.</div>
<div class="1234">
<b>B.</b><span> </span>Classify as pneumonia, start antibiotics and
advise to report after 2 days.</div>
<div class="1234">
<b>C.<span> </span></b>Classify as severe pneumonia, start antibiotics and refer
urgently.</div>
<div class="1234">
<b>D.</b><span> </span>Classify as severe pneumonia and refer
urgently.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Medicine</div>
<div class="Ques">
Q <span style="color: windowtext;">99.<span> </span>The syndromic management of urethral discharge includes treatment
of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neisseria gonorrhoeae and herpes genitalis.</div>
<div class="1234">
<b>B.<span> </span></b>Chlamydia trachomatis and herpes genitalis.</div>
<div class="1234">
<b>C.<span> </span></b>Neisseria gonorrhoeae and Chlamydia trachomatis.</div>
<div class="1234">
<b>D.<span> </span></b>Syphilis and chancroid.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques" style="margin-top: 7pt;">
Q <span style="color: windowtext;">100.<span> </span>A 56 year old man presents in the casualty
with severe chest pain and difficulty in breathing. His ECG was taken
immediately.</span><span style="color: windowtext; font-weight: normal;"> </span><span style="color: windowtext;">The above ECG suggest the following diagnosis:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.<span> </span></b>Ventricular fibrillation</div>
<div class="1234">
<b>B.<span> </span></b>Acute pulmonary embolism</div>
<div class="1234">
<b>C.<span> </span></b>Second degree heart block</div>
<div class="1234">
<b>D.<span> </span></b>Atrial fibrillation</div>
<div align="center" class="1234" style="text-align: center;">
<img height="184" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image012.png" width="294" /></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q 101.<span> </span>All of the following
infections are often associated with acute intravascular hemolysis <i>except</i>:<span style="font-weight: normal;"></span></div>
<div class="1234">
<b>A.<span> </span></b>Clostridium tetani</div>
<div class="1234">
<b>B.<span> </span></b>Bartonella bacilliformis</div>
<div class="1234">
<b>C.<span> </span></b>Plasmodium falciparum</div>
<div class="1234">
<b>D.<span> </span></b>Babesia microti</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">102.<span> </span>All of the following are the electrocardiographic features of
severe hyperkalemia <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Peaked T waves</div>
<div class="1234">
<b>B.<span> </span></b>Presence of U waves</div>
<div class="1234">
<b>C.<span> </span></b>Sine wave pattern</div>
<div class="1234">
<b>D.<span> </span></b>Loss of P waves</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">103.<span> </span>The correct sequence of cell cycle is:</span></div>
<div class="1234">
<b>A.<span> </span></b>G0 - G1 - S - G2 - M</div>
<div class="1234">
<b>B.<span> </span></b>G0 - G1 - G2 - S - M</div>
<div class="1234">
<b>C.<span> </span></b>G0 - M - G2 - S - G1</div>
<div class="1234">
<b>D.<span> </span></b>G0 - G1 - S - M - G2</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">104.<span> </span>Commonest cause of sporadic encephalitis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Japanese B Virus</div>
<div class="1234">
<b>B.<span> </span></b>Herpes Simplex Virus</div>
<div class="1234">
<b>C.<span> </span></b>Human Immunodeficiency Virus</div>
<div class="1234">
<b>D.<span> </span></b>Rubeola Virus</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">105.<span> </span>Raised serum level of lipoprotein - (a) is a predictor of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cirrhosis of liver</div>
<div class="1234">
<b>B.<span> </span></b>Rheumatic arthritis</div>
<div class="1234">
<b>C.<span> </span></b>Atherosclerosis</div>
<div class="1234">
<b>D.<span> </span></b>Cervical cancer</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">106.<span> </span>Haemorrhage secondary to heparin administration can be best
corrected by administration of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Vitamin K</div>
<div class="1234">
<b>B.<span> </span></b>Whole blood</div>
<div class="1234">
<b>C.<span> </span></b>Protamine</div>
<div class="1234">
<b>D.<span> </span></b>Ascorbic acid</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">107.<span> </span>Which one of the following conditions may lead to exudative pleural
effusion:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cirrhosis</div>
<div class="1234">
<b>B.<span> </span></b>Nephrotic syndrome</div>
<div class="1234">
<b>C.<span> </span></b>Congestive heart failure</div>
<div class="1234">
<b>D.<span> </span></b>Bronchogenic carcinoma</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">108.<span> </span>A 60 year old man is diagnosed to be suffering from Legionnaire’s
disease after he returns home from attending a convention. He could have acquired
it:</span></div>
<div class="1234">
<b>A.<span> </span></b>From a person suffering from the infection while travelling in
the aeroplane.</div>
<div class="1234">
<b>B.<span> </span></b>From a chronic carrier in the convention center.</div>
<div class="1234">
<b>C.<span> </span></b>From inhalation of the aerosol in the air-conditioned room at
convention center.</div>
<div class="1234">
<b>D.<span> </span></b>By sharing an infected towel with a fellow delegate at the
convention.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">109.<span> </span>In a post-operative intensive care unit, five patients developed
post-operative wound infection on the same day. The best method to prevent
cross infection occurring in other patients in the same ward is to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Give antibiotics to all other patients in the ward.</div>
<div class="1234">
<b>B.<span> </span></b>Fumigate the ward.</div>
<div class="1234">
<b>C.<span> </span></b>Disinfect the ward with sodium hypochlorite.</div>
<div class="1234">
<b>D.<span> </span></b>Practice proper hand washing.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">110.<span> </span>The earliest immunoglobulin to be synthesized by the fetus is:</span></div>
<div class="1234">
<b>A.<span> </span></b>IgA</div>
<div class="1234">
<b>B.<span> </span></b>IgG</div>
<div class="1234">
<b>C.<span> </span></b>IgE</div>
<div class="1234">
<b>D.<span> </span></b>IgM</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">111.<span> </span>The following are true regarding Lyme’s disease, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is transmitted by Ixodes tick.</div>
<div class="1234">
<b>B.<span> </span></b>Erythema chronicum migrans may be a clinical feature.</div>
<div class="1234">
<b>C.<span> </span></b>Borrelia recurrentis is the aetiological agent.</div>
<div class="1234">
<b>D.<span> </span></b>Rodents act as natural hosts.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">112.<span> </span>A couple, with a family history of beta thalassemia major in a
distant relative, has come for counselling. The husband has HbA2 of 4.8% and
the wife has HbA2 of 2.3%. The risk of having a child with beta thalassemia
major is:</span></div>
<div class="1234">
<b>A.<span> </span></b>50%</div>
<div class="1234">
<b>B.<span> </span></b>25%</div>
<div class="1234">
<b>C.<span> </span></b>5%</div>
<div class="1234">
<b>D.<span> </span></b>0%</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">113.<span> </span>A 2 month old baby with acute icteric viral hepatitis like illness
slips into encephalopathy after 48 hours. The mother is a known hepatitis B
carrier. Mother’s hepatitis B virus serological profile is most likely to be:</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.</b><span> </span>HBsAg positive only</div>
<div class="1234">
<b>B.<span> </span></b>HBsAg and HBeAg positive</div>
<div class="1234">
<b>C.<span> </span></b>HBsAg and HBe antibody positive</div>
<div class="1234">
<b>D.<span> </span></b>HBV DNA positive</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
Q <span style="color: windowtext;">114.<span> </span>A 7 year old girl from Bihar presented with three episodes of
massive hematemesis and melena. There is no history of jaundice. On examination,
she had a large spleen, non-palpable liver and mild ascites. Portal vein was
not visualised on ultrasonography. Liver function tests were normal and
endoscopy revealed esophageal varices. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Kala azar with portal hypertension</div>
<div class="1234">
<b>B.<span> </span></b>Portal hypertension of unknown etiology</div>
<div class="1234">
<b>C.<span> </span></b>Chronic liver disease with portal hypertension</div>
<div class="1234">
<b>D.<span> </span></b>Portal hypertension due to extrahepatic obstruction.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">115.<span> </span>A 40 year old male had undergone splenectomy 20 years ago.
Peripheral blood smear examination would show the presence of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Dohle bodies</div>
<div class="1234">
<b>B.<span> </span></b>Hypersegmented neutrophils</div>
<div class="1234">
<b>C.<span> </span></b>Spherocytes</div>
<div class="1234">
<b>D.<span> </span></b>Howell-Jolly bodies</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
Q <span style="color: windowtext;">116.<span> </span>Which of the heart valve is most likely to be involved by infective
endocarditis following a septic abortion?</span></div>
<div class="1234">
<b>A.<span> </span></b>Aortic valve</div>
<div class="1234">
<b>B.<span> </span></b>Tricuspid valve</div>
<div class="1234">
<b>C.<span> </span></b>Pulmonary valve</div>
<div class="1234">
<b>D.<span> </span></b>Mitral valve</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">117.<span> </span>Central nervous system manifestations in chronic renal failure are
a result of all of the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hyperosmolarity</div>
<div class="1234">
<b>B.<span> </span></b>Hypocalcemia</div>
<div class="1234">
<b>C.<span> </span></b>Acidosis</div>
<div class="1234">
<b>D.<span> </span></b>Hyponatremia</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
Q <span style="color: windowtext;">118.<span> </span>Medullary carcinoma of the thyroid is associated with which of the
following syndrome:</span></div>
<div class="1234">
<b>A.<span> </span></b>MEN I</div>
<div class="1234">
<b>B.<span> </span></b>MEN II</div>
<div class="1234">
<b>C.<span> </span></b>Fraumeni syndrome</div>
<div class="1234">
<b>D.<span> </span></b>Hashimoto’s syndrome</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
Q <span style="color: windowtext;">119.<span> </span>Which of the following statements represent most correct
interpretation from the ECG waveform given below:</span></div>
<div align="center" class="1234" style="text-align: center;">
<img height="88" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image014.png" width="229" /></div>
<div class="1234">
<b>A.</b><span> </span>X-originated from an atrial ectopic focus.</div>
<div class="1234">
<b>B.</b><span> </span>X reset the cardiac rhythm.</div>
<div class="1234">
<b>C.<span> </span></b>Both heart sounds would have been present at X beat.</div>
<div class="1234">
<b>D.</b><span> </span>The path of spread of excitation was normal.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 120.<span> </span>A 60 year old male presented to the emergency with breathlessness,
facial swelling and dilated veins on the chest wall. The most common cause is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Thymoma.</div>
<div class="1234">
<b>B.</b><span> </span>Lung cancer.</div>
<div class="1234">
<b>C.<span> </span></b>Hodgkin’s lymphoma.</div>
<div class="1234">
<b>D.</b><span> </span>Superior vena caval obstruction.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 121.<span> </span>All of the following conditions may predispose to pulmonary
embolism <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Protein S deficiency.</div>
<div class="1234">
<b>B.</b><span> </span>Malignancy.</div>
<div class="1234">
<b>C.<span> </span></b>Obesity.</div>
<div class="1234">
<b>D.</b><span> </span>Progesterone therapy.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 122.<span> </span>An early systolic murmur may be caused by all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Small ventricular septal defect.</div>
<div class="1234">
<b>B.</b><span> </span>Papillary muscle dysfunction.</div>
<div class="1234">
<b>C.<span> </span></b>Tricuspid regurgitation.</div>
<div class="1234">
<b>D.</b><span> </span>Aortic stenosis.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 123.<span> </span>Troponin-T is preferable to CPK-MB in the diagnosis of acute
myocardial infarction (MI) in all of the following situations <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Bedside diagnosis of MI.</div>
<div class="1234">
<b>B.</b><span> </span>Postoperatively (after CABG).</div>
<div class="1234">
<b>C.<span> </span></b>Reinfarction after 4 days.</div>
<div class="1234">
<b>D.</b><span> </span>Small infarcts.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 124.<span> </span>The most common cause of tricuspid regurgitation is secondary to:</span></div>
<div class="1234">
<b>A.</b><span> </span>Rheumatic heart disease.</div>
<div class="1234">
<b>B.</b><span> </span>Dilatation of right ventricle.</div>
<div class="1234">
<b>C.<span> </span></b>Coronary artery disease.</div>
<div class="1234">
<b>D.</b><span> </span>Endocarditis due to intravenous drug abuse.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 125.<span> </span>Absence seizures are characterized on EEG by:</span></div>
<div class="1234">
<b>A.<span> </span></b>3 Hz spike & wave</div>
<div class="1234">
<b>B.</b><span> </span>1-2 Hz spike & wave.</div>
<div class="1234">
<b>C.<span> </span></b>Generalized polyspikes.</div>
<div class="1234">
<b>D.</b><span> </span>Hypsarrythmia.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 126.<span> </span>All of the following are associated with low C</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span style="color: windowtext;"><span> </span>levels <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Post streptococcal glomerulonephritis.</div>
<div class="1234">
<b>B.</b><span> </span>Membrano-proliferative glomerulonephritis.</div>
<div class="1234">
<b>C.<span> </span></b>Goodpasture’s disease.</div>
<div class="1234">
<b>D.</b><span> </span>Systemic lupus erythematosus.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 127.<span> </span>Normal anion gap metabolic acidosis is caused by:</span></div>
<div class="1234">
<b>A.</b><span> </span>Cholera.</div>
<div class="1234">
<b>B.</b><span> </span>Starvation.</div>
<div class="1234">
<b>C.<span> </span></b>Ethylene glycol poisoning.</div>
<div class="1234">
<b>D.</b><span> </span>Lactic acidosis.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 128.<span> </span>Diagnostic features of allergic broncho-pulmonary aspergillosis
(ABPA) include all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Changing pulmonary infiltrates.</div>
<div class="1234">
<b>B.</b><span> </span>Peripheral eosinophilia.</div>
<div class="1234">
<b>C.<span> </span></b>Serum precipitins against Aspergillous fumigatus.</div>
<div class="1234">
<b>D.</b><span> </span>Occurrence in patients with old cavitary
lesions.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 129.<span> </span>The syndrome of inappropriate antidiuretic hormone is characterized
by the following:</span></div>
<div class="1234">
<b>A.</b><span> </span>Hyponatremia and urine sodium excretion > 20
mEq/l.</div>
<div class="1234">
<b>B.</b><span> </span>Hypernatremia and urine sodium excretion >
20 mEq/l.</div>
<div class="1234">
<b>C.<span> </span></b>Hyponatremia and hyperkalemia.</div>
<div class="1234">
<b>D.</b><span> </span>Hypernatremia and hypokalemia.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 130.<span> </span>All of the following heart sounds occur shortly after S</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span><i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Opening snap.</div>
<div class="1234">
<b>B.</b><span> </span>Pericardial knock.</div>
<div class="1234">
<b>C.<span> </span></b>Ejection click.</div>
<div class="1234">
<b>D.</b><span> </span>Tumor plop.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 131.<span> </span>Pulmonary hypertension may occur in all of the following conditions
<i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Toxic oil syndrome.</div>
<div class="1234">
<b>B.</b><span> </span>Progressive systemic sclerosis.</div>
<div class="1234">
<b>C.<span> </span></b>Sickle cell anaemia.</div>
<div class="1234">
<b>D.</b><span> </span>Argemone mexicana poisoning.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 132.<span> </span>Causes of metabolic alkalosis include all the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Mineralocorticoid deficiency.</div>
<div class="1234">
<b>B.</b><span> </span>Bartter’s syndrome.</div>
<div class="1234">
<b>C.<span> </span></b>Thiazide diuretic therapy.</div>
<div class="1234">
<b>D.</b><span> </span>Recurrent vomiting.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 133.<span> </span>The most frequent cause of recurrent genital ulceration in a
sexually active male is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Herpes genitalis.</div>
<div class="1234">
<b>B.</b><span> </span>Aphthous ulcer.</div>
<div class="1234">
<b>C.<span> </span></b>Syphilis.</div>
<div class="1234">
<b>D.</b><span> </span>Chancroid.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 134.<span> </span>The most effective drug against <i>M. leprae</i> is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Dapsone.</div>
<div class="1234">
<b>B.</b><span> </span>Rifampicin.</div>
<div class="1234">
<b>C.<span> </span></b>Clofazimine.</div>
<div class="1234">
<b>D.</b><span> </span>Prothionamide.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 135.<span> </span>A 30-year old HIV positive patient presents with fever, dyspnoea
and non-productive cough, patient is cyanosed. His chest X-ray reveals
bilateral, symmetrical interstitial infiltrates. The most likely diagnosis is:<span> </span></span></div>
<div class="1234">
<b>A.</b><span> </span>Tuberculosis.</div>
<div class="1234">
<b>B.</b><span> </span>Cryptococcosis.</div>
<div class="1234">
<b>C.<span> </span></b>Pneunocystis carinii pneumonia.</div>
<div class="1234">
<b>D.</b><span> </span>Toxoplasmosis.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 136.<span> </span>Extensive pleural thickening and calcification especially involving
the diaphragmatic pleura are classical features of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Coal worker’s pneumoconiosis.</div>
<div class="1234">
<b>B.</b><span> </span>Asbestosis.</div>
<div class="1234">
<b>C.<span> </span></b>Silicosis.</div>
<div class="1234">
<b>D.</b><span> </span>Siderosis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 137.<span> </span><span style="letter-spacing: -0.75pt;">Commonest presentation of
neurocysticercosis</span> is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Seizures.</div>
<div class="1234">
<b>B.</b><span> </span>Focal neurological deficits.</div>
<div class="1234">
<b>C.<span> </span></b>Dementia</div>
<div class="1234">
<b>D.</b><span> </span>Radiculopathy.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 138.<span> </span>A 55-year old man who has been on bed rest for the past 10 days,
complains of breathlessness and chest pain. The chest X-ray is normal. The next
investigation should be:</span></div>
<div class="1234">
<b>A.</b><span> </span>Lung ventilation-perfusion scan.</div>
<div class="1234">
<b>B.</b><span> </span>Pulmonary arteriography.</div>
<div class="1234">
<b>C.<span> </span></b>Pulmonary venous angiography.</div>
<div class="1234">
<b>D.</b><span> </span>Echocardiography.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 139.<span> </span>A 60-year old man with diabetes mellitus presents with painless,
swollen right ankle joint. Radiograph of the ankle shows destroyed joint with
large number of loose bodies. The most probable diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Charcot’s joint</div>
<div class="1234">
<b>B.</b><span> </span>Clutton’s joint</div>
<div class="1234">
<b>C.<span> </span></b>Osteoarthritis.</div>
<div class="1234">
<b>D.</b><span> </span>Rheumatoid arthritis.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 140.<span> </span>All of the following statements regarding the ECG in acute
pericarditis are true <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>T wave inversion develop before ST elevations
return to baseline.</div>
<div class="1234">
<b>B.</b><span> </span>Global ST segment elevation is seen in early
pericarditis.</div>
<div class="1234">
<b>C.<span> </span></b>Sinus tachycardia is a common finding.</div>
<div class="1234">
<b>D.</b><span> </span>PR segment depression is present in majority of
patients.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 141.<span> </span>Type IV hypersensitivity to <i>Mycobacterium tuberculosis </i>antigen
may manifest as:</span></div>
<div class="1234">
<b>A.</b><span> </span>Iridocyclitis.</div>
<div class="1234">
<b>B.</b><span> </span>Polyarteritis nodosa.</div>
<div class="1234">
<b>C.<span> </span></b>Phlyctenular conjunctivitis.</div>
<div class="1234">
<b>D.</b><span> </span>Giant cell arteritis.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 142.<span> </span>The blood gas parameters: pH 7.58, pCO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>23 mmHg, PO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>300 mmHg and
oxygen saturation 60% are most consistent with:</span></div>
<div class="1234">
<b>A.</b><span> </span>Carbon monoxide poisoning.</div>
<div class="1234">
<b>B.</b><span> </span>Ventilatory malfunction.</div>
<div class="1234">
<b>C.<span> </span></b>Voluntary hyperventilation.</div>
<div class="1234">
<b>D.</b><span> </span>Methyl alcohol poisoning.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 143.<span> </span>Most suitable radioisotope of iodine for treating hyperthyroidism
is:</span></div>
<div class="1234">
<b>A.</b><span> </span>I<span style="font-size: 6pt; position: relative; top: -3pt;">123</span></div>
<div class="1234">
<b>B.</b><span> </span>I<span style="font-size: 6pt; position: relative; top: -3pt;">125</span></div>
<div class="1234">
<b>C.<span> </span></b>I<span style="font-size: 6pt; position: relative; top: -3pt;">131</span></div>
<div class="1234">
<b>D.</b><span> </span>I<span style="font-size: 6pt; position: relative; top: -3pt;">132</span></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 144.<span> </span>In the presence of vasopressin the greatest fraction of filtered
water is reabsorbed in which part of the nephron:</span></div>
<div class="1234">
<b>A.</b><span> </span>Proximal tubule.</div>
<div class="1234">
<b>B.</b><span> </span>Distal tubule.</div>
<div class="1234">
<b>C.<span> </span></b>Loope of Henle.</div>
<div class="1234">
<b>D.</b><span> </span>Collecting duct.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 145.<span> </span>All of the following statements are correct about potassium
balance, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Most of potassium is intracellular.</div>
<div class="1234">
<b>B.</b><span> </span>Three quarter of the total body potassium is
found in skeletal muscle.</div>
<div class="1234">
<b>C.<span> </span></b>Intracellular potassium is released into extra-cellular space in
response to severe injury.</div>
<div class="1234">
<b>D.</b><span> </span>Acidosis leads to movement of potassium
from<span> </span>extracellular to intracellular
fluid compartment.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 146.<span> </span>Hypocalcemia is characterized by all of the following features <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Numbness and tingling of circumoral region.</div>
<div class="1234">
<b>B.</b><span> </span>Hyperactive tendon reflexes.</div>
<div class="1234">
<b>C.<span> </span></b>Shortening of Q-T interval in ECG.</div>
<div class="1234">
<b>D.</b><span> </span>Carpopedal spasm.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 147.<span> </span>Which of the following is <i>not true</i> about Berger’s disease?</span></div>
<div class="1234">
<b>A.</b><span> </span>The pathologic changes are proliferation and
usually confined to mesangial cells; usually focal and segmental.</div>
<div class="1234">
<b>B.</b><span> </span>Hematuria may be gross or microscopic.</div>
<div class="1234">
<b>C.<span> </span></b>On immunoflurorescence deposits contain both IgA and IgG.</div>
<div class="1234">
<b>D.</b><span> </span>Absence of associated proteinuria is
pathognomonic.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 148.<span> </span>All of the following are risk factors for deep <span style="letter-spacing: -0.75pt;">vein thrombosis (DVT) <i>except</i>:</span></span></div>
<div class="1234">
<b>A.</b><span> </span>Duration of surgery more than thirty minutes.</div>
<div class="1234">
<b>B.</b><span> </span>Obesity.</div>
<div class="1234">
<b>C.<span> </span></b>Age less than forty years.</div>
<div class="1234">
<b>D.</b><span> </span>Use of the oestrogen-progesterone contraceptive
pills.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 149.<span> </span>A labourer involved with repair-work of sewers was admitted with
fever, jaundice and renal failure. The most appropriate test to diagnose the
infection in this patient is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Weil Felix test.</div>
<div class="1234">
<b>B.</b><span> </span>Paul Bunnel test.</div>
<div class="1234">
<b>C.<span> </span></b>Microscopic agglutination test.</div>
<div class="1234">
<b>D.</b><span> </span>Micro immunofluorescence test.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 150.<span> </span>Memory T cells can be identified by using the following marker:</span></div>
<div class="1234">
<b>A.</b><span> </span>CD45 RA.</div>
<div class="1234">
<b>B.</b><span> </span>CD45 RB.</div>
<div class="1234">
<b>C.<span> </span></b>CD45 RC.</div>
<div class="1234">
<b>D.</b><span> </span>CD45 RO.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 151.<span> </span>All of the following statements about NK cells are true, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>They are derived from large granular cells.</div>
<div class="1234">
<b>B.</b><span> </span>They comprise about 5% of human peripheral
lymphoid cells.</div>
<div class="1234">
<b>C.<span> </span></b>They are MHC restricted cytotoxic cells.</div>
<div class="1234">
<b>D.</b><span> </span>They express IgG Fc receptors.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 152.<span> </span>Which of the following increases the susceptibility to coronary
artery disease:</span></div>
<div class="1234">
<b>A.</b><span> </span>Type V hyperlipoproteinaemia.</div>
<div class="1234">
<b>B.</b><span> </span>Von Willebrandt’s disease.</div>
<div class="1234">
<b>C.<span> </span></b>Nephrotic syndrome.</div>
<div class="1234">
<b>D.</b><span> </span>Systemic lupus erythematosus.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 153.<span> </span>MHC class III genes encode:</span></div>
<div class="1234">
<b>A.</b><span> </span>Complement component C<span style="font-size: 6pt; position: relative; top: 0.5pt;">3</span>.</div>
<div class="1234">
<b>B.</b><span> </span>Tumor necrosis factor.</div>
<div class="1234">
<b>C.<span> </span></b>Interleukin 2.</div>
<div class="1234">
<b>D.</b><span> </span>Beta 2 microglobulin.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 154.<span> </span>Gluten sensitive enteropathy is most strongly associated with:</span></div>
<div class="1234">
<b>A.</b><span> </span>HLA-DQ2.<b><span> </span></b></div>
<div class="1234">
<b>B.</b><span> </span>HLA-DR4.</div>
<div class="1234">
<b>C.<span> </span></b>HLA-DQ3.<b><span> </span></b></div>
<div class="1234">
<b>D.</b><span> </span>Blood group ‘B’.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 155.<span> </span>Most sensitive and specific test for diagnosis of iron deficiency
is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Serum iron levels.</div>
<div class="1234">
<b>B.</b><span> </span>Serum ferritin levels.</div>
<div class="1234">
<b>C.<span> </span></b>Serum transferrin receptor population.</div>
<div class="1234">
<b>D.</b><span> </span>Transferrin saturation.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 156.<span> </span>All of the following are poor prognostic factors for acute myeloid
leukemias, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Age more than 60 years.</div>
<div class="1234">
<b>B.</b><span> </span>Leucocyte count more than 1,00,000/µl.</div>
<div class="1234">
<b>C.<span> </span></b>Secondary leukemias.</div>
<div class="1234">
<b>D.</b><span> </span>Presence of t(8;21).</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 157.<span> </span>Leukoerythroblastic picture may be seen in all of the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Myelofibrosis.</div>
<div class="1234">
<b>B.</b><span> </span>Metastatic carcinoma.</div>
<div class="1234">
<b>C.<span> </span></b>Gaucher’s disease.</div>
<div class="1234">
<b>D.</b><span> </span>Thalassemia.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 158.<span> </span>Cardiac or central nervous system toxicity may result when standard
lidocaine doses are administered to patients with circulatory failure. This may
be due to the following reason:</span></div>
<div class="1234">
<b>A.</b><span> </span>Lidocaine concentration are initially higher in
relatively well perfused tissues such as brain and heart.</div>
<div class="1234">
<b>B.</b><span> </span>Histamine receptors in brain and heart gets
suddenly activated in circulatory failure.</div>
<div class="1234">
<b>C.<span> </span></b>There is a sudden out-bursts of release of adrenaline,
noradrenaline and dopamine in brain and heart.</div>
<div class="1234">
<b>D.</b><span> </span>Lidocaine is converted into a toxic metabolite
due to its longer stay in liver.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 159.<span> </span>All of the following are useful intravenous therapy for
hypertensive emergencies, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Fenoldopam.</div>
<div class="1234">
<b>B.</b><span> </span>Urapidil.</div>
<div class="1234">
<b>C.<span> </span></b>Enalapril.</div>
<div class="1234">
<b>D.</b><span> </span>Nifedipine.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 160.<span> </span>Cardiac output measured by thermodilution technique is unreliable
in all of the following situations <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Ventricular septal defect.</div>
<div class="1234">
<b>B.</b><span> </span>Tricuspid regurgitation.</div>
<div class="1234">
<b>C.<span> </span></b>Low cardiac output.</div>
<div class="1234">
<b>D.</b><span> </span>Pulmonary regurgitation.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 161.<span> </span>Exercise testing is absolutely contraindi-cated in which one of the
following:</span></div>
<div class="1234">
<b>A.</b><span> </span>One week following myocardial infarction.</div>
<div class="1234">
<b>B.</b><span> </span>Unstable angina.</div>
<div class="1234">
<b>C.<span> </span></b>Aortic stenosis.</div>
<div class="1234">
<b>D.</b><span> </span>Peripheral vascular disease.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 162.<span> </span>A nineteen year old female with short stature, wide spread nipples
and primary amenorrhoea most likely has a karyotype of:</span></div>
<div class="1234">
<b>A.</b><span> </span>47, XX+18.</div>
<div class="1234">
<b>B.</b><span> </span>46, XXY.</div>
<div class="1234">
<b>C.<span> </span></b>47, XXY.</div>
<div class="1234">
<b>D.</b><span> </span>45 X.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 163.<span> </span>Osteomalacia is associated with:</span></div>
<div class="1234">
<b>A.</b><span> </span>Decrease in osteoid volume.</div>
<div class="1234">
<b>B.</b><span> </span>Decrease in osteoid surface.</div>
<div class="1234">
<b>C.<span> </span></b>Increase in osteoid maturation time.</div>
<div class="1234">
<b>D.</b><span> </span>Increase in mineral apposition rate.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 164.<span> </span>A 23-year old woman has experienced episodes of myalgias, pleural
effusion, pericarditis and arthralgias without joint deformity over course of
several years. The best laboratory screening test to diagnose her disease would
be:</span></div>
<div class="1234">
<b>A.</b><span> </span>CD<span style="font-size: 6pt; position: relative; top: 0.5pt;">4</span><span> </span>lymphocyte count.</div>
<div class="1234">
<b>B.</b><span> </span>Erythrocyte sedimentation rate.</div>
<div class="1234">
<b>C.<span> </span></b>Antinuclear antibody.</div>
<div class="1234">
<b>D.</b><span> </span>Assay for thyroid hormones.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 165.<span> </span>A 5-year old boy is detected to be HBsAg positive on two separate
occasions during a screening program for hepatitis B. He is otherwise
asymptomatic. Child was given 3 doses of recombinant hepatitis B vaccine at the
age of one year. His mother was treated for chronic hepatitis B infection
around the same time. The next relevant step for further investigating the
child would be to:</span></div>
<div class="1234">
<b>A.</b><span> </span>Obtain HBe Ag and anti-HBe antibodies.</div>
<div class="1234">
<b>B.</b><span> </span>Obtain anti-HBs levels.</div>
<div class="1234">
<b>C.<span> </span></b>Repeat HBsAg.</div>
<div class="1234">
<b>D.</b><span> </span>Repeat another course of hepatitis B vaccine.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 166.<span> </span>Which of the following hepatitis viruses have significant perinatal
transmission:</span></div>
<div class="1234">
<b>A.</b><span> </span>Hepatitis E virus.</div>
<div class="1234">
<b>B.</b><span> </span>Hepatitis C virus</div>
<div class="1234">
<b>C.<span> </span></b>Hepatitis B virus.</div>
<div class="1234">
<b>D.</b><span> </span>Hepatitis A virus.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 167.<span> </span>The diffusion capacity of lung (DL</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">CO</span><span style="color: windowtext;">) is decreased in all of the following conditions <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Interstitial lung disease.</div>
<div class="1234">
<b>B.</b><span> </span>Goodpasture’s syndrome.</div>
<div class="1234">
<b>C.<span> </span></b>Emphysema.</div>
<div class="1234">
<b>D.</b><span> </span>Primary pulmonary hypertension.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 168.<span> </span>Osler’s nodes are typically seen in which one of the following:</span></div>
<div class="1234">
<b>A.</b><span> </span>Chronic candida endocarditis.</div>
<div class="1234">
<b>B.</b><span> </span>Acute staphylococcal endocarditis.</div>
<div class="1234">
<b>C.<span> </span></b>Pseudomonas endocarditis.</div>
<div class="1234">
<b>D.</b><span> </span>Libman sack’s endocarditis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 169.<span> </span>Thiamine deficiency is known to occur in all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Food Faddist.</div>
<div class="1234">
<b>B.</b><span> </span>Homocystinemia</div>
<div class="1234">
<b>C.<span> </span></b>Chronic alcoholic</div>
<div class="1234">
<b>D.</b><span> </span>Chronic heart failure patients on diuretics.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 170.<span> </span>Radiation exposure during infancy has been linked to which one of
the following carcinoma:</span></div>
<div class="1234">
<b>A.</b><span> </span>Breast.</div>
<div class="1234">
<b>B.</b><span> </span>Melanoma.</div>
<div class="1234">
<b>C.<span> </span></b>Thyroid.</div>
<div class="1234">
<b>D.</b><span> </span>Lung.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 171.<span> </span>Recurrent ischemic events following thrombolysis has been
pathophysiologically linked to which of the following factors:</span></div>
<div class="1234">
<b>A.</b><span> </span>Antibodies to thrombolytic agents.</div>
<div class="1234">
<b>B.</b><span> </span>Fibrinopeptide A.</div>
<div class="1234">
<b>C.<span> </span></b>Lipoprotein (a) [Lp(a)].</div>
<div class="1234">
<b>D.</b><span> </span>Triglycerides.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 172.<span> </span>Which of the following is pan-T lymphocyte marker?</span></div>
<div class="1234">
<b>A.</b><span> </span>CD2.</div>
<div class="1234">
<b>B.</b><span> </span>CD3.</div>
<div class="1234">
<b>C.<span> </span></b>CD19.</div>
<div class="1234">
<b>D.</b><span> </span>CD25</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques" style="margin-top: 8pt;">
<span style="color: windowtext;">Q 173.<span> </span>Following are the features of corticospinal
involvement <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Cog-wheel rigidity.</div>
<div class="1234">
<b>B.</b><span> </span>Spasticity.</div>
<div class="1234">
<b>C.<span> </span></b>Plantar extensor response.</div>
<div class="1234">
<b>D.</b><span> </span>Exaggerated deep tendon reflexes.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 174.<span> </span>Positive feedback action of estrogen for inducting luteinizing
hormone surge is associated with one of the following steroid hormone ratios in
peripheral circulation:</span></div>
<div class="1234">
<b>A.</b><span> </span>High estrogen : low progesterone.</div>
<div class="1234">
<b>B.</b><span> </span>Low estrogen : high progesterone.</div>
<div class="1234">
<b>C.<span> </span></b>Low estrogen : low progestrone</div>
<div class="1234">
<b>D.</b><span> </span>High estrogen : high progesterone.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 175.<span> </span>A post-operative cardiac surgical patient developed sudden
hypotension, raised central venous pressure, pulsus paradoxus at the 4th post
operative hour. The most probable diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Excessive mediastinal bleeding.</div>
<div class="1234">
<b>B.</b><span> </span>Ventricular dysfunction.</div>
<div class="1234">
<b>C.<span> </span></b>Congestive cardiac failure.</div>
<div class="1234">
<b>D.</b><span> </span>Cardiac tamponade.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Pediatrics</div>
<div class="Ques">
<span style="color: windowtext;">Q 176.<span> </span>All of the following may occur in Noonan’s syndrome <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Hypertrophic cardiomyopathy.</div>
<div class="1234">
<b>B.</b><span> </span>Cryptorchidism.</div>
<div class="1234">
<b>C.<span> </span></b>Infertility in females.</div>
<div class="1234">
<b>D.</b><span> </span>Autosomal dominant transmission.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 177.<span> </span><span style="letter-spacing: -0.75pt;">In an single visit, a 9-month
old, unimmunized</span> child can be given the following vaccination:</span></div>
<div class="1234">
<b>A.</b><span> </span>Only BCG.</div>
<div class="1234">
<b>B.</b><span> </span>BCG, DPT-1, OPV-1.</div>
<div class="1234">
<b>C.<span> </span></b>DPT-1, OPV-1, Measles.</div>
<div class="1234">
<b>D.</b><span> </span>BCG, DPT-1 OPV-1, Measles.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 178.<span> </span>An eight-year old boy had abdominal pain, fever with bloody
diarrhea for 18 months. His height is 110 cms and weight is 14.5 kg. Stool
culture was negative for known enteropathogens. The sigmoidoscopy was normal.
During the same period, child had an episode of renal colic and passed urinary
gravel. The mantoux test was 5 × 5 mm. The most probable diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Ulcerative colitis.</div>
<div class="1234">
<b>B.</b><span> </span>Crohn’s disease.</div>
<div class="1234">
<b>C.<span> </span></b>Intestinal tuberculosis.</div>
<div class="1234">
<b>D.</b><span> </span>Strongyloidosis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 179.<span> </span>A 45-day old infant developed icterus and two days later symptoms
and signs of acute liver failure appeared. Child was found to be positive for
HBsAg. The mother was also HBs Ag carrier. The mother’s hepatitis B serological
profile is likely to be:</span></div>
<div class="1234">
<b>A.</b><span> </span>HBsAg positive only.</div>
<div class="1234">
<b>B.</b><span> </span>HBsAg and HbeAg positivity.</div>
<div class="1234">
<b>C.<span> </span></b>HBsAg and anti-HBe antibody positivity.</div>
<div class="1234">
<b>D.</b><span> </span>Mother infected with mutant HBV.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 180.<span> </span>A 15-year old healthy boy with no major medical problem complaints
that he breaks out with blocky areas of erythema that are pruritic over skin of
his arm, leg and trunk every time within an hour of eating sea foods. The
clinical features are suggestive of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Localised immune-complex deposition.</div>
<div class="1234">
<b>B.</b><span> </span>Cell mediated hypersensitivity.</div>
<div class="1234">
<b>C.<span> </span></b>Localized anaphylaxis.</div>
<div class="1234">
<b>D.</b><span> </span>Release of complement C3b.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 181.<span> </span>A 2-month baby presents with history of jaundice, turmeric colored
urine and pale stools since birth. Examination reveals liver span of 10 cms,
firm in consistency and spleen of 3 cms. The most specific investigation for
establishing the diagnosis would be:</span></div>
<div class="1234">
<b>A.</b><span> </span>Liver function tests.</div>
<div class="1234">
<b>B.</b><span> </span>Ultrasound abdomen.</div>
<div class="1234">
<b>C.<span> </span></b>Peroperative cholangiogram.</div>
<div class="1234">
<b>D.</b><span> </span>Liver biopsy.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 182.<span> </span>Transient myeloproliferative disorder of the newborn is seen in
association with:</span></div>
<div class="1234">
<b>A.</b><span> </span>Turner syndrome.</div>
<div class="1234">
<b>B.</b><span> </span>Down syndrome.</div>
<div class="1234">
<b>C.<span> </span></b>Neurofibromatosis.</div>
<div class="1234">
<b>D.</b><span> </span>Ataxia telangiectasia.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 183.<span> </span>A 1-month old baby presents with frequent vomiting and failure to
thrive. There are features of moderate dehydration. Blood sodium is 122 mEq/l
and potassium is 6.1 mEq/l. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Gitelman syndrome.</div>
<div class="1234">
<b>B.</b><span> </span>Bartter Syndrome</div>
<div class="1234">
<b>C.<span> </span></b>21-hydroxylase deficiency.</div>
<div class="1234">
<b>D.</b><span> </span>11-<span style="font-family: Symbol;">b</span>
hydroxylase deficiency.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 184.<span> </span>A male child of 15 years, with a mental age of 9 years has an IQ
of:</span></div>
<div class="1234">
<b>A.</b><span> </span>50</div>
<div class="1234">
<b>B.</b><span> </span>60</div>
<div class="1234">
<b>C.<span> </span></b>70</div>
<div class="1234">
<b>D.</b><span> </span>80</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 185.<span> </span>The most appropriate drug used for chelation therapy in beta
thalassemia major is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Oral desferrioxamine.</div>
<div class="1234">
<b>B.</b><span> </span>Oral deferiprone.</div>
<div class="1234">
<b>C.<span> </span></b>Intramuscular EDTA.</div>
<div class="1234">
<b>D.</b><span> </span>Oral Succimer.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 186.<span> </span>Which endocrine disorder is associated with epiphyseal dysgenesis ?</span></div>
<div class="1234">
<b>A.</b><span> </span>Hypothyroidism.</div>
<div class="1234">
<b>B.</b><span> </span>Cushings syndrome.</div>
<div class="1234">
<b>C.<span> </span></b>Addison’s disease.</div>
<div class="1234">
<b>D.</b><span> </span>Hypoparathyroidism.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 187.<span> </span>An albino girl gets married to a normal boy. What are the chances
of their having an affected child and what are the chances of their children
being carriers?</span></div>
<div class="1234">
<b>A.</b><span> </span>None affected, all carriers.</div>
<div class="1234">
<b>B.</b><span> </span>All normal.</div>
<div class="1234">
<b>C.<span> </span></b>50% carriers.</div>
<div class="1234">
<b>D.</b><span> </span>50% affected, 50% carriers.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 188.<span> </span>Which one of the following statements is false with regard to
Xanthogranulomatous pyelonephritis in children.</span></div>
<div class="1234">
<b>A.</b><span> </span>Often affects those younger than 8 years of
age.</div>
<div class="1234">
<b>B.</b><span> </span>It affects the kidney focally more frequently
than diffusely.</div>
<div class="1234">
<b>C.<span> </span></b>Boys are affected more frequently.</div>
<div class="1234">
<b>D.</b><span> </span>Clinical presentation in children is same as in
adults.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 189.<span> </span>Which one of the following statements is false with regard to
pyuria in children?</span></div>
<div class="1234">
<b>A.</b><span> </span>Presence of more than 5 WBC/hpf (high power
field) for girls and more than 3 WBC/hpf for boys.</div>
<div class="1234">
<b>B.</b><span> </span>Infection can occur without pyuria.</div>
<div class="1234">
<b>C.<span> </span></b>Pyuria may be present without urinary tract infection.</div>
<div class="1234">
<b>D.</b><span> </span>Isolated pyuria is neither confirmatory nor
diagnostic for urinary tract infection.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 190.<span> </span>Which one of the following is the most common cause of abdominal
mass in neonates?</span></div>
<div class="1234">
<b>A.</b><span> </span>Neuroblastoma.</div>
<div class="1234">
<b>B.</b><span> </span>Wilm’s tumour.</div>
<div class="1234">
<b>C.<span> </span></b>Distended bladder.</div>
<div class="1234">
<b>D.</b><span> </span>Multicystic dysplastic kidneys.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Dermatology</div>
<div class="Ques">
<span style="color: windowtext;">Q 191.<span> </span>Acantholysis is characterstic of:</span><i><span style="color: windowtext; font-weight: normal;"></span></i></div>
<div class="1234">
<b>A.</b><span> </span>Pemphigus vulgaris</div>
<div class="1234">
<b>B.<span> </span></b>Pemphigoid</div>
<div class="1234">
<b>C.<span> </span></b>Erythema multiforme</div>
<div class="1234">
<b>D.<span> </span></b>Dermatitis herpetiformis</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 192.<span> </span>A 5 year old boy has multiple asymptomatic oval and circular
faintly hypopigmented macules with scaling on his face. The most probable
clinical diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Pityriasis versicolor.</div>
<div class="1234">
<b>B.</b><span> </span>Indeterminate leprosy.</div>
<div class="1234">
<b>C.<span> </span></b>Pityriasis alba.</div>
<div class="1234">
<b>D.</b><span> </span>Acrofacial vitiligo.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 193.<span> </span>A 40-year old male developed persistent oral <span style="letter-spacing: -0.75pt;">ulcers followed by multiple flaccid bullae on
trunk and extremities. Direct examination</span> of a skin biopsy
immunofluorescence showed intercellular IgG deposits in the epidermis. The most
probable diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Pemphigus vulgaris.</div>
<div class="1234">
<b>B.</b><span> </span>Bullous pemphigoid.</div>
<div class="1234">
<b>C.<span> </span></b>Bullous lupus erythematosus.</div>
<div class="1234">
<b>D.</b><span> </span>Epidermolysis bullosa acquisita.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 194.<span> </span>The test likely to help in diagnosis of a patient who presents with
an itchy annular plaque on the face is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Gram’s stain.</div>
<div class="1234">
<b>B.</b><span> </span>Potassium hydroxide mount.</div>
<div class="1234">
<b>C.<span> </span></b>Tissue smear.</div>
<div class="1234">
<b>D.</b><span> </span>Wood’s lamp examination.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 195.<span> </span>An eleven year old boy is having tinea capitis on his scalp. The
most appropriate line of treatment is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Oral griseofulvin therapy.</div>
<div class="1234">
<b>B.</b><span> </span>Topical griseofulvin therapy.</div>
<div class="1234">
<b>C.<span> </span></b>Shaving of the scalp.</div>
<div class="1234">
<b>D.</b><span> </span>Selenium sulphide shampoo.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 196.<span> </span>An 8 month old child presented with itchy, exudative lesions on the
face, palms and soles. The sibling also have similar com-plaints. The treatment
of choice in such a patient is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Systemic ampicillin.</div>
<div class="1234">
<b>B.</b><span> </span>Topical betamethasone.</div>
<div class="1234">
<b>C.<span> </span></b>Systemic prednisolone.</div>
<div class="1234">
<b>D.</b><span> </span>Topical permethrin.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Psychiatry</div>
<div class="Ques">
<span style="color: windowtext;">Q 197.<span> </span>Which of the following symbol represent adopted individuals:</span></div>
<div class="1234">
<b>A.</b><span> </span><img height="26" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image016.png" width="54" /></div>
<div class="1234">
<b>B.</b><span> </span><img height="17" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image018.png" width="36" /></div>
<div class="1234">
<b>C.</b><span> </span><img height="13" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image020.png" width="26" /></div>
<div class="1234">
<b>D.</b><span> </span><img height="20" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image022.png" width="24" /> <img height="20" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image024.png" width="24" /></div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 198.<span> </span>All of the following are features of hallucinations, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>It is independent of the will of the observer.</div>
<div class="1234">
<b>B.</b><span> </span>Sensory organs are not involved.</div>
<div class="1234">
<b>C.<span> </span></b>It is as vivid as that in a true sense perception.</div>
<div class="1234">
<b>D.</b><span> </span><span style="letter-spacing: -0.75pt;">It occurs
in the absence of a perceptual stimulus.</span></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 199.<span> </span>Delirium tremens is characterized by confusion associated with:</span></div>
<div class="1234">
<b>A.</b><span> </span>Autonomic hyperactivity and tremors.</div>
<div class="1234">
<b>B.</b><span> </span>Features of intoxication due to alcohol.</div>
<div class="1234">
<b>C.<span> </span></b>Sixth nerve palsy.</div>
<div class="1234">
<b>D.</b><span> </span>Korsakoff psychosis.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 200.<span> </span>All of the following are impulse control disorders <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Pyromania.</div>
<div class="1234">
<b>B.</b><span> </span>Trichotillomania.</div>
<div class="1234">
<b>C.<span> </span></b>Kleptomania.</div>
<div class="1234">
<b>D.</b><span> </span>Capgras’ syndrome.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 201.<span> </span>A 20-year old man has presented with increased alcohol consumption
and sexual indulgence, irritability, lack of sleep and not feeling fatigued
even on prolonged periods of activity. All these changes have been present for
3 weeks. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Alcohol dependence.</div>
<div class="1234">
<b>B.</b><span> </span>Schizophrenia.</div>
<div class="1234">
<b>C.<span> </span></b>Mania.</div>
<div class="1234">
<b>D.</b><span> </span>Impulsive control disorder.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 202.<span> </span>A<span style="letter-spacing: -0.75pt;">n alcoholic is brought to the
Emergency OPD with the complaint of irrelevant talking. He had stopped using
alcohol three days back. On examination, he is found to be disoriented to time,
place and person. He also has visual illusions and hallucinations. There is no
history of head injury. The most likely diagnosis is:</span></span></div>
<div class="1234">
<b>A.</b><span> </span>Dementia praecox.</div>
<div class="1234">
<b>B.</b><span> </span>Derlirium tremens.</div>
<div class="1234">
<b>C.<span> </span></b>Schizophrenia.</div>
<div class="1234">
<b>D.</b><span> </span>Korsakoff’s psychosis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 203.<span> </span><span style="letter-spacing: -0.75pt;">A 41-year old married female
presented with headache for the last 6 months. She had several consultations.
All her investigations were found to be within normal limits. She still insists
that there is something wrong in her head and seeks another consultation. The
most likely diagnosis is:</span></span></div>
<div class="1234">
<b>A.</b><span> </span>Phobia.</div>
<div class="1234">
<b>B.</b><span> </span>Psychogenic headache.</div>
<div class="1234">
<b>C.<span> </span></b>Hypochondriasis.</div>
<div class="1234">
<b>D.</b><span> </span>Depression.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 204.<span> </span>Behavior therapy to change maladaptive behaviors using response as
reinforcer uses the principles of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Classical conditioning.</div>
<div class="1234">
<b>B.</b><span> </span>Moneling.</div>
<div class="1234">
<b>C.<span> </span></b>Social learning.</div>
<div class="1234">
<b>D.</b><span> </span>Operant conditioning.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 205.<span> </span><span style="letter-spacing: -0.75pt;">A 15 year old boy feels that
the dirt has hung onto him whenever he passes through the dirty street. This
repetitive thought causes much distress and anxiety. He knows that there is
actually no such thing after he has cleaned once but he is not satisfied and is
compelled to think so. This has led to social withdrawal. He spends much of his
time thinking about the dirt and contamination. This has affected his studies
also. The most likely diagnosis is:</span></span></div>
<div class="1234">
<b>A.</b><span> </span>Obsessive compulsive disorder.</div>
<div class="1234">
<b>B.</b><span> </span>Conduct disorder.</div>
<div class="1234">
<b>C.<span> </span></b>Agoraphobia.</div>
<div class="1234">
<b>D.</b><span> </span>Adjustment disorder.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 206.<span> </span><span style="letter-spacing: -0.75pt;">A 50 year old man has presented
with pain in back, lack of interest in recreational activities, low mood,
lethargy, decreased sleep and appetite for two months. There was no history
suggestive of delusions or hallucinations. He did not suffer from any chronic
medical illness. There was no family history of psychiatric illness. Routine
investigations including haemogram, renal function tests, liver functions
tests, electrocardiogram did not reveal any abnormality. This patient should be
treated with:</span></span></div>
<div class="1234">
<b>A.</b><span> </span>Haloperidol.</div>
<div class="1234">
<b>B.</b><span> </span>Sertraline.</div>
<div class="1234">
<b>C.<span> </span></b>Alprazolam.</div>
<div class="1234">
<b>D.</b><span> </span>Olanzapine.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
General Surgery</div>
<div class="Ques">
<span style="color: windowtext;">Q 207.<span> </span>A 70 year old male patient presented with history of chest pain and
was diagnosed to have coronary artery disease. During routine evaluation, an
ultrasound of the abdomen showed presence of gallbladder stones. There was no
past history of biliary colic or jaundice. What is the best treatment advice
for such a patient for his gallbladder stones: </span></div>
<div class="1234">
<b>A.<span> </span></b>Open cholecystectomy</div>
<div class="1234">
<b>B.<span> </span></b>Laparoscopic cholecystectomy</div>
<div class="1234">
<b>C.<span> </span></b>No surgery for gallbladder stones</div>
<div class="1234">
<b>D.<span> </span></b>ERCP and removal of gallbladder stones</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 208. <span> </span>Early stage of trauma is characterized by:</span></div>
<div class="1234">
<b>A.</b><span> </span>Catabolism.<span> </span></div>
<div class="1234">
<b>B.</b><span> </span>Anabolism.</div>
<div class="1234">
<b>C.<span> </span></b>Glycogenesis.</div>
<div class="1234">
<b>D.</b><span> </span>Gluconeogenesis.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 209.<span> </span>Bedsore is an example of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Tropical ulcer</div>
<div class="1234">
<b>B.</b><span> </span>Trophic ulcer</div>
<div class="1234">
<b>C.<span> </span></b>Venous ulcer</div>
<div class="1234">
<b>D.</b><span> </span>Post thrombotic ulcer</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 210.<span> </span>Marjolin’s ulcer is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Malignant ulcer found on the scar of burn.</div>
<div class="1234">
<b>B.</b><span> </span>Malignant ulcer found on infected foot.</div>
<div class="1234">
<b>C.<span> </span></b>Trophic ulcer.</div>
<div class="1234">
<b>D.</b><span> </span>Meleney’s gangrene.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 211.<span> </span>If a patient with Raynaud’s disease immer-sed his hand in cold
water, the hand will:</span></div>
<div class="1234">
<b>A.</b><span> </span>Become red.</div>
<div class="1234">
<b>B.</b><span> </span>Remain unchanged.</div>
<div class="1234">
<b>C.<span> </span></b>Turn white.</div>
<div class="1234">
<b>D.</b><span> </span>Become blue.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 212.<span> </span>The best treatment for cystic hygroma is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Surgical excision.</div>
<div class="1234">
<b>B.</b><span> </span>Radiotherapy.</div>
<div class="1234">
<b>C.<span> </span></b>Sclerotherapy.</div>
<div class="1234">
<b>D.</b><span> </span>Chemotherapy.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 213.<span> </span>Which of the following is most suggestive of neonatal small bowel
obstruction:</span></div>
<div class="1234">
<b>A.</b><span> </span>Generalised abdominal distension.</div>
<div class="1234">
<b>B.</b><span> </span>Failure to pass meconeum in the first 24 hours.</div>
<div class="1234">
<b>C.<span> </span></b>Bilious vomiting.</div>
<div class="1234">
<b>D.</b><span> </span>Refusal of feeds.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 214.<span> </span>What is most characteristic of congenital hypertrophic pyloric
stenosis:</span></div>
<div class="1234">
<b>A.</b><span> </span>Affects the first born female child.</div>
<div class="1234">
<b>B.</b><span> </span>The pyloric tumour is best felt during feeding.</div>
<div class="1234">
<b>C.<span> </span></b>The patient is commonly marasmic.</div>
<div class="1234">
<b>D.</b><span> </span>Loss of appetite occurs early.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 215.<span> </span>Which of the following lasers is used for treatment of benign
prostatic hyperplasia as well as urinary calculi?</span></div>
<div class="1234">
<b>A.</b><span> </span>CO<span style="font-size: 6pt; position: relative; top: 0.5pt;">2 </span>laser</div>
<div class="1234">
<b>B.</b><span> </span>Excimer laser</div>
<div class="1234">
<b>C.<span> </span></b>Ho : YAG laser</div>
<div class="1234">
<b>D.</b><span> </span>Nd : YAG laser</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 216.<span> </span>What is the most appropriate operation for a solitary nodule in one
lobe of thyroid:</span></div>
<div class="1234">
<b>A.</b><span> </span>Lobectomy</div>
<div class="1234">
<b>B.</b><span> </span>Hemithyroidectomy.</div>
<div class="1234">
<b>C.<span> </span></b>Nodule removal.</div>
<div class="1234">
<b>D.</b><span> </span>Partial lobectomy with 1 cm margin around
nodule.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 217.<span> </span>A posteriorly perforating ulcer in the pyloric antrum of the
stomach is most likely to produce initial localized peritonitis or abscess
formation in the following:</span></div>
<div class="1234">
<b>A.</b><span> </span>Omental bursa (lesser sac)</div>
<div class="1234">
<b>B.</b><span> </span>Greater sac</div>
<div class="1234">
<b>C.<span> </span></b>Right subphrenic space</div>
<div class="1234">
<b>D.</b><span> </span>Hepatorenal space (pouch of Morrison)</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 218.<span> </span>A 65-year old male smoker presents with gross total painless
hematuria. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Carcinoma urinary bladder.</div>
<div class="1234">
<b>B.</b><span> </span>Benign prostatic hyperplasia.</div>
<div class="1234">
<b>C.<span> </span></b>Carcinoma prostate.</div>
<div class="1234">
<b>D.</b><span> </span>Cystolithiasis.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 219.<span> </span>A 10-mm calculus in the right lower ureter associated with proximal
hydrouretero-nephrosis is best treated with:</span></div>
<div class="1234">
<b>A.</b><span> </span>Extracorporeal shockwave lithotripsy.</div>
<div class="1234">
<b>B.</b><span> </span>Antegrade percutaneous access.</div>
<div class="1234">
<b>C.<span> </span></b>Open ureterolithotomy.</div>
<div class="1234">
<b>D.</b><span> </span>Ureteroscopic retrieval.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 220.<span> </span>Semen analysis of a young man who presented with primary
infertility revealed low volume, fructose negative ejaculate with azoospermia.
Which of the following is the most useful imaging modality to evaluate the
cause of his infertility ?</span></div>
<div class="1234">
<b>A.</b><span> </span>Colour duplex ultrasonography of the scrotum.</div>
<div class="1234">
<b>B.</b><span> </span>Transrectal ultrasonography.</div>
<div class="1234">
<b>C.<span> </span></b>Retrograde urethrography</div>
<div class="1234">
<b>D.</b><span> </span>Spermatic venography.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques" style="margin-top: 0in;">
<span style="color: windowtext;">Q 221.<span> </span>A 70 year old patient with benign prostatic hyperplasia
underwent transurethral resection of prostate under spinal anaesthesia. One
hour later, he developed vomiting and altered sensorium. the most probable
cause is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Overdosage of spinal anaesthetic agent.</div>
<div class="1234">
<b>B.</b><span> </span>Rupture of bladder.</div>
<div class="1234">
<b>C.<span> </span></b>Hyperkalemia.</div>
<div class="1234">
<b>D.</b><span> </span>Water intoxication.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 222.<span> </span>A 50-year old male, working as a hotel cook, has four dependent
family members. He has been diagnosed with an early stage squamous cell cancer
of anal canal. He has more than 60% chances of cure. The best treatment option
is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Abdomino-perineal resection.</div>
<div class="1234">
<b>B.</b><span> </span>Combined surgery and radiotherapy.</div>
<div class="1234">
<b>C.<span> </span></b>Combined chemotherapy and radiotherapy.</div>
<div class="1234">
<b>D.</b><span> </span>Chemotherapy alone.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 223.<span> </span>The commonest cause of an obliterative stricture of the membranous
urethra is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Fall-astride injury.</div>
<div class="1234">
<b>B.</b><span> </span>Road-traffic accident with fracture pelvis and
rupture urethra.</div>
<div class="1234">
<b>C.<span> </span></b>Prolonged catheterization.</div>
<div class="1234">
<b>D.</b><span> </span>Gonococcal infection</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 224.<span> </span>Which of the following is an absolute indication for surgery in
cases of benign prostatic hyperplasia:</span></div>
<div class="1234">
<b>A.</b><span> </span>Bilateral hydroureteronephrosis.</div>
<div class="1234">
<b>B.</b><span> </span>Nocturnal frequency.</div>
<div class="1234">
<b>C.<span> </span></b>Recurrent urinary tract infection.</div>
<div class="1234">
<b>D.</b><span> </span>Voiding bladder pressures >50 cm of water.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 225.<span> </span>A 27 year old man presents with a left testicular tumor<span> </span>with a 10 cm retroperitoneal lymph node mass.
The treatment of choice is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Radiotherapy.</div>
<div class="1234">
<b>B.</b><span> </span>Immunotherapy with interferon and<span> </span>inter-leukins.</div>
<div class="1234">
<b>C.<span> </span></b>Left high inguinal orchidectomy plus chemotherapy.</div>
<div class="1234">
<b>D.</b><span> </span>Chemotherapy alone.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 226.<span> </span>The best time for surgery of hypospadias is:</span></div>
<div class="1234">
<b>A.</b><span> </span>1-4 months of age.</div>
<div class="1234">
<b>B.</b><span> </span>6-10 months of age.</div>
<div class="1234">
<b>C.<span> </span></b>12-18 months of age.</div>
<div class="1234">
<b>D.</b><span> </span>2-4 years of age.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 227.<span> </span>The Hunterian Ligature operation is performed for:</span></div>
<div class="1234">
<b>A.</b><span> </span>Varicose veins.</div>
<div class="1234">
<b>B.</b><span> </span>Arteriovenous fistulae.</div>
<div class="1234">
<b>C.<span> </span></b>Aneurysm.</div>
<div class="1234">
<b>D.</b><span> </span>Acute ischemia.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 228.<span> </span>Sympathectomy is indicated in all the following conditions <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Ischaemic ulcers.</div>
<div class="1234">
<b>B.</b><span> </span>Intermittent claudication.</div>
<div class="1234">
<b>C.<span> </span></b>Anhidrosis.</div>
<div class="1234">
<b>D.</b><span> </span>Acrocyanosis.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
<br /></div>
<div class="Head">
Orthopedics</div>
<div class="Ques">
<span style="color: windowtext;">Q 229.<span> </span>Commonest cause for neuralgic pain in foot is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Compression of communication between medial and lateral plantar
nerve.</div>
<div class="1234">
<b>B.<span> </span></b>Exaggeration of longitudinal arches.</div>
<div class="1234">
<b>C.<span> </span></b>Injury to deltoid ligament.</div>
<div class="1234">
<b>D.<span> </span></b>Shortening of plantar aponeurosis.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 230.<span> </span>In actinomycosis of the spine, the abscess usually erodes:</span></div>
<div class="1234">
<b>A.<span> </span></b>Intervertebral disc</div>
<div class="1234">
<b>B.<span> </span></b>Into the pleural cavity</div>
<div class="1234">
<b>C.<span> </span></b>Into the retroperitoneal space</div>
<div class="1234">
<b>D.<span> </span></b>Towards the skin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 231.<span> </span>A ten-year old girl presents with swelling of one knee joint. All
of the following conditions can be considered in the differential diagnosis, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tuberculosis</div>
<div class="1234">
<b>B.<span> </span></b>Juvenile rheumatoid arthritis</div>
<div class="1234">
<b>C.<span> </span></b>Haemophilia</div>
<div class="1234">
<b>D.<span> </span></b>Villonodular synovitis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 232.<span> </span>Avascular necrosis can be a possible sequelae of fracture of all of
the following bones, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Femur neck</div>
<div class="1234">
<b>B.<span> </span></b>Scaphoid</div>
<div class="1234">
<b>C.<span> </span></b>Talus</div>
<div class="1234">
<b>D.<span> </span></b>Calcaneum</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 233.<span> </span>Sciatic nerve palsy may occur in the following injury:</span></div>
<div class="1234">
<b>A.</b><span> </span>Posterior dislocation of hip joint.</div>
<div class="1234">
<b>B.</b><span> </span>Fracture neck of femur.</div>
<div class="1234">
<b>C.<span> </span></b>Trochanteric fracture.</div>
<div class="1234">
<b>D.</b><span> </span>Anterior dislocation of hip.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 234.<span> </span>A 30-year old male was brought to the casualty following a road
traffic accident. His physical examination revealed that his right lower limb
was short, internally rotated and flexed and adducted at the hip. The most
likely diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Fracture neck of femur.</div>
<div class="1234">
<b>B.</b><span> </span>Trochanteric fracture.</div>
<div class="1234">
<b>C.<span> </span></b>Central fracture dislocation of hip.</div>
<div class="1234">
<b>D.</b><span> </span>Posterior dislocation of hip.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 235.<span> </span>Which one of the following tests will you adopt while examining a
knee joint where you suspect an old tear of anterior cruciate ligament?</span></div>
<div class="1234">
<b>A.</b><span> </span>Posterior drawer test.</div>
<div class="1234">
<b>B.</b><span> </span>McMurray test.</div>
<div class="1234">
<b>C.<span> </span></b>Lachman test.</div>
<div class="1234">
<b>D.</b><span> </span>Pivot shift test.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 236.<span> </span>An eight-year old boy presents with back pain and mild fever. His
plain X-ray of the dorsolumbar spine reveals a solitary collapsed dorsal
vertebra with preserved disc spaces. There was no associated soft tissue
shadow. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Ewing’s sarcoma.</div>
<div class="1234">
<b>B.</b><span> </span>Tuberculosis.</div>
<div class="1234">
<b>C.<span> </span></b>Histiocytosis.</div>
<div class="1234">
<b>D.</b><span> </span>Metastasis.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 237.<span> </span>Kienbock’s disease is due to avascular necrosis of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Femoral neck.</div>
<div class="1234">
<b>B.</b><span> </span>Medial cuneiform bone.</div>
<div class="1234">
<b>C.<span> </span></b>Lunate bone.</div>
<div class="1234">
<b>D.</b><span> </span>Scaphoid bone.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 238.<span> </span>Pseudoclaudication is due to compression of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Femoral artery.</div>
<div class="1234">
<b>B.</b><span> </span>Femoral nerve.</div>
<div class="1234">
<b>C.<span> </span></b>Cauda Equina.</div>
<div class="1234">
<b>D.</b><span> </span>Popliteal artery.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Anaesthesia</div>
<div class="Ques">
<span style="color: windowtext;">Q 239.<span> </span>An anaesthetist orders a new attendent to bring the oxygen
cylinder. He will ask the attendent to identify the correct cylinder by
following color code:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.<span> </span></b>Black cylinder with white shoulder.</div>
<div class="1234">
<b>B.<span> </span></b>Black cylinder with grey shoulder.</div>
<div class="1234">
<b>C.<span> </span></b>White cylinder with black shoulder.</div>
<div class="1234">
<b>D.<span> </span></b>Grey cylinder with white shoulder.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 240.<span> </span>During rapid sequence induction of anaesthesia:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sellick’s maneuver is not required.</div>
<div class="1234">
<b>B.<span> </span></b>Pre-oxygenation is mandatory.</div>
<div class="1234">
<b>C.<span> </span></b>Suxamethonium is contraindicated.</div>
<div class="1234">
<b>D.<span> </span></b>Patient is mechanically ventilated before endotracheal
intubation.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 241.<span> </span>A 5 year old boy suffering from Duchenne muscular dystrophy has to
undergo tendon <span style="letter-spacing: -0.75pt;">lengthening procedure. The most
appropriate</span> anaesthetic would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Induction with intravenous thiopentone and N<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>O
& halothane for maintenance.</div>
<div class="1234">
<b>B.<span> </span></b>Induction with intravenous propofol and N<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>O & oxygen
for maintenance.</div>
<div class="1234">
<b>C.<span> </span></b>Induction with intravenous suxamethonium and N<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>O
& halothane for maintenance.</div>
<div class="1234">
<b>D.<span> </span></b>Inhalation induction with inhalation halothane and N<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>O
& oxygen for maintenance.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 242.<span> </span>A 25 year old male is undergoing incision and drainage of abscess
under general anaesthesia with spontaneous respiration. The most efficient anaesthetic
circuit is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mapleson A</div>
<div class="1234">
<b>B.<span> </span></b>Mapleson B</div>
<div class="1234">
<b>C.<span> </span></b>Mapleson C</div>
<div class="1234">
<b>D.<span> </span></b>Mapleson D</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 243.<span> </span>In all the following conditions neuraxial blockade is absolutely
contraindicated, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Patient refusal.</div>
<div class="1234">
<b>B.<span> </span></b>Coagulopathy.</div>
<div class="1234">
<b>C.<span> </span></b>Severe hypovolemia.</div>
<div class="1234">
<b>D.<span> </span></b>Pre-existing neurological deficits.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 244.<span> </span>Interscalene approach to brachial plexus block does not provide
surgical anaesthesia in the area of distribution of which of the following
nerve:</span></div>
<div class="1234">
<b>A.<span> </span></b>Musculocutaneous.</div>
<div class="1234">
<b>B.<span> </span></b>Ulnar.</div>
<div class="1234">
<b>C.<span> </span></b>Radial.</div>
<div class="1234">
<b>D.<span> </span></b>Median.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 245.<span> </span><span style="letter-spacing: -0.75pt;">At the end of a balanced
anaesthesia technique with non-depolarizing muscle relaxant, a patient
recovered spontaneously from the effect of muscle relaxant without any
reversal. Which is the most probable relaxant the patient had received?</span></span></div>
<div class="1234">
<b>A.<span> </span></b>Pancuronium</div>
<div class="1234">
<b>B.<span> </span></b>Gallamine</div>
<div class="1234">
<b>C.<span> </span></b>Atracuronium</div>
<div class="1234">
<b>D.<span> </span></b>Vecuronium</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 246.<span> </span>A 64 year old hypertensive obese female was undergoing surgery for
fracture femur under general anaesthesia. Intra-operatively her end tidal
carbon dioxide decreased to 20 from 40 mm Hg, followed by hypotension and
oxygen saturation of 85%. What would be the most probable cause:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fat embolism</div>
<div class="1234">
<b>B.<span> </span></b>Hypovolemia</div>
<div class="1234">
<b>C.<span> </span></b>Bronchospasm</div>
<div class="1234">
<b>D.<span> </span></b>Myocardial infarction</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 247.<span> </span>One unit of fresh blood raises the Hb% concentration by:</span></div>
<div class="1234">
<b>A.</b><span> </span>0.1 gm%<span> </span></div>
<div class="1234">
<b>B.</b><span> </span>1 gm%</div>
<div class="1234">
<b>C.<span> </span></b>2 gm%</div>
<div class="1234">
<b>D.</b><span> </span>2.2 gm%</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 248.<span> </span>A 50 kg. man with severe metabolic acidosis has the following
parameters: pH 7.05, pCO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>12 mmHg, pO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>108 mmHg, HCO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span style="color: windowtext;"><span> </span>5 mEq/L, base
excess -30 mEq/L. The approximate quantity of sodium bicarbonate that he should
receive in half hour is:</span></div>
<div class="1234">
<b>A.</b><span> </span>250 mEq.</div>
<div class="1234">
<b>B.</b><span> </span>350 mEq.</div>
<div class="1234">
<b>C.<span> </span></b>500 mEq.</div>
<div class="1234">
<b>D.</b><span> </span>750 mEq.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 249.<span> </span>The induction agent of choice in day care anaesthesia is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Sevoflurane.</div>
<div class="1234">
<b>B.</b><span> </span>Ketamine.</div>
<div class="1234">
<b>C.<span> </span></b>Propofol.</div>
<div class="1234">
<b>D.</b><span> </span>Methohexitone.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 250.<span> </span>A 38 year old man is posted for extraction of last molar tooth under
general anaesthesia as a day care case. He wishes to resume his work after 6
hours. Which one of the following induction agents is preferred:</span></div>
<div class="1234">
<b>A.</b><span> </span>Thiopentone sodium.</div>
<div class="1234">
<b>B.</b><span> </span>Ketamine.</div>
<div class="1234">
<b>C.<span> </span></b>Diazepam.</div>
<div class="1234">
<b>D.</b><span> </span>Propofol.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 251.<span> </span>During cardiopulmonary resuscitation, intravenous calcium gluconate
is indicated under all of the following circumstances, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>After 1 min. of arrest routinely.</div>
<div class="1234">
<b>B.</b><span> </span>Hypocalcemia.</div>
<div class="1234">
<b>C.<span> </span></b>Calcium channel blocker toxicity.</div>
<div class="1234">
<b>D.</b><span> </span>Electromechanical dissociation.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 252.<span> </span>Induction agent that may cause adrenal cortex suppression is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Ketamine.</div>
<div class="1234">
<b>B.</b><span> </span>Etomidate.</div>
<div class="1234">
<b>C.<span> </span></b>Propofol.</div>
<div class="1234">
<b>D.</b><span> </span>Thiopentone.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Obstetrics and Gynaecology</div>
<div class="Ques">
<span style="color: windowtext;">Q 253.<span> </span>A 40 year old lady delivered a full term baby. On examination of
the baby, the neonato<span style="letter-spacing: -0.75pt;">logist noted certain
urogenital abnormality.</span> He took the following picture. The most likely
diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Urogenital sinus</div>
<div class="1234">
<b>B.<span> </span></b>Hypertrophied clitoris</div>
<div class="1234">
<b>C.<span> </span></b>Miocropenis</div>
<div class="1234">
<b>D.<span> </span></b>Vulval hematoma</div>
<div align="center" class="1234" style="text-align: center;">
<img height="160" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image026.jpg" width="120" /></div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 54.<span> </span>A 55 year old lady presenting to out patient department (OPD)
with postmenopausal bleeding for 3 months has a 1 × 1 cm nodule on the anterior
lip of cervix. The most appropriate investigation to be done subsequently is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pap smear</div>
<div class="1234">
<b>B.<span> </span></b>Punch biopsy</div>
<div class="1234">
<b>C.<span> </span></b>Endocervical curettage</div>
<div class="1234">
<b>D.<span> </span></b>Colposcopy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 255.<span> </span>A hemodynamically stable nulliparous patient with ectopic pregnancy
has adnexal mass of 2.5 × 3 cms and beta hCG titre of 1500 miu/ml. What
modality of treatment is suitable for her:</span></div>
<div class="1234">
<b>A.<span> </span></b>Conservative management</div>
<div class="1234">
<b>B.<span> </span></b>Medical management</div>
<div class="1234">
<b>C.<span> </span></b>Laparoscopic surgery</div>
<div class="1234">
<b>D.<span> </span></b>Laparotomy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 256.<span> </span>A case of gestational trophoblastic neoplasia belongs to high risk
group if disease develop after:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hydatidiform mole</div>
<div class="1234">
<b>B.<span> </span></b>Full term pregnancy</div>
<div class="1234">
<b>C.<span> </span></b>Spontaneous abortion</div>
<div class="1234">
<b>D.<span> </span></b>Ectopic pregnancy</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques" style="margin-top: 7pt;">
<span style="color: windowtext;">Q 257.<span> </span>A primigravida at 37 week of gestation
reported to labour room with central placenta praevia with heavy bleeding
per vaginum. The fetal heart rate was normal at the time of examination. The
best management option for her is:<span> </span></span></div>
<div class="1234">
<b>A.<span> </span></b>Expectant management</div>
<div class="1234">
<b>B.<span> </span></b>Caesarean section</div>
<div class="1234">
<b>C.<span> </span></b>Induction and vaginal delivery</div>
<div class="1234">
<b>D.<span> </span></b>Induction and forceps delivery</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques" style="margin-top: 7pt;">
<span style="color: windowtext;">Q 258.<span> </span>All of the following are known risk factors
for development of endometrial carcinoma, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Obesity</div>
<div class="1234">
<b>B.<span> </span></b>Family history</div>
<div class="1234">
<b>C.<span> </span></b>Use of Hormone Replacement Therapy</div>
<div class="1234">
<b>D.<span> </span></b>Early menopause</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques" style="margin-top: 7pt;">
<span style="color: windowtext;">Q 259.<span> </span>All of the following drugs are used for
management of post partum haemorrhage <i>except:</i></span></div>
<div class="1234">
<b>A.</b><span> </span>Misoprostol.</div>
<div class="1234">
<b>B.</b><span> </span>Oxytocin.</div>
<div class="1234">
<b>C.<span> </span></b>Prostaglandin.</div>
<div class="1234">
<b>D.</b><span> </span>Mifepristone (RU-486).</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 260.<span> </span>Laparatomy performed in a case of ovarian tumor revealed unilateral
ovarian tumor with ascites positive for malignant cells and positive pelvic
lymph nodes. All other structure were free of disease. What is stage of the
disease:</span></div>
<div class="1234">
<b>A.</b><span> </span>Stage II c.</div>
<div class="1234">
<b>B.</b><span> </span>Stage III a.</div>
<div class="1234">
<b>C.<span> </span></b>Stage III b.</div>
<div class="1234">
<b>D.</b><span> </span>Stage III c.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 261.<span> </span>B Lynch suture is applied on:</span></div>
<div class="1234">
<b>A.</b><span> </span>Cervix.</div>
<div class="1234">
<b>B.</b><span> </span>Uterus.</div>
<div class="1234">
<b>C.<span> </span></b>Fallopian tubes.</div>
<div class="1234">
<b>D.</b><span> </span>Ovaries.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 262.<span> </span>Pure gonadal dysgenesis will be diagnosed in the presence of:</span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Bilateral streak gonads.</div>
<div class="1234">
<b>B.</b><span> </span>Bilateral dysgenetic gonads.</div>
<div class="1234">
<b>C.<span> </span></b>One side streak and other dysgenetic gonads.</div>
<div class="1234">
<b>D.</b><span> </span>One side streak and other normal looking gonad.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 263.<span> </span>Cut-off value of cervical length at 24 weeks of gestation for
prediction of preterm delivery is:</span></div>
<div class="1234">
<b>A.</b><span> </span>0.5 cm.</div>
<div class="1234">
<b>B.</b><span> </span>1.5 cm.</div>
<div class="1234">
<b>C.<span> </span></b>2.5 cm.</div>
<div class="1234">
<b>D.</b><span> </span>3.5 cm.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 264.<span> </span>All of the following may be observed in a normal pregnancy <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Fall in serum iron concentration.</div>
<div class="1234">
<b>B.</b><span> </span>Increase in serum iron binding capacity.</div>
<div class="1234">
<b>C.<span> </span></b>Increase in blood viscosity.</div>
<div class="1234">
<b>D.</b><span> </span>Increase in blood oxygen carrying capacity.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 265.<span> </span>Pyometra is a complication associated with all of the following
conditions <i>except</i>:<span> </span></span><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="1234">
<b>A.</b><span> </span>Carcinoma of the vulva.</div>
<div class="1234">
<b>B</b><b>.</b><span> </span>Carcinoma of the cervix.</div>
<div class="1234">
<b>C.<span> </span></b>Carcinoma of endometrium.</div>
<div class="1234">
<b>D.</b><span> </span>Pelvic radiotherapy.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 266.<span> </span>A hypertensive pregnant woman at 34 weeks comes with history of
pain in abdomen, bleeding per vaginum and loss of fetal movements. On
examination the uterus is contracted with increased uterine tone. Fetal heart
sounds are absent. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Placenta praevia.</div>
<div class="1234">
<b>B.</b><span> </span>Hydramnios.</div>
<div class="1234">
<b>C.<span> </span></b>Premature labour.</div>
<div class="1234">
<b>D.</b><span> </span>Abruptio placentae.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 267.<span> </span>Most common cause of first trimester abortion is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Chromosomal abnormalities.</div>
<div class="1234">
<b>B.</b><span> </span>Syphilis.</div>
<div class="1234">
<b>C.<span> </span></b>Rhesus isoimmunisation.</div>
<div class="1234">
<b>D.</b><span> </span>Cervical incompetence.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 268.<span> </span>All of the following are mechanisms of action of emergency
contraception <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Delaying ovulation.</div>
<div class="1234">
<b>B.</b><span> </span>Inhibiting fertilization</div>
<div class="1234">
<b>C.<span> </span></b>Preventing implantation of the fertilized egg.</div>
<div class="1234">
<b>D.</b><span> </span>Interrupting an early pregnancy.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 269.<span> </span>A 20 year old woman gives a history of sharp pain in the lower
abdomen for 2-3 days every month approximately 2 weeks before the menses. The
most probable etiology for her pain is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Endometriosis.</div>
<div class="1234">
<b>B.</b><span> </span>Dysmenorrhea.</div>
<div class="1234">
<b>C.<span> </span></b>Pelvic
tuberculosis.</div>
<div class="1234">
<b>D.</b><span> </span>Mittelschmerz.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 270.<span> </span>A 55-year old women has recurrent urinary retention after a
hysterectomy done for a huge fibroid. The most likely cause is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Atrophic and stenotic urethra.</div>
<div class="1234">
<b>B.</b><span> </span>Lumbar disc prolapse.</div>
<div class="1234">
<b>C.<span> </span></b>Injury to the bladder neck.</div>
<div class="1234">
<b>D.</b><span> </span>Injury to the hypogastric plexi.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 271.<span> </span>A 45 year old female is having bilateral ovarian mass, ascites and
omental caking on CT scan. There is high possibility that patient is having:</span></div>
<div class="1234">
<b>A.</b><span> </span>Benign ovarian tumour.</div>
<div class="1234">
<b>B.</b><span> </span>Malignant epithelial ovarian tumor.</div>
<div class="1234">
<b>C.<span> </span></b>Dysgerminoma of ovary</div>
<div class="1234">
<b>D.</b><span> </span>Lymphoma of ovary.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Ophthalmology</div>
<div class="Ques">
<span style="color: windowtext;">Q 272.<span> </span>A vitreous aspirate has been collected in an emergency at 9 pm.
What advice you like to give to the staff on duty regarding the overnight
storage of the sample:</span></div>
<div class="1234">
<b>A.</b><span> </span>The sample should be kept at 4ºC.</div>
<div class="1234">
<b>B.</b><span> </span>The sample should be incubated at 37ºC.</div>
<div class="1234">
<b>C.<span> </span></b>The sample should be refrigerated in deep freezer.</div>
<div class="1234">
<b>D.</b><span> </span>The sample should be refrigerated for the
initial 3 hours and then incubated at 37ºC.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 273.<span> </span>A 20 year old man complains of difficulty in reading the newspaper
with his right eye, three weeks after sustaining a gun shot injury to his left
eye. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Macular edema</div>
<div class="1234">
<b>B.</b><span> </span>Sympathetic ophthalmia.</div>
<div class="1234">
<b>C.<span> </span></b>Optic nerve avulsion.</div>
<div class="1234">
<b>D.</b><span> </span>Delayed vitreous hemorrhage.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 274.<span> </span>A recurrent bilateral conjunctivitis occurring with the onset of
hot weather in young boys with symptoms of burning, itching, and lacrimation
with polygonal raised areas in the palpebral conjunctiva is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Trachoma</div>
<div class="1234">
<b>B.</b><span> </span>Phlyctenular conjunctivitis.</div>
<div class="1234">
<b>C.<span> </span></b>Mucopurulent conjunctivitis.</div>
<div class="1234">
<b>D.</b><span> </span>Vernal keratoconjunctivitis.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 275.<span> </span>A patient is on follow-up with you after enucleation of a painful
blind eye. After enucleation of the eyeball, a proper sized artificial
prosthetic eye is advised after a postoperative period of:</span></div>
<div class="1234">
<b>A.</b><span> </span>About 10 days.</div>
<div class="1234">
<b>B.</b><span> </span>About 20 days</div>
<div class="1234">
<b>C.<span> </span></b>6 to 8 weeks.</div>
<div class="1234">
<b>D.</b><span> </span>12 to 24 weeks.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 276.<span> </span>A patient using contact lens develops corneal infection. Laboratory
diagnosis of acanthamoeba keratitis was established. The following is the best
drug for treatment:</span></div>
<div class="1234">
<b>A.</b><span> </span>Propamidine.</div>
<div class="1234">
<b>B.</b><span> </span>Neosporine.</div>
<div class="1234">
<b>C.<span> </span></b>Ketoconazole.</div>
<div class="1234">
<b>D.</b><span> </span>Polyhexamethylene biguanide.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 277.<span> </span>“SAFE strategy” has been developed for the control of:</span></div>
<div class="1234">
<b>A.</b><span> </span>Onchocerciasis.</div>
<div class="1234">
<b>B.</b><span> </span>Trachoma.</div>
<div class="1234">
<b>C.<span> </span></b>Refractive error.</div>
<div class="1234">
<b>D.</b><span> </span>Ocular trauma.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 278.<span> </span>In a patient with AIDS chorioretinitis is typically caused by:</span></div>
<div class="1234">
<b>A.</b><span> </span><i>Cytomegalovirus.</i></div>
<div class="1234">
<b>B.</b><span> </span><i>Toxoplasma gondii.</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Cryptococcus neoformans</i>.</div>
<div class="1234">
<b>D.</b><span> </span><i>Histoplasma capsulatum.</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 279.<span> </span>Vortex vein invasion is commonly seen in:</span></div>
<div class="1234">
<b>A.</b><span> </span>Retinoblastoma.</div>
<div class="1234">
<b>B.</b><span> </span>Malignant melanoma.</div>
<div class="1234">
<b>C.<span> </span></b>Optic nerve gliomas.</div>
<div class="1234">
<b>D.</b><span> </span>Medullo-epitheliomas.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 280.<span> </span>Hereditary retinoblastomas develop the following chromosomal
deletion:</span></div>
<div class="1234">
<b>A.</b><span> </span>13 q 14.</div>
<div class="1234">
<b>B.</b><span> </span>13 p 14.</div>
<div class="1234">
<b>C.<span> </span></b>14 p 13.</div>
<div class="1234">
<b>D.</b><span> </span>14 q 13.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques" style="margin-top: 5pt;">
<span style="color: windowtext;">Q 281. <span> </span>A one-year old child having leucocoria was
detected to be having a unilateral, large retinoblastoma filling half the
globe. Current therapy would involve:</span></div>
<div class="1234">
<b>A.</b><span> </span>Enucleation.</div>
<div class="1234">
<b>B.</b><span> </span>Chemotherapy followed by local dyes.</div>
<div class="1234">
<b>C.<span> </span></b>Direct Laser ablation using photo dynamic cryotherapy.</div>
<div class="1234">
<b>D.</b><span> </span>Scleral radiotherapy followed by chemo-therapy.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 282.<span> </span>A child has got a congenital cataract involving the visual axis
which was detected by the parents right at birth. This child should be
operated:</span></div>
<div class="1234">
<b>A.</b><span> </span>Immediately.</div>
<div class="1234">
<b>B.</b><span> </span>At 2 months of age.</div>
<div class="1234">
<b>C.<span> </span></b>At 1 year of age when the globe becomes normal sized.</div>
<div class="1234">
<b>D.</b><span> </span>After 4 years when entire ocular and orbital
growth become normal.1</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques" style="margin-top: 5pt;">
<span style="color: windowtext;">Q 283.<span> </span>A lady wants LASIK surgery for her daughter.
She asks for your opinion. All the following things are suitable for performing
LASIK, <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Myopia of –4 Diopters.</div>
<div class="1234">
<b>B.</b><span> </span>Age of 15 years.</div>
<div class="1234">
<b>C.<span> </span></b>Stable refraction for 1 year.</div>
<div class="1234">
<b>D.</b><span> </span>Corneal thickness of 600 microns.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ans">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 284.<span> </span>Fasanella Servat operation is specifically indicated in:</span></div>
<div class="1234">
<b>A.</b><span> </span>Congenital ptosis.</div>
<div class="1234">
<b>B.</b><span> </span>Steroid induced ptosis.</div>
<div class="1234">
<b>C.<span> </span></b>Myasthenia gravis.</div>
<div class="1234">
<b>D.</b><span> </span>Horner’s syndrome.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 285.<span> </span>The operation of plication of inferior lid retractors is indicated
in:</span></div>
<div class="1234">
<b>A.</b><span> </span>Senile ectropion.</div>
<div class="1234">
<b>B.</b><span> </span>Senile entropion.</div>
<div class="1234">
<b>C.<span> </span></b>Cicatricial entropion.</div>
<div class="1234">
<b>D.</b><span> </span>Paralytic entropion.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Otorhinolaryngology</div>
<div class="Ques">
<span style="color: windowtext;">Q 286.<span> </span>A 5 year old boy has been diagnosed to have posterior superior
retraction pocket cholesteatoma. All would constitute part of the management, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Audiometery</div>
<div class="1234">
<b>B.<span> </span></b>Mastoid exploration</div>
<div class="1234">
<b>C.<span> </span></b>Tympanoplasty</div>
<div class="1234">
<b>D.<span> </span></b>Myringoplasty</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques" style="margin-top: 7pt;">
<span style="color: windowtext;">Q 287.<span> </span><span style="letter-spacing: -0.75pt;">A 31 year
old female patient complains of bilateral impairment of hearing for the past 5
years. On examination, tympanic membrane is normal and audiogram shows a
bilateral conductive deafness. Impedance audiometry shows As type of curve and
acoustic reflexes are absent. All constitute part of treatment, <i>except</i></span>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hearing aid<span> </span><b>B.<span> </span></b>Stapedectomy</div>
<div class="1234">
<b>C.<span> </span></b>Sodium fluoride<span> </span><b>D.<span> </span></b>Gentamicin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques" style="margin-top: 7pt;">
<span style="color: windowtext;">Q 288.<span> </span><span style="letter-spacing: -0.75pt;">A middle
aged male comes to the out patient department (OPD) with the only complaint of
hoarseness of voice for the past 2 years. He has been a chronic smoker for 30
years. On examination, a reddish area of mucosal irregularity overlying a
portion of both cords was seen. Management would include all, <i>except</i>:</span></span></div>
<div class="1234">
<b>A.<span> </span></b>Cessation of smoking</div>
<div class="1234">
<b>B.<span> </span></b>Bilateral cordectomy</div>
<div class="1234">
<b>C.<span> </span></b>Microlaryngeal surgery for biopsy</div>
<div class="1234">
<b>D.<span> </span></b>Regular follow-up</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques" style="margin-top: 7pt;">
<br /></div>
<div class="Ques" style="margin-top: 7pt;">
<span style="color: windowtext;">Q 289.<span> </span>Type I thyroplasty is for:</span></div>
<div class="1234">
<b>A.</b><span> </span>Vocal cord medialization</div>
<div class="1234">
<b>B.</b><span> </span>Vocal cord laterlization.</div>
<div class="1234">
<b>C.<span> </span></b>Vocal cord shortening.</div>
<div class="1234">
<b>D.</b><span> </span>Vocal cord lengthening.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques" style="margin-top: 7pt;">
<span style="color: windowtext;">Q 290.<span> </span>Carharts notch in audiogram is deepest
frequency of:</span></div>
<div class="1234">
<b>A.</b><span> </span>0.5 KHz.<b><span> </span>B.</b><span> </span>2 KHz.</div>
<div class="1234">
<b>C.<span> </span></b>4 KHz.<b><span> </span>D.</b><span> </span>8 KHz.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Radiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 291.<span> </span>High resolution computed tomography of <span style="letter-spacing: -0.75pt;">the chest is the ideal modality for evaluating:</span></span></div>
<div class="1234">
<b>A.</b><span> </span>Pleural effusion.</div>
<div class="1234">
<b>B.</b><span> </span>Interstitial lung disease.</div>
<div class="1234">
<b>C.<span> </span></b>Lung mass.</div>
<div class="1234">
<b>D.</b><span> </span>Mediastinal adenopathy.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 292.<span> </span>Which one of the following is a recognized X-Ray feature of
rheumatoid arthritis ?</span></div>
<div class="1234">
<b>A.</b><span> </span>Juxta-articular osteosclerosis</div>
<div class="1234">
<b>B.</b><span> </span>Sacroilitis.</div>
<div class="1234">
<b>C.<span> </span></b>Bone erosions.</div>
<div class="1234">
<b>D.</b><span> </span>Peri-articular calcification.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 293.<span> </span>A 25 year old man presented with fever, cough, expectoration and
breathlessness of 2 months duration. Contrast enhanced computed tomography of
the chest showed bilateral upper lobe fibrotic lesions and mediastinum had
enlarged necrotic nodes with peripheral rim enhancement. Which one of the
following is the most probable diagnosis?</span></div>
<div class="1234">
<b>A.</b><span> </span>Sarcoidosis<span> </span><b>B.</b><span> </span>Tuberculosis</div>
<div class="1234">
<b>C.<span> </span></b>Lymphoma<span> </span><b>D.</b><span> </span>Silicosis</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 294.<span> </span>Fraying and cupping of metaphyses of long bones in a child does not
occur in:<span> </span></span></div>
<div class="1234">
<b>A.</b><span> </span>Rickets.<span> </span></div>
<div class="1234">
<b>B.</b><span> </span>Lead poisoning.</div>
<div class="1234">
<b>C.<span> </span></b>Metaphyseal dysplasia.</div>
<div class="1234">
<b>D.</b><span> </span>Hypophosphatasia.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 295.<span> </span>A classical expansive lytic lesion in the transverse process of a
vertebra is seen in:<span> </span></span></div>
<div class="1234">
<b>A.</b><span> </span>Osteosarcoma.</div>
<div class="1234">
<b>B.</b><span> </span>Aneurysmal bone cyst.</div>
<div class="1234">
<b>C.<span> </span></b>Osteoblastoma.</div>
<div class="1234">
<b>D.</b><span> </span>Metastasis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 296.<span> </span>CT scan of a patient with history of head injury shows a biconvex
hyperdense lesion displacing the grey-white matter interface. The most likely
diagnosis is:</span></div>
<div class="1234">
<b>A.</b><span> </span>Subdural hematoma.</div>
<div class="1234">
<b>B.</b><span> </span>Diffuse axonal injury.</div>
<div class="1234">
<b>C.<span> </span></b>Extradural hematoma.</div>
<div class="1234">
<b>D.</b><span> </span>Hemorrhagic contusion.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 297.<span> </span>Which of the following is the best choice to evaluate
radiologically a posterior fossa tumor?</span></div>
<div class="1234">
<b>A.</b><span> </span>CT scan.</div>
<div class="1234">
<b>B.</b><span> </span>MRI.</div>
<div class="1234">
<b>C.<span> </span></b>Angiography.</div>
<div class="1234">
<b>D.</b><span> </span>Myelography.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 298. <span> </span>The following seperation technique depends on the molecular size of
the of the protein:</span></div>
<div class="1234">
<b>A.</b><span> </span>Chromatography on a carboxymethyl (CM)
cellulose column</div>
<div class="1234">
<b>B.<span> </span></b>Iso-electric focusing.</div>
<div class="1234">
<b>C.<span> </span></b>Gel filtration chromatography</div>
<div class="1234">
<b>D.</b><span> </span>Chromatography on diethylaminoethyl (DEAE)
cellulose column</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 299.<span> </span>The substance present in the gall bladder stones or the kidney
stones can be best identified by the following techniques:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fluorescence spectroscopy</div>
<div class="1234">
<b>B.<span> </span></b>Electron microscopy</div>
<div class="1234">
<b>C.<span> </span></b>Nuclear magnetic resonance</div>
<div class="1234">
<b>D.<span> </span></b>X-ray diffraction</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q </span>300.<span> </span>Which of the following radio-isotopes is
commonly used as a source for external beam radiotherapy in the treatment of
cancer patients:</div>
<div class="1234">
<b>A.</b><span> </span>Strontium-89</div>
<div class="1234">
<b>B.</b><span> </span>Radium-226</div>
<div class="1234">
<b>C.<span> </span></b>Cobalt-59</div>
<div class="1234">
<b>D.</b><span> </span>Cobat-60</div>
<div class="Ans">
Ans.<span> </span>D<span style="text-transform: uppercase;"></span></div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-45262501889245712142012-01-07T18:52:00.000-08:002012-01-07T18:52:50.836-08:00ALL INDIA 2004<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head">
anatomy</div>
<div class="Ques">
<span style="color: windowtext;">Q 1.<span> </span>After radical mastectomy there was injury to the long thoracic
nerve. The integrity of the nerve can be tested at the bedside by asking the
patient to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Shrug the shoulders.</div>
<div class="1234">
<b>B.<span> </span></b>Raise the arm above the head on the affected side.</div>
<div class="1234">
<b>C.<span> </span></b>Touch the opposite shoulder.</div>
<div class="1234">
<b>D.<span> </span></b>Lift a heavy object from the ground.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 2.<span> </span>The intricately and prodigiously looped system of veins and
arteries that lie on the surface of the epididymis is known as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Choroid plexus.</div>
<div class="1234">
<b>B.<span> </span></b>Tuberal plexus.</div>
<div class="1234">
<b>C.<span> </span></b>Pampiniform plexus.</div>
<div class="1234">
<b>D.<span> </span></b>Pectiniform septum.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 3.<span> </span>The movement at the following joint permits a person to look
towards the right or left:</span></div>
<div class="1234">
<b>A.<span> </span></b>Atlanto-occipital joint.</div>
<div class="1234">
<b>B.<span> </span></b>Atlanto-axial joint.</div>
<div class="1234">
<b>C.<span> </span></b>C2-C3 joint.</div>
<div class="1234">
<b>D.<span> </span></b>C3-C4 joint.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 4.<span> </span>The first costochondral joint is a:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fibrous joint.</div>
<div class="1234">
<b>B.<span> </span></b>Synovial joint.</div>
<div class="1234">
<b>C.<span> </span></b>Syndesmosis.</div>
<div class="1234">
<b>D.<span> </span></b>Synchondrosis.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 5.<span> </span>The articular cartilage is characterized by all of the
following features <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is devoid of perichondrium.</div>
<div class="1234">
<b>B.<span> </span></b>It has a rich nerve supply.</div>
<div class="1234">
<b>C.<span> </span></b>It is avascular.</div>
<div class="1234">
<b>D.<span> </span></b>It lacks the capacity to regenerate.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 6.<span> </span>All of the following are catagorised as secondary lymphoid
organs <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lymph nodes.</div>
<div class="1234">
<b>B.<span> </span></b>Spleen.</div>
<div class="1234">
<b>C.<span> </span></b>Thymus.</div>
<div class="1234">
<b>D.</b> <span> </span>Subepithelial
collections of lymphocytes.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 7.<span> </span>While exposing the kidney from behind, all of the following
nerves are liable to injury, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lateral cutaneus nerve of thigh.</div>
<div class="1234">
<b>B.<span> </span></b>Ilioinguinal nerve.</div>
<div class="1234">
C. <span> </span>Subcostal
nerve.</div>
<div class="1234">
<b>D.<span> </span></b>Iliohypogastric nerve.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 8.<span> </span>Infection/inflammation of all of the following, causes enlarged
superficial inguinal lymph nodes <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Isthmus of uterine tube.</div>
<div class="1234">
<b>B.<span> </span></b>Inferior port of anal canal.</div>
<div class="1234">
<b>C.<span> </span></b>Big toe.</div>
<div class="1234">
<b>D.<span> </span></b>Penile urethra.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 9.<span> </span>An inhaled foreign body is likely to lodge in the right lung
due to all of the following features <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Right lung is shorter and wider than left lung.</div>
<div class="1234">
<b>B.<span> </span></b>Right principal bronchus is more vertical than the left
bronchus.</div>
<div class="1234">
<b>C.<span> </span></b>Tracheal bifurcation directs the foreign body to the right lung.</div>
<div class="1234">
<b>D.<span> </span></b>Right inferior lobar bronchus is in continuation with the
principal bronchus.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Physiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 10.<span> </span>One intern calculated the concentration of O</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>in blood as 0.0025 ml/ml of blood. Considering
atmospheric pressure as 760 mmHg, how much approximately O</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;"><span> </span>tension could have been in the blood?</span></div>
<div class="1234">
<b>A.<span> </span></b>40 mmHg.</div>
<div class="1234">
<b>B.<span> </span></b>60 mmHg.</div>
<div class="1234">
<b>C.<span> </span></b>80 mmHg.</div>
<div class="1234">
<b>D.<span> </span></b>100 mmHg.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 11.<span> </span>To which of the following family of chemical mediators of
inflammation, the Lipoxins belong?</span></div>
<div class="1234">
<b>A.<span> </span></b>Kinin system.</div>
<div class="1234">
<b>B.<span> </span></b>Cytokines.</div>
<div class="1234">
<b>C.<span> </span></b>Chemokines.</div>
<div class="1234">
<b>D.<span> </span></b>Arachidonic acid metabolites.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 12.<span> </span>The main excitatory neurotransmitter in the CNS is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Glycine.</div>
<div class="1234">
<b>B.<span> </span></b>Acetylcholine.</div>
<div class="1234">
<b>C.<span> </span></b>Aspartate.</div>
<div class="1234">
<b>D.<span> </span></b>Glutamate.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 13.<span> </span>During the cardiac cycle the opening of the aortic valve takes
place at the:</span></div>
<div class="1234">
<b>A.<span> </span></b>Beginning of systole.</div>
<div class="1234">
<b>B.<span> </span></b>End of isovolumetric contraction.</div>
<div class="1234">
<b>C.<span> </span></b>End of diastole.</div>
<div class="1234">
<b>C.<span> </span></b>End of diastasis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 14.<span> </span>The patients having acute cardiac failure do not show oedema,
because:</span></div>
<div class="1234">
<b>A.<span> </span></b>The plasma oncotic pressure is high.</div>
<div class="1234">
<b>B.<span> </span></b>There is renal compensation.</div>
<div class="1234">
<b>C.<span> </span></b>Increased cardiac output.</div>
<div class="1234">
<b>D.<span> </span></b>There is a fall in the systemic capillary hydrostatic pressure.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 15.<span> </span>The force of muscle contraction can be increased by all of the
following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increasing the frequency of activation of motor units.</div>
<div class="1234">
<b>B.<span> </span></b>Increasing the number of motor units activated.</div>
<div class="1234">
<b>C.<span> </span></b>Increasing the amplitude of action potentials in the motor
neurons.</div>
<div class="1234">
<b>D.<span> </span></b>Recruiting larger motor units.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 16.<span> </span>During acclimatization to high altitude all of the following take
place, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increase in minute ventilation.</div>
<div class="1234">
<b>B.<span> </span></b>Increase in the sensitivity of central chemoreceptors.</div>
<div class="1234">
<b>C.<span> </span></b>Increase in the sensitivity of carotid body to hypoxia.</div>
<div class="1234">
<b>D.<span> </span></b>Shift in the oxygen dissociation curve to the left.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 17.<span> </span>Duchenne Muscular Dystrophy is a disease of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neuromusculer junction.</div>
<div class="1234">
<b>B.<span> </span></b>Sarcolemmal proteins.</div>
<div class="1234">
<b>C.<span> </span></b>Muscle contractile proteins.</div>
<div class="1234">
<b>D.<span> </span></b>Disuse atrophy due to muscle weakness.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 18.<span> </span>Sertoli cells have receptors for:</span></div>
<div class="1234">
<b>A.<span> </span></b>Inhibin.</div>
<div class="1234">
<b>B.<span> </span></b>Luteinising hormone.</div>
<div class="1234">
<b>C.<span> </span></b>Follicle stimulating hormone.</div>
<div class="1234">
<b>D.<span> </span></b>Melatonin.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 19.<span> </span>Before the onset of puberty the GnRH neurons are under the
inhibitory control of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Glycine.</div>
<div class="1234">
<b>B.<span> </span></b>Glutamate.</div>
<div class="1234">
<b>C.<span> </span></b>Gamma amino butyric acid (GABA).</div>
<div class="1234">
<b>D.<span> </span></b>Beta-endorphin.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 20.<span> </span>The enzyme associated with the conversion of androgen to
oestrogen in the growing ovarian follicle is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Desmolase.</div>
<div class="1234">
<b>B.<span> </span></b>Isomerase.</div>
<div class="1234">
<b>C.<span> </span></b>Aromatase.</div>
<div class="1234">
<b>D.<span> </span></b>Hydroxylase.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 21.<span> </span>Which of the following is a membrane-bound enzyme that catalyzes
the formation of cyclic AMP from ATP ?</span></div>
<div class="1234">
<b>A.<span> </span></b>Tyrosine kinase.</div>
<div class="1234">
<b>B.<span> </span></b>Polymerase.</div>
<div class="1234">
<b>C.<span> </span></b>ATP synthase.</div>
<div class="1234">
<b>D.<span> </span></b>Adenlylate cyclase.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 22.<span> </span>A small Ca</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">2+</span><span style="color: windowtext;"><span> </span>binding protein
that modifies the activity of many enzymes and other proteins in response to
changes of Ca</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">2+</span><span style="color: windowtext;"><span> </span>concentration, is known as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cycline.</div>
<div class="1234">
<b>B.<span> </span></b>Calmodulin.</div>
<div class="1234">
<b>C.<span> </span></b>Collagen.</div>
<div class="1234">
<b>D.<span> </span></b>Kinesin.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 23.<span> </span>The transmembrane region of a protein is likely to have:</span></div>
<div class="1234">
<b>A.<span> </span></b>A stretch of hydrophilic amino acids.</div>
<div class="1234">
<b>B.<span> </span></b>A stretch of hydrophobic amino acids.</div>
<div class="1234">
<b>C.<span> </span></b>A disulphide loop.</div>
<div class="1234">
<b>D.<span> </span></b>Alternating hydrophilic and hydrophobic amino acids.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 24.<span> </span>In which of the following forms the antidiuretic hormone (ADH) is
circulated in plasma?</span></div>
<div class="1234">
<b>A.<span> </span></b>Bound to neurophysin-I.</div>
<div class="1234">
<b>B.</b><span> </span>Bound to neurophysin-II.</div>
<div class="1234">
<b>C.</b><span> </span>Bound to plasma albumin.<span> </span></div>
<div class="1234">
<b>D.</b><span> </span>Free form.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 25.<span> </span>A newly posted junior doctor had difficulty in finding out base
deficit /access for blood in given patient. An experienced senior resident gave
him advise to find out quick method to determine acid-base composition of blood
based on PCO</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext;">. Which
of the following method he suggested to predict acid-base composition of blood?</span></div>
<div class="1234">
<b>A.<span> </span></b>Red ford nomogram.</div>
<div class="1234">
<b>B.<span> </span></b>DuBio’s nomogram.</div>
<div class="1234">
<b>C.<span> </span></b>Goldman constant field equation.</div>
<div class="1234">
<b>D.<span> </span></b>Siggaard-Andersen nomogram.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Biochemistry</div>
<div class="Ques">
<span style="color: windowtext;">Q 26. <span> </span>The most abundant glycoprotein present in basement membrane is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Laminin.</div>
<div class="1234">
<b>B.<span> </span></b>Fibronectin.</div>
<div class="1234">
<b>C.<span> </span></b>Collagen type 4.</div>
<div class="1234">
<b>D.<span> </span></b>Heparan sulphate.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 27.<span> </span>Shine-Dalgarno sequence in bacterial mRNA is near:</span></div>
<div class="1234">
<b>A.<span> </span></b>AUG codon.</div>
<div class="1234">
<b>B.<span> </span></b>UAA codon.</div>
<div class="1234">
<b>C.<span> </span></b>UAG codon.</div>
<div class="1234">
<b>D.<span> </span></b>UGA codon.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 28.<span> </span>An enzyme that makes a double stranded DNA copy from a single
stranded RNA template molecule is known as:</span></div>
<div class="1234">
<b>A.</b><span> </span>DNA polymerase.</div>
<div class="1234">
<b>B.</b><span> </span>RNA polymerase.</div>
<div class="1234">
<b>C.</b><span> </span>Reverse transcriptase.</div>
<div class="1234">
<b>D.</b><span> </span>Phosphokinase.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 29.<span> </span>A segment of an eucaryotic gene that is not represented in the
mature mRNA, is known as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Intron.</div>
<div class="1234">
<b>B.<span> </span></b>Exon.</div>
<div class="1234">
<b>C.<span> </span></b>Plasmid.</div>
<div class="1234">
<b>D.<span> </span></b>TATA box.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 30.<span> </span>A person on a fat free carbohydrate rich diet continues to grow
obese. Which of the following lipoproteins is likely to be elevated in his
blood?</span></div>
<div class="1234">
<b>A.<span> </span></b>Chylomicrons.</div>
<div class="1234">
<b>B</b>.<span> </span>VLDL.</div>
<div class="1234">
<b>C.</b><span> </span>LDL.</div>
<div class="1234">
<b>D</b><span> </span> HDL.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 31.<span> </span>A genetic disorder renders fructose 1,6- bisphosphatase in liver
less sensitive to regulation by fructose 2,6-bisphosphate. All of the following
metabolic changes are observed in this disorder, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Level of fructose 1,6-bisphosphate is higher than normal.</div>
<div class="1234">
<b>B.</b><span> </span>Level of fructose 1,6-bisphosphate is lower
than normal.</div>
<div class="1234">
<b>C.</b><span> </span>Less pyruvate is formed.</div>
<div class="1234">
<b>D.</b><span> </span>Less ATP is generated.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 32.<span> </span>Xeroderma pigmentosum is produced as a result of a defect in:</span></div>
<div class="1234">
<b>A.<span> </span></b>DNA polymerase II.</div>
<div class="1234">
<b>B.</b><span> </span>DNA polymerase I.</div>
<div class="1234">
<b>C.</b><span> </span>DNA exonuclease.</div>
<div class="1234">
<b>D.</b><span> </span>DNA ligase.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 33.<span> </span>RNA polymerase does not require:</span></div>
<div class="1234">
<b>A.</b><span> </span>Template (ds DNA).</div>
<div class="1234">
<b>B.</b><span> </span>Activated precursors (ATP, GTP, UTP, CTP).</div>
<div class="1234">
<b>C.</b><span> </span>Divalent metal ions (Mn<span style="font-size: 6.5pt; position: relative; top: -5pt;">2+</span>, Mg<span style="font-size: 6.5pt; position: relative; top: -5pt;">2+</span>).</div>
<div class="1234">
<b>D.</b><span> </span>Primer.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 34.<span> </span>Radio isotopes are used in the following techniques, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mass spectroscopy.</div>
<div class="1234">
<b>B.<span> </span></b>RIA.</div>
<div class="1234">
<b>C.<span> </span></b>ELISA.</div>
<div class="1234">
<b>D.<span> </span></b>Sequencing of nucleic acid.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 35.<span> </span>Alpha helix and beta pleated sheet are examples of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Primary structure.</div>
<div class="1234">
<b>B.</b><span> </span>Secondary structure.</div>
<div class="1234">
<b>C.</b><span> </span>Tertiary structure.</div>
<div class="1234">
<b>D.</b><span> </span>Quaternary structure.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 36.<span> </span>Which of the following substances acts to increase the release of
Ca</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">++</span><span style="color: windowtext;"><span> </span>from endoplasmic reticulum ?</span></div>
<div class="1234">
<b>A.<span> </span></b>Inositol triphosphate.</div>
<div class="1234">
<b>B.<span> </span></b>Parathyroid hormone.</div>
<div class="1234">
<b>C.<span> </span></b>1,25-dihydroxy cholecalciferol.</div>
<div class="1234">
<b>D.<span> </span></b>Diacyl glycerol.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques" style="margin-top: 4pt;">
<span style="color: windowtext;">Q 37.<span> </span>Which of the following elements is known to
influence the body’s ability to handle oxidative stress?</span></div>
<div class="1234">
<b>A.<span> </span></b>Calcium.</div>
<div class="1234">
<b>B.<span> </span></b>Iron.</div>
<div class="1234">
<b>C.<span> </span></b>Potassium.</div>
<div class="1234">
<b>D.<span> </span></b>Selenium.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 38.<span> </span>In which of the following conditions the level of creatinine
kinase-1 increases?</span></div>
<div class="1234">
<b>A.<span> </span></b>Myocardial ischemia.</div>
<div class="1234">
<b>B.<span> </span></b>Brain ischemia.</div>
<div class="1234">
<b>C.<span> </span></b>Kidney damage.</div>
<div class="1234">
<b>D.<span> </span></b>Electrical cardioversion.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 39.<span> </span>Proteins targeted for destruction in eukaryotes are covalently
linked to:</span></div>
<div class="1234">
<b>A.</b> Clathrin.</div>
<div class="1234">
<b>B.<span> </span></b>Pepsin.</div>
<div class="1234">
<b>C.</b><span> </span>Laminin.</div>
<div class="1234">
<b>D.<span> </span></b>Ubiquitin</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 40.<span> </span>Which of the following can be a homologous substitution for
valine in hemoglobin?</span></div>
<div class="1234">
<b>A.<span> </span></b>Isoleucine.</div>
<div class="1234">
<b>B.<span> </span></b>Glutamic acid.</div>
<div class="1234">
<b>C.<span> </span></b>Phenylalanine.</div>
<div class="1234">
<b>D.<span> </span></b>Lysine.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 41.<span> </span>Which of the following groups of proteins assist in the folding
of other proteins?</span></div>
<div class="1234">
<b>A.<span> </span></b>Proteases.</div>
<div class="1234">
<b>B.<span> </span></b>Proteosomes.</div>
<div class="1234">
<b>C.<span> </span></b>Templates.</div>
<div class="1234">
<b>D.<span> </span></b>Chaperone.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 42.<span> </span>Cytochrome C of the bacteria has 50% identity of amino acid
sequence with that of human. Which of the following is the most conserved
parameter in these two proteins?</span></div>
<div class="1234">
<b>A.<span> </span></b>Quaternary structure.</div>
<div class="1234">
<b>B.<span> </span></b>Tertiary structure.</div>
<div class="1234">
<b>C.<span> </span></b>Amino acid sequence.</div>
<div class="1234">
<b>D.<span> </span></b>Loop and turn segments.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Microbiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 43.<span> </span>Which of the following statements is true about hapten?</span></div>
<div class="1234">
<b>A.<span> </span></b>It induces brisk immune response.</div>
<div class="1234">
<b>B.<span> </span></b>It needs carrier to induce immune response.</div>
<div class="1234">
<b>C.<span> </span></b>It is a T-independent antigen.</div>
<div class="1234">
<b>D.<span> </span></b>It has no association with MHC.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 44.<span> </span>Regarding gas gangrene, one of the following is correct:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is due to <i>Clostridium botulinum</i> infection.</div>
<div class="1234">
<b>B.<span> </span></b>Clostridial species are gram-negative spore forming anaerobes.</div>
<div class="1234">
<b>C.<span> </span></b>The clinical features are due to the release of protein
endotoxin.</div>
<div class="1234">
<b>D.<span> </span></b>Gas is invariably present in the muscle compartments.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 45.<span> </span>The following statements are true about DPT vaccine <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Aluminium salt has an adjuvant effect.</div>
<div class="1234">
<b>B.<span> </span></b>Whole killed bacteria of <i>Bordetella pertussis </i>has an
adjuvant effect.</div>
<div class="1234">
<b>C.<span> </span></b>Presence of acellular pertussis component increases its
immunogenicity.</div>
<div class="1234">
<b>D.<span> </span></b>Presence of <i>H. influenza type B </i>component increases its
immunogenicity.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 46.<span> </span>A 20 year-old man presented with hemorrhagic colitis. The stool
sample grew <i>Escherichia coli </i>in pure culture. The following serotype of <i>E.
coli </i>is likely to be the causative agent:</span></div>
<div class="1234">
<b>A.<span> </span></b>O157 : H7.</div>
<div class="1234">
<b>B.<span> </span></b>O159 : H7.</div>
<div class="1234">
<b>C.<span> </span></b>O107 : H7.</div>
<div class="1234">
<b>D.<span> </span></b>O55 : H7.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 47.<span> </span><i>Haemophilus influenzae</i> has been isolated from the CSF of a
two-year old boy suffering from meningitis. The strain is beta-Iactamase
producing and resistant to chloramphenicol. The most appropriate antimicrobial
choice in such a situation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Trimethoprim-sulphamethoxazole combination.</div>
<div class="1234">
<b>B.<span> </span></b>Ciprofloxacin.</div>
<div class="1234">
<b>C.<span> </span></b>Third-generation cephalosporin.</div>
<div class="1234">
<b>D.<span> </span></b>Vancomycin.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 48.<span> </span>A 30 year-old woman with a bad obstetric history presents with
fever. The blood culture from the patient grows Gram-positive small to medium
coccobacilli that are pleomorphic, occurring in short chains. Direct wet mount
from the culture shows tumbling motility. The most likely organism is:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Listeria monocytogenes.</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Corynebacterium sp.</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Enterococcus sp.</i></div>
<div class="1234">
<b>D.<span> </span></b><i>Erysipelothrix rhusiopathiae.</i></div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 49.<span> </span>The most common agent associated with neonatal bacterial
meningitis is:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Haemophilus influenzae type b.</i></div>
<div class="1234">
<b>B.<span> </span></b><i>Neisseria meningitidis</i>.</div>
<div class="1234">
<b>C.<span> </span></b><i>Streptococcus pneumoniae</i>.</div>
<div class="1234">
<b>D.<span> </span></b><i>Streptococcus agalactiae</i>.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 50.<span> </span>In all of the following bacterial diarrhoeas toxins are
implicated as a major pathogenetic mechanism, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Vibrio cholerae</i>.</div>
<div class="1234">
<b>B.<span> </span></b><i>Shigella sp.</i></div>
<div class="1234">
<b>C.<span> </span></b><i>Vibrio parahaemolyticus</i>.</div>
<div class="1234">
<b>D.<span> </span></b><i>Staphylococcus aureus</i>.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 51.<span> </span>A young pregnant woman presents with fulminant hepatic failure.
The most likely aetiological agent is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hepatitis B virus.</div>
<div class="1234">
<b>B.<span> </span></b>Hepatitis C virus.</div>
<div class="1234">
<b>C.<span> </span></b>Hepatitis E virus.</div>
<div class="1234">
<b>D.<span> </span></b>Hepatitis A virus.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 52.<span> </span>All of the following clinical features are associated with
Enteroviruses, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Myocarditis.</div>
<div class="1234">
<b>B.<span> </span></b>Pleurodynia.</div>
<div class="1234">
<b>C.<span> </span></b>Herpangina.</div>
<div class="1234">
<b>D.<span> </span></b>Hemorrhagic fever.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 53.<span> </span>Which of the following statements is true regarding ARBO viruses?</span></div>
<div class="1234">
<b>A.<span> </span></b>Yellow fever is endemic in India.</div>
<div class="1234">
<b>B.<span> </span></b>Dengue virus has only one serotype.</div>
<div class="1234">
<b>C.<span> </span></b>Kyasanur Forest disease (KFD) is transmitted by ticks.</div>
<div class="1234">
<b>D.<span> </span></b>Mosquito of <i>Culex vishnui</i>-complex is the vector of Dengue
fever.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 54.<span> </span>Laboratory diagnosis of viral respiratory tract infections can be
established by all of the following tests, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Detection of virus specific IgM antibodies in single serum
specimen.</div>
<div class="1234">
<b>B.<span> </span></b>Demonstration of viral antigens by indirect immuno-fluorescence
assay in nasopharyngeal washings.</div>
<div class="1234">
<b>C.<span> </span></b>Isolation of viruses using centrifugation enhanced culture.</div>
<div class="1234">
<b>D.<span> </span></b>Detection of viral heamagglutination inhibiting (HAl) antibodies
in a single serum specimen.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 55.<span> </span>All of the following statements are true regarding poliovirus, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is transmitted by feco-oral route.</div>
<div class="1234">
<b>B.<span> </span></b>Asymptomatic infections are common in children.</div>
<div class="1234">
<b>C.<span> </span></b>There is a single serotype causing infection.</div>
<div class="1234">
<b>D.<span> </span></b>Live attenuated vaccine produces herd immunity.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 56.<span> </span>A 25 year old woman had premature rupture of membranes and
delivered a male child who became lethargic and apneic on the 1st day of birth
and went into shock. The mother had a previous history of abortion one year
back. On culture, her vaginal swab growth of </span><span style="color: windowtext; font-family: Symbol;">b</span><span style="color: windowtext;">-haemolytic
colonies on blood agar was found. On staining these were found to be gram
positive cocci. Which of the following is the most likely etiological agent?</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Streptococcus pyogenes</i>.</div>
<div class="1234">
<b>B.<span> </span></b><i>Streptococcus agalactiae</i>.</div>
<div class="1234">
<b>C.<span> </span></b><i>Peptostreptococci</i>.</div>
<div class="1234">
<b>D.<span> </span></b><i>Enterococcus faecium</i>.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 57.<span> </span>A farmer presenting with fever off-and-on for the past 4 years
was diagnosed to be suffering from chronic brucellosis. All of the following
serological tests would be helpful in the diagnosis at this stage, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Standard agglutination test.</div>
<div class="1234">
<b>B.<span> </span></b>2 Mercapto-ethanol test.</div>
<div class="1234">
<b>C.<span> </span></b>Complement fixation test.</div>
<div class="1234">
<b>D.</b><span> </span>Coombs’ test.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 58.<span> </span>A man, after skinning a dead animal, developed a pustule on his
hand. A smear prepared from the lesion showed the presence of gram positive
bacilli in long chains which were positive for McFadyean’s reaction. The most
likely aetiological agent is:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Clostridium tetani</i>.</div>
<div class="1234">
<b>B.<span> </span></b><i>Listeria monocytogenes</i>.</div>
<div class="1234">
<b>C.<span> </span></b><i>Bacillus anthracis</i>.</div>
<div class="1234">
<b>D.</b> <span> </span><i>Actinomyces
sp.</i></div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 59.<span> </span>Which of the following toxins acts by inhibiting protein
synthesis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cholera toxin.</div>
<div class="1234">
<b>B.</b><span> </span>Shiga toxin.</div>
<div class="1234">
<b>C.<span> </span></b>Pertussis toxin.</div>
<div class="1234">
<b>D.<span> </span></b>LT of enterotoxigenic <i>E.coli</i>.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 60.<span> </span>A 20 years old male patient presents to the STD clinic with a
genital ulcer. The gram stain of the smear from ulcer shows graim negative
coccobacilli. The most appropriate media for culture would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Thayer-Martin medium.</div>
<div class="1234">
<b>B.<span> </span></b>Blood agar with X & V factors.</div>
<div class="1234">
<b>C.<span> </span></b>Chocolate agar with isovitale X.</div>
<div class="1234">
<b>D.<span> </span></b>Tellurite blood agar.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 61.<span> </span>A microbiologist wants to develop a vaccine for prevention of
attachment of diarrhoeagenic <i>E. coli </i>to the specific receptors in the
gastro-intestinal tract. All of the following fimbrial adhesions would be
appropriate vaccine candidates, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>CFA-l.</div>
<div class="1234">
<b>B.<span> </span></b>P<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span>- Pili.</div>
<div class="1234">
<b>C.<span> </span></b>CS-2.</div>
<div class="1234">
<b>D.<span> </span></b>K 88.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Pathology</div>
<div class="Ques">
<span style="color: windowtext;">Q 62.<span> </span>Which of the following is a procoagulation protein?</span></div>
<div class="1234">
<b>A.<span> </span></b>Thrombomodulin.</div>
<div class="1234">
<b>B.<span> </span></b>Protein C.</div>
<div class="1234">
<b>C.<span> </span></b>Protein S.</div>
<div class="1234">
<b>D.<span> </span></b>Thrombin.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 63.<span> </span>To which of the following events the good outcome in
neuroblastoma is associated with: </span></div>
<div class="1234">
<b>A.<span> </span></b>Diploidy.</div>
<div class="1234">
<b>B.<span> </span></b>N-myc amplification.</div>
<div class="1234">
<b>C.<span> </span></b>Chromosome 1p deletion.</div>
<div class="1234">
<b>D.<span> </span></b>Trk A expression.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 64.<span> </span>Which of the following is an autosomal dominant metabolic
disorder?</span></div>
<div class="1234">
<b>A.<span> </span></b>Cystic fibrosis.</div>
<div class="1234">
<b>B.<span> </span></b>Phenylketoniria.</div>
<div class="1234">
<b>C.<span> </span></b><span style="font-family: Symbol;">a</span>-l antitrypsin
deficiency.</div>
<div class="1234">
<b>D.<span> </span></b>Familial hypercholesterolemia.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 65.<span> </span>The following is not a feature of Alzheimer’s disease:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neurofibrillary tangles.</div>
<div class="1234">
<b>B.<span> </span></b>Senile (neuritic) plaques.</div>
<div class="1234">
<b>C.<span> </span></b>Amyloid angiopathy.</div>
<div class="1234">
<b>D.<span> </span></b>Lewy bodies.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 66.<span> </span>Which of the following is an antiapoptotic gene?</span></div>
<div class="1234">
<b>A.<span> </span></b>C-myc.</div>
<div class="1234">
<b>B.<span> </span></b>P53.</div>
<div class="1234">
<b>C.<span> </span></b>bcl-2.0</div>
<div class="1234">
<b>D.<span> </span></b>bax</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 67.<span> </span>Which is the most common cytogenetic abnormality in adult
myelodysplastic syndrome (MDS)?</span></div>
<div class="1234">
<b>A.<span> </span></b>Trisomy 8</div>
<div class="1234">
<b>B.<span> </span></b>20q<span style="font-size: 6.5pt; position: relative; top: -5pt;">–</span></div>
<div class="1234">
<b>C.<span> </span></b>5q</div>
<div class="1234">
<b>D.<span> </span></b>Monosomy</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 68.<span> </span>All of the following are the good prognostic features for
Hodgkin’s disease, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Haemoglobin > 10 g/dl.</div>
<div class="1234">
<b>B.<span> </span></b>WBC count < 15,000/mm<span style="font-size: 6.5pt; position: relative; top: -5pt;">3</span>.</div>
<div class="1234">
<b>C.<span> </span></b>Absolute lymphocyte count < 600/µl.</div>
<div class="1234">
<b>D.<span> </span></b>Age < 45 years.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 69. <span> </span>A 60 year old male presented with acute chest pain of 4 hours
duration. Electrocardiographic examination revealed new Q wave with ST segment
depression. He succumbed to his illness within 24 hours of admission. The heart
revealed presence of a transmural haemorrhagic area over the septum and
anterior wall of the left ventricle. Light microscopic examination is most
likely to reveal:</span></div>
<div class="1234">
<b>A.<span> </span></b>Edema in between normal myofibres.</div>
<div class="1234">
<b>B.<span> </span></b>Necrotic myofibres with presence of neutrophils.</div>
<div class="1234">
<b>C.<span> </span></b>Coagulative necrosis of the myocytes with presence of
granulation tissue.</div>
<div class="1234">
<b>D.<span> </span></b>Infiltration by histiocytes with haemosiderin laden macrophages.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 70.<span> </span>Splenic macrophages in Gaucher’s disease differ from those in
ceroid histiocytosis by staining positive for:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lipids.</div>
<div class="1234">
<b>B.<span> </span></b>Phospholipids.</div>
<div class="1234">
<b>C.<span> </span></b>Acid fast stain.</div>
<div class="1234">
<b>D.<span> </span></b>Iron.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 71.<span> </span>All of the following statements about Hairy cell leukaeumia are
true, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Splenomegaly is conspicuous.</div>
<div class="1234">
<b>B.<span> </span></b>Results from an expansion of neoplastic T lymphocytes.</div>
<div class="1234">
<b>C.<span> </span></b>Cells are positive for Tartarate Resistant Acid Phosphatase
(TRAP).</div>
<div class="1234">
<b>D.<span> </span></b>The cells express CD25 consistently.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 72.<span> </span>A 12 year old girl with tremors and emotional lability has a
golden brown discoloration of Descemet’s membrane. The most likely diagnosis
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fabry’s disease.</div>
<div class="1234">
<b>B.<span> </span></b>Wilson disease.</div>
<div class="1234">
<b>C.<span> </span></b>Glycogen storage disease.</div>
<div class="1234">
<b>D.<span> </span></b>Acute rheumatic fever.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 73.<span> </span>The blood in the vessels normally does not clot because:</span></div>
<div class="1234">
<b>A.<span> </span></b>Vitamin K antagonists are present in plasma.</div>
<div class="1234">
<b>B.<span> </span></b>Thrombin has a positive feedback on plasminogen.</div>
<div class="1234">
<b>C.<span> </span></b>Sodium citrate in plasma chelates calcium ions.</div>
<div class="1234">
<b>D.<span> </span></b>Vascular endothelium is smooth and coated with glycocalyx.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 74.<span> </span>A 37 year old multipara construction labourer has a blood picture
showing hypochromic anisocytosis. This is most likely indicative of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Iron deficiency.</div>
<div class="1234">
<b>B.<span> </span></b>Folic deficiency.</div>
<div class="1234">
<b>C.<span> </span></b>Malnutrition.</div>
<div class="1234">
<b>D.<span> </span></b>Combined iron and folic acid deficiency.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques" style="margin-top: 4pt;">
<span style="color: windowtext;">Q 75.<span> </span>Disseminated intravascular coagulation (DIC)
differs from thrombotic thrombocytopenic purpura. In this reference the DIC is
most likely characterized by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Significant numbers of schistocytes.</div>
<div class="1234">
<b>B.<span> </span></b>A brisk reticulocytosis.</div>
<div class="1234">
<b>C.<span> </span></b>Decreased coagulation factor levels.</div>
<div class="1234">
<b>D.<span> </span></b>Significant thrombocytopenia.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Pharmacology</div>
<div class="Ques">
<span style="color: windowtext;">Q 76.<span> </span>All of the following anticancer agents cause bone marrow
depression, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Chlorambucil.</div>
<div class="1234">
<b>B.<span> </span></b>Daunorubicin.</div>
<div class="1234">
<b>C.<span> </span></b>Doxorubicin.</div>
<div class="1234">
<b>D.<span> </span></b>Flutamide.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 77.<span> </span>Morphine can be used in all of the following conditions, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Head injury.</div>
<div class="1234">
<b>B.<span> </span></b>Asthma.</div>
<div class="1234">
<b>C.<span> </span></b>Hypothyroidism.</div>
<div class="1234">
<b>D.<span> </span></b>Diabetes.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 78.<span> </span>Clinically significant drug interaction occurs between pyridoxine
and all the following drugs, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Isoniazid.</div>
<div class="1234">
<b>B.<span> </span></b>Cyclosporine.</div>
<div class="1234">
<b>C.<span> </span></b>Levodopa.</div>
<div class="1234">
<b>D.<span> </span></b>Hydralazine.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 79.<span> </span>All of the following statements about an alpha- glucosidase
inhibitor are true, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Reduces intestinal absorption of carbohydrates.</div>
<div class="1234">
<b>B.<span> </span></b>Effective in both type 1 and 2 diabetes mellitus.</div>
<div class="1234">
<b>C.<span> </span></b>Hypoglycemia is a common and serious side effect.</div>
<div class="1234">
<b>D.<span> </span></b>Can be used with other oral hypoglycemic agents.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 80.<span> </span>Which one of the following statements about biguanides is not
true?</span></div>
<div class="1234">
<b>A.<span> </span></b>Do not stimulate insulin release.</div>
<div class="1234">
<b>B.<span> </span></b>Decrease hepatic glucose production.</div>
<div class="1234">
<b>C.<span> </span></b>Renal dysfunction is not a contraindication for their use.</div>
<div class="1234">
<b>D.<span> </span></b>Can be combined with sulfonylureas.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 81.<span> </span>Which of the following statements is not true about tacrolimus?</span></div>
<div class="1234">
<b>A.<span> </span></b>It is a macrolide antibiotic.</div>
<div class="1234">
<b>B.<span> </span></b>It is indicated for the prophylaxis of organ transplant rejection.</div>
<div class="1234">
<b>C.<span> </span></b>Glucose intolerance is a well recognized side effect.</div>
<div class="1234">
<b>D.<span> </span></b>It can be safely administered with any nephrotoxic drug.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 82.<span> </span>Sympathomimetic drugs are useful in the therapy of all of the
following conditions, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Acute decompensated heart failure.</div>
<div class="1234">
<b>B.<span> </span></b>Hypotension.</div>
<div class="1234">
<b>C.<span> </span></b>Hypertension.</div>
<div class="1234">
<b>D.<span> </span></b>Erectile dysfunction.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 83.<span> </span>Which of the following is not an adverse effect of chronic
amiodarone therapy:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pulmonary fibrosis.</div>
<div class="1234">
<b>B.<span> </span></b>Hypothyroidism.</div>
<div class="1234">
<b>C.<span> </span></b>Hyperthyroidism.</div>
<div class="1234">
<b>D.<span> </span></b>Systemic lupus erythematosus.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 84.<span> </span>In which of the following phases of clinical trial of drugs
ethical clearance is not required?</span></div>
<div class="1234">
<b>A.<span> </span></b>Phase I.</div>
<div class="1234">
<b>B.<span> </span></b>Phase II.</div>
<div class="1234">
<b>C.<span> </span></b>Phase III.</div>
<div class="1234">
<b>D.<span> </span></b>Phase IV.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 85.<span> </span>Which of the following is not a nucleoside reverse transcriptase
inhibitor?</span></div>
<div class="1234">
<b>A.<span> </span></b>Zalcitabine.</div>
<div class="1234">
<b>B.<span> </span></b>Lamivudine.</div>
<div class="1234">
<b>C.<span> </span></b>Nevirapine.</div>
<div class="1234">
<b>D.<span> </span></b>Didanosine.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques" style="margin-top: 5pt;">
<span style="color: windowtext;">Q 86.<span> </span>Which of the following antimicrobials has
anti-pseudomonal action:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cefpodoxime proxetil.</div>
<div class="1234">
<b>B.<span> </span></b>Ceforanide.</div>
<div class="1234">
<b>C.<span> </span></b>Cefotetan.</div>
<div class="1234">
<b>D.<span> </span></b>Cefoperazone.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 87.<span> </span>Which of the following statements is not true regarding
sulfonamides:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sulfasalazine is absorbed well from gastrointestinal tract.</div>
<div class="1234">
<b>B.<span> </span></b>Crystalluria can occur with sulfonamide administration.</div>
<div class="1234">
<b>C.<span> </span></b>Sulfonamide administration to newborn may cause kernicterus.</div>
<div class="1234">
<b>D.<span> </span></b>Sulfonamides are of value in treatment of infections due to <i>Nocardia</i>
species.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 88.<span> </span>Which of the following does not bind to GABA receptor chloride
channels?</span></div>
<div class="1234">
<b>A.<span> </span></b>Ethanol.</div>
<div class="1234">
<b>B.<span> </span></b>Alphaxolone.</div>
<div class="1234">
<b>C.<span> </span></b>Zolpidem.</div>
<div class="1234">
<b>D.<span> </span></b>Buspirone.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques" style="margin-top: 5pt;">
<span style="color: windowtext;">Q 89.<span> </span>A patient of peptic ulcer was prescribed
ranitidine and sucralfate in the morning hours. Why is this combination
incorrect:</span></div>
<div class="1234">
<b>A.<span> </span></b>Ranitidine combines with sucralfate and prevents its action.</div>
<div class="1234">
<b>B.<span> </span></b>Combination of these two drugs produces serious side effects
like agranulocytosis.</div>
<div class="1234">
<b>C.<span> </span></b>Ranitidine decreases the gastric pH so sucralfate is not able to
act.</div>
<div class="1234">
<b>D.<span> </span></b>Sucralfate inhibits absorption of ranitidine.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 90.<span> </span>A 30 year old pregnant woman developed tuberculosis. Which of the
following antitubercular drugs should not be used:</span></div>
<div class="1234">
<b>A.<span> </span></b>INH.</div>
<div class="1234">
<b>B.<span> </span></b>Rifampicin.</div>
<div class="1234">
<b>C.<span> </span></b>Streptomycin.</div>
<div class="1234">
<b>D.<span> </span></b>Ethambutol.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 91.<span> </span>Which of the following fluoroquinolones does not require dose
adjustment in a patient with creatinine clearance of < 50 mg/min?</span></div>
<div class="1234">
<b>A.<span> </span></b>Ciprofloxacin.</div>
<div class="1234">
<b>B.<span> </span></b>Trovafloxacin.</div>
<div class="1234">
<b>C.<span> </span></b>Lomefloxacin.</div>
<div class="1234">
<b>D.<span> </span></b>Sparfloxacin.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 92.<span> </span>Patients suffering from multidrug resistant tuberculosis can be
treated with all the following drugs, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tobramycin.</div>
<div class="1234">
<b>B.<span> </span></b>Amikacin.</div>
<div class="1234">
<b>C.</b><span> </span>Ciprofloxacin.</div>
<div class="1234">
<b>D.<span> </span></b>Clarithromycin.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 93.<span> </span>All the following statements regarding interactions of levodopa
are correct, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>In parkinsonism, phenothiazines reduce its efficacy.</div>
<div class="1234">
<b>B.<span> </span></b>It is a prodrug.</div>
<div class="1234">
<b>C.<span> </span></b>Pyridoxine reduces effect of levodopa in parkinsonism.</div>
<div class="1234">
<b>D.<span> </span></b>Domperidone blocks levodopa induced emesis and its therapeutic
potential.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 94.<span> </span>Which of the following actions is ascribed to delta type of
opioid receptors?</span></div>
<div class="1234">
<b>A.<span> </span></b>Supraspinal analgesis.</div>
<div class="1234">
<b>B.<span> </span></b>Respiratory depression.</div>
<div class="1234">
<b>C.<span> </span></b>Euphoria.</div>
<div class="1234">
<b>D.<span> </span></b>Reduced intestinal motility.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 95.<span> </span>A highly ionized drug:</span></div>
<div class="1234">
<b>A.<span> </span></b>Is excreted mainly by the kidneys</div>
<div class="1234">
<b>B.<span> </span></b>Crosses the placental barrier easily.</div>
<div class="1234">
<b>C.<span> </span></b>Is well absorbed from the intestine.</div>
<div class="1234">
<b>D.<span> </span></b>Is highly protein bound.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 96.<span> </span>A post-operative patient developed septicemia and was empirically
started on combination chemotherapy by a new resident doctor. However, when the
patient did not respond even after 10 days of antibiotics treatment, the review
of the charts was done. It was found that the resident doctor had started the
combination of antibiotics which was mutually antagonistic in action. Which one
of the following is the most likely combination that was given?</span></div>
<div class="1234">
<b>A.<span> </span></b>Vancomycin and Amikacin.</div>
<div class="1234">
<b>B.<span> </span></b>Cephelexin and Gentamicin.</div>
<div class="1234">
<b>C.<span> </span></b>Ampicillin and Chloramphenicol.</div>
<div class="1234">
<b>D.<span> </span></b>Ciprofloxacin and Piperacillin.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Forensic Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 97.<span> </span>BAL is useful in treating poisoning due to all, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lead.</div>
<div class="1234">
<b>B.<span> </span></b>Organic mercury.</div>
<div class="1234">
<b>C.<span> </span></b>Cadmium.</div>
<div class="1234">
<b>D.<span> </span></b>Arsenic.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 98.<span> </span>A 39-year-old carpenter has taken two bottles of liquor from the
local shop. After about an hour he develops confusion, vomiting and blurring of
vision. He has been brought to the emergency out patient. He should be given:</span></div>
<div class="1234">
<b>A.<span> </span></b>Naloxone.</div>
<div class="1234">
<b>B.<span> </span></b>Diazepam.</div>
<div class="1234">
<b>C.<span> </span></b>Flumazenil.</div>
<div class="1234">
<b>D.<span> </span></b>Ethyl alcohol.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 99.<span> </span>Contre-coup injuries are seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Brain.</div>
<div class="1234">
<b>B.<span> </span></b>Heart.</div>
<div class="1234">
<b>C.<span> </span></b>Liver.</div>
<div class="1234">
<b>D.<span> </span></b>Pancreas.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 100.<span> </span>Hydrogen peroxide is used in all the following chemical tests for
blood, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Benzedine test.</div>
<div class="1234">
<b>B.<span> </span></b>Phenophthalein test.</div>
<div class="1234">
<b>C.<span> </span></b>Orthotoluidine test.</div>
<div class="1234">
<b>D.<span> </span></b>Teichmann’s test.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 101.<span> </span>Disputed maternity can be solved by using the following tests <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Blood grouping.</div>
<div class="1234">
<b>B.<span> </span></b>HLA typing.</div>
<div class="1234">
<b>C.<span> </span></b>Preciptin test.</div>
<div class="1234">
<b>D.<span> </span></b>DNA fingerprinting.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 102.<span> </span>In which of the following conditions postmortem caloricity may be
seen in death due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Massive haemorrhage.</div>
<div class="1234">
<b>B.<span> </span></b>Cyanide poisoning.</div>
<div class="1234">
<b>C.<span> </span></b>Corrosive poisoning.</div>
<div class="1234">
<b>D.</b><span> </span>Septicemia.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 103.<span> </span>Deep blue colour of hypostasis is seen in death due to poisoning by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Potassium cyanide.</div>
<div class="1234">
<b>B.<span> </span></b>Phophorus.</div>
<div class="1234">
<b>C.<span> </span></b>Aniline dyes.</div>
<div class="1234">
<b>D.<span> </span></b>Carbon monoxide.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 104.<span> </span>A 25 year old person sustained injury in right eye. He developed
right corneal opacity following the injury. Left eye was already having poor
vision. Corneoplasty of right eye was done and vision was restored.
Medicolegally such injury is labelled as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Grievous.</div>
<div class="1234">
<b>B.<span> </span></b>Simple.</div>
<div class="1234">
<b>C.<span> </span></b>Dangerous.</div>
<div class="1234">
<b>D.<span> </span></b>Serious.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 105.<span> </span>A person was brought by police from the railway platform. He is
talking irrelevant. He is having dry mouth with hot skin, dilated pupils,
staggering gait and slurred speech. The most possible diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Alcohol intoxication.</div>
<div class="1234">
<b>B.<span> </span></b>Carbamates poisoning.</div>
<div class="1234">
<b>C.<span> </span></b>Organophosphorous poisoning.</div>
<div class="1234">
<b>D.<span> </span></b>Datura poisoning.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 106.<span> </span>A convict whose family or relations were not known and no
biological sample was available with jail authorities, escaped trom the jail. A
dead body resembling the convict was found in nearby forest, but due to
mutilation of face, identity could not be established. The positive identity
that he is the same convict who escaped from jail can be established by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Blood grouping.</div>
<div class="1234">
B. <span> </span>DNA
Profile.</div>
<div class="1234">
<b>C.<span> </span></b>Anthropometry.</div>
<div class="1234">
<b>D.<span> </span></b>HLA typing.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 107.<span> </span>The cephalic index of Indian population is between:</span></div>
<div class="1234">
<b>A.<span> </span></b>70-75.</div>
<div class="1234">
<b>B.<span> </span></b>75-80.</div>
<div class="1234">
<b>C.<span> </span></b>80-85.</div>
<div class="1234">
<b>D.<span> </span></b>85-90.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Preventive and Social Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 108.<span> </span>The most common malignant tumor of adult males in india is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Oropharyngeal carcinoma.</div>
<div class="1234">
<b>B.<span> </span></b>Gastric carcinoma.</div>
<div class="1234">
<b>C.<span> </span></b>Colo-rectal carcinoma.</div>
<div class="1234">
<b>D.<span> </span></b>Lung cancer.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 109.<span> </span>The National Population Policy of India has set the following goals
<i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>To bring down total fertility rate (TFR) to replacement levels
by 2015.</div>
<div class="1234">
<b>B.<span> </span></b>To reduce the infant mortality rate to 30 per 1000 live births.</div>
<div class="1234">
<b>C.<span> </span></b>To reduce the maternal mortality rate to 100 per 100,000 live
births.</div>
<div class="1234">
<b>D.<span> </span></b>100 percent registration of births, deaths, marriages and
pregnancies.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 110.<span> </span>The following statements are true about intrauterine devices (IUD),
except:</span></div>
<div class="1234">
<b>A.<span> </span></b>Multiload Cu-375 is a third generation IUD.</div>
<div class="1234">
<b>B.<span> </span></b>The pregnancy rate of Lippes loop and Cu-T 200 are similar.</div>
<div class="1234">
<b>C.<span> </span></b>IUD can be used for emergency contraception within 5 days.</div>
<div class="1234">
<b>D.<span> </span></b>Levonorgestrel releasing IUD has an effective life of 5 years.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 111.<span> </span>All of the following are used as proxy measures for incubation
period <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Latent period.</div>
<div class="1234">
<b>B.<span> </span></b>Period of communicability.</div>
<div class="1234">
<b>C.<span> </span></b>Serial interval.</div>
<div class="1234">
<b>D.<span> </span></b>Generation time.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 112.<span> </span>“Five clean practices” under strategies for elimination of neonatal
tetanus include all <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Clean surface for delivery.</div>
<div class="1234">
<b>B.<span> </span></b>Clean hand of the attendant.</div>
<div class="1234">
<b>C.<span> </span></b>New blade for cutting the cord.</div>
<div class="1234">
<b>D.<span> </span></b>Clean airway.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 113.<span> </span>The current recommendation for breast-feeding is that:</span></div>
<div class="1234">
<b>A.<span> </span></b>Exclusive breast-feeding should be continued till 6 months of
age followed by supplementation with additional foods.</div>
<div class="1234">
<b>B.<span> </span></b>Exclusive breast-feeding should be continued till 4 months of
age followed by supplementation with additional foods.</div>
<div class="1234">
<b>C.<span> </span></b>Colostrum is the most suitable food for a new born baby but it
is best avoided in first 2 days.</div>
<div class="1234">
<b>D.<span> </span></b>The baby should be allowed to breast-feed till one year of age.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 114.<span> </span>According to International Health Regulations, there is no risk of
spread of yellow fever if the Aedes aegypti index remains below:</span></div>
<div class="1234">
<b>A.<span> </span></b>1%.</div>
<div class="1234">
<b>B.<span> </span></b>5%.</div>
<div class="1234">
<b>C.</b><span> </span>8%.</div>
<div class="1234">
<b>D.</b><span> </span>l0%.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 115.<span> </span>The following statements about breast milk are true <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>The maximum milk output is seen at 12 months.</div>
<div class="1234">
<b>B.<span> </span></b>The coefficient of uptake of iron in breast milk is 70%.</div>
<div class="1234">
<b>C.<span> </span></b>Calcium absorption of human milk is better than that of cow’s
milk.</div>
<div class="1234">
<b>D.<span> </span></b>It provides about 65 Kcals per 100 ml.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 116.<span> </span>All of the following statements about leprosy are true <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>MultibacilIary leprosy is diagnosed when there are more than 5
skin patches.</div>
<div class="1234">
<b>B.<span> </span></b>New case detection rate is an indicator for incidence of
leprosy.</div>
<div class="1234">
<b>C.<span> </span></b>A defaulter is defined as a patient who has not taken treatment
tor 6 months or more.</div>
<div class="1234">
<b>D.<span> </span></b>The target for elimination of leprosy is to reduce the
prevalence to less than 1 per 10,000 population.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 117.<span> </span>Multipurpose worker scheme in India was introduced following the
recommendation of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Srivastava Committee.</div>
<div class="1234">
<b>B.<span> </span></b>Bhore Committee.</div>
<div class="1234">
<b>C.<span> </span></b>Kartar Singh Committee.</div>
<div class="1234">
<b>D.<span> </span></b>Mudaliar Committee.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 118.<span> </span>The usefulness of a ‘screening test’ in a community depends on its:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sensitivity.</div>
<div class="1234">
<b>B.<span> </span></b>Specificity.</div>
<div class="1234">
<b>C.<span> </span></b>Reliability.</div>
<div class="1234">
<b>D.<span> </span></b>Predictive value.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 119.<span> </span>If the grading of diabetes is classified as ‘mild’ ‘moderate’ and
‘severe’ the scale of measurement used is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Interval.</div>
<div class="1234">
<b>B.<span> </span></b>Nominal.</div>
<div class="1234">
<b>C.<span> </span></b>Ordinal.</div>
<div class="1234">
<b>D.<span> </span></b>Ratio.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 120.<span> </span>If prevalence of diabetes is 10%, the probability that three people
selected at random from the population will have diabetes is:</span></div>
<div class="1234">
<b>A.<span> </span></b>0.01.</div>
<div class="1234">
<b>B.<span> </span></b>0.03.</div>
<div class="1234">
<b>C.<span> </span></b>0.001.</div>
<div class="1234">
<b>D.<span> </span></b>0.003.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 121.<span> </span>A study began in 1970 with a group of 5000 adults in Delhi who were
asked about their alcohol consumption. The occurrence of cancer was studied in
this group between 1990-1995. This is an example of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cross-sectional study.</div>
<div class="1234">
<b>B.<span> </span></b>Retrospective cohort study.</div>
<div class="1234">
<b>C.</b><span> </span>Concurrent cohort study.</div>
<div class="1234">
<b>D.</b><span> </span>Case-control study.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 122.<span> </span>The most appropriate test to assess the prevalence of tuberculosis
infection in a community is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mass Miniature Radiography.</div>
<div class="1234">
<b>B.<span> </span></b>Sputum examination.</div>
<div class="1234">
<b>C.<span> </span></b>Tuberculin test.</div>
<div class="1234">
<b>D.<span> </span></b>Clinical examination.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 123.<span> </span>A 37 weeks pregnant woman attends an antenatal clinic at a primary
health centre . She has not had any antenatal care till now. The best approach
regarding tetanus immunization in this case would be to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Give a dose of tetanus toxoid (TT) and explain her that it will
not protect the new born and she should take the second dose after four weeks
even if she delivers in the meantime.</div>
<div class="1234">
<b>B.<span> </span></b>Do not waste the TT vaccine as it would anyhow be of no use in
this pregnancy.</div>
<div class="1234">
<b>C.<span> </span></b>Given one dose of TT and explain that it will not be useful for
this pregnancy.</div>
<div class="1234">
<b>D.<span> </span></b>Give her anti-tetanus immunoglobulin along with the TT vaccine.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 124.<span> </span>Dietary changes advocated by WHO for prevention of heart diseases
include all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>A decrease in complex carbohydrate consumption.</div>
<div class="1234">
<b>B.<span> </span></b>Reduction in fat intake to 20 to 30 percent of caloric intake.</div>
<div class="1234">
<b>C.<span> </span></b>Consumption of saturated fats be limited to less than 10 percent
of total energy intake.</div>
<div class="1234">
<b>D.<span> </span></b>Reduction of cholesterol to below 100 mg per 1000 kcal per day.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 125.<span> </span>Essential components of RCH Programme in India include all of the
following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prevention and management of unwanted pregnancies.</div>
<div class="1234">
<b>B.<span> </span></b>Maternal care including antenatal, delivery & post-natal
services.</div>
<div class="1234">
<b>C.<span> </span></b>Reduce the under five mortality to half.</div>
<div class="1234">
<b>D.</b><span> </span>Management of reproductive tract infections
& sexually transmitted infections.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 126.<span> </span>A child aged 4 months was brought to a health worker in the sub
center with complaints of cough and fever. On examination, there was chest
indrawing and respiratory rate was 45 per minute. Which of the following is
best way to manage the child?</span></div>
<div class="1234">
<b>A.<span> </span></b>The child should be classified as a case of pneumonia.</div>
<div class="1234">
<b>B.<span> </span></b>Give an antibiotic and advise mother to give home care.</div>
<div class="1234">
<b>C.<span> </span></b>Reassess the child within 2 days or earlier if the condition
worsens.</div>
<div class="1234">
<b>D.<span> </span></b>Refer urgently to hospital after giving the first dose of an
antibiotic. </div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 127.<span> </span>A 31/2 year old child has not received primary immunization. Which
of the following is the best vaccination advice to such a child?</span></div>
<div class="1234">
<b>A.<span> </span></b>BCG, DPT<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span>, OPV<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span>, and DPT<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>,
OPV<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span> </span>after 4 weeks. </div>
<div class="1234">
<b>B.<span> </span></b>BCG, DT<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span>, OPV<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span>, measles, vitamin
A.</div>
<div class="1234">
<b>C.<span> </span></b>BCG, DPT<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span>, OPV<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span>, measles, vitamin
A.</div>
<div class="1234">
<b>D.<span> </span></b>DT<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">1</span>, DT<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span><span> </span>and booster after I year.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 128.<span> </span>The table below shows the screening test results of disease Z in
relation to the true disease status of the population being tested:</span></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 45pt; margin-right: 0in; padding: 0in;">
<div class="1234" style="border: medium none; margin: 2pt 0in 3pt 6.1pt; padding: 0in; text-indent: -6.1pt;">
<b>Screening<span> </span>Disease Z <span> </span>Total </b></div>
</div>
<div class="1234" style="text-indent: -6.1pt;">
Test<span> </span>Results<span> </span>Yes<span> </span>No</div>
<div class="1234" style="text-indent: -6.1pt;">
Positive<span> </span>400<span> </span>200<span> </span>600</div>
<div class="1234" style="text-indent: -6.1pt;">
Negative<span> </span>100<span> </span>600<span> </span>700</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 45pt; margin-right: 0in; padding: 0in;">
<div class="1234" style="border: medium none; margin: 2pt 0in 4pt 6.1pt; padding: 0in; text-indent: -6.1pt;">
Total<span> </span>500<span> </span>800<span> </span>1300</div>
</div>
<div class="Ques">
<span style="color: windowtext;"><span> </span>The
specificity of the screening test is:</span></div>
<div class="1234">
<b>A.<span> </span></b>70%. <b><span> </span>B.</b><span> </span>75%. </div>
<div class="1234">
<b>C.</b><span> </span>79%. <span> </span><b>D.</b><span> </span>86%.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 129.<span> </span>If each value of a given group of observations is multiplied by 10,
the standard deviation of the resulting observations is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Original standard deviation x 10</div>
<div class="1234">
<b>B.<span> </span></b>Original standard deviation/l0.</div>
<div class="1234">
<b>C.<span> </span></b>Original standard deviation –10.</div>
<div class="1234">
<b>D.<span> </span></b>Original standard deviation itself.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 130.<span> </span>If the systolic blood pressure in a population has a mean of 130
mmHg and a median of 140 mm Hg, the distribution is said to be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Symmetrical.</div>
<div class="1234">
<b>B.<span> </span></b>Positively skewed.</div>
<div class="1234">
<b>C.<span> </span></b>Negatively skewed. </div>
<div class="1234">
<b>D.<span> </span></b>Either positively or negatively skewed, depending on the
standard deviation.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 131.<span> </span>All of the following are the mode of transmission of leprosy, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Breast milk.</div>
<div class="1234">
<b>B.<span> </span></b>Insect bite.</div>
<div class="1234">
<b>C.<span> </span></b>Transplacental spread.</div>
<div class="1234">
<b>D.<span> </span></b>Droplet infection.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 132.<span> </span>Which of the fol1owing is the most reliable method of estimating
blood alcohol level?</span></div>
<div class="1234">
<b>A.<span> </span></b>Cavett’s test.</div>
<div class="1234">
<b>B.<span> </span></b>Breath alcohol analyzer.</div>
<div class="1234">
<b>C.<span> </span></b>Gas liquid chromatography.</div>
<div class="1234">
<b>D.<span> </span></b>Thin layer chromatography.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Medicine</div>
<div class="Ques">
<span style="color: windowtext;">Q 133.<span> </span>Fordyce’s (spots) granules in oral cavity arise from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mucous glands.</div>
<div class="1234">
<b>B.<span> </span></b>Sebaceous glands.</div>
<div class="1234">
<b>C.</b> <span> </span>Taste buds.</div>
<div class="1234">
<b>D.<span> </span></b>Minor salivary glands.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 134.<span> </span>For which of the following diseases the enzyme replacement therapy
is available?</span></div>
<div class="1234">
<b>A.<span> </span></b>Albinism.</div>
<div class="1234">
<b>B.<span> </span></b>Niemann-Pick disease.</div>
<div class="1234">
<b>C.<span> </span></b>Metachromatic leukodystrophy.</div>
<div class="1234">
<b>D.<span> </span></b>Gaucher disease.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 135.<span> </span>Ataxia telangiectasia is characterized by all of the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Chronic sinopulmonary disease.</div>
<div class="1234">
<b>B.<span> </span></b>Decreased levels of <span style="font-family: Symbol;"> a</span>-fetoprotein.</div>
<div class="1234">
<b>C.<span> </span></b>Chromosomal breakage.</div>
<div class="1234">
<b>D.<span> </span></b>IgA deficiency.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 136.<span> </span>Bone marrow transplantation can be used as a treatment for all, <i>except</i>:
</span></div>
<div class="1234">
<b>A.<span> </span></b>Osteopetrosis.</div>
<div class="1234">
<b>B.<span> </span></b>Adrenoleukodystrophy.</div>
<div class="1234">
<b>C.<span> </span></b>Hurler’s syndrome.</div>
<div class="1234">
<b>D.<span> </span></b>Hemochromatosis.</div>
<div class="Ans">
Ans.<span> </span> D</div>
<div class="Ques">
<span style="color: windowtext;">Q 137.<span> </span>Epstein Barr (EB) virus has been implicated in the following
malignancies, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hodgkin’s disease.</div>
<div class="1234">
<b>B.<span> </span></b>Non-Hodgkin’s lymphoma.</div>
<div class="1234">
<b>C.<span> </span></b>Nasopharyngeal carcinoma.</div>
<div class="1234">
<b>D.<span> </span></b>Multiple myeloma.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 138.<span> </span>HBA</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">1C</span><span style="color: windowtext;"><span> </span>level in blood explains:</span></div>
<div class="1234">
<b>A.<span> </span></b>Acute rise of sugar.</div>
<div class="1234">
<b>B.<span> </span></b>Long term status of blood sugar.</div>
<div class="1234">
<b>C.<span> </span></b>Hepatorenal syndrome.</div>
<div class="1234">
<b>D.<span> </span></b>Chronic pancreatitis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 139.<span> </span>Which of the following gene defects is associated with development
of medullary carcinoma of thyroid?</span></div>
<div class="1234">
<b>A.<span> </span></b>Ret proto oncogene.</div>
<div class="1234">
<b>B.<span> </span></b>FAP gene.</div>
<div class="1234">
<b>C.<span> </span></b>Rb gene.</div>
<div class="1234">
<b>D.<span> </span></b>BRCA1 gene.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 140.<span> </span>The most common histologic type of thyroid cancer is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Medullary type.</div>
<div class="1234">
<b>B.<span> </span></b>Follicular type.</div>
<div class="1234">
<b>C.<span> </span></b>Papillary type.</div>
<div class="1234">
<b>D.<span> </span></b>Anaplastic type.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 141.<span> </span>A 40 year old man presented with painless haematuria. Bimnual
examination revealed a ballottable mass over the right flank. Subsequently
right nephrectomy was done and the mass was seen to be composed of cells with
clear cytoplasm. Areas of haemorrhage and necrosis were frequent. Cytogenetic
analysis of this mass is likely to reveal the abnormality of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Chromosome 1.</div>
<div class="1234">
<b>B.<span> </span></b>Chromosome 3.</div>
<div class="1234">
<b>C.<span> </span></b>Chromosome 11.</div>
<div class="1234">
<b>D.<span> </span></b>Chromosome 17.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 142.<span> </span>Serum C</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">3</span><span style="color: windowtext;"><span> </span>is persistently
low in the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Post streptococcal glomerulonephritis.</div>
<div class="1234">
<b>B.<span> </span></b>Membranoproliferative glomerulonephritis.</div>
<div class="1234">
<b>C.<span> </span></b>Lupus nephritis.</div>
<div class="1234">
<b>D.<span> </span></b>Glomerulonephritis related to bacterial endocarditis.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 143.<span> </span>Persistent vomiting most likely causes:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hyperkalaemia.</div>
<div class="1234">
<b>B.<span> </span></b>Acidic urine excretion.</div>
<div class="1234">
<b>C.<span> </span></b>Hypochloraemia.</div>
<div class="1234">
<b>D.<span> </span></b>Hyperventilation.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 144.<span> </span>An 80 year old asymptomatic woman was detected to have a monoclonal
spike on serum electrophoresis (lgG levels 1.5 g/dl). Bone marrow revealed
plasma cells of 8%. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Multiple myeloma.</div>
<div class="1234">
<b>B.<span> </span></b>Indolent myeloma.</div>
<div class="1234">
<b>C.<span> </span></b>Monoclonal gammopathy of unknown significance.</div>
<div class="1234">
<b>D.<span> </span></b>Waldenstrom’s macroglobulinemia.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 145.<span> </span>A 34-year-old rickshaw puller has been using heroin for the past
ten years. One evening his family members found him unconscious. He was brought
to the casualty. On examination he had tachycardia, shallow breathing,
constricted pupils. His blood pressure was 100/70 mmHg. He had brisk bilateral
deep tendon reflexes. The planter reflexes were flexor on both sides. Which of
the following is the best treatment for him?</span></div>
<div class="1234">
<b>A.<span> </span></b>Buprenorphine.</div>
<div class="1234">
<b>B.<span> </span></b>Flumazenil.</div>
<div class="1234">
<b>C.<span> </span></b>Methadone.</div>
<div class="1234">
<b>D.<span> </span></b>Naloxone.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 146.<span> </span>A young man with pulmonary tuberculosis presents with massive
recurrent hemoptysis. For angiographic treatment, which vascular structure
should be evaluated first:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pulmonary artery.</div>
<div class="1234">
<b>B.<span> </span></b>Bronchial artery.</div>
<div class="1234">
<b>C.<span> </span></b>Pulmonary vein.</div>
<div class="1234">
<b>D.<span> </span></b>Superior vena cava.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 147.<span> </span>In which of the following a ‘Coeur en Sabot’ shape of the heart is
seen:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tricuspid atresia.</div>
<div class="1234">
<b>B.<span> </span></b>Ventricular septal defect.</div>
<div class="1234">
<b>C.<span> </span></b>Transposition of great arteries.</div>
<div class="1234">
<b>D.<span> </span></b>Tetralogy of Fallot.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 148.<span> </span>A 55-year old man who has been on bed rest for the past
10 days, complains of breathlessness and chest pain. The chest x-ray is normal.
The next step in investigation should be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lung Ventilation- perfusion scan.</div>
<div class="1234">
<b>B.<span> </span></b>Pulmonary arteriography.</div>
<div class="1234">
<b>C.<span> </span></b>Pulmonary venous wedge angiography.</div>
<div class="1234">
<b>D.<span> </span></b>Echocardiography.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 149.<span> </span>Which of the following brain tumors does not spread via CSF?</span></div>
<div class="1234">
<b>A.<span> </span></b>Germ cell tumours.</div>
<div class="1234">
<b>B.<span> </span></b>Medulloblastoma.</div>
<div class="1234">
<b>C.<span> </span></b>CNS Lymphoma.</div>
<div class="1234">
<b>D.<span> </span></b>Craniopharyngoma.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 150.<span> </span>A 20-year-old male presented with chronic constipation, headache
and palpitations. On examination he had marfanoid habitus, neuromas of tongue,
medullated corneal nerve fibers and a nodule of 2x2 cm size in the left lobe of
thyroid gland. This patient is a case of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Sporadic medullary carcinoma of thyroid.</div>
<div class="1234">
<b>B.<span> </span></b>Familial medullary carcinoma of thyroid.</div>
<div class="1234">
<b>C.<span> </span></b>MEN IIA.</div>
<div class="1234">
<b>D.<span> </span></b>MEN IIB.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 151.<span> </span>Which of the following is the drug of first choice for
Non-Gonococcal Urethritis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Ceftriaxone.</div>
<div class="1234">
<b>B.<span> </span></b>Ciprofloxacin.</div>
<div class="1234">
<b>C.<span> </span></b>Doxycycline.</div>
<div class="1234">
<b>D.<span> </span></b>Minocycline.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 152.<span> </span>In patients with cirrhosis of the liver the site of obstruction in
the portal system is in the:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hepatic vein.</div>
<div class="1234">
<b>B.<span> </span></b>Post sinusoidal.</div>
<div class="1234">
<b>C.<span> </span></b>Extra hepatic portal vein.</div>
<div class="1234">
<b>D.<span> </span></b>Sinusoids.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 153.<span> </span>In Budd Chiari syndrome, the site of venous thrombosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Infrahepatic inferior vena cava.</div>
<div class="1234">
<b>B.<span> </span></b>Infrarenal inferior vena cava.</div>
<div class="1234">
<b>C.<span> </span></b>Hepatic veins.</div>
<div class="1234">
<b>D.<span> </span></b>Portal vein.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 154.<span> </span>Polycystic disease of the kidney may have cysts in all of the
following organs, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lung.</div>
<div class="1234">
<b>B.<span> </span></b>Liver.</div>
<div class="1234">
<b>C.<span> </span></b>Pancreas.</div>
<div class="1234">
<b>D.<span> </span></b>Spleen.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 155.<span> </span>Which of the following is the earliest manifestation of Cushing’s
syndrome?</span></div>
<div class="1234">
<b>A.<span> </span></b>Loss of diurnal variation.</div>
<div class="1234">
<b>B.<span> </span></b>Increased ACTH.</div>
<div class="1234">
<b>C.<span> </span></b>Increased plasma cortisol.</div>
<div class="1234">
<b>D.<span> </span></b>Increased urinary metabolites of cortisol.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 156.<span> </span>A 30 year old woman presented with secondary amenorrhoea for 3
years along with galactorrhoea. The most likely cause of her symptoms would be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Craniopharyngioma.</div>
<div class="1234">
<b>B.<span> </span></b>Prolactinoma.</div>
<div class="1234">
<b>C.<span> </span></b>Meningioma.</div>
<div class="1234">
<b>D.<span> </span></b>Sub-arachnoid haemorrhage.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 157.<span> </span>Webbing of neck, increased carrying angle, low posterior hair line
and short fourth metacarpal are characteristics of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Klinefelter syndrome.</div>
<div class="1234">
<b>B.<span> </span></b>Turner syndrome.</div>
<div class="1234">
<b>C.<span> </span></b>Cri du chat syndrome.</div>
<div class="1234">
<b>D.<span> </span></b>Noonan syndrome.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 158.<span> </span>Males who are sexually under developed with rudimentary testes and
prostate glands, sparse pubic and facial hair, long arms and legs and large
hands & feet are likely to have the chromosome complement of:</span></div>
<div class="1234">
<b>A.<span> </span></b>46, XYY.</div>
<div class="1234">
<b>B.<span> </span></b>46, XY.</div>
<div class="1234">
<b>C.<span> </span></b>46, XXY.</div>
<div class="1234">
<b>D.<span> </span></b>46, X.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 159.<span> </span>Kinky-hair disease is a disorder where an affected child has
peculiar white stubby hair, does not grow, brain degeneration is seen and dies
by age of two years. Mrs A is hesitant about having children because her two
sisters had sons who had died from kinky hair disease. Her mother’s brother
also died of the same condition. Which of the following is the possible mode of
inheritance in her family?</span></div>
<div class="1234">
<b>A.<span> </span></b>X-Iinked recessive.</div>
<div class="1234">
<b>B.<span> </span></b>X-Iinked dominant.</div>
<div class="1234">
<b>C.<span> </span></b>Autosomal recessive.</div>
<div class="1234">
<b>D.<span> </span></b>Autosomal dominant.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 160.<span> </span>A young man finds that every time he eats dairy products he feels
very uncomfortable. His stomach becomes distended. He develops gas and diarrhea
frequently. These symptoms do not appear when he eats foods other than dairy
produts. Which of the following is the most likely enzyme in which this young
man is deficient?</span></div>
<div class="1234">
<b>A.<span> </span></b><span style="font-family: Symbol;">a</span>-amylase.</div>
<div class="1234">
<b>B.<span> </span></b><span style="font-family: Symbol;">b</span>-galactosidase.</div>
<div class="1234">
<b>C.<span> </span></b><span style="font-family: Symbol;">a</span>-glucosidase.</div>
<div class="1234">
<b>D.<span> </span></b>Sucrose.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 161.<span> </span>A 45-year old woman visited her physician with complaints of
increased appetite and thirst with increased frequency of urination. She also
had the symptoms of diminished or impalpable pulses in the feet, besides
gangrene of the feet. Her laboratory findings on the oral glucose tolerance
test are as follows: </span></div>
<div class="1234">
<b>Parameters<span> </span>Fasting<span> </span>1 hr<span> </span>2hr</b></div>
<div class="1234">
<b>Blood glucose<span> </span>155<span> </span>270<span> </span>205</b></div>
<div class="1234">
<b>[mg/dl]</b></div>
<div class="1234">
<b>Urine glucose<span> </span>–ve<span> </span>+++<span> </span>++</b></div>
<div class="1234">
<b>Ketone bodies<span> </span>–ve<span> </span>–ve<span> </span>–ve</b></div>
<div class="Ques">
<span style="color: windowtext; font-weight: normal;"><span> </span></span><span style="color: windowtext;">Which
of the following statements is not correct for the above mentioned case:</span></div>
<div class="1234">
<b>A.<span> </span></b>She was suffering from insulin dependent diabetes mellitus.</div>
<div class="1234">
<b>B.<span> </span></b>She was suffering from non-insulin dependent diabetes mellitus.</div>
<div class="1234">
<b>C.<span> </span></b>She was treated with oral hypoglycemic drugs only when diet
control and exercise could not control the pathological situation.</div>
<div class="1234">
<b>D.<span> </span></b>Knowledge of family history of diabetes mellitus is useful in
predicting the nature of the diabetes.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 162.<span> </span>A middle aged woman, on oral contraceptives for many years,
developed neurological symptoms such as depres-sion. irritability, nervousness
and mental confusion. Her hemoglobin level was 8 g/dl. Biochemical
investigations revealed that she was excreting highly elevated concentrations
of xanthurenic acid in urine. She also showed high levels of triglycerides and
cholesterol in serum.</span></div>
<div class="Ques">
<span style="color: windowtext;"><span> </span>All
the above findings are most probably related to vitamin B</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: 1.5pt;">6</span><span style="color: windowtext;"><span> </span>deficiency caused by prolonged oral
contraceptive use, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Increased urinary xanthurenic acid excretion.</div>
<div class="1234">
<b>B.<span> </span></b>Neurological symptoms by decreased synthesis of biogenic amines.</div>
<div class="1234">
<b>C.<span> </span></b>Decreased hemoglobin level.</div>
<div class="1234">
<b>D.<span> </span></b>Increased triglyceride and cholesterol level.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 163.<span> </span>A 20-year-old woman presents with bilateral conductive deafness,
palpable purpura on the legs and hemoptysis. Radiograph of the chest shows a
thin-walled cavity in left lower zone. Investigations reveal total leukocyte
count I2,000/mm</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">3</span><span style="color: windowtext;">,
red cell casts in the urine and I2,000/mm</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">3</span><span style="color: windowtext;">, serum creatinine 3 mg/dL. What is the most probable
diagnosis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Henoch-Schonlein purpura.</div>
<div class="1234">
<b>B.<span> </span></b>Polyarteritis nodosa.</div>
<div class="1234">
<b>C.<span> </span></b>Wegener’s granulomatosis.</div>
<div class="1234">
<b>D.<span> </span></b>Disseminated tuberculosis.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 164.<span> </span>A woman is admitted with complaints of low-grade fever of 6 weeks
duration. Chest radiograph reveals bihilar adenopathy with clear lung fields.
All of the fol1owing investigations will be useful in differential diagnosis <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>CD4/CD8 counts in the blood.</div>
<div class="1234">
<b>B.<span> </span></b>Serum ACE levels.</div>
<div class="1234">
<b>C.<span> </span></b>CECT of chest.</div>
<div class="1234">
<b>D.<span> </span></b>Gallium scan.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 165.<span> </span>A 15-year-old boy with epilepsy on treatment with combination of
valproate and phenytoin has good control of seizures. Levels of both drugs are
in the therapeutic range. All of the following adverse effects can be
attributed to valproate <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Weight gain of 5 kg.</div>
<div class="1234">
<b>B.<span> </span></b>Serum alanine aminotransaminase 150 IU/L.</div>
<div class="1234">
<b>C.<span> </span></b>Rise in serum ammonia level by 20 mg/dL.</div>
<div class="1234">
<b>D.</b> <span> </span>Lymphadenopathy.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 166.<span> </span>A known sputum positive pulmonary tuberculosis patient currently on
INH, rifampicin, pyrizinamide and ethambutol is found to be HIV positive. His
CD4 count was 100/</span><span style="color: windowtext; font-family: Symbol;">m</span><span style="color: windowtext;">L and viral load was more than 50,000 copies/ml. Which
of the following antiretroviral drugs should be avoided:</span></div>
<div class="1234">
<b>A.<span> </span></b>Indinavir.</div>
<div class="1234">
<b>B.</b><span> </span>Lamivudin.</div>
<div class="1234">
<b>C.<span> </span></b>Ritonavir.</div>
<div class="1234">
<b>D.<span> </span></b>Efavirenz.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 167.<span> </span>An 18-yr-old boy presents with digital gangrene in third and fourth
fingers for last 2 weeks. On examination the blood pressure is 170/110 mm of Hg
and all peripheral pulses were palpable. Blood and urine examinations were
unremarkable. Antinuclear antibodies, antibody to double stranded DNA and
antineutrophil cytoplasmic antibody were negative. The most likely diagnosis
is: </span></div>
<div class="1234">
<b>A.<span> </span></b>Wegener’s granulomatosis.</div>
<div class="1234">
<b>B.<span> </span></b>Polyarteritis nodosa.</div>
<div class="1234">
<b>C.<span> </span></b>Takayasu’s arteritis.</div>
<div class="1234">
<b>D.<span> </span></b>Systemic lupus erythematosus (SLE).</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 168.<span> </span>All of the following are associated with low complement levels <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lupus nephritis.</div>
<div class="1234">
<b>B.<span> </span></b>Mesangio capillary glomerulonephritis.</div>
<div class="1234">
<b>C.<span> </span></b>Diarrhea-associated hemolytic uremic syndrome.</div>
<div class="1234">
<b>D.<span> </span></b>Post-infections glomerulonephritis.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 169.<span> </span>All are true regarding idiopathic edema of women <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>It is due to estrogen mediated sodium retention.</div>
<div class="1234">
<b>B.<span> </span></b>It is not related to menstrual cycles.</div>
<div class="1234">
<b>C.<span> </span></b>There is increased water retention in upright position.</div>
<div class="1234">
<b>D.<span> </span></b>ACE inhibitors can be useful in some cases.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 170.<span> </span>Estimation of the following hormones is useful while investigating
a case of gynaecomastia <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Testosterone.</div>
<div class="1234">
<b>B.<span> </span></b>Prolactin.</div>
<div class="1234">
<b>C.<span> </span></b>Estradiol.</div>
<div class="1234">
<b>D.<span> </span></b>Luteinizing hormone.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q </span><span style="color: windowtext; font-weight: normal;">1</span><span style="color: windowtext;">71.<span> </span>The occurrence of hyperthyroidism following
adminis-tration of supplemental iodine to subjects with endemic iodine
deficiency goiter is known as: </span></div>
<div class="1234">
<b>A.<span> </span></b>Jod-Basedow effect.</div>
<div class="1234">
<b>B.<span> </span></b>Wolff-Chaikoff effect.</div>
<div class="1234">
<b>C.<span> </span></b>Thyrotoxicosis factitia.</div>
<div class="1234">
<b>D.<span> </span></b>de Quervain’s thyroiditis.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 172.<span> </span>In hematuria of glomerular origin the urine is characterized by the
presence of all the Ifollowing <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Red cell casts.</div>
<div class="1234">
<b>B.<span> </span></b>Acanthocytes.</div>
<div class="1234">
<b>C.<span> </span></b>Crenated red cells.</div>
<div class="1234">
<b>D.<span> </span></b>Dysmorphic red cells.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 173.<span> </span>Which one of the following is true regarding HIV infection:</span></div>
<div class="1234">
<b>A.<span> </span></b>Following needle stick injury infectivity is reduced by
administration of nucleoside analogues.</div>
<div class="1234">
<b>B.<span> </span></b>CD4 counts are the best predictors of<span> </span>disease progression.</div>
<div class="1234">
<b>C.<span> </span></b>Infected T cells survive for a month in infected patients.</div>
<div class="1234">
<b>D.<span> </span></b>In latent phase HIV is minimal replication.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 174.<span> </span>All of the following are true about amiodarone induced thyroid
dysfunction <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hyperthyroidism is common in iodine deficient areas.</div>
<div class="1234">
<b>B.<span> </span></b>Hypothyroidism is more common in men.</div>
<div class="1234">
<b>C.<span> </span></b>Amiodarone inhibits deiodinase activity.</div>
<div class="1234">
<b>D.<span> </span></b>Amiodarone therapy is associated with initial reduction of serum
T4 levels.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 175.<span> </span>All of the following are seen in cardiac tamponade <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pulsus paradoxus.</div>
<div class="1234">
<b>B.<span> </span></b>Diastolic collapse of right ventricle on echocardiogram.</div>
<div class="1234">
<b>C.<span> </span></b>Electrical alternans.</div>
<div class="1234">
<b>D.<span> </span></b>Kussmaul’s sign.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques" style="margin-top: 4pt;">
<span style="color: windowtext;">Q 176.<span> </span>All of the following may be used in pregnancy
associated hypertension <i>except</i>:</span></div>
<div class="1234">
<b>A.</b><span> </span>Nifedipine.</div>
<div class="1234">
<b>B.</b><span> </span>Captopril.</div>
<div class="1234">
<b>C.<span> </span></b>Methyldopa.</div>
<div class="1234">
<b>D.<span> </span></b>Hydralazine.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 177.<span> </span>A 60 year old man with rheumatic mitral stenosis with atrial
fibrillation is on therapy for a fast ventricular rate. While on treatment, he
developed a regular pulse of 64/min. The most likely drug being administered
was:</span></div>
<div class="1234">
<b>A.<span> </span></b>Verapamil.</div>
<div class="1234">
<b>B.<span> </span></b>Digoxin.</div>
<div class="1234">
<b>C.<span> </span></b>Grvedilol.</div>
<div class="1234">
<b>D.<span> </span></b>Propranolol.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 178.<span> </span>The best marker to diagnose thyroid related disorders is:</span></div>
<div class="1234">
<b>A.<span> </span></b>T3.</div>
<div class="1234">
<b>B.<span> </span></b>T4.</div>
<div class="1234">
<b>C.<span> </span></b>TSH.</div>
<div class="1234">
<b>D.<span> </span></b>Thyroglobulin.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 179.<span> </span>Elevated serum ferritin, serum iron and percent transferrin
saturation are most consistent with the diagnosis of:</span></div>
<div class="1234">
<b>A.<span> </span></b>Iron deficiency anemia.</div>
<div class="1234">
<b>B.<span> </span></b>Anemia of chronic disease.</div>
<div class="1234">
<b>C.<span> </span></b>Hemochromatosis.</div>
<div class="1234">
<b>D.<span> </span></b>Lead poisoning.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques" style="margin-top: 4pt;">
<span style="color: windowtext;">Q 180.<span> </span>A young male develops fever, followed by
headache, confusional state, focal seizures and a right hemiparesis. The MRI performed
shows bilateral frontotemporal hyperintense lesion. The most likely diagnosis
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Acute pyogenic meningitis.</div>
<div class="1234">
<b>B.<span> </span></b>Herpes simplex encephalitis.</div>
<div class="1234">
<b>C.<span> </span></b>Neurocysticercosis.</div>
<div class="1234">
<b>D.<span> </span></b>Carcinomatous meningitis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 181.<span> </span>A middle aged man presents with paraesthesia of hands and feet.
Examination reveals presence of Mees’ lines in the nails and rain drop
pigmentation in the hands. The most likely causative toxin for the above
mentioned symptoms is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lead.</div>
<div class="1234">
<b>B.<span> </span></b>Arsenic.</div>
<div class="1234">
<b>C.<span> </span></b>Thallium.</div>
<div class="1234">
<b>D.<span> </span></b>Mercury.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 182.<span> </span>All of the following can cause neuropathies with predominant motor
involvement, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Acute inflammatory demyelinating polyneuropathy.</div>
<div class="1234">
<b>B.<span> </span></b>Acute intermittent porphyria.</div>
<div class="1234">
<b>C.<span> </span></b>Lead intoxication.</div>
<div class="1234">
<b>D.<span> </span></b>Arsenic intoxication.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 183.<span> </span>The first investigation of choice in a patient with suspected
subarachnoid haemorrhage should be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Non-contrast computed tomography.</div>
<div class="1234">
<b>B.<span> </span></b>CSF examination.</div>
<div class="1234">
<b>C.<span> </span></b>Magnetic resonance imaging (MRI).</div>
<div class="1234">
<b>D.<span> </span></b>Contrast-enhanced computed tomography.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 184.<span> </span>An HIV positive patient complains of visual disturbances. Fundal
examination shows bilateral retinal exudates and perivascular heamorrahges.
Which of the following viruses are most likely to be responsible for this
retinitis:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Herpes simplex virus</i>.</div>
<div class="1234">
<b>B.<span> </span></b><i>Human herpes virus 8</i>.</div>
<div class="1234">
<b>C.<span> </span></b><i>Cytomegalovirus</i>.</div>
<div class="1234">
<b>D.<span> </span></b><i>Epstein-Barr(EB) virus</i>.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 185.<span> </span>Which of the following viruses is not a common cause of viral
encephalitis ?</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Herpes simplex virus type 2</i>.</div>
<div class="1234">
<b>B.<span> </span></b><i>Japanese encephalitis virus</i>.</div>
<div class="1234">
<b>C.<span> </span></b><i>Nipah virus</i>.</div>
<div class="1234">
<b>D.<span> </span></b><i>Cytomegalovirus</i>.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 186.<span> </span>The most sensitive method for detecting cervical <i>Chlamydia
trachomatis </i>infection is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Direct fluorescent antibody test.</div>
<div class="1234">
<b>B.<span> </span></b>Enzyme immunoassay.</div>
<div class="1234">
<b>C.<span> </span></b>Polymerase chain reaction.</div>
<div class="1234">
<b>D.<span> </span></b>Culture on irradiated McConkey cells.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 187.<span> </span>Which of the following is not an indication for antiphospholipid
antibody testing:</span></div>
<div class="1234">
<b>A.<span> </span></b>Three or more consecutive first trimester pregnancy losses.</div>
<div class="1234">
<b>B.<span> </span></b>Unexplained cerebrovascular accidents. </div>
<div class="1234">
<b>C.</b><span> </span>Early onset severe pre-eclampsia. </div>
<div class="1234">
<b>D.</b><span> </span>Gestational diabetes.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Pediatrics</div>
<div class="Ques">
<span style="color: windowtext;">Q 188.<span> </span>Mr. and Mrs. Annadurai have a 2 month old baby suffering with Down
syndrome. Karyotype of Mrs. Annadurai shows translocation variety of Down
syndrome. Which of the following investigations will you advise to the parents
before the next pregnancy?</span></div>
<div class="1234">
<b>A.<span> </span></b>Triple test.</div>
<div class="1234">
<b>B.<span> </span></b><span style="font-family: Symbol;">a</span>-fetoprotein.</div>
<div class="1234">
<b>C.<span> </span></b>Karyotyping.</div>
<div class="1234">
<b>D.<span> </span></b><span style="font-family: Symbol;">b</span>-human chorionic
gonadotropin (hCG).</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 189.<span> </span>Bacterial meningitis in children (2 months- 12 years of age) is
usually due to the following organisms, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Streptococcus pneumoniae</i>.</div>
<div class="1234">
<b>B.<span> </span></b><i>Neisseria meningitidis</i>.</div>
<div class="1234">
<b>C.<span> </span></b><i>Hemophilus influenzae type B</i>.</div>
<div class="1234">
<b>D.<span> </span></b><i>Listeria monocytogenes</i>.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques" style="margin-top: 3pt;">
<span style="color: windowtext;">Q 190.<span> </span>All of the following are neural tube defects, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Myelomeningocele.</div>
<div class="1234">
<b>B.<span> </span></b>Anencephaly.</div>
<div class="1234">
<b>C.<span> </span></b>Encephalocele.</div>
<div class="1234">
<b>D.<span> </span></b>Holoprosencephaly.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 191.<span> </span>All of the following can cause a white pupillary reflex, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Retinoblastoma.</div>
<div class="1234">
<b>B.<span> </span></b>Cataract.</div>
<div class="1234">
<b>C.<span> </span></b>Retrolental fibroplasia.</div>
<div class="1234">
<b>D.<span> </span></b>Glaucoma.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 192.<span> </span>Retardation of skeletal maturity can be caused by all, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Chronic renal failure.</div>
<div class="1234">
<b>B.<span> </span></b>Hypothyroidism.</div>
<div class="1234">
<b>C.<span> </span></b>Protein energy malnutrition (PEM).</div>
<div class="1234">
<b>D.<span> </span></b>Congenital adrenal hyperplasia.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 193.<span> </span>All of the following are essential features of attention deficit
hyperactivity disease (ADHD), <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lack of concentration.</div>
<div class="1234">
<b>B.<span> </span></b>Impulsivity.</div>
<div class="1234">
<b>C.<span> </span></b>Mental retardation.</div>
<div class="1234">
<b>D.<span> </span></b>Hyperactivity.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 194.<span> </span>A two month old child is able to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Show a positive parachute protective reflex. </div>
<div class="1234">
<b>B.<span> </span></b>Hold head steady in a seated position.</div>
<div class="1234">
<b>C.<span> </span></b>Lift head and chest off a flat surface with extended elbows.</div>
<div class="1234">
<b>D.<span> </span></b>Sustain head level with the body when placed in ventral
suspension.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 195.<span> </span>Drug implicated for prolonging QT interval in a premature baby is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Domperidone.</div>
<div class="1234">
<b>B.<span> </span></b>Metoclopramide.</div>
<div class="1234">
<b>C.<span> </span></b>Cisapride.</div>
<div class="1234">
<b>D.<span> </span></b>Omeprazole.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 196.<span> </span>A 10 month old child weighing 8 kg has Bitot spots in both eyes.
Which of the following is the most appropriate schedule to prescribe vitamin A
to this child?</span></div>
<div class="1234">
<b>A.<span> </span></b>2 lakh units intramuscular (IM) on day 0, 14.</div>
<div class="1234">
<b>B.<span> </span></b>1 lakh units IM on day 0, 14.</div>
<div class="1234">
<b>C.<span> </span></b>2 lakh units IM on day 0, l and 14.</div>
<div class="1234">
<b>D.<span> </span></b>1 lakh units IM on day 0, 1 and 14.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques" style="margin-top: 1pt;">
<br /></div>
<div class="Ques" style="margin-top: 1pt;">
<span style="color: windowtext;">Q 197.<span> </span>All of the following statements are true about
sickle cell disease, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Patient may require frequent blood transfusions.</div>
<div class="1234">
<b>B.<span> </span></b>Acute infection is the most common cause of mortality before 3
years of age.</div>
<div class="1234">
<b>C.<span> </span></b>There is positive correlation between concentration HbS and
polymerization of HbS.</div>
<div class="1234">
<b>D.<span> </span></b>Patient presents early in life before 6 months of age.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 198.<span> </span>In neonatal cholestasis, if the serum gamma-glutamyl-transpeptidase
(gamma GTP) is more than 600 IU/L the most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neonatal hepatitis.</div>
<div class="1234">
<b>B.<span> </span></b>Choledochal cyst.</div>
<div class="1234">
<b>C.<span> </span></b>Sclerosing cholangitis.</div>
<div class="1234">
<b>D.<span> </span></b>Biliary atresia.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 199.<span> </span>The neonatal kidney achieves concentrating ability equivalent to
adult’s kidney by:</span></div>
<div class="1234">
<b>A.<span> </span></b>One year of age.</div>
<div class="1234">
<b>B.<span> </span></b>Eighteen months of age.</div>
<div class="1234">
<b>C.<span> </span></b>Three to six months of age.</div>
<div class="1234">
<b>D.<span> </span></b>Just before puberty.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 200.<span> </span>A five day old, full term male infant was severely cyanotic at
birth. Prostaglandin E was administered initially and later balloon atrial
septostomy was done which showed improvement in oxygenation. The most likely
diagnosis of this infant is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tetrology of Fallot.</div>
<div class="1234">
<b>B.<span> </span></b>Transposition of great vessels.</div>
<div class="1234">
<b>C.<span> </span></b>Truncus arteriosus.</div>
<div class="1234">
<b>D.<span> </span></b>Tricuspid atresia.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 201.<span> </span>Which of the following is the feature of Y chromosome?</span></div>
<div class="1234">
<b>A.<span> </span></b>Acrocentric.</div>
<div class="1234">
<b>B.<span> </span></b>Telocentric.</div>
<div class="1234">
<b>C.<span> </span></b>Submetacentric.</div>
<div class="1234">
<b>D.<span> </span></b>Metacentric.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 202.<span> </span>A 10 year old boy has a fracture of femur. Biochemical evaluation
revealed Hb 11.5 gm/dl and ESR 18 mm 1</span><span style="color: windowtext; font-size: 6.5pt; position: relative; top: -5pt;">st</span><span style="color: windowtext;"><span> </span>hour, Serum
calcium 12.8 mg/dl, serum phosphorus 2.3 mg/dl, alkaline phosphatase 28 KA
units and blood urea 32 mg/dl. Which of the following is the most probable
diagnosis in his case?</span></div>
<div class="1234">
<b>A.<span> </span></b>Nutritional rickets.</div>
<div class="1234">
<b>B.<span> </span></b>Renal rickets.</div>
<div class="1234">
<b>C.<span> </span></b>Hyperparathyroidism.</div>
<div class="1234">
<b>D.<span> </span></b>Skeletal dysplasia.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 203.<span> </span>A 10 month old child presents with two weeks’ history of fever,
vomiting and alteration of sensorium. Cranial CT scan reveals basal exudates
and hydrocephalus. The most likely etiological agent is:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Mycobacterium tuberculosis</i>.</div>
<div class="1234">
<b>B.<span> </span></b><i>Cryptococcus neoformans</i>.</div>
<div class="1234">
<b>C.<span> </span></b><i>Listeria monocytogenes</i>.</div>
<div class="1234">
<b>D.<span> </span></b><i>Streptococcus pneumoniae</i>.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 204.<span> </span>All are the features of absence seizures, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Usually seen in childhood.</div>
<div class="1234">
<b>B.<span> </span></b>3-Hz spike wave in EEG.</div>
<div class="1234">
<b>C.<span> </span></b>Postictal confusion.</div>
<div class="1234">
<b>D.<span> </span></b>Precipitation by hyperventilation.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 205.<span> </span>A 5 year old girl came with history of progressively increasing
pallor since birth and hepatosplenomegaly. Which of the following is the most
relevant test for achieving diagnosis:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hb electrophoresis.</div>
<div class="1234">
<b>B.<span> </span></b>Peripheral smear examination.</div>
<div class="1234">
<b>C.<span> </span></b>Osmotic fragility test.</div>
<div class="1234">
<b>D.</b><span> </span>Bone marrow examination.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 206.<span> </span>A 5 year old child presents with history of fever off-and-on for
past 2 weeks and petechial spots all over the body and increasing pallor for
past 1 month. Examination reveals splenomegaly of 2 cms below costal margin.
The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Acute leukemia.</div>
<div class="1234">
<b>B.<span> </span></b>Idiopathic thrombocytopenic purpura.</div>
<div class="1234">
<b>C.<span> </span></b>Hypersplenism.</div>
<div class="1234">
<b>D.<span> </span></b>Aplastic anemia.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 207.<span> </span>A nine month old boy of Sindhi parents presented to you with
complaints of progressive lethargy, irritability & pallor since 6 months of
age. Examination revealed severe pallor. Investigations showed Hb - 3.8 gm %;
MCV - 58 fl; MCH - 19.4 pg/cell. Blood film shows osmatic fragility is normal
(target cells and normoblasts). X-ray skull shows expansion of erythroid
marrow. Which of the following is the most likely diagnosis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Iron deficiency anemia.</div>
<div class="1234">
<b>B.<span> </span></b>Acute lymphoblastic anemia.</div>
<div class="1234">
<b>C.<span> </span></b>Hemoglobin D disease.</div>
<div class="1234">
<b>D.<span> </span></b>Hereditary spherocytosis.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 208.<span> </span>An infant develops cough and fever. The X- ray examination is
suggestive of bronchopneumonia. All of the following viruses can be the
causative agent, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Parainfluenza viruses</i>.</div>
<div class="1234">
<b>B.<span> </span></b><i>Influenza virus A</i>.</div>
<div class="1234">
<b>C.<span> </span></b><i>Respiratory syncytial virus</i>.</div>
<div class="1234">
<b>D.<span> </span></b><i>Mumps virus</i>.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 209.<span> </span>Screening by using maternal serum fetoproteins helps to detect all
of the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neural tube defects.</div>
<div class="1234">
<b>B.<span> </span></b>Duodenal artesia.</div>
<div class="1234">
<b>C.<span> </span></b>Talipes equinovarus.</div>
<div class="1234">
<b>D.<span> </span></b>Omphalocele.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Dermatology and Venereology</div>
<div class="Ques">
<span style="color: windowtext;">Q 210.<span> </span>Biopsy from a mole on the foot shows cytologic atypia of
melanocytes and diffuse epidermal infiltraton by anaplastic cells, which are
also present in the papillary and reticular dermis. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Melanoma, Clark level IV.</div>
<div class="1234">
<b>B.<span> </span></b>Congenital melanocytic nevus.</div>
<div class="1234">
<b>C. </b><span> </span>Dysplastic
nevus.</div>
<div class="1234">
<b>D.<span> </span></b>Melanoma, Clark level III.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 211.<span> </span>A 30 year old male had severely itchy papulo-vesicular lesions on
extremities, knees, elbows and buttocks for one year. Direct immunofluorescence
staining of the lesions showed IgA deposition at dermo-epidermal junction. The
most probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pemphigus vulgaris.</div>
<div class="1234">
<b>B.<span> </span></b>Bullous pemphigoid.</div>
<div class="1234">
<b>C.<span> </span></b>Dermatitis herpetiformis.</div>
<div class="1234">
<b>D.<span> </span></b>Nummular eczema.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 212.<span> </span>A 5 year old male child has multiple hyperpigmented macules over
the trunk. On rubbing the lesion with the rounded end of a pen, he developed
urticarial wheal, confined to the border of the lesion. The most likely
diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Fixed drug eruption</div>
<div class="1234">
<b>B.<span> </span></b>Lichen planus.</div>
<div class="1234">
<b>C.<span> </span></b>Urticaria pigmentosae</div>
<div class="1234">
<b>D.<span> </span></b>Urticarial vasculitis</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 213.<span> </span>A 25-year-old man presents with recurrent episodes of flexural
eczema, contact urticaria, recurrent skin infections and severe abdominal
cramps and diarrhoea upon taking sea foods. He is suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Seborrheic dermatitis.</div>
<div class="1234">
<b>B.<span> </span></b>Atopic dermatitis.</div>
<div class="1234">
<b>C.<span> </span></b>Airborne contact dermatitis.</div>
<div class="1234">
<b>D.<span> </span></b>Nummular dermatitis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
Psychiatry</div>
<div class="Ques">
<span style="color: windowtext;">Q 214.<span> </span>Ms. B, a 27-year-old nurse had extracurricular interest in trecking
and painting. She broke up relationship with her boy friend. Two months later
she lost interest in her hobbies and was convinced that she would not be able
to work again. She thought life was not worth living and has consumed 60
tablets of phenobarbitone to end her life. She is most likely suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Adjustment disorder.</div>
<div class="1234">
<b>B.<span> </span></b>Conversion disorder.</div>
<div class="1234">
<b>C.<span> </span></b>Depressive disorder.</div>
<div class="1234">
<b>D.<span> </span></b>Post-traumatic stress disorder (PTSD).</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 215.<span> </span>Signs of organic brain damage are evident on:</span></div>
<div class="1234">
<b>A.<span> </span></b>Bender Gestalt test.</div>
<div class="1234">
<b>B.<span> </span></b>Rorschach test.</div>
<div class="1234">
<b>C.<span> </span></b>Sentence Completion test.</div>
<div class="1234">
<b>D.<span> </span></b>Thematic Apperception test.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 216.<span> </span>A 25-year old housewife came to the psychiatry out patient
department (OPD) complaining that her nose was longer than usual. She felt that
her husband did not like her because of the deformity and had developed
relationship with the neighboring girl. Further she complained that people made
fun of her. It was not possible to convince her that there was no deformity.
Her symptoms include:</span></div>
<div class="1234">
<b>A.<span> </span></b>Delusion.</div>
<div class="1234">
<b>B.<span> </span></b>Depersonalization.</div>
<div class="1234">
<b>C.<span> </span></b>Depression.</div>
<div class="1234">
<b>D.<span> </span></b>Hallucination.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 217.<span> </span>A 40-year old man presents to casualty with history of regular and
heavy use of alcohol for ten years and morning drinking for one year. The last
alcohol intake was three days back. There is no history of head injury or
seizures. On examination, there is no icterus, sign of hepatic encephalopathy
or focal neurological sign. The patient had coarse tremors, visual
hallucinations and had disorientation to time. Which of the following is the
best medicine to be prescribed for such a patient?</span></div>
<div class="1234">
<b>A.<span> </span></b>Diazepam.</div>
<div class="1234">
<b>B.<span> </span></b>Haloperidol.</div>
<div class="1234">
<b>C.<span> </span></b>Imipramine.</div>
<div class="1234">
<b>D.<span> </span></b>Naltrexone.</div>
<div class="Ans">
Ans A</div>
<div class="Ques">
<span style="color: windowtext;">Q 218.<span> </span>A 30-year old unmarried woman from a low socio-economic status
family believes that a rich boy staying in her neighborhood is in deep love
with her. The boy clearly denies his love towards this lady. Still the lady
insists that his denial is a secret affirmation of his love towards her. She
makes desperate attempts to meet the boy despite resistance from her family.
She also develops sadness at times when her effort to meet the boy does not
materialize. She is able to maintain her daily routine. She, however, remains
preoccupied with the thoughts of this boy. She is likely to be suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Delusional disorder.</div>
<div class="1234">
<b>B.<span> </span></b>Depression.</div>
<div class="1234">
<b>C.<span> </span></b>Mania.</div>
<div class="1234">
<b>D.<span> </span></b>Schizophrenia.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 219.<span> </span>The non-REM (NREM) sleep is associated with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Frequent dreaming.</div>
<div class="1234">
<b>B.<span> </span></b>Frequent penile erections.</div>
<div class="1234">
<b>C.<span> </span></b>Increased blood pressure.</div>
<div class="1234">
<b>D.<span> </span></b>Night terrors.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 220.<span> </span>A 16 year old boy does not attend school because of the fear of
being harmed by school mates. He thinks that his classmates laugh at and talk
about him. He is even scared of going out to the market. He is most likely
suffering from:</span></div>
<div class="1234">
<b>A.</b><span> </span>Anxiety neurosis.</div>
<div class="1234">
<b>B.<span> </span></b>Manic Depressive Psychosis.</div>
<div class="1234">
<b>C.<span> </span></b>Adjustment reaction.</div>
<div class="1234">
<b>D.<span> </span></b>Schizophrenia.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 221.<span> </span>A 41 year old woman working as an Executive Director is convinced
that the management has denied her promotion by preparing false reports about
her competence and have forged her signatures on sensitive documents so as to
convict her. She files a complaint in the police station and requests for
security. Despite all this she attends to her work and manages the household.
She is suffering from:</span></div>
<div class="1234">
<b>A.<span> </span></b>Paranoid schizophrenia.</div>
<div class="1234">
<b>B.<span> </span></b>Late onset psychosis.</div>
<div class="1234">
<b>C.<span> </span></b>Persistent delusional disorder.</div>
<div class="1234">
<b>D.<span> </span></b>Obsessive Compulsive Disorder.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Head">
Surgery</div>
<div class="Ques">
<span style="color: windowtext;">Q 222.<span> </span>The commonest site of oral cancer among Indian population is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Tongue.</div>
<div class="1234">
<b>B</b>.<span> </span>Floor of mouth.</div>
<div class="1234">
<b>C</b>.<span> </span>Alveobuccal complex.</div>
<div class="1234">
<b>D</b>.<span> </span>Lip.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 223.<span> </span>A 70 year old male who has been chewing tobacco for the past 50
years presents with a six months history of a large, fungating, soft papaillary
lesions in the oral cavity. The lesion has penetrated into the mandible. Lymph
nodes are not palpable. Two biopsies taken from the lesion proper show benign
appearing papillomatosis with hyperkeratosis and acanthosis infiltrating the
subjacent tissues. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Squamous cell papilloma.</div>
<div class="1234">
<b>B.<span> </span></b>Squamous cell carcinoma.</div>
<div class="1234">
<b>C.<span> </span></b>Verrucous carcinoma.</div>
<div class="1234">
<b>D.<span> </span></b>Malignant mixed tumour.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 224.<span> </span>Which of the following is not an indication of RT in pleomorphic
adenoma of parotid:</span></div>
<div class="1234">
<b>A.<span> </span></b>Involvement of deep lobe.</div>
<div class="1234">
<b>B.<span> </span></b>2nd histologically benign recurrence.</div>
<div class="1234">
<b>C.<span> </span></b>Microscopically positive margins.</div>
<div class="1234">
<b>D.<span> </span></b>Malignant transformation.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 225.<span> </span>A 55-year-old male presented with painless terminal hematuria.
Cystoscopic examination revealed a solitary papillary tumor. Histopathological
examination of completety resected tumor is suggestive of grade III
transitional cell carcinoma with no muscle invasion. Further management of this
patient is best done by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Just follow up.</div>
<div class="1234">
<b>B.<span> </span></b>Intravesical chemotherapy.</div>
<div class="1234">
<b>C.<span> </span></b>Intravesical BCG.</div>
<div class="1234">
<b>D.<span> </span></b>Cystectomy.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 226.<span> </span>A 60-year-old male was diagnosed as carcinoma right lung. On CECT
chest there was a tumour of 5 × 5 cm in upper lobe and another 2 × 2 cm size
tumour nodule in middle lobe. The primary modality of treatment is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Radiotherapy.</div>
<div class="1234">
<b>B.<span> </span></b>Chemotherapy.</div>
<div class="1234">
<b>C.<span> </span></b>Surgery.</div>
<div class="1234">
<b>D.<span> </span></b>Supportive treatment.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 227.<span> </span>All of the following are hormonal agents used against breast
cancer, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Letrazole.</div>
<div class="1234">
<b>B.<span> </span></b>Exemestane.</div>
<div class="1234">
<b>C.<span> </span></b>Taxol.</div>
<div class="1234">
<b>D.<span> </span></b>Tamoxifen.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 228.<span> </span>Unilateral undescended testis is ideally operated around:</span></div>
<div class="1234">
<b>A.<span> </span></b>2 months of age.</div>
<div class="1234">
<b>B.<span> </span></b>6 months of age.</div>
<div class="1234">
<b>C.<span> </span></b>12 months of age.</div>
<div class="1234">
<b>D.<span> </span></b>24 months of age.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 229.<span> </span>The short bowel syndrome is characterized by all of the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Diarrhea.</div>
<div class="1234">
<b>B.<span> </span></b>Hypogastrinemia.</div>
<div class="1234">
<b>C.<span> </span></b>Weight loss.</div>
<div class="1234">
<b>D.<span> </span></b>Steatorrhoea.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 230.<span> </span>All of the following are significant risk factors for colonic
carcinoma in an adenomatous polyp, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pedunculated polyp.</div>
<div class="1234">
<b>B.<span> </span></b>Villous histology.</div>
<div class="1234">
<b>C.<span> </span></b>Size >2 cm.</div>
<div class="1234">
<b>D.<span> </span></b>Atypia.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 231.<span> </span>Which one of the following preservatives is used while packing
catgut suture?</span></div>
<div class="1234">
<b>A.<span> </span></b>Isopropyl alcohol.</div>
<div class="1234">
<b>B.<span> </span></b>Colloidal iodine.</div>
<div class="1234">
<b>C.<span> </span></b>Glutaraldehyde.</div>
<div class="1234">
<b>D.<span> </span></b>Hydrogen peroxide.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 232.<span> </span>Which of the following is not an important cause of hyponatraemia?</span></div>
<div class="1234">
<b>A.<span> </span></b>Gastric fistula.</div>
<div class="1234">
<b>B.<span> </span></b>Excessive vomiting.</div>
<div class="1234">
<b>C.<span> </span></b>Excessive sweating.</div>
<div class="1234">
<b>D.<span> </span></b>Prolonged Ryle’s tube aspiration.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 233.<span> </span>Which of the following types of pancreatitis has the best
prognosis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Alcoholic pancreatitis.</div>
<div class="1234">
<b>B.<span> </span></b>Gall stone pancreatitis.</div>
<div class="1234">
<b>C.<span> </span></b>Postoperative pancreatitis.</div>
<div class="1234">
<b>D.<span> </span></b>Idiopathic pancreatitis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 234.<span> </span>Chronically Iymphoedematous limb is predisposed to all of the
following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Thickening of the skin.</div>
<div class="1234">
<b>B.<span> </span></b>Recurrent soft tissue infections.</div>
<div class="1234">
<b>C.<span> </span></b>Marjolin’s ulcer.</div>
<div class="1234">
<b>D.<span> </span></b>Sarcoma.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 235.<span> </span>The most common site of intestinal obstruction in gallstone ileus
is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Jejunum.</div>
<div class="1234">
<b>B.<span> </span></b>Ileum.</div>
<div class="1234">
<b>C.<span> </span></b>Transverse colon.</div>
<div class="1234">
<b>D.<span> </span></b>Sigmoid colon.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 236.<span> </span>Injection sclerotherapy is ideal for the following:</span></div>
<div class="1234">
<b>A.<span> </span></b>External haemorrhoids.</div>
<div class="1234">
<b>B.<span> </span></b>Internal haemorrhoids.</div>
<div class="1234">
<b>C.<span> </span></b>Prolapsed haemorrhoids.</div>
<div class="1234">
<b>D.<span> </span></b>Strangulated haemorrhoids.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 237.<span> </span>For a rectal carcinoma at 5 cm from the anal verge the best
acceptable operation is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Anterior resection.</div>
<div class="1234">
<b>B.<span> </span></b>Abdomino-perineal resection.</div>
<div class="1234">
<b>C.<span> </span></b>Posterior resection.</div>
<div class="1234">
<b>D.<span> </span></b>Local resection.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<br /></div>
<div class="Ques">
<br /></div>
<div class="Ques">
<span style="color: windowtext;">Q 238.<span> </span>Pancreatitis, pituitary tumor and phaeochromocytoma may be associated
with:</span></div>
<div class="1234">
<b>A.<span> </span></b>Medullary carcinoma of the thyroid.</div>
<div class="1234">
<b>B.<span> </span></b>Papillary carcinoma of the thyroid.</div>
<div class="1234">
<b>C.<span> </span></b>Anaplastic carcinoma of the thyroid.</div>
<div class="1234">
<b>D.<span> </span></b>Follicular carcinoma of the thyroid.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 239.<span> </span>Thoracic extension of cervical goiter is usually approached
through:</span></div>
<div class="1234">
<b>A.<span> </span></b>Neck.</div>
<div class="1234">
<b>B.<span> </span></b>Chest.</div>
<div class="1234">
<b>C.<span> </span></b>Combined cervico-thoracic route.</div>
<div class="1234">
<b>D.<span> </span></b>Thoracoscopic.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 240.<span> </span>First treatment of rupture of varicose veins at the ankle should
be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Rest in prone position of patient.</div>
<div class="1234">
<b>B.<span> </span></b>Application of a tourniquet proximally.</div>
<div class="1234">
<b>C.<span> </span></b>Application of a tourniquet distally.</div>
<div class="1234">
<b>D.<span> </span></b>Direct pressure and elevation.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
Orthopaedics</div>
<div class="Ques">
<span style="color: windowtext;">Q 241.<span> </span>In some old fractures, cartilaginous tissue forms over the
fractured bone ends with a cavity in between containing clear fluid. This
condition is called as:</span></div>
<div class="1234">
<b>A.<span> </span></b>Delayed union.</div>
<div class="1234">
<b>B.<span> </span></b>Slow union.</div>
<div class="1234">
<b>C.<span> </span></b>Non union.</div>
<div class="1234">
<b>D.<span> </span></b>Pseudarthrosis.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 242.<span> </span>All of the following can be the complications of a malunited
Colles’ fracture, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Rupture of flexor pollicis longus tendon.</div>
<div class="1234">
<b>B.<span> </span></b>Reflex sympathetic dystrophy (RSD).</div>
<div class="1234">
C. <span> </span>Carpal
tunnel syndrome.</div>
<div class="1234">
<b>D.<span> </span></b>Carpal instability.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 243. <span> </span>In fracture of the olecranon, excision of the proximal fragment is
indicated in all of the following situations, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Old ununited fractures.</div>
<div class="1234">
<b>B.<span> </span></b>Non-articular fracture.</div>
<div class="1234">
<b>C.<span> </span></b>Fracture extending to coronoid process.</div>
<div class="1234">
<b>D.<span> </span></b>Elderly patient.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 244.<span> </span>Aseptic loosening in cemented total hip replacement, occurs as a
result of hypersensitivity response to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Titaneum debris.</div>
<div class="1234">
<b>B.<span> </span></b>High density polythene debris.</div>
<div class="1234">
<b>C.<span> </span></b>N, N- Dimethyltryptamine (DMT).</div>
<div class="1234">
<b>D.<span> </span></b>Free radicals.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 245.<span> </span>Tuberculosis of the spine commonly affects all of the following
parts of the vertebra, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Body.</div>
<div class="1234">
<b>B.<span> </span></b>Lamina.</div>
<div class="1234">
<b>C.<span> </span></b>Spinous process.</div>
<div class="1234">
<b>D.<span> </span></b>Pedicle.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 246.<span> </span>An army recruit, smoker and 6 months into training started
complaining of pain at posterior medial aspect of both legs. There was acute
point tenderness and the pain was aggravated on physical activity. The most
likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Burger’s disease.</div>
<div class="1234">
<b>B.<span> </span></b>Gout.</div>
<div class="1234">
<b>C.<span> </span></b>Lumbar canal stenosis.</div>
<div class="1234">
<b>D.<span> </span></b>Stress fracture.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 247.<span> </span>Management plan for osteogenic sarcoma of the lower end of femur
must include:</span></div>
<div class="1234">
<b>A.<span> </span></b>Radiotherapy - amputation - chemotherapy.</div>
<div class="1234">
<b>B.<span> </span></b>Surgery alone.</div>
<div class="1234">
<b>C.<span> </span></b>Chemotherapy - limb salvage surgery - chemotherapy.</div>
<div class="1234">
<b>D.<span> </span></b>Chemotherapy + radiotherapy.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 248.<span> </span>The management of fat embolism includes all the following, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Oxygen.</div>
<div class="1234">
<b>B.<span> </span></b>Heparinization.</div>
<div class="1234">
<b>C.<span> </span></b>Low Molecular weight dextran.</div>
<div class="1234">
<b>D.<span> </span></b>Pulmonary embolectomy.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 249.<span> </span>A 25 year old male with roadside accident underwent debridement and
reduction of fractured both bones right forearm under axillary block. On the
second postoperative day the patient complained of persistent numbness and
paresthesia in the right forearm and the hand. The commonest cause of this
neurological dysfunction could be all of the following <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Crush injury to the hand and lacerated nerves.</div>
<div class="1234">
<b>B.<span> </span></b>A tight cast or dressing.</div>
<div class="1234">
<b>C.<span> </span></b>Systemic toxicity of local anaesthetics.</div>
<div class="1234">
<b>D.<span> </span></b>Tourniquet pressure.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Anaesthesia</div>
<div class="Ques">
<span style="color: windowtext;">Q 250.<span> </span>Which of the following is the best indication for propofol as an
intravenous induction agent?</span></div>
<div class="1234">
<b>A.<span> </span></b>Neurosurgery.</div>
<div class="1234">
<b>B.<span> </span></b>Day care surgery.</div>
<div class="1234">
<b>C.<span> </span></b>Patients with coronary artery disease.</div>
<div class="1234">
<b>D.<span> </span></b>In neonates.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 251.<span> </span>Which of the following volatile anaesthetic agents should be
preferred for induction of anaesthesia in children?</span></div>
<div class="1234">
<b>A.<span> </span></b>Enflurane.</div>
<div class="1234">
<b>B.<span> </span></b>Isoflurane.</div>
<div class="1234">
<b>C.<span> </span></b>Sevoflurane.</div>
<div class="1234">
<b>D.<span> </span></b>Desflurane.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 252.<span> </span>When a patient develops supraventricular tachycardia with
hypotension under general anaesthesia, all of the following treatments may be
instituted except:</span></div>
<div class="1234">
<b>A.<span> </span></b>Carotid sinus massage.</div>
<div class="1234">
<b>B.<span> </span></b>Adenosine 3-12 mg IV.</div>
<div class="1234">
<b>C.<span> </span></b>Direct current cardioversion.</div>
<div class="1234">
<b>D.<span> </span></b>Verapamil 5 mg IV.</div>
<div class="Ans">
Ans A</div>
<div class="Ques">
<span style="color: windowtext;">Q 253.<span> </span>A patient undergoing caesarean section following prolonged labour
under subarachnoid has developed carpopedal spasm. Lignocaine was used as
anesthetic agent. The most likely diagnosis</span></div>
<div class="1234">
<b>A.<span> </span></b>Amniotic fluid embolism.</div>
<div class="1234">
<b>B.<span> </span></b>Lignocaine toxicity.</div>
<div class="1234">
<b>C.<span> </span></b>Hypocalcemia.</div>
<div class="1234">
<b>D.<span> </span></b>Hypokalemia.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
<br /></div>
<div class="Head">
Gynaecology and Obstetrics</div>
<div class="Ques">
<span style="color: windowtext;">Q 254.<span> </span>A pregnant mother at 32 weeks gestation presents in preterm labor.
Therapy with antenatal steroids to induce lung maturity in the fetus may be
given in all of the following conditions, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prolonged rupture of membranes for more than 24 hours.</div>
<div class="1234">
<b>B.<span> </span></b>Pregnancy induced hypertension.</div>
<div class="1234">
<b>C.<span> </span></b>Diabetes mellitus.</div>
<div class="1234">
<b>D.<span> </span></b>Chorioamnionitis.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 255.<span> </span>The consequences of Rh incompatibility are not
serious<span> </span>during first pregnancy because:</span></div>
<div class="1234">
<b>A.<span> </span></b>Antibodies are not able to cross placenta.</div>
<div class="1234">
<b>B.<span> </span></b>Antibody titer is very low during primary immune response.</div>
<div class="1234">
<b>C.<span> </span></b>IgG generated is ineffective against foetal red cells.</div>
<div class="1234">
<b>D.<span> </span></b>Massive hemolysis is compensated by increased erythropoiesis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 256.<span> </span>Choice of adjuvant treatment for endometrial carcinoma stage IA,
grade I is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Radiotherapy.</div>
<div class="1234">
<b>B.<span> </span></b>Chemotherapy.</div>
<div class="1234">
<b>C.<span> </span></b>Chemotherapy plus radiotherapy.</div>
<div class="1234">
<b>D.<span> </span></b>No treatment.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 257.<span> </span>A 21 year old woman presents with complaints of primary amenorrhoea.
Her height is 153 cm, weight is 51 kg. She has well developed breasts. She has
no pubic or axillary hair and no hirsuitism. Which of the following is the most
probable diagnosis? </span></div>
<div class="1234">
<b>A.<span> </span></b>Turner syndrome.</div>
<div class="1234">
<b>B.<span> </span></b>Stein-Leventhal syndrome.</div>
<div class="1234">
<b>C.<span> </span></b>Premature ovarian failure.</div>
<div class="1234">
<b>D.<span> </span></b>Complete androgen insensitivity syndrome.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 258.<span> </span>A 28-year old lady has put on weight (10 kg over a period of 3
years), and has oligomenorrhoea followed by amenorrohoea for 8 months. The
blood pressure is 160/100 mm of Hg. Which of the following is the most
appropriate investigation?</span></div>
<div class="1234">
<b>A.<span> </span></b>Serum electrolytes.</div>
<div class="1234">
<b>B.<span> </span></b>Plasma cortisol. </div>
<div class="1234">
<b>C.<span> </span></b>Plasma testosterone and ultrasound evaluation of pelvis.</div>
<div class="1234">
<b>D.<span> </span></b>T3, T4 and TSH.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 259.<span> </span>All of the following conditions are risk factor for urinary tract
infections in pregnancy, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Diabetes mellitus.</div>
<div class="1234">
<b>B.<span> </span></b>Hypertension.</div>
<div class="1234">
<b>C.<span> </span></b>Sickle cell disease.</div>
<div class="1234">
<b>D.<span> </span></b>Vesicoureteral reflux.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 260.<span> </span>Which one of the following perinatal infections has the highest
risk of fetal infection in the first trimester?</span></div>
<div class="1234">
<b>A.<span> </span></b><i>Hepatitis B virus</i>.</div>
<div class="1234">
<b>B.<span> </span></b>Syphilis.</div>
<div class="1234">
<b>C.<span> </span></b>Toxoplasmosis.</div>
<div class="1234">
<b>D.<span> </span></b>Rubella.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 261.<span> </span>All of the following drugs are effective for cervical ripening
during pregnancy, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Prostaglandin E<span style="font-size: 6.5pt; position: relative; top: 1.5pt;">2</span>.</div>
<div class="1234">
<b>B.<span> </span></b>Oxytocin.</div>
<div class="1234">
<b>C.<span> </span></b>Progesterone.</div>
<div class="1234">
<b>D.<span> </span></b>Misoprostol.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 262.<span> </span>All of the following are ultrasonographic fetal growth parameters, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Biparietal diameter.</div>
<div class="1234">
<b>B.<span> </span></b>Head cirumference.</div>
<div class="1234">
<b>C.<span> </span></b>Transcerebellar diameter.</div>
<div class="1234">
<b>D.<span> </span></b>Femur length.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 263.<span> </span>All of the following are advantages of using Raloxifene over
estrogens in post menopausal women, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Reduces fracture rates.</div>
<div class="1234">
<b>B.<span> </span></b>Avoids endometrial hyperplasia.</div>
<div class="1234">
<b>C.<span> </span></b>Reduces incidence of venous thrombosis.</div>
<div class="1234">
<b>D.<span> </span></b>No increase in incidence of breast carcinoma.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 264.<span> </span>Antiprogesterone compound RU-486 is effective for inducing abortion
if the duration of pregnancy is:</span></div>
<div class="1234">
<b>A.<span> </span></b>63 days.</div>
<div class="1234">
<b>B.</b><span> </span>72 days.</div>
<div class="1234">
<b>C.<span> </span></b>88 days.</div>
<div class="1234">
<b>D.<span> </span></b>120 days.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 265.<span> </span>Anti-D prophylaxis should be ‘given in all of the following
conditions, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Medical abortion for 63 days pregnancy.</div>
<div class="1234">
<b>B. </b><span> </span>Amniocentesis
at 16 weeks.</div>
<div class="1234">
<b>C.</b> <span> </span>Intrauterine transfusion
at 28 weeks.</div>
<div class="1234">
<b>D.<span> </span></b>Manual removal of placenta.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 266.<span> </span>A case of obstructed labour which was delivered by cesarean section
complains of cyclical passage of menstrual blood in urine. Which is the most
likely site of fistula?</span></div>
<div class="1234">
<b>A.<span> </span></b>Urethro-vaginal.</div>
<div class="1234">
<b>B.<span> </span></b>Vesico-vaginal.</div>
<div class="1234">
<b>C.<span> </span></b>Vesico-uterine.</div>
<div class="1234">
<b>D.<span> </span></b>Uretero-uterine.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 267.<span> </span>Which of the following is the investigation of choice in a pregnant
lady at 18 week of pregnancy with past history of delivering a baby with Down’s
syndrome?</span></div>
<div class="1234">
<b>A.<span> </span></b>Triple screen test.</div>
<div class="1234">
<b>B.<span> </span></b>Amniocentesis.</div>
<div class="1234">
<b>C.<span> </span></b>Chorionic villous biopsy.</div>
<div class="1234">
<b>D.<span> </span></b>Ultrasonography.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 268.<span> </span>A case of 35 week pregnancy with hydramnios and marked respiratory
distress is best treated by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Intravenous frusemide.</div>
<div class="1234">
<b>B.<span> </span></b>Saline infusion.</div>
<div class="1234">
<b>C.<span> </span></b>Amniocentesis.</div>
<div class="1234">
<b>D.<span> </span></b>Artificial rupture of membranes.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 269.<span> </span>The most appropriate method for collecting urine for culture in
case of vesicovaginal fistula is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Suprapubic needle aspiration.</div>
<div class="1234">
<b>B.<span> </span></b>Midstream clean catch.</div>
<div class="1234">
<b>C.<span> </span></b>Foley’s catheter.</div>
<div class="1234">
<b>D.<span> </span></b>Sterile speculum.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 270.<span> </span>Which of the following is the most likely diagnosis in a 27 year
old obese woman presenting with oligomenorrhoea, infertility and hirsuitism?</span></div>
<div class="1234">
<b>A.<span> </span></b>Polycystic ovaries.</div>
<div class="1234">
<b>B.<span> </span></b>Endometriosis.</div>
<div class="1234">
<b>C.<span> </span></b>Pelvic inflammatory disease.</div>
<div class="1234">
<b>D.<span> </span></b>Turner’s syndrome.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 271.<span> </span>A fifty year old woman, presenting with bilateral solid ovarian
tumors, has ascitis. Upper gastro-intestinal endoscopy reveals a ulcerative
growth in pyloric region of stomach. The most likely diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Malignant ovarian tumor.</div>
<div class="1234">
<b>B.<span> </span></b>Carcinoma in the small intestine.</div>
<div class="1234">
<b>C.<span> </span></b>Carcinoma body uterus.</div>
<div class="1234">
<b>D.<span> </span></b>Carcinoma stomach with Krukenberg’s tumor.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 272.<span> </span>Which of the following tests on maternal serum is most useful in
distinguishing between open neural tube defects and ventral wall defects in a
fetus?</span></div>
<div class="1234">
<b>A.<span> </span></b>Carcinoembryo antigen.</div>
<div class="1234">
<b>B.<span> </span></b>Sphingomyelin.</div>
<div class="1234">
<b>C.<span> </span></b>Alpha-fetoprotein.</div>
<div class="1234">
<b>D.<span> </span></b>Pseudocholinesterase.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 273.<span> </span>Which of the following tests is most sensitive for the detection of
iron depletion in pregnancy?</span></div>
<div class="1234">
<b>A.<span> </span></b>Serum iron.</div>
<div class="1234">
<b>B.<span> </span></b>Serum ferritin.</div>
<div class="1234">
<b>C.<span> </span></b>Serum transferrin.</div>
<div class="1234">
<b>D.<span> </span></b>Serum iron binding capacity.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 274.<span> </span>Which of the following conditions is most likely to be associated
with a vaginal pH of 4?</span></div>
<div class="1234">
<b>A.<span> </span></b>Atrophic vaginitis.</div>
<div class="1234">
<b>B.<span> </span></b>Candidal vaginitis.</div>
<div class="1234">
<b>B.<span> </span></b>Trichomonas vaginitis.</div>
<div class="1234">
<b>D.<span> </span></b>Gardnerella vaginitis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 275.<span> </span>Which is the most active single chemotherapeutic agent in the
treatment of Leiomyosarcoma?</span></div>
<div class="1234">
<b>A.<span> </span></b>Adriamycin.</div>
<div class="1234">
<b>B.<span> </span></b>Doxorubicin.</div>
<div class="1234">
<b>C.<span> </span></b>Methotrexate.</div>
<div class="1234">
<b>D.<span> </span></b>Cisplatin.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Head">
<br /></div>
<div class="Head">
Ophthalmology</div>
<div class="Ques">
<span style="color: windowtext;">Q 276.<span> </span>Polychromatic luster is seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Complicated cataract.</div>
<div class="1234">
<b>B.<span> </span></b>Diabetes mellitus.</div>
<div class="1234">
<b>C.<span> </span></b>Post radiation cataract.</div>
<div class="1234">
<b>D.<span> </span></b>Congenital cataract.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 277.<span> </span>In which of the following conditions, severe itching of the eye
with ropy discharge in a 10 year old boy with symptoms aggravating in summer
season is most likely present?</span></div>
<div class="1234">
<b>A.<span> </span></b>Trachoma.</div>
<div class="1234">
<b>B.<span> </span></b>Vernal keratoconjunctivitis.</div>
<div class="1234">
<b>C.<span> </span></b>Acute conjunctivitis.</div>
<div class="1234">
<b>D.<span> </span></b>Blepharitis.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 278.<span> </span>Latanoprost used topically in glaucoma primarily acts by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Decreasing aqueous humour formation.</div>
<div class="1234">
<b>B.<span> </span></b>Increasing uveoscleral outflow.</div>
<div class="1234">
<b>C.<span> </span></b>Releasing pupillary block.</div>
<div class="1234">
<b>D.<span> </span></b>Increasing trabecular outflow.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 279.<span> </span>Maximum densiy of goblet cells is seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Superior conjunctiva.</div>
<div class="1234">
<b>B.<span> </span></b>Inferior conjunctiva.</div>
<div class="1234">
<b>C.<span> </span></b>Nasal conjunctiva.</div>
<div class="1234">
<b>D.<span> </span></b>Temporal conjunctiva.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 280.<span> </span>The most common condition of inherited blindness due to
mitochondria1 chromosomal anomaly is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Retinopathy of prematurity.</div>
<div class="1234">
<b>B.<span> </span></b>Leber’s Hereditary Optic neuropathy.</div>
<div class="1234">
<b>C.<span> </span></b>Retinitis pigmentosa.</div>
<div class="1234">
<b>D.<span> </span></b>Retinal detachment.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 281.<span> </span>A two week old child presents with unilateral cataract. Which of
the following statement represents the best management advice:</span></div>
<div class="1234">
<b>A.<span> </span></b>The best age to operate him to get the best visual results is
four weeks.</div>
<div class="1234">
<b>B.<span> </span></b>The best age to operate him to get the best visual results is
four months.</div>
<div class="1234">
<b>C.<span> </span></b>The best age to operate him to get the best visual results is
four years.</div>
<div class="1234">
<b>D.<span> </span></b>The eye is already lost, only cosmetic correction is required.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 282.<span> </span>Photodynamic therapy is used in the eye for the following disease:</span></div>
<div class="1234">
<b>A.<span> </span></b>Cataract.</div>
<div class="1234">
<b>B.<span> </span></b>Glaucoma.</div>
<div class="1234">
<b>C.<span> </span></b>Uveitis.</div>
<div class="1234">
<b>D.<span> </span></b>Wet AMD (Age related macular degeneration).</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 283.<span> </span>All are ocular emergencies, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Angle closure glaucoma.</div>
<div class="1234">
<b>B.<span> </span></b>Central serous retinopathy.</div>
<div class="1234">
<b>C.<span> </span></b>Retinal detachment.</div>
<div class="1234">
<b>D.<span> </span></b>Central retinal arterial occlusion.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 284.<span> </span>A two months old child presents with epiphora and regurgitation.
The most probable diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Mucopurulent conjunctivitis.</div>
<div class="1234">
<b>B.<span> </span></b>Buphthalmos.</div>
<div class="1234">
<b>C.<span> </span></b>Congenital dacryocystitis.</div>
<div class="1234">
<b>D.<span> </span></b>Encysted mucocele.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 285.<span> </span>Which prominent ocular manifestation is associated with Marfan’s
syndrome:</span></div>
<div class="1234">
<b>A.<span> </span></b>Microcornea.</div>
<div class="1234">
<b>B.<span> </span></b>Microspherophakia.</div>
<div class="1234">
<b>C.<span> </span></b>Megalocornea.</div>
<div class="1234">
<b>D.<span> </span></b>Ectopia lentis.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 286.<span> </span>Which of the following will be the most important adjuvant therapy
in a case of fungal corneal ulcer?</span></div>
<div class="1234">
<b>A.<span> </span></b>Atropine sulphate eye ointment.</div>
<div class="1234">
<b>B.<span> </span></b>Dexamethasone eye drops.</div>
<div class="1234">
<b>C.<span> </span></b>Pilocarpine eye drops.</div>
<div class="1234">
<b>D.<span> </span></b>Lignocaine eye drops.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 287.<span> </span>Arlt’s line is seen in:</span></div>
<div class="1234">
<b>A.<span> </span></b>Vernal keratoconjunctivitis.</div>
<div class="1234">
<b>B.<span> </span></b>Pterygium.</div>
<div class="1234">
<b>C.<span> </span></b>Ocular pemphigoid.</div>
<div class="1234">
<b>D.<span> </span></b>Trachoma.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Head">
<br /></div>
<div class="Head">
Otorhinolaryngology</div>
<div class="Ques">
<span style="color: windowtext;">Q 288.<span> </span>In which of the following locations there is collection of pus in
the quinsy?</span></div>
<div class="1234">
<b>A.<span> </span></b>Peritonsillar space.</div>
<div class="1234">
<b>B.<span> </span></b>Parapharyngeal space.</div>
<div class="1234">
<b>C.<span> </span></b>Retropharyngeal space.</div>
<div class="1234">
<b>D.<span> </span></b>Within the tonsil.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 289.<span> </span>Which of the following statements best represents Bell’s paralysis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Hemiparesis and contralateral facial nerve paralysis.</div>
<div class="1234">
<b>B.<span> </span></b>Combined paralysis of the facial, trigeminal and abducens
nerves.</div>
<div class="1234">
<b>C.<span> </span></b>Idiopathic ipsilateral paralysis of the facial nerve.</div>
<div class="1234">
<b>D.<span> </span></b>Facial nerve paralysis with a dry eye.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 290.<span> </span>Meniere’s disease is characterized by:</span></div>
<div class="1234">
<b>A.<span> </span></b>Conductive hearing loss and tinnitus.</div>
<div class="1234">
<b>B.<span> </span></b>Vertigo, ear discharge, tinnitus and headache.</div>
<div class="1234">
<b>C.<span> </span></b>Vertigo, tinnitus, hearing loss and headache.</div>
<div class="1234">
<b>D.<span> </span></b>Vertigo, tinnitus and hearing loss.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 291.<span> </span>In right middle ear pathology Weber’s test will be:</span></div>
<div class="1234">
<b>A.<span> </span></b>Normal.</div>
<div class="1234">
<b>B.<span> </span></b>Centralised</div>
<div class="1234">
<b>C.<span> </span></b>Lateralised to right side.</div>
<div class="1234">
<b>D.<span> </span></b>Lateralised to left side.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Head">
Radiology</div>
<div class="Ques">
<span style="color: windowtext;">Q 292.<span> </span>A patient is suspected to have vestibular Schwanomma. The
investigation of choice for its diagnosis is:</span></div>
<div class="1234">
<b>A.<span> </span></b>Contrast enhanced CT scan.</div>
<div class="1234">
<b>B.<span> </span></b>Gadolinium enhanced MRI.</div>
<div class="1234">
<b>C.<span> </span></b>SPECT.</div>
<div class="1234">
<b>D.<span> </span></b>PET scan.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 293.<span> </span>In scurvy all the following radiological signs are seen, <i>except</i>:</span></div>
<div class="1234">
<b>A.<span> </span></b>Pelican spur.</div>
<div class="1234">
<b>B.<span> </span></b>Soap bubble appearance.</div>
<div class="1234">
<b>C.<span> </span></b>Zone of demarcation near epiphysis.</div>
<div class="1234">
<b>D.<span> </span></b>Frenkel’s line.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 294.<span> </span>On radiography widened duodenal ‘C’ loop with irregular mucosal
pattern on upper gastrointestinal barium series is most likely due to:</span></div>
<div class="1234">
<b>A.<span> </span></b>Chronic pancreatitis.</div>
<div class="1234">
<b>B.<span> </span></b>Carcinoma head of pancreas.</div>
<div class="1234">
<b>C.<span> </span></b>Duodenal ulcer.</div>
<div class="1234">
<b>D.<span> </span></b>Duodenal ileus.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 295.<span> </span>Which of the following is the most penetration beam?</span></div>
<div class="1234">
<b>A.<span> </span></b>Electron beam.<span> </span><b>B.<span> </span></b>8
MV photons.</div>
<div class="1234">
<b>C.<span> </span></b>18 MV photons.<span> </span><b>D.<span> </span></b>Proton
beam.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ques">
<span style="color: windowtext;">Q 296.<span> </span>The radiation tolerance of whole liver is :</span></div>
<div class="1234">
<b>A.<span> </span></b>15 Gy.<span> </span><b>B.<span> </span></b>30
Gy.</div>
<div class="1234">
<b>C.<span> </span></b>40 Gy.<span> </span><b>D.<span> </span></b>45
Gy.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 297.<span> </span>In which malignancy postoperative radiotherapy is minimally used?</span></div>
<div class="1234">
<b>A.<span> </span></b>Head and neck.</div>
<div class="1234">
<b>B.<span> </span></b>Stomach.</div>
<div class="1234">
<b>C.<span> </span></b>Colon.</div>
<div class="1234">
<b>D.<span> </span></b>Soft tissue sarcomas.</div>
<div class="Ans">
Ans.<span> </span>B</div>
<div class="Ques">
<span style="color: windowtext;">Q 298.<span> </span>The Couinaud’s segmental nomenclature is based on the position of
the:</span></div>
<div class="1234">
<b>A.<span> </span></b>Hepatic veins and portal vein</div>
<div class="1234">
<b>B.<span> </span></b>Hepatic veins and biliary ducts.</div>
<div class="1234">
<b>C.<span> </span></b>Portal vein and biliary ducts.</div>
<div class="1234">
<b>D.<span> </span></b>Portal vein and hepatic artery.</div>
<div class="Ans">
Ans.<span> </span>A</div>
<div class="Ques">
<span style="color: windowtext;">Q 299.<span> </span>Which of the following is not a CT scan feature of acute pancreatitis?</span></div>
<div class="1234">
<b>A.<span> </span></b>Ill defined outline of the pancreas.</div>
<div class="1234">
<b>B.<span> </span></b>Enlargement of the pancreas.</div>
<div class="1234">
<b>C.<span> </span></b>Poor contrast enhancement.</div>
<div class="1234">
<b>D.</b> <span> </span>Dilated main
pancreatic duct.</div>
<div class="Ans">
Ans.<span> </span>D</div>
<div class="Ques">
<span style="color: windowtext;">Q 300.<span> </span>Which of the following is classic CT appearance of an acute
subdural hematoma:</span></div>
<div class="1234">
<b>A.<span> </span></b>Lentiform-shaped hyperdense lesion.</div>
<div class="1234">
<b>B.<span> </span></b>Crescent-shaped hypodense lesion.</div>
<div class="1234">
<b>C.<span> </span></b>Crescent-shaped hyperdense lesion.</div>
<div class="1234">
<b>D.<span> </span></b>Lentiform-shaped hypodense lesion.</div>
<div class="Ans">
Ans.<span> </span>C</div>
<div class="Ans">
<br /></div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-39135693739494091052012-01-07T18:42:00.000-08:002012-01-07T18:42:22.469-08:00ALL INDIA 2005<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Head" style="margin: 2pt 0in;">
<span style="font-size: 16pt;">ANATOMY</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 1.<span> </span>The carpal tunnel contains all of the
following important structures<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Median nerve.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Flexor pollicis longus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Flexor carpi radialis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Flexor digitorum
superficialis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 2.<span> </span>The femoral ring is bounded by the
following structures<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Femoral vein.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Inguinal ligament.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Femoral artery.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lacunar ligament.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 3.<span> </span>All of the following statements regarding
vas deferens are true<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The terminal part is dilated
to form ampulla.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It crosses ureter in the
region of ischial spine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It passes lateral to
inferior epigastric artery at deep inguinal ring.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">It is separated from the
base of bladder by the peritoneum.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 4.<span> </span>The following statements concerning chorda
tympani nerve are true<i> except</i> that it:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Carries secretomotor
fibers to slubmandibular gland.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Joins lingual nerve in
infratemporal fossa</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Is a branch of facial
nerve.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Contains postganglionic
parasympathetic fibers.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 5.<span> </span>The type of joint between the sacrum and
coccyx is a:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Symphysis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Syostosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Synchondrosis</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Syndesmosis</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 6.<span> </span>The prostatic urethra is characterized by
all of the following geatures,<i> except</i> that it:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Is the widest and most
dilatable part.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Presents a concavity
posteriorly.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Lies closer to anterior
surface of prostate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Receives prostatic
ductules along its posterior wall.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<br /></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 7.<span> </span>The following group of lymph nodes
receives lymphatics from the uterus<i> except</i>;</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">External iliac.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Internal iliac.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Superficial inguinal.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Deep inguinal</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 8.<span> </span>All of the following physiological
processes occur during the growth at the epiphyseal plate<i> except</i>;</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Proliferation and
hypertrophy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Calcification and
ossification.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Vasculogenesis and erosion.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Replacement of red bone
marrow with yellow marrow.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 9.<span> </span>Benign prostatic hypertrophy results in
obstruction of the urinary tract. The specific condition is associated with
enlargement of the:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Entire prostate gland.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lateral lobes.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Median lobe.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Posterior lobes.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 10.<span> </span>In an adult male, on per rectal examination,
the following structures can be felt anteriorly<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Internal iliac lymph
nodes.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bulb of the penis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Prostate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Seminal vesicle when
enlarged.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 11.<span> </span>While doing thoracocentesis, it is advisable
to introduce needle along:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Upper border of the rib.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lower border of the rib.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">In the center of the
intercostals space.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">In anterior part of
intercostals space.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 12.<span> </span>All of the following are branches of the
external carotid artery<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Superior thyroid artery.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Anterior ethmoidal artery.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Occipital artery.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Posterior auricular
artery.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<br /></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 13.<span> </span>Barr body is found in the following phase of
the cell cycle:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Interphase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Metaplase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">G1 phase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Telophase.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin-bottom: 6pt;">
<span style="font-size: 16pt;">Physiology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 14.<span> </span>The type of hemoglobin that has least
affinity for 2,3-diphosphoglycerate (2,3-DPG) or (2,3-BPG) is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hg A.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hg F.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hg B.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hg A</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2.</span><span style="font-size: 12pt;"></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Ans.<span> </span>B</span><span style="color: windowtext; font-size: 12pt; font-weight: normal;"></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 15.<span> </span>Cellular and flagellar movement is carried
out by all of the following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intermediate filaments.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Actin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tubulin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Myosin.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span><span style="font-size: 12pt; position: relative; top: 3.5pt;"></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 16.<span> </span>Heme is converted to bilirubin mainly in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Kidney.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Liver</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Spleen</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bone marrow.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 17.<span> </span>Normal CSF glucose level in a normoglycemic
adult is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">20-40 mg/dl</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">40-70 mg/dl</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">70-90 mg/dl</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">90-110 mg/dl.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 18.<span> </span>Which one of the following molecules is used
for cell signaling?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">CO</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">O</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">NO</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">N</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 19.<span> </span>Osteoclasts are inhibited by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Parathyroid hormone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Calcitonin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">1,25-dihydroxycholecalciferol.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tumor necrosis factor.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 20.<span> </span>CO</span><span style="color: windowtext; font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="color: windowtext; font-size: 12pt;"><span> </span>is primarily transported in the arterial blood
as:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Dissolved CO</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">2</span><span style="font-size: 12pt;">.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Carbonic acid</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Carbamino-hemoglobin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bicarbonate.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 21.<span> </span>Both vitamin K and C are involved in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The synthesis of clotting
factors.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Post translational
modifications.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Antioxidant mechanisms.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">The microsomal
hydroxylation reactions.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 22.<span> </span>The main site of bicarbonate reabsorption
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Proximal convoluted
tubule.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Distal convoluted tubule.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cortical collecting duct.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Medullary collecting duct.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 23.<span> </span>The membrane protein, clathrin is involved
in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cell motility.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Receptor-mediated
endocytosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Exocytosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cell shape.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 24.<span> </span>The parvocellular pathway from lateral geniculate
nucleus to visual cortex is most sensitive for the stimulus of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Color contrast.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Luminance contrast.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Temporal grequency.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Saccadic eye movements.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 25.<span> </span>The fibers from the contralateral nasal
hemiretina project to the following layers of the lateral geniculate nucleus:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Layers 2, 3 & 5.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Layers 1, 2 & 6.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Layers 1, 4 & 6.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Layers 4, 5 & 6.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 26.<span> </span>All endothelial cells produce thrombomodulin<i>
except</i> those found in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hepatic circulation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Cutaneous circulation</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cerebral microcirculation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Renal circulation.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 27.<span> </span>SA node acts as a pacemaker of the heart
because of the fact that it:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Is capable of generating
impulses spontaneously.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Has rich sympathetic
innervations.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Has poor cholinergic
innervations.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Generates impulses at the
highest rate.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 28.<span> </span>The first physiological response to high
environmental temperature is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sweating </span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Vasodilatation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Decrease heat production.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Non-shivering
thermogenesis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 29.<span> </span>All of the following factors normally
increase the length of the ventricular cardiac muscle fibres<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Increased venous tone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increased total blood
volume.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Increased negative
intrathoracic pressure.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lying-to-standing change
in posture.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 30.<span> </span>The vasodilatation produced by carbon
dioxide is maximum in one of the following:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Kidney.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Brain.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Liver.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Heart.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 31.<span> </span>Which one of the following statements
regarding water reabsorption in the tubules?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The bulk of water
reabsorption occurs secondary to Na</span><span style="font-size: 12pt; position: relative; top: -5pt;">+</span><span style="font-size: 12pt;"><span> </span>reabsorption.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Majority of facultative
reabsorption occurs in proximal tubule.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Obligatory reabsorption is
ADH dependent.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">20% of water is always
reabsorbed irrespective of water balance.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 32.<span> </span>Urinary concentrating ability of the kidney
is increased by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">ECF volume contraction.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increase in RBF.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Reduction of medullary
hyperosmolarity.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Increase in CFR.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 33.<span> </span>Distribution of blood flow is mainly
regulated by the:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Arteries.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Arterioles.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Capillaries.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Venules.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 34.<span> </span>In which of the following a reduction in
arterial oxygen tension occurs?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Anaemia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">CO poisoning.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Moderate exercise.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hypoventilation.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 35.<span> </span>With which one of the following lower motor
neuron lesions are associated?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Flaccid paralysis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hyperactive stretch
reflex.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Spasticity.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Muscular incorrdination.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 36.<span> </span>Which of the following statements can be
regarded as primary action of inhibin?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It inhibits secretion of
prolactin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It stimulates synthesis of
estradiol.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It stimulates secretion of
TSH.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">It inhibits secretion of
FSH.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
Ans.<span> </span>D<span style="font-size: 16pt;"></span></div>
<div class="Head" style="margin: 10pt 0in 4pt;">
<span style="font-size: 16pt;">biochemistry</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 37.<span> </span>The predominant isozyme of LDH in cardiac
muscle is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">LD-1</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">LD-2</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">LD-3</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">LD-5</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 38.<span> </span>All of the following hormones have cell
surface receptors<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Adrenalin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Growth hormone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Insulin</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Thyroxine.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 39.<span> </span>Fluoride, used in the collection of blood
samples for glucose estimation, inbibits the enzyme:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Glucokinase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hexokinase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Enolase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Glucose-6-phosphatase.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 40.<span> </span>Enzymes that move a molecular group from one
molecule to another are known as:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ligases.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Oxido-reductases.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Transferases.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Dipeptidases.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 41.<span> </span>The amino acid residue having an imino side
chain is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Lysine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Histidine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tyrosine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Proline.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Microbiology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 42.<span> </span>A woman with infertility receives an ovary
transplant from her sister who is an identical twin. What type of graft it is?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Xenograft</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Autograft</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Allograft</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Isograft.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Q 43.<span> </span>Virus mediated transfer of host DNA from one cell to another is
known as:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Transduction.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Transformation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Transcription.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Integration.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 44.<span> </span>In the small intestine, cholera toxin acts
by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">ADP-ribosylation of the G
regulatory protein.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Inhibition of adenyl
cyclase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Activation of GTPase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Active absorption of NaCl.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 45.<span> </span>HIV can be detected and confirmed by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Polymerase chain reaction
(PCR)</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Reverse transcriptase -
PCR</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Real time PCR</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Mimic PCR.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 46.<span> </span>With reference to infections with
Escherichia coli the following are true<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Enteroaggregative <i>E.
coli </i>is associated with pwesistent diarrhoea.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Enterohemorrhagic <i>E.coli
</i>can cause haemolytic uraemic syndrome.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Enteroinvasive <i>E. coli</i>
produces a disease similar to salmonellosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Enterotoxigenic <i>E.coli </i>is
a common cause of travelers diarrhoea.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 47.<span> </span>The following statements are true regarding
melioidosis<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is caused by <i>Burkholderia
mallei.</i></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The agent is a grain
negative aerobic bacteria.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bipolar staining of the
aetiological agent is seen with methylene blue stain.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">The most common form of
melioidosis is pulmonary infection.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 48.<span> </span>The following bacteria are most often
associated with acute neonatal meningitis<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Escherichia coli.</span></i></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Streptococcus
agalactiae</span></i><span style="font-size: 12pt;">.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Neisseria meningitidis.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Listeria monocytogenes.</span></i></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 49.<span> </span>All of the following <i>Vibrio </i>sp. are
halophilic,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">V. cholerae.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">V. parahaemolyticus.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">V. alginolyticus.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">V. fluvialis.</span></i></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span><i>A</i></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 50.<span> </span>All of the following organisms are known to
survive intracellularly<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Neisseria meningitides.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Salmonella typhi.</span></i></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Streptococcus pyogenes.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Legionella pneumophila.</span></i></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 51.<span> </span>The capsule of <i>Cryptococus neoformans </i>in
a CSF sample is best seen by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Grams stain.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">India ink preparation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Giemsa stain.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Methanamine-silver stain.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 52.<span> </span>Viruses can be isolated from clinical
samples by cultivation in the following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Tissue culture.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Embryonated eggs.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Animals.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Chemicaly defined media.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 53.<span> </span>It is true regarding the normal microbial
flora present on the skin and mucous membranes that:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It cannot be eradicated by
antimicrobial agents.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It is absent in the
stomach due to the acidic pH.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It establishes in the body
only after the neonatal period.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">The flora in the small
bronchi is similar to that of the trachea.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 54.<span> </span>An army jawan posted in a remote forest area
had fever and headache. His fever was 104°F and pulse was 70 per mibn. He had
an erythematous lesion of about 1 cm on the leg surrounded by small vesicles,
along with generalized lymphadenopathy at the time of presentation to the
referral hospital. His blood sample was collected to perform serology for the
diagnosis of Rickettsial disease. Which one of the following results in
Weil-Felix reaction will be diagnostic in this clinical setting:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">High OX-2.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">High OX-19.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">High OX-K.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">High OX-19 and OX-2.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 55.<span> </span>Adenosine deaminase (enzyme) deficiency is
associated with:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Severe combined
immunodeficiency (SCID)</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">X-linked agammaglobulinemia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Transient
hypogammaglobulinemia of infancy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Chronic granulomatous
disease.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 56.<span> </span>Which of the following viral infections is
transmitted by tick?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Japanese encephalitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dengue fever.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Kyasanur forest disease
(KFD).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Yellow fever.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 57.<span> </span>Atypical pneumonia can be caused by the
following microbial agents<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Mycoplasma pneumoniae.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Legionella pneumophila.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Human Corona virus.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Klebsiella pneumoniae.</span></i></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 58.<span> </span>The serum concentration of which of the
following human IgG subclass is maximum?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">IgG1<b>.</b></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">IgG2.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">IgG3.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">IgG4.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 59.<i><span> </span>Chlamydia trachomatis </i>is associated with
the following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Endemic trachoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Inclusion conjunctivitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Lymphogranuloma venereum.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Community acquired pneumonia.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 60.<span> </span>The following statements are true regarding <i>Clostridium
perfringens except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is commonest cause of
gas gangrene.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It is normally present in
human faeces.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">The principal toxin of <i>C.perfringens</i>
is the alpha toxin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Gas gangrene producing
strains of <i>C.perfringens </i>produce heat resistant spores.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 61.<span> </span>The most common organism amongst the
following that causes acute meningitis in an AIDS patients is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Streptococcus
pneumoniae.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Streptococcus
agalactiae.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Cryptococcus neoformans</span></i><span style="font-size: 12pt;">.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Listeria monocytogenes.</span></i></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 62.<span> </span>A bacterial disease that has been associated
with the 3 “Rs” i.e., rats, ricefields, and rainfall is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Leptospirosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Plague.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Melioidosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Rodent-bite fever.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 63.<span> </span>A child was diagnosed to be suffering from
diarrhoea due to <i>Campylobacter jejuni</i>. Which of the following will be
the correct environmental conditions of incubation of the culture plates of the
stool sample:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Temperature of 42°C and
microaerophilic.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Temperature of 42°C and
10% carbon dioxide.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Temperature of 37°C and
microaerophilic.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Temperature of 37°C and
10% carbon dioxide.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 64.<span> </span>Which one of the following statements is
true regarding <i>Chlamydia pneumoniae</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fifteen serovars have been
identified as human pathogens.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Mode of transmission is by
the airborne bird excreta.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">The cytoplasmic inclusions
present in the sputum specimen are rich in glycogen.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">The group specific antigen
is responsible for the production of complement fixing antibodies.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 65.<span> </span>Type I hypersensitivity is mediated by which
of the following immunoglobulins?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">IgA.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">IgG.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">IgM.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">IgE.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Pathology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 66.<span> </span>An example of a tumour suppressor gene is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Myc.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Fos.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ras.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Rb.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 67.<span> </span>The following is not a feature of malignant
transformation by cultured cells:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Increased cell density.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Increased requirement for
growth factors.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Alterations of
cytoskeletal structures.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Loss of anchorage.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 68.<span> </span>A simple bacterial test for mutagenic
carcinogens is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ames test.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Redox test.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bacteriophage.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Gene splicing.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 69.<span> </span>The classification proposed by the
International Lymphoma Study Group for non-Hodgkin’s lymphoma is known as:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Kiel classification.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">REAL classification.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">WHO classification.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Rappaport classification.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 70.<span> </span>All of the following features are seen in
the viral pneumonia<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Presence of interstitial
inflammation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Predominance of alveolar
exudates.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bronchiolitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Multinucleate giant cells
in the bronchiolar wall.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 71.<span> </span>Aschoff’s nodules are seen in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Subacute bacterial
endocarditis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Libman-Sacks endocarditis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rheumatic carditis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Non-bacterial thrombotic
endocarditis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 72.<span> </span>Pulmonary surfactant is secreted by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Type I pneumoncytes.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Type II pneumocytes.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Clara cells.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bronchila epithelial
cells.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 73.<span> </span>Which one of the following conditions
commonly predisposes to colonic carcinoma?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ulcerative colitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Crohn’s disease.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Diverticular disease.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ischaemic colitis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 74.<span> </span>Fibrinoid necrosis may be observed in all of
the following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Malignant hypertension.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Polyarteritis nodosa.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Diabetic
glomerulosclerosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Aschoff’s nodule.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 75.<span> </span>All of the following statements are true
regarding reversible cell injury,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Formation of amorphous
densities in the mitochondrial matrix.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Diminished generation of
adenosine triphosphate (ATP)</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Formation of blebs in the
plasma membrane.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Detachment of ribosomes
from the granular endoplasmic reticulum.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 76.<span> </span>Which of the following statements pertaining
to leukemia is correct?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Blasts of acute myeloid
leukemia are typically sudan black negative.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Blasts of acute
lymphoblastic leukemia are typically myeloperoxidase positive.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Low leucocyte alkaline
phosphatase score is characteristically seen in blastic phase of chronic
myeloid leukemia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tartarate resistant acid
phosphatase positivity is typically seen in hairy cell leukemiA.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 77.<span> </span>In which of the following conditions
bilateral contracted kidneys are characteristically seen?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Amyloidosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Diabetes mellitus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rapidly progressive
(crescentic) glomerulonephritis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Benign nephrosclerosis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 78.<span> </span>All of the following vascular changes are
observed in acute inflammation,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Vasodilation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Stasis of blood.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Increased vascular
permeability.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Decreased hydrostatic
pressure.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 79.<span> </span>The subtype of Hodgkin’s disease, which is
histogenetically distinct from all the other subtypes, is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Lymphocyte predominant.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Nodular sclerosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mixed cellularity.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lymphocyte depleted.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 80.<span> </span>In apoptosis, Apaf-1 is activated by release
of which of the following substances from the mitochondria?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Bcl-2</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bax.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bcl-XL</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cytochrome C.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 81.<span> </span>Which type of amyloidosis is caused by
mutation of the transthyretin protein?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Familial Mediterranean
fever.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Familial amyloidotic
polyneuropathy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Dialysis associated
amyloidosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Prion protein associated
amyloidosis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 82.<span> </span>In familial Mediterranean fever, the gene
encoding the following protein undergoes mutation:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pyrin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Perforin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Atrial natriuretic factor.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Immunoglobulin light
chain.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 83.<span> </span>Which of the following statements is<i> not</i>
true?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Patinets with IgD myeloma
may present with no evident M-spike on serum electrophoresis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">A diagnosis of plasma cell
leukemia can be made if circulating peripheral blood plasmablasts comprise 14%
of peripheral blood white cells in a patient with white blood cell count of 11 </span><span style="font-family: Symbol; font-size: 12pt;">´</span><span style="font-size: 12pt;"> 10</span><span style="font-size: 12pt; position: relative; top: -5pt;">9</span><span style="font-size: 12pt;">/L and platelet count of 88 </span><span style="font-family: Symbol; font-size: 12pt;">´</span><span style="font-size: 12pt;"> 10</span><span style="font-size: 12pt; position: relative; top: -5pt;">9</span><span style="font-size: 12pt;">/L.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">In smoldering myeloma
plasma cells constitute 10-30% of total bone marrow cellularity.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">In a patient with multiple
myeloma, a monoclonal light chain may be detected in both serum and urine.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 84.<i><span> </span>In-situ </i>DNA nick end labeling can <i>quantitate</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fraction of cells in
apoptotic pathways.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Fraction of cells in S
phase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">p53 gene product.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">bcr/abl gene.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 85.<span> </span>Which one of the following stains is
specific for amyloid?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Periodic acid Schiff (PAS)</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Alzerian red.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Congo red.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Von-Kossa.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 86.<span> </span>Which one of the following diseases
characteristically causes fatty change in liver?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hepatitis B virus
infection.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Wilson’s disease.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hepatitis C virus
infection.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Chronic alcoholism.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 87.<span> </span>A 48-year-old woman was admitted with a
history of weakness for two months. On examination, cervical lymph nodes were
found enlared and spleen was palpable 2 cm below the costal margin. Her
hemoglobin was 10.5 g/dl, platelet count 237 x 109/L and total leukocyte count
40 x 109/L, which included 80% mature lymphoid cells with coarse clumped
chromatin. Bone marrow revealed a nodular lymphoid infiltrate. The peripheral
blood lumphoid cells were positive for CD19, CD5, CD20 and CD23 and were
negative for CD79B and FMC-7.</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;"><span> </span>The histopathological examination
of the lymph node in this patient will most likely exhibit effeacement of lymph
node architecture by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">A pseudofollicular pattern
with proliferation centers.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">A monomorphic lymphoid
proliferation with a nodular pattern.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">A predominantly follicular
pattern.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">A diffuse proliferation of
medium to large lymphoid cells with high mitotic rate.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 88.<span> </span>Which one of the following is<i> not</i> a
feature of liver histology in non cirrhotic portal fibrosis (NCPF).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fibrosis in and around the
portal tracts.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Thrombosis of the medium
and small portal vein branches.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Non specific inflammatory
cell infiltrates in the portal tracts.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bridging fibrosis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Pharmacology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 89.<span> </span>A highly ionized drug:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Is excreted mainly by the
kidney.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Can cross the placental
barrier easily.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Is well absorbed from the
intestine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Accumulates in the
cellular lipids.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 90.<span> </span>Which one of the following drugs is
‘topoisomerase 1 inhibitor’?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Doxorubicin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Irinotecan.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Etoposide.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Vincristine.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 91.<span> </span>The following drugs have significant drug
interaction with digoxin,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cholestyramine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Thiazide diuretics.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Quinidine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Amlodipine.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 92.<span> </span>One of the following is<i> not</i> true
about nesiritide:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is a brain natriuretic
peptide analogue.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It is used in acutely
decompensated heart failure.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It has significant oral
absorption.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">It has a short half-life.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 93.<span> </span>Antipsychotic drug-induced parkinsonism is
treated by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Anticholinergics.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Levodopa.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Selegiline.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Amantadine.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 94.<span> </span>Which one of the following is used in
therapy of toxoplasmosis?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Artensenuate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Thiacetazone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ciprofloxacin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pyrimethamine.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 95.<span> </span>The following statements regarding
finasteride are true<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is used in the medical
treatment of benign prostatic hypertrophy (BPH)</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Impotence is well
documented after its use.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It blocks the conversion
of dihydrotestosterone to testosterone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">It is a 5-a reductase
inhibitor.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 96.<span> </span>Eternacept acts by one of the following
mechanisms:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">By blocking tumor
necorosis factor.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">By blocking bradykinin
synthesis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">By inhibiting
cyclo-oxygenase-2.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">By blocking lipoxygenase.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 97.<span> </span>In unconjugated hyperbilirubinemia, the risk
of kernicterus increases with the use of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ceftriaxone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Phenobarbitone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ampicillin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sulphonamide.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 98.<span> </span>All of the following are topically used
sulphonamides<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sulphacetamide.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Sulphadiazine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Silver sulphadiazine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Mafenide.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 99.<span> </span>Oculogyric crisis is know to be produced by
all of the following drugs<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Trifluoperazine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Atropine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Perchlorperazine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Perphenazine.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 100.<span> </span>Which of the following drugs is useful in
prophylaxis of migraine?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Proproanolol.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Sumatriptan.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Domperidone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ergotamine.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 101.<span> </span>Inverse agonist of benzodiazepine receptor is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Phenobarbitone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Flumazenil.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Beta-Carboline.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Gabapentin.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 102.<span> </span>The group of antibiotics which possess
additional anti-inflammatory and immunomodulatory activities is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Tetracyclines.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Polypeptide antibiotics.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Fluoroquinolones.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Macrolides.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 103.<span> </span>With which of the following theophylline has
an antagonistic interaction?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Histamine receptors.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bradykinin receptors.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Adenosine receptors.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Imidazoline receptors.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 104.<span> </span>One of the following is<i> not</i>
penicillinase susceptible:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Amoxicillin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Penicillin G.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Piperacillin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cloxacillin.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 105.<span> </span>Which one of the following is best associated
with lumefantrine?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Antimycobacterial.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Antifungal.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Antimalarial.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Antiamoebic.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 106.<span> </span>Which one of the following drugs increases
gastro-intestinal motility?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Glycopyrrolate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Atropine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Neostigmine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Fentanyl.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 107.<span> </span>Nevirapine is a:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Protease inhibitor.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Nucleoside reverse
transcriptase inhibitor.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Non-nucleoside reverse
transcriptase inhibitor.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Fusion inhibitor.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">forensic
Medicine</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 108.<span> </span>In a firearm injury, there is burning,
blackening, toattooing around the wound, along with cherry red colour of the
surrounding tissues and is cruciate in shape, the injury is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Close shot entry.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Close contact exit.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Contact shot entry.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Distant shot entry.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 109.<span> </span>In methyl alcohol poisoning there is CNS
depression cardiac depression and optic nerve atrophy. These effects are
produced due to:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Formaldehyde and formic
acid.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Acetaldehyde.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pyridine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Acetie acid.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 110.<span> </span>In chronic arsenic poisoning the following
samples can be sent for laboratory examination<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Nail clippings.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hair samples.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bone biopsy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Blood sample.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 111.<span> </span>Which of the following statements is not
correct regarding diatom?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Diatoms are aquatic
unicellular plant.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Diatoms has an
extracellular coat composed of magnesium.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Acid diagestion technique
is used to extract diatoms.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Presence of diatoms in the
femoral bone marrow is an indication of antemartem inhalation of water.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 112.<span> </span>In India, magistrate inquest is done in the
following cases<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Exhumation cases.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dowry deaths within 5
years of marriage.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Murder cases.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Death of a person in
police custody.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 113.<span> </span>At autopsy, the cyanide poisoning case will
show the following features,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Characteristic bitter
lemon smell.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Congested organs.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">The skin may be pinkish or
cherry red in colour.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Erosion and haemorrhages
in oesophagus and stomach.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 114.<span> </span>The most reliable criteria in Gustafson’s
method of identification is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cementum apposition.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Transparency of root.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Attrition.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Root resorption.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 115.<span> </span>The minimum age at which an individual is
responsible for his criminal act is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">7 years.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">12 years.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">16 years.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">21 years.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 116.<span> </span>The most reliable method of identification of
an individual is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Dactylography.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Scars.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Anthropometry.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Handwriting.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 117.<span> </span>The most common pattern of finger print is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Arch.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Loop.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Whorl.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Composite.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Head" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">PSM</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 118.<span> </span>‘Endemic disease’ means that a disease:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Occurs clearly in excess
of normal expectancy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Is constantly present in a
given population group.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Exhibits seasonal pattern.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Is prevalent among
animals.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 119.<span> </span>Which one of the following is a good index of
the severity of an acute disease?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cause specific death rate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Case fatality rate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Standardized mortality
ratio.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Five year survival.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 120.<span> </span>Which one of the following statements about
influence of smoking on risk of coronary heart disease (CHD) is not true?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Influence of smoking is
independent of other risk factors for CHD.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Influence of smoking is
only additive to other risk factors for CHD.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Influence of smoking is
synergistic to other risk factors for CHD.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Influence of smoking is
directly related to number of cigarettes smoked per day.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 121.<span> </span>Antibiotic treatment of choice for treating
cholera in an adult is a single dose of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Tetracycline.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Co-trimoxazole.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Doxycycline.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Furazolidone.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 122.<span> </span>All of the following statements are true about
congenital rubella<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is diagnosed when the
infant has IgM antibodies at birth.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It is diagnosed when IgG
antibodies persist for more than 6 months.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Most common congenital
defects are deafness, cardiac malformations and cataract.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Infection after 16 weeks
of gestation results in major congenital defects.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 123.<span> </span>The recommended daily energy intake of an
adult woman with heavy work is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">1800.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">2100.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">2300.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">2900.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 124.<span> </span>All of the following methods are antilarval
measures<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intermittent irrigation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Paris green.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Gamusia affinis.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Malathion.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 125.<span> </span>All of the following are true about the herd
immunity for infectious diseases<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It refers to group
protection beyond what is afforded by the protection of immunized individuals.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It is likely to be more
for infections that do not have a sub-clinical phase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It is affected by the
presence and distribution of alternative animal hosts.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">In the case of tetanus it
does not protect the individual.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 126.<span> </span>The best indicator for monitoring the impact
of iodine deficiency disorder control programme is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Prevalence of goiter among
school children.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Urinary iodine levels
among pregnant women.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Neonatal hypothyroidism.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Iodine level in soil.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 127.<span> </span>What is the color-coding of bag in hospitals
to dispose off human anatomical wastes such as body parts:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Yellow.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Black.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Red.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Blue.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 128.<span> </span>WHO defines adolescent age between:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">10-19 years of age.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">10-14 years of age.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">10-25 years of age.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">9-14 years of age.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 129.<span> </span>In a village having population of 1000, we
found patients with certain disease. The results of a new diagnostic test on
that disease are as follows.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">Test result<span> </span>Disease<span> </span></span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;"><span> </span>Present<span> </span>Absent</span></b><span style="font-size: 12pt;"><span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<span style="font-size: 12pt;">+<span> </span>180<span> </span>400<span> </span></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<span style="font-size: 12pt;">–<span> </span>20<span> </span>400<span> </span></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;"><span> </span>What is the percent prevalence of
disease?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">0.20</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">2</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">18</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">20</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 130.<span> </span>The following tests are used to check the
efficiency of pasteurization of milk<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Phosphatase test.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Standard plate count.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Coliform count.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Methylene blue reduction
test.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 131.<span> </span>What will be the BMI of a male whose weight is
89 kg and height is 172 cm:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">27</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">30</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">33</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">36</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 132.<span> </span>The most common side effect of IUD insertion
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Bleeding.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pain.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pelvic infection.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ectopic pregnancy.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 133.<span> </span>For the treatment of case of class III dog
bite, all of the following are correct<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Give immunoglobulins for
passive immunity.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Give ARV.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Immediately stitch wound
under antibiotic coverage.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Immediately wash wound
with soap and water.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 134.<span> </span>A 2-year-old female child was brought to a PHC
with a history of cough and fever for 4 days with inability to drink for last
12 hours. On examination, the child was having weight of 5 kg and respiratory
rate of 45/minute with fever. The child will be classified as suffering from:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Very severe disease.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Severe pneumonia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pneumonia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">No pneumonia.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 135.<span> </span>The information technology has revolutionized
the world of medical sciences. In which of the following year the Information
Technology Act was passed by the Government of India?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">1998.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">2000.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">2001.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">2003.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 136.<span> </span>Transplantation of Human Organs Act was passed
by Government of India in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">1996</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">1993</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">1998</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">1994</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 137.<span> </span>Which one of the following is not source of
manager’s power?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Reward</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Coercive</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Legitimate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Efferent.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 138.<span> </span>The standard normal distribution:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Is skewed to the left.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Has mean = 1.0</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Has standard deviation =
0.0</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Has variance = 1.0</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 139.<span> </span>The PEFR of a group of 11 year old girls
follow a normal distribution with mean 300 1/min and standard deviation 20
1/min:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">About 95% of the girls
have PEFR between 260 and 340 1/min.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The girls have healthy
lungs.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">About 5% of girls have
PEFR below 260 1/min.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">All the PEFR must be less
than 340 l/min.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 140.<span> </span>The events A and B are mutually exclusive, so:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Prob (A or B) = Prob (A) +
Prob (B).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Prob (A and B) = Prob (A).
Prob (B).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Prob (A) = Prob (B).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Prob (A) + Prob (B) = 1.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 141.<span> </span>Total cholesterol level = a + b (calorie
intake) + C (physical activity) + d (body mass index); is an example of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Simple linear regression.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Simple curvilinear
regression.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Multiple linear
regression.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Multiple logistic
regression.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 142.<span> </span>The Hb level in healthy woman has mean 13.5
g/dl and standard deviation 1.5 g/dl, what is the Z score for a woman with Hb
level 15.0 g/dl:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">9.0</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">10.0</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">2.0</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">1.0</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 143.<span> </span>The diagnostic power of a test to correctly
exclude the disease is reflected by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sensitivity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Specificity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Positive predictivity</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Negative predictivity.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 144.<span> </span>Infant mortality does not include:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Early neonatal mortality.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Perinatal mortality.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Post neonatal mortality.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Late neonatal mortality.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 145.<span> </span>A cardiologist found a highly significant
correlation coefficient (r=0.90, p=0.01) between the systolic blood pressure
values and serum cholesterol values of the patients attending his clinic. Which
of the following statements is a wrong interpretation of the correlation coefficient
observed?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Since there is a high
correlation, the magnitudes of both the measurements are likely to be close to
each other.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">A patient with a high
level of systolic BP is also likely to have a high level of serum cholesterol.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">A patient with a low level
of systolic BP is also likely to have a low level of serum cholesterol.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">About 80% of the variation
in systolic blood pressure among his patients can be explained by their serum
cholesterol values and vice a versa.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 146.<span> </span>The most common cancer affecting Indian urban
women in Delhi, Mumbai and Chennai is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cervical cancer.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ovarian cancer.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Breast cancer.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Uterine cancer.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Medicine</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 147.<span> </span>The most common pathogens responsible for
nosocomial pneumonias in the ICU are:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Gram positive organisms.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Gram negative organisms.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mycoplasma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Virus infections.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 148.<span> </span>The abnormal preoperative pulmonary function
test in a patient with severe kyphoscoliosis includes:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Increased RV/TLC.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Reduced FEV1/FVC.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Reduced FEV25-75.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Increased FRC.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A<span> </span></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 149.<span> </span>Which one of the following drugs has been
shown to offer protection from gastric aspiration syndrome in a patient with
symptoms of reflux?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ondansetron.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Metoclopramide.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Sodium citrate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Atropine.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 150.<span> </span>Which one of the following is true of adrenal
suppression due to steroid therapy?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is not associated with
atrophy of the adrenal glands.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It does not occur in
patients receiving inhaled steroids.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It should be expected in
anyone receiving > 5 mg, prednisolone daily.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Following cessation, the
stress response normalizes after 8 weeks.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 151.<span> </span>A 30-year-old male patient presents with
complaints of weakness in right upper and both lower limbs for last 4 months.
He developed digital infarcts involving 2nd and 3rd fingers on right side and
5th finger on left lside. On examination, BP was 160/140 mmHg, all peripheral
pulses were palpable and there was asymmetrical neuropathy. Investigations
showed a Hb-12 gm, TLC-12000 cumm, platelets 4,30,000, ESR-49 mm. Urine
examination showed proteinuria and RBC 10-15/ hpf with no casts. Which of the
following is the most likely diagnosis?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Polyarteritis nodosa.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Systemic lupus
erythematosus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Wegener’s granulomatosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Mixed cryoglobulemia.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 152.<span> </span>Which of the following infestation leads to
malabsorption?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Giardia lamblia.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><i><span style="font-size: 12pt;">Ascaris lumbricoides.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><i><span style="font-size: 12pt;">Necater americana.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Ancylostoma duodenale.</span></i></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 153.<span> </span>All of the following can cause osteoporosis<i>
except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hyperparathyroidism.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Steroid use.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Fluorosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Thyrotoxicosis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 154.<span> </span>Serum angiotensin converting enzyme may be
raised in all of the following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sarcoidosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Silicosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Berylliosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bronchogenic carcinoma.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 155.<span> </span>Hypercalcemia associated with malignancy is
most often mediated by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Parathyroid hormone (PTH)</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Parthyroid hormone related
protein (PTHrP)</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Interleukin-6 (IL-6)</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Calcitonin.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 156.<span> </span>All of the following are the causes of
relative polycythemia<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Dehydration.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dengue haemorrhagic fever.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Gaisbock syndrome.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">High altitude.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 157.<span> </span>All of the following may cause ST segment
elevation on EKG,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Early repolarization
variant. </span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Constrictive pericarditis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ventricular aneurysm.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Prinzmetal angina.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 158.<span> </span>5’-Nucleotidase activity is increased in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Bone diseases.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Prostate cancer.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Chronic renal failure.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cholestatic disorders.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 159.<span> </span>Bart’s hydrops fetalis is lethal because:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hb Bart’s cannot bind
oxygen.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The excess </span><span style="font-family: Symbol; font-size: 12pt;">a</span><span style="font-size: 12pt;">-globin form insoluble precipitates.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hb Bart’s cannot release
oxygen to fetal tissues.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Microcytic red cells
become trapped in the placenta.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 160.<span> </span>Cluster headache is characterized by all<i>
except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Affects predominantly
females.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Unilateral headache.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Onset typically in 20-50
years of life.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Associated with
conjunctival congestion.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 161.<span> </span>The most sensitive test for the diagnosis of
myasthenia gravis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Elevated serum
ACh-receptor binding antibodies.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Repetitive nerve stimulation
test.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Positive edrophonium test.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Measurement of jitter by
single fibre electromyography.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<br /></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 162.<span> </span>Vitamin B12 deficiency can give rise to all of
the following,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Myelopathy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Optic atrophy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Peripheral neuropathy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Myopathy.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 163.<span> </span>EEG is usually abnormal in all of the
following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Subacute sclerosing
panencephalitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Locked-in state.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Creutzfoldt-Jackob
disease.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hepatic encephalopathy.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 164.<span> </span>All of the following are neurologic
channelopathies<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hypokalemic periodic
paralysis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Episodic ataxia type 1.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Familial hemiplegic
migraine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Spinocerebellar ataxia 1.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 165.<span> </span>Which of the following is not a neuroparasite?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><i><span style="font-size: 12pt;">Taenia solium.</span></i><span style="font-size: 12pt;"></span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Acanthamoeba.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Naegleria.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><i><span style="font-size: 12pt;">Trichinella spiralis.</span></i></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 166.<span> </span>A 50-year-old man, an alcoholic and a smoker
presents with a 3 hour history of severe retrosternal chest pain and increasing
shortness of breath. He started having this pain while eating, which was
constant and radiated to the back and interscapular region. He was a known
hypertensive. On examination, he was cold and clammy with a heart rate of
130/min, and a BP of 80/40 mm Hg. JVP was normal. All peripheral pulses were
present and equal. Breath sounds were decreased at the left lung base and chest
X-ray showed left pleural effusion.</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;"><span> </span>Which one of the following is the
most likely diagnosis?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Acute aortic dissection.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Acute myocardial
infarction.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rupture of the esophagus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Acute pulmonary embolism.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 167.<span> </span>Which of the following is a cause of
reversible dementia?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Subacute combined
degeneration.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Picks disease.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Creutzfeld-Jakob disease.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Alzheimer’s disease.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 168.<span> </span>Palpable purpura could occur in the following
conditions,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">a.</span></b><span style="font-size: 12pt;"><span> </span>Thrombocytopenia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Small-vessel vasculitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Disseminated gonococcal
infection.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Acute meningococcemia.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 169.<span> </span>A 59-year-old man with severe myxomatous
mitral regurgitation is asymptomatic, with a left ventricular ejection fraction
of 45% and an end-systolic diameter index of 2.9 cm/m2. The most appropriate
treatment is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Mitral valve repair of
replacement.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">No treatment.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">ACE inhibitor therapy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Digoxin and diuretic
therapy.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 170.<span> </span>The gold standard for the diagnosis of
osteoporosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Dual energy X-ray
absorptimetry.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Single energy X-ray
absorptiometry.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ultrasound.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Quantiative computed
tomography.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 171.<span> </span>All of the following CSF findings are present
in tuberculous meningitis,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Raised protein levels.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Low chloride levels.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cob web formation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Raised sugar levels.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 172.<span> </span>Which one of the following serum levels would
help in distinguishing an acute liver disease from chronic liver diseae?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Aminotransaminase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Alkaline phosphatase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bilirubin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Albumin.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 173.<span> </span>All of the following conditions are known to
cause diabetes insipidus<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Multiple sclerosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Head injury.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Histiocytosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Viral encephalitis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 174.<span> </span>Paralysis of 3rd, 4th 6th nerves with
involvement of ophthalmic division of 5th nerve, localizes the lesion to:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cavernous sinus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Apex of orbit.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Brainstem.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Base of skull.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 175.<span> </span>Which one of the following is the most common
location of hypertensive bleed in the brain?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Putamen/external capsule.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pons.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ventricles.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lobar white matter.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 176.<span> </span>In which of the following diseases, the
overall survival is increased by screening procedure?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Prostate cancer.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lung cancer.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Colon cancer.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ovarian cancer.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">paediatrics</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 177.<span> </span>The protective effects of breast milk are
known to be associated with:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">IgM antibodies.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lysozyme.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mast cells.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">IgA antibodies.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 178.<span> </span>Study the following carefully:</span></div>
<div class="Ques" style="margin: 6pt 0in 6pt 38.85pt; text-indent: -38.15pt;">
<span style="color: windowtext; font-size: 12pt;"><img height="130" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image002.png" width="369" /></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;"><span> </span>Read the pedigree. Inheritance
pattern of the disease in the family is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Autosomal recessive type.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Autosomal dominant type.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">X linked dominant type.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">X linked recessive type.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 179.<span> </span>Diagnosis of beta thalassemia is established
by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">NESTROFT test.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">HbA</span><span style="font-size: 12pt; position: relative; top: 1.5pt;">1c</span><span style="font-size: 12pt;"><span> </span>estimation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hb electrophoresis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Target cells in peripheral
smear.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 180.<span> </span>Blood specimen for neonatal thyroid screening
is obtained on:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Cord blood.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">24 hours after birth.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">48 hours after birth.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">72 hours after birth.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 181.<span> </span>A child with recurrent urinary tract
infections is most likely to show:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Posterior urethral valves.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Vesicoureteric reflux.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Neurogenic bladder.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Renal and ureteric
calculi.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 182.<span> </span>All of the following are true about
manifestations of vitamin E deficiency,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hemolytic anemia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Posterior column abnormalities.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cerebellar ataxia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Autonomic dysfunction.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 183.<span> </span>Differential expression of same gene depending
on parent of origin is referred to as:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Genomic imprinting.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Mosaicism.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Anticipation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Non penetrance.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span><span style="text-transform: uppercase;">A</span></span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 184.<span> </span>The appropriate approach to a neonate
presenting with vaginal bleeding on day 4 of life is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Administration of vitamin
K.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Investigation for bleeding
disorder.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">No specific therapy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Administration of 10ml/kg
of fresh frozen plasma over 4 hours.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 185.<span> </span>Which one of the following drugs is used for
fetal therapy of congenital adrenal hyperplasia?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hydrocortisone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Prednisolone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Fludrocortisone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Dexamethasone.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 186.<span> </span>The coagulation profile in a 13-year-old girl
with menorrhagia having von-Willebrands disease is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Isolated prolonged PTT
with a normal PT.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Isolated prolonged PT with
a normal PTT.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Prolongation of both PT
and PTT.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Prolongation of thrombin
time.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 187.<span> </span>The chances of having an unaffected baby, when
both parents have achondroplasia, are:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">0%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">25%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">50%</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">100%</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 188.<span> </span>All of the following therapies may be required
in a 1 hour-old infant with severe birth asphyxia<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Glucose </span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dexamethasone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Calcium gluconate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Normal saline.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 189.<span> </span>The most common leukocytoclastic vasculitis
affecting children is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Takayasu disease.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Mucocutaneous lymph node
syndrome (Kawasaki disease)</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Henoch Schonlein purpura.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Polyarteritis nodosa.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 190.<span> </span>A four year old boy was admitted with a history
of abdominal pain and fever for two months, maculopapular rash for ten days,
and dry cough, dyspnea and wheezing for three days. On examination, liver and
spleen were enlarged 4 cm and 3 cm respectively below the costal margins. His
hemoglobin was 10.0 g/dl, platelet count 37 </span><span style="color: windowtext; font-family: Symbol; font-size: 12pt;">´</span><span style="color: windowtext; font-size: 12pt;"> 10</span><span style="color: windowtext; font-size: 12pt; position: relative; top: -5pt;">9</span><span style="color: windowtext; font-size: 12pt;">/L and total leukocyte count 70 </span><span style="color: windowtext; font-family: Symbol; font-size: 12pt;">´</span><span style="color: windowtext; font-size: 12pt;"> 10</span><span style="color: windowtext; font-size: 12pt; position: relative; top: -5pt;">9</span><span style="color: windowtext; font-size: 12pt;">/L,
which included 80% eosinophils. Bone marrow examination revealed a cellular
marrow comprising 45% blasts and 34% eosinophils and eosinophilic precursors.
The blasts stained negative for myeloperoxidase and non-specific esterase and
were positive for CD19, CD10, CD22 and CD20.</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;"><span> </span>Which one of the following
statements in<i> not</i> true about this disease?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Eosinophils are not of the
neoplastic clone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">t(5:14) rearrangement may
be detected in blasts.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Peripheral blood
wosinophilia may normalize with chemotherapy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Inv (16) is often detected
in the blasts and the eosinophils.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 191.<span> </span>Kidney biopsy from a child with hemolytic
uremic syndrome characteristically most likely presents features of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Thrombotic
microangiopathy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Proliferative
glomerulonephritis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Focal segmental
glomerulosclerosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Minimal change disease.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 192.<span> </span>One of the intestinal enzymes that is
generally deficient in children following an attack of severe infectious
enteritis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Lactase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Trypsin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Lipase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Amylase.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 193.<span> </span>A new born presented with bloated abdomen
shortly after birth with passing of less meconium. A full-thickness biopsy of
the rectum was carried out. Which one of the following rectal biopsy findings
is most likely to be present?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fibrosis of submucosa.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hyalinisation of the
muscular coat.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Thickened muscularis
propria.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Lack of ganglion cells.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 194.<span> </span>Eisenmenger syndrome is characterized by all<i>
except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Return of left ventricle
& right ventricle to normal size.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pulmonary veins not
distended.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pruning of peripheral
pulmonary arteries.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Dilatation of central
pulmonary arteries.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 195.<span> </span>Which of the following is the most common
renal cystic disease in infants is?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Polycystic kidnesy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Simple renal cyst.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Unilateral renal
dysplasia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Calyceal cyst.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 196.<span> </span>The most common type of total anomalous
pulmonary venous connection is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Supracardiac</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Infracardiac.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mixed.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cardiac.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 197.<span> </span>The most common cause of renal scarring in a 3
year old child is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Trauma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Tuberculosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Vesicoureteral reflux
induced pyelonephritis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Interstitial nephritis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 198.<span> </span>Which one of the following is the common cause
of congential hydrocephalus is?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Craniosynostosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Intra uterine meningitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Aqueductal stenosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Malformations of great
vein of Galen.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 199.<span> </span>In a child, non-functioning kidney is best
diagnosed by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ultrasonography.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">IVU.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">DTPA renogram.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Creatinine clearance.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 200.<span> </span>The most common malignant neoplasm of infancy
is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Malignant teratoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Neuroblastoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Wilms’ tumor.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hepatoblastoma.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 201.<span> </span>The most common presentation of a child with
Wilms’ tumor is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">An asymptomatic abdominal
mass.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Haematuria.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hypertension.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hemoptysis due to
pulmonary secondary.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">psychiatry</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 202.<span> </span>A 40-year-old male, with history of daily
alcohol consumption for the last 7 years, is brought to the hospital emergency
room with acute onset of seeing snakes all around him in the room,<i> not</i>
recognizing family members, violent behavior and tremulousness for having
missed the alcohol drink since 2 days, Examination reveals increased blood
pressure, tremors, increased psychomotor activity, fearful affect,
hallucinatory behavior, disorientation, impaired judgment and insight.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">He is most likely to be
suffering from:</span></b></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Alcoholic hallucinosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Delirium tremens.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Wernicke encephalopathy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Korsakoff’s psychosis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 203.<span> </span>A 45-year-male with a history of alcohol
dependence presents with confusion nystagmus and ataxia. Examination reveals
6th cranial nerve weakness. He is most likely to be suffering from:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Korsakoff’s psychosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Wernicke encephalopathy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">De Clerambault syndrome.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Delirium tremens.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 204.<span> </span>A 25-year-old female presents with 2 year
history of repetitive, irresistible thoughts of contamination with dirt
associated with repetitive hand washing. She reports these thoughts to be her
own and distressing; but is<i> not</i> able to overcome them along with
medications. She is most likely to benefit from which of the following
therapies:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Exposure and response
prevention.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Systematic
desensitization.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Assertiveness training.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sensate focusing.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 205.<span> </span>An 18 year old boy came to the psychiatry OPD
with a complaint of feeling changed from inside. He described himself as
feeling strange as if he is different from his normal self. He was very tense
and anxious yet could<i> not</i> point out the precise change in him. This
phenomena is best called as:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Delusional mood.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Depersonalization.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Autochthonous delusion.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Over valued idea.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 206.<span> </span>The major difference between typical and
atypical antipsychotics is that:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The latter cause minimal
or no increase in prolactin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">The former cause tardive
dyskinesia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">The former are available
as parenteral preparations.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">The latter cause
substantial sedation.</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 207.<span> </span>Dry mouth during antidepressant therapy is
caused by blockade of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Muscarininc acetylcholine
receptors.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Serotonergic receptors.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Dopaminergic receptors.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">GABA receptors.</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 208.<span> </span>All of the following are hallucinogens,<i>
except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">LSD</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Phenylcyclidine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mescaline.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Methylphendate.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 209.<span> </span>An 18 year old student complains of lack of
interest in studies for last 6 months. He has frequent quarrels with his
parents and has frequent headaches. The most appropriate clinical approach
would be to:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Leave him as normal
adolescent problem.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Rule out depression.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rule out migraine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Rule out an oppositional
defiant disorder.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 210.<span> </span>Perseveration is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Persistent and
inappropriate repetition of the same thoughts.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">When a patient feels very
distressed about it.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Characteristic of
schizophrenia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Characteristic of
obsessive compulsive disorder (OCD).</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 211.<span> </span>One of the following usually differentiates
hysterical symptoms from hypochondriacal symptoms:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Symptoms do not normally
reflect understandable physiological or pathological mechanism.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Physical symptoms are
prominent which are not explained by organic factors.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Personality traits are
significant.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Symptoms run a chronic
course.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">DERMATOLOGY</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 212.<span> </span>All of the following drugs are effective in
the treatment of pityriasis versicolor<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Selenium sulphide.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ketoconazole.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Griseofulvin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Clotrimazole.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 213.<span> </span>A 36-year-old factory worker developed itchy,
annular scaly plaques in both groins. Application of a corticosteroid ointment
led to temporary relief but the plaques continued to extend at the periphery.
The most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Erythema annulare
centrifugum.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Granuloma annulare.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Annular lichen planus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tinea cruris.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 214.<span> </span>A 16-year-old boy presented with asymptomatic,
multiple, erythematous, annular lesions with a callarette of scales at the
periphery of the lesions present on the trunk. The most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pityriasis versicolor.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pityriasis alba.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pityriasis rosea.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pityriasis rubra pilaris.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 215.<span> </span>The only definite indication for giving
systemic corticosteroids in pustular psoriasis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Psoriatic enythroderma
with pregnancy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Psoriasis in a patient
with alcoholic cirrhosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Moderate arthritis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Extensive lesions.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 216.<span> </span>A 40-year-old woman presents with a 2 year
history of erythematous papulopustular lesions on the convexities of the face.
There is a background of erythema and telangiectasia. The most likely diagnosis
in the patient is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Acne vulgaris.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Rosacea.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Systemic lupus
erythematosus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Polymorphic light
eruption.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 217.<span> </span>An 8-year-old boy from Bihar presents with a 6
months history of an illdefined, hypopigmented slightly atrophic macule on the
face. The most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pityriasis alba.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Indeterminate leprosy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Morphoca.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Calcium deficiency.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 218.<span> </span>A 27-year-old sexually active male develops a
vesiculobullous lesion on the glans soon after taking tablet paracetamol for
fever. The lesion healed with hyperpigmentation. The most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Behcet’s syndrome.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Herpes genitalis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Fixed drug eruption.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pemphigus vulgaris.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span><span style="text-transform: uppercase;">C</span></span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">surgery</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 219.<span> </span>According to the Glasgow coma scale (GCS) a
verbal score of 1 indicates:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">No response.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Inappropriate words.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Incomprehensible sounds.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Disoriented response.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 220.<span> </span>Abbey-Estlander flap is used in the
reconstruction of:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Buccal mucosa.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Lip.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tongue.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Palate.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 221.<span> </span>In which one of the following perineural
invasion in head and neck cancer is most commonly seen?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Adenocarcinoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Adenoid cystic carcinoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Basal cell Adenoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Squamous cell carcinoma.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 222.<span> </span>In which one of the following conditions the
sialography is contraindicated?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ductal calculus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Chronic parotitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Acute parotitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Recurrrent sialadenitis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 223.<span> </span>The most common site of leak in CSF
rhinorrhoea is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sphenoid sinus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Frontal sinus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cribriform plate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tegmen tympani.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 224.<span> </span>Which one of the following soft tissue
sarcomas frequently metastasizes to lymph nodes?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fibrosarcoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Osteosarcoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Embryonal
rhabdomyosarcoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Alveolar soft part
sarcoma.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 225.<span> </span>Lumbar sympathectomy is of value in the
management of :</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Intermittent claudication.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Distal ischaemia affecting
the skin of the toes.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Arteriovenous fistula</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Back pain.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 226.<span> </span>A blood stained discharge from the nipple
indicates one of the following:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Breast abscess.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Fibroadenoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Duct papilloma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Fat necrosis of breast.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 227.<span> </span>The earliest manifestation of increased
intracranial pressure following head injury is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ipsilateral papillary
dilatation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Contralateral papillary
dilatation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Altered mental status.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Hemiparesis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 228.<span> </span>In which of the following conditions
splenectomy is<i> not</i> useful?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hereditary spherocytosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Porphyria.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Thalassemia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sickle cell disease with
large spleen.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>None/B </span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 229.<span> </span>The following is ideal for the treatment with
injection of sclerosing agents:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">External hemorrhoids.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Internal hemorrhoids.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Prolapsed hemorrhoids.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Strangulated hemorrhoids.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 230.<span> </span>In which of the following locations, carcinoid
tumor is most common?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Esophagus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Stomach.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Small bowel.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Appendix.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 231.<span> </span>Pancreatitis, pituitary tumor and
phaeochromocytoma may be associated with:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Medullary carcinoma of
thyroid.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Papillary carcinoma of
thyroid.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Anaplastic carcinoma of
thyroid.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Follicular carcinoma of
thyroid.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 232.<span> </span>Gardener’s syndrome is a rare herediatary
disorder involving the colon. It is characterized by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Polyposis colon, cancer
thyroid, skin tumours.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Polyposis in jejunum,
pituitary adenoma and skin tumours.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Polyposis colon, osteomas,
epidermal inclusion cysts and fibrous tumorus in the skin.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Polyposis of
gastrointestinal tract, cholangiocarcinoma and skin tumours.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 233.<span> </span>All of the following are true for patients of
ulcerative colitis associated with primary sclerosing cholangitis (PSC),<i>
except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">They may develop biliary
cirrhosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">May have raised alkaline
phosphatase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Increased risk of hilar
cholangiocarcinoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">PSC reverts after a total
colectomy.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 234.<span> </span>The most common complication seen in hiatus
hernia is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Oesophagitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Aspiration pneumonitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Volvulus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Esophageal stricture.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 235.<span> </span>Patients of rectovaginal fistula should be
initially treated with:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Colostomy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Primary repair.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Colporrhaphy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Anterior resection.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 236.<span> </span>Which of the following catheter materials is
most suited for long-term use is?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Latex.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Silicone.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rubber.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Polyurethane.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 237.<span> </span>Which of the following is the most troublesome
source of bleeding during a radical retropubic prostatectomy?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Dorsal venous complex.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Inferior vesical pedicle.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Superior vesical pedicle.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Seminal vesicular artery.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 238.<span> </span>The most sensitive imaging modality for
diagnosing ureteric stones in a patient with acute colic is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">X-ray KUB region.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ultrasonogram.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Non contrast CT scan of
the abdomen.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Contrast enhanced CT scan
of the abdomen.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 239.<span> </span>Which one of the following is<i> not</i> used
as a tumor marker in testicular tumors?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">AFP.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">LDH.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">HCG.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">CEA.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">OrthOpaedics</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 240.<span> </span>A young woman met with an accident and had
mild quadriparesis. Her lateral X-ray cervical spine revealed C5-C6 fracture
dislocation. Which of the following is the best line of management?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Immediate anterior
decompression.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Cervical traction followed
by instrument fixation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Hard cervical collar and
bed rest cervical laminectomy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cervical laminectomy.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 241.<span> </span>Which one of the following is the
investigation of choice for evaluation of suspected Perthes’ disease?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Plain X-ray.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ultrasonography (US).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Computed tomography (CT).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Magnetic resonance imaging
(MRI).</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 242.<span> </span>Neuronal degeneration is seen in all of the
following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Crush nerve injury.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Fetal development.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Senescence.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Neuropraxia.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 243.<span> </span>In Klippel-Feil syndrome, the patient has all
of the following clinical features<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Low hair line.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bilateral neck webbing.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bilateral shortness of
sternomastoid muscles.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Gross limitations of neck
movements.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 244.<span> </span>The most common sequelae of tuberculous
spondylitis in an adolescent is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Fibrous ankylosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Bony ankylosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pathological dislocation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Chronic osteomyelitis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 245.<span> </span>In radionuclide imaging the most useful radio-
pharmaceutical for skeletal imaging is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Gallium 67 (</span><span style="font-size: 12pt; position: relative; top: -5pt;">67</span><span style="font-size: 12pt;">Ga).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Technetium-sulphur-colloid
(</span><span style="font-size: 12pt; position: relative; top: -5pt;">99m</span><span style="font-size: 12pt;">Tc-Sc).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Technetium-99m (</span><span style="font-size: 12pt; position: relative; top: -5pt;">99m</span><span style="font-size: 12pt;">Tc).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Technetium-99m linked to
methylene disphosphonate (</span><span style="font-size: 12pt; position: relative; top: -5pt;">99m</span><span style="font-size: 12pt;">Tc-MDP).</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 246.<span> </span>Heberden’s arthropathy affects:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Lumbar spine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Symmetrically large
joints.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Sacroiliac joints.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Distal interphalangeal
joints.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 247.<span> </span>Subtrochanteric fractures of femur can be
treated by all of the following methods<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Skeletal traction on
Thomas’ splint.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Smith Petersen nail.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Condylar blade plate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Ender’s nail.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 248.<span> </span>All of the following are true about fracture
of the atlas vertebra,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Jefferson fracture is the
most common type.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Quadriplegia is seen in
80% cases.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Atlantooccipal fusion may
sometimes be needed.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">CT scans should be done
for diagnosis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 249.<span> </span>A 30-year-old man had road traffic accident
and sustained fracture of femur. Two days later he developed sudden
breathlessness. The most probable cause can be:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pneumonia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Congestive heart failure.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Bronchial asthma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Fat embolism.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 250.<span> </span>A 45-year-old was given steroids after renal
transplant. After 2 years he had difficulty in walking and pain in both hips.
Which one of the following is most likely cause?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Primary osteoarthritis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Avascular necrosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Tuberculosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Aluminum toxicity.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 251.<span> </span>All of the following areas are commonly
involved sites in pelvic fracture<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Pubic rami.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<span style="font-size: 12pt;">2.<span> </span>Alae of ileum.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<span style="font-size: 12pt;">3.<span> </span>Acetabula.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<span style="font-size: 12pt;">4.<span> </span>Ischial tuberosities.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">ANAESTHESIA</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 252.<span> </span>The laryngeal mask airway used for securing
the airway of a patient in all of the following conditions<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">In a difficult intubation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">In a cardiopulmonary
resuscitation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">In a child undergoing an
elective/routine eye surgery.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">In a patient with a large
tumor in the oral cavity.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<br /></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<br /></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 253.<span> </span>The following are used for treatment of
postoperative nausea and vomiting following squint surgery in children<i>
except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ketamine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Ondansetron.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Propofol.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Dexamethasone.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 254.<span> </span>Which one of the following anaesthetic agents
causes a rise in the intracranial pressure:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Sevoflurane.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Thiopentone sodium.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Lignocaine.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Propofol.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 255.<span> </span>The following modes of ventilation may be used
for weaning off patients from mechanical ventilation<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Controlled Mechanical
ventilation (CMV).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Synchronized intermittent
mandatory ventilation (SIMV).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Pressure support
ventilation (PSV).</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Assist-control ventilation
(ACV).</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 256.<span> </span>A lower segment caesarean section (LSCS) can
be carried out under all the following techniques anaesthesia<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">General anaesthesia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Spinal anaesthesia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Caudal anaesthesia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Combined spinal epidural.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 257.<span> </span>The most appropriate circuit for ventilating a
spontaneonsly breathing infant during anaesthesia is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Jackson Rees modification
of Ayres T piece.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Mapleson A or Magill’s
circuit.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Mapleson C or Waters to
and fro canister.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Bains circuit.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 258.<span> </span>All of the following are the disadvantages of
anesthetic ether,<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Induction is slow.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Irritant nature of ether
increases salivary and bronchila secretions.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cautery can not be used.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Affects blood pressure and
is liable to produce arrhythmias.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 259.<span> </span>Which one of the following is the fastest
acting inhalational agent?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Halothane.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Isoflurane.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ether.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sevoflurane.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">Gynaecology
and obstetrics</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 260.<span> </span>Aspermia is the term used to describe:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Absence of semen.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Absence of sperm in
ejaculate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Absence of sperm motility.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Occurrence of abnormal
sperm.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 261.<span> </span>Which of the following ultrasound marker is
associated with greatest increased risk for trisomy 21 in fetus:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Echogenic foci in heart.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Hyperechogenic bowel.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Choroid plexus cysts.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Nuchal edema.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 262.<span> </span>The highest incidence of gestational
trophoblastic disease is in:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Australia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Asia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">North America.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Western Europe.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 263.<span> </span>The smallest diameter of the true pelvis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Interspinous diameter.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Diagonal conjugate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">True conjugate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Intertuberous diameter.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 264.<span> </span>The most common pure germ cell tumor of the
ovary is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Choriocarcinoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Dysgerminoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Embryonal cell tumor.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Malignant teratoma.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 265.<span> </span>Infants of diabetic mother are likely to have
the following cardiac anomaly:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Coarctation of aorta.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Fallot’s tetrology.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ebstein’s anomaly.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Transposition of great
arteries.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 266.<span> </span>Which one of the following is the ideal
contraceptive for a patient with heart disease:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">IUCD.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Depo-provera.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Diaphragm.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Oral contraceptive pills.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 267.<span> </span>The karyotype of a patient with androgen
insensitivity syndrome is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">46 <span style="text-transform: uppercase;">xx</span>.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">46 <span style="text-transform: uppercase;">xy</span>.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">47 <span style="text-transform: uppercase;">xxy</span>.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">45 <span style="text-transform: uppercase;">xo</span>.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 268.<span> </span>The following drug is<i> not</i> helpful in
the treatment of ectopic pregnancy:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Methotrexate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Misoprostol.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Actinomycin-D.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">RU 486.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 269.<span> </span>The best period of gestation to carry out
chorion villous biopsy for prenatal diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">8-10 weeks.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">10-12 weeks</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">12-14 weeks.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">14-16 weeks.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 270.<span> </span>Which one of the follwing biochemical
parameters is the most sensitive to detect open spina bifida?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Maternal serum alpha
fetoprotein.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Amniotic fluid alpha
fetoprotein.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Amniotic fluid acetyl
cholinesterase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Amniotic fluid
glucohexaminase.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 271.<span> </span>Risk of preterm delivery is increased if
cervical length is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">2.5 cm.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">3.0 cm.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">3.5 cm.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">4.0 cm.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 272.<span> </span>All are the risk factors associated with
macrosomia<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Maternal obesity.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Prolonged pregnancy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Previous large infant.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Short stature.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 273.<span> </span>Which of the following statements is incorrect
in relation to pregnant women with epilepsy?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The rate of congenital
malformation is increased in the offspring of women with epilepsy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Seizure frequency
increases in approximately 70% of women.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Breast feeding is safe
with most anticonvulsants.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Folic acid supplementation
may reduce the risk of neural tube defect.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 274.<span> </span>All are the causes of intrauterine growth
retardation<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Anemia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Pregnancy induced
hypertension.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Maternal heart disease.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Gestational diabetes.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 275.<span> </span>Misoprostal has been found to be effective in
all of the following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Missed abortion.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Induction of labour.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Menorrhagia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Prevention of post-partum
hemorrhage (PPH).</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 276.<span> </span>All of the following appear to decrease hot
flushes in menopausal women<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Androgens.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Raloxifene.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Isoflavones.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Tibolone.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 277.<span> </span>In a case of dysgerminoma of ovary one of the
following tumor markers is likely to be raised:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Serum HCG.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Serum alphafetoprotein.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Serum lactic
dehydrogenase.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Serum inhibin.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 278.<span> </span>Use of one of the following vaccination is
absolutely contraindicated in pregnancy:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hepatitis-B.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Cholera.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Rabies.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Yellow fever.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B/D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 279.<span> </span>The most common cause of secondary amenorrhoea
in India is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Endometrial tuberculosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Premature ovarian failure.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Polycystic ovarian
syndrome.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Sheehan’s syndrome.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">ophthalmology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 280.<span> </span>In von Hippel-Lindau syndrome, the retinal
vascular tumours are often associated with intracranial hemangioblastoma. Which
one of the following regions is associated with such vascular abnormalities in
this syndrome?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Optic radiation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Optic tract.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cerebellum.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Pulvinar.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 281.<span> </span>An 18 year old boy comes to the eye casualty
with history of injury with a tennis ball. On examination there is no
perforation but there is hyphaema. The most likely source of the blood is</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Iris vessels.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Circulus iridis major.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Circulus iridis minor.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Short posterior ciliary
vessels.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 282.<span> </span>A 25 year old male gives history of sudden
painless loss of vision in one eye for the past 2 weeks. There is no history of
trauma. On examination the anterior segment is normal but there is no fundal glow.
Which one of the following is the most likely cause?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Vitreous haemorrhage.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Optic atrophy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Developmental cataract.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Acute attack of angle
closure glaucoma.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 283.<span> </span>The mother of a one and a half year old child
gives history of a white reflex from one eye for the past 1 month. On computed
tomography scan of the orbit there is calcification seen within the globe. The
most likely diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Congenital cataract.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Retinoblastaoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Endophthalmitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Coats’ disease.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 284.<span> </span>Enlarged corneal nerves may be seen in all of
the following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Keratoconus.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Herpes simplex keratitis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Leprosy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Neurofibromatosis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 285.<span> </span>Under the WHO ‘Vision 2020’ programme, the
‘SAFE’ strategy is adopted for which of the following diseases?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Trachoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Glaucoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Diabetic retinopathy.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Onchocerciasis.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 286.<span> </span>Horner’s syndrome is characterized by all of
the following<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Miosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Enophthalmos.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Ptosis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cycloplegia.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 287.<span> </span>The superior oblique muscle is supplied by:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">3rd cranial nerve.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">4th cranial nerve.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">5th cranial nerve.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">6th cranial nerve.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 288.<span> </span>Which of the following statement is true
regarding Acanthamoeba keratistis?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">For the isolation of the
causative agent, corneal scraping should be cultured on a nutrient afar plate.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">the causative agent,
Acanthamoeba is a helminth whose normal habitat is soil.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Keratitis due to
Acanthamoeba is not seen in the immunocompromised host.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Acanthamoeba does not
depend upon a human host for the completion of its life-cycle.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 289.<span> </span>A 30-year-old man has 6/5 vision each eye,
unaided. His cycloplegic retinoscopy is +1.0 D sph. At 1 metre distance. His
complaints are blurring of newsprint at 30 cm, that clears up in about two
minutes. The most probable diagnosis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hypermetropia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Presbyopia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Accommodative inertia.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Cycloplegia.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 290.<span> </span>Contact lens wear is proven to have
deleterious effects on the corneal physiology which of the following statements
is incorrect in connection with contact lens wear?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">The level of glucose
availability in the corneal epithelium is reduced.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">There is a reduction in
hemidesmosome density.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">There is increased
production of CO2 in the epithelium.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">There is a reduction in
glucose utilization by corneal epithelium.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Head" style="margin: 8pt 0in 4pt;">
<span style="font-size: 16pt;">ENT</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 291.<span> </span>All are true for Gradenigo’s syndrome<i>
except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">It is associated with
conductive hearing loss.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">It is caused by an abscess
in the petrous apex.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">It leads to involvement of
the cranial nerves V and VI.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">It is characterized by
retro-orbital pain.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 292.<span> </span>The most common and earliest manifestation of
carcinoma of the glottis is:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Hoarseness.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Haemoptysis.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Cervical lymph nodes.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Stridor.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 293.<span> </span>Androphonia can be corrected by doing:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Type I Thyroplasty.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Type 2 Thyroplasty.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Type 3 Thyroplasty.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Type 4 Thyroplasty.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>D</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 294.<span> </span>Use of Seigel’s speculum during examination of
the ear provides all<i> except</i>:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Magnification.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Assessment of movement of
the tympanic membrane.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Removal of foreign body
from the ear.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">As applicator for the
powdered antibiotic of ear.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Head" style="margin-bottom: 8pt;">
<span style="font-size: 16pt;">Radiology</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 295.<span> </span>Which one of the following is the most
preferred route to perform cerebral angiography?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Transfemoral route.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Transaxillary route.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Direct carotid puncture.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Transbrachial route.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>A</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 296.<span> </span>Which one of the following radioisotope is<i>
not</i> used as permanent implant?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Iodine-125.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Palladium-103.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Gold-198.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Caesium-137.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 297.<span> </span>Which one of the following tumors shows
calcification on CT scan:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Ependymoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Medulloblastoma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Meningioma.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">CNS lymphoma.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 298.<span> </span>The technique employed radiotherapy to
counteract the effect of tumour motion due to breathing is known as:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Arc technique.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Modulation.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Gating.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">Shunting.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 299.<span> </span>Gamma camera in nuclear medicine is used for:</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">Organ imaging .</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">Measuring the
radioiactivity.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">Monitoring the surface
contamination.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">RIA.</span></div>
<div class="Ans" style="margin: 2pt 0in;">
<span style="font-size: 12pt;">Ans.<span> </span>B</span></div>
<div class="Ques" style="margin: 2pt 0in 2pt 39pt;">
<span style="color: windowtext; font-size: 12pt;">Q 300.<span> </span>At t = 0 there are 6 </span><span style="color: windowtext; font-family: Symbol; font-size: 12pt;">´</span><span style="color: windowtext; font-size: 12pt;"> 10</span><span style="color: windowtext; font-size: 12pt; position: relative; top: -5pt;">23</span><span style="color: windowtext; font-size: 12pt;"><span> </span>radioactive atoms of a substance, which decay with
a disintegration constant (l) equal to 0.01/sec. What would be the initial
decay rate?</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">A.<span> </span></span></b><span style="font-size: 12pt;">6 </span><span style="font-family: Symbol; font-size: 12pt;">´</span><span style="font-size: 12pt;"> 10</span><span style="font-size: 12pt; position: relative; top: -5pt;">23</span><span style="font-size: 12pt;">.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">B.<span> </span></span></b><span style="font-size: 12pt;">6 </span><span style="font-family: Symbol; font-size: 12pt;">´</span><span style="font-size: 12pt;">10</span><span style="font-size: 12pt; position: relative; top: -5pt;">22</span><span style="font-size: 12pt;">.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">C.<span> </span></span></b><span style="font-size: 12pt;">6 </span><span style="font-family: Symbol; font-size: 12pt;">´</span><span style="font-size: 12pt;"> 10</span><span style="font-size: 12pt; position: relative; top: -5pt;">21</span><span style="font-size: 12pt;">.</span></div>
<div class="1234" style="margin: 2pt 0in 2pt 51pt;">
<b><span style="font-size: 12pt;">D.<span> </span></span></b><span style="font-size: 12pt;">6 </span><span style="font-family: Symbol; font-size: 12pt;">´</span><span style="font-size: 12pt;"> 10</span><span style="font-size: 12pt; position: relative; top: -5pt;">20</span><span style="font-size: 12pt;">.</span></div>
<div class="Ans">
<span style="font-size: 12pt;">Ans.<span> </span>C</span></div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-45814851472057601922011-12-28T04:25:00.000-08:002012-01-19T00:33:14.356-08:00AIIMS NOV 2011 (101-200)<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">101</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>M<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">om</span><span style="letter-spacing: -0.1pt;">m</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.45pt;"> </span>c<span style="letter-spacing: 0.05pt;">ompl</span><span style="letter-spacing: -0.05pt;">i</span>ca<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.6pt;"> </span>a<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ile</span>a<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">u</span>ch<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.1pt;">n</span>al<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>as<span style="letter-spacing: 0.05pt;">tomo</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>BD<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s.. </span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 96.05pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ob</span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">el</span>v<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">b</span>sc<span style="letter-spacing: 0.05pt;">e</span>ss</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 363.75pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">tio</span>n </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>P<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">iti</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<a href="http://medicalpgresources1.blogspot.com/2012/01/ileal-pouch-anal-anastomosis.html" target="_blank">IPAA complication</a></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">102</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">L</span>P<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: 0.05pt;">D</span>ys<span style="letter-spacing: 0.05pt;">ge</span>r<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">om</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 352.05pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ma<span style="letter-spacing: 0.05pt;">lig</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: 0.1pt;">r</span>a<span style="letter-spacing: 0.05pt;">tom</span>a </span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 352.05pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.Ca<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.15pt;">O</span>vary</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ca<span style="letter-spacing: -0.1pt;"> </span>S<span style="letter-spacing: 0.05pt;">tom</span>ach</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<br /></div>
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<br /></div>
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<div class="MsoNormal" style="line-height: 112%; margin: 1.65pt 278.85pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">103</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">ele</span><span style="letter-spacing: -0.05pt;">u</span>k<span style="letter-spacing: 0.05pt;">emi</span>c<span style="letter-spacing: -0.6pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span>t </span></div>
<div class="MsoNormal" style="line-height: 112%; margin: 1.65pt 278.85pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>PNH</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0.1pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>PCH</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 370.3pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">pl</span>as<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">emi</span>a
<span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>M<span style="letter-spacing: 0.05pt;">D</span>S</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">104</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.15pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>f<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>ast<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">li</span>k<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">og</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">pl</span>e<span style="letter-spacing: -0.35pt;"> </span>sc<span style="letter-spacing: -0.05pt;">le</span>r<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: 0.05pt;">ligo</span><span style="letter-spacing: -0.05pt;">nu</span>c<span style="letter-spacing: 0.05pt;">leo</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">id</span>e<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">omple</span><span style="letter-spacing: -0.05pt;">t</span>e<span style="letter-spacing: -0.45pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span>rd<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.15pt;">s</span>ac<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>B/L<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">opti</span>c<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y/<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">bli</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss
<span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">105</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.2pt;"> </span>ca<span style="letter-spacing: 0.05pt;">p</span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: 0.05pt;">te</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">t</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: 0.05pt;">t</span>e <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">il</span>ar<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: 0.05pt;">t</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Umbili</span>cal<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span>e
<span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>Cys<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: 0.05pt;">t</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">106</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>art<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.05pt;">i</span>al<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: -0.05pt;">h</span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: -0.4pt;"> </span>scr<span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.1pt;">a</span>l<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>rv<span style="letter-spacing: 0.05pt;">e</span>s <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">et</span><span style="letter-spacing: -0.05pt;">h</span>rae</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">b</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lbo</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">et</span><span style="letter-spacing: -0.05pt;">h</span>ral<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">g</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>s
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>B<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lbo</span>s<span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">gio</span>s<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.8pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span>sc<span style="letter-spacing: 0.05pt;">l</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">107</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>a<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.1pt;">a</span>l<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">emo</span>ral<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.3pt;"> </span>sac:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">emo</span>ral<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>rve
<span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">emo</span>ral<span style="letter-spacing: -0.35pt;"> </span>v<span style="letter-spacing: 0.05pt;">ei</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">emo</span>ral<span style="letter-spacing: -0.35pt;"> </span>ar<span style="letter-spacing: 0.05pt;">te</span>ry</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">te</span>ral<span style="letter-spacing: -0.3pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eo</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>rve<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span>h</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">108</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: 0.05pt;">o</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">i</span>ce<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.4pt;">t</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">t</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">3</span>.<span style="letter-spacing: 0.05pt;">5</span>%<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">o</span>d<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">it</span>ra<span style="letter-spacing: 0.05pt;">t</span>e
<span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.05pt;">D</span>TA</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">ep</span>ar<span style="letter-spacing: 0.05pt;">i</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">odi</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>xa<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">109</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>M<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">om</span><span style="letter-spacing: -0.1pt;">m</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">g</span>an<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ope</span>r<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>s:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">tom</span>ach</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ode</span><span style="letter-spacing: -0.05pt;">nu</span>m </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.05pt;">u</span>m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">olo</span>n</span><br />
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><a href="http://medicalpgresources1.blogspot.com/2012/01/postoperative-ileus.html" target="_blank">Post operative ileus</a> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">110</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Pa<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">ommo</span><span style="letter-spacing: -0.05pt;">nl</span>y<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ak<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.Aa<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>art<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">t</span>e <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>a<span style="letter-spacing: 0.05pt;">te</span>ral<span style="letter-spacing: -0.2pt;"> </span>wa<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">t</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">edi</span>al<span style="letter-spacing: -0.3pt;"> </span>wa<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span>e </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>P<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">111</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Oss<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>ca<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.55pt;"> </span>c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>re<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>rst<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">ppe</span>ars<span style="letter-spacing: -0.05pt;"> </span>–</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">E</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">2</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>h</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">egi</span><span style="letter-spacing: -0.05pt;">nn</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">2</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>h </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">E</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">3</span>rd<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>h</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">egi</span><span style="letter-spacing: -0.05pt;">nn</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">3</span>rd<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>h</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">112</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Ty<span style="letter-spacing: 0.05pt;">p</span>e<span style="letter-spacing: -0.2pt;"> </span>D<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>rs<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">lit</span>y<span style="letter-spacing: -0.55pt;"> </span>w<span style="letter-spacing: 0.05pt;">e</span>re<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tl</span>y<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>r<span style="letter-spacing: 0.05pt;">i</span>sk<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.1pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r
a.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>ary<span style="letter-spacing: -0.45pt;"> </span>ar<span style="letter-spacing: 0.05pt;">te</span>ry<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">e</span>ase</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Dep</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">io</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">lit</span>y<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">de</span>r </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>Sc<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">113</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">h</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>rast<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: 0.05pt;">D</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">om</span>a<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.7pt;"> </span>P<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span>e
<span style="letter-spacing: 0.05pt;">d</span>.P<span style="letter-spacing: 0.05pt;">ol</span>y<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">odo</span>sa</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">114</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>0<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ar<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>H<span style="letter-spacing: 0.3pt;">b</span>-<span style="letter-spacing: 0.05pt;">9</span>,<span style="letter-spacing: -0.3pt;"> </span>MCV-<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">50</span>,<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>rr<span style="letter-spacing: 0.05pt;">itin</span>-<span style="letter-spacing: 0.05pt;">2</span><span style="letter-spacing: -0.05pt;">0</span><span style="letter-spacing: 0.05pt;">0</span>,<span style="letter-spacing: -0.6pt;"> </span>T<span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.1pt;">B</span>C-<span style="letter-spacing: 0.05pt;">294</span>.<span style="letter-spacing: -0.5pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>r<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span>cy</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">emi</span>a<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">e</span>ase </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">l</span>as<span style="letter-spacing: 0.05pt;">emi</span>a<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">jo</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">l</span>as<span style="letter-spacing: 0.05pt;">emi</span>a<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">115</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>WH<span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.1pt;">C</span>H<span style="letter-spacing: -0.35pt;"> </span>OF<span style="letter-spacing: -0.05pt;"> </span>THE<span style="letter-spacing: -0.15pt;"> </span>FO<span style="letter-spacing: 0.05pt;">LL</span>OW<span style="letter-spacing: -0.05pt;">I</span>NG<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">D</span><span style="letter-spacing: 0.15pt;">O</span><span style="letter-spacing: -0.05pt;">E</span>S<span style="letter-spacing: -0.3pt;"> </span>N<span style="letter-spacing: 0.15pt;">O</span>T<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.15pt;">F</span>F<span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.1pt;">C</span>T<span style="letter-spacing: -0.3pt;"> </span>THE<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.1pt;">A</span>R<span style="letter-spacing: 0.05pt;">D</span>Y<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.15pt;">W</span><span style="letter-spacing: -0.05pt;">I</span>N<span style="letter-spacing: 0.1pt;">B</span><span style="letter-spacing: -0.05pt;">E</span>RG <span style="letter-spacing: -0.05pt;">E</span>Q<span style="letter-spacing: 0.05pt;">U</span>AT<span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.15pt;">O</span>N?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">pop</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">lle</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">116</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">mpo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>Br<span style="letter-spacing: 0.05pt;">o</span>wn<span style="letter-spacing: -0.25pt;"> </span>S<span style="letter-spacing: 0.05pt;">eq</span><span style="letter-spacing: -0.05pt;">u</span>ard<span style="letter-spacing: -0.4pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">p</span>s<span style="letter-spacing: 0.05pt;">il</span>a<span style="letter-spacing: 0.05pt;">te</span>ral<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: -0.15pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ar<span style="letter-spacing: -0.3pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">n</span>se</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">p</span>s<span style="letter-spacing: 0.05pt;">il</span>a<span style="letter-spacing: 0.05pt;">te</span>ral<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>yra<span style="letter-spacing: 0.05pt;">mid</span><span style="letter-spacing: -0.1pt;">a</span>l<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.1pt;">a</span>ct<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">ol</span>v<span style="letter-spacing: 0.05pt;">eme</span><span style="letter-spacing: -0.05pt;">n</span>t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">te</span>ral<span style="letter-spacing: -0.6pt;"> </span>s<span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">mi</span>c<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ract<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">ol</span>v<span style="letter-spacing: 0.05pt;">eme</span><span style="letter-spacing: -0.05pt;">n</span>t </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">117</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>S<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>ass<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span>v<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">ge</span>al<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.3pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span>t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Le</span><span style="letter-spacing: -0.05pt;">f</span>t<span style="letter-spacing: -0.15pt;"> </span>va<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Le</span><span style="letter-spacing: -0.05pt;">f</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Le</span><span style="letter-spacing: -0.05pt;">f</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>as<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.35pt;"> </span>ar<span style="letter-spacing: 0.05pt;">te</span>ry</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">118</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>V<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">20</span><span style="letter-spacing: -0.05pt;">2</span><span style="letter-spacing: 0.05pt;">0</span>,<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span>o<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">w</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>m<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">doe</span>s<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>rm<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>art<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">WHO <span style="letter-spacing: 0.05pt;">U</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">e</span>f
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: -0.05pt;">In</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">te</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">r<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.6pt;"> </span>A<span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span>cy<span style="letter-spacing: -0.4pt;"> </span>F<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">P</span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">119</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>Pa<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.2pt;"> </span>4<span style="letter-spacing: -0.05pt;"> h</span>rs<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.15pt;">j</span><span style="letter-spacing: -0.05pt;">u</span>ry.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>so<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>se<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.05pt;">f</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>ye<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>al ar<span style="letter-spacing: 0.05pt;">e</span>a.<span style="letter-spacing: -0.3pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.15pt;">a</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eo</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.6pt;"> </span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nu</span>s<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">ombo</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.35pt;"> </span>car<span style="letter-spacing: 0.05pt;">oti</span>d<span style="letter-spacing: -0.3pt;"> </span>ar<span style="letter-spacing: 0.05pt;">te</span>ry<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>rysm</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Car<span style="letter-spacing: 0.05pt;">oti</span>co<span style="letter-spacing: -0.2pt;"> </span>cav<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a </span><br />
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">oi</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>rac<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">120</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">Do</span>w<span style="letter-spacing: -0.05pt;">n</span>’s<span style="letter-spacing: -0.4pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.35pt;">t</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Delet</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>1</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Tr<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">om</span>y<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>1</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">45</span>,XX,<span style="letter-spacing: 0.05pt;">de</span>r(<span style="letter-spacing: 0.05pt;">14</span>;<span style="letter-spacing: 0.05pt;">21</span>)(<span style="letter-spacing: 0.05pt;">q10</span>;<span style="letter-spacing: -0.05pt;">q</span><span style="letter-spacing: 0.05pt;">10</span>)</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">46</span>,XX/<span style="letter-spacing: 0.05pt;">47</span>,X<span style="letter-spacing: 0.1pt;">X</span>,+<span style="letter-spacing: 0.05pt;">2</span>1</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">121</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span>d<span style="letter-spacing: -0.2pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>ws<span style="letter-spacing: -0.35pt;"> </span>CD<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>0<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: 0.05pt;">iti</span>v<span style="letter-spacing: 0.05pt;">e</span>;<span style="letter-spacing: -0.45pt;"> </span>CD<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>9<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ti</span>v<span style="letter-spacing: 0.05pt;">e</span>;<span style="letter-spacing: -0.45pt;"> </span>MPO<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: 0.05pt;">e</span>;<span style="letter-spacing: -0.45pt;"> </span>CD<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">11</span>7
<span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ti</span>v<span style="letter-spacing: 0.1pt;">e</span>;<span style="letter-spacing: -0.45pt;"> </span>CD<span style="letter-spacing: -0.15pt;"> </span>3<span style="letter-spacing: -0.05pt;"> n</span><span style="letter-spacing: 0.05pt;">eg</span>a<span style="letter-spacing: 0.05pt;">ti</span>v<span style="letter-spacing: 0.05pt;">e</span>;<span style="letter-spacing: -0.5pt;"> </span>CD<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">3</span>3<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eg</span>a<span style="letter-spacing: 0.05pt;">ti</span>v<span style="letter-spacing: 0.05pt;">e</span>;<span style="letter-spacing: -0.5pt;"> </span>TC=<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">6000</span>;<span style="letter-spacing: -0.3pt;"> </span>H<span style="letter-spacing: 0.05pt;">b</span>=<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">4</span>.<span style="letter-spacing: 0.05pt;">5</span>;<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">tel</span><span style="letter-spacing: -0.05pt;">e</span>t<span style="letter-spacing: -0.35pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">t</span>=<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">200</span><span style="letter-spacing: -0.05pt;">0</span><span style="letter-spacing: 0.05pt;">0</span>.<span style="letter-spacing: -0.35pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e
<span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;">
</span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 113%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">L</span>L</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>AML</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">ip</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ot</span>y<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>c</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span>a<span style="letter-spacing: 0.05pt;">te</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">122</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">Ef</span>av<span style="letter-spacing: 0.05pt;">i</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>z<span style="letter-spacing: -0.35pt;"> </span>ac<span style="letter-spacing: 0.05pt;">t</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">H</span><span style="letter-spacing: -0.05pt;">I</span>V<span style="letter-spacing: -0.05pt;">I</span>1<span style="letter-spacing: -0.1pt;"> </span>PRO<span style="letter-spacing: 0.1pt;">T</span><span style="letter-spacing: -0.05pt;">E</span>A<span style="letter-spacing: 0.1pt;">S</span>E<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nh</span><span style="letter-spacing: 0.05pt;">ibito</span>r </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>H<span style="letter-spacing: 0.05pt;">I</span>V1<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">leo</span>s<span style="letter-spacing: 0.05pt;">id</span>ase<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nh</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">bi</span><span style="letter-spacing: 0.05pt;">to</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 12pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">H</span><span style="letter-spacing: -0.05pt;">I</span>V<span style="letter-spacing: -0.2pt;"> </span>1<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.1pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">teg</span>rase<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nh</span><span style="letter-spacing: 0.05pt;">ibito</span>r </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>H<span style="letter-spacing: 0.05pt;">I</span>V<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ry<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">123</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span>r<span style="letter-spacing: 0.05pt;">eti</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>ay<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>ra<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">(a)<span style="letter-spacing: -0.2pt;"> </span>RPE</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">(<span style="letter-spacing: 0.05pt;">b</span>)<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>ay<span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">od</span>s<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">(c)<span style="letter-spacing: -0.2pt;"> </span>B<span style="letter-spacing: 0.05pt;">ipol</span>ar<span style="letter-spacing: -0.3pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>ay<span style="letter-spacing: 0.05pt;">e</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">(<span style="letter-spacing: 0.05pt;">d</span>)<span style="letter-spacing: -0.2pt;"> </span>Ga<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">glio</span>n<span style="letter-spacing: -0.45pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>ay<span style="letter-spacing: 0.05pt;">e</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">124</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">Li</span>d<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">t</span>rac<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.5pt;"> </span>ca<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">im</span>a<span style="letter-spacing: 0.05pt;">top</span>r<span style="letter-spacing: 0.05pt;">o</span>st
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">L</span>a<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>r<span style="letter-spacing: 0.05pt;">o</span>st </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Br<span style="letter-spacing: 0.05pt;">imo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">idi</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">p</span>rac<span style="letter-spacing: 0.05pt;">lo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">idi</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">125</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;"> p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">et</span><span style="letter-spacing: -0.05pt;">h</span>ral<span style="letter-spacing: -0.35pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">ome</span>,<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">mi</span>cr<span style="letter-spacing: 0.05pt;">o</span>sc<span style="letter-spacing: 0.05pt;">op</span>y<span style="letter-spacing: -0.55pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>ws<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">fu</span><span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pol</span>y<span style="letter-spacing: 0.05pt;">mo</span>r<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>,<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span>o <span style="letter-spacing: 0.05pt;">b</span>ac<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">i</span>a.<span style="letter-spacing: -0.45pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">pp</span>r<span style="letter-spacing: -0.05pt;">op</span>r<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Mc'c<span style="letter-spacing: 0.05pt;">o</span>y<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span>y<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ar<span style="letter-spacing: 0.05pt;">ti</span>n<span style="letter-spacing: -0.35pt;"> </span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">oo</span>k<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">me</span>at</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>PP<span style="letter-spacing: 0.05pt;">L</span>O<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>r<span style="letter-spacing: 0.05pt;">ot</span>h</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">126</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>F<span style="letter-spacing: 0.05pt;">i</span>rst<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.15pt;">m</span><span style="letter-spacing: 0.05pt;">i</span>cal<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>arr<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">mi</span>cr<span style="letter-spacing: 0.05pt;">oo</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>sm<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: 0.05pt;">ommo</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>s<span style="letter-spacing: 0.05pt;">ite</span>s a.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.Ac<span style="letter-spacing: 0.05pt;">idi</span>c<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>h </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Sk<span style="letter-spacing: 0.05pt;">i</span>n <span style="letter-spacing: 0.05pt;">d</span>.G<span style="letter-spacing: 0.05pt;">l</span>yc<span style="letter-spacing: 0.05pt;">oge</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">127</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Y<span style="letter-spacing: 0.05pt;">el</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: -0.35pt;"> </span>sc<span style="letter-spacing: 0.05pt;">le</span>ra<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">j</span>a<span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">bi</span>r<span style="letter-spacing: 0.05pt;">t</span>h
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.G<span style="letter-spacing: 0.05pt;">6</span>PD</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.S<span style="letter-spacing: 0.05pt;">L</span>E</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">edito</span>ry<span style="letter-spacing: -0.5pt;"> </span>s<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span>cy<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: -0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">128</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">Le</span>ast<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>ca<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>a<span style="letter-spacing: -0.1pt;">m</span>a<span style="letter-spacing: 0.05pt;">g</span>e<span style="letter-spacing: -0.35pt;"> </span>w<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d <span style="letter-spacing: 0.05pt;">o</span>cc<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>case<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">j</span><span style="letter-spacing: -0.05pt;">u</span>ry<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">eli</span>ac<span style="letter-spacing: -0.3pt;"> </span>ax<span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span>ar<span style="letter-spacing: 0.05pt;">te</span>ry</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 319.8pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">me</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.55pt;"> </span>ar<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>ry <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">me</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.55pt;"> </span>ar<span style="letter-spacing: -0.05pt;">te</span>ry</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">129</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>n<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: 0.05pt;">loli</span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.95pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">fu</span>l a.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>MRI</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">mb</span>ar<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">egio</span>n<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.1pt;">x</span>-ray-<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.1pt;">A</span>P<span style="letter-spacing: -0.15pt;"> </span>v<span style="letter-spacing: 0.05pt;">ie</span>w</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">mb</span>ar<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">egio</span>n<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">x</span>-ray<span style="letter-spacing: -0.3pt;"> </span>-<span style="letter-spacing: 0.05pt;"> l</span>a<span style="letter-spacing: 0.05pt;">te</span>ral<span style="letter-spacing: -0.3pt;"> </span>v<span style="letter-spacing: 0.05pt;">ie</span>w</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">130</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">o</span>v<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.35pt;"> </span>case<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">l</span>ary<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>cr<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;"> </span>-<span style="letter-spacing: -0.05pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.1pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.25pt;"> </span>y<span style="letter-spacing: 0.05pt;">o</span>u<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.1pt;">w</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.25pt;"> </span>ac<span style="letter-spacing: 0.05pt;">idi</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>ca<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">i</span>ck<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>TB<span style="letter-spacing: 0.15pt;">-</span>PCR<span style="letter-spacing: -0.25pt;"> </span>-<span style="letter-spacing: -0.05pt;"> u</span>r<span style="letter-spacing: 0.2pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Bac<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.4pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.1pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">131</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">7</span>5<span style="letter-spacing: -0.1pt;"> </span>yrs<span style="letter-spacing: -0.2pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>cal<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">ei</span><span style="letter-spacing: -0.05pt;">zu</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.3pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.1pt;">fu</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>,<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">oi</span>ce<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span>Va<span style="letter-spacing: 0.05pt;">lpo</span>ra<span style="letter-spacing: 0.05pt;">t</span>e <span style="letter-spacing: 0.05pt;">b</span>.Pr<span style="letter-spacing: 0.05pt;">egb</span>a<span style="letter-spacing: 0.05pt;">li</span>n
c.<span style="letter-spacing: 0.05pt;">Le</span>v<span style="letter-spacing: 0.05pt;">it</span>r<span style="letter-spacing: 0.05pt;">i</span>ac<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">t</span>am
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">132</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>rs<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ad<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>ram<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: 0.05pt;">iti</span>ve<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: -0.05pt;">g</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>sm<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.35pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">lli</span>n<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>n
c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">iti</span>v<span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.5pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>ws<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> i</span><span style="letter-spacing: 0.05pt;">t</span>.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.4pt;">c</span>an<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">gi</span>v<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.05pt;"> </span>MRSA<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Va<span style="letter-spacing: 0.1pt;">n</span>c<span style="letter-spacing: 0.05pt;">om</span>yc<span style="letter-spacing: 0.05pt;">i</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">ot</span>r<span style="letter-spacing: 0.05pt;">imo</span>xa<span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">ol</span>e </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">f</span>ac<span style="letter-spacing: 0.05pt;">lo</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">ip</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">lo</span>xac<span style="letter-spacing: 0.05pt;">i</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">133</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>H<span style="letter-spacing: 0.05pt;">ete</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>ss<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.3pt;"> </span>-<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">im</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: -0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.65pt;"> </span>y<span style="letter-spacing: 0.05pt;">o</span>u<span style="letter-spacing: -0.2pt;"> </span>w<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>o<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">o</span>r <span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">geme</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>ka<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">t</span>ase </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">K</span>+</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Ac<span style="letter-spacing: 0.05pt;">i</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">t</span>ase</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ca<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">134</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">geo</span>n<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>ss<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span>sc<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">pi</span>c<span style="letter-spacing: -0.55pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ole</span>cys<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: 0.05pt;">tom</span>y<span style="letter-spacing: -0.8pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>ap<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">ge</span>ry
<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">d</span>s<span style="letter-spacing: -0.35pt;"> </span>s<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">ommo</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">bil</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">t</span>.<span style="letter-spacing: -0.3pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.15pt;">d</span><span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">ll</span>y<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: 0.05pt;">pe</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ole</span>cys<span style="letter-spacing: 0.05pt;">te</span>c<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">om</span>y<span style="letter-spacing: -0.8pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">oledo</span>c<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ode</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">m</span>y
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">L</span>ap<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">plo</span>ra<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>CBD<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">emo</span>val</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>ap<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">emo</span>val<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">g</span>h<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">bil</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>ct
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>O<span style="letter-spacing: 0.05pt;">pe</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">plo</span>ra<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.1pt;">B</span>D</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">135</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">li</span>v<span style="letter-spacing: 0.05pt;">e</span>ry<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">omi</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ad<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">et</span><span style="letter-spacing: 0.1pt;">u</span>s<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span>t
a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">E</span>x<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">de</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ad</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">l</span>ac<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">i</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span>c<span style="letter-spacing: 0.05pt;">omplet</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">e</span>rv<span style="letter-spacing: 0.05pt;">i</span>x</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">136</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>w<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">bo</span>rn<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: 0.05pt;">b</span>y<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">bli</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">te</span>rs<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: 0.1pt;"> </span>sk<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.05pt;"> </span>k<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ee</span>.<span style="letter-spacing: -0.3pt;"> </span>B<span style="letter-spacing: 0.05pt;">e</span>st<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>V<span style="letter-spacing: 0.05pt;">D</span>RL</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">B.MANO<span style="letter-spacing: 0.15pt;">U</span>X<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bli</span>s<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>d </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: 0.1pt;">P</span>I</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>TPHA</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">137</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.15pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">lim</span>b<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">gi</span>r<span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>y<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y
a.Sarc<span style="letter-spacing: 0.05pt;">ogl</span>yca<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>ys<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span>Ca<span style="letter-spacing: 0.05pt;">lp</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0.1pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">138</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">Di</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">be</span><span style="letter-spacing: -0.1pt;">s</span>t<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: -0.05pt;">gn</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.1pt;">B</span>S<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">10</span>0<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.1pt;">P</span>BS<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">14</span>0</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: 112%; margin: 0in 321.45pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 14pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.15pt;"> </span>FBS<span style="letter-spacing: -0.1pt;"> </span>><span style="letter-spacing: 0.05pt;">12</span>5<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.1pt;">P</span>BS<span style="letter-spacing: -0.2pt;"> </span>><span style="letter-spacing: 0.2pt;">1</span><span style="letter-spacing: 0.05pt;">9</span>9 </span></div>
<div class="MsoNormal" style="line-height: 112%; margin: 0in 321.45pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">b</span>A<span style="letter-spacing: 0.05pt;">1</span>c<span style="letter-spacing: -0.25pt;"> </span>=<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">5</span>.<span style="letter-spacing: 0.05pt;">5</span>%</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0.1pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.FBS<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>re<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>an<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">7</span>0</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">139</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>CV<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.7pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>se<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">toi</span>d<span style="letter-spacing: -0.55pt;"> </span>ar<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">iti</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.1pt;">n</span>ky<span style="letter-spacing: 0.05pt;">lo</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.5pt;"> </span>s<span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: 0.05pt;">do</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">toge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Bas<span style="letter-spacing: 0.05pt;">il</span>ar<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.15pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>va<span style="letter-spacing: 0.05pt;">gi</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">tio</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">140</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>re<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">gi</span>v<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.25pt;">s</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>PNH</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>PCH</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 369.8pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">pl</span>as<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">emi</span>a
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>My<span style="letter-spacing: 0.05pt;">elod</span>ys<span style="letter-spacing: 0.05pt;">pl</span>as<span style="letter-spacing: 0.05pt;">ti</span>c</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">141</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>M<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>sm<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">j</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">r</span>y<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.2pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lde</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">lo</span>c<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.2pt;"> </span>–</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">bd</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">ot</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>A<span style="letter-spacing: 0.05pt;">dd</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">ot</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">bd</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: 0.05pt;">ot</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.05pt;"> </span>A<span style="letter-spacing: 0.05pt;">dd</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">ot</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">142</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Pa<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">eeli</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">to</span>war<span style="letter-spacing: 0.05pt;">d</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>c<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>r
<span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.05pt;">
</span><span style="letter-spacing: 0.05pt;">Do</span>c<span style="letter-spacing: 0.05pt;">to</span>rs<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ee</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">to</span>war<span style="letter-spacing: 0.05pt;">d</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">lle</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">143</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>F<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">i</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>NA<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">top</span>sy<span style="letter-spacing: -0.4pt;"> </span>sa<span style="letter-spacing: 0.05pt;">mpl</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ak<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: 0.1pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Li</span>v<span style="letter-spacing: 0.05pt;">e</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">plee</span>n </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Kid</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>y
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">144</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>8<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ar<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">tilit</span>y<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ad<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bee</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.55pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>HSG<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">ele</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">bil</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>ral
c<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.05pt;">nu</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">blo</span>ck.<span style="letter-spacing: -0.3pt;"> </span>N<span style="letter-spacing: 0.05pt;">e</span>xt<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">be</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">do</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.25pt;"> </span>–</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">bopl</span>as<span style="letter-spacing: 0.05pt;">t</span>y
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">I</span>VF</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: 0.05pt;">tio</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>a<span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span>csc<span style="letter-spacing: 0.05pt;">op</span>y<span style="letter-spacing: -0.6pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: 0.05pt;">ete</span>r<span style="letter-spacing: 0.05pt;">o</span>sc<span style="letter-spacing: 0.05pt;">op</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">145</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">K</span>ary<span style="letter-spacing: 0.05pt;">ot</span>y<span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">et</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.25pt;"> </span>can<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">do</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.4pt;">t</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">C</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">io</span>c<span style="letter-spacing: -0.45pt;"> </span>v<span style="letter-spacing: 0.05pt;">illo</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.35pt;"> </span>sa<span style="letter-spacing: 0.05pt;">mpli</span><span style="letter-spacing: -0.15pt;">n</span>g</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">do</span>c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: 0.05pt;">i</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">io</span>c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.05pt;">et</span>al<span style="letter-spacing: -0.2pt;"> </span>sk<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">biop</span>sy</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">146</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>X<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>acc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.4pt;">t</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a<span style="letter-spacing: -0.05pt;"> </span>.<span style="letter-spacing: -0.1pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">plo</span>s<span style="letter-spacing: 0.05pt;">i</span>ve</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 14pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Le</span>ss<span style="letter-spacing: -0.25pt;"> </span>car<span style="letter-spacing: 0.05pt;">dio</span>vasc<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.65pt;"> </span>s<span style="letter-spacing: 0.05pt;">id</span><span style="letter-spacing: 0.3pt;">e</span>-<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">e</span>ct
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">147</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: 0.05pt;">tte</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">de</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">eme</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span>cy<span style="letter-spacing: -0.55pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.15pt;">m</span>a<span style="letter-spacing: 0.05pt;">tom</span>a.<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>VP
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">E</span>x<span style="letter-spacing: 0.05pt;">plo</span>ra<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>k<span style="letter-spacing: 0.05pt;">id</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 113%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">tom</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>On<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.2pt;"> </span>R<span style="letter-spacing: 0.05pt;">U</span>G</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">148</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Br<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nz</span><span style="letter-spacing: 0.05pt;">ol</span>a<span style="letter-spacing: 0.05pt;">mid</span>e<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.15pt;">s</span>-</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">ompet</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.45pt;"> </span>car<span style="letter-spacing: 0.05pt;">bo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">nh</span>y<span style="letter-spacing: 0.05pt;">d</span>rase<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.1pt;">h</span><span style="letter-spacing: 0.05pt;">ib</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">to</span>r.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>n-c<span style="letter-spacing: 0.05pt;">ompeti</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>ve<span style="letter-spacing: -0.75pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: 0.05pt;">ibl</span>e<span style="letter-spacing: -0.45pt;"> </span>car<span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">nh</span>y<span style="letter-spacing: 0.05pt;">d</span>ra<span style="letter-spacing: 0.15pt;">s</span>e<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nh</span><span style="letter-spacing: 0.05pt;">ibito</span>r. c.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">ompe</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">iti</span>ve<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>rr<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">ibl</span>e<span style="letter-spacing: -0.5pt;"> </span>car<span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">nh</span>y<span style="letter-spacing: 0.05pt;">d</span>rase<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ibi</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>r.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">149</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ad<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">pit</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">it</span>ary<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">gl</span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span>MRI<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: 0.15pt;">c</span>a<span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.2pt;"> </span>H<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>yr<span style="letter-spacing: 0.05pt;">oi</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">il</span>e<span style="letter-spacing: -0.3pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ele</span>d <span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>TSH<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d
T4<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">ed</span>.<span style="letter-spacing: -0.55pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ay<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: -0.05pt;">l</span>e<span style="letter-spacing: -0.45pt;"> </span>ca<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">im</span>ary<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">pot</span><span style="letter-spacing: -0.05pt;">h</span>yr<span style="letter-spacing: 0.05pt;">oidi</span>sm</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>ary<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">mo</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">ot</span>r<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">en</span><span style="letter-spacing: 0.05pt;">om</span>a <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">150</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>T4<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>T3<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nh</span><span style="letter-spacing: 0.05pt;">ibit</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.25pt;">t</span>-
a.Pr<span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">olo</span>l</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.Pr<span style="letter-spacing: 0.05pt;">op</span>yl<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">io</span><span style="letter-spacing: -0.05pt;">u</span>rac<span style="letter-spacing: 0.05pt;">i</span>l</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.A<span style="letter-spacing: 0.05pt;">miod</span>ar<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">et</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">iim</span>a<span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">ol</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">151</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>6<span style="letter-spacing: -0.1pt;"> </span>yrs<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.1pt;">h</span>as<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span>s<span style="letter-spacing: 0.05pt;">oli</span>d<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span>SG<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.2pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: 0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">lp</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.15pt;">e</span><span style="letter-spacing: 0.05pt;">top</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>, <span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>CG,<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>ka<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">t</span>ase<span style="letter-spacing: -0.55pt;"> </span>.<span style="letter-spacing: -0.1pt;"> </span>M<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">l</span>e<span style="letter-spacing: -0.4pt;"> </span>ca<span style="letter-spacing: -0.05pt;">u</span>se<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ay<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: 0.05pt;">D</span>ys<span style="letter-spacing: 0.05pt;">ge</span>r<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">om</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 113%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.T<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">tom</span>a.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.05pt;">En</span><span style="letter-spacing: 0.05pt;">dode</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.6pt;"> </span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nu</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">mo</span>r
<span style="letter-spacing: 0.05pt;">d</span>.M<span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.15pt;">c</span>ys<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">om</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">152</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>8<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ar<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>y<span style="letter-spacing: -0.45pt;"> </span>c<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">ni</span>c<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">bil</span>a<span style="letter-spacing: 0.05pt;">te</span>ral<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: 0.45pt;">u</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">he</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>a;<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">to</span>ry
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">A</span><span style="letter-spacing: -0.05pt;">I</span>S</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>r’s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;">
</span>MR<span style="letter-spacing: 0.05pt;">K</span>H</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lle</span>r<span style="letter-spacing: 0.05pt;">i</span>an<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>ct<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">153</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span>e<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ck<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ombi</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.1pt;">m</span><span style="letter-spacing: 0.3pt;">e</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Fr<span style="letter-spacing: 0.05pt;">ee</span><span style="letter-spacing: -0.05pt;">z</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span>rve<span style="letter-spacing: -0.4pt;"> </span>c<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">tt</span><span style="letter-spacing: -0.05pt;">in</span>g<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>ac<span style="letter-spacing: 0.05pt;">to</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">s</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> h</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">pit</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>2<span style="letter-spacing: -0.05pt;"> h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>r </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">tele</span>t<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span>as<span style="letter-spacing: 0.05pt;">m</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ac<span style="letter-spacing: 0.05pt;">ti</span>va<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y<span style="letter-spacing: -0.15pt;"> </span>ka<span style="letter-spacing: 0.05pt;">oli</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">154</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.15pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span>as<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: 0.15pt;">r</span>a<span style="letter-spacing: -0.05pt;">n</span>scr<span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">t</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>Park<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.15pt;">d</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">e</span>ase </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Le</span>v<span style="letter-spacing: 0.05pt;">odop</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">oti</span><span style="letter-spacing: -0.05pt;">g</span><span style="letter-spacing: 0.05pt;">oti</span><span style="letter-spacing: -0.05pt;">n</span>e </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">elegi</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">155</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>MRI<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">ppe</span>ara<span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.15pt;">a</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">giom</span><span style="letter-spacing: 0.3pt;">a</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">op</span>c<span style="letter-spacing: 0.05pt;">o</span>rn<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: 0.05pt;">ppe</span>ara<span style="letter-spacing: -0.05pt;">n</span>ce</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.1pt;">u</span>n<span style="letter-spacing: -0.2pt;"> </span>ray<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: 0.05pt;">ppe</span>ara<span style="letter-spacing: -0.05pt;">n</span>ce </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">lle</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">156</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>Br<span style="letter-spacing: 0.05pt;">emel</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">id</span>e<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">til</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ys<span style="letter-spacing: -0.05pt;">fun</span>c<span style="letter-spacing: 0.05pt;">tio</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ca<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">t</span>e </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">LU</span>Ts</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">157</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">3</span>0<span style="letter-spacing: -0.1pt;"> </span>yrs<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: 0.05pt;">ompl</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">i</span>ve<span style="letter-spacing: -0.45pt;"> </span>s<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">eepi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ay<span style="letter-spacing: 0.05pt;">tim</span>e<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.1pt;">a</span>ck<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">lee</span>p<span style="letter-spacing: -0.25pt;"> </span>at <span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">t</span>.<span style="letter-spacing: -0.3pt;"> </span>O<span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.25pt;"> </span>at<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>ar<span style="letter-spacing: 0.05pt;">t</span>y<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.1pt;">f</span>r<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">oti</span>c<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">dde</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>s<span style="letter-spacing: 0.05pt;">leep</span>.<span style="letter-spacing: -0.3pt;"> </span>He<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ay<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ave</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">ei</span><span style="letter-spacing: -0.05pt;">zu</span>r<span style="letter-spacing: 0.05pt;">e</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ar<span style="letter-spacing: 0.05pt;">e</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 4.85in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">oe</span>a<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: 0.05pt;">lee</span>p <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">158</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: 0.25pt;">e</span>ak<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">igiom</span>y<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">ele</span>.<span style="letter-spacing: -0.95pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e
<span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;">
</span>a<span style="letter-spacing: 0.05pt;">pp</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.15pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>W<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.15pt;">s</span>wab<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">r</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">loo</span>d<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span>re </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span>re
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>C<span style="letter-spacing: 0.1pt;">B</span>C</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">159</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">4</span>0<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>m<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>ap<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>w<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.45pt;"> </span>& <span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">ll</span>a<span style="letter-spacing: -0.05pt;">g</span><span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.15pt;">c</span>h<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">mole</span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.4pt;"> </span>so<span style="letter-spacing: -0.05pt;"> </span>as<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">depo</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n
<span style="letter-spacing: 0.05pt;">bo</span>ne</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.Ca<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>r<span style="letter-spacing: 0.05pt;">o</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 388.45pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Ma<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>se
<span style="letter-spacing: 0.05pt;"> </span></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 388.45pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>P<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.05pt;">u</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">160</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>cc<span style="letter-spacing: -0.05pt;">u</span>rs<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">eg</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: -0.05pt;">n</span>cy<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span>t<span style="letter-spacing: 0.05pt;"> </span>–</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">ip</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ral<span style="letter-spacing: -0.45pt;"> </span>vasc<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">e</span>.
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.15pt;">c</span>r<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">o</span>ke<span style="letter-spacing: -0.3pt;"> </span>v<span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>car<span style="letter-spacing: 0.05pt;">di</span>ac<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">tp</span><span style="letter-spacing: -0.05pt;">u</span>t </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.15pt;">c</span>r<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bloo</span>d<span style="letter-spacing: -0.25pt;"> </span>v<span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: -0.1pt;">m</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">161</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>H<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.4pt;"> </span>r<span style="letter-spacing: 0.05pt;">epl</span>a<span style="letter-spacing: 0.05pt;">ceme</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">p</span>y<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">th</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.4pt;">t</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a)<span style="letter-spacing: -0.15pt;"> </span>Va<span style="letter-spacing: 0.05pt;">gi</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ry<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">)H<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">C)<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>car<span style="letter-spacing: 0.05pt;">dio</span>va<span style="letter-spacing: 0.15pt;">s</span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.65pt;"> </span>r<span style="letter-spacing: 0.05pt;">i</span>sk
<span style="letter-spacing: 0.05pt;">d</span>)Pr<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">opo</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">162</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>S<span style="letter-spacing: 0.05pt;">om</span>a<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>ass<span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>y<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.2pt;">n</span>-
a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">po</span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">i</span>ac<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">de</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">od</span>y<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ys<span style="letter-spacing: 0.05pt;">mo</span>r<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">de</span>r
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">Dep</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">io</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">163</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>B<span style="letter-spacing: 0.05pt;">ipol</span>ar<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>y<span style="letter-spacing: -0.05pt;">p</span>e<span style="letter-spacing: -0.2pt;"> </span>2<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.2pt;">s</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Ma<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">dep</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">io</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">pom</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.05pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span>b<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">dep</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">io</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">pom</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">dep</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ma<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span>b<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">dep</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">io</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">164</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>R<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">toi</span>d<span style="letter-spacing: -0.55pt;"> </span>ar<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ti</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">be</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.15pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lli</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">od</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>g<span style="letter-spacing: -0.1pt;"> </span>G<span style="letter-spacing: 0.05pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tibod</span>y </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">c.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">I</span>g A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tibod</span>y </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">I</span>g<span style="letter-spacing: -0.1pt;"> </span>M a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tibod</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 113%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">165</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Ac<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.6pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.4pt;"> </span>ass<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 405.6pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>G<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">o</span>se
<span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>Ca+2</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: 10.8pt; margin: 0in 403.8pt 0.0001pt 5.05pt; text-align: justify;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">m</span>y<span style="letter-spacing: 0.05pt;">l</span>ase</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Tra<span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>as<span style="letter-spacing: 0.05pt;">e</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">166</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>S<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ppo</span>se<span style="letter-spacing: -0.4pt;"> </span>y<span style="letter-spacing: 0.05pt;">o</span>u<span style="letter-spacing: -0.2pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: 0.05pt;">o</span>rk<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span>r<span style="letter-spacing: 0.05pt;">emot</span>e<span style="letter-spacing: -0.3pt;"> </span>PHC<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.05pt;"> </span>y<span style="letter-spacing: 0.05pt;">o</span>u<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span>ve<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">blo</span><span style="letter-spacing: 0.5pt;">o</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.1pt;">s</span>a<span style="letter-spacing: 0.05pt;">mpl</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">e</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">s<span style="letter-spacing: 0.05pt;">tim</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">oo</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">g</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">o</span>se<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>v<span style="letter-spacing: 0.05pt;">el</span>,<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: 0.2pt;"> </span>–</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span>
<br />
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>.<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">T</span>.<span style="letter-spacing: -0.15pt;"> </span>A</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">ot</span>ass<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span>–<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>xa<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span>e </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span>K<span style="letter-spacing: -0.05pt;"> </span>–<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>xa<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.35pt;"> </span>+<span style="letter-spacing: -0.1pt;"> </span>NaF</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0.1pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>K<span style="letter-spacing: -0.05pt;"> </span>–<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>xa<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.35pt;"> </span>+<span style="letter-spacing: -0.1pt;"> </span>NaI</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">167</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">j</span>a<span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span>ce<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">p</span>ass<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span>c<span style="letter-spacing: 0.05pt;">l</span>ay<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: 0.05pt;">olo</span>r<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span>s<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">ool</span>.<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.1pt;">T</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g
<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">nz</span>y<span style="letter-spacing: 0.05pt;">me</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">il</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">ele</span>va<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 373.1pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">5</span>’<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">leotid</span>a<span style="letter-spacing: -0.1pt;">s</span>e <span style="letter-spacing: 0.05pt;"> </span></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 373.1pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">L</span>P</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: 10.8pt; margin: 0in 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>GGT</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">L</span>A<span style="letter-spacing: 0.05pt;">δd</span>.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">168</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Y<span style="letter-spacing: 0.05pt;">o</span>u<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ave<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span>c<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">ll</span>y<span style="letter-spacing: -0.45pt;"> </span>as<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>av<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.1pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span>S<span style="letter-spacing: 0.05pt;">L</span>E<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">4<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ave<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">om</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>2<span style="letter-spacing: -0.05pt;"> </span>are<span style="letter-spacing: -0.05pt;"> n</span><span style="letter-spacing: 0.05pt;">eg</span>a<span style="letter-spacing: 0.05pt;">ti</span>v<span style="letter-spacing: 0.05pt;">e</span>.<span style="letter-spacing: -0.45pt;"> </span>To<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>y<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.5pt;">L</span>E<span style="letter-spacing: -0.2pt;"> </span>at<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: 0.05pt;">poi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>,<span style="letter-spacing: -0.3pt;"> </span>y<span style="letter-spacing: 0.05pt;">o</span>u<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ee</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>k<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>w:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">lit</span>y<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">L</span><span style="letter-spacing: -0.05pt;">E</span>;<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">iti</span>v<span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">pe</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>ach<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">ide</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>va<span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.15pt;">c</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">L</span>E</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">el</span>a<span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">i</span>sk<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">L</span>E<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.2pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">169</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.1pt;">a</span><span style="letter-spacing: 0.05pt;">dm</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.15pt;"> </span>an<span style="letter-spacing: -0.05pt;"> I</span>CU<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ral<span style="letter-spacing: -0.3pt;"> </span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.2pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>ast<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: 0.15pt;">e</span><span style="letter-spacing: 0.05pt;">e</span>k.<span style="letter-spacing: -0.3pt;"> </span>He<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n
c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">idim</span>e<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">mi</span>kac<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.5pt;"> </span>A<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.2pt;"> </span>7<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ays<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tibi</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">ti</span>cs<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>v<span style="letter-spacing: 0.05pt;">elop</span>s<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span>s<span style="letter-spacing: 0.05pt;">pi</span>ke<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.25pt;"> </span>an<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: 0.05pt;">bl</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">o</span>d<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">fo</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>ram<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: 0.05pt;">iti</span>ve<span style="letter-spacing: -0.35pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: -0.1pt;">c</span>i<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.1pt;">h</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s,<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.1pt;">w</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>ca<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">l</span>ase<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.15pt;">e</span><span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: 0.05pt;">ti</span>v<span style="letter-spacing: 0.7pt;">e</span>.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 113%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 12pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">F<span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s,<span style="letter-spacing: -0.25pt;"> </span>va<span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">om</span>yc<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.5pt;"> </span>was<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>ar<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">r</span>e<span style="letter-spacing: -0.3pt;"> </span>r<span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">iti</span>ve<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.25pt;"> </span>sa<span style="letter-spacing: 0.05pt;">m</span>e <span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>sm<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.2pt;"> </span>2<span style="letter-spacing: -0.05pt;"> </span>w<span style="letter-spacing: 0.05pt;">ee</span>ks<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">p</span>y.<span style="letter-spacing: -0.35pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">li</span>k<span style="letter-spacing: 0.05pt;">el</span>y<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>sm<span style="letter-spacing: -0.4pt;"> </span>ca<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s: </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">lo</span>c<span style="letter-spacing: 0.05pt;">o</span>cc<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.75pt;"> </span>a<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.15pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">E</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">o</span>cc<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>a<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">li</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ase<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eg</span>a<span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">ph</span>y<span style="letter-spacing: 0.05pt;">lo</span>c<span style="letter-spacing: 0.05pt;">o</span>cc<span style="letter-spacing: -0.05pt;">u</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">170</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>W<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">oi</span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>ra<span style="letter-spacing: 0.05pt;">gili</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.05pt;">in</span>g<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">teme</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.55pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span>,<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>B.<span style="letter-spacing: -0.05pt;"> f</span>ra<span style="letter-spacing: 0.05pt;">gili</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>sa<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: 0.05pt;">eq</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">ob</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>cal<span style="letter-spacing: -0.3pt;"> </span>sa<span style="letter-spacing: 0.05pt;">mp</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">e</span>s
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">lipopol</span>ysacc<span style="letter-spacing: -0.05pt;">h</span>ar<span style="letter-spacing: 0.05pt;">id</span>e<span style="letter-spacing: -0.85pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">me</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y<span style="letter-spacing: -0.15pt;"> </span>B.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>ra<span style="letter-spacing: 0.05pt;">gili</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>ra<span style="letter-spacing: 0.05pt;">ll</span>y<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">f</span><span style="letter-spacing: -0.05pt;">un</span>c<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">ll</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">di</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: -0.05pt;">ff</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">e</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">do</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>x<span style="letter-spacing: 0.05pt;">i</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>ck<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>ss<span style="letter-spacing: 0.05pt;">emi</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ravasc<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.6pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.55pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">ommo</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>ac<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">e</span>s
<span style="letter-spacing: 0.05pt;">b</span>ac<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">m</span><span style="letter-spacing: 0.05pt;">i</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">171</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">ol</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>Cap<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>ac<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.25pt;">p</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;"> </span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">iti</span>ve<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">eg</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">b<span style="letter-spacing: -0.05pt;"> </span>.N<span style="letter-spacing: 0.05pt;">eg</span>a<span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.45pt;"> </span>r<span style="letter-spacing: 0.05pt;">eg</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">tte</span><span style="letter-spacing: -0.05pt;">nu</span>a<span style="letter-spacing: 0.05pt;">tio</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">tit</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">172</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>r<span style="letter-spacing: 0.05pt;">eg</span>ar<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">met</span>a<span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">oli</span>sm<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.1pt;">a</span>re<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span>rr<span style="letter-spacing: 0.05pt;">e</span>ct<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>XC<span style="letter-spacing: -0.05pt;">E</span>P<span style="letter-spacing: 0.4pt;">T</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Ca<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>l<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">blo</span>ck<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.2pt;">s</span>-CYP3</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">elip</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">lo</span><span style="letter-spacing: 0.15pt;">l</span>-<span style="letter-spacing: -0.45pt;"> </span>CYP<span style="letter-spacing: 0.05pt;">2D</span>6 </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Digito</span>xc<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.4pt;"> </span>–<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>-<span style="letter-spacing: 0.05pt;">g</span>p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">173</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>w<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">me</span>as<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span>Hb<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.15pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.65pt;"> </span>was<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>v<span style="letter-spacing: 0.05pt;">eloped</span>.<span style="letter-spacing: -0.55pt;">
</span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>n<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e sa<span style="letter-spacing: 0.05pt;">mpl</span>e<span style="letter-spacing: -0.3pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>as<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.2pt;">s</span>-<span style="letter-spacing: 0.05pt;">9</span>.<span style="letter-spacing: 0.05pt;">4</span>,<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">10</span>.<span style="letter-spacing: 0.05pt;">4</span>,<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">9</span>.<span style="letter-spacing: 0.05pt;">6</span>,<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">10</span>.<span style="letter-spacing: 0.05pt;">8</span>,<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">9</span>.<span style="letter-spacing: 0.05pt;">1</span>,<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">12</span>.<span style="letter-spacing: 0.05pt;">1</span>,<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">10</span>.<span style="letter-spacing: 0.05pt;">1</span>,<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">9</span>.<span style="letter-spacing: 0.05pt;">8</span>,<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">9</span>.2<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">9</span>.<span style="letter-spacing: 0.05pt;">5</span>.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.1pt;">u</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>Hb<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>v<span style="letter-spacing: 0.05pt;">e</span>l <span style="letter-spacing: 0.05pt;">me</span>as<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>ard<span style="letter-spacing: -0.4pt;"> </span>c<span style="letter-spacing: 0.05pt;">olo</span>r<span style="letter-spacing: 0.05pt;">im</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">t</span>ry<span style="letter-spacing: -0.55pt;"> </span>was<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">10</span>.<span style="letter-spacing: 0.05pt;">2</span>.<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.1pt;">T</span><span style="letter-spacing: -0.05pt;">hu</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>d<span style="letter-spacing: 0.05pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">s</span>-</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.2pt;"> </span>va<span style="letter-spacing: 0.05pt;">lidit</span>y<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">eli</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">t</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.2pt;"> </span>va<span style="letter-spacing: 0.05pt;">lidit</span>y<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">eli</span>a<span style="letter-spacing: 0.05pt;">bi</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">it</span>y </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.15pt;"> </span>va<span style="letter-spacing: 0.05pt;">lidit</span>y<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">el</span><span style="letter-spacing: -0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">bil</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.25pt;"> </span>va<span style="letter-spacing: 0.05pt;">lidit</span>y<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.15pt;">e</span><span style="letter-spacing: 0.05pt;">li</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">174</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">Di</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">c</span>t<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>ar<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">z</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">io</span>n<span style="letter-spacing: -0.75pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: 0.05pt;">omp</span>are<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>r<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.45pt;"> </span>ra<span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">t</span>w<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>wo<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">ie</span>s <span style="letter-spacing: 0.05pt;">be</span>ca<span style="letter-spacing: -0.05pt;">u</span>se<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">u</span>se<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>a<span style="letter-spacing: 0.05pt;">t</span>h</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">me</span>ra<span style="letter-spacing: 0.05pt;">to</span>rs</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">g</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">ib</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">De</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">omi</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">to</span>rs</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">175</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>M<span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r’s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>r<span style="letter-spacing: 0.05pt;">e</span>ast<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">l</span>k<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span>al<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>w<span style="letter-spacing: 0.05pt;">bo</span>rn<span style="letter-spacing: -0.45pt;"> </span>.<span style="letter-spacing: -0.05pt;">I</span>t<span style="letter-spacing: 0.05pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>so<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.1pt;">f</span><span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.65pt;">g</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Do</span>c<span style="letter-spacing: 0.05pt;">o</span>sa<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>xa<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">oi</span>c<span style="letter-spacing: -0.85pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">olei</span>c<span style="letter-spacing: -0.4pt;"> </span>ac<span style="letter-spacing: -0.05pt;">i</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Ara<span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ido</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.55pt;"> </span>ac<span style="letter-spacing: 0.05pt;">i</span>d </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">Li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: 0.1pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.45pt;"> </span>ac<span style="letter-spacing: 0.05pt;">i</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">176</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">omple</span><span style="letter-spacing: -0.05pt;">t</span>e<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>o<span style="letter-spacing: -0.25pt;"> </span>ac<span style="letter-spacing: 0.05pt;">i</span>d<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">eq</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>wo<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">pol</span>y<span style="letter-spacing: 0.05pt;">pe</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">d</span>e<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">li</span>n<span style="letter-spacing: -0.25pt;"> </span>was<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">die</span>d
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</span>a<span style="letter-spacing: -0.05pt;"> </span>N<span style="letter-spacing: 0.05pt;">obl</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">z</span>e<span style="letter-spacing: -0.2pt;"> </span>was<span style="letter-spacing: -0.2pt;"> </span>aw<span style="letter-spacing: 0.15pt;">a</span>r<span style="letter-spacing: 0.05pt;">de</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: 0.25pt;">o</span>-</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Fr<span style="letter-spacing: 0.05pt;">ede</span>r<span style="letter-spacing: 0.05pt;">i</span>ck<span style="letter-spacing: -0.45pt;"> </span>Sa<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span>r </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>Ba<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">e</span>st </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">lle</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">177</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">oi</span>ce<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">it</span>al<span style="letter-spacing: -0.5pt;"> </span>A<span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.05pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: -0.05pt;">i</span>a<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s
a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">De</span>xa<span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">et</span>a<span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">ti</span>s<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>Pr<span style="letter-spacing: 0.05pt;">edi</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">olo</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">178</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">LD</span>L<span style="letter-spacing: -0.15pt;"> </span>=<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">60</span>0<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: 0.15pt;">G</span>=<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">140</span>;<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ay<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e
<span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">de</span>r<span style="letter-spacing: -0.3pt;"> </span>x<span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">om</span>as</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ar<span style="letter-spacing: -0.3pt;"> </span>x<span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">om</span>as</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">be</span>r<span style="letter-spacing: 0.05pt;">oe</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">pti</span>ve<span style="letter-spacing: -0.7pt;"> </span>xa<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">om</span>as <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Lipemi</span>a<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">li</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">179</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>G<span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>ard<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>cal<span style="letter-spacing: -0.3pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span>arch<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>Ra<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">domi</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">do</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.15pt;">n</span><span style="letter-spacing: 0.05pt;">de</span>d<span style="letter-spacing: -0.35pt;"> </span>c<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>cal<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>al</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Sys<span style="letter-spacing: 0.05pt;">temi</span>c<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: 0.1pt;">a</span>-a<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">l</span>ys<span style="letter-spacing: 0.05pt;">i</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>c<span style="letter-spacing: 0.05pt;">ologi</span>cal<span style="letter-spacing: -0.45pt;">
</span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">d</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">et</span>r<span style="letter-spacing: 0.05pt;">epo</span>s<span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>ve<span style="letter-spacing: -0.7pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">d</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">180</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">Dep</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">EE</span>G<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: 0.2pt;">h</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Ket</span>a<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">pot</span>h<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">mi</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>ar<span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">po</span>x<span style="letter-spacing: 0.05pt;">i</span>a </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">2</span>O</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">181</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">Do</span>c<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lti</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.35pt;"> </span>sc<span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: -0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">α</span>.<span style="letter-spacing: -0.05pt;"> I</span>FN</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>β <span style="letter-spacing: -0.05pt;">I</span>FN</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>γ <span style="letter-spacing: -0.05pt;">I</span>FN</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">tili</span>x<span style="letter-spacing: 0.05pt;">im</span>ab</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">182</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>ry<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>ra<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.7pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">it</span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">ed</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bot</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ee</span>ks.<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.1pt;">T</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>re was<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">dde</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: 0.05pt;">e</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ac<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">le</span>.<span style="letter-spacing: -0.4pt;"> </span>M<span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: 0.3pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.15pt;">a</span>l<span style="letter-spacing: -0.4pt;"> </span>as<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">m</span>.
M<span style="letter-spacing: 0.05pt;">o</span>st <span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">topi</span>c<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">ite</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">i</span>d<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ti</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ptio</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;"> d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.Ps<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">i</span>as<span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">183</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>acc<span style="letter-spacing: -0.05pt;">u</span>ra<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.45pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">g</span>ar<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>rc<span style="letter-spacing: 0.05pt;">ep</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: 0.05pt;">e</span>ry<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">opo</span>s<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">mete</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ad<span style="letter-spacing: 0.05pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>re<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>an<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>5<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">deg</span>r<span style="letter-spacing: -0.05pt;">e</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>ax<span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.6pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">te</span>x<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">to</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">io</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>art<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.2pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span>at<span style="letter-spacing: -0.1pt;"> </span>at<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">e</span>ro<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>Ca<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.1pt;">u</span>cc<span style="letter-spacing: 0.05pt;">ed</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span>ca<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">184</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> u</span><span style="letter-spacing: 0.05pt;">lt</span>ras<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.4pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">it</span>al<span style="letter-spacing: -0.5pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>c</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">Py<span style="letter-spacing: 0.05pt;">lo</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.35pt;"> </span>S<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">95</span>%<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">iti</span>v<span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span>ras<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>T<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.1pt;">k</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>y<span style="letter-spacing: 0.05pt;">lo</span>r<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.3pt;"> </span>> <span style="letter-spacing: 0.05pt;">4m</span>m </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.05pt;"> </span>C<span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">gt</span>h<span style="letter-spacing: -0.35pt;"> </span>><span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">16m</span>m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>as<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">id</span><span style="letter-spacing: -0.05pt;">u</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">185</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.1pt;">m</span>b<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">gi</span>r<span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ys<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ie</span>s<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">t</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span>Sarc<span style="letter-spacing: 0.05pt;">ogl</span>yca<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ie</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>ys<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: 0.1pt;">h</span><span style="letter-spacing: 0.05pt;">ie</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>ys<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 113%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ca<span style="letter-spacing: 0.05pt;">lp</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">186</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>f<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>c<span style="letter-spacing: 0.05pt;">to</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lge</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">gi</span>v<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.1pt;">f</span>a<span style="letter-spacing: 0.05pt;">l</span>se<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">medi</span>cal<span style="letter-spacing: -0.35pt;"> </span>c<span style="letter-spacing: -0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>ca<span style="letter-spacing: -0.05pt;">t</span>e<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>,<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s
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<span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">ut</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">de</span>r?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">13</span>7<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>PC</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">15</span>7<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>PC </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">19</span>7<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>PC </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">16</span>7<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>PC</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">187</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">U</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: 0.05pt;">e</span>rsal<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>y<span style="letter-spacing: 0.05pt;">o</span>car<span style="letter-spacing: 0.05pt;">di</span>al<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span>arc<span style="letter-spacing: 0.4pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">de</span>s<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">t</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">dde</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>a<span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.3pt;"> </span>c<span style="letter-spacing: 0.15pt;">a</span>n<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: 0.1pt;">u</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>MI</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.5pt 178.2pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">e</span>w<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.45pt;"> </span>wa<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">mot</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.35pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>ra<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.25pt;"> </span>car<span style="letter-spacing: 0.05pt;">di</span>ac<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">bi</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">m</span>ark<span style="letter-spacing: 0.05pt;">e</span>rs </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>3<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">time</span>s<span style="letter-spacing: -0.3pt;"> </span>r<span style="letter-spacing: 0.05pt;">i</span>se<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>v<span style="letter-spacing: 0.05pt;">el</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">epe</span>r<span style="letter-spacing: -0.05pt;">fu</span>s<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>a<span style="letter-spacing: 0.05pt;">d</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">le</span>va<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">opo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>v<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">l</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.4pt;">5</span>-<span style="letter-spacing: 0.05pt;">7</span>%</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">188</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.1pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.05pt;">D</span>SS<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ltipl</span>e<span style="letter-spacing: -0.35pt;"> </span>sc<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: 0.05pt;">mm</span>a
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>G<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">ti</span>ra<span style="letter-spacing: 0.05pt;">me</span>r<span style="letter-spacing: -0.5pt;"> </span>ac<span style="letter-spacing: 0.05pt;">et</span>a<span style="letter-spacing: -0.05pt;">t</span>e <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>Na<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">zu</span><span style="letter-spacing: 0.05pt;">m</span>ab</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">189</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span>4<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">eg</span>a<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">tme</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>va<span style="letter-spacing: 0.05pt;">lp</span>r<span style="letter-spacing: 0.05pt;">o</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.4pt;"> </span>r<span style="letter-spacing: 0.05pt;">eg</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.45pt;"> </span>ask<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.2pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">d</span>v<span style="letter-spacing: 0.05pt;">i</span>ce r<span style="letter-spacing: 0.05pt;">eg</span>ar<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ak<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">eg</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: -0.05pt;">n</span>cy.<span style="letter-spacing: -0.45pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s
<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: 0.15pt;"> </span><span style="letter-spacing: 0.05pt;">be</span>st<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>rse<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>ac<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">mmedi</span>a<span style="letter-spacing: 0.05pt;">tel</span>y<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">f</span>f<span style="letter-spacing: -0.15pt;"> </span>va<span style="letter-spacing: 0.05pt;">lp</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>art<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">g</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>C<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">g</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>car<span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.05pt;">z</span>a<span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">nu</span>e<span style="letter-spacing: -0.3pt;"> </span>va<span style="letter-spacing: 0.05pt;">lp</span>r<span style="letter-spacing: 0.05pt;">o</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>se<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">ni</span><span style="letter-spacing: 0.05pt;">to</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>G<span style="letter-spacing: 0.05pt;">i</span>ve<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">bot</span>h<span style="letter-spacing: -0.25pt;"> </span>va<span style="letter-spacing: 0.05pt;">lp</span>r<span style="letter-spacing: 0.05pt;">o</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">mot</span>r<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">gi</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">190</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>acc<span style="letter-spacing: -0.05pt;">u</span>ra<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.45pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">g</span>ar<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>rc<span style="letter-spacing: 0.05pt;">ep</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: 0.05pt;">e</span>ry<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">opo</span>s<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">mete</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ad<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>re<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>an<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>5<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">deg</span>r<span style="letter-spacing: -0.05pt;">e</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>ax<span style="letter-spacing: 0.05pt;">i</span>s </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.6pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">te</span>x<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">to</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">io</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>art<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.2pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span>at<span style="letter-spacing: -0.1pt;"> </span>at<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">e</span>ro<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ca<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.1pt;">u</span>cc<span style="letter-spacing: 0.05pt;">ed</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span>ca<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">191</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">bo</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>xy<span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span>ase<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">po</span>ra<span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">o</span>m<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>xy<span style="letter-spacing: 0.05pt;">ge</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span>c<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">po</span>ra<span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">bot</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.1pt;">m</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>xy<span style="letter-spacing: 0.05pt;">ge</span>n </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.1pt;">x</span>y<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">tio</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">el</span>p<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>car<span style="letter-spacing: 0.05pt;">bo</span>xy<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.65pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>ac<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">id</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">192</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.1pt;">w</span><span style="letter-spacing: -0.05pt;">h</span>o<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span>d<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span>r<span style="letter-spacing: 0.05pt;">o</span>ad<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.3pt;"> </span>acc<span style="letter-spacing: 0.05pt;">ide</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>,<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;"> n</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>sa<span style="letter-spacing: 0.05pt;">til</span>e r<span style="letter-spacing: 0.05pt;">et</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>al<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">om</span>a.<span style="letter-spacing: -0.55pt;"> </span>On<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>rav<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.15pt;">g</span>ram<span style="letter-spacing: -0.4pt;"> </span>was<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">do</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>.<span style="letter-spacing: -0.3pt;"> </span>R<span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.1pt;"> </span>k<span style="letter-spacing: 0.05pt;">id</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>y<span style="letter-spacing: -0.35pt;"> </span>was<span style="letter-spacing: -0.05pt;"> n</span><span style="letter-spacing: 0.05pt;">o</span>t v<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;">u</span>a<span style="letter-spacing: 0.05pt;">li</span>s<span style="letter-spacing: 0.05pt;">ed</span>.<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">Le</span><span style="letter-spacing: -0.05pt;">f</span>t<span style="letter-spacing: -0.15pt;"> </span>k<span style="letter-spacing: 0.05pt;">id</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>y<span style="letter-spacing: -0.35pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">immedi</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xcr<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: 0.05pt;">e</span>.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.15pt;">W</span><span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>xt<span style="letter-spacing: 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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">tom</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>x<span style="letter-spacing: 0.05pt;">plo</span>re<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span>x<span style="letter-spacing: 0.05pt;">im</span>al<span style="letter-spacing: -0.4pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span>v<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">el</span>s,<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">ope</span>n<span style="letter-spacing: -0.25pt;"> </span>G<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">ot</span>a’s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>asc<span style="letter-spacing: -0.05pt;">i</span>a<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: 0.3pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">plo</span>re<span style="letter-spacing: -0.35pt;"> </span>k<span style="letter-spacing: 0.05pt;">id</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>y </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>rm<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">gio</span><span style="letter-spacing: -0.05pt;">g</span>ra<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">et</span>r<span style="letter-spacing: 0.05pt;">og</span>ra<span style="letter-spacing: 0.05pt;">d</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>y<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">log</span>r<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 112%;">193</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">eg</span>ar<span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span>v<span style="letter-spacing: 0.05pt;">it</span>a<span style="letter-spacing: 0.05pt;">mi</span>n<span style="letter-spacing: -0.4pt;"> </span>D<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.35pt;">t</span>- </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">o</span>xy<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>cc<span style="letter-spacing: -0.05pt;">u</span>rs<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: 0.05pt;"> li</span>v<span style="letter-spacing: 0.05pt;">e</span>r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>5<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">o</span>xy<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>cc<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>k<span style="letter-spacing: 0.05pt;">id</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>V<span style="letter-spacing: 0.05pt;">i</span>t<span style="letter-spacing: -0.1pt;"> </span>d<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">40</span><span style="letter-spacing: 0.15pt;">0</span>-<span style="letter-spacing: 0.05pt;">60</span>0<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>r<span style="letter-spacing: 0.05pt;">eq</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">b</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">lig</span><span style="letter-spacing: -0.05pt;">h</span>t
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">194</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">ele</span><span style="letter-spacing: -0.05pt;">u</span>k<span style="letter-spacing: 0.05pt;">emi</span>c<span style="letter-spacing: -0.6pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.5pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>acc<span style="letter-spacing: 0.05pt;">ept</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">a.<span style="letter-spacing: -0.15pt;"> </span>Par<span style="letter-spacing: 0.05pt;">o</span>xys<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.1pt;">h</span><span style="letter-spacing: 0.05pt;">emo</span><span style="letter-spacing: -0.05pt;">g</span><span style="letter-spacing: 0.05pt;">lo</span><span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nu</span>r<span style="letter-spacing: 0.05pt;">i</span>a
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>Par<span style="letter-spacing: 0.05pt;">o</span>xys<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">emog</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">obi</span><span style="letter-spacing: -0.05pt;">nu</span>r<span style="letter-spacing: 0.05pt;">i</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>My<span style="letter-spacing: 0.05pt;">elod</span>ys<span style="letter-spacing: 0.05pt;">pl</span>as<span style="letter-spacing: 0.05pt;">i</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">pl</span>as<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.05pt;">u</span>k<span style="letter-spacing: 0.05pt;">emi</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">195</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>5<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ar<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">tme</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>r<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">toi</span>d<span style="letter-spacing: -0.6pt;"> </span>ar<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">iti</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.55pt;">a</span>b<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">g</span>s. Ha<span style="letter-spacing: 0.05pt;">emog</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">obi</span>n<span style="letter-spacing: -0.6pt;"> </span>–<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">6g</span>,<span style="letter-spacing: -0.2pt;"> </span>MCV<span style="letter-spacing: -0.2pt;"> </span>–<span style="letter-spacing: 0.1pt;"> </span><span style="letter-spacing: 0.05pt;">60</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">l</span>,RBC=<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>.5<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.1pt;">k</span><span style="letter-spacing: -0.05pt;">h</span>s,<span style="letter-spacing: -0.2pt;"> </span>F<span style="letter-spacing: 0.05pt;">e</span>rr<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>–<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">200</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">g</span>/<span style="letter-spacing: 0.05pt;">ml</span>.<span style="letter-spacing: -0.5pt;"> </span>Tra<span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>rr<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.3pt;"> </span>–<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">29</span>8
<span style="letter-spacing: 0.05pt;">mg</span>/<span style="letter-spacing: 0.05pt;">dl</span>.<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>r<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.2pt;"> </span>-=<span style="letter-spacing: 0.05pt;">3</span>0<span style="letter-spacing: -0.25pt;"> </span>W<span style="letter-spacing: 0.1pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 113%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">l</span>ass<span style="letter-spacing: 0.05pt;">emi</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">toimm</span><span style="letter-spacing: -0.05pt;">un</span>e<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">emol</span>y<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">emi</span>a </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;">
</span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">emi</span>a<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">e</span>ase</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>r<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span>cy<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">emi</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">19</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.1pt; line-height: 113%;">6</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>7<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ar<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: -0.05pt;">l</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;"> h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">im</span>ary<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>rr<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">oe</span>a.<span style="letter-spacing: -0.7pt;"> </span>S<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> h</span>ad<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bil</span>a<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.1pt;">a</span>l
<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>as.<span style="letter-spacing: -0.3pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>ary<span style="letter-spacing: -0.5pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: -0.05pt;">u</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span>arac<span style="letter-spacing: 0.05pt;">te</span>rs<span style="letter-spacing: -0.5pt;"> </span>w<span style="letter-spacing: 0.05pt;">e</span>re<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.15pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>.<span style="letter-spacing: -0.4pt;"> </span>P<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">bi</span>c<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">i</span>r<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: 0.15pt;">a</span>s<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>.<span style="letter-spacing: -0.4pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch
a<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 113%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">oge</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">iti</span>v<span style="letter-spacing: 0.05pt;">it</span>y </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">t</span>ar<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.1pt;">y</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;">c.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lle</span>r<span style="letter-spacing: 0.05pt;">i</span>an<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: 0.05pt;"> </span></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 112%;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: 0.1pt;">y</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 112%;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">197</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">di</span>ca<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">gl</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">o</span>se<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">tole</span>ra<span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.1pt;">s</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">eg</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">om</span>an<span style="letter-spacing: -0.4pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">io</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">tio</span>n </span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">ol</span>y<span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">d</span>ra<span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">io</span>s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>c<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">mp</span>s<span style="letter-spacing: 0.05pt;">i</span>a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">io</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">t</span>h</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">198</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>5 y<span style="letter-spacing: 0.05pt;">e</span>ar<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>1<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>ra<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>,<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: 0.05pt;">t</span>ax<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d
<span style="letter-spacing: 0.1pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ad<span style="letter-spacing: -0.2pt;"> </span>ac<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>.<span style="letter-spacing: -0.3pt;"> </span>Bra<span style="letter-spacing: 0.05pt;">i</span>n <span style="letter-spacing: 0.05pt;">im</span>a<span style="letter-spacing: 0.05pt;">gi</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">dil</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.3pt;"> </span>v<span style="letter-spacing: -0.05pt;">en</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">le</span>s<span style="letter-spacing: -0.5pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>asal<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">d</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span>s.<span style="letter-spacing: -0.5pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>y<span style="letter-spacing: 0.05pt;">mp</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>cy<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">pleo</span>cy<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">s</span>,<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">g</span>ar,<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">otei</span>n </span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 220.25pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>y<span style="letter-spacing: 0.05pt;">mp</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>cy<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">pleo</span>cy<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">s</span>,<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">g</span>ar,<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">otei</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 220.95pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 12pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>y<span style="letter-spacing: 0.05pt;">mp</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>cy<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">pleo</span>cy<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">s</span>,<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">g</span>ar,<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">otei</span>n
<span style="letter-spacing: 0.05pt;"> </span></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 220.95pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>N<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ili</span>c<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">leo</span>cy<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s,<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">g</span>ar,<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">otei</span>n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 220.95pt 0.0001pt 5.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 220.95pt 0.0001pt 5.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 220.95pt 0.0001pt 5.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 220.95pt 0.0001pt 5.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">199</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.2pt;">l</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.35pt;"> </span>sc<span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s?</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: 113%; margin: 1.65pt 356.95pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.5pt;"> </span>1<span style="letter-spacing: -0.05pt;"> </span>a<span style="letter-spacing: 0.05pt;">lp</span><span style="letter-spacing: -0.05pt;">h</span>a <span style="letter-spacing: 0.05pt;"> </span></span></div>
<div class="MsoNormal" style="line-height: 113%; margin: 1.65pt 356.95pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;"><span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.5pt;"> </span>1<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>a </span></div>
<div class="MsoNormal" style="line-height: 113%; margin: 1.65pt 356.95pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">c.<span style="letter-spacing: -0.05pt;">
</span>G<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">ti</span>ra<span style="letter-spacing: 0.15pt;">m</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.5pt;"> </span>ac<span style="letter-spacing: 0.05pt;">et</span>a<span style="letter-spacing: -0.05pt;">t</span>e</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 113%;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0.05pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Myc<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ol</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>l</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span><br />
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><br clear="all" style="page-break-before: always;" />
</span>
<br />
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><br clear="all" style="page-break-before: always;" />
</span>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 2.95pt 248.9pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">200</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>M<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span>C<span style="letter-spacing: 0.05pt;">ommo</span>n<span style="letter-spacing: -0.45pt;"> </span>s<span style="letter-spacing: 0.05pt;">it</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ol</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">gio</span>sarc<span style="letter-spacing: 0.05pt;">om</span>a
a.<span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ep</span>a<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">bil</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>ct</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 345.35pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.Or<span style="letter-spacing: 0.05pt;">igi</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>cys<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>ct
c.C<span style="letter-spacing: 0.05pt;">ommo</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">bil</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>ct <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.05pt;">E</span>x<span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ep</span>a<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">bil</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>ct</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"></span></div>
<div class="MsoNormal">
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</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-55491962364162553172011-12-28T04:05:00.000-08:002011-12-28T04:05:38.935-08:00AIIMS NOV 2011 (1-100)<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 114%;">1</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">.<span style="letter-spacing: -0.15pt;"> </span>An<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">elde</span>r<span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>an<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.2pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">g</span><span style="letter-spacing: -0.05pt;">h</span>.<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.1pt;">S</span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xa<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.6pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">le</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>ram <span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eg</span>a<span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">m</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.2pt;"> </span>w<span style="letter-spacing: 0.05pt;">e</span>re<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>r<span style="letter-spacing: 0.05pt;">o</span>wn<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span>rc<span style="letter-spacing: 0.05pt;">o</span>al<span style="letter-spacing: -0.4pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ast<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">t</span>ract<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">g</span>ar.<span style="letter-spacing: -0.3pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e
<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>sm<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">ol</span>v<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>H.<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">z</span>ae</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">2</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">bo</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">me</span>c<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">m</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">ommo</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">me</span>c<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.15pt;">s</span>m<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">od</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">iz</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.55pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">b</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">e</span>s
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c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.1pt;">l</span><span style="letter-spacing: 0.05pt;">te</span>ra<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ar<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">e</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">mo</span>c<span style="letter-spacing: 0.05pt;">o</span>ccal<span style="letter-spacing: -0.65pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>ce</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">omple</span><span style="letter-spacing: -0.05pt;">t</span>e<span style="letter-spacing: -0.45pt;"> </span>r<span style="letter-spacing: 0.05pt;">emo</span>val<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">ge</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>ca<span style="letter-spacing: -0.05pt;">u</span>se<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>va<span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">om</span>yc<span style="letter-spacing: 0.05pt;">i</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">3</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: -0.05pt;">zu</span>r<span style="letter-spacing: 0.05pt;">de</span>x<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">0</span>.<span style="letter-spacing: 0.05pt;">7</span>%<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>xa<span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">0</span>.<span style="letter-spacing: 0.05pt;">7</span>%<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>a<span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">0</span>.<span style="letter-spacing: 0.05pt;">3</span>%<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">m</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">0</span>.<span style="letter-spacing: 0.05pt;">7</span>%<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">m</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">4</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d <span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span>H<span style="letter-spacing: -0.05pt;">I</span>V<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.1pt;">n</span>s<span style="letter-spacing: 0.05pt;">mi</span>ss<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span>an<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">H</span><span style="letter-spacing: -0.05pt;">I</span>V<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: 0.05pt;">iti</span>ve
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>a<span style="letter-spacing: 0.05pt;">mi</span>v<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>e</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">t</span>av<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>e c.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">i</span>ra<span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">n</span>e
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">Did</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">5</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">eq</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>r<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>PCR<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span>t a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Deo</span>xyr<span style="letter-spacing: 0.05pt;">ibo</span><span style="letter-spacing: -0.05pt;">nu</span>c<span style="letter-spacing: 0.05pt;">leo</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">ide</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">mo</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">nz</span>y<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.35pt;"> </span>/<span style="letter-spacing: 0.05pt;">D</span>NA<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">pol</span>y<span style="letter-spacing: 0.05pt;">me</span>rase</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Dideo</span>xyr<span style="letter-spacing: 0.05pt;">ibo</span><span style="letter-spacing: -0.05pt;">nu</span>c<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">de</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ma<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>/ss<span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: -0.8pt;"> </span><span style="letter-spacing: 0.15pt;">/</span>T<span style="letter-spacing: 0.05pt;">empl</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>NA</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">6</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>s<span style="letter-spacing: 0.05pt;">oe</span><span style="letter-spacing: -0.05pt;">nz</span>y<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ave<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ope</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">tie</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.35pt;">t</span>- a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>ract<span style="letter-spacing: -0.35pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>sa<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>r</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ave<span style="letter-spacing: -0.2pt;"> </span>sa<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">nu</span><span style="letter-spacing: 0.05pt;">mbe</span>r<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.05pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span>b<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>g</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span>ve<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">eq</span><span style="letter-spacing: -0.05pt;">u</span>al<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ar<span style="letter-spacing: 0.05pt;">ge</span>t<span style="letter-spacing: -0.25pt;"> </span>/Sa<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">q</span><span style="letter-spacing: -0.05pt;">u</span>a<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">n</span>ary<span style="letter-spacing: -0.55pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>Sa<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: 0.05pt;">l</span>ass<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>/<span style="letter-spacing: -0.65pt;"> </span>sa<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.25pt;"> </span>ra<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: 0.05pt;">o</span>rk</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">7</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>an<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">o</span>rr<span style="letter-spacing: 0.05pt;">e</span>ct<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">t</span>c<span style="letter-spacing: -0.05pt;">h</span>?</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">de</span>r<span style="letter-spacing: -0.25pt;"> </span>–<span style="letter-spacing: 0.1pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>PC<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">30</span>0</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">de</span>r<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">ttemp</span>t<span style="letter-spacing: -0.25pt;"> </span>–<span style="letter-spacing: -0.05pt;"> I</span>PC<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.2pt;">3</span><span style="letter-spacing: 0.05pt;">0</span>7</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">id</span>e<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">ttemp</span>t<span style="letter-spacing: -0.2pt;"> </span>–<span style="letter-spacing: -0.05pt;"> I</span>PC<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">309</span>/<span style="letter-spacing: 0.05pt;">3</span><span style="letter-spacing: -0.05pt;">0</span><span style="letter-spacing: 0.1pt;">4</span>-c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lp</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">l</span>e<span style="letter-spacing: -0.8pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">omi</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">d</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">de</span>r
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">30</span><span style="letter-spacing: 0.1pt;">6</span>-s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">id</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">8</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">epto</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>as<span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">ig</span>n<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.25pt;">e</span><span style="letter-spacing: 0.05pt;">lp</span><span style="letter-spacing: -0.05pt;">fu</span>l<span style="letter-spacing: -0.3pt;"> </span>as
a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>t<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>a<span style="letter-spacing: 0.05pt;">d</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>v<span style="letter-spacing: 0.05pt;">e</span>ry<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>ss<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>ad<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">ompo</span><span style="letter-spacing: -0.05pt;">un</span>d</span></div>
<div class="MsoNormal" style="line-height: 113%; margin: 0in 139.65pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">de</span>rs<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">epto</span>r<span style="letter-spacing: -0.4pt;"> </span>can<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">nh</span>a<span style="letter-spacing: 0.1pt;">n</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ar<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">e</span>t
c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>t<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s
v<span style="letter-spacing: 0.05pt;">e</span>ry<span style="letter-spacing: -0.25pt;">
</span><span style="letter-spacing: 0.05pt;">e</span>asy<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>ss<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.2pt;">t</span><span style="letter-spacing: 0.05pt;">im</span>e<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>g</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0.1pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<br /></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">9</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.05pt;">i</span>rst<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">te</span>p<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">od</span><span style="letter-spacing: -0.05pt;">u</span>ce<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">li</span>n<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">po</span>r<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">t</span>e
a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>RNA<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>a<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span>c<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">hu</span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.05pt;">n</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>NA<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>a<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">hu</span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.05pt;">n</span>s</span></div>
<div class="MsoNormal" style="margin: 1.5pt 259.55pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>RNA<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>a<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span>c<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>ac<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">i</span>a
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">D</span>NA<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>a<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>ac<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">i</span>a</span></div>
<div class="MsoNormal" style="margin: 1.5pt 259.55pt 0.0001pt 5.05pt;">
<br /></div>
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<br /></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">10</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">ommo</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>ct<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">id</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.5pt;"> </span>s<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">i</span>d<span style="letter-spacing: -0.3pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span>N<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.5pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e</span></div>
</div>
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="WordSection2">
<div class="MsoNormal" style="line-height: 114%; margin: 2.95pt 401.6pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">a.<span style="letter-spacing: -0.15pt;"> </span>NP<span style="letter-spacing: 0.1pt;">H</span>S<span style="letter-spacing: -0.3pt;"> </span>2
<span style="letter-spacing: 0.05pt;">b</span>.ACE<span style="letter-spacing: -0.2pt;"> </span>/A<span style="letter-spacing: 0.05pt;">L</span>E c.HOX<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>1
<span style="letter-spacing: 0.05pt;">d</span>.PAX</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">11</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">L</span><span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.1pt;">A</span>ST<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">og</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">ip</span><span style="letter-spacing: -0.05pt;">l</span>e<span style="letter-spacing: -0.35pt;"> </span>sc<span style="letter-spacing: 0.05pt;">le</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span>s
a.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: 0.05pt;">pti</span>c<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>rve<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">ol</span>v<span style="letter-spacing: 0.05pt;">eme</span><span style="letter-spacing: -0.05pt;">n</span>t</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">b</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">oligo</span>c<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">tibo</span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">ie</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>CSF</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Tr<span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span>cal<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: 0.05pt;">t</span>ax<span style="letter-spacing: 0.05pt;">i</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Pyra<span style="letter-spacing: 0.05pt;">mid</span>al<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">ol</span>v<span style="letter-spacing: 0.05pt;">eme</span><span style="letter-spacing: -0.05pt;">n</span>t</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">12</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">In</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">oi</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.2pt;">n</span><span style="letter-spacing: 0.05pt;">gi</span>al<span style="letter-spacing: -0.45pt;"> </span>carc<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>rast<span style="letter-spacing: -0.35pt;"> </span>CT</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>rast<span style="letter-spacing: -0.4pt;"> </span>MRI</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.1pt;">P</span><span style="letter-spacing: -0.05pt;">E</span>CT</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: -0.05pt;">E</span>T</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">13</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span>h<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.05pt;">u</span>rr<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">iti</span>s,<span style="letter-spacing: -0.45pt;"> </span>s<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>x<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">o</span>car<span style="letter-spacing: 0.05pt;">di</span>a.<span style="letter-spacing: -0.75pt;"> </span>M<span style="letter-spacing: 0.05pt;">o</span>st
<span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.15pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.1pt;"> </span>–</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">K</span>ar<span style="letter-spacing: 0.05pt;">tge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>r’s<span style="letter-spacing: -0.55pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>r’s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.1pt;">S</span>y<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.1pt;">k</span>w<span style="letter-spacing: 0.05pt;">ith</span>-W<span style="letter-spacing: 0.05pt;">iedem</span><span style="letter-spacing: 0.1pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>n<span style="letter-spacing: -1.05pt;"> </span>s<span style="letter-spacing: 0.1pt;">y</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>Br<span style="letter-spacing: 0.05pt;">o</span>wn<span style="letter-spacing: 0.15pt;">-</span>S<span style="letter-spacing: 0.05pt;">éq</span><span style="letter-spacing: -0.05pt;">u</span>ard<span style="letter-spacing: -0.7pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.2pt;">o</span><span style="letter-spacing: 0.05pt;">m</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">14</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.2pt;"> </span>M<span style="letter-spacing: 0.05pt;">e</span>an<span style="letter-spacing: -0.3pt;"> </span>ar<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>BP<span style="letter-spacing: -0.15pt;"> </span>+ SBP/2 <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>BP<span style="letter-spacing: -0.15pt;"> </span>+<span style="letter-spacing: -0.1pt;"> </span>PP/3</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.1pt;">B</span>P<span style="letter-spacing: -0.25pt;"> </span>+ PP/3</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 1.65pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>BP<span style="letter-spacing: -0.15pt;"> </span>+<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.1pt;">S</span>BP<span style="letter-spacing: -0.15pt;"> </span>+PP/3</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">15</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">In</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">oi</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.1pt;">n</span>k<span style="letter-spacing: 0.05pt;">e</span>r’s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span>m a.<span style="letter-spacing: -0.15pt;"> </span>Bar<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.2pt;"> </span>swa<span style="letter-spacing: 0.05pt;">llo</span>w</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">ge</span>al<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">omet</span><span style="letter-spacing: -0.1pt;">r</span>y c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">24</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>h
<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ito</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">g</span>.</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">En</span><span style="letter-spacing: 0.05pt;">do</span>sc<span style="letter-spacing: 0.05pt;">op</span>y<span style="letter-spacing: -0.55pt;"> </span>/M<span style="letter-spacing: 0.15pt;">R</span>I</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">16</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">D</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>arva<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">gl</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eoge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.8pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">depe</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.B<span style="letter-spacing: 0.05pt;">et</span>a<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>x<span style="letter-spacing: 0.05pt;">id</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>a<span style="letter-spacing: 0.05pt;">tt</span>y<span style="letter-spacing: -0.25pt;"> </span>ac<span style="letter-spacing: 0.05pt;">i</span>d c.A<span style="letter-spacing: 0.05pt;">D</span>P</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>ATP</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">17</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">In</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>v<span style="letter-spacing: 0.05pt;">e</span>l<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.1pt;">f</span>as<span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">gge</span>s<span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>:</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span>sc<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>r<span style="letter-spacing: 0.05pt;">e</span>ak<span style="letter-spacing: 0.05pt;">do</span>wn</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">ed</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>o<span style="letter-spacing: -0.25pt;"> </span>ac<span style="letter-spacing: 0.05pt;">i</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">til</span><span style="letter-spacing: -0.05pt;">iz</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">gl</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eoge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>Br<span style="letter-spacing: 0.05pt;">e</span>ak<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">nu</span><span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: 0.2pt;">l</span>as<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">memb</span>ra<span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.5pt;"> </span>so<span style="letter-spacing: -0.05pt;"> </span>a<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>o<span style="letter-spacing: -0.25pt;"> </span>ac<span style="letter-spacing: 0.05pt;">id</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>ak<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>.. <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">18</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">dil</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">pi</span>l<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.05pt;">i</span>ve<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>%</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">pi</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: -0.05pt;">l</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">o</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">car<span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Di</span>a<span style="letter-spacing: 0.05pt;">beti</span>c<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">3</span>rd<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>rve<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">l</span>sy <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">die</span>’s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">pi</span>l</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span><span style="letter-spacing: -0.05pt;">n</span>cal<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">tio</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: -0.05pt;">h</span>ar<span style="letter-spacing: 0.05pt;">m</span>ac<span style="letter-spacing: 0.05pt;">ologi</span>cal<span style="letter-spacing: -0.75pt;">
</span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>ck</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">19</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">Dil</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">l</span>ae<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">lie</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">glio</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>arasy<span style="letter-spacing: 0.05pt;">mp</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">eti</span>c<span style="letter-spacing: -0.8pt;"> </span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span>r<span style="letter-spacing: -0.35pt;"> </span>w<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>al <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">glio</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.5pt;"> </span>sy<span style="letter-spacing: 0.05pt;">mp</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">eti</span>c</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Occ<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lomoto</span>r</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Tr<span style="letter-spacing: 0.05pt;">igemi</span><span style="letter-spacing: -0.05pt;">n</span>al</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">20</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>Ca<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>ca<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.5pt;"> </span>ar<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d<span style="letter-spacing: -0.3pt;"> </span>F<span style="letter-spacing: 0.05pt;">o</span>ra<span style="letter-spacing: 0.05pt;">me</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>r<span style="letter-spacing: 0.05pt;">o</span>,<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">ilt</span>ra<span style="letter-spacing: 0.05pt;">te</span>,<span style="letter-spacing: -0.45pt;"> </span>ra<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;">e</span>d
<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>racra<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ass<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">belo</span>w<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">3</span>rd<span style="letter-spacing: -0.15pt;"> </span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> s</span><span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.05pt;">pe</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: 0.05pt;">mom</span>a</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">u</span>b<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">epe</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: 0.05pt;">dom</span>a<span style="letter-spacing: 0.15pt;">l</span>-as<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">o</span>cy<span style="letter-spacing: 0.05pt;">tom</span>a
c.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.15pt;">l</span>-cyst</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ral<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">o</span>cy<span style="letter-spacing: 0.05pt;">tom</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">21</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.05pt;"> </span>H<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.3pt;">p</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.3pt;"> </span>k<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">ti</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Ps<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">dode</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">iti</span>c<span style="letter-spacing: -0.75pt;"> </span>k<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">dot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.5pt;"> </span>k<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">r</span>a<span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>Sc<span style="letter-spacing: 0.05pt;">le</span>ro<span style="letter-spacing: -0.25pt;"> </span>k<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">titi</span>s<span style="letter-spacing: -0.4pt;"> </span>/s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">om</span>al<span style="letter-spacing: -0.5pt;"> </span>k<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">titi</span>s
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">En</span><span style="letter-spacing: 0.05pt;">dot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">eliti</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">22</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>n<span style="letter-spacing: -0.05pt;"> In</span><span style="letter-spacing: 0.05pt;">di</span>a,<span style="letter-spacing: -0.2pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">omi</span>c<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.15pt;">m</span>a<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">geme</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: 0.05pt;">ppli</span>ca<span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">fo</span>r?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">C</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">oi</span>d<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.05pt;">n</span>cre</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">oi</span>d<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">pe</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">it</span>a<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">C</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">oid</span>,<span style="letter-spacing: -0.55pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>,<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">pe</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">it</span>a<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>s
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>C<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>cre<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.05pt;"> h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">pe</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">it</span>a<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">23</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>an<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;"> </span>6<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>ral<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.55pt;"> </span>He<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: -0.05pt;"> </span>y<span style="letter-spacing: 0.05pt;">ello</span>w<span style="letter-spacing: 0.05pt;">i</span>sh
<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">li</span>p<span style="letter-spacing: -0.1pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.2pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>ry<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">u</span>s,<span style="letter-spacing: -0.7pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;"> </span>c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ral<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">l</span>o<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">od</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: 0.6pt;">e</span>s<span style="letter-spacing: 0.05pt;">io</span><span style="letter-spacing: -0.05pt;">n</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">o</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.1pt;">n</span>.<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">Di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>:</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">h</span>c<span style="letter-spacing: 0.05pt;">et</span>'s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.15pt;">s</span>y<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">pe</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">bi</span>a<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.05pt;">i</span>x<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ptio</span>n
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>P<span style="letter-spacing: 0.05pt;">emp</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">u</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">24</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>N<span style="letter-spacing: -0.05pt;">E</span>STRO<span style="letter-spacing: 0.15pt;">F</span>T<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">l</span>ass<span style="letter-spacing: 0.05pt;">emi</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">toimm</span><span style="letter-spacing: -0.05pt;">un</span>e<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">emol</span>y<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">emi</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">C.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span>cy<span style="letter-spacing: 0.05pt;">to</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">i</span>ck<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">e</span>ase</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">25</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: 0.1pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">doe</span>s<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>cc<span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">l</span>d<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">im</span>a<span style="letter-spacing: 0.05pt;">te</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.05pt;">le</span>x<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bod</span>y<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">li</span>ke<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">et</span><span style="letter-spacing: -0.05pt;">u</span>s
c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">C</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eo</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.55pt;"> </span>vas<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">tio</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">od</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>ra<span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">lil</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: -0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>r<span style="letter-spacing: 0.05pt;">ele</span>a<span style="letter-spacing: -0.1pt;">s</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">g</span>y<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>r<span style="letter-spacing: 0.05pt;">o</span>wn<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: 0.05pt;">dipo</span>se<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">ti</span>ss<span style="letter-spacing: -0.05pt;">u</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">26</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>S<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">medi</span><span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.2pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.25pt;">x</span>c<span style="letter-spacing: 0.05pt;">ep</span>t</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">De</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: 0.05pt;">ompe</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.6pt;"> </span>a<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>rac<span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">En</span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: 0.05pt;">e</span>rsal<span style="letter-spacing: -0.4pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span>v<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">g</span>e</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0.1pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">fun</span><span style="letter-spacing: 0.05pt;">d</span>s<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.15pt;">e</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">medi</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.15pt;">c</span>r<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">tili</span>sa<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">lt</span>h<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>ac<span style="letter-spacing: 0.05pt;">ilit</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">e</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">27</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>Psyc<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">oiti</span>c<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.4pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.4pt;">t</span>-
a.<span style="letter-spacing: -0.15pt;"> </span>G<span style="letter-spacing: 0.1pt;">A</span>BA</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">oti</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>n c.<span style="letter-spacing: -0.15pt;"> </span>CC<span style="letter-spacing: 0.15pt;">K</span>-PZ</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">el</span>a<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>n</span></div>
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<br /></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">28</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>ra<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">lo</span><span style="letter-spacing: -0.05pt;">g</span><span style="letter-spacing: 0.05pt;">i</span>ca<span style="letter-spacing: 0.05pt;">ll</span>y<span style="letter-spacing: -0.65pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">i</span>r<span style="letter-spacing: 0.05pt;">me</span>d<span style="letter-spacing: -0.45pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span>x<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>v<span style="letter-spacing: 0.05pt;">elop</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">3</span>+<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">ei</span><span style="letter-spacing: -0.05pt;">nu</span>r<span style="letter-spacing: 0.05pt;">i</span>a.
W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">l</span>e<span style="letter-spacing: -0.5pt;"> </span>ca<span style="letter-spacing: -0.05pt;">u</span>se<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">otei</span><span style="letter-spacing: -0.05pt;">nu</span>r<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">emb</span>ra<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>r<span style="letter-spacing: 0.05pt;">oli</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -1pt;"> </span><span style="letter-spacing: -0.05pt;">g</span><span style="letter-spacing: 0.05pt;">lome</span>r<span style="letter-spacing: -0.05pt;">ul</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.05pt;">o</span>cal<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">egme</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">ome</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">iti</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">emb</span>ra<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">glome</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">on</span><span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">iti</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ra<span style="letter-spacing: 0.05pt;">pidl</span>y<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">og</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span>ve<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">gl</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">me</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">29</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>G<span style="letter-spacing: 0.05pt;">lome</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.5pt;"> </span>ca<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ll</span>ary<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.4pt;">t</span>-
a.<span style="letter-spacing: -0.15pt;"> </span>G<span style="letter-spacing: 0.05pt;">lome</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">oti</span>c<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">s</span>s<span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>an<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ilt</span>ra<span style="letter-spacing: 0.05pt;">t</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 114%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">oti</span>c<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ilt</span>ra<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>sa<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.25pt;"> </span>as<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>sys<span style="letter-spacing: 0.05pt;">temi</span>c <span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">oti</span>c<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.05pt;">u</span>re
c.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span>ar<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ol</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">d</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bloo</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.05pt;">u</span>re
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.15pt;">c</span>r<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ilt</span>ra<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.1pt;">a</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">to</span>cr<span style="letter-spacing: -0.05pt;">i</span>t</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">30</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>v<span style="letter-spacing: 0.05pt;">ide</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.15pt;">e</span>-<span style="letter-spacing: 0.05pt;">b</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">medi</span><span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: -0.05pt;">in</span>e<span style="letter-spacing: -0.4pt;"> </span>(<span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.1pt;">B</span>M)<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.1pt;">E</span>XC<span style="letter-spacing: 0.1pt;">E</span>P<span style="letter-spacing: 0.2pt;">T</span>-</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">im</span>s<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>a<span style="letter-spacing: 0.05pt;">ppl</span>y<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">be</span>st<span style="letter-spacing: -0.2pt;"> </span>ava<span style="letter-spacing: 0.05pt;">il</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: 0.35pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>sc<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: -0.05pt;">ho</span>d <span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.1pt;">a</span>l<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>c<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ak<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span>arch<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.1pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">l</span>s<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">q</span><span style="letter-spacing: -0.05pt;">ou</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span>arch<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">it</span>s<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">l</span>f <span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ck<span style="letter-spacing: -0.3pt;"> </span>va<span style="letter-spacing: 0.05pt;">lidit</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">opi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">medi</span>cal<span style="letter-spacing: -0.35pt;">
</span><span style="letter-spacing: -0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">io</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">l</span>s<span style="letter-spacing: -0.65pt;"> </span>n<span style="letter-spacing: -0.1pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span>arc<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ave<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">gi</span>v<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;"> le</span>ast <span style="letter-spacing: 0.05pt;">impo</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>ce</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>v<span style="letter-spacing: 0.05pt;">ide</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">me</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span>w<span style="letter-spacing: 0.05pt;">e</span>ak<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">poo</span>r<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">die</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">31</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>f<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: 0.05pt;"> t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">id</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">eti</span>c<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">dmi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">ed</span>,<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: -0.1pt;">s</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xcr<span style="letter-spacing: 0.05pt;">etio</span>n<span style="letter-spacing: -0.45pt;"> </span>s<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>4<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>rs<span style="letter-spacing: -0.2pt;"> </span>ar<span style="letter-spacing: 0.65pt;">e</span>-
a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">De</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>ca<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>,<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>s<span style="letter-spacing: 0.05pt;">odi</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pot</span>ass<span style="letter-spacing: -0.05pt;">iu</span>m</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.15pt;">c</span>r<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: 0.05pt;">odi</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pot</span>ass<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>,<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.35pt;"> </span>ca<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">D</span><span style="letter-spacing: 0.05pt;">e</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">pot</span>ass<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.35pt;"> </span>s<span style="letter-spacing: 0.05pt;">odi</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>ca<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 114%;">32</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">d</span>e
a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">tim</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>r<span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">n</span>e <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span>cr<span style="letter-spacing: 0.05pt;">eto</span>ry<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>arr<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">oe</span>a
c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>ra<span style="letter-spacing: 0.05pt;">ll</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span>ca<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>acr<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">meg</span>a<span style="letter-spacing: 0.05pt;">l</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">33</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">l</span>ax<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.55pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: -0.05pt;">z</span><span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: 0.05pt;">om</span>yc<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">gi</span>v<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>cas<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>rac<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">om</span>a<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>va<span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>a c<span style="letter-spacing: 0.05pt;">omm</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s:</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">4</span>%</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
<div class="MsoNormal" style="margin: 1.65pt 419.45pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: 0.05pt;">6</span>% c.</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: -0.05pt; line-height: 115%;"> </span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">8<span style="letter-spacing: -0.05pt;"> </span>% <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">10</span>%</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 113%; margin: 0in 331.15pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">34</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.2pt;"> </span>C<span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">mot</span>ry<span style="letter-spacing: 0.05pt;">p</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">oge</span>n<span style="letter-spacing: -0.9pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>a
a.<span style="letter-spacing: -0.15pt;"> </span>Car<span style="letter-spacing: 0.05pt;">bo</span>xy<span style="letter-spacing: 0.05pt;">peptid</span>ase</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0.1pt 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Zy<span style="letter-spacing: 0.05pt;">moge</span>n</span></div>
<div class="MsoNormal" style="margin: 1.65pt 378.75pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>Tra<span style="letter-spacing: 0.1pt;">n</span>sa<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>ase
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.05pt;">l</span>as<span style="letter-spacing: 0.05pt;">t</span>ase</span></div>
<div class="MsoNormal" style="margin: 1.65pt 378.75pt 0.0001pt 5.05pt;">
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<div class="MsoNormal" style="margin: 0in 262.55pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">34</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>Mark<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bo</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span>t
a.<span style="letter-spacing: -0.15pt;"> </span>Os<span style="letter-spacing: 0.05pt;">teo</span>ca<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">i</span>n</span></div>
<div class="MsoNormal" style="line-height: 10.8pt; margin: 0in 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>ka<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">ph</span>a<span style="letter-spacing: 0.05pt;">t</span>ase</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
<div class="MsoNormal" style="margin: 1.65pt 353.45pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">oll</span>a<span style="letter-spacing: 0.05pt;">ge</span>n<span style="letter-spacing: -0.55pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">id</span><span style="letter-spacing: -0.05pt;">u</span>e
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>Hy<span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">o</span>xy<span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">oli</span><span style="letter-spacing: -0.05pt;">n</span>e</span></div>
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<div class="MsoNormal" style="margin: 0in 35.6pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">35</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>t<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">dde</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>/l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>ss<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>v<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>ss<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">lig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>rc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span><span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.55pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>ss<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>re
<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;">
</span>r<span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">ide</span>.<span style="letter-spacing: -0.25pt;"> </span>P<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">pill</span>ary<span style="letter-spacing: -0.45pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">fl</span><span style="letter-spacing: 0.05pt;">e</span>x,<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">opto</span>k<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: -0.05pt;">n</span>ys<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">gm</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.45pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">l</span>.<span style="letter-spacing: -0.4pt;"> </span>Pt<span style="letter-spacing: -0.1pt;"> </span>can<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">c</span>h<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span>r <span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">lo</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;"> </span>r<span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>ye<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">lo</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">lt</span>.<span style="letter-spacing: -0.15pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s?</span></div>
<div class="MsoNormal" style="line-height: 10.8pt; margin: 0in 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">a.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: 0.05pt;">pti</span>c<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">iti</span>s</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
<div class="MsoNormal" style="margin: 1.65pt 277.3pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>sc<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">emi</span>c<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y
c.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.1pt;">M</span>V<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">eti</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">iti</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: -0.05pt;">un</span>c<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.45pt;"> </span>v<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;">u</span>al<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>ss</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 5.05pt;">
<br /></div>
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<br /></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">36</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>xc<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">i</span>v<span style="letter-spacing: 0.05pt;">el</span>y<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">ol</span>ve<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.15pt;">e</span><span style="letter-spacing: 0.1pt;">u</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s</span></div>
<div class="MsoNormal" style="margin: 1.5pt 289.1pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ltipl</span>e<span style="letter-spacing: -0.35pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>cal<span style="letter-spacing: -0.35pt;"> </span>/<span style="letter-spacing: -0.1pt;"> </span>sys<span style="letter-spacing: 0.05pt;">te</span>m<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span>y
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>S<span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">eb</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">ll</span>ar<span style="letter-spacing: -0.7pt;"> </span>a<span style="letter-spacing: 0.05pt;">t</span>ax<span style="letter-spacing: 0.05pt;">i</span>a</span></div>
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: 0.05pt;">ob</span>asal<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: -0.05pt;">ti</span><span style="letter-spacing: 0.05pt;">o</span>n</span></div>
</div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">p</span>ra<span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">le</span>ar<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">l</span>sy</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">37</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ark<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>ra<span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lo</span>sa<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">u</span>r?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>ka<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">t</span>ase
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ibi</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>CA<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">1</span><span style="letter-spacing: 0.1pt;">9</span>-9</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>CA<span style="letter-spacing: -0.15pt;"> </span>5</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">38</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">bo</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">zh</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">me</span>r’s<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.3pt;">e</span>-</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ib</span>r<span style="letter-spacing: 0.05pt;">ill</span>ary<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">gle</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: 0.05pt;">o</span>rr<span style="letter-spacing: 0.05pt;">el</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.3pt;">t</span>e<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">deg</span>r<span style="letter-spacing: -0.05pt;">e</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">deme</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span>a
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>Tau<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">otei</span><span style="letter-spacing: -0.05pt;">n</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">q</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.35pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: 0.05pt;">g</span>e
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">39</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">zh</span><span style="letter-spacing: 0.05pt;">eime</span>r's<span style="letter-spacing: -0.55pt;">
</span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>ass<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>se<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>:</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">a.<span style="letter-spacing: -0.15pt;"> </span>Aca<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">li</span>a <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: 0.05pt;">i</span>a
c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">p</span>rax<span style="letter-spacing: 0.05pt;">i</span>a <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">40</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: -0.05pt;"> </span>a<span style="letter-spacing: 0.05pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">un</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: 0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>r<span style="letter-spacing: -0.05pt;">e</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">toe</span>.<span style="letter-spacing: -0.25pt;"> </span>S<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>so<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">ompl</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n <span style="letter-spacing: 0.05pt;">g</span>r<span style="letter-spacing: 0.05pt;">e</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">oe</span>,<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>act<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>sa<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">Di</span>sc<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ol</span>a<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.1pt;">a</span>t<span style="letter-spacing: -0.1pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>v<span style="letter-spacing: 0.05pt;">el</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span><span style="letter-spacing: 0.1pt;">4</span>-<span style="letter-spacing: 0.05pt;">L</span>5</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span><span style="letter-spacing: 0.1pt;">1</span>-<span style="letter-spacing: 0.05pt;">L</span>2<span style="letter-spacing: -0.25pt;"> </span>/S<span style="letter-spacing: 0.1pt;">1</span>-S2 c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span><span style="letter-spacing: 0.1pt;">5</span>-S1</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span><span style="letter-spacing: 0.1pt;">3</span>-<span style="letter-spacing: 0.05pt;">L</span>4</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">41</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>rs<span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ad<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">e</span>e<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">bee</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">un</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>ve<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">limb</span>s<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d
<span style="letter-spacing: -0.05pt;">h</span>ad<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: -0.05pt;">n</span>o<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">o</span>l<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">mi</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.55pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>se<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">lp</span>r<span style="letter-spacing: 0.05pt;">ed</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.9pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">dit</span><span style="letter-spacing: -0.05pt;">io</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">30mg</span>/kg<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">3</span><span style="letter-spacing: -0.05pt;">h</span>rs
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span><span style="letter-spacing: 0.05pt;">45mg</span>/kg<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">6</span><span style="letter-spacing: -0.05pt;">h</span><span>rs c.</span><span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">60mg</span>/kg<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">9</span><span style="letter-spacing: -0.05pt;">h</span><span>rs <span style="letter-spacing: 0.05pt;">d</span>.</span><span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">75mg</span>/kg<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">12</span><span style="letter-spacing: -0.05pt;">h</span>rs</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">42</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">3</span>rd<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.15pt;">r</span>ve<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">l</span>sy<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span>t
a.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">to</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Dipl</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">pi</span>a</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.1pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>ye<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">te</span>ra<span style="letter-spacing: 0.05pt;">ll</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">43</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">op</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">i</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">eme</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.2pt;"> </span>4<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ays<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">b</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ol</span>.<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>n<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">te</span>,
<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.1pt;">
</span>assa<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eig</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">bo</span>r.<span style="letter-spacing: -0.5pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>acc<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> In</span><span style="letter-spacing: 0.05pt;">di</span>an<span style="letter-spacing: -0.35pt;"> </span>P<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.1pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span>C<span style="letter-spacing: 0.05pt;">ode</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">a.<span style="letter-spacing: -0.15pt;"> </span>He<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s
<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">el</span>d<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.25pt;">a</span>ct
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>He<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>ar<span style="letter-spacing: 0.05pt;">ti</span>a<span style="letter-spacing: 0.05pt;">ll</span>y<span style="letter-spacing: -0.4pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>act c.<span style="letter-spacing: -0.15pt;">
</span>He<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: -0.05pt;">fu</span><span style="letter-spacing: 0.05pt;">ll</span>y<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">ibl</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">fo</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>act</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">44</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">d</span>y<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">UK</span>,<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>t<span style="letter-spacing: -0.05pt;"> </span>w<span style="letter-spacing: 0.15pt;">a</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>re<span style="letter-spacing: -0.15pt;"> </span>was<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>re<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>a<span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>as<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.35pt;"> </span>as<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: 0.05pt;">omp</span>ar<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o
sa<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.2pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>c<span style="letter-spacing: 0.05pt;">ologi</span><span style="letter-spacing: 0.1pt;">c</span>al<span style="letter-spacing: -0.45pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">d</span>y <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>rt</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>Case<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>ce <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>x<span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">ime</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>al</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">45</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">eg</span>ar<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">fun</span>c<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">lo</span>ra<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.45pt;">t</span>-
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.05pt;">pit</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">eli</span>al<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n c.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">ot</span>ass<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.45pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>cr<span style="letter-spacing: 0.05pt;">etio</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">46</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">eg</span>ar<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">im</span>ary<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">pe</span>ra<span style="letter-spacing: 0.05pt;">ldo</span>s<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">s</span>m<span style="letter-spacing: -0.9pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span>t a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Di</span>as<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.65pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">edem</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">et</span>a<span style="letter-spacing: 0.05pt;">bo</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.45pt;"> </span>ac<span style="letter-spacing: 0.05pt;">ido</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.05pt;">en</span>t</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Lo</span>w<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span>cr<span style="letter-spacing: 0.05pt;">etio</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">nn</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>.</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span>cr<span style="letter-spacing: 0.05pt;">etio</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">ldo</span>s<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">t</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">ed</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span>v<span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">47</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>Sa<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>o<span style="letter-spacing: -0.25pt;"> </span>ac<span style="letter-spacing: 0.05pt;">i</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: 0.05pt;">ode</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lti</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.35pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: 0.35pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span>- a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Dege</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>racy</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.15pt;"> </span>Fra<span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">f</span>t<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">tio</span>n c.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">tio</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">48</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">pol</span>y<span style="letter-spacing: -0.25pt;"> </span>(A)<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">pol</span>y<span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">ept</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">d</span>e<span style="letter-spacing: -0.5pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">il</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">gi</span>ve<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: -0.05pt;">i</span>se<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">to</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">ol</span>y<span style="letter-spacing: 0.05pt;">l</span>ys<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">ol</span>y<span style="letter-spacing: 0.05pt;">gl</span>yc<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e c.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">ol</span>ya<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">ol</span>yG<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">49</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>T<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.05pt;">hn</span><span style="letter-spacing: 0.05pt;">iq</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>c<span style="letter-spacing: 0.05pt;">omp</span>are<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;"> n</span><span style="letter-spacing: 0.05pt;">e</span>w<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>ab<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.35pt;">t</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;"> gol</span>d<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>ard<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>st<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>k<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>wn<span style="letter-spacing: -0.35pt;"> </span>as?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">eg</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">l</span>ys<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.4pt;"> </span>/<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">Li</span>k<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">oo</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span>rr<span style="letter-spacing: 0.05pt;">el</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">l</span>ys<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.4pt;"> </span>/
B<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.05pt;"> </span>A<span style="letter-spacing: 0.05pt;">ltm</span>an<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">l</span>ys<span style="letter-spacing: 0.05pt;">i</span>s
c.<span style="letter-spacing: -0.15pt;"> </span>Ba<span style="letter-spacing: 0.05pt;">lti</span>n<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.05pt;"> </span>A<span style="letter-spacing: 0.05pt;">ltimo</span>re<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">eth</span><span style="letter-spacing: 0.05pt;">o</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Kimo</span>r<span style="letter-spacing: 0.05pt;">o</span>v<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>Sa<span style="letter-spacing: 0.05pt;">mleto</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.05pt;">hn</span><span style="letter-spacing: 0.05pt;">iq</span><span style="letter-spacing: -0.05pt;">u</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">50</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>rc<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">g</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">dot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">o</span>y<span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>k<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">topl</span><span style="letter-spacing: 0.4pt;">a</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">t</span>y/<span style="letter-spacing: -0.65pt;"> </span>C<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>ss<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>sc<span style="letter-spacing: 0.05pt;">eme</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>’s
s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">ip</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">tom</span>a<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">nd</span><span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.5pt;"> </span>k<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">pl</span>as<span style="letter-spacing: 0.05pt;">t</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">0</span>-<span style="letter-spacing: 0.05pt;">5</span>%</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 114%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">1</span><span style="letter-spacing: 0.1pt;">0</span>-<span style="letter-spacing: 0.05pt;">20</span>% c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">3</span><span style="letter-spacing: 0.1pt;">0</span>-<span style="letter-spacing: 0.05pt;">40</span>% <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">5</span><span style="letter-spacing: 0.1pt;">0</span>-<span style="letter-spacing: 0.05pt;">60</span>%</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">51</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">a</span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">mm</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">dot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">l</span>s<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">et</span>rac<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span>cy<span style="letter-spacing: 0.05pt;">to</span>sk<span style="letter-spacing: 0.05pt;">el</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">to</span>n<span style="letter-spacing: -0.6pt;"> </span>r<span style="letter-spacing: 0.55pt;">e</span>-<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.05pt;">g</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>sa<span style="letter-spacing: 0.05pt;">tio</span>n
ca<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">mmedi</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">me</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>y <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Del</span>ay<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">a</span>se<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">me</span>a<span style="letter-spacing: 0.05pt;">bi</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">it</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>ar<span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">me</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">lit</span>y</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">L</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">me</span>a<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">lit</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">52</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>Cr<span style="letter-spacing: 0.05pt;">ite</span>r<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">lo</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">q</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.5pt;"> </span>r<span style="letter-spacing: 0.05pt;">eti</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: -0.55pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.3pt;">t</span>-</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">il</span>d<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">tip</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ac<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pigme</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">tio</span>n
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>S<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.25pt;"> </span>at<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>se<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>><span style="letter-spacing: 0.05pt;">250mg</span>/d<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>><span style="letter-spacing: 0.05pt;">3mg</span>/kg</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">c.<span style="letter-spacing: -0.15pt;"> </span>><span style="letter-spacing: 0.05pt;">480</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">tot</span>al<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">o</span>se
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">53</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">p</span>y<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">doe</span>s<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">et</span>r<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: -0.05pt;">t</span>e<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">dee</span>p<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>ss<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>rt<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: 0.15pt;">a</span>ve<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">m</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 114%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">.M<span style="letter-spacing: 0.05pt;">i</span>cr<span style="letter-spacing: 0.05pt;">o</span>wave
c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">nf</span>rar<span style="letter-spacing: 0.05pt;">e</span>d
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: 0.05pt;">Ult</span>ras<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">54</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span>was<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n <span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">emodi</span>a<span style="letter-spacing: 0.05pt;">l</span>ys<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">ope</span>d<span style="letter-spacing: -0.55pt;"> </span>car<span style="letter-spacing: 0.05pt;">pe</span>l<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">unn</span><span style="letter-spacing: 0.05pt;">el</span>.<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>t<span style="letter-spacing: -0.05pt;"> </span>was<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o
a<span style="letter-spacing: 0.05pt;">m</span>y<span style="letter-spacing: 0.05pt;">loi</span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s.<span style="letter-spacing: -0.6pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>y<span style="letter-spacing: 0.05pt;">p</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">m</span>y<span style="letter-spacing: 0.05pt;">loi</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>rm<span style="letter-spacing: -0.2pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.1pt;">v</span><span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">id</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>AA</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>AL</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">et</span>a2<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">mi</span>cr<span style="letter-spacing: 0.05pt;">og</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">ob</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">li</span>n <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>AL<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.05pt;"> </span>AA</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">55</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s
<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">I</span>A<span style="letter-spacing: 0.15pt;">D</span>H<span style="letter-spacing: -0.35pt;"> </span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">n</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.15pt;">r</span>y<span style="letter-spacing: -0.35pt;"> </span>s<span style="letter-spacing: 0.05pt;">odi</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xcr<span style="letter-spacing: 0.05pt;">etio</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>ary<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">mol</span>a<span style="letter-spacing: 0.05pt;">lit</span>y<span style="letter-spacing: -0.5pt;"> </span>><span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span><span style="letter-spacing: -0.1pt;">a</span>s<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">mol</span>a<span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">it</span>y c.<span style="letter-spacing: -0.15pt;"> </span>Hy<span style="letter-spacing: 0.05pt;">po</span>ka<span style="letter-spacing: 0.05pt;">lemi</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Dil</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">emi</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">56</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">eg</span>ar<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.55pt;"> </span>S<span style="letter-spacing: -0.05pt;">I</span>A<span style="letter-spacing: 0.05pt;">D</span>H<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: 0.3pt;">t</span>-
a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.2pt;"> </span>Na<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: 0.15pt;">a</span>n<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span>as<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: -0.1pt;"> </span>as<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">12</span>5</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: 0.05pt;">odi</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: 0.05pt;">lig</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">tl</span>y<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>Va<span style="letter-spacing: 0.05pt;">pt</span>a<span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.4pt;"> </span>are<span style="letter-spacing: -0.05pt;"> n</span><span style="letter-spacing: 0.05pt;">e</span>w<span style="letter-spacing: -0.25pt;"> </span>F<span style="letter-spacing: 0.05pt;">D</span>A<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.15pt;">p</span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">o</span>v<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">g</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">it</span>s<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: 0.35pt;">r</span><span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span>t <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">U</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">odi</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: 0.05pt;">lig</span><span style="letter-spacing: -0.05pt;">ht</span><span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">57</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.2pt;"> </span>F<span style="letter-spacing: 0.05pt;">l</span>ay<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">w</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.15pt;">c</span>h<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>y<span style="letter-spacing: 0.05pt;">p</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>ac<span style="letter-spacing: 0.05pt;">e</span>ra<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">d</span>?</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: 0.05pt;">e</span>ar</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ar<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>rce c.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.05pt;">u</span>re</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">58</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.2pt;"> </span>M<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">ommo</span>n<span style="letter-spacing: -0.45pt;"> </span>ca<span style="letter-spacing: -0.05pt;">u</span>se<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">ddi</span>s<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>’s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.4pt;">s</span>- a.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">be</span>rc<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lo</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">o</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>ar<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>m
c.<span style="letter-spacing: -0.15pt;"> </span>Au<span style="letter-spacing: 0.05pt;">toimm</span><span style="letter-spacing: -0.05pt;">un</span>e <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">I</span>V</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">59</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>f<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: 0.05pt;">i</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">pi</span>r<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>rc<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.1pt;">f</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ll</span>y<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">tid</span>al<span style="letter-spacing: -0.2pt;"> </span>v<span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">m</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>Br<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">et</span>ch<span style="letter-spacing: -0.35pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>rs
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>Car<span style="letter-spacing: 0.05pt;">otid</span>/a<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">bod</span>y <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.3pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">le</span>x</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">60</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>R<span style="letter-spacing: 0.05pt;">eg</span>ar<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">LD</span>L<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">to</span>r<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>. a.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.15pt;">p</span>a<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">ti</span>ss<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span>s/<span style="letter-spacing: -0.4pt;"> </span>O<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">ip</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ral<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: -0.05pt;">n</span>s</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>.<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">LD</span>L<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ak<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">do</span>c<span style="letter-spacing: 0.1pt;">y</span><span style="letter-spacing: 0.05pt;">to</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.15pt;">c</span>r<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>c<span style="letter-spacing: 0.05pt;">ell</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.3pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">lo</span><span style="letter-spacing: -0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">o</span>l<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>w<span style="letter-spacing: -0.05pt;">n</span>r<span style="letter-spacing: 0.05pt;">eg</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>rs</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">61</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">mitte</span>rs<span style="letter-spacing: -0.45pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>ass<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.25pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.4pt;"> </span>/O<span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>ass<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">lig</span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span>r</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>ass<span style="letter-spacing: -0.25pt;"> </span>Ga<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.25pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">epto</span>r
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">62</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>P<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">go</span>cy<span style="letter-spacing: 0.05pt;">to</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.65pt;"> </span>ca<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: 0.05pt;">omp</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">eme</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.55pt;"> </span>ac<span style="letter-spacing: 0.05pt;">ti</span>va<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y a.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">3</span>b<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.05pt;"> </span>Fc</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">epto</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">o</span>cy<span style="letter-spacing: 0.05pt;">to</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">lle</span>d <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">63</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>can<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">el</span>p<span style="letter-spacing: -0.2pt;"> </span>y<span style="letter-spacing: 0.05pt;">o</span>u<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span>a<span style="letter-spacing: -0.05pt;">t</span>e<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>w<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">ep</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">de</span>r<span style="letter-spacing: -0.1pt;">m</span><span style="letter-spacing: 0.05pt;">oi</span>d<span style="letter-spacing: -0.5pt;"> </span>cyst<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d arac<span style="letter-spacing: -0.05pt;">hn</span><span style="letter-spacing: 0.05pt;">oi</span>d<span style="letter-spacing: -0.45pt;"> </span>cys<span style="letter-spacing: 0.05pt;">t</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">moot</span>h<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ar<span style="letter-spacing: 0.05pt;">gi</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">64</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;"> </span>w<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">te</span>,<span style="letter-spacing: -0.3pt;"> </span>car<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">iti</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: -0.05pt;">hu</span><span style="letter-spacing: 0.05pt;">ttl</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">mb</span>ra<span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mito</span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nh</span><span style="letter-spacing: 0.05pt;">ibit</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>y?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Ma<span style="letter-spacing: 0.05pt;">lo</span><span style="letter-spacing: -0.05pt;">n</span>yl<span style="letter-spacing: -0.35pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span>A</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Ac<span style="letter-spacing: 0.05pt;">et</span>yl<span style="letter-spacing: -0.25pt;"> </span>C<span style="letter-spacing: 0.05pt;">o</span>A</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>Py<span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: -0.05pt;">u</span>va<span style="letter-spacing: 0.05pt;">t</span>e
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>G<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">o</span>se</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">65</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>cy<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">ili</span><span style="letter-spacing: -0.05pt;">z</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>an<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">to</span>c<span style="letter-spacing: 0.05pt;">l</span>av<span style="letter-spacing: 0.05pt;">e</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.05pt;">lo</span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">idi</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>i</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.15pt;"> </span>Bac<span style="letter-spacing: 0.05pt;">ill</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: 0.05pt;">te</span>ar<span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span><span style="letter-spacing: -0.05pt;">u</span>s
c.<span style="letter-spacing: -0.15pt;"> </span>Bac<span style="letter-spacing: 0.05pt;">ill</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">mil</span><span style="letter-spacing: -0.05pt;">u</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Bac<span style="letter-spacing: 0.05pt;">ill</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">btili</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">66</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>R<span style="letter-spacing: 0.05pt;">eg</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>k<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: 0.1pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>can<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.2pt;">l</span>p<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">U</span>T<span style="letter-spacing: -0.05pt;">I</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Gra<span style="letter-spacing: 0.05pt;">p</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">j</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>ce</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>Ras<span style="letter-spacing: 0.05pt;">pbe</span>rry<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">j</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>ce c.<span style="letter-spacing: -0.15pt;"> </span>Ora<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">g</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">j</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>ce</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>Cra<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">be</span>rry<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.15pt;">j</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">i</span>ce</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">67</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span>6<span style="letter-spacing: -0.05pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ar<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.15pt;">b</span><span style="letter-spacing: 0.05pt;">o</span>y<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">bl</span>a<span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">peti</span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>al<span style="letter-spacing: -0.4pt;"> </span>ras<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">bod</span>y.<span style="letter-spacing: -0.3pt;"> </span>B<span style="letter-spacing: 0.05pt;">iop</span>sy
s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>ws<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">i</span>vasc<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.15pt;">e</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">illi</span>c<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">t</span>e<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">g</span>A<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: 0.15pt;">e</span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.55pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">oll</span><span style="letter-spacing: -0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">t</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>H<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>ch<span style="letter-spacing: -0.3pt;"> </span>sc<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">olei</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">r</span>a b<span style="letter-spacing: -0.05pt;"> </span>.Hy<span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">g</span>A<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.1pt;">y</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">c.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">o</span>sal<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">pe</span>rs<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">iti</span>v<span style="letter-spacing: 0.05pt;">it</span>y<span style="letter-spacing: -0.9pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.3pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>ac<span style="letter-spacing: 0.05pt;">tio</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">68</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>r<span style="letter-spacing: 0.05pt;">e</span>ct<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">om</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>rm<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">de</span>r<span style="letter-spacing: -0.35pt;"> </span>/s<span style="letter-spacing: 0.05pt;">pe</span><span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: 0.05pt;">om</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>rm
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">om</span>a<span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">z</span>a<span style="letter-spacing: 0.05pt;">tio</span>n <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.05pt;">ib</span>r<span style="letter-spacing: 0.05pt;">om</span>ya<span style="letter-spacing: 0.05pt;">lgi</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">C</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>a<span style="letter-spacing: 0.05pt;">tig</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.3pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.15pt;">m</span>e <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>rr<span style="letter-spacing: 0.05pt;">it</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">bo</span>w<span style="letter-spacing: -0.05pt;">e</span>l<span style="letter-spacing: -0.25pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">69</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">5</span>0<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ar<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>an<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.3pt;"> </span>s<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">e</span>rc<span style="letter-spacing: 0.05pt;">i</span>se<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>1<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">nu</span><span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: -0.4pt;"> </span>acc<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">t</span>o
<span style="letter-spacing: 0.05pt;">b</span>r<span style="letter-spacing: -0.05pt;">u</span>ce<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">oto</span><span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: 0.05pt;">ol</span>.<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>x<span style="letter-spacing: 0.05pt;">e</span>rc<span style="letter-spacing: 0.05pt;">i</span>se<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>ad<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">pp</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> f</span>a<span style="letter-spacing: 0.05pt;">tig</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">e</span>.<span style="letter-spacing: -0.4pt;"> </span>R<span style="letter-spacing: 0.05pt;">eg</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>ra<span style="letter-spacing: 0.05pt;">die</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">60mm</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">Hg<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">bet</span>w<span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>wo<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: 0.05pt;">ide</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.3pt;"> </span>va<span style="letter-spacing: 0.05pt;">l</span>v<span style="letter-spacing: 0.05pt;">e</span>.<span style="letter-spacing: -0.3pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">be</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">geme</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>?</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">giog</span>ra<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.3pt;"> </span>va<span style="letter-spacing: 0.05pt;">l</span>ve<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">epl</span>ac<span style="letter-spacing: 0.2pt;">e</span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.15pt;">n</span>t</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>Ba<span style="letter-spacing: 0.05pt;">lloo</span>n<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.3pt;"> </span>va<span style="letter-spacing: 0.05pt;">l</span>v<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lopl</span><span style="letter-spacing: -0.1pt;">a</span>s<span style="letter-spacing: 0.05pt;">t</span>y <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">edi</span>cal<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>p</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">70</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">6</span>5<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ars<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">ol</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">eme</span>r<span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span>cy<span style="letter-spacing: -0.55pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>ra<span style="letter-spacing: 0.05pt;">d</span>e<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">tempe</span>ra<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.15pt;">u</span>re<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">i</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: -0.05pt; line-height: 115%;">n</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">cr<span style="letter-spacing: 0.05pt;">e</span>as<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">pi</span>r<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.55pt;"> </span>ra<span style="letter-spacing: 0.05pt;">te</span>.<span style="letter-spacing: -0.35pt;"> </span>He<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: 0.05pt;">ompl</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>st<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.05pt;"> h</span>ad<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">de</span>v<span style="letter-spacing: 0.05pt;">elop</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.45pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">g</span>h<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h
<span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: 0.05pt;">pe</span>c<span style="letter-spacing: 0.05pt;">to</span>r<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.7pt;"> </span>H<span style="letter-spacing: 0.15pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>m<span style="letter-spacing: -0.25pt;"> </span>was<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">bo</span>ra<span style="letter-spacing: 0.05pt;">to</span>ry<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">g</span>ram<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.Bac<span style="letter-spacing: 0.05pt;">it</span>rac<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.6pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">iti</span>v<span style="letter-spacing: 0.05pt;">it</span>y <span style="letter-spacing: 0.05pt;">b</span>.Ox<span style="letter-spacing: 0.05pt;">id</span>ase<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.B<span style="letter-spacing: 0.05pt;">il</span>e<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">ol</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">bi</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">it</span>y <span style="letter-spacing: 0.05pt;">d</span>.C<span style="letter-spacing: 0.05pt;">o</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ase<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 114%;">71</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>w<span style="letter-spacing: 0.05pt;">bo</span>rn<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.2pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span>s<span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>art<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>a<span style="letter-spacing: 0.05pt;">il</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">e</span>,<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xa<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.15pt;">b</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lgi</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">io</span>r
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a<span style="letter-spacing: -0.05pt;"> </span>.M<span style="letter-spacing: 0.05pt;">ed</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">llobl</span>a<span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">tom</span>a
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>V<span style="letter-spacing: 0.05pt;">ei</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span>Ga<span style="letter-spacing: 0.05pt;">le</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">tio</span>n <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>Arac<span style="letter-spacing: 0.1pt;">h</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">oi</span>d<span style="letter-spacing: -0.45pt;"> </span>cyst</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">72</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.1pt;">w</span><span style="letter-spacing: -0.05pt;">h</span>o<span style="letter-spacing: -0.15pt;"> </span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">teme</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.3pt;">b</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">ome</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.15pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: 0.35pt;">r</span>-</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;"></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">19</span>1<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.1pt;">P</span>C</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">16</span>1<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>PC</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">17</span>1<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.1pt;">P</span>C</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">18</span>1<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>PC</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">73</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: 0.05pt;">d</span>v<span style="letter-spacing: 0.05pt;">e</span>rse<span style="letter-spacing: -0.35pt;"> </span>(<span style="letter-spacing: 0.05pt;">dele</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>s)<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">ff</span><span style="letter-spacing: 0.05pt;">e</span>ct<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">pot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.05pt;">mi</span>a<span style="letter-spacing: -0.55pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">ept</span>:</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Car<span style="letter-spacing: 0.05pt;">di</span>ac<span style="letter-spacing: -0.4pt;"> </span>arr<span style="letter-spacing: 0.1pt;">h</span>y<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">mi</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">De</span>cr<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">ip</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.5pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span>ce c.<span style="letter-spacing: -0.15pt;">
</span>R<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: 0.05pt;">ibl</span>e<span style="letter-spacing: -0.3pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>a<span style="letter-spacing: 0.05pt;">il</span><span style="letter-spacing: -0.05pt;">u</span>re</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">74</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.05pt;"> f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">ol</span>v<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.35pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">ibo</span>s<span style="letter-spacing: 0.05pt;">om</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">eptid</span>yl<span style="letter-spacing: -0.35pt;">
</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>rase c.<span style="letter-spacing: -0.15pt;">
</span>A<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>acyl<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>RNA</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>RNA<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">pol</span>y<span style="letter-spacing: 0.05pt;">me</span>rase</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">75</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>f<span style="letter-spacing: -0.1pt;"> </span>4<span style="letter-spacing: 0.05pt;"> </span><span style="letter-spacing: -0.05pt;">nu</span>c<span style="letter-spacing: 0.05pt;">leotid</span>e<span style="letter-spacing: -0.45pt;">
</span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.5pt;"> </span>c<span style="letter-spacing: 0.05pt;">od</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span>a<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>o<span style="letter-spacing: -0.25pt;"> </span>ac<span style="letter-spacing: 0.05pt;">id</span>...<span style="letter-spacing: 0.1pt;">w</span><span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>o<span style="letter-spacing: -0.25pt;"> </span>ac<span style="letter-spacing: 0.05pt;">i</span>d<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.2pt;">o</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: 0.6pt;">e</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>ss<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">ble</span>:</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>6 <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">6</span>4
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">25</span>6</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">76</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>Acc<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">g</span>an<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.75pt;"> </span>act<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">19</span><span style="letter-spacing: -0.05pt;">9</span>4<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.15pt;">a</span>t<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>c<span style="letter-spacing: 0.05pt;">to</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>f<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ilt</span>y?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>2<span style="letter-spacing: -0.05pt;"> </span>yrs</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">o</span>re<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>an<span style="letter-spacing: -0.25pt;"> </span>5<span style="letter-spacing: 0.05pt;"> </span>yrs
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>-5<span style="letter-spacing: -0.15pt;"> </span>yrs</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">77</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>r<span style="letter-spacing: -0.05pt;">u</span>g<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.15pt;">e</span>c<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>v<span style="letter-spacing: 0.05pt;">eiti</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">LU</span>M<span style="letter-spacing: -0.05pt;">I</span>NATE<span style="letter-spacing: -0.4pt;"> </span>c<span style="letter-spacing: 0.05pt;">li</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>cal<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.5pt;">p</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">og</span>ram
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Cyc<span style="letter-spacing: 0.05pt;">lo</span>s<span style="letter-spacing: 0.05pt;">po</span>r<span style="letter-spacing: 0.05pt;">i</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">et</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ot</span>r<span style="letter-spacing: 0.05pt;">e</span>xa<span style="letter-spacing: 0.05pt;">t</span>e
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">78</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>Br<span style="letter-spacing: 0.05pt;">emel</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">d</span>e<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">E</span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">til</span>e<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ys<span style="letter-spacing: -0.05pt;">fun</span>c<span style="letter-spacing: 0.05pt;">tio</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">LU</span>TS</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.35pt;"> </span>Ca<span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">e</span>r</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">et</span>as<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.5pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.25pt;"> </span>ca<span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">e</span>r</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">79</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>M<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">z</span>au<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eme</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>n
a.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: -0.05pt;">h</span>i<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 114%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.15pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>s c.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: 0.15pt;">a</span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">te</span><span style="letter-spacing: -0.05pt;">u</span>s <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">80</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>S<span style="letter-spacing: 0.05pt;">t</span>ack<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">met</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">o</span>d<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>a<span style="letter-spacing: 0.05pt;">g</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tim</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span>m<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>al<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tte</span>rn<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">nf</span><span style="letter-spacing: 0.15pt;">a</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>t</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">g</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>5
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">g</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>re<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>an<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">5</span>0<span style="letter-spacing: -0.1pt;"> </span>y<span style="letter-spacing: 0.05pt;">e</span>ars</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">81</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">middl</span>e<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: 0.05pt;">l</span>y<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">og</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: 0.05pt;">i</span>ve<span style="letter-spacing: -0.5pt;"> </span>w<span style="letter-spacing: 0.05pt;">e</span>ak<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>w<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: 0.2pt;"> </span><span style="letter-spacing: 0.05pt;">limb</span>s, s<span style="letter-spacing: 0.05pt;">p</span>as<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>y<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">e</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">it</span>a<span style="letter-spacing: -0.05pt;">n</span>cy<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">mi</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">itio</span><span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.55pt;"> </span>On<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">ologi</span>cal<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xa<span style="letter-spacing: 0.05pt;">mi</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>re<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s <span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">ide</span><span style="letter-spacing: -0.05pt;">n</span>ce<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">do</span>rsal<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>y<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y.<span style="letter-spacing: -0.6pt;"> </span>M<span style="letter-spacing: 0.15pt;">R</span>I<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.15pt;">s</span>can<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span>s<span style="letter-spacing: 0.05pt;">pi</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.25pt;"> </span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">l</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">middo</span>rs<span style="letter-spacing: -0.1pt;">a</span>l<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>ra<span style="letter-spacing: 0.05pt;">l</span>/<span style="letter-spacing: -0.65pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">bd</span><span style="letter-spacing: -0.05pt;">u</span>ral c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>rast<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">nh</span>a<span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>ass<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">le</span>s<span style="letter-spacing: 0.05pt;">io</span><span style="letter-spacing: -0.05pt;">n</span>.<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">Di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s:</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">a.<span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">t</span>ra<span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>ral<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">Lipom</span>a <span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: 0.05pt;">De</span>r<span style="letter-spacing: 0.05pt;">mo</span><span style="letter-spacing: -0.05pt;">i</span>d<span style="letter-spacing: -0.45pt;"> </span>Cyst
c.M<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">giom</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.N<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>ro<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">E</span><span style="letter-spacing: 0.05pt;">pit</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">eli</span><span style="letter-spacing: -0.1pt;">a</span>l<span style="letter-spacing: -0.4pt;"> </span>Cyst</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">82</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span>Sys<span style="letter-spacing: 0.05pt;">temi</span>c<span style="letter-spacing: -0.45pt;"> </span>s<span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">id</span>s<span style="letter-spacing: -0.4pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">in</span><span style="letter-spacing: 0.05pt;">di</span>ca<span style="letter-spacing: 0.05pt;">te</span>d<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">l</span>ar<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>s<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">i</span>as<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">mpetig</span>o<span style="letter-spacing: -0.35pt;">
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c.<span style="letter-spacing: -0.15pt;"> </span>Ps<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.45pt;"> </span>ar<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>ry<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">to</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.7pt;"> </span>Ps<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">i</span>as<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">83</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>r<span style="letter-spacing: 0.05pt;">e</span>ct<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.1pt;">m</span><span style="letter-spacing: 0.05pt;">bi</span>n<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">nh</span><span style="letter-spacing: 0.05pt;">ibito</span>r<span style="letter-spacing: -0.35pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span>can<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: 0.15pt;">e</span>d<span style="letter-spacing: 0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">o</span>ke<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s
a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">D</span>a<span style="letter-spacing: 0.05pt;">big</span>a<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>X<span style="letter-spacing: 0.05pt;">imel</span>a<span style="letter-spacing: 0.05pt;">g</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">o</span>n c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Lepi</span>r<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Saxa<span style="letter-spacing: 0.05pt;">glipti</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">84</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: -0.05pt;">fun</span>c<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>var<span style="letter-spacing: 0.05pt;">ie</span>s<span style="letter-spacing: -0.35pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span>d<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: 0.1pt;"> </span>- a.MR<span style="letter-spacing: 0.05pt;">K</span>H</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.M<span style="letter-spacing: -0.05pt;">ü</span><span style="letter-spacing: 0.05pt;">lle</span>r<span style="letter-spacing: 0.05pt;">i</span>an<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">85</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>n<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;"> p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ti</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.6pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">em</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>s<span style="letter-spacing: 0.05pt;">omo</span>r<span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.55pt;"> </span>R<span style="letter-spacing: 0.1pt;">B</span>C</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">86</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>Ga<span style="letter-spacing: 0.05pt;">llo</span>w's<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>rac<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">do</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n a.<span style="letter-spacing: -0.15pt;"> </span>Frac<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.4pt;"> </span>F<span style="letter-spacing: 0.05pt;">em</span><span style="letter-spacing: -0.05pt;">u</span>r</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">c.<span style="letter-spacing: -0.15pt;"> </span>Frac<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.1pt;">H</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">me</span>r<span style="letter-spacing: -0.05pt;">u</span>s <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>Frac<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">Ul</span><span style="letter-spacing: -0.05pt;">n</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">87</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">a</span>-<span style="letter-spacing: 0.05pt;">epide</span>r<span style="letter-spacing: 0.05pt;">m</span>al<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">g</span>G<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>ass<span style="letter-spacing: 0.05pt;">o</span>c<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span><span style="letter-spacing: -0.05pt;">h</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: 0.05pt;">emp</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">u</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">llo</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">pemp</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">igoi</span>d c.<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Li</span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>n<span style="letter-spacing: -0.35pt;"> </span>P<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">u</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">88</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>as<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">oll</span><span style="letter-spacing: -0.05pt;">o</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">l</span>ab<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: 0.3pt;">t</span>-BT=<span style="letter-spacing: 0.05pt;">3</span>,<span style="letter-spacing: -0.55pt;"> </span>PT<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">1</span><span style="letter-spacing: 0.2pt;">5</span>/<span style="letter-spacing: 0.05pt;">14</span>,<span style="letter-spacing: -0.35pt;"> </span>APTT=<span style="letter-spacing: -0.25pt;">
</span><span style="letter-spacing: 0.05pt;">45</span>/<span style="letter-spacing: 0.05pt;">35</span>,<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">le</span>t<span style="letter-spacing: -0.45pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">un</span><span style="letter-spacing: 0.05pt;">t</span>=<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">2</span>.5
<span style="letter-spacing: 0.05pt;">l</span>acks,<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>ac<span style="letter-spacing: 0.05pt;">to</span>r<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.1pt;">V</span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">I</span>=<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">60</span>.T<span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span>Fac<span style="letter-spacing: 0.05pt;">to</span>r<span style="letter-spacing: -0.3pt;"> </span>V<span style="letter-spacing: 0.05pt;">I</span><span style="letter-spacing: -0.05pt;">I</span>I<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span>cy</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>M<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.1pt;">g</span>akary<span style="letter-spacing: 0.05pt;">oti</span>c<span style="letter-spacing: -0.65pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">ombo</span>cy<span style="letter-spacing: 0.05pt;">tope</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span>a c.<span style="letter-spacing: -0.15pt;"> </span>Fac<span style="letter-spacing: 0.05pt;">to</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>X<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">De</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span>cy</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>Fac<span style="letter-spacing: 0.05pt;">to</span>r<span style="letter-spacing: -0.3pt;"> </span>X<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">De</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">ie</span><span style="letter-spacing: -0.05pt;">n</span>cy</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">89</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>F<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">dit</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">gi</span>v<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.25pt;"> </span>Pr<span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: -0.05pt;">t</span>a<span style="letter-spacing: 0.05pt;">gl</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">di</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.7pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">det</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">m</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>al a.Hy<span style="letter-spacing: 0.05pt;">popl</span>as<span style="letter-spacing: 0.05pt;">ti</span>c<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.05pt;">f</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>art<span style="letter-spacing: -0.25pt;"> </span>sy<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>P<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lmo</span><span style="letter-spacing: -0.05pt;">n</span>ary<span style="letter-spacing: -0.55pt;"> </span>a<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.15pt;"> </span>VSD</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.<span style="letter-spacing: -0.15pt;"> </span>O<span style="letter-spacing: 0.05pt;">b</span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.5pt;"> </span>TAP<span style="letter-spacing: 0.1pt;">V</span>C</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>ASD</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">90</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>Cr<span style="letter-spacing: 0.05pt;">i</span>ck<span style="letter-spacing: 0.05pt;">e</span>t<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span>ay<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>t<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>ase<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">hu</span><span style="letter-spacing: 0.05pt;">m</span>b<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.1pt;">w</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span>e<span style="letter-spacing: -0.25pt;"> </span>ca<span style="letter-spacing: 0.05pt;">t</span>c<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>a<span style="letter-spacing: 0.05pt;">ll</span>.<span style="letter-spacing: -0.25pt;"> </span>F<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.15pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e <span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: -0.05pt;">u</span>sc<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">l</span>l<span style="letter-spacing: -0.15pt;"> </span>y<span style="letter-spacing: 0.05pt;">o</span>u<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>v<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">tig</span>a<span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: -0.05pt;">fu</span>r<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">a.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.05pt;">bd</span><span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">to</span>r<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">pol</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">u</span>s
<span style="letter-spacing: 0.05pt;">b</span>.<span style="letter-spacing: -0.15pt;">
</span>F<span style="letter-spacing: 0.05pt;">le</span>x<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">po</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">li</span>c<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>r<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">c.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Ul</span><span style="letter-spacing: -0.05pt;">n</span>ar<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: 0.05pt;">oll</span>a<span style="letter-spacing: 0.05pt;">te</span>ral<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">ig</span>a<span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span>t
<span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;">
</span>V<span style="letter-spacing: 0.05pt;">ol</span>ar<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">pl</span>a<span style="letter-spacing: 0.05pt;">t</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">91</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>Pa<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">om</span><span style="letter-spacing: -0.05pt;">p</span><span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">mb</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>ss<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">middl</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span>r<span style="letter-spacing: -0.25pt;"> </span>,<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">de</span>x<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span>r<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.1pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">hu</span><span style="letter-spacing: 0.05pt;">m</span>b<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f
r<span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">pe</span>c<span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">ll</span>y<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">d</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">time</span>.<span style="letter-spacing: -0.3pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">do</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>va<span style="letter-spacing: 0.05pt;">l</span><span style="letter-spacing: -0.05pt;">u</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">dit</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>?</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">a.)<span style="letter-spacing: -0.2pt;"> </span>F<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>k<span style="letter-spacing: 0.05pt;">el</span>s<span style="letter-spacing: 0.05pt;">tei</span>n<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st
<span style="letter-spacing: 0.05pt;">b</span>.)<span style="letter-spacing: -0.2pt;">
</span>P<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">le</span><span style="letter-spacing: -0.05pt;">n</span>'s<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">c.)<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">el</span>'s<span style="letter-spacing: -0.35pt;"> </span>s<span style="letter-spacing: 0.05pt;">ig</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.)<span style="letter-spacing: -0.2pt;"> </span>T<span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">iq</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">ett</span>e<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.15pt;">t</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.1pt;">s</span>t</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">92</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">beti</span>c<span style="letter-spacing: -0.4pt;"> </span>/A<span style="letter-spacing: 0.05pt;">l</span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">ho</span><span style="letter-spacing: 0.05pt;">li</span>c<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">p</span><span style="letter-spacing: -0.1pt;">r</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">le</span>ss<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span>x<span style="letter-spacing: 0.05pt;">e</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">1</span>5<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">deg</span>r<span style="letter-spacing: -0.05pt;">e</span>e<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">le</span>x<span style="letter-spacing: 0.05pt;">io</span>n<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">de</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;">m</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span>y<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">littl</span>e <span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ge</span>r.<span style="letter-spacing: -0.35pt;"> </span>Ma<span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">geme</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.6pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.)<span style="letter-spacing: -0.2pt;"> </span>O<span style="letter-spacing: 0.05pt;">b</span>s<span style="letter-spacing: 0.05pt;">e</span>rva<span style="letter-spacing: 0.05pt;">tio</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.)<span style="letter-spacing: -0.2pt;"> </span>P<span style="letter-spacing: 0.05pt;">e</span>rc<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">eo</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.1pt;">f</span>asc<span style="letter-spacing: 0.05pt;">iot</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">m</span>y c.)<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.1pt;">S</span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">btot</span>al<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>asc<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">tom</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.)<span style="letter-spacing: -0.2pt;"> </span>T<span style="letter-spacing: 0.05pt;">ot</span>al<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>asc<span style="letter-spacing: 0.05pt;">iot</span><span style="letter-spacing: -0.05pt;">o</span><span style="letter-spacing: 0.05pt;">m</span>y</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">93</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>Ha<span style="letter-spacing: 0.05pt;">m</span>'s<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">te</span>st<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">po</span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>ve<span style="letter-spacing: -0.35pt;"> </span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">t</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">emol</span>y<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: 0.25pt;">i</span>c<span style="letter-spacing: -0.5pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">emi</span>a<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span>s<span style="letter-spacing: 0.05pt;">ee</span>n<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n a.)<span style="letter-spacing: -0.2pt;"> </span>T<span style="letter-spacing: -0.05pt;">h</span>a<span style="letter-spacing: 0.05pt;">le</span>ss<span style="letter-spacing: 0.05pt;">emi</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.)<span style="letter-spacing: -0.2pt;"> </span>S<span style="letter-spacing: 0.05pt;">i</span>ck<span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: 0.05pt;">el</span>l<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">emi</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">c.)<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">De</span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">ti</span>ve<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.15pt;"> </span>s<span style="letter-spacing: 0.05pt;">pe</span>c<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">i</span>n<span style="letter-spacing: -0.4pt;"> </span>s<span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>c<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">u</span>re
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">94</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>B<span style="letter-spacing: 0.05pt;">e</span>st<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: 0.05pt;">e</span>a<span style="letter-spacing: 0.05pt;">tme</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: -0.1pt;"> </span>kawasak<span style="letter-spacing: 0.05pt;">i</span>'s<span style="letter-spacing: -0.55pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>s<span style="letter-spacing: 0.05pt;">e</span>ase<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s
a.)<span style="letter-spacing: -0.2pt;"> </span>As<span style="letter-spacing: 0.05pt;">pi</span>r<span style="letter-spacing: 0.05pt;">i</span>n</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.)<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span><span style="letter-spacing: 0.1pt;">.</span>V.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">imm</span><span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">oglob</span><span style="letter-spacing: -0.05pt;">ul</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>’s c.)<span style="letter-spacing: -0.15pt;">
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.)<span style="letter-spacing: -0.2pt;"> </span>M<span style="letter-spacing: 0.05pt;">et</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ot</span>r<span style="letter-spacing: 0.05pt;">e</span>xa<span style="letter-spacing: 0.05pt;">t</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">95</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.1pt;">C</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">il</span>d<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.2pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">gom</span>y<span style="letter-spacing: 0.05pt;">elo</span><span style="letter-spacing: -0.1pt;">c</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">e</span><span style="letter-spacing: 0.05pt;">le</span>.<span style="letter-spacing: -1pt;"> </span><span style="letter-spacing: -0.05pt;">In</span>v<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: 0.15pt;">s</span><span style="letter-spacing: 0.05pt;">tig</span><span style="letter-spacing: -0.1pt;">a</span><span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: -0.05pt;">t</span>o<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">b</span>e<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">do</span><span style="letter-spacing: -0.05pt;">n</span>e<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s
a.<span style="letter-spacing: -0.15pt;"> </span>B<span style="letter-spacing: 0.05pt;">loo</span>d<span style="letter-spacing: -0.25pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span>re</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 114%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 114%;">.<span style="letter-spacing: -0.15pt;"> </span>CSF<span style="letter-spacing: -0.1pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span>re
c.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: 0.1pt;">n</span>al<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">lt</span><span style="letter-spacing: -0.05pt;">u</span>re <span style="letter-spacing: 0.05pt;">d</span>.<span style="letter-spacing: -0.15pt;"> </span>C<span style="letter-spacing: 0.1pt;">B</span>C</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">96</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span>r<span style="letter-spacing: -0.05pt;">u</span>e<span style="letter-spacing: -0.2pt;"> </span>a<span style="letter-spacing: 0.05pt;">bo</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">m</span>y<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">l</span><span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">ie</span>s<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xc<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">p</span>t
a.<span style="letter-spacing: -0.15pt;"> </span>S<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">o</span>ry<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>ss<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.05pt;"> f</span>ac<span style="letter-spacing: 0.05pt;">i</span>al<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: 0.05pt;">e</span>a</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>Br<span style="letter-spacing: 0.05pt;">i</span>sk<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">j</span>aw<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">je</span>rk</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">c.<span style="letter-spacing: -0.15pt;"> </span>Br<span style="letter-spacing: 0.05pt;">i</span>sk<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>c<span style="letter-spacing: 0.05pt;">to</span>ral<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">je</span>rk
<span style="letter-spacing: 0.05pt;">d</span>.B<span style="letter-spacing: 0.05pt;">l</span>a<span style="letter-spacing: 0.05pt;">dde</span>r<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span>cy</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">97</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>G<span style="letter-spacing: 0.05pt;">i</span>rl<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.45pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.1pt;">m</span>ary<span style="letter-spacing: -0.4pt;"> </span>a<span style="letter-spacing: 0.05pt;">me</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>rr<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>a.<span style="letter-spacing: -0.65pt;"> </span><span style="letter-spacing: 0.15pt;">O</span>n<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>xa<span style="letter-spacing: 0.05pt;">m</span><span style="letter-spacing: 0.2pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">tio</span>n<span style="letter-spacing: -0.6pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>ary<span style="letter-spacing: -0.5pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span>x<span style="letter-spacing: -0.05pt;">u</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: -0.05pt;">h</span>arac<span style="letter-spacing: 0.05pt;">te</span>rs<span style="letter-spacing: -0.5pt;"> </span>are
<span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">u</span>t<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.35pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: 0.1pt;">v</span>ary<span style="letter-spacing: -0.3pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span>a<span style="letter-spacing: 0.05pt;">b</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>.<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.15pt;">W</span><span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: 0.1pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: -0.05pt;">b</span><span style="letter-spacing: 0.05pt;">l</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.1pt;">s</span><span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.MR<span style="letter-spacing: 0.05pt;">K</span>H</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">oge</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">iti</span>v<span style="letter-spacing: 0.05pt;">it</span>y
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; position: relative; top: 0.5pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; position: relative; top: 0.5pt;">.<span style="letter-spacing: -0.15pt;"> </span>G<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span>a<span style="letter-spacing: 0.05pt;">d</span>al<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ys<span style="letter-spacing: 0.05pt;">ge</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">98</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: -0.05pt;">I</span>n<span style="letter-spacing: -0.05pt;"> </span>w<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">i</span>ch<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>f<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">ollo</span>w<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>g<span style="letter-spacing: -0.2pt;"> </span>c<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">ditio</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>vary<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.15pt;">c</span><span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>al
a.MR<span style="letter-spacing: 0.05pt;">K</span>H</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">oge</span>n<span style="letter-spacing: -0.5pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">n</span>s<span style="letter-spacing: 0.05pt;">iti</span>v<span style="letter-spacing: 0.05pt;">it</span>y
c.<span style="letter-spacing: -0.15pt;"> </span>T<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.15pt;">r</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span>rs<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: 0.1pt;">S</span>y<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">d</span>r<span style="letter-spacing: 0.05pt;">om</span>e</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<div class="MsoNormal" style="margin: 0in 38.75pt 0.0001pt 5.05pt;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">99</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.2pt;"> </span>A<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>a<span style="letter-spacing: 0.05pt;">tie</span><span style="letter-spacing: -0.05pt;">n</span>t<span style="letter-spacing: -0.3pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">dde</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">bil</span>a<span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">e</span>ral<span style="letter-spacing: -0.35pt;"> </span>ac<span style="letter-spacing: -0.05pt;">u</span><span style="letter-spacing: 0.05pt;">t</span>e<span style="letter-spacing: -0.25pt;"> </span>s<span style="letter-spacing: 0.05pt;">e</span>v<span style="letter-spacing: 0.05pt;">e</span>re<span style="letter-spacing: -0.3pt;"> </span>v<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.05pt;">io</span>n<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>ss<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">mo</span>re<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">o</span>n<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span>r<span style="letter-spacing: 0.05pt;">ig</span><span style="letter-spacing: -0.05pt;">h</span>t<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>y<span style="letter-spacing: 0.05pt;">e</span>.<span style="letter-spacing: -0.25pt;"> </span>A<span style="letter-spacing: 0.05pt;">l</span>l<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">ot</span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>r <span style="letter-spacing: 0.05pt;">te</span>s<span style="letter-spacing: 0.05pt;">t</span>s<span style="letter-spacing: -0.25pt;"> </span>are<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>r<span style="letter-spacing: 0.05pt;">m</span>a<span style="letter-spacing: 0.05pt;">l</span>.<span style="letter-spacing: -0.4pt;"> </span>W<span style="letter-spacing: -0.05pt;">h</span>at<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>e<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">p</span>r<span style="letter-spacing: 0.05pt;">ob</span>a<span style="letter-spacing: 0.05pt;">bl</span>e<span style="letter-spacing: -0.4pt;"> </span><span style="letter-spacing: -0.05pt;">d</span><span style="letter-spacing: 0.05pt;">i</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">a.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: 0.05pt;">Opti</span>c<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">iti</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 113%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 113%;">.<span style="letter-spacing: -0.15pt;"> </span>A<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: -0.35pt;"> </span><span style="letter-spacing: 0.05pt;">i</span>sc<span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">emi</span>c<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">op</span><span style="letter-spacing: -0.05pt;">t</span><span style="letter-spacing: 0.05pt;">i</span>c<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>r<span style="letter-spacing: 0.05pt;">op</span>a<span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>y c.<span style="letter-spacing: -0.15pt;"> </span>F<span style="letter-spacing: 0.1pt;">u</span><span style="letter-spacing: -0.05pt;">n</span>c<span style="letter-spacing: 0.05pt;">tio</span><span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.45pt;"> </span><span style="letter-spacing: 0.05pt;">lo</span>ss</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">d</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.15pt;"> </span>N<span style="letter-spacing: 0.05pt;">o</span>t<span style="letter-spacing: -0.15pt;"> </span>R<span style="letter-spacing: 0.05pt;">e</span>ca<span style="letter-spacing: 0.05pt;">ll</span><span style="letter-spacing: -0.05pt;">e</span>d</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt;">100</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt;">.<span style="letter-spacing: -0.25pt;"> </span>Man<span style="letter-spacing: -0.25pt;"> </span>w<span style="letter-spacing: 0.05pt;">it</span>h<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">h</span><span style="letter-spacing: 0.05pt;">e</span>ad<span style="letter-spacing: -0.2pt;"> </span><span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">j</span><span style="letter-spacing: -0.05pt;">u</span>ry,<span style="letter-spacing: -0.25pt;"> </span>a<span style="letter-spacing: -0.05pt;">f</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.2pt;"> </span>4<span style="letter-spacing: -0.05pt;"> </span><span style="letter-spacing: 0.05pt;">d</span>ays<span style="letter-spacing: -0.25pt;"> </span><span style="letter-spacing: 0.05pt;">pe</span>r<span style="letter-spacing: 0.05pt;">io</span>r<span style="letter-spacing: 0.05pt;">b</span><span style="letter-spacing: -0.05pt;">i</span><span style="letter-spacing: 0.05pt;">t</span>al<span style="letter-spacing: -0.45pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span>d<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">f</span>r<span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">t</span>al<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">e</span>cc<span style="letter-spacing: -0.05pt;">h</span>y<span style="letter-spacing: 0.05pt;">mo</span>s<span style="letter-spacing: 0.05pt;">i</span>s<span style="letter-spacing: -0.55pt;"> </span>,<span style="letter-spacing: -0.1pt;"> </span><span style="letter-spacing: 0.05pt;">di</span>a<span style="letter-spacing: 0.05pt;">g</span><span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9pt; letter-spacing: 0.05pt; line-height: 115%;">b</span><span style="font-family: "Verdana","sans-serif"; font-size: 9pt; line-height: 115%;">.<span style="letter-spacing: -0.15pt;"> </span><span style="letter-spacing: -0.05pt;">In</span><span style="letter-spacing: 0.05pt;">te</span>r<span style="letter-spacing: -0.05pt;">n</span>al<span style="letter-spacing: -0.35pt;"> </span>car<span style="letter-spacing: 0.05pt;">oti</span>d<span style="letter-spacing: -0.3pt;"> </span>ar<span style="letter-spacing: 0.05pt;">te</span>ry<span style="letter-spacing: -0.3pt;"> </span>a<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">e</span><span style="letter-spacing: -0.05pt;">u</span>rysm c.<span style="letter-spacing: -0.15pt;">
</span>C<span style="letter-spacing: 0.15pt;">a</span>v<span style="letter-spacing: 0.05pt;">e</span>r<span style="letter-spacing: -0.05pt;">n</span><span style="letter-spacing: 0.05pt;">o</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.45pt;"> </span>s<span style="letter-spacing: 0.05pt;">i</span><span style="letter-spacing: 0.1pt;">n</span><span style="letter-spacing: -0.05pt;">u</span>s<span style="letter-spacing: -0.3pt;"> </span><span style="letter-spacing: 0.05pt;">t</span><span style="letter-spacing: -0.05pt;">h</span>r<span style="letter-spacing: 0.05pt;">ombo</span>s<span style="letter-spacing: 0.05pt;">i</span>s</span></div>
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</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-38515651266163265492011-12-26T07:37:00.000-08:002011-12-26T07:37:55.485-08:00UPSC PAPER-2 1998<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Ques" style="line-height: 12.5pt;">
1.<span> </span>Which
of the following indicators are consolidated in computing the ‘physical quality
of life index’ (PQLI)?</div>
<div class="ABCD" style="line-height: 12.5pt;">
1.<span> </span>Infant
mortality</div>
<div class="ABCD" style="line-height: 12.5pt;">
2.<span> </span>Economic
status</div>
<div class="ABCD" style="line-height: 12.5pt;">
3.<span> </span>Life
expectancy at age one</div>
<div class="ABCD" style="line-height: 12.5pt;">
4.<span> </span>Literacy</div>
<div class="ABCD" style="line-height: 12.5pt;">
5.<span> </span>Maternal
mortality</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD" style="line-height: 12.5pt;">
<b>A.</b><span> </span>2, 3 and 5<span> </span><b>B.</b><span> </span>1, 2 and 4</div>
<div class="ABCD" style="line-height: 12.5pt;">
<b>C.</b><span> </span>1, 3 and 4<span> </span><b>D.</b><span> </span>1, 4 and 5</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 16)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The ‘physical quality of life index’ consolidates three
indicators, viz., infant mortality, life expectancy at age one and literacy.</div>
<div class="Para">
These three components measure the results rather than inputs.
For each component, the performance of individual countries is placed on a
scale of 0 to 100. The composite index is calculated by averaging the three
indicators, giving equal weight to each of them. The resulting PQLI thus is
also scaled 0 to 100.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>It does not measure
economic growth; it measures the results of social, economic and political
policies.</div>
<div class="Ques" style="line-height: 12.5pt;">
2.<span> </span>Prevention
of emergence of risk factors is:</div>
<div class="ABCD" style="line-height: 12.5pt;">
<b>A.</b><span> </span>Primordial prevention<span> </span><b>B.</b><span> </span>Primary prevention</div>
<div class="ABCD" style="line-height: 12.5pt;">
<b>C.</b><span> </span>Secondary prevention<span> </span><b>D.</b><span> </span>Tertiary prevention</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 37)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Primordial prevention </b>is prevention of emergence or
development of risk factors in countries or population groups in which they
have not yet appeared. The efforts in it are directed towards discouraging
children from adopting harmful lifestyles. The main intervention is through
individual and mass education.</div>
<div class="Ques" style="line-height: 12.5pt;">
3.<span> </span>Which
one of the following pairs is <i>not</i> correctly matched?</div>
<div class="ABCD" style="line-height: 12.4pt; margin-left: 171pt; text-indent: -150pt;">
<b>A.</b><span> </span>Serial
interval<span> </span>–<span> </span>Time interval between the onset of primary
case and secondary case</div>
<div class="ABCD" style="line-height: 12.4pt; margin-left: 171pt; text-indent: -150pt;">
<b>B.</b><span> </span>Generation
time<span> </span>–<span> </span>Time required for the completion of desired
family size by an eligible couple</div>
<div class="ABCD" style="line-height: 12.4pt; margin-left: 171pt; text-indent: -150pt;">
<b>C.</b><span> </span>Median
incubation period<span> </span>–<span> </span>Time required for 50% of the case to occur,
following exposure</div>
<div class="ABCD" style="line-height: 12.4pt; margin-left: 171pt; text-indent: -150pt;">
<b>D.</b><span> </span>Latent
period<span> </span>–<span> </span>The period from disease initiation to
disease detection</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 91-92)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Serial interval:</b> The gap between the onset of primary case
and the secondary case.</div>
<div class="Para">
<b>Latent period:</b> Used in non infectious diseases, equivalent
to incubation period and defined as period from disease initiation to disease
detection.</div>
<div class="Para">
<b>Generation time:</b> Interval of time between receipt of
infection by a host and maximal infectivity of that host.</div>
<div class="Para">
<b>Incubation period:</b> The time interval between invasion by
an infectious agent and appearance of the first sign or symptom of the disease
in question.</div>
<div class="Para">
<b>Median incubation period</b> is defined as the time required
for 50% of cases to occur following exposure.</div>
<div class="Ques" style="line-height: normal; margin-top: 5pt;">
4.<span> </span>Consider the following types of epidemics:</div>
<div class="ABCD" style="line-height: normal;">
1.<span> </span>Common
source epidemics<span> </span>2.<span> </span>Periodic epidemics</div>
<div class="ABCD" style="line-height: normal;">
3.<span> </span>Propagated
epidemics<span> </span>4.<span> </span>Slow epidemics</div>
<div class="Ques" style="line-height: normal; margin-top: 3pt;">
<span> </span>The<span>
</span>three major types of epidemics would include:</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1, 3 and 4</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>2, 3 and 4<span> </span><b>D.</b><span> </span>1, 2 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 58)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Epidemiologists have recognized three kinds of time trends or
fluctuations in disease occurrence.</div>
<div class="Indent">
1.<span> </span><b>Short term
fluctuations: </b>The best example of short term fluctuation in occurrence of
disease is an epidemic. Three major types of epidemics may be distinguished.</div>
<div class="Indent">
a.<span> </span>Common source
epidemic:</div>
<div class="Indent">
–<span> </span>Single exposure or
point source epidemics.</div>
<div class="Indent">
–<span> </span>Continuous or multiple
exposure epidemics.</div>
<div class="Indent">
b.<span> </span>Propagated epidemics:</div>
<div class="Indent">
–<span> </span>Person to person.</div>
<div class="Indent">
–<span> </span>Arthopod vector.</div>
<div class="Indent">
–<span> </span>Animal reservoir.</div>
<div class="Indent">
c.<span> </span>Slow (modern)
epidemics.</div>
<div class="Indent">
2.<span> </span><b>Periodic
fluctuations:</b></div>
<div class="Indent">
a.<span> </span>Seasonal trend.</div>
<div class="Indent">
b.<span> </span>Cyclic trend.</div>
<div class="Indent">
3.<span> </span><b>Long term or
secular trends.</b></div>
<div class="Ques" style="line-height: normal;">
5.<span> </span>The
following table gives the results of a screening test:</div>
<div style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; margin-left: 22.65pt; margin-right: 0in; padding: 0in;">
<div class="MsoNormal" style="border: medium none; margin: 3pt 0in 0.0001pt 14.2pt; padding: 0in; text-align: justify; text-indent: -14.2pt;">
<b><span style="font-size: 10pt;">Result of
screening test<span> </span>Gold
standard<span> </span>Total</span></b><span style="font-size: 10pt;"></span></div>
</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 22.65pt; margin-right: 0in; padding: 0in;">
<div class="MsoNormal" style="border: medium none; margin: 0in 0in 3pt 14.2pt; padding: 0in; text-align: justify; text-indent: -14.2pt;">
<b><span style="font-size: 10pt;"><span> </span>Disease<span> </span>No disease</span></b><span style="font-size: 10pt;"></span></div>
</div>
<div class="MsoNormal" style="margin-left: 36.85pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 10pt;">Positive<span> </span>350<span> </span>100<span> </span>450</span></div>
<div class="MsoNormal" style="margin-left: 36.85pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 10pt;">Negative<span> </span>150<span> </span>100<span> </span>250</span></div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 22.65pt; margin-right: 0in; padding: 0in;">
<div class="MsoNormal" style="border: medium none; margin-left: 14.2pt; padding: 0in; text-align: justify; text-indent: -14.2pt;">
<span style="font-size: 10pt;">Total<span> </span>500<span> </span>200<span> </span>700</span></div>
</div>
<div class="Ques" style="line-height: normal;">
<span> </span>The
positive predictive value of the test is:</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>40.0%<span> </span><b>B.</b><span> </span>50.0%</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>70.0%<span> </span><b>D.</b><span> </span>77.7%</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 116)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Predictive value of a positive test = <img height="31" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="164" /></div>
<div class="Para">
Aplying the data in question</div>
<div class="Para">
= <img height="32" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="89" /></div>
<div class="Para">
=<span> </span><img height="33" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="61" /><span> </span>=
77.7%</div>
<div class="Ques" style="line-height: 12.5pt;">
6.<span> </span>Consider
the following statements:</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Propagated
epidemic curve is characterised by:</div>
<div class="ABCD" style="line-height: 12.5pt;">
1.<span> </span>Many
peaks<span> </span>2.<span> </span>More than one incubation period</div>
<div class="ABCD" style="line-height: 12.5pt;">
3.<span> </span>Steep
and abrupt onset<span> </span>4.<span> </span>Prolonged epidemic tail</div>
<div class="Ques" style="line-height: 12.4pt; margin-top: 3pt;">
<span> </span>Of these statements:</div>
<div class="ABCD" style="line-height: 12.4pt;">
<b>A.<span> </span></b>1
and 4 are correct<span> </span><b>B.</b><span> </span>2 and 3 are correct</div>
<div class="ABCD" style="line-height: 12.4pt;">
<b>C.</b><span> </span>1, 2 and 4 are correct<span> </span><b>D.</b><span> </span>1, 2, 3 and 4 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 59)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
A propagated epidemic is most often of infectious origin and
results from person to person transmission of an infectious agent. The epidemic
usually shows a gradual rise and tails off over a much longer period of time.
Transmission continues until the number of susceptibles is depleted or
susceptible individuals are no longer exposed to infected persons or intermediary
vectors. The speed of spread depends upon herd immunity, opportunities for
contact and secondary attack rate. They are more likely to occur where large
number of susceptibles are aggregated or where there is a regular supply of new
susceptible individuals (e.g., birth, immigrants) lowering herd immunity.</div>
<div class="Ques" style="line-height: 12.4pt;">
7.<span> </span>Vitamin
D is synthesized by the body by the action of ultraviolet radiation of the sun
on:</div>
<div class="ABCD" style="line-height: 12.4pt;">
<b>A.</b><span> </span>Calciferol<span> </span><b>B.</b><span> </span>Cholecalciferol</div>
<div class="ABCD" style="line-height: 12.4pt;">
<b>C.</b><span> </span>7-dehydrocholesterol<span> </span><b>D.</b><span> </span>Ergosterol</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Nelson
17th ed., p 186; Park 18th ed., p 444)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Vitamin D<span style="font-size: 5.5pt; position: relative; top: 1pt;">3 </span>is naturally present in human skin in
the provitamin stage as 7-dehydrocholesterol. It is activated photochemically
by ultraviolet radiation to <b>cholecalciferol</b> and transferred to the
liver. These irradiated sterols are hydroxylated in the liver to 25-OH-<b>cholecalciferol</b>
and, subsequently, in the renal cortical cells to 1,
25-dihydroxycholecalciferol, which functions as the main hormone. </div>
<div class="Ques" style="line-height: 12.4pt;">
8.<span> </span>Match
List-I with List-II and select the correct answer using the codes given below
the Lists:</div>
<div class="ABCD" style="line-height: 12.4pt;">
<b><span> </span>List-I (Disease)<span> </span>List-II
(Toxin)</b></div>
<div class="ABCD" style="line-height: 12.4pt;">
a.<span> </span>Neurolathyrism<span> </span>1.<span> </span>Sanguinarine</div>
<div class="ABCD" style="line-height: 12.4pt;">
b.<span> </span>Epidemic dropsy<span> </span>2.<span> </span>Beta oxalyl amino alanine</div>
<div class="ABCD" style="line-height: 12.4pt;">
c.<span> </span>Cirrhosis of liver<span> </span>3.<span> </span>Pyrolizidine alkaloids</div>
<div class="ABCD" style="line-height: 12.4pt;">
d.<span> </span>Endemic ascitis<span> </span>4.<span> </span>Aflatoxins</div>
<div class="codes">
Codes:</div>
<div class="CodAns">
<b>A.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>B.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>C.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>D.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d</div>
<div class="CodAns">
<span> </span>2<span> </span>1<span> </span>3<span> </span>4<span> </span>2<span> </span>1<span> </span>4<span> </span>3<span> </span>1<span> </span>2<span> </span>3<span> </span>4<span> </span>1<span> </span>2<span> </span>4<span> </span>3</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 467, 479)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Neurolathyrism</b> results from consumption of khesari dhal (<i>Lathyrus
sativus</i>). The toxin present in lathyrus seeds is beta oxalyl amino alanine
(BOAA).</div>
<div class="Para">
<b>Aflatoxin </b>B<span style="font-size: 5.5pt; position: relative; top: 1pt;">1</span><span> </span>has also been detected in samples of breast
milk and urine collected from children suffering from infantile cirrhosis.
Attempts are also being made to relate aflatoxin with human liver cirrhosis.</div>
<div class="Para">
<b>Epidemic dropsy </b>is due to contamination of mustard oil
with argemone oil. It is due to toxic alkaloid, <b>sanguinarine </b>from
argemone oil. This toxic substance interferes with oxidation of pyruvic acid
which accumulates in the blood. The disease may occur at all ages except
breastfed infants.</div>
<div class="Para">
<b>Endemic ascites </b>results from contamination of millet <i>Panicum
miliare </i>(locally known as Gondhli) which gets contaminated with weed seeds
of Crotalaria (locally known as Jhunjhunia). Jhunjhunia seeds contain <b>pyrrolizidine
alkaloids</b> which are hepatotoxin.</div>
<div class="Ques" style="line-height: 11.8pt;">
9.<span> </span>All
of the following statements about niacin are true <i>except</i>:</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>It is required by the body for the utilization of carbohydrate and
for tissue respiration</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>B.</b><span> </span>It is widely distributed in animal and plant foods</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>It is not removed from the cereal in process of milling</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>D.</b><span> </span>Its deficiency causes pellagra</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 446, 453)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Niacin is essential for the metabolism of carbohydrate, fat and
protein. It is also essential for the normal functioning of the skin, intestine
and nervous system.</div>
<div class="Para">
Foods rich in niacin and/or tryptophan are liver, kidney, meat,
poultry, fish, legumes and groundnut.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Pellagra is a
preventable disease. A good mixed diet containing milk (rich in tryptophan but
poor in niacin) and/or meat is universally regarded as an essential part of
prevention and treatment.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>The milling process
deprives the rice grain of its nutritive elements. The losses may be up to 15
percent of protein, 75 percent thiamine and 60 percent riboflavin and niacin.</div>
<div class="Ques" style="line-height: 11.8pt;">
10.<span> </span>Which
one of the following is the best indicator of protein quality for recommending
the dietary protein requirement?</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Protein efficiency ratio<span> </span><b>B.</b><span> </span>Biological value</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>Digestibility coefficient<span> </span><b>D.</b><span> </span>Net protein utilization</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 440, 459;<span> </span>Essential
Preventive Medicine OP Ghai, Piyush Gupta, p 108, 119; Textbook of Community
Medicine by Kulkarni p 476)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The quality of protein is assessed by comparison to the <b>reference
protein </b>which is usually egg protein. It can be evaluated by amino acid
score, net protein utilization, biological value, digestibility coefficient,
protein efficiency ratio.</div>
<div class="Para">
<b>Net protein utilization (NPU)</b>: It is a product of
digestibility coefficient and biological value divided by 100. It gives a more
complete expression of protein quality. It is a biological method that requires
special laboratory facilities.</div>
<div class="Para">
NPU = <img height="32" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="179" /></div>
<div class="Para">
In calculating protein quality, 1 g of protein is assumed to be
equivalent to 6.25 g of N. The NPU of protein of Indian diets varies between 50
and 80. It is the proportion of ingested protein that is retained in the body
under specified conditions for maintenance and/or growth of tissues. </div>
<div class="Para">
A knowledge of the amino acid content of protein is not
sufficient for evaluation of protein quality. Information is also required
about the digestibility and suitability to meet the protein needs of the body.
The parameters used for such an evaluation include the estimation of biological
value, digestibility coefficient, protein efficiency ratio and net protein
utilization (NPU).</div>
<div class="Para">
The NPU is considered of more practical value because it is the
product of biological value and digestibility coefficient divided by 100. In
exact terms, it is the ‘proportion of ingested protein that is retained in the
body under specified conditions for the maintenance and/or growth of the
tissues’.</div>
<div class="Ques" style="line-height: 11.8pt;">
11.<span> </span>Consider
the following cause of neonatal mortality:</div>
<div class="ABCD" style="line-height: 11.8pt;">
1.<span> </span>Congenital
anomalies<span> </span>2.<span> </span>Birth injury</div>
<div class="ABCD" style="line-height: 11.8pt;">
3.<span> </span>Convulsion<span> </span>4.<span> </span>Hypothermia</div>
<div class="ABCD" style="line-height: 11.8pt;">
5.<span> </span>Asphyxia<span> </span>6.<span> </span>Sepsis</div>
<div class="Ques" style="line-height: 11.8pt; margin-top: 3pt;">
<span> </span>The three most important causes of
early neonatal mortality would include:</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>4, 5 and 6<span> </span><b>B.</b><span> </span>1, 2 and 5</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.<span> </span></b>3,
4 and 6<span> </span><b>D.</b><span> </span>1, 3 and 5</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 416; Journal Neonatology 2005; 19(1):4-7)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
According to Journal Neonatology <i>“….Neonatal sepsis including
septicemia and pneumonia emerged as the most common cause, figuring in 52% of
the deaths, followed by birth asphyxia (20%) and prematurity (15%).…”</i></div>
<div class="Para">
<b>Neonatal deaths</b> are deaths occurring during the neonatal
period, commencing at birth and ending 28 completed days after birth. Neonatal
mortality rate is the number of neonatal deaths in a given year per 1000 live
births in that year. The causes of neonatal mortality are multifactorial – low
birth weight, birth injury and difficult labour, postnatal asphyxia,
atelectasis, congenital malformations, haemolytic diseases of newborn,
conditions of placenta and cord, diarrhoeal diseases, acute respiratory infections
and tetanus.</div>
<div class="Para">
Neonatal mortality is a measure of the intensity with which
‘endogenous factors’ (e.g., low birth weight, birth injuries) affect infant
life. The neonatal mortality is directly related to the birth weight and
gestational age; the lighter or more immature the baby, the higher the death
rate.</div>
<div class="Para">
In India, 55 to 60 percent of infant deaths occur within neonatal
period. Of these more than half may die during the first week of birth, first
24 hours being the time of greatest risk.</div>
<div class="Para">
Neonatal mortality rate for the year 1999 was 49 per 1000 live
births in rural areas, 28 in urban areas and about 45 in the whole country.</div>
<div class="Ques" style="line-height: 11.8pt;">
12.<span> </span>Maternal
mortality refers to maternal deaths from causes related to or aggravated by
pregnancy and its management during:</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Pregnancy, child birth or first seven days after delivery</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>B.</b><span> </span>Child birth or first fourteen days after delivery</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>First 28 days after delivery</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>D.</b><span> </span>Pregnancy, child birth or first 42 days after delivery</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 412)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Maternal death</b> is defined as ‘the death of a women while
pregnant or within 42 days of termination of pregnancy, irrespective of the
duration and site of pregnancy, from any cause related to or aggravated by the
pregnancy or, its management but not from accidental or incidental causes.</div>
<div class="Para">
<b>Maternal mortality rate</b> measures the risk of women dying
from ‘puerperal causes’ and is defined as:</div>
<div class="Para">
= <img height="44" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="461" /></div>
<div class="Para">
Ideally the denominator should include all deliveries and
abortions.</div>
<div class="Para">
About 80% of maternal deaths are due to direct obstetric causes
i.e., obstetric complications of pregnancy, labour and puerperium to
interventions or incorrect treatment.</div>
<div class="Para">
According to RGI estimates for the year 2000, maternal mortality
rate for India was 407 per 1,00,000 live births.</div>
<div class="Para">
The major causes of maternal morality during 1998 were antenatal
and postnatal haemorrhage (29 percent), anaemia (19 percent), puerperal sepsis
(16 percent), obstructed labour (10 percent), abortion (9 percent), toxaemia (8
percent) and unclassifiable (9 percent).</div>
<div class="Ques" style="line-height: 11.8pt;">
13.<span> </span>The
guidelines under the CSSM programme recommended that a low birth weight baby
with good sucking and without any signs of illness can be managed at home with
special care even if the birth weight is as low as:</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>2200 grams<span> </span><b>B.</b><span> </span>2000 grams</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>1800 grams<span> </span><b>D.</b><span> </span>1500 grams</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(National
CSSM Programme Training Manual, Ministry of Health and Family Welfare, Govt. of
India; Park 18th ed., p 397)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
According to Government of India training manual, babies between
1800 to 2500 grams can be managed at home<span>
</span>provided they have no signs of illness. However they will need special
care at home. All newborn babies less than 1800 grams should be referred for
specialist care.</div>
<div class="Para">
LBW babies who are sucking poorly at the breast, are hypothermic
or have any of the following signs of illness should also be referred for specialist
care:</div>
<div class="Indent">
1.<span> </span>Lethargy.</div>
<div class="Indent">
2.<span> </span>Fast breathing and/or
chest indrawing.</div>
<div class="Indent">
3.<span> </span>Apnoea.</div>
<div class="Indent">
4.<span> </span>Abdominal distension.</div>
<div class="Indent">
5.<span> </span>Cyanosis.</div>
<div class="Indent">
6.<span> </span>Pathological jaundice.</div>
<div class="Indent">
7.<span> </span>Diarrhoea.</div>
<div class="Indent">
8.<span> </span>Convulsions.</div>
<div class="Ques" style="line-height: 11.8pt;">
14.<span> </span>Which
one of the following body measurements is the best for a rapid screening of
PEM?</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Weight for age<span> </span><b>B.</b><span> </span>Height for age</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>Weight for height<span> </span><b>D.</b><span> </span>Mid upper arm circumference</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 403, 463)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The <b>first indicator of PEM is under weight for age</b>. The
most practical method to detect this, which can be employed even by field
health workers is to maintain growth charts. Weight is the most sensitive
measure of growth and any deviation from ‘normal’ can be detected easily by
comparison with reference curve.</div>
<div class="Para">
<b>Arm circumference</b> yields a relatively reliable estimation
of body’s muscle mass, the reduction of which is one of the most striking
mechanisms by which the body adjusts to inadequate energy intakes. Arm
circumference cannot be used before the age of one year; between ages one and
five years, it hardly varies.</div>
<div class="Ques" style="line-height: 11.8pt;">
15.<span> </span>Which
one of the following is used as an adsorbent in DPT vaccine?</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Aluminium phosphate<span> </span><b>B.</b><span> </span>Thiomersal</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>Alum<span> </span><b>D.</b><span> </span>Zinc sulphate</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 135; Nelson 16th ed., p 889)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Diphtheria toxoid is prepared by formaldehyde treatment of toxin,
standardized for potency, and adsorbed to aluminum salts (aluminium phosphate
or hydroxide), which enhance immunogenicity. Two preparations of diphtheria
toxoids are formulated according to the limit of flocculation (Lf) content that
is a measure of the quantity of toxoid. The pediatric preparation (i.e., DTaP,
DT, DTP) contains 6.7-12.5 Lf units of diphtheria toxoid per 0.5 mL dose; the
adult preparation (i.e., Td) contains 2 Lf units of toxoid per 0.5 mL dose.</div>
<div class="Ques" style="line-height: 11.8pt;">
16.<span> </span>‘Pearl
index’ is a measure of:</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Malnutrition in under five children</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>B.</b><span> </span>The level of mosquito larvae in household containers</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>The effectiveness of a contraceptive method</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>D.</b><span> </span>Risk factor in coronary heart disease</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 375)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Contraceptive efficacy is generally assessed by measuring the
number of unplanned pregnancies that occur during a specified period of
exposure and use of a contraceptive method. The two methods that have been used
to measure contraceptive efficacy are the Pearl index and life table analysis.</div>
<div class="Para">
<b>Pearl index</b> is used for evaluation of use-effectiveness.
The<b> Pearl index</b> is defined as the number of ‘failures per 100
women-years of exposure (HWY)’. This rate is given by the formula:</div>
<div class="Para">
Failure rate per HWY = <img height="36" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="206" /></div>
<div class="Para">
The total accidental pregnancies shown in the numerator must
include every known conception, whatever its outcome.</div>
<div class="Para">
The Pearl index is usually based on a specific exposure (usually
one year) and therefore, fails to accurately compare methods at various
durations of exposure. This limitation is overcome by using the method of life-table
analysis.</div>
<div class="Para">
<b>Life table analysis </b>determines the probability of
pregnancy while practicing a method of contraception during a fixed interval.
It calculates a failure rate for each month of use and then a cumulative women
months of use are calculated.</div>
<div class="Ques" style="line-height: 12.1pt;">
17.<span> </span>The
number of children in 0 to 4 years of age per 1000 women of child bearing age
(15 to 44 or 49 years) is defined as:</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>A.</b><span> </span>General fertility rate<span> </span><b>B.</b><span> </span>Total fertility rate</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>C.</b><span> </span>Gross reproduction rate<span> </span><b>D.</b><span> </span>Child to woman ratio</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 357)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Child-woman ratio</b> is the number of children 0-4 years of
age per 1000 women of child bearing age, usually defined as 15 to 44 or 49
years of age. This ratio is used where birth registration statistics either do
not exist or are inadequate. It is estimated through data derived from
censuses.</div>
<div class="Ques" style="line-height: 12.1pt;">
18.<span> </span>The
percentage of eligible couples practising family planning in India is:</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>A.</b><span> </span>15<span> </span><b>B.</b><span> </span>30</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>C.</b><span> </span>45<span> </span><b>D.</b><span> </span>55</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 360)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
An ‘<b>eligible couple</b>’ refers to a currently married couple
wherein the wife is in the reproductive age, which is generally assumed to be
between the ages of 15 and 45.</div>
<div class="Para">
<b>Couple protection rate</b> (CPR) is defined as the percent of
eligible couples effectively protected against childbirth by one or the other
approved methods of family planning.</div>
<div class="Para">
As of 31st March 2000, about 79 million couples (46.2 percent of
eligible couples in the reproductive age group 15 to 44 years) were effectively
protected against conception by one or the other family planning method.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Sterilization
accounts for over 60 percent of effectively protected couples.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Demographic goal of
net production rate (NRR) = 1 can be achieved only if the CPR exceeds 60
percent.</div>
<div class="Ques" style="line-height: 12.1pt;">
19.<span> </span>Oral
contraceptives are contraindicated in all of the following conditions <i>except</i>:</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>A.</b><span> </span>Women above 42 years of age<span> </span><b>B.</b><span> </span>Lactating women with 8 months’ baby</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>C.</b><span> </span>Women with mass in breast<span> </span><b>D.</b><span> </span>Women with severe headache</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(DC
Dutta Textbook of Gynaecology 3rd ed., p 446; Ashok Kumar Essentials of
Gynaecology 1st ed., p 14)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Lactating women with 8-month baby may be prescribed OCP.</div>
<div class="Para">
<b>Contraindications to OCP</b></div>
<div class="Indent">
<b><span> </span><img height="27" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="356" /></b></div>
<div class="Indent">
<b>Absolute<span> </span>Relative</b></div>
<div class="Indent">
1.<span> </span><i>Circulatory diseases (past or present):</i><span> </span><span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Obesity.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Arterial/venous thrombosis.<span> </span><span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Varicosities.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Severe HT.<span> </span><span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Epilepsy.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Valvular heart disease.<span> </span><span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Bronchial asthma.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Ischaemic heart disease.<span> </span><span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Depression and<span> </span>fluctuation of mood.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Angina.<span> </span><span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Nursing mothers in first 6 months.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Hyperlipidaemia.<span> </span><span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Smoking.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Migraine.</div>
<div class="Indent">
2.<span> </span><i>Diseases of liver:</i></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Active liver
disease.<span> </span></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>History of
cholestatic jaundice in pregnancy.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Liver adenoma and
carcinoma.</div>
<div class="Indent">
3.<span> </span><i>Others:</i><span> </span></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Pregnancy.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Undiagnosed genital
tract bleeding.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Oestrogen dependent
neoplasms e.g., breast cancer.</div>
<div class="Ques" style="line-height: 12.1pt;">
20.<span> </span>Fertilized
ovum reaches the uterine cavity in:</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>A.</b><span> </span>2 to 3 days<span> </span><b>B.</b><span> </span>4 to 5 days</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>C.</b><span> </span>8 to 10 days<span> </span><b>D.</b><span> </span>11 to 15 days</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 22)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Morula after spending 3 days in uterine tube enters the uterine
cavity through the narrow uterine ostium on the 4th day in 16-64 cell stage.</div>
<div class="Para">
<b>Remember the following important points commonly asked in
examination:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Implantation occurs
on 6th day which corresponds to 20th day of a regular menstrual cycle.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Ovulation occurs
16-24 hours after LH surge.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Time required for
spermatogonium to develop into a mature spermatozoa is about 61 days.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Capacitation takes
about 2-6 hours.</div>
<div class="Ques" style="line-height: 12.1pt;">
21.<span> </span>For
proper functioning, oxidation pond requires:</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>A.</b><span> </span>Algae, sunlight and ferns</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>B.</b><span> </span>Algae, scavenging bacteria and sunlight</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>C.</b><span> </span>Algae, saprophytic bacteria and sunlight</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>D.</b><span> </span>Algae, human pathogenic bacteria and sunlight</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 572)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Oxidation pond</b> is a cheap method of sewage treatment. They
are useful for purifying sewage in small communities.</div>
<div class="Para">
The oxidation pond is an open, shallow pool 1 to 1.5 metre deep
with an inlet and outlet. To qualify as an oxidation pond, there must be the
presence of:</div>
<div class="Indent">
a.<span> </span>Algae.</div>
<div class="Indent">
b.<span> </span>Certain types of
bacteria which feed on decaying organic matter.</div>
<div class="Indent">
c.<span> </span>Sunlight.</div>
<div class="Para">
The organic matter in the sewage is oxidized by bacteria to
simple chemical compounds such as carbon dioxide, ammonia and water. The algae,
with the help of sunlight, utilize the carbon dioxide, water and inorganic
minerals for their growth. Oxygen for oxidation is mostly derived from the
algae which liberates oxygen under the influence of sunlight.</div>
<div class="Para">
The oxidation ponds are predominantly aerobic during sunshine
hours as well as some hours of the night. In the remaining hours of the night,
the bottom layers are generally anaerobic.</div>
<div class="Ques" style="line-height: 12.1pt;">
22.<span> </span>Match
List-I (Instrument) with List-II (Parameter measured) and select the correct
answer using the codes given below the Lists:</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b><span> </span>List-I (Instrument)<span> </span>List-II
(Parameter measured)</b></div>
<div class="ABCD" style="line-height: 12.1pt;">
a.<span> </span>Sling psychrometer<span> </span>1.<span> </span>Radiant heat</div>
<div class="ABCD" style="line-height: 12.1pt;">
b.<span> </span>Kata thermometer<span> </span>2.<span> </span>Low air velocities</div>
<div class="ABCD" style="line-height: 12.1pt;">
c.<span> </span>Anaemometer<span> </span>3.<span> </span>High wind velocities</div>
<div class="ABCD" style="line-height: 12.1pt;">
d.<span> </span>Globe thermometer<span> </span>4.<span> </span>Relative humidity</div>
<div class="codes" style="line-height: 12.1pt;">
Codes:</div>
<div class="CodAns">
<b>A.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>B.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>C.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>D.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d</div>
<div class="CodAns">
<span> </span>2<span> </span>4<span> </span>3<span> </span>1<span> </span>2<span> </span>4<span> </span>1<span> </span>3<span> </span>4<span> </span>2<span> </span>3<span> </span>1<span> </span>4<span> </span>2<span> </span>1<span> </span>3</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 555, 557)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The <b>globe thermometer</b> is used for the direct measurement
of the mean radiant temperature of the surroundings. The globe thermometer
registers a higher temperature than the ordinary air temperature thermometer
because it is affected both by the air temperature and radiant heat. The
difference between the globe thermometer temperature and that of the ordinary
dry bulb thermometer is a measure of the radiant heat.</div>
<div class="Para">
<b>Kata thermometer</b> was originally devised for measuring the
‘cooling power’ of the air. It is now largely used as an anemometer for
recording low air velocities.</div>
<div class="Para">
By<b> sling psychrometer, </b>the relative humidity of the air
may be obtained.</div>
<div class="Para">
By <b>anemometer,</b> the air velocity is measured.</div>
<div class="Para">
Wind direction is observed by an instrument called the <b>wind
vane</b>.</div>
<div class="Ques">
23.<span> </span>Citrate is added to
conventional oral rehydration solution (ORS) in order to:</div>
<div class="ABCD">
<b>A.</b><span> </span>Improve sodium
chloride absorption<span> </span><b>B.</b><span> </span>Correct acidosis</div>
<div class="ABCD">
<b>C.</b><span> </span>Increase its
shelf life<span> </span><b>D.</b><span> </span>Improve glucose absorption</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 180; www.who.int/child-adolescent-health/New-Publication)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Actually the choices A, B and C are correct. However the most
appropriate choice is choice C.</div>
<div class="Para">
According to WHO publication and other reputed journals the main
reason for trisodium citrate ORS is low shelf life of bicarbonate ORS. In hot
and humid conditions bicarbonate reacts with glucose and the ORS is destroyed.
To prevent this and to prolong the shelf life of ORS, trisodium citrate ORS was
recommended by WHO.</div>
<div class="Para">
Citrate is a potential bicarbonate and hence corrects acidosis.</div>
<div class="Para">
The inclusion of trisodium citrate in place of sodium bicarbonate
in the ORS has made the product more stable. Moreover, the use of ORS citrate
results in less stool output especially in high output diarrhoea (e.g.,
cholera), <i>probably </i>because of a direct effect of trisodium citrate in
increasing intestinal absorption of sodium and water.</div>
<div class="Ques">
24.<span> </span>Out of five members
of a family, four developed sudden onset of vomiting, abdominal cramps and
diarrhoea in the middle of the night after dinner at 9.30 PM which had salads,
custard, milk and milk products in the menu. The most likely type of food
poisoning is:</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>A.</b><span> </span>Salmonella<span> </span><b>B.</b><span> </span>Staphylococcal</div>
<div class="ABCD" style="line-height: 12.1pt;">
<b>C.</b><span> </span>Botulism<span> </span><b>D.</b><span> </span><i>Clostridium perfringens</i></div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 190)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Most likely cause is <b>staphylococcal food poisoning</b>. It
results from enterotoxins of certain strains of coagulase positive <i>Staphylococcus
aureus</i>. The foods involved are salads, custards, milk and milk products
which get contaminated by staphylococci. Incubation period is 1 to 6 hours. The
incubation period is short because of ‘preformed’ toxin. The toxin is heat
resistant and it can remain in food after the organisms have died. The illness
manifests by sudden onset of vomiting, abdominal cramps and diarrhoea. Death is
uncommon.</div>
<div class="Para">
<b>Salmonella food poisoning: </b>Species most often incriminated
are <i>S. typhimurium, S. cholera-suis</i> and <i>S. enteritidis</i>. Man gets
infection from farm animals and poultry – through contaminated meat, milk and
milk products, sausages, custards, egg and egg products. Incubation period is
12 to 24 hours. Causative organisms multiply in intestine on ingestion and give
rise to acute enteritis and colitis. The onset is generally sudden with chills,
fever, nausea, vomiting and profuse watery diarrhoea lasting 2 to 3 days.
Mortality is about 1 percent.</div>
<div class="Para">
<b><i>Cl. perfringens </i>food poisoning </b>is associated with
ingestion of meat, meat dishes and poultry. Incubation period is 6 to 24 hours,
with a peak from 10 to 14 hours. Poisoning occurs because spores are able to
survive cooking and if the cooked meat and poultry is not cooled enough, they
will germinate. The organisms produce a variety of toxins. Most common symptoms
are diarrhoea, abdominal cramps and little or no fever, occurring 8 to 24 hours
after consumption of food. Nausea and vomiting are rare.</div>
<div class="Para">
<b>Botulism </b>results from exotoxin of <i>Clostridium botulinum
</i>generally type A, B or E. It kills two thirds of its victims. The food most
frequently responsible for botulism are home preserved foods such as home canned
vegetables, smoked or pickled fish, home made cheese and similar low acid
foods. Incubation period is 12 to 24 hours. Preformed toxin in food, formed
under anaerobic conditions, acts on the parasympathetic nervous system.
Gastrointestinal symptoms are slight. Prominent symptoms are dysphagia,
diplopia, ptosis, dysarthria, blurring of vision, muscle weakness and even
quadriplegia. Fever is generally absent and consciousness is retained. Death
occurs in 4 to 8 days due to respiratory or cardiac failure.</div>
<div class="Para">
<b><i>Bacillus cereus </i>food poisoning</b> is due to spores
which survive cooking and germinate and multiply rapidly when the food is held
at favourable temperatures. It produces at least 2 distinct enterotoxins,
causing 2 distinct forms of food poisoning. One is <b>diarrheal </b>form
(incubation period 12 to 24 hours) and other is <b>emetic </b>form (incubation
period 1 to 6 hours). Recovery occurs within 24 hours. Toxins are preformed and
stable.</div>
<div class="Ques" style="line-height: 11.7pt;">
25.<span> </span>Which
of the following are the major signs in AIDS?</div>
<div class="ABCD" style="line-height: 11.7pt;">
1.<span> </span>Weight
loss of more than 10% body weight<span> </span>2.<span> </span>Chronic and progressive ulcerative herpes
simplex</div>
<div class="ABCD" style="line-height: 11.7pt;">
3.<span> </span>Diarrhoea
of more than one month duration</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1 and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>1, 2 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 277)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>WHO clinical case definition for AIDS surveillance:</b></div>
<div class="Para">
For the purpose of AIDS surveillance an adult or adolescent (>
12 years of age) is considered to have AIDS if at least 2 of the following
major signs are present in combination with at least 1 of the minor signs
listed below, and if these signs are not known to be due to a condition
unrelated to HIV infection.</div>
<div style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; padding: 0in;">
<div class="Table" style="border: medium none; margin-left: 15pt; padding: 0in; text-indent: -15pt;">
<b>Major signs</b></div>
</div>
<div class="Table" style="margin-left: 15pt; text-indent: -15pt;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Weight loss <span style="font-family: Symbol;">³</span> 10% of body weight.</div>
<div class="Table" style="margin-left: 15pt; text-indent: -15pt;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Chronic diarrhoea for more than 1 month.</div>
<div class="Table" style="margin-left: 15pt; text-indent: -15pt;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Prolonged fever for more than 1 month
(intermittent or constant).</div>
<div class="Table" style="margin-left: 15pt; text-indent: -15pt;">
<b>Minor
signs</b></div>
<div class="Table" style="margin-left: 15pt; text-indent: -15pt;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Persistent cough for more than 1 month<span style="font-size: 5pt; position: relative; top: -4pt;">a,b</span>.</div>
<div class="Table" style="margin-left: 15pt; text-indent: -15pt;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Generalized pruritic dermatitis.</div>
<div class="Table" style="margin-left: 15pt; text-indent: -15pt;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>History of herpes zoster.</div>
<div class="Table" style="margin-left: 15pt; text-indent: -15pt;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Oropharyngeal candidiasis.</div>
<div class="Table" style="margin-left: 15pt; text-indent: -15pt;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Chronic progressive or disseminated herpes
simplex infection.</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in;">
<div class="Table" style="border: medium none; margin: 2pt 0in 4pt 15pt; padding: 0in; text-indent: -15pt;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Generalized lymphadenopathy.</div>
</div>
<div class="Para">
The presence of either generalized Kaposi sarcoma or cryptococcal
meningitis is sufficient for the diagnosis of AIDS for surveillance purposes.</div>
<div class="Indent">
a.<span> </span>For patients with
tuberculosis, persistent cough for more than 1 month should not be considered
as a minor sign.</div>
<div class="Indent">
b.<span> </span>Indicates changes from
the 1985 provisional WHO clinical case definition for AIDS.</div>
<div class="Para">
Not all the HIV-related opportunistic diseases are covered in the
AIDS definition.</div>
<div class="Ques" style="line-height: 11.7pt;">
26.<span> </span>Risk
of perinatal transmission of HIV from HIV positive mother to her child is about:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>90%<span> </span><b>B.</b><span> </span>60%</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>30%<span> </span><b>D.</b><span> </span>Less than 5%</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 275)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
HIV may pass from an infected mother to her foetus, through the
placenta or to her infant during delivery or by breast feeding. In the absence
of any intervention, rates of this form of transmission can vary from 15 to 30%
without breast feeding and reaches as high as 45% with prolonged breast
feeding.</div>
<div class="Para">
Transmission during the peripartum period accounts for one-third
to two-thirds of overall numbers infected depending on whether breast feeding
transmission occurs or not. The risk of infection is higher if the mother is
newly infected or if she has already developed AIDS.</div>
<div class="Para">
Transmission of HIV from mother to child can be prevented almost
entirely by triple drug combination antiretroviral drug prophylaxis, elective
caesarean section before onset of labour and rupture of membranes, and by
refraining from breast feeding.</div>
<div class="Ques" style="line-height: 11.7pt;">
27.<span> </span>As
per the recommendations of the WHO the multidrug regimen for paucibacillary
case of leprosy is:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Rifampicin 600 mg daily plus dapsone 300 mg daily for six months</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>B.</b><span> </span>Rifampicin 600 mg once a month plus dapsone 300 mg once a month
for six months</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Rifampicin 600 mg once a month for six months and dapsone 300 mg
daily for six months</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>D.</b><span> </span>Rifampicin 600 mg once a month for six months and dapsone 100 mg
daily for six months</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 261)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
According to <b>WHO recommendation </b>standard regimen for <b>paucibacillary
leprosy </b>for adults is:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Rifampicin: 600 mg
once a month for 6 months, supervised.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Dapsone: 100 mg (1-2
mg/kg of body weight) daily for 6 months, self-administered.</div>
<div class="Para">
The standard treatment regimen for children aged 10 to 14 years
in paucibacillary leprosy is:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Rifampicin: 450 mg
once a month supervised for 6 months.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Dapsone: 50 mg
daily, self administered for 6 months.</div>
<div class="Para">
Children under the age 10 years should receive appropriately
reduced doses of the above drugs.</div>
<div class="Para">
<b>Adequate treatment </b>for paucibacillary cases implies that
the patient has received 6 monthly doses of combined therapy within 9 months.</div>
<div class="Ques" style="line-height: 11.7pt;">
28.<span> </span>Match
List-I (Cancer related organism) with List-II (Type of cancer) and select the
correct answer using the codes given below the Lists:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b><span> </span>List-I (Cancer related organism)<span> </span>List-II</b>
<b>(Type of cancer)</b></div>
<div class="ABCD" style="line-height: 11.7pt;">
a.<span> </span>Human papilloma virus<span> </span>1.<span> </span>Liver cancer</div>
<div class="ABCD" style="line-height: 11.7pt;">
b.<span> </span>Epstein Barr virus<span> </span>2.<span> </span>Cervical cancer</div>
<div class="ABCD" style="line-height: 11.7pt;">
c.<span> </span><i>Aspergillus flavus</i><span> </span>3.<span> </span>Bladder cancer</div>
<div class="ABCD" style="line-height: 11.7pt;">
d.<span> </span><i>Schistosomia haematobium</i><span> </span>4.<span> </span>Burkitt’s lymphoma</div>
<div class="codes">
Codes:</div>
<div class="CodAns">
<b>A.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>B.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>C.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>D.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d</div>
<div class="CodAns">
<span> </span>2<span> </span>4<span> </span>3<span> </span>1<span> </span>4<span> </span>2<span> </span>1<span> </span>3<span> </span>2<span> </span>4<span> </span>1<span> </span>3<span> </span>4<span> </span>2<span> </span>3<span> </span>1</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Robbins
6th ed., p 309, 311-313, 1049)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Human papilloma virus (e.g., 1, 2, 4 and 7) definitely cause
benign squamous papillomas (warts) in humans. Human papilloma viruses (HPV)
have also been implicated in the genesis of squamous cell carcinoma of the
cervix and anogenital region (cervical condylomata) and precancerous lesions.</div>
<div class="Para">
Specific HPV are associated with cervical cancer (high risk)
versus condylomata (low risk); low risk types include types 6, 11, 42 and 44
and high risk types include 16, 18, 31, 33 and 35.</div>
<div class="Para">
Some strains of <i>Aspergillus flavus</i> produce hepatic
carcinogen aflatoxin B<span style="font-size: 5.5pt; position: relative; top: 1pt;">1</span><span> </span>(mycotoxin) and produces hepatocellular
carcinoma. It cause mutation at codon 249 in the tumour suppressor gene p53.</div>
<div class="Para">
Epstein Barr virus is the causative agent of Burkitt’s lymphoma.</div>
<div class="Para">
<i>Schistosoma haematobium,</i> a parasite is strongly associated
with both squamous cell (70%) and transitional cell (30%) bladder cancer.</div>
<div class="Para">
See also Q 40 paper 2 UPSC 1997.</div>
<div class="Ques" style="line-height: 11.7pt;">
29.<span> </span>All
of the following are the well-established modifiable risk factors of coronary
heart diseases <i>except</i><span style="font-weight: normal;">:</span></div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Cigarette smoking<span> </span><b>B.</b><span> </span>Drinking beverages</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>High blood pressure<span> </span><b>D.</b><span> </span>Elevated serum cholesterol</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 289)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The aetiology of CHD is multifactorial. Some of the risk factors
are modifiable, others immutable. Presence of any one of the risk factors
places an individual in a high risk category for developing CHD. The greater is
the number of risk factors present, the more likely one is to develop CHD.</div>
<div class="Table" style="margin: 4pt 0in 2pt;">
<b>Table: Risk factors for CHD.</b></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<b>Not modifiable<span> </span>Modifiable</b></div>
</div>
<div class="Table" style="margin-left: 15pt;">
Age<span> </span>Cigarette
smoking</div>
<div class="Table" style="margin-left: 15pt;">
Sex<span> </span>High
blood pressure</div>
<div class="Table" style="margin-left: 15pt;">
Family history<span> </span>Elavated
serum cholesterol</div>
<div class="Table" style="margin-left: 15pt;">
Genetic factors<span> </span>Diabetes</div>
<div class="Table" style="margin-left: 15pt;">
Personality<span> </span>Obesity</div>
<div class="Table" style="margin-left: 15pt;">
<span> </span>Sedentary
habits</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<span> </span>Stress</div>
</div>
<div class="Ques" style="line-height: 11.7pt;">
30.<span> </span>Match
List-I (Occupational disease) with List-II (Agents/factors) and select the
correct answer using the codes given below the Lists:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b><span> </span>List-I (Occupational disease)<span> </span>List-II</b>
<b>(Agents/factors)</b></div>
<div class="ABCD" style="line-height: 11.7pt;">
a.<span> </span>Byssinosis<span> </span>1.<span> </span>Asbestos dust</div>
<div class="ABCD" style="line-height: 11.7pt;">
b.<span> </span>Anthracosis<span> </span>2.<span> </span>Polyvinyl chloride</div>
<div class="ABCD" style="line-height: 11.7pt;">
c.<span> </span>Lung cancer<span> </span>3.<span> </span>Cotton dust</div>
<div class="ABCD" style="line-height: 11.5pt;">
d.<span> </span>Angiosarcoma of the liver<span> </span>4.<span> </span>Coal dust</div>
<div class="codes" style="line-height: 11.5pt;">
Codes:</div>
<div class="CodAns">
<b>A.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>B.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>C.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>D.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d</div>
<div class="CodAns">
<span> </span>4<span> </span>3<span> </span>1<span> </span>2<span> </span>3<span> </span>4<span> </span>1<span> </span>2<span> </span>4<span> </span>3<span> </span>2<span> </span>1<span> </span>3<span> </span>4<span> </span>2<span> </span>1</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Robbins
6th ed., p 309; Park 18th ed., p 609)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Occupational exposure to <b>asbestos</b> has been associated with
an increased incidence of bronchogenic carcinomas, mesotheliomas and
gastrointestinal cancers (esophagus, stomach and large intestine).</div>
<div class="Para">
<b>Polyvinyl chloride</b>, formed from monomer vinyl chloride,
leads to hemangiosarcoma of the liver in workers exposed to this chemical.</div>
<div class="Para">
Byssinosis, is due to inhalation of <b>cotton fibre </b>dust over
long periods of time.</div>
<div class="Para">
Anthracosis results from exposure to <b>coal dust</b>.</div>
<div class="Ques">
31.<span> </span>In a community where
marriages are predominantly consanguineous, the genetic picture that would
emerge is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Predominance of
genotypes</div>
<div class="ABCD">
<b>B.</b><span> </span>Predominance of
phenotypes</div>
<div class="ABCD">
<b>C.</b><span> </span>Non-occurrence
of genetic mutations</div>
<div class="ABCD">
<b>D.</b><span> </span>More or less
equal distribution of genotypes and phenotypes</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Robbins
6th ed., p 145; Park 18th ed., p 623; Lesson Seventeen: Patterns of Single Gene
Inheritence Dr. Jamie Love)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The term <b>genotype </b>refer to the total genetic constitution
of an individual and the term <b>phenotype</b> to the outward expression of the
genetic constitution.</div>
<div class="Para">
In consanguineous marriages i.e., marriages between blood
relatives, there is an increased risk in the offspring of traits controlled by
recessive genes and those determined by polygenes. Examples are albinism,
alkaptonuria, phenylketonuria etc.</div>
<div class="Para">
The autosomal recessive disorders are more common in the
consanguineous marriages. The following features apply to most of the autosomal
recessive disorders:</div>
<div class="Indent" style="margin-top: 1pt;">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>The expression of the defect tends to be more
uniform than in autosomal dominant disorders.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l<span> </span></span>Complete penetrance is
common.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l<span> </span></span>Although new mutations
for recessive disorders do occur, they are rarely detected clinically.</div>
<div class="Para">
Consanguineous relationships increase homozygosity and so there
is a predominance of phenotypes in these families.</div>
<div class="Ques" style="line-height: normal;">
32.<span> </span>In
the clinicosocial studies of patients, social equilibrium would mean the:</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>Equilibrium maintained by the different social institutions in the
community</div>
<div class="ABCD" style="line-height: normal;">
<b>B.</b><span> </span>Equilibrium maintained by the patient with the external forces
trying to disturb it</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>Harmonious and correct relationship between the patient and the
doctor</div>
<div class="ABCD" style="line-height: normal;">
<b>D.</b><span> </span>Harmony or equilibrium maintained by the patient and his family
with the rest of the society</div>
<div class="Body">
<span style="color: windowtext;">Ans. A<span> </span></span></div>
<div class="Para">
In clinicosocial studies of patients, social equilibrium would
mean the equilibrium maintained by the different social institutions in the
community.</div>
<div class="Para">
According to Encyclopaedia Britannica <i>“....social equilirium
is a theoretical state of balance in a social system referring both to an
internal balance between interrelated social phenomena and to the external
relationship the system maintains with its environment.....”</i></div>
<div class="Ques" style="line-height: normal;">
33.<span> </span>The
incidence of mental illness is the maximum if the causal factors affect a particular
period of life. The vulnerable period is:</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>Perinatal period<span> </span><b>B.</b><span> </span>First five years of life</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>School age<span> </span><b>D.</b><span> </span>Adolescence</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 633)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The roots of mental health are in early childhood i.e., first 5
years of life. The infant and young child should experience a warm, intimate
and continuous relationship with his mother and father. It is in this
relationship where underlies the development of mental health.</div>
<div class="Ques" style="line-height: normal;">
34.<span> </span>In
the critical path method of network analysis, the critical path is the:</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>Shortest<span> </span><b>B.</b><span> </span>Longest</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>Cheapest<span> </span><b>D.</b><span> </span>Costliest</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 670)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Network analysis</b> is a graphic plan of all events and
activities to be completed in order to reach an end objective. It brings
greater discipline in planning. The two common types of network technique are:</div>
<div class="Indent">
a.<span> </span>PERT (programming
evaluation and review technique) is a management technique which makes possible
more detailed planning and more comprehensive supervision.</div>
<div class="Indent">
<span> </span>The essence of PERT
is to construct an <b>arrow diagram</b>. The diagram represents the logical
sequence in which events must take place. It is possible with such a diagram to
calculate the time by which each activity must be completed, and to identify
those activities that are critical.</div>
<div class="Indent">
<span> </span>PERT is a useful
management technique which can be applied to a great variety of projects. It
aids in planning, scheduling and monitoring the projects. It allows better
communication between the various levels of management, it identifies potential
problems; it furnishes continuous, timely progress reports; it forms a solid
foundation upon which to build an evaluation and checking system.</div>
<div class="Indent">
b.<span> </span>Critical path method
(CPM): The longest path of the network is called ‘critical path’. If any
activity along the critical path is delayed, the entire project will be
delayed.</div>
<div class="Ques" style="line-height: normal;">
35.<span> </span>Which
of the following sets of village level workers bridge the gap between the
government agencies and the people in health care delivery?</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>Male health workers, female health workers</div>
<div class="ABCD" style="line-height: normal;">
<b>B.</b><span> </span>Village health guides, trained dais</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>Male health supervisor, female health supervisor</div>
<div class="ABCD" style="line-height: normal;">
<b>D.</b><span> </span>Anganwadi workers, village agricultural workers</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 685, 695)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Primary health care</b> is the first level of contact between
the individual and the health system where essential health care (primary
health care) is provided. A majority of prevailing health complaints and
problems can be satisfactorily dealt with at this level. This level of care is
closest to the people. In the Indian context, this care is provided by the
primary health centres and their subcentres, through the agency of multipurpose
health workers, village health guides and trained dais. Besides providing
primary health care, the village health teams bridge the cultural and
communication gap between the rural people and organized health sector.</div>
<div class="Para">
One of the basic tenets of primary health care is universal
coverage and equitable distribution of health resources. That is, health care
must penetrate into the farthest reaches of rural areas and that everyone
should have access to it. To implement this policy at village level the
following workers are involved – village health guides, trained local dais and
anganwadi workers. These workers serve as links betwen the community and the
government infrastructure.</div>
<div class="Ques" style="line-height: 11.9pt;">
36.<span> </span>All
of the following are the principles of primary health care <i>except</i>:</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>A.</b><span> </span>Social equity<span> </span><b>B.</b><span> </span>Intersectoral coordination</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>C.</b><span> </span>Speciality services<span> </span><b>D.</b><span> </span>Community participation</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 28)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Primary health care is defined as essential health care based on
practical, scientifically sound and socially acceptable methods and technology
made universally accessible to individuals and famiiles in the community
through their full participation and at a cost that the community and the
country can afford to maintain at every stage of their development in the
spirit of self-determination.</div>
<div class="Para">
The primary health care approach is based on principles of social
equity, nationwide coverage, self reliance, intersectoral coordination and
people’s involvement in the planning and implementation of health programmes in
pursuit of common health goals.</div>
<div class="Ques" style="line-height: 11.9pt;">
37.<span> </span>All
of the following statements about eradication programme are true <i>except</i>:</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>A.</b><span> </span>There is complete interruption of disease transmission in the
entire area of the community</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>B.</b><span> </span>Eradication programme is over once the disease has been certified
as having been eradicated</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>C.</b><span> </span>Case finding is of secondary importance</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>D.</b><span> </span>The object is to eliminate the disease to the extent that no new
case occurs in future</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 35, 87)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Eradication</b> means to ‘tear out by roots’. Eradication of
disease implies termination of all transmission of infection by extermination
of the infectious agent. It is ‘all or none phenomenon’. The word eradication
is reserved to cessation of infection and disease from the whole world. It
implies that disease will no longer occur in a population.</div>
<div class="Para">
Small pox is the only disease that has been eradicated. During,
recent years, diseases that have been seriously advanced as candidates for
global eradication within the foreseeable future are diphtheria, polio, measles
and dracunculiasis (guinea worm).</div>
<div class="Para">
Experience gained from eradication programmes (e.g., malaria,
yaws) has shown that once the morbidity of a disease reaches a very low level,
a ‘residual’ infection usually persists in the population leading to a state of
equilibrium between the agent, host and environmental components of disease
process. In this situation, there are always hidden foci of infection,
unrecognized methods of transmission, resistance of the vector or organism, all
of which may again flare up when the agent-host-environment equilibrium is
disturbed.</div>
<div class="Ques" style="line-height: 11.6pt;">
38.<span> </span>All
of the following statements about National Malaria Control Programme are true <i>except</i>:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>Number of slides examined should amount to at least 10% of the
population under surveillance in a year</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>B.</b><span> </span>Annual parasite incidence is based on active and passive
surveillance and cases confirmed by blood examination</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>Annual blood examination rate is calculated from the number of
slides examined per 100 cases of fever</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>D.</b><span> </span>The slide positivity rate provides information on the trend of
malaria transmission</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 207)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Annual parasite incidence (API) </b>is given by the formula:</div>
<div class="Para">
= <img height="36" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" width="233" /></div>
<div class="Para">
API is a sophisticated measure of malaria incidence in a
community. It is based on intensive active and passive surveillance, and cases
are confirmed by blood examination.</div>
<div class="Para">
<b>Annual blood examination rate (ABER)</b> is given by the
formula:</div>
<div class="Para">
= <img height="33" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" width="173" /></div>
<div class="Para">
The WHO Expert Committee on Malaria in 1964 recommended that the
monthly number of slides examined should amount to at least 1 percent of the
population. In the Modified Plan of Operation, the minimum prescribed is 10
percent of the population in a year.</div>
<div class="Para">
ABER is an index of operational efficiency. API depends upon the
annual blood collection and examination rates. A sufficient number of blood
slides must be systemically obtained and examined for malaria parasite to
workout accurate API.</div>
<div class="Para">
<b>Slide positivity rate</b> and <b>slide falciparum rate</b>
provide information on the trends of malaria transmission.</div>
<div class="Ques" style="line-height: 11.6pt;">
39.<span> </span>The
international quarantine period, as approved by the Government of India is:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>6 days<span> </span><b>B.</b><span> </span>9 days</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>10 days<span> </span><b>D.</b><span> </span>12 days</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 102; WHO Manual on Health Regulations)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Quarantine </b>has been defined as ‘the limitation of freedom
of movement of such well persons or domestic animals exposed to communicable
disease for a period of time not longer than the longest incubation period of
the disease, in such manner as to prevent effective contact with those not so
exposed’.</div>
<div class="Para">
Quarantine measures are also applied by a health authority to a
ship, an aircraft, a train, road vehicle, other means of transport or
container, to prevent the spread of disease, reservoirs of disease or vectors
of disease.</div>
<div class="Para">
According to WHO manual on health regulations and as approved by
Govt. of India the only vaccination certificate required by a person entering
India is of yellow fever if that person is coming from a yellow fever endemic
area.</div>
<div class="Indent">
1.<span> </span><b>For entry into
India:</b> Any person, foreigner or Indian, (excluding infants below six
months) arriving by air or sea without a vaccination certificate of yellow
fever will be kept in quarantine isolation for a period up to 6 days if:</div>
<div class="Indent">
a.<span> </span>He arrives in India
within 6 days of departure from an infected area.</div>
<div class="Indent">
b.<span> </span>Has come on a ship
which has started from or transited at any port in a yellow fever affected
country within 30 days of its arrival in India provided such ship has not been
disinfected in accordance with the procedure laid down by <b>WHO</b>.</div>
<div class="Indent">
2.<span> </span><b>For leaving India:</b>
There is no health check requirement by Indian Government on passengers leaving
India.</div>
<div class="Para">
Persons leaving for a yellow fever infected area are advised in
their own interest to be in possession of valid yellow fever vaccination
certificates before they leave the country. The Government of Guyana requires
that all persons including diplomats travelling to that country from India to
possess valid yellow fever and cholera inoculation certificates before they
leave India. </div>
<div class="Para">
An administrative arrangement for the health control of sea, air
and land traffic exists between the Government of India and the Government of
Bangladesh. It implies that if any aircraft or ship or land traffic from a
third country arrives first at any airport or port or border checkpost in
either of the agreement countries and then directly (without touching any other
third country enroute) reaches the second country of the agreement, all health
checks will be completed in the country of first arrival and the travelers will
be exempted from any further health check on arrival in the second country.</div>
<div class="Para">
<b>Persons exempted from production of vaccination certificate:</b></div>
<div class="Para">
The under mentioned persons are exempted from production of
yellow fever vaccination certificate:</div>
<div class="Indent">
a.<span> </span>Infants below the age
of six months.</div>
<div class="Indent">
b.<span> </span>Crew and passengers of
an aircraft transiting through an airport located in yellow fever infected area
provided the Health Officer is satisfied that such persons remained within the
airport premises during the period of stay.</div>
<div class="Para">
A yellow fever vaccination certificate is valid only if it
conforms with the model. The validity period of international certificate of
vaccination or re-vaccination against yellow fever is 10 years, beginning 10
days after vaccination.</div>
<div class="Para">
Foreign nationals residing or who have passed through the yellow
fever endemic countries during the preceding six days, are granted visas only
after the production of vaccination certificate of yellow fever. After checking
the vaccination certificate an entry read as “<b>Valid Yellow fever Vaccination
Certificate Checked</b>” is made in the passport of the foreigner.</div>
<div class="Ques" style="line-height: 11.6pt;">
40.<span> </span>In
a clinical trial, two drugs A and B were administered to alternate patients in
100 cases of hypertension and the effect of these two drugs was studied
statistically by applying chi square test. The value of chi square was 4.12
with degree of freedom equal to one against the table value of 3.84 at 5%
level. Which of the following conclusions can be drawn from this study?</div>
<div class="ABCD" style="line-height: 11.6pt;">
1.<span> </span>Null
hypothesis is proved</div>
<div class="ABCD" style="line-height: 11.6pt;">
2.<span> </span>Null
hypothesis is rejected</div>
<div class="ABCD" style="line-height: 11.6pt;">
3.<span> </span>There
is no significant difference between the effect of two drugs</div>
<div class="ABCD" style="line-height: 11.6pt;">
4.<span> </span>The
probability of the effect of the two drugs being the same are less than 0.05</div>
<div class="Ques" style="line-height: 11.6pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes" style="line-height: 11.6pt;">
Codes:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>1 and 3<span> </span><b>B.</b><span> </span>2 and 3</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>2 and 4<span> </span><b>D.</b><span> </span>1, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Simple
Biostatistics 1st ed., Indrayan and Satyanarayana p 154, 171)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The null hypothesis in this trial is that the two drugs A and B
are equally effective. The calculated chi-square value of 4.12 at one degree of
freedom on comparison with the table value of 3.84 indicate the statistically
significant difference between the drug effectiveness. This also means that the
null hypothesis of equality is rejected at 5% level of significance or P <
0.05.</div>
<div class="Ques" style="line-height: 11.6pt;">
41.<span> </span>Which
of the following pairs of health indicators and targets fixed for 2000 AD are
correctly matched?</div>
<div class="ABCD" style="line-height: 11.6pt;">
1.<span> </span>Crude birth rate (per 1000 population)<span> </span>–<span> </span>21</div>
<div class="ABCD" style="line-height: 11.6pt;">
2.<span> </span>Maternal mortality rate (per 1000 live
births)<span> </span>–<span> </span>Below 2</div>
<div class="ABCD" style="line-height: 11.6pt;">
3.<span> </span>Annual growth rate (%)<span> </span>–<span> </span>1.2</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes" style="line-height: 11.6pt;">
Codes:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.<span> </span></b>2
and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>1 and 3<span> </span><b>D.</b><span> </span>1, 2 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
15th ed., p 597)</span></i><span style="color: windowtext;"></span></div>
<div class="Para" style="margin-bottom: 1pt;">
According to the National Health
Policy 1983, specific goals to be achieved by year 2000 are:</div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<b><span> </span>Indicator</b></div>
</div>
<div class="Table" style="margin-left: 15pt;">
1.<span> </span>Infant mortality rate<span> </span>Below
60</div>
<div class="Table" style="margin-left: 15pt;">
2.<span> </span>Perinatal mortality rate<span> </span>30-35</div>
<div class="Table" style="margin-left: 15pt;">
3.<span> </span>Crude death rate<span> </span>9.0</div>
<div class="Table" style="margin-left: 15pt;">
4.<span> </span>Under 5 mortality rate<span> </span>10</div>
<div class="Table" style="margin-left: 15pt;">
5.<span> </span>Maternal mortality rate<span> </span>Below
2</div>
<div class="Table" style="margin-left: 15pt;">
6.<span> </span>Life expectancy at birth</div>
<div class="Table" style="margin-left: 15pt;">
<span> </span>Males<span> </span>64</div>
<div class="Table" style="margin-left: 15pt;">
<span> </span>Females<span> </span>64</div>
<div class="Table" style="margin-left: 15pt;">
7.<span> </span>Crude birth rate<span> </span>21.0</div>
<div class="Table" style="margin-left: 15pt;">
8.<span> </span>Net reproduction rate<span> </span>1.0</div>
<div class="Table" style="margin-left: 15pt;">
9.<span> </span>Couple protection rate (%)<span> </span>60</div>
<div class="Table" style="margin-left: 15pt;">
10.<span> </span>Annual growth rate<span> </span>1.20</div>
<div class="Table" style="margin-left: 15pt;">
11.<span> </span>Family size<span> </span>2.3</div>
<div class="Table" style="margin-left: 15pt;">
12.<span> </span>Babies with birth weight below 2500 g(%)<span> </span>10</div>
<div class="Table" style="margin-left: 15pt;">
13.<span> </span>Immunization</div>
<div class="Table" style="margin-left: 15pt;">
<span> </span>TT coverage for pregnant women (%)<span> </span>100</div>
<div class="Table" style="margin-left: 15pt;">
<span> </span>DPT<span> </span>100</div>
<div class="Table" style="margin-left: 15pt;">
<span> </span>Polio<span> </span>85</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<span> </span>BCG<span> </span>85</div>
</div>
<div class="Ques" style="line-height: 11.6pt;">
42.<span> </span>Dengue
virus appears to have a direct man-mosquito-man cycle in India. The mechanism
of dengue virus survival in the interepidemic period is:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>Non-human reservoir<span> </span><b>B.</b><span> </span>Dormant or latent phase in man</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>Transovarian transmission of the virus<span> </span><b>D.</b><span> </span>Poor housekeeping by the public</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 199)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The reservoir of dengue is both man and mosquito. The
transmission cycle is ‘man-mosquito-man.’ <i>Aedes aegypti</i> is main vector.
Once the mosquito becomes infective, it remains so for life. Transovarian
transmission i.e., the infectious agent is transmitted vertically from the
infected female to her progency in the vector, of dengue virus has been
demonstrated. Temperature plays an important role in the transmission of dengue
virus by mosquitoes. Mosquitoes kept at 26°C fail to transmit DEN-2 virus.
Hence the low incidence of DHF in certain seasons could be explained by this
observation.</div>
<div class="Ques" style="line-height: 11.6pt;">
43.<span> </span>Which
one of the following insecticides is commonly used for ultra low-volume
fogging?</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>Abate<span> </span><b>B.</b><span> </span>DDVP</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Paris green<span> </span><b>D.</b><span> </span>Malathion</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 579, 590)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The most extensively used insecticides for ULV (ultra low volume)
fogging/space spraying are malathion and fenitrothion (OMS-43). Malathion has
the least toxicity of all organophosphorus compounds. It is used in doses of
100-200 mg sq foot, every 3 months. As a ULV spray, it is widely used for
killing adult mosquitoes to prevent or interrupt dengue haemorrhagic fever and
mosquito borne encephalitis epidemics.</div>
<div class="Ques" style="line-height: 12.2pt;">
44.<span> </span>Each
tablet of the iron and folic acid tablets supplied under the CSSM programme
contains:</div>
<div class="ABCD" style="line-height: 12.2pt;">
<span> </span><b>Elemental
iron<span> </span>Folic
acid</b></div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>A.</b><span> </span>100 mg<span> </span>500
µg</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>B.</b><span> </span>60 mg<span> </span>500
µg</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>C.</b><span> </span>300 mg<span> </span>500
µg</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>D.</b><span> </span>200 mg<span> </span>500
µg</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DK
Taneja National Health Policies and Programme in India, 3rd ed., p 128)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
To make up for the extra iron requirements during pregnancy, the
diet must be supplemented with iron and folic acid tablets. Under CSSM
programme all pregnant woman must be given one tablet of iron and folic acid
containing 100 mg of elemental iron (300 mg of ferrous sulphate) and 500 µg
(0.5 mg) of folic acid daily, for at least 100 days. Women with visible signs
of anaemia and Hb below 11 g% must be given 2 tablets daily.</div>
<div class="Para">
<b>Remember of the following important points commonly asked in
examination:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>A woman needs twice
the amount of iron daily as compared to an adult man.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>In the 3rd
trimester, a pregnant woman needs 6 times more iron than a non-pregnant woman.</div>
<div class="Ques">
<span style="font-weight: normal;"><span> </span>The
following 11 (eleven) items consist of two statements, one labelled the
‘Assertion A’ and the other labelled the ‘Reason R’. You are to examine these
two statements carefully and decide if the Assertion A and the Reason R are
individually true and if so, whether the Reason is a correct explanation of the
Assertion. Select your answers to these items using the codes given below to
mark your answer sheet accordingly:</span></div>
<div class="codes">
Codes:</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>A.</b><span> </span>Both A and R are true and R is the correct explanation of A</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>B.</b><span> </span>Both A and R are true but R is <i>not </i>a correct explanation of
A </div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>C.</b><span> </span>A is true but R is false</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>D.</b><span> </span>A is false but R is true</div>
<div class="Asser">
<b>45.<span> </span>Assertion A<span> </span>:</b><span> </span>Self-care
is a logical necessity and appropriate strategy in the present days.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>The changing disease pattern suggests a shift from acute to
chronic diseases.</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 20)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
A recent trend in health care is <b>self care</b>. It is defined
as ‘those health generating activities that are undertaken by the persons
themselves’. It refers to those activities individuals undertake in promoting
their own health, preventing their own disease, limiting their own illness and
restoring their own health. These activities are undertaken without
professional assistance, although individuals are informed by technical
knowledge and skills.</div>
<div class="Para">
Self care activities comprise observance of simple rules of
behaviour relating to diet, sleep, exercise, weight, alcohol, smoking and
drugs. Others include attention to personal hygiene, cultivation of healthful
habits and lifestyle, submitting oneself to selective medical examinations and
screening; accepting immunization and carrying out other specific disease
prevention measures, reporting early when sick and accepting treatment,
undertaking measures for the prevention of a relapse or of the spread of the
disease to others, family planning.</div>
<div class="Para">
The shift in disease patterns from acute to chronic disease makes
self care both a logical necessity and an appropriate strategy. By teaching
patients self care (e.g., recording own blood pressure, examination of urine
for sugar) the burden on the official health services would be considerably
reduced. In other words, health must begin with the individual.</div>
<div class="Asser">
<b>46.<span> </span>Assertion A<span> </span>:</b><span> </span>Randomised
control trials are useful studies.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>Randomization eliminates bias.</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Simple
Biostatistics, 1st ed., Indrayan and Satyanarayana, p 236)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Randomization</b> is allocation of subjects to different
groups in a random manner. The objective is that unaccounted factors are almost
equally distributed among groups, and there is no bias on this count.</div>
<div class="Para">
<b>Randomized controlled trial </b>is a trial where there is a
control group (in addition to the test group) and the allocation of subjects to
the control and test groups is by random method. This is considered to be the
ideal methodology to evaluate efficacy of a new regimen particularly when it is
double blind.</div>
<div class="Asser">
<b>47.<span> </span>Assertion A<span> </span>:</b><span> </span>BCG
can be given at birth.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>Maternal cell mediated immunity is not transferred to the foetus.</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
18th ed., p 149, 157; OP Ghai 6th ed., p 192)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
According to OP Ghai <i>“….BCG may be given any time from birth
since mother’s immunity is not transferred to the foetus. Neonatal BCG is
recommended mainly to use the opportunity of the infant being available.…”</i></div>
<div class="Para">
Man has no inherited immunity against tuberculosis. It is
acquired as a result of natural infection or BCG vaccination. Both delayed
hypersensitivity and acquired resistance to tuberculosis are cell mediated
responses. Delayed hypersensitivity<span> </span>is
immunologically specific but it has no relation to antibodies and could not be
transferred passively by serum. Both delayed hypersensitivity and cell mediated
immunity are mediated by T lymphocytes. The aim of BCG vaccination is to induce
a benign, artificial primary infection which will stimulate an acquired
resistance to possible subsequent infection with virulent bacilli. In countries
like India where tuberculosis prevalence and risk of childhood infection is
high, BCG is administered early in infancy either at birth (for institutional
deliveries) or at 6 weeks of age. BCG administered early in life provides a
high level of protection, particularly against the severe forms of childhood
tuberculosis and tuberculous meningitis.</div>
<div class="Asser">
<b>48.<span> </span>Assertion A<span> </span>:</b><span> </span>Presence
of nitrites in water indicates recent sewage contamination.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>Sewage based nitrites get oxidised to nitrates with the passage of
time.</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
12th ed., p 368)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Nitrites </b>presence indicates pollution of recent origin. It
should be zero in potable waters. However in deep well waters, nitrites may be
found as a result of reduction of nitrates by ferrous salts. Therefore water
containing nitrites, except in case of deep well waters, must be viewed with
suspicion. The final report about the significance of nitrites is based on the
other indices of pollution such as oxygen absorbed and ammonia content.</div>
<div class="Para">
Nitrates tell the chemical story of the past history of water.
Their presence indicates an old contamination provided nitrites are absent.
Nitrates in water should not exceed 1 mg/l. Nitrate in groundwater originates
primarily from fertilizers, septic systems, and manure storage or spreading
operations.<span> </span>Nitrate is essentially
harmless. However, certain kinds of bacteria in the digestive tract reduce the
nitrate into nitrite, a much more harmful substance. The nitrite then enters
the blood stream, where it can restrict the blood’s ability to provide oxygen
to the body, causing blueness of the skin. This potentially fatal condition,
known as methemoglobinemia, is also called “blue baby syndrome” because of the
increased susceptibility of infants under six months of age.</div>
<div class="Asser">
<b>49.<span> </span>Assertion A<span> </span>:</b><span> </span>External
cephalic version is contraindicated in a patient with placenta praevia.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>External cephalic version can cause uterine rupture.</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(William
Obstetrics 21st ed., p. 531; DC Dutta Textbook of Obstetrics 6th ed., p 380)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
External cephalic version is contraindicated in placenta previa
as placenta is low lying and interferes with version and there is a risk of
placental seperation and bleeding.</div>
<div class="Para">
<b>Complications of version are:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Placenta abruption.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Uterine rupture.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Amniotic fluid
embolism.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Fetomaternal
haemorrhage.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Isoimmunization.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Preterm labour.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Fetal distress.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Fetal demise.</div>
<div class="Asser">
<b>50.<span> </span>Assertion A<span> </span>:</b><span> </span>Following
obstructed labour, the VVF may manifest 7 to 14 days after delivery.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>In obstructed labour, the prolonged compression of bladder wall
and vagina between the presenting part and symphysis pubis leads to ischaemic
necrosis.</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Jeffcoate’s
Principles of Gynaecology International ed., 2001, p 252)</span></i><span style="color: windowtext;"></span></div>
<div class="Indent" style="margin-top: 4pt;">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Prolonged obstructed labour in women with cephalopelvic
disproportion or malpresentation leads to ischaemic vascular injury from
compression of the soft tissues between fetal head and maternal pelvis.
Ischaemic tissue necrosis leads to development of genitourinary fistula in the
puerperium, usually after 7-10 days.</div>
<div class="Para">
Fistula from long and difficult labour always involves the
trigone of the bladder which is nipped between the presenting part and the back
of the symphysis pubis.</div>
<div class="Asser">
<b>51.<span> </span>Assertion A<span> </span>:</b><span> </span>Combined
oral contraceptive pill has a protective effect against pelvic inflammatory
disease.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>Combined oral contraceptive pill produces impaired endometrial
development.</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Ashok
Kumar Essentials of Gynaecology 1st ed., p 12, 13)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Both the statements are true but the reason is not correct. OCP
causes endometrial suppression, which leads to oedematous stroma with thin
atrophic glands. OCP protects against PID. Thick cervical mucous provides
protection by inhibiting ascending infection. This decreases tubal damage and
scarring, chronic pelvic pain and infertility.</div>
<div class="Para">
<b>OCP also provides protection against the following:</b></div>
<div class="Indent">
1.<span> </span>Endometriosis.</div>
<div class="Indent">
2.<span> </span>Premenstrual tension.</div>
<div class="Indent">
3.<span> </span>Functional ovarian
cyst.</div>
<div class="Indent">
4.<span> </span>Ovarian CA.</div>
<div class="Indent">
5.<span> </span>Ectopic pregnancy.</div>
<div class="Indent">
6.<span> </span>Endometrial CA.</div>
<div class="Indent">
7.<span> </span>Benign breast disease.</div>
<div class="Indent">
8.<span> </span>Fibroid.</div>
<div class="Indent">
9.<span> </span>PCOD.</div>
<div class="Indent">
10.<span> </span>Rheumatoid arthritis.</div>
<div class="Indent">
11.<span> </span>Hirsuitism.</div>
<div class="Indent">
12.<span> </span>Acne.</div>
<div class="Asser">
<b>52.<span> </span>Assertion A<span> </span>:</b><span> </span>Corticosteroids
are indicated in children with acute bronchiolitis.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>In acute bronchiolitis, airway obstruction is mainly inflammatory
in nature.</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(OP
Ghai 6th ed., p 353; Nelson 16th ed., p 1417)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In bronchiolitis the inflammation of the bronchiolar mucosa leads
to edema, thickening, formation of mucus plugs and cellular debris.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>There is no role of
steroids in treatment of bronchiolitis.</div>
<div class="Para">
Oxygen remains the mainstay of treatment and mainly treatment is
symptomatic.</div>
<div class="Asser">
<b>53.<span> </span>Assertion A<span> </span>:</b><span> </span>Examination
of eye is important in every child with cirrhosis.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>Ocular examination provides a clue to the degree of portal
hypertension.</div>
<div class="Body">
<span style="color: windowtext;">Ans. C<span> </span></span><i><span style="color: windowtext; font-weight: normal;">(OP
Ghai 5th ed., p 267; 6th ed., p 287)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Ocular examination in a child with cirrhosis is done for:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Chorioretinitis:
CMV, toxoplasma, rubella.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Cataract:
Galactosemia.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Cherry red spot:
Lipid storage disorders.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>K-F ring: Wilson
disease.</div>
<div class="Para">
Ocular examination is done for ruling out above mentioned
etiology for cirrhosis.</div>
<div class="Asser">
<b>54.<span> </span>Assertion A<span> </span>:</b><span> </span>A
newborn with massive meconium aspiration should always be given antibiotics.</div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>Meconium is a good culture medium for bacterial growth.</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Nelson
17th ed., p 584)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Meconium stained amniotic fluid is found in 5-15% of births and
usually occurs in term or post-term infants. Five per cent of such infants
develop <b>meconium</b> <b>aspiration</b> <b>pneumonia</b>; 30% of these
require mechanical ventilation, and less than 10% expire.<b> </b></div>
<div class="Para">
Either in utero or more often with the first breath, thick,
particulate meconium is aspirated into the lungs. The resulting small airway
obstruction may produce respiratory distress within the first hours, with
tachypnea, retraction, grunting, and cyanosis in severely affected infants.
Partial obstruction of airways may lead to pneumothorax or pneumomediastinum,
or both.</div>
<div class="Para">
Meconium is not a good culture medium for bacterial growth.
Chemical pneumonia, atelectasis, small airways obstruction are the main
features. Patient may require ventilator support with oxygenation. Antibiotics
are added to prevent bacterial infection of respiratory tract and lung
parenchyma in such a condition.<span> </span></div>
<div class="Asser">
<b>55.<span> </span>Assertion A<span> </span>:</b><span> </span>Petechial
haemorrhages, haematuria, melena, sub-conjunctival haemorrhages are features of
scurvy. </div>
<div class="Asser" style="margin-top: 0in;">
<b><span> </span>Reason
R<span> </span>:</b><span> </span>Platelet aggregation is known to be impaired in vitamin C
deficiency states.</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Nelson
17th ed., p 185)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In <b>scurvy</b> petechial hemorrhages may occur in the skin and
mucous membranes. Hematuria, melena, and orbital or subdural hemorrhages may be
found.</div>
<div class="Para">
During vitamin C (ascorbic acid) deficiency, formation of
collagen and of chondroitin sulfate is impaired. The tendency to hemorrhage,
defective tooth dentin, and loosening of the teeth are caused by deficient
collagen. Because osteoblasts no longer form their normal intercellular
substance (osteoid), endochondral bone formation stops. The bony trabeculae
that have been formed become brittle and fracture very easily. The periosteum
becomes loose, and subperiosteal hemorrhages occur, especially at the ends of
the femur and tibia.<b> Scurvy </b>is<b> </b>associated with “weakening” of the
collagen matrix that supports the blood vessels and therefore is associated
with easy bruising and bleeding gums and loosening of the teeth. </div>
<div class="Para">
Prothrombin time may be greatly increased. </div>
<div class="Ques" style="line-height: 11.8pt;">
56.<span> </span>Which
one of the following congenital heart diseases has cyanosis without
cardiomegaly and/or congestive heart failure?</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Transposition of great arteries<span> </span><b>B.</b><span> </span>Fallot’s tetralogy</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>Congenital mitral regurgitation<span> </span><b>D.</b><span> </span>Congenital pulmonary stenosis</div>
<div class="Body">
<span style="color: windowtext;">Ans. B<span> </span></span><i><span style="color: windowtext; font-weight: normal;">(Nelson
17th ed., p 1524, 1526; OP Ghai 6th ed., p 407)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In tetralogy of Fallot (TOF) there is cyanosis without
cardiomegaly and CHF.</div>
<div class="Para">
<b>Cyanosis and cardiac</b> <b>enlargement </b>indicate severe
pulmonic stenosis, otherwise mild to moderate stenosis are asymptomatic.</div>
<div class="Para">
In transposition of great arteries (TGA) with intact ventricular
septum, babies are cyanotic at birth. Heart size may be normal in first 2 weeks
but enlarges rapidly.</div>
<div class="Para">
Diagnosis of TOF is made clinically in a cyanotic child with a
normal sized heart, mild parasternal impulse, normal first heart sound and an
ejection systolic murmur ending before a single second sound.</div>
<div class="Para">
Since the right ventricle is effectively decompressed by the
ventricular septal defect, congestive failure never occurs in TOF. Exceptions
to this rule are:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Anemia.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Infective
endocarditis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Systemic
hypertension.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Unrelated
myocarditis complicating TOF.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Aortic or pulmonary
valve regurgitation.</div>
<div class="Para">
<b>Remember the following important points about TOF:</b></div>
<div class="Indent">
1.<span> </span>Commonest cyanotic
congenital heart disease in children above the age of 2 years.</div>
<div class="Indent">
2.<span> </span><b>Tetrad of TOF:</b></div>
<div class="Indent">
a.<span> </span>VSD.</div>
<div class="Indent">
b.<span> </span>Overriding or
dextroposition of aorta.</div>
<div class="Indent">
c.<span> </span>Pulmonary stenosis.</div>
<div class="Indent">
d.<span> </span>Right ventricular
hypertrophy.</div>
<div class="Indent">
3.<span> </span>Severity of cyanosis
is directly proportional to severity of pulmonic stenosis but the intensity of
the systolic murmur is inversely related to the severity of pulmonic stenosis.</div>
<div class="Indent">
4.<span> </span>Although squatting is
not specific for TOF, it is the commonest congenital lesion in which squatting
is present.</div>
<div class="Indent">
5.<span> </span>ECG shows right axis
deviation with RVH.</div>
<div class="Indent">
6.<span> </span>Inverted T waves in
right precordial leads.</div>
<div class="Indent">
7.<span> </span>CXR shows normal sized
heart with upturned apex with oligemic lung fields.</div>
<div class="Indent">
8.<b><span> </span>‘Coer en sabot’</b>
appearance is due to absence of main pulmonary region.</div>
<div class="Para">
Systemic pulmonary anastomosis are:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Blalock-Tausig
shunt: Subclavian artery and pulmonary artery anastomosis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Pott’s shunt:
Descending aorta to pulmonary artery anastomosis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Waterston’s shunt:
Ascending aorta and right pulmonary artery anastomosis.</div>
<div class="Ques" style="line-height: 11.8pt;">
57.<span> </span>A
10-day old neonate is brought by her mother to the OPD with complaints of
sneezing. On examination, the respiratory rate is 40/minute and conducted
sounds are heard on auscultation. There is no intercostal retraction. The
neonate should be treated with:</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Normal saline nasal drops<span> </span><b>B.</b><span> </span>Oral antihistamines</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>Oral antibiotics<span> </span><b>D.</b><span> </span>Parenteral antibiotics</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 352; Nelson 17th ed., p 1390)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
10 day old child with RR 40/min, no intercostal retraction having
sneezing and conducted sounds is not having pneumonia and can be treated by
nasal saline drops to clear the nasal passage. </div>
<div class="Table" style="margin: 4pt 0in 2pt;">
<b>Table: Clinical classification of pneumonia and treatment
decisions.</b></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<b><span> </span>Signs and symptoms<span> </span>Classification<span> </span>Therapy<span> </span>Where to treat</b></div>
</div>
<div class="Table">
1.<span> </span>Cough or cold<span> </span>No
pneumonia<span> </span>Home
remedies<span> </span>At home</div>
<div class="Table">
<span> </span>No fast breathing</div>
<div class="Table">
<span> </span>No chest indrawing or indicators of
severe illness</div>
<div class="Table">
2.<span> </span>Respiratory rate<span> </span>Pneumonia<span> </span>Cotrimoxazole<span> </span>At home</div>
<div class="Table">
<span> </span>RR/minute<span> </span>Age</div>
<div class="Table">
<span> </span>60 or more<span> </span>< 2 months</div>
<div class="Table">
<span> </span>50 or more<span> </span>2-12 months</div>
<div class="Table">
<span> </span>40 or more<span> </span>12-60 months</div>
<div class="Table">
3.<span> </span>Chest indrawing<span> </span>Severe pneumonia<span> </span>IV/IM penicillin<span> </span>At hospital</div>
<div class="Table">
4.<span> </span>Cyanosis<span> </span>Very
severe pneumonia<span> </span>IV
chloramphenicol<span> </span>At hospital</div>
<div class="Table">
<span> </span>Severe chest indrawing</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<span> </span>Inability
to feed</div>
</div>
<div class="Ques" style="line-height: 11.8pt;">
58.<span> </span>Which
one of the following cereals is <i>not</i> harmful in the case of gluten
sensitive enteropathy?</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Rye<span> </span><b>B.</b><span> </span>Maize</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>Wheat<span> </span><b>D.</b><span> </span>Barley</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 281; Nelson 17th ed., p 1265)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In gluten sensitive enteropathy (celiac disease) strict gluten
free diet is cornerstone of management. <b>Rice and maize</b> act as substitute
of wheat.</div>
<div class="Para">
<b>Remember the following important points about celiac disease:</b></div>
<div class="Indent">
1.<span style="font-family: Symbol;"><span> </span></span>In celiac disease there is permanent
intestinal intolerance to dietary wheat gliadin and related proteins, produce
lesion in genetically susceptible individual.</div>
<div class="Indent">
2.<span style="font-family: Symbol;"><span> </span></span>Characteristically dramatic response
to gluten fee diet.</div>
<div class="Indent">
3.<span> </span>Immunologically
mediated small intestinal enteropathy.</div>
<div class="Indent">
4.<span style="font-family: Symbol;"><span> </span></span>Chronic diarrhea, abdomen distension,
muscle wasting, failure to thrive, anorexia and irritability.</div>
<div class="Indent">
5.<span> </span><b>Mandatory for
diagnosis:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Villous atrophy with hyperplasia of
crypts and abnormal surface epithelium while patient is eating adequate amount
of gluten.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Full clinical and histological
remission after withdrawal of gluten from the diet.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Antiendomysial antibodies are best
sensitive and specific marker.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Increased risk of lymphoproliferative
disease in patients on a normal gluten containing diet.</div>
<div class="Ques" style="line-height: 11.8pt;">
59.<span> </span>A
5-month old formula fed infant has been brought with complaints of watery
diarrhoea of 2 days duration and irritability of one day duration. He had been
receiving WHO ORS at home. Physical examination reveals a markedly irritable
child with a rather doughy skin and rapid pulse. The most likely diagnosis is:</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Meningitis<span> </span><b>B.</b><span> </span>Encephalitis</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>Hyponatremic dehydration<span> </span><b>D.</b><span> </span>Hypernatremic dehydration</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Nelson
17th ed., p 248)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The child is suffering from hypernatremic dehydration.</div>
<div class="Para">
Different types of dehydration may have different clinical
manifestations. Patients with <b>hypernatremic</b> <b>dehydration</b> tend to
have lesser signs of dehydration, even with a similar volume loss. Their skin
is warm and has a doughy feel. They tend to be lethargic, but very irritable
when touched, and to be hypertonic and hyperreflexic. </div>
<div class="Para">
Patients with <b>hypotonic dehydration</b>, because of external
losses and internal fluid shifts, may present with signs of profound volume
depletion and shock. </div>
<div class="Para">
Fluid therapy for hypernatremic dehydration may be difficult,
because severe hyperosmolality may lead to cerebral damage with widespread
cerebral hemorrhages, thrombosis, and subdural effusions. Because the sodium
deficit in hypernatremic dehydration is relatively small and the ECF volume
relatively well maintained, the amounts of sodium and water to be administered
are lower than those in hyponatremic or isonatremic dehydration. A suitable
regimen is a 5% dextrose solution containing 25 mEq/L of sodium as a
combination of the bicarbonate and chloride. Frequently, seizures occur during
treatment as the serum sodium is returning to normal.</div>
<div class="Ques" style="line-height: 11.8pt;">
60.<span> </span>Consider
the following statements regarding post-streptococcal glomerulonephritis among
children:</div>
<div class="ABCD" style="line-height: 11.8pt;">
1.<span> </span>Hypertension
is always present<span> </span>2.<span> </span>Sub-clinical cases do not occur</div>
<div class="ABCD" style="line-height: 11.8pt;">
3.<span> </span>Retinal
changes due to hypertension are common<span> </span>4.<span> </span>Long-term outcome is usually excellent</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Of these statements:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1, 2 and 3 are correct<span> </span><b>B.</b><span> </span>1 and 3 are correct</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>2 and 4 are correct<span> </span><b>D.</b><span> </span>4 alone is correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(OP
Ghai 6th ed., p 447; Nelson 17th ed., p 1740)<span> </span></span></i><span style="color: windowtext;"></span></div>
<div class="Indent" style="margin-top: 4pt;">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Acute post-streptococcal GN has an excellent
prognosis in childhood.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Hypertension is <b>common
but not always</b> present.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Epidemiological
studies have shown that asymptomatic cases are present.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Retinal changes are
due to severe hypertension only.</div>
<div class="Para">
<b>Remember the following important points about post
streptococcal GN:</b></div>
<div class="Indent">
1.<span> </span>Acute GN caused by
group A beta-haemolytic streptococci.</div>
<div class="Indent">
2.<span> </span>Boys > girls, rare
before 3 years.</div>
<div class="Indent">
3.<span> </span>Electron microscopy
shows lumpy deposits on the subepithelial side of the capillary <span> </span>basement membrane.</div>
<div class="Indent">
4.<span> </span><b>Clinical features:</b>
Rapid onset, puffiness around eyes and pedal odema.</div>
<div class="Indent">
5.<span> </span>Urine colour is
characteristically cola-coloured.</div>
<div class="Indent">
6.<span> </span>Degree of oliguria
correlates with severity.</div>
<div class="Indent">
7.<span> </span>Urea and creatinine
levels reflect degree of renal impairment.</div>
<div class="Indent">
8.<span> </span>ASO titre increased in
more than 80% of cases.</div>
<div class="Indent">
9.<span> </span>Anti DNAase B is
elevated in cases of streptococcal skin infection.</div>
<div class="Indent">
10.<span> </span>Level of serum C3 is
low in 95% of case but normalizes by 5-6 weeks.</div>
<div class="Indent">
11.<span> </span>Persistent low C3
levels indicate other forms of GN</div>
<div class="Indent">
12.<span> </span>Patient with mild
oliguria and BP can be managed at home.</div>
<div class="Ques" style="line-height: 11.7pt;">
61.<span> </span>An
18-month old baby presents with recurrent episodes of excessive crying followed
by cyanosis, unconsciousness and occasional seizures since 9 months of age. The
most likely diagnosis is:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Epilepsy<span> </span><b>B.</b><span> </span>Anoxic spells</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Breath holding spells<span> </span><b>D.</b><span> </span>Vasovagal attack</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 55; Nelson 17th ed., p 2010)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Typical sequence of excessive crying leading to cyanosis and
unconsciousness and occasional seizures since 9 months of age in 18 months old
child is a case of breath holding spell (BHS). Typical sequence excludes
epilepsy. In epilepsy crying does not precede the episode.</div>
<div class="Para">
<b>Remember the following important points about breath holding
spells:</b></div>
<div class="Indent">
1.<span> </span>It occurs between 6
months and 5 years of age.</div>
<div class="Indent">
2.<span> </span>It has 2 types:</div>
<div class="Indent">
a.<b><span> </span>Cyanotic:</b> After
a bout of excessive crying most of air is exhaled. After this narrowed vocal
cord close during crying leading to breath held in expiration that in turn
leads to cyanosis. If hypoxia continues for 10-15 sec convulsion occurs.</div>
<div class="Indent">
b.<span> </span><b>Acyanotic/pallid:</b></div>
<div class="Indent">
–<span> </span>Precipitated by
fear/minor injury.</div>
<div class="Indent">
–<span> </span>Reflex asystole due to
increased response.</div>
<div class="Indent">
3.<span> </span>Antiepileptic therapy
is not necessary.</div>
<div class="Indent">
4.<span> </span>Iron deficiency is
associated with breath holding spells. Iron supplement for 8-12 weeks
frequently abort breath holding spells.</div>
<div class="Indent">
5.<span> </span>Measures should be
taken to avoid precipitating factor.</div>
<div class="Indent">
6.<span> </span>Attacks could be
aborted by strong physical stimulus at the onset of the spell.</div>
<div class="Para" style="margin-top: 6pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">The next two items are based on the
following case history. Study the same carefully and attempt the two items that
follow:</span></b></div>
<div class="Para">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10pt;">A
2-year old male child was brought with fever of 7 days duration and convulsions
of one day duration. The child weighed 9 kg and had altered sensorium. There
were no other positive physical signs.</span></b></div>
<div class="Ques" style="line-height: 11.6pt;">
62.<span> </span>The
most likely diagnosis is:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>Acute bacterial meningitis<span> </span><b>B.</b><span> </span>Tuberculous meningitis</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>Febrile convulsions<span> </span><b>D.</b><span> </span>Enteric encephalopathy</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 229)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The child is most probably suffering from enteric encephalopathy.
The main clue is history of 7 days of fever. Besides this the child has altered
sensorium. Absence of other physical findings rules out meningitis in which
neck rigidity is common.</div>
<div class="Para">
The main confusion is with febrile convulsion. In febrile
convulsion, seizure occurs early and not after 7 days of fever and in it there
is a brief phase of post ictal drowsiness and altered sensorium is absent. </div>
<div class="Para">
According to Nelson “….<i>Febrile convulsion is associated with a
rapidly rising temperature and usually develops when the core temperature
reaches 39°C or greater. The seizure is typically generalized, tonic-clonic of
a few seconds to 10-min duration, followed by a brief postictal period of
drowsiness. Febrile seizures persisting longer than 15 min suggest an organic
cause such as an infectious or toxic process and require thorough
investigation. Because the seizure is no longer present by the time the child
reaches the hospital, a physician’s most important responsibility is to
determine the cause of the fever and to rule out meningitis”.</i></div>
<div class="Ques" style="line-height: 11.6pt;">
63.<span> </span>The
immediate investigation(s) required in this case is/are:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>CT scan<span> </span><b>B.</b><span> </span>EEG</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>CSF examination<span> </span><b>D.</b><span> </span>Blood culture and Widal test</div>
<div class="Body">
<span style="color: windowtext;">Ans. C and D </span></div>
<div class="Para">
The immediate investigation in this patient is CSF examination.
Though clinically the patient is not a case of meningitis but still at first
meningitis should be ruled out in a case of fever with seizure. </div>
<div class="Para">
Blood culture and Widal’s test are also required to establish the
diagnosis because most likely meningitis will be ruled out by CSF examination.
However their reports come late. Blood culture is positive in 40-60% cases of
enteric fever in first week and in second week enteric fever is diagnosed by
Widal test. <b>Widal test </b>measures antibodies against O and H antigens of <i>S.
typhi.</i> However because of many false-positive and false-negative results,
diagnosis of typhoid fever by <b>Widal’s test </b>alone is prone to error.</div>
<div class="Ques" style="line-height: 11.6pt;">
64.<span> </span>Consider
the following statements:</div>
<div class="Ques" style="line-height: 11.6pt; margin-top: 3pt;">
<span> </span>Cherry red spot of the macula is seen
in:</div>
<div class="ABCD" style="line-height: 11.6pt;">
1.<span> </span>Tay
Sachs disease<span> </span>2.<span> </span>Sandhoff disease</div>
<div class="ABCD" style="line-height: 11.6pt;">
3.<span> </span>Niemann-Pick
disease<span> </span>4.<span> </span>Generalised gangliosidosis</div>
<div class="Ques" style="line-height: 11.6pt; margin-top: 3pt;">
<span> </span>Of these statements:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>1 alone is correct<span> </span><b>B.</b><span> </span>2 and 4 are correct</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>1, 2, 3 and 4 are correct<span> </span><b>D.</b><span> </span>1, 2 and 3 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Nelson
17th ed., p 2116; Parsons’ Diseases of the Eye 19th ed., p 334)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Cherry red spot is seen in all the given conditions.</div>
<div class="Para">
<b>Cherry red spot</b> is seen in:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Central retinal
artery occlusion.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Tay Sachs disease
(GM2 gangliosidosis type 1).</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Niemann Pick
disease.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Gaucher’s disease.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Berlin’s oedema.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Sandhoff’s disease
(G<span style="text-transform: uppercase;">m</span>2 gangliosidosis type 2).</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Quinine toxicity.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Sialoidosis (cherry
red spot myoclonus syndrome).</div>
<div class="Ques">
<span style="font-weight: normal;"><span> </span>The
next two items are based on the following case history. Study the same
carefully and attempt the two items that follow:</span></div>
<div class="Ques" style="margin-top: 3pt;">
<span style="font-weight: normal;"><span> </span>A 2-day old neonate is found to be
deeply jaundiced. Investigations reveal:</span></div>
<div class="Ques">
<span style="font-weight: normal;"><span> </span>Blood
group: A Rh –ve.</span></div>
<div class="Ques" style="margin-top: 0in;">
<span style="font-weight: normal;"><span> </span>Hb: 10 gm%.</span></div>
<div class="Ques" style="margin-top: 0in;">
<span style="font-weight: normal;"><span> </span>Blood picture: Microspherocyte present.</span></div>
<div class="Ques" style="margin-top: 0in;">
<span style="font-weight: normal;"><span> </span>Serum bilirubin: Total 28 mg%, direct
0.9 mg%.</span></div>
<div class="Ques" style="margin-top: 0in;">
<span style="font-weight: normal;"><span> </span>Mother’s blood group: O Rh –ve.</span></div>
<div class="Ques" style="line-height: 11.6pt;">
65.<span> </span>The
most likely diagnosis is:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>Rh haemolytic disease<span> </span><b>B.</b><span> </span>ABO haemolytic disease</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>Congenital spherocytosis<span> </span><b>D.</b><span> </span>Crigler-Najjar syndrome</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 308; Nelson 17th ed., p1620-1621)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The baby is suffering from congenital spherocytosis. The presence
of microspherocytes in a two-day-old jaundiced Rh-negative neonate indicates
congenital (hereditary) spherocytosis (HS).</div>
<div class="Para">
Baby blood A negative in O negative mother excludes Rh
incompatibility.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>In ABO
incompatibility deep jaundice is never seen.</div>
<div class="Para">
Differentiating point between Crigler-Najjar syndrome and HS is
presence of microspherocyte. </div>
<div class="Para">
<b>Remember the following important points about hereditary
spherocytosis:</b></div>
<div class="Indent">
1.<span> </span>Autosomal dominant
mode of inheritance and may present starting from neonatal period to second
decade of life.</div>
<div class="Indent">
2.<span> </span>Abnormality in stromal
protein spectrin and ankyrin of RBC.</div>
<div class="Indent">
3.<span> </span>In newborn period
severe hyperbilirubinemia requires phototherapy and exchange transfusion.
Spleen enlargement is uncommon.</div>
<div class="Indent">
4.<span> </span>In just few months of
life spleen is enlarged with mild jaundice.</div>
<div class="Indent">
5.<span> </span>In childhood chronic
anemia or recurrent jaundice, gallstone, leg ulcers, hepatosplenomegaly and
extramedullary haematopoiesis are seen.</div>
<div class="Indent">
6.<span> </span>MCH is normal, MCHC is
increased, MCV is normal or increased. Osmotic fragility is increased and
Coombs’ test is negative.</div>
<div class="Indent">
7.<span> </span>Splenectomy usually
improves the disease. It should be delayed until age of 6 years.</div>
<div class="Ques" style="line-height: 11.7pt;">
66.<span> </span>The
treatment of choice in the case would be:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Packed cell transfusion<span> </span><b>B.</b><span> </span>Splenectomy</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Exchange transfusion<span> </span><b>D.</b><span> </span>Phenobarbitone</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 308; Nelson 17th ed., p 1621)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In this child due to presence of deep jaundice exchange
transfusion has to be done. Later splenectomy should be performed at the age of
six. See question 65 also.</div>
<div class="Ques" style="line-height: 11.7pt;">
67.<span> </span>A
2-year old child has a Mantoux test reading of 12 mm × 12 mm after 48 hours. In
this case:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Anti-TB drugs should be started even if X-ray chest and haemogram
are normal</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>B.</b><span> </span>Treatment should be started only if X-ray chest and haemogram are
suggested</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>One should wait till overt signs of TB appear</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>D.</b><span> </span>No treatment is required</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 5th ed., p 204)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
This child should be treated with anti-TB drugs even if CXR and
haemogram are normal.</div>
<div class="Para">
All patients with positive tuberculin test do not need treatment.
It is admissible to treat following categories of positive tuberculin reactors
with INH and rifampicin for a period of 9 months in either a daily or weekly
schedule:</div>
<div class="Indent">
1.<span> </span>Children under the age
of 3 years.</div>
<div class="Indent">
2.<span> </span>Recent conversion of
tuberculin reaction from negative to positive.</div>
<div class="Indent">
3.<span> </span>Radiological evidence
of significant disease.</div>
<div class="Indent">
4.<span> </span>Evidence of
tuberculous toxaemia present.</div>
<div class="Indent">
5.<span> </span>Child suffering from
or recently recovered from measles or whooping cough.</div>
<div class="Ques" style="line-height: 11.7pt;">
68.<span> </span>Consider
the following statements:</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Disproportionate dwarfism (short
stature) is a feature of:</div>
<div class="ABCD" style="line-height: 11.7pt;">
1.<span> </span>Hypopituitarism<span> </span>2.<span> </span>Hypothyroidism</div>
<div class="ABCD" style="line-height: 11.7pt;">
3.<span> </span>Achondroplasia<span> </span>4.<span> </span>Morquio’s disease</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Of these statements:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1 and 4 are correct<span> </span><b>B.</b><span> </span>1 and 2 are correct</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>1, 2 and 3 are correct<span> </span><b>D.</b><span> </span>2, 3 and 4 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 50)</span></i><span style="color: windowtext;"></span></div>
<div class="Table" style="margin: 4pt 0in 2pt;">
<b>Table: Causes of dwarfism.</b></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in;">
<div class="Table" style="border: medium none; margin: 0in 0in 2pt; padding: 0in;">
<span> </span><b>Disproportionate<span> </span>Proportionate</b></div>
</div>
<div class="Table">
1.<span> </span><i>With short limbs:</i><span> </span>1.<span> </span><i>Normal variants:</i></div>
<div class="Table">
a.<span> </span>Achondroplasia<span> </span>a.<span> </span>Familial</div>
<div class="Table">
b.<span> </span>Hypochondroplasia<span> </span>b.<span> </span>Constitutional delay</div>
<div class="Table">
c.<span> </span>Diastrophic dysplasia<span> </span>2.<span> </span><i>Prenatal causes: </i></div>
<div class="Table">
d.<span> </span>Metaphyseal chondrodysplasia<span> </span>a.<span> </span>Intrauterine infections</div>
<div class="Table">
e.<span> </span>Deformity due to rickets and osteogenesis imperfecta<span> </span>b.<span> </span>Intrauterine
growth retardation</div>
<div class="Table">
f.<span> </span>Chondroectodermal dysplasia<span> </span>c.<span> </span>Genetic disorders (chromosomal and metabolic
disorders)</div>
<div class="Table">
2.<span> </span><i>With short trunk:</i><span> </span>3.<span> </span><i>Postnatal causes:</i></div>
<div class="Table">
a.<span> </span>Spondyloepiphyseal dysplasia<span> </span>a.<span> </span>Nutritional dwarfism</div>
<div class="Table">
b.<span> </span>Mucopolysaccharidosis<span> </span>b.<span> </span>Endocrine disorders</div>
<div class="Table">
c.<span> </span>Mucolipidosis<span> </span>c.<span> </span>Psychosocial short stature (emotional<span> </span>deprivation)</div>
<div class="Table">
d.<span> </span>Caries spine<span> </span>d.<span> </span>Chronic visceral disease: Renal diseases,
malabsorption,</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 6pt; padding: 0in;">
e.<span> </span>Hemivertebrae<span> </span>chronic
infection, cardiopulmonary diseases, anaemias</div>
</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>In hypothyroidism,
ratio between upper and lower segment is immature.<span> </span> </div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Morquio syndrome is
type IV A mucopolysaccharidosis.<span> </span></div>
<div class="Ques" style="line-height: 11.7pt;">
69.<span> </span>Birth
weight of a child doubles at five months of age while the birth length doubles
at the age of:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1 year<span> </span><b>B.</b><span> </span>2 years</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>3 years<span> </span><b>D.</b><span> </span>4 years</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 4; Nelson 17th ed., p 31)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The birth length doubles at 4 years of age. </div>
<div class="Para">
<b>Length/height of baby:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>At birth: 50 cm.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>3 months: 60 cm.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>9 months: 70 cm.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>1 year: 75 cm.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>2 years: 90 cm.</div>
<div class="Para">
Indian child is 100 cm in tall at 4½ years. </div>
<div class="Para">
Thereafter child gains height about 5 cm every year until the age
of 10 years.</div>
<div class="Para">
<b>Weight:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>At birth average
weight is about 3 kg.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>5 months: Double of
birth weight.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>1 year: Triple of
birth weight.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>2 years: 4 times of
birth weight.</div>
<div class="Para">
Newborn during first few days loses extracellular fluid
equivalent to about 10% of body weight. Most full term infants regain birth
weight by 10 days. </div>
<div class="Para">
<b>Head circumferences:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Birth: 35 cm.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>3 months: 40 cm.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>12 months: 45 cm.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>2 years: 48 cm.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>12 years: 52 cm.</div>
<div class="Para">
CRL is always less than head circumference during 1st year.</div>
<div class="Ques" style="line-height: 11.7pt;">
70.<span> </span>The
foetal length is affected if the mother has undernutrition during the:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>First trimester<span> </span><b>B.</b><span> </span>Second trimester</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Third trimester<span> </span><b>D.</b><span> </span>Any time during the pregnancy</div>
<div class="Body">
<span style="color: windowtext;">Ans. D<span> </span></span></div>
<div class="Para">
Maternal undernutrition anytime during pregnancy will affect
fetal length. In the early part of pregnancy there is increase in cell number
and in later part of pregnancy there is an increase in size of the fetal cells.
Lack of maternal nutrition will affect the growth of fetus both in early and
later part of pregnancy and lead to IUGR. Fetal growth is mediated by IGF-1
secreted by fetal liver. </div>
<div class="Para">
A careful look into the choices of this question will reveal that
both second and third trimester are given as choices and hence it makes clear
that the answer will be choice D as it is quite obvious that fetal length will
increase in both second and the third trimester of pregnancy.</div>
<div class="Para">
During the 3rd trimester, weight triples and length doubles as
body stores of protein, fat, iron, and calcium increase. </div>
<div class="Para">
According to Nelson “<i>…..<b>IUGR</b> may be a normal fetal
response to nutritional or oxygen deprivation. Therefore, the issue is not the
IUGR but rather the ongoing risk of malnutrition or hypoxia. IUGR is often
classified as reduced growth that is <b>symmetric</b> (head circumference,
length, and weight equally affected) or <b>asymmetric</b> (with relative head
growth sparing). Symmetric IUGR often has an earlier onset and is associated
with diseases that seriously affect fetal cell number, such as conditions with
chromosomal, genetic, malformation, teratogenic, infectious, or severe maternal
hypertensive etiologies. Asymmetric IUGR is often of late onset, demonstrates
preservation of Doppler waveform velocity to the carotid vessels, and is
associated with poor maternal nutrition or late onset or exacerbation of
maternal vascular disease (pre-eclampsia, chronic hypertension)….”</i></div>
<div class="Ques" style="line-height: 11.7pt;">
71.<span> </span>A
term baby boy was brought with complaints of breathing difficulty. He was born
normally to a primigravida. Mother’s antenatal period and labour record were
normal. On examination, he was in respiratory distress. Breath sounds were not
audible on the left side of the chest. Heart sounds were heard better on the
right side. Abdomen was flat. There was no organomegaly. The most likely cause
is:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Congenital heart disease with dextrocardia<span> </span><b>B.</b><span> </span>Respiratory
distress syndrome</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Diaphragmatic hernia<span> </span><b>D.</b><span> </span>Aspiration pneumonia</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Nelson
17th ed., p 1353)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Term female baby born to primigravida with respiratory distress,
absent breath sound on left side of chest, flat abdomen and heart sounds better
heard on right side is typical presentation of <b>diaphragmatic</b> <b>hernia.</b></div>
<div class="Para">
Respiratory distress syndrome usually occurs within first 6 hours
and almost always in <b>preterm babies</b> with features of tachypnoea,
retraction, grunting, cyanosis and decreased air entry. Term baby with absent
breath sound on left side, heart sounds on right side and flat abdomen are not
present in RDS.</div>
<div class="Ques" style="line-height: 11.7pt;">
72.<span> </span>Consider
the following statements:</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Tracheo-oesophageal fistula in the
neonatal period is characterised by:</div>
<div class="ABCD" style="line-height: 11.7pt;">
1.<span> </span>Associated
hydamnios in the mother<span> </span>2.<span> </span>Associated pre-eclamptic toxaemia in the
mother</div>
<div class="ABCD" style="line-height: 11.7pt;">
3.<span> </span>Pneumonia
in the infant<span> </span>4.<span> </span>Excessive oro-pharyngeal secretions</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Of these statements:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1, 2 and 3 are correct<span> </span><b>B.</b><span> </span>1, 2 and 4 are correct</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>1, 3 and 4 are correct<span> </span><b>D.</b><span> </span>2, 3 and 4 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(OP
Ghai 6th ed., p 178; Nelson 17th ed., p 1219)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Tracheo-oesophagal fistula (TOF) is not associated with
pre-eclampsia.</div>
<div class="Para">
<b>Remember the following important points about
tracheo-oesophageal fistula:</b></div>
<div class="Indent">
1.<span> </span>TOF is associated with
polyhydramnios and single umbilical artery. </div>
<div class="Indent">
2.<span> </span>There is choking and
cyanosis with first feed and excessive drooling of frothy saliva.</div>
<div class="Indent">
3.<span> </span>Overflow of milk and
saliva from oesophagus and regurgitation of secretions through the fistulous
tract into the lungs results in pneumonia.</div>
<div class="Indent">
4.<span> </span>Most common variety is
upper end of the esophagus ends blindly and the lower part is connected to the
trachea by a fistula.</div>
<div class="Indent">
5. <span> </span>Least common type is
both segments open into the trachea.</div>
<div class="Indent">
6.<span> </span>Baby should be nursed
supine</div>
<div class="Indent">
7.<span> </span>Gastrostomy for
feeding and surgical repair should be undertaken as early as possible.</div>
<div class="Ques" style="line-height: 12.3pt;">
73.<span> </span>A
2-year old child without fever develops bone pain, vomiting and features of
increased intracranial pressure following excessive medication. The drug most
likely to be responsible for this is:</div>
<div class="ABCD" style="line-height: 12.3pt;">
<b>A.</b><span> </span>Vitamin A<span> </span><b>B.</b><span> </span>Phenothiazine</div>
<div class="ABCD" style="line-height: 12.3pt;">
<b>C.</b><span> </span>Phenytoin<span> </span><b>D.</b><span> </span>Vitamin D</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 121; Nelson 17th ed., p 181)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The child is suffering from hypervitaminosis A.</div>
<div class="Para">
Vitamin A hypervitaminosis can lead to rupture of lysosomal
membrane.</div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<b>Acute features<span> </span>Chronic
features</b></div>
</div>
<div class="Table" style="margin-left: 15pt;">
Headache, vomiting,
dizziness<span> </span>Anorexia</div>
<div class="Table" style="margin-left: 15pt;">
Signs of raised
intracranial tension <span> </span>Weight
loss</div>
<div class="Table" style="margin-left: 15pt;">
including bulging of
anterior fontanel <span> </span>Painful
extremity</div>
<div class="Table" style="margin-left: 15pt;">
and/or papilloedema<span> </span>Sparse
hairs</div>
<div class="Table" style="margin-left: 15pt;">
Pseudotumor cerebri<span> </span>Hepatosplemonegaly</div>
<div class="Table" style="margin-left: 15pt;">
No residual damage
after stopping the vitamin<span> </span>Hypoplastic
anemia</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<span> </span>Benign
intracranial hypertension.</div>
</div>
<div class="Para">
Carotenoids do not cause toxicity except a reversible yellow
colour of the skin.</div>
<div class="Ques" style="line-height: 12.3pt;">
74.<span> </span>The
presence of immunoreactive trypsinogen in blood spots in a newborn is
suggestive of:</div>
<div class="ABCD" style="line-height: 12.3pt;">
<b>A.</b><span> </span>Trypsinogen deficiency<span> </span><b>B.</b><span> </span>Inborn error of tryptophan metabolism</div>
<div class="ABCD" style="line-height: 12.3pt;">
<b>C.</b><span> </span>Cystic fibrosis<span> </span><b>D.</b><span> </span>Coeliac disease</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Nelson
17th ed., p 1442)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Most newborns with cystic fibrosis can be identified by
determination of <b>immunoreactive</b> <b>trypsinogen</b> in blood spots,
coupled with confirmatory sweat or DNA testing.</div>
<div class="Para">
According to Nelson recent studies of neonatal screening for
cystic fibrosis are driven by the hope that early treatment will dramatically
alter the course of the disease. Initial screening for elevated blood levels of
<b>immunoreactive</b> <b>trypsinogen</b> serves to identify a population of
newborns at high risk (1 in 5) for cystic fibrosis. The difficulty of obtaining
sweat tests in neonates and the severe psychologic stress created by suggesting
that an infant may have cystic fibrosis both require a refinement of screening
tactics. </div>
<div class="Ques" style="line-height: 12.3pt;">
75.<span> </span>In
the treatment of tuberculosis, corticosteroid therapy is indicated in all of
the following <i>except</i>:</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>A.</b><span> </span>Progressive primary pulmonary tubrculosis<span> </span><b>B.</b><span> </span>Miliary
tuberculosis</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>C.</b><span> </span>Tubercular pericardial effusion<span> </span><b>D.</b><span> </span>Tubercular meningitis</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed.,<span> </span>p 958, 959)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
There is no role of corticosteroids in progressive primary
pulmonary tuberculosis.</div>
<div class="Para">
Glucocorticoid by virtue of their potent anti-inflammatory action
are used in tuberculous meningitis and pericarditis.</div>
<div class="Para">
<b>Role of corticosteroid in TB:</b></div>
<div class="Indent">
1.<span> </span>In seriously ill
patient: <span> </span></div>
<div class="Indent">
a.<span> </span>Miliary TB.</div>
<div class="Indent">
b.<span> </span>Severe pulmonary TB.</div>
<div class="Indent">
2.<span> </span>When hypersensitivity
occurs due to antitubercular drugs.</div>
<div class="Indent">
3.<span> </span>Meningeal, renal TB or
pleural effusion to reduce exudation and prevent its organization, stricture
etc.</div>
<div class="Indent">
4.<span> </span>In AIDS patients with
severe manifestations of disease.</div>
<div class="Para">
Corticosteroids are contraindicated in intestinal TB as silent
perforation can occur.</div>
<div class="Ques" style="line-height: 12.2pt;">
76.<span> </span>Which
of the following hormones are produced by placental synthesis?</div>
<div class="ABCD" style="line-height: 12.2pt;">
1.<span> </span>Human
chorionic gonadotrophin<span> </span>2.<span> </span>Human placental lactogen</div>
<div class="ABCD" style="line-height: 12.2pt;">
3.<span> </span>Prolactin<span> </span>4.<span> </span>Estriol</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes" style="line-height: 12.2pt;">
Codes:</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>A.</b><span> </span>1, 3 and 4<span> </span><b>B.</b><span> </span>1, 2, and 3</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>C.</b><span> </span>1, 2 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(DC
Dutta Textbook of Obstetrics 5th ed., p 36, 59; 6th ed., p 58)</span></i><span style="color: windowtext;"></span></div>
<div class="Indent" style="margin-top: 4pt;">
1.<span> </span><b>Hormones
of placenta:</b></div>
<div class="Indent">
a.<span> </span><i>Protein hormones: </i></div>
<div class="Indent">
–<span> </span>Human chorionic
gonadotropin (hCG).</div>
<div class="Indent">
–<span> </span>Human placental
lactogen (HPL).</div>
<div class="Indent">
–<span> </span>Human chorionic
thyrotropin (HCT).</div>
<div class="Indent">
–<span> </span>Human chorionic
corticotropin (HCC).</div>
<div class="Indent">
–<span> </span>Pregnancy specific <span style="font-family: Symbol;">b</span>-1 glycoprotein
(PS<span style="font-family: Symbol;">b</span>G).</div>
<div class="Indent">
–<span> </span>Pregnancy associated
plasma protein (PAPP).</div>
<div class="Indent">
b.<span> </span><i>Steroid hormones:</i></div>
<div class="Indent">
–<span> </span>Oestrogens: Oestriol,
oestradiol and oestrone.</div>
<div class="Indent">
– <span> </span>Progesterone.</div>
<div class="Indent">
2.<span> </span>Enzymes of placenta:</div>
<div class="Indent">
–<span> </span>Diamine oxidase.</div>
<div class="Indent">
–<span> </span>Oxytocinase.</div>
<div class="Indent">
–<span> </span>Phospholipase A2.</div>
<div class="Para">
Prolactin is also synthesized by decidual cells. This activity is
most prominent in 2nd trimester of pregnancy.</div>
<div class="Ques" style="line-height: 12.2pt;">
77.<span> </span>Glycosuria
during routine investigation of antenatal visit indicates that there is need
for:</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>A.</b><span> </span>Gestational diabetes treatment<span> </span><b>B.</b><span> </span>Dietary control</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>C.</b><span> </span>Insulin treatment<span> </span><b>D.</b><span> </span>Glucose tolerance test screening</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 284)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>The various causes of glycosuria in pregnancy are:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Renal glycosuria.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Impaired glucose tolerance.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Clinical diabetes.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Lactosuria.</div>
<div class="Para">
Glycosuria during pregnancy does not always mean diabetes and
hence treatment is not started without fully investigating a case.</div>
<div class="Para">
<b>There are three steps in investigation.</b></div>
<div class="Para">
<b>Step I:</b> Confirm by testing a morning sample of urine. Test
for sugar and ketone bodies. If both are present then investigate for clinical
diabetes.</div>
<div class="Para">
<b>Step II:</b> Test for FBS and PPBS. If fasting sugar is more
than 95 mg/dl and postprandial sugar is more than 120 mg/dl then proceed to
step III.</div>
<div class="Para">
<b>Step III:</b><span> </span>Perform
glucose tolerance test.</div>
<div class="Para">
If GTT confirms diabetes then go for dietary restriction with
insulin therapy.</div>
<div class="Ques" style="line-height: 12.2pt;">
78.<span> </span>Which
of the following are the causes of acute pain in the abdomen in a pregnant
woman?</div>
<div class="ABCD" style="line-height: 12.2pt;">
1.<span> </span>Appendicitis<span> </span>2.<span> </span>Red degeneration of fibroid</div>
<div class="ABCD" style="line-height: 12.2pt;">
3.<span> </span>Acute
pelvic inflammatory disease<span> </span>4.<span> </span>Twisted ovarian tumour</div>
<div class="Ques" style="line-height: 12.2pt; margin-top: 3pt;">
<span> </span>Select the correct answer using the
codes given below:</div>
<div class="codes" style="line-height: 12.3pt;">
Codes:</div>
<div class="ABCD" style="line-height: 12.3pt;">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1, 2 and 4</div>
<div class="ABCD" style="line-height: 12.3pt;">
<b>C.</b><span> </span>1, 3 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 305)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In DC Dutta’s Textbook of Obstetrics, acute PID is not mentioned
as a cause of acute pain abdomen in pregnancy.</div>
<div class="Para">
<b>The various causes of pain abdomen are:</b></div>
<div class="Indent">
A.<span> </span><b>Obstetrical:</b></div>
<div class="Indent">
1.<span> </span><i>Early:</i></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Abortion.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Disturbed ectopic pregnancy.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Acute hydramnios.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>H. mole.</div>
<div class="Indent">
2.<span> </span><i>Late:</i></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Rupture uterus.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Labour pain.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Hydramnios.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Abruptio placentae.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Torsion of uterus.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Acute fulminating toxaemia.</div>
<div class="Indent">
B.<span> </span><b>Non obstetrical:</b></div>
<div class="Indent">
1.<i><span> </span>Medical:</i></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Pyelitis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Cystitis.</div>
<div class="Indent">
2.<span> </span><i>Surgical:</i></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Acute appendicitis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Gastric or intestinal perforation.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Intestinal obstruction.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Rectus sheath haematoma.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Volvulus.</div>
<div class="Indent">
3.<span> </span><i>Gynaecological:</i></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Torsion of ovarian cyst.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Red degeneration of fibroid.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span style="font-family: Symbol;"><span> </span></span>Retention of urine.</div>
<div class="Ques" style="line-height: 12.3pt;">
79.<span> </span>Which
one of the following pairs is <i>not</i> correctly matched?</div>
<div class="ABCD" style="line-height: 12.3pt; margin-left: 156pt; text-indent: -135pt;">
<b>A.</b><span> </span>Anaemia
in pregnancy<span> </span>–<span> </span>Preterm labour</div>
<div class="ABCD" style="line-height: 12.3pt; margin-left: 156pt; text-indent: -135pt;">
<b>B.</b><span> </span>Diabetes
in pregnancy<span> </span>–<span> </span>Foetal macrosomia</div>
<div class="ABCD" style="line-height: 12.3pt; margin-left: 156pt; text-indent: -135pt;">
<b>C.</b><span> </span>Rheumatic
heart disease<span> </span>–<span> </span>Unexplained still birth</div>
<div class="ABCD" style="line-height: 12.3pt; margin-left: 156pt; text-indent: -135pt;">
<b>D.</b><span> </span>Hypertension
in pregnancy<span> </span>–<span> </span>Intrauterine growth retardation</div>
<div class="Body">
<span style="color: windowtext;">Ans. C<span> </span></span></div>
<div class="Para">
Actually in this question all the choices are matched correctly. </div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Severe anaemia in
pregnancy may lead to preterm labour. It is mentioned as a cause of preterm
labour.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Foetal macrosomia is
an established effect of maternal diabetes and it often leads to foetal loss.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Maternal anoxia due
to decompensated rheumatic heart disease may lead to IUD. This is the probable
answer because the cause of stillbirth is related to decompensated RHD and it
is not unexplained.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Severe hypertension
with pre-eclampsia is a well-known cause of IUGR.<span> </span></div>
<div class="Ques" style="line-height: 11.7pt;">
80.<span> </span>Which
of the following methods are employed in delivery of aftercomming head in
breech presentation?</div>
<div class="ABCD" style="line-height: 11.7pt;">
1.<span> </span>Burn-Marshall
method<span> </span>2.<span> </span>Forceps delivery</div>
<div class="ABCD" style="line-height: 11.7pt;">
3.<span> </span>Mauriceau
Smellie-Veit method<span> </span>4.<span> </span>Pinard’s manoeuvre</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Select the correct answer using the
codes given below:</div>
<div class="codes" style="line-height: 11.7pt;">
Codes:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1, 2 and 4<span> </span><b>B.</b><span> </span>1, 2 and 3</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>1, 3 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 384)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Pinard’s maneuver</b> is done to bring down the extended leg
during vaginal breech delivery. Rest of the three techniques are for after
coming head in breech delivery.</div>
<div class="Para">
<b>Burns-Marshall method:</b> The baby is allowed to hang by its
weight and the assistant is asked to provide suprapubic pressure. When the neck
is seen under the pubic arch the baby is grasped by the ankles and maintaining
a steady traction the trunk is swung upwards and forwards forming a wide arc of
a circle. When the mouth clears the vulva then trunk is depressed to deliver
rest of the head.</div>
<div class="Para">
<b>Mauriceu-Smellie-Veit technique (jaw flexion shoulder
traction):</b> In this method the baby is placed on supinated left forearm with
the limbs hanging on either side. The middle and the index fingers of the left
hand are placed on the malar bones on either side to maintain flexion of the
head. The ring and little fingers of the pronated right hand are placed on the
baby’s right shoulder, the index finger is placed on the left shoulder and the
middle finger is placed on the suboccipital region. After this traction is
given till the nape of neck is visible and then the foetus is carried upward
and forwards towards the mother’s abdomen releasing the face, brow and lastly
the trunk is depressed to release the occiput and vertex.<span> </span></div>
<div class="Para">
<b>Forceps delivery:</b> Piper forceps is specially designed for
this purpose. When the occiput lies beneath the symphysis pubis an assistant
raises the legs of the child to facilitate the introduction of the blade from
below. The pull of the forceps maintains an arc that follows the axis of the
birth canal.<span> </span></div>
<div class="Ques" style="line-height: 11.7pt;">
81.<span> </span>A
25-year old female reports in the casualty with history of amenorrhoea for two
and a half months and abdominal pain and bleeding per vaginum for one day. On
examination, vital parameters and other systems are normal. On speculum
examination, bleeding is found to come from os. On bimanual examination, uterus
is of 10 weeks size, soft and os admits one finger. The most likely clinical
diagnosis is:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Threatened abortion<span> </span><b>B.</b><span> </span>Missed abortion</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Inevitable abortion<span> </span><b>D.</b><span> </span>Incomplete abortion</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 163)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is suffering from <b>inevitable abortion</b>. It is a
type of abortion where the changes have progressed to a state from where
continuation of pregnancy is not possible. The main clue in this question is
dilatation of internal os of cervix (os admits one finger). In such a case
dilatation and evacuation has to be done.</div>
<div class="Para">
In <b>threatened</b> <b>abortion </b>all the features are present
but the os is closed.</div>
<div class="Para">
In <b>missed abortion</b> the foetus is dead and retained inside
the uterus for a period more than four weeks.</div>
<div class="Para">
In <b>incomplete abortion</b> the entire products of conception
are not expelled, instead a part of it is left inside the uterus.</div>
<div class="Para">
In <b>complete abortion</b> the entire products of conception are
expelled <i>en masse.</i> </div>
<div class="Ques" style="line-height: 11.7pt;">
82.<span> </span>For
a multiparous 40-year old woman having molar pregnancy, the treatment of choice
would be:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>D & C followed by regular follow up<span> </span><b>B.</b><span> </span>Hysterectomy</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Hysterectomy and tubectomy<span> </span><b>D.</b><span> </span>VAT followed by radiation</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 253)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In this case the patient is multiparous (completed family) and is
40 years of age, hence the best treatment is hysterectomy to prevent choriocarcinoma.
After hysterectomy the patient is put under regular follow up. During follow up
the hCG is estimated and when it becomes negative in about 6 to 8 weeks time
she is called 3 monthly in first year and 6 monthly in the second year.</div>
<div class="Para">
In this patient prophylactic chemotherapy with methotrexate will
be required if she declines hysterectomy.</div>
<div class="Para">
If this patient had not completed her family and the age was less
than forty then the best treatment would have been suction evacuation using
Karman cannula.<span> </span></div>
<div class="Ques" style="line-height: 11.7pt;">
83.<span> </span>In
which of the following conditions would prophylactic methergin be <i>contraindicated?</i></div>
<div class="ABCD" style="line-height: 11.7pt;">
1.<span> </span>Suspected
multiple pregnancy<span> </span>2.<span> </span>Anaemia</div>
<div class="ABCD" style="line-height: 11.7pt;">
3.<span> </span>Cardiac
disease<span> </span>4.<span> </span>Rh –ve mother</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Select the correct answer using the
codes given below:</div>
<div class="codes" style="line-height: 11.7pt;">
Codes:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1, 2 and 4<span> </span><b>B.</b><span> </span>1, 2 and 3</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>1, 3 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 503)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Methergin is given prophylactically after delivery of anterior
shoulder to prevent excessive bleeding after delivery. It is indicated to stop
bleeding from atonic uterus after delivery, abortion or expulsion of
hydatidiform mole. </div>
<div class="Para">
In severe anaemia methergin is indicated to stop bleeding after
delivery.</div>
<div class="Para">
<b>Contraindications to methergin:</b></div>
<div class="Indent">
1.<span> </span>Suspected plural
pregnancy: The second baby is likely to be compromised due to uterine contraction
if methergin is given after delivery of first baby.</div>
<div class="Indent">
2.<span> </span>Organic cardiac
disease: It may cause sudden squeezing out of blood from uterus and volume
overload leadig to CHF.</div>
<div class="Indent">
3.<span> </span>Severe toxaemia: There
may be sudden rise of BP.</div>
<div class="Indent">
4.<span> </span>Rh negative mother:
There is more chance of feto-maternal transfusion.</div>
<div class="Ques" style="line-height: 11.7pt;">
84.<span> </span>Consider
the following statements:</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Moulding of the foetal skull in a
normal delivery results in:</div>
<div class="ABCD" style="line-height: 11.7pt;">
1.<span> </span>The
reduction of the biparietal diameter<span> </span>2.<span> </span>An increase in the sub-occipitobregmatic
diameter</div>
<div class="ABCD" style="line-height: 11.7pt;">
3.<span> </span>An
increase in the mentro-vertical diameter</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Of these statements:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1, 2 and 3 are correct<span> </span><b>B.</b><span> </span>1 and 2 are correct</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>2 and 3 are correct<span> </span><b>D.</b><span> </span>1 and 3 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 86)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Moulding</b> is the alteration of the shape of the fore-coming
foetal head during passage through the resistant birth passage. During normal
delivery an alteration of only 4 mm in skull diameter occurs commonly.</div>
<div class="Para">
There is compression of the engaging diameter with corresponding
elongation of the diameter at right angle to it. Thus in a well flexed head the
engaging suboccipito-bregmatic diameter is compressed with elongation in
mentovertical diameter which is at right angle to suboccipito-bregmatic
diameter.</div>
<div class="Para">
During moulding the parietal bones tend to overlap the adjacent
bones and in the first vertex position the right parietal bone tends to
override the left one. Moulding disappears a few hours after birth.</div>
<div class="Ques" style="line-height: 11.7pt;">
85.<span> </span>Consider
the following signs:</div>
<div class="ABCD" style="line-height: 11.7pt;">
1.<span> </span>Increase
in the fundal height<span> </span>2.<span> </span>The uterus becoming hard and well
contracted</div>
<div class="ABCD" style="line-height: 11.7pt;">
3.<span> </span>Permanent
lengthening of the cord</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Signs of placental separation in the
third stage of labour would include:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>1 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 133)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Feature after placental separation:</b></div>
<div class="Indent">
1.<span> </span>Per abdomen: Uterus
becomes globular, firm and ballotable.</div>
<div class="Indent">
2.<span> </span>Fundal height is
slightly raised.</div>
<div class="Indent">
3.<span> </span>Suprapubic bulge.</div>
<div class="Indent">
4.<span> </span>Per vaginum:</div>
<div class="Indent">
a.<span> </span>Slight gush of vaginal
bleeding.</div>
<div class="Indent">
b.<span> </span>Permanent lengthening
of cord.</div>
<div class="Para">
Third stage concerns with separation, descent and expulsion of
placenta with its membranes.</div>
<div class="Ques" style="line-height: 11.9pt;">
86.<span> </span>Prostaglandin
synthetase inhibitors are <i>not</i> used for tocolysis in premature labour
because they:</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>A.</b><span> </span>Are ineffective in promoting uterine contraction<span> </span><b>B.</b><span> </span>Are expensive</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>C.</b><span> </span>May cause premature closure of ductus arteriosus<span> </span><b>D.</b><span> </span>Are associated with metabolic acidosis</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span>
</span><span> </span>(DC Dutta Textbook of
Obstetrics 5th ed., p 547; 6th ed., p 508, 512)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Prostaglandin inhibitors (aspirin or indomethacin) are effective
tocolytic but adverse effects such as premature closure of ductus arteriosus
and congestive cardiac failure may occur.</div>
<div class="Para">
<b>Tocolytics are drugs that inhibit uterus contractions.</b></div>
<div class="Para">
<b>Various tocolytics are:</b></div>
<div class="Indent">
–<span> </span>Isoxsuprine <span> </span>–<span> </span>Prostaglandin inhibitors</div>
<div class="Indent">
–<span> </span>Ritodrine<span> </span>–<span> </span>Nifedipine</div>
<div class="Indent">
–<span> </span>Salbutamol<span> </span>–<span> </span>Ethanol</div>
<div class="Indent">
–<span> </span>Magnesium sulphate</div>
<div class="Indent1">
<i>Under trial tocolytics:</i></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Alsiban.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Nitroprusside.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Potassium channel
openers.</div>
<div class="Ques" style="line-height: 11.9pt;">
87.<span> </span>Consider
the following findings:</div>
<div class="ABCD" style="line-height: 11.9pt;">
1.<span> </span>Elongated
bag of membranes<span> </span>2.<span> </span>Sagittal suture being in one of the oblique
diameters</div>
<div class="ABCD" style="line-height: 11.9pt;">
3.<span> </span>Anterior
fontanelle being felt near the sacroiliac joint<span> </span>4.<span> </span>Anterior fontanelle being felt more easily</div>
<div class="Ques" style="line-height: 11.9pt; margin-top: 3pt;">
<span> </span>Pelvic examination findings in
occipito-posterior position would include:</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>A.</b><span> </span>1 and 3<span> </span><b>B.</b><span> </span>1, 2 and 3</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>C.</b><span> </span>1, 2 and 4<span> </span><b>D.</b><span> </span>2 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 366)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Vaginal examination in occipital-posterior position:</b></div>
<div class="Para">
In early labour:</div>
<div class="Indent">
1.<span> </span>Elongated bag of
membranes.</div>
<div class="Indent">
2.<span> </span>Sagittal suture
occupies any of the oblique diameters of the pelvis.</div>
<div class="Indent">
3.<span> </span>Posterior fontanelle
is felt near sacroiliac joint.</div>
<div class="Indent">
4.<span> </span>Anterior fontanelle is
felt more easily.</div>
<div class="Para">
In late labour: Diagnosis is difficult because of caput
formation.</div>
<div class="Para">
Unfolded pinna points towards the occiput.</div>
<div class="Para">
Occipitoposterior position is more common in <b>anthropoid
pelvis.</b></div>
<div class="Ques" style="line-height: 11.9pt;">
88.<span> </span>A
multigravida at term with transverse lie and hand prolapse with foetal heart
sound of 140/minute is best managed by:</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>A.</b><span> </span>Internal podalic version<span> </span><b>B.</b><span> </span>Caesarean section</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>C.</b><span> </span>External cephalic version<span> </span><b>D.</b><span> </span>Breech extraction</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 5th ed., p 427; 6th ed., p 397)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
If the baby is mature and the fetal condition is good, it is
preferable to do caesarean section in all cases of transverse lie with hand
prolapse. There is hardly any role of external cephalic version in late labour.</div>
<div class="Ques" style="line-height: 11.9pt;">
89.<span> </span>Which
of the following procedures are used to deliver extended arms in a breech vaginal
delivery?</div>
<div class="ABCD" style="line-height: 11.9pt;">
1.<span> </span>Classical
method<span> </span>2.<span> </span>Lovset’s manoeuvre</div>
<div class="ABCD" style="line-height: 11.9pt;">
3.<span> </span>Prague’s
manoeuvre</div>
<div class="Ques" style="line-height: 11.9pt; margin-top: 3pt;">
<span> </span>Select the correct answer using the
codes given below:</div>
<div class="codes" style="line-height: 11.9pt;">
Codes:</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>1 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 5th ed., p 414; 6th ed., p 387)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Methods of delivery of arm (extended in breech presentation):</div>
<div class="Indent">
1.<span> </span>Classical.</div>
<div class="Indent">
2.<span> </span>Lovset.</div>
<div class="Para">
For bringing down a leg – Pinard maneuver.</div>
<div class="Para" style="margin-top: 2pt;">
<b>Prague method </b>is reversed malar
flexion and shoulder traction for delivery of head in premature baby as face to
pubis.</div>
<div class="Ques" style="line-height: 11.9pt;">
90.<span> </span>During
delivery, the risk of transmission of maternal infection to the foetus is the
highest in:</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>A.</b><span> </span>Rubella<span> </span><b>B.</b><span> </span>Cytomegalovirus</div>
<div class="ABCD" style="line-height: 11.9pt;">
<b>C.</b><span> </span>Herpes simplex virus<span> </span><b>D.</b><span> </span>Human papilloma virus</div>
<div class="Body">
<span style="color: windowtext;">Ans. C<span> </span></span><i><span style="color: windowtext; font-weight: normal;">(DC
Dutta Textbook of Obstetrics 6th ed., p 300)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Transplacental transmission of HSV is not usual.<span> </span>Fetus is affected from virus shed from cervix
or lower genital tract during delivery.</div>
<div class="Para">
Rubella and CMV are transmitted to fetus primarily by
transplacental route.</div>
<div class="Para">
HPV does not affect fetus.</div>
<div class="Ques" style="line-height: 11.9pt;">
91.<span> </span>In
normal puerperium, uterine fundus sinks below the level of symphysis pubis at
the end of:</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>One week<span> </span><b>B.</b><span> </span>Two weeks</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>Four weeks<span> </span><b>D.</b><span> </span>Six weeks</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 146) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
With empty bladder and centralized uterus the fundal height is:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Immediately after
delivery: 13.5 cm (5½”) above the pubic symphysis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>By end of 2nd week:
Pelvic organ.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>By 6 weeks: Normal
size.</div>
<div class="Para">
During first 24 hours after delivery level remains constant
thereafter there is a steady decrease in height by 1.25 cm in 24 hour.</div>
<div class="Para">
Weight of uterus after 6 weeks of delivery is 60 grams. </div>
<div class="Para">
Immediately following delivery uterus measures 20 × 12 × 7.5 cm
and weighs about 1000 gm.</div>
<div class="Ques" style="line-height: 11.8pt;">
92.<span> </span>Which
of the following changes are observed in the first week of normal puerperium?</div>
<div class="ABCD" style="line-height: 11.8pt;">
1.<span> </span>Involution
of uterus<span> </span>2.<span> </span>Increased urine output</div>
<div class="ABCD" style="line-height: 11.8pt;">
3.<span> </span>Decrease
in body weight</div>
<div class="Ques" style="line-height: 11.8pt; margin-top: 3pt;">
<span> </span>Select the correct answer using the
codes given below:</div>
<div class="codes" style="line-height: 11.8pt;">
Codes:</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>1 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 147-148)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Various physiological changes in puerperium:</b></div>
<div class="Indent">
1.<span> </span><b>Pulse rate:</b>
Increased few hours after normal delivery and becomes normal during the second
day.</div>
<div class="Indent">
2.<span> </span><b>Temperature:</b> </div>
<div class="Indent">
–<span> </span>Should not be >
37.2°C (99°F) within first 24 hours.</div>
<div class="Indent">
–<span> </span>May be slight increase
by 0.5°F but comes down to normal within 12 hours.</div>
<div class="Indent">
–<span> </span>On 3rd day slight
increase in temperature due to breast engorgement, which should not last for
more than 24 hours.</div>
<div class="Indent">
3.<span> </span><b>Urinary tract:</b> </div>
<div class="Indent">
–<span> </span>Stagnation of urine
along with a devitalized bladder wall contributes to UTI.</div>
<div class="Indent">
–<span> </span>Dilated ureters and
renal pelvis return to normal size within 8 weeks</div>
<div class="Indent">
–<span> </span>Proteinuria present in
40% cases.</div>
<div class="Indent">
4.<span> </span><b>GIT:</b> </div>
<div class="Indent">
–<span> </span>Increased thirst</div>
<div class="Indent">
–<span> </span>Intestinal paraesis:<span style="font-family: Symbol;"> </span>Constipation.</div>
<div class="Indent">
5.<span> </span><b>Weight loss</b> due
to expulsion of uterine contents and <b>diuresis</b>.</div>
<div class="Indent">
6.<span> </span><b>Fluid loss:</b> Net
fluid loss of at least 2 litres during first week. Additional 1.5 litres during
next 5 weeks.</div>
<div class="Indent">
7.<span> </span><b>Blood values:</b> </div>
<div class="Indent">
a.<span> </span>Blood volume:
Decreased and by 2 weeks non pregnant level is reached.</div>
<div class="Indent">
b.<span> </span>Cardiac output
increased 60% above prelabour value.</div>
<div class="Indent">
c.<span> </span>RBC volume and
haematocrit returns to normal by end of 1st week.</div>
<div class="Indent">
d.<span> </span>Leucocytosis: Up to
30000/mm<span style="font-size: 5.5pt; position: relative; top: -4pt;">3</span><span> </span>may occur.</div>
<div class="Indent">
e.<span> </span>Platelet count:
Decreases.</div>
<div class="Indent">
f.<span> </span>Fibrinogen: Remain
high up to 2nd week of puerperium.</div>
<div class="Indent">
g.<span> </span>ESR: Persistent high.</div>
<div class="Indent">
h.<span> </span>Hypercoagulable state
persists.</div>
<div class="Ques" style="line-height: 11.8pt;">
93.<span> </span>Which
one of the following factors does <i>not</i> directly predispose to puerperal
infection?</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>A.</b><span> </span>Prolonged labour<span> </span><b>B.</b><span> </span>Post-dated pregnancy</div>
<div class="ABCD" style="line-height: 11.8pt;">
<b>C.</b><span> </span>Maternal obesity<span> </span><b>D.</b><span> </span>Premature rupture of membranes</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 433)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In DC Dutta Textbook of Obstetrics it is mentioned that
postmaturity does not put the mother at risk. Hence we have concluded that post
dated pregnancy is not a risk factor for puerperal infection. </div>
<div class="Para">
Maternal obesity seems to be a risk factor though we have not
come across it directly in literature.</div>
<div class="Para">
<b>The various risk factors for puerperal infection are:</b></div>
<div class="Indent">
1.<span> </span>Prolonged labour.</div>
<div class="Indent">
2.<span> </span>Premature rupture of
membranes.</div>
<div class="Indent">
3.<span> </span>Repeated vaginal
examination.</div>
<div class="Indent">
4.<span> </span>Instrumental delivery.</div>
<div class="Indent">
5.<span> </span>Toxaemia.</div>
<div class="Indent">
6.<span> </span>Malnutrition and
anaemia.</div>
<div class="Indent">
7.<span> </span>Chronic debilitating
illness.</div>
<div class="Indent">
8.<span> </span>APH and PPH.</div>
<div class="Indent">
9.<span> </span>Placenta previa.</div>
<div class="Indent">
10.<span> </span>Dehydration and
ketosis.</div>
<div class="Indent">
11.<span> </span>Retained bits of
placental tissue or membranes.</div>
<div class="Ques" style="line-height: 11.5pt;">
94.<span> </span>Which
of the following are the common causes of neonatal convulsions?</div>
<div class="ABCD" style="line-height: 11.5pt;">
1.<span> </span>Hypoglycemia<span> </span>2.<span> </span>Hypocalcaemia</div>
<div class="ABCD" style="line-height: 11.5pt;">
3.<span> </span>Kernicterus</div>
<div class="Ques" style="line-height: 11.5pt; margin-top: 3pt;">
<span> </span>Select the correct answer using the
codes given below:</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>1 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 503)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Causes of convulsions in childhood:</b></div>
<div class="Indent">
A.<span> </span><b>Early neonatal
period:</b></div>
<div class="Indent">
–<span> </span>Birth asphyxia,
difficult/obstructed labour.</div>
<div class="Indent">
–<span> </span>Intraventicular
haemorrhage.</div>
<div class="Indent">
–<span> </span>Pyridoxine dependency.</div>
<div class="Indent">
– <span> </span>Hypoglycaemia.</div>
<div class="Indent">
–<span> </span>Hypocalcaemia.</div>
<div class="Indent">
–<span> </span>Hypo/hypernatraemia.</div>
<div class="Indent">
–<span> </span>Inborn error of
metabolism.</div>
<div class="Indent">
–<span> </span>Accidental injection
of LA into fetal scalp during paracervical block to mother.</div>
<div class="Indent">
B.<span> </span><b>Neonatal period:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span><span style="font-family: Symbol;">¯</span> Ca<span style="font-size: 5.5pt; position: relative; top: -4pt;">2+</span>,
<span style="font-family: Symbol;">¯</span> Mg<span style="font-size: 5.5pt; position: relative; top: -4pt;">2+</span>,
<span style="font-family: Symbol;">¯</span> glucose,
dyselectrolytaemia.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Kernicterus.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Developmental
malformations: Microcephaly, porencephaly, arteriovenous fistulae, agenesis of
corpus callosum</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Meningitis,
septicemia.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Intrauterine
infections such as toxoplasmosis (MVDs).</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Tetanus neonatorum.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Inborn metabolic
error: PKU, galactosaemia, homocystinuria, urea cycle disorders.</div>
<div class="Ques" style="line-height: 11.5pt;">
95.<span> </span>Consider
the following abnormalities:</div>
<div class="ABCD" style="line-height: 11.5pt;">
1.<span> </span>Chromosomal
anomalies<span> </span>2.<span> </span>Hyperbilirubinaemia</div>
<div class="ABCD" style="line-height: 11.5pt;">
3.<span> </span>Meconium
aspiration syndrome</div>
<div class="Ques" style="line-height: 11.5pt; margin-top: 3pt;">
<span> </span>Those which are more common in the case
of “small for date” newborns as compared to “preterm” newborns, would include:</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1and 2</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>1 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 155)</span></i><span style="color: windowtext;"></span></div>
<div class="Table" style="margin: 4pt 0in 2pt;">
<b>Table: Problems of low birth weight neonates.</b></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 30pt; margin-right: 0in; padding: 0in;">
<div class="Indent" style="border: medium none; margin: 1pt 0in 2pt; padding: 0in; text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 8pt;"><span> </span></span><b>Preterm<span> </span></b><span style="font-family: Wingdings; font-size: 8pt;"><span> </span></span><b>Small for date babies</b></div>
</div>
<div class="Indent" style="text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Birth asphyxia<span> </span><span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Birth asphyxia</div>
<div class="Indent" style="text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Hypothermia<span> </span><span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Hypothermia</div>
<div class="Indent" style="text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Infection<span> </span><span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Polycythaemia</div>
<div class="Indent" style="text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Hyperbilrubinaemia<span> </span><span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Meconium aspiration syndrome</div>
<div class="Indent" style="text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Necrotizing enterocolitis<span> </span><span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Hypoglycemia</div>
<div class="Indent" style="text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Feeding difficulty<span> </span><span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Infections</div>
<div class="Indent" style="text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Apnoeic spells</div>
<div class="Indent" style="text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Respiratory distress<span> </span></div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 30pt; margin-right: 0in; padding: 0in;">
<div class="Indent" style="border: medium none; margin: 0in 0in 2pt; padding: 0in; text-indent: 0in;">
<span style="font-family: Wingdings; font-size: 7pt;">l</span><span> </span>Metabolic acidosis</div>
</div>
<div class="Ques" style="line-height: 11.5pt;">
96.<span> </span>Jaundice
in the newborn is physiological when:</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>A.</b><span> </span>The infant is visibly jaundiced in the first 24 hours of birth</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>B.</b><span> </span>The total bilirubin concentration in the serum increases by 1
mg/dl per day</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>C.</b><span> </span>The total bilirubin concentration is above 15 mg/dl</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>D.</b><span> </span>Jaundice persists for more than one week in a term infant</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 477; OP Ghai 6th ed., p 170, 171)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Physiological jaundice usually appears on 2nd or 3rd day and
disappears by the 7th to 10th day. Clinically apart from jaundice the baby is
quite well. Stool and urine colour remain unaffected.</div>
<div class="Para">
Combs’ test is negative.</div>
<div class="Para">
<b>Causes of physiological jaundice:</b></div>
<div class="Indent">
1.<span> </span>Increased RBC
destruction due to shorter life span.</div>
<div class="Indent">
2.<span> </span>Transient decreased
activity/inadequate production of enzymes from liver.</div>
<div class="Indent">
3.<span> </span>Reduced conversion of
bilirubin to urobilinogen by intestinal bacteria.</div>
<div class="Indent">
–<span> </span><b>Phase one: </b>Lasts
for 5 days in term baby and 7 days in preterm infant. There is rapid rise in
serum bilirubin levels to 12-15 mg/dl.</div>
<div class="Indent">
–<span> </span><b>Phase two: </b>Decline
to about 2 mg/dl which lasts for 2 weeks after which adult values are attained.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>In preterm phase 2
may last more than a month.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>No specific
treatment is required.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Use of
phenobarbitone/phototherapy: Used for rise in bilirubin near critical level.</div>
<div class="Ques" style="line-height: 11.5pt;">
97.<span> </span>The
risk of neonatal chicken pox is the maximum, if maternal infection occurs:</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>A.</b><span> </span>During the first trimester</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>B.</b><span> </span>During the second trimester</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>C.</b><span> </span>Within five days of delivery</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>D.</b><span> </span>Within six weeks of delivery</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Nelson
17th ed., p 1058)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
According to Nelson “<i>.</i>…<i>Delivery within 1 week before or
after the onset of maternal varicella frequently results in the newborn
developing varicella, which may be severe. The initial infection is
intrauterine, although the newborn often develops clinical <b>chickenpox</b> post
partum. The risk to the newborn is dependent on the amount of maternal anti-VZV
antibody that the fetus acquired transplacentally before birth. If there was
1-week interval between maternal <b>chickenpox</b> and parturition, it is
likely that the newborn received sufficient transplacental antibody to VZV to
ameliorate <b>neonatal</b> infection. Alternatively, if the interval was < 1
week, the newborn will be unlikely to have protective VZV antibody and <b>neonatal</b>
<b>chickenpox</b> may be exceptionally severe….”</i></div>
<div class="Para">
Perinatally acquired varicella may be life threatening and should
be treated with acyclovir (10 mg/kg per dose given every 8 hourly)
intravenously.</div>
<div class="Ques" style="line-height: 11.5pt;">
98.<span> </span>All
of the following statements regarding the development of female genital tract
are true <i>except</i>:</div>
<div class="ABCD" style="line-height: 11.5pt;">
<b>A.</b><span> </span>Uterus develops from the fusion of the Mullerian ducts</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>B.</b><span> </span>Fallopian tubes are formed from the Wolffian ducts</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>Lower part of the vagina develops from the sino-vaginal bulbs</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>D.</b><span> </span>Urogenital sinus receives the mesonephric ducts</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(DC
Dutta Textbook of Gynaecology 4th ed., p 33, 35; DC Dutta Textbook of
Obstetrics 6th ed., p 8)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Fallopian tube is developed from upper vertical part and the
adjoining horizontal part of Mullerian duct.</div>
<div class="Ques" style="line-height: 11.6pt;">
99.<span> </span>After
birth, the intra-abdominal portion of the umbilical vein becomes:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>Urachus<span> </span><b>B.</b><span> </span>Ligamentum venosum</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>Ligamentum teres<span> </span><b>D.</b><span> </span>Lateral umbilical ligament</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 45)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Umbilical vein forms ligamentium teres and ductus venosus forms
the ligamentum venosum.</div>
<div class="Ques" style="line-height: 11.6pt;">
100.<span> </span>The
first evidence of pubertal development in the female is the:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>Onset of menarche<span> </span><b>B.</b><span> </span>Onset of growth spurt</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>Appearance of the pubic hair<span> </span><b>D.</b><span> </span>Appearance of the breast buds</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 68; Nelson 17th ed., p 54) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Appearance of breast buds is the first sign of pubertal development
in girls.</div>
<div class="Para">
<b>Sexual development in adolescent girls occurs in following
order:</b></div>
<div class="Indent">
1.<span> </span>Breast development.</div>
<div class="Indent">
2.<span> </span>Development of pubic
hairs.</div>
<div class="Indent">
3.<span> </span>Peak growth velocity.</div>
<div class="Indent">
4.<span> </span>Further development of
breast and pubic hairs.</div>
<div class="Indent">
5.<span> </span>Menarche starts 2
years after pubic hairs start appearing.</div>
<div class="Indent">
6.<span> </span>Further development of
breast and pubic hairs.</div>
<div class="Ques" style="line-height: 11.6pt;">
101.<span> </span>A
45-year old woman with diagnosis of atypical adenomatous hyperplasia of the
endometrium should be treated by:</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>A.</b><span> </span>Progesterone<span> </span><b>B.</b><span> </span>Danazol</div>
<div class="ABCD" style="line-height: 11.6pt;">
<b>C.</b><span> </span>Hysteroscopic resection of endometrium<span> </span><b>D.</b><span> </span>Hysterectomy</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 395)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Simple endometrial hyperplasia develops carcinoma in 10 to 20%
cases but atypical hyperplasia predisposes to endometrial CA in 60 to 70%
cases. Hence ideal treatment is hysterectomy with or without removal of ovaries.</div>
<div class="Para">
If a younger patient does not wish for hysterectomy then she
would require progesterone therapy with life long follow up.</div>
<div class="Para">
Total abdominal hysterectomy with bilateral
salpingo-oophorectomy, peritoneal washing, omental biopsy and node sampling is
the basic treatment if possible for all stages of endometrial CA.<span> </span></div>
<div class="Ques">
102.<span> </span>Which of the following
would a negative progersterone challenge test indicate?</div>
<div class="ABCD">
1.<span> </span>Asherman’s syndrome<span> </span>2.<span> </span>Metropathia haemorrhagica</div>
<div class="ABCD">
3.<span> </span>Tuberculous
endometritis<span> </span>4.<span> </span>Premature ovarian failure</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 4<span> </span><b>B.</b><span> </span>1, 2 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 3 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 283;<span> </span>Maturitas 1994, May;
19(1):53-7)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Progesterone challenge test depends on the presence of oestrogen
primed endometrium in the uterine cavity. Common causes of positive
progesterone challenge test are hypothalamic dysfunction and polycystic ovarian
syndrome.</div>
<div class="Para">
The test is considered positive if withdrawal bleeding occurs
after administration of oral tablets of medroxyprogesterone 10 mg daily for 5
days or injection of progesterone in oil 100 mg IM. A positive test is
indicator of amenorrhoea secondary to anovulation. A negative test indicates
either obstruction of uterine outflow tract or damaged endometrium or ovarian failure.</div>
<div class="Para">
Negative test will indicate Asherman’s syndrome, premature
ovarian failure and tuberculous endometritis.</div>
<div class="Ques">
103.<span> </span>A 25-year old
nulliparous woman with third degree uterine descent but no cystocele or
rectocele or enetrocele is best treated with</div>
<div class="ABCD">
<b>A.</b><span> </span>Fothergill’s
repair</div>
<div class="ABCD">
<b>B.</b><span> </span>Abdominal sling
operation</div>
<div class="ABCD">
<b>C.</b><span> </span>Amputation of
the cervix and reconstruction</div>
<div class="ABCD">
<b>D.</b><span> </span>LeFort’s
operation</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Ashok
Kumar Essentials of Gynaecology 1st ed., p 202)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Nulliparous prolapse is usually seen in females approaching
menopause. However in this patient the age is only 25 years. The best treatment
for her is abdominal sling operation. <b>The operations commonly done are:</b><span> </span></div>
<div class="Para">
<b>Shirodkar’s sling operation: </b>In this operation uterosacral
ligaments are fixed to the sacral promontory with nylon tape/sling of fascia
lata.</div>
<div class="Para">
<b>Purandare’s abdominal cervicopexy: </b>In this operation
strips of rectus sheath are attached to the anterior surface of cervix.</div>
<div class="Para">
<b>Khanna’s operation: </b>Sling is fixed to the anterior
superior iliac spine.</div>
<div class="Ques">
104.<span> </span>A 25-year old married
infertile woman having regular menstruation, fever, lower abdominal pain and
dysmenorrhoea presents herself at the OPD. On examination, there are bilateral
soft tender masses of 3” diameter in both fornices and uterus is of normal
size. The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Cystic ovaries<span> </span><b>B.</b><span> </span>Tubo-ovarian masses</div>
<div class="ABCD">
<b>C.</b><span> </span>Ectopic
pregnancy<span> </span><b>D.</b><span> </span>Tuberculous salpingitis</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 420, 421)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is most likely suffering from tubo-ovarian mass. The
main clue in this question is the presence of soft and tender 3” diameter mass
in both the fornices. Besides this is a patient of infertility. Simple
tubercular salpingitis does not present in the form of a 3” diameter mass. </div>
<div class="Para">
This is also not the presentation of ectopic pregnancy. There
should be history of amenorrhoea.</div>
<div class="Para">
Patient with cystic ovaries are usually not infertile and the
ovaries are usually not tender. </div>
<div class="Ques">
105.<span> </span>Which of the following
bacteria can be sexually transmitted?</div>
<div class="ABCD">
1.<span> </span><i>Chlamydia trachomatis<span> </span></i>2.<span> </span><i>Trichomonas vaginalis</i></div>
<div class="ABCD" style="line-height: 12.2pt;">
3.<span> </span>Group
B haemolytic streptococcus<span> </span>4.<span> </span><i>Neisseria gonorrhoeae</i></div>
<div class="Ques" style="line-height: 12.2pt; margin-top: 3pt;">
<span> </span>Select the correct answer using the
codes given below:</div>
<div class="codes" style="line-height: 12.2pt;">
Codes:</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1, 2 and 4</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>C.</b><span> </span>1, 3 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 135)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<i>Chlamydia trachomatis, N. gonorrhoeae</i> and <i>Trichomonas
vaginalis</i> are sexually transmitted.</div>
<div class="Ques" style="line-height: 12.2pt;">
106.<span> </span>Asthenospermia
means:</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>A.</b><span> </span>Failure of the formation of sperms</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>B.</b><span> </span>No spermatozoa in the semen</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>C.</b><span> </span>Reduction in the motility of sperms</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>D.</b><span> </span>Sperm count less than 20 million/ml of semen</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 202)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Asthenospermia:</b> No motile sperm or diminished motility.</div>
<div class="Para">
<b>Azoospermia:</b> No sperm in semen.</div>
<div class="Para">
<b>Aspermia:</b> Means no semen.</div>
<div class="Para">
<b>Necrospermia: </b>Dead sperms.</div>
<div class="Table" style="margin: 4pt 0in 2pt;">
<b>Table: Normal semen values.</b></div>
<div style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; padding: 0in;">
<div class="Table" style="border: medium none; padding: 0in;">
Total volume: 3-5 ml (average 3.5 ml).</div>
</div>
<div class="Table">
Sperm count: 60-120 million/ml.</div>
<div class="Table">
Average 100 million.</div>
<div class="Table">
10 motile sperms per high power filed are considered normal.</div>
<div class="Table">
Motility: 80-90% (average 80%).</div>
<div class="Table">
Morphology: 80% or more normal.</div>
<div class="Table">
pH: 8.</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
Pus cells should be absent.
Normally viscous and contains fructose.</div>
</div>
<div class="Ques" style="line-height: 12.2pt;">
107.<span> </span>A
30-year old multiparous woman is found to have a 5 to 6 cm cyst in one ovary.
The most appropriate line of management would be:</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>A.</b><span> </span>Laparotomy and cystectomy<span> </span><b>B.</b><span> </span>Laparotomy and unilateral
salpingo-oophorectomy</div>
<div class="ABCD" style="line-height: 12.2pt;">
<b>C.</b><span> </span>Laparoscopic aspiration of the cyst<span> </span><b>D.</b><span> </span>Observation to see if it disappears by itself in three months</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(DC
Dutta Textbook of Gynaecology 4th ed., p 444; Shaw 13th ed., p 372) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In young women, irrespective of parity, conservation of healthy
ovary is desirable. Therefore the ovarian tumour should be enucleated
(cystectomy) and if this is not possible. ovariotomy should be done.</div>
<div class="Para">
Laparotomy is necessary in every case, not only for obtaining the
specimen for histology by removal of tumour but also to stage and carry out
definitive debulking operation.</div>
<div class="Para">
In young woman ovarian cystectomy leaving behind the healthy
ovarian tissue is the treatment of choice.</div>
<div class="Para">
Ovariotomy (or salpingo-oophorectomy) is reserved for a big
tumour destroying all the ovarian tissues or gangrenous cyst in axial rotation
of the pedicle. If both the ovaries are involved, ovarian cystectomy should be
done at least in one ovary.</div>
<div class="Para">
In parous women around 40 years total hysterectomy with bilateral
salpingo-oophorectomy may be required.</div>
<div class="Para">
Functional cysts of the ovary are predominantly follicular cyst and
corpus luteum cyst and the initial treatment is conservative.</div>
<div class="Ques">
108.<span> </span>Which of the following
are the risk factor for the development of endometrial carcinoma?</div>
<div class="ABCD">
1.<span> </span>Prolonged use of<span> </span>oral contraceptives<span> </span>2.<span> </span>Polycystic
ovarian disease</div>
<div class="ABCD">
3.<span> </span>Late menopause<span> </span>4.<span> </span>Anovulatory DUB</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 4<span> </span><b>B.</b><span> </span>1, 2 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 3 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(Shaw
13th ed., p 392)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Oral contraceptive pills have a protective effect in endometrial
carcinoma. Addition of progestogens to oestrogen for HRT during the last 12 to
14 days of the cycle is protective against development of endometrial cancer. </div>
<div class="Para">
<b>Predisposing factors for CA endometrium:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Unsupervised
administration of oestrogen alone.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Women with oestrogen
dominance having endometrial hyperplasia and presenting as cases of DUB.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Family history of
disease due to genetic/dietetic habits.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Woman taking
tamoxifen</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Infertile women and
those with fewer children and suffering from PCOD.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Obesity,
hypertension and diabetes are associated with 30% cases.</div>
<div class="Ques">
109.<span> </span>Commonest mode of death
in patients of carcinoma cervix is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Haemorrhage<span> </span><b>B.</b><span> </span>Infection</div>
<div class="ABCD">
<b>C.</b><span> </span>Obstructive
uropathy<span> </span><b>D.</b><span> </span>Malnutrition</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Ashok
Kumar Essentials of Gynaecology 1st ed., p 122)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Renal failure (50%) is the commonest cause of death in CA cervix.
Uremia develops due to ureteral obstruction after involvement of parametrium by
the growth.</div>
<div class="Para">
<b>Remember the following important points about complications of
CA cervix:</b></div>
<div class="Indent">
1.<span> </span>Haemorrhage.</div>
<div class="Indent">
2.<span> </span>Sepsis: Peritonitis.</div>
<div class="Indent">
3.<span> </span>Cachexia.</div>
<div class="Indent">
4.<span> </span>Pyometra.</div>
<div class="Indent">
5.<span> </span>VVF and rectovaginal
fistula.</div>
<div class="Indent">
6.<span> </span>Visceral metastasis.</div>
<div class="Ques">
110.<span> </span>Which of the following
are the targets of “Health for all” by 2000 AD in India?</div>
<div class="ABCD" style="line-height: 11.7pt;">
1.<span> </span>Maternal
mortality to be reduced by 50% of the current rate</div>
<div class="ABCD" style="line-height: 11.7pt;">
2.<span> </span>Perinatal
mortality to be reduced to 60/1000 total births</div>
<div class="ABCD" style="line-height: 11.7pt;">
3.<span> </span>Contraceptive
protected eligible couples to be increased to 60%</div>
<div class="Ques" style="line-height: 11.7pt; margin-top: 3pt;">
<span> </span>Select the correct answer using the
codes given below:</div>
<div class="codes" style="line-height: 11.7pt;">
Codes:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>1 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Park
15th ed., p 598)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
See also Q 41.</div>
<div class="Para">
Current maternal mortality rate of 4 (1993) is to be reduced
below 2 i.e., reduction by 50% of the current rate. </div>
<div class="Ques" style="line-height: 11.7pt;">
111.<span> </span>Nonoxynol-9
(marketed as ‘Today’) is a/an:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Hormonal contraceptive<span> </span><b>B.</b><span> </span>Intrauterine contraceptive</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Barrier contraceptive<span> </span><b>D.</b><span> </span>Post-coital contraceptive</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(Shaw
13th ed., p 221) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
‘Today’, barrier contraceptive, is a mushroom shaped polyurethane
disposal sponge 2 inches in diameter and 1.25 inches thick and contains 1 g of
nonoxynol-9.</div>
<div class="Para">
It acts as a mechanical barrier and prevents entry of sperm, absorbs
semen and contains spermicidal solution. Failure rate is 9-30 per 100 woman
years.</div>
<div class="Ques" style="line-height: 11.7pt;">
112.<span> </span>All
of the following are absolute contraindications for IUCD insertion, <i>except:</i></div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Pelvic infection<span> </span><b>B.</b><span> </span>Pregnancy</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>C.</b><span> </span>Undiagnosed abnormal vaginal bleeding <span> </span><b>D.</b><span> </span>Valvular
heart disease</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Gynaecology 4th ed., p 440; DC Dutta Textbook of Obstetrics
6th ed., p 537)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Valvular heart disease is not a contraindication of IUCD
insertion.</div>
<div class="Para">
<b>Contraindications to IUCD:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>PID.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Dysfunctional
uterine bleeding.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Suspected pregnancy.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Prolapse uterus
because of chance of ascending infection.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Distortion of
uterine cavity as in fibroid or congenital malformation.</div>
<div class="Para">
<b>Difficulty in insertion and decreased efficacy of IUD in:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Severe
dysmenorrhoea.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Suspicious cervix
with abnormal cytology.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Past history of
ectopic pregnancy.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Nulliparous.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>HIV (STD) positive
women.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Within 6 weeks
following caesarean section.</div>
<div class="Ques" style="line-height: 11.7pt;">
113.<span> </span>All
of the following statements regarding lost IUCD are true <i>except</i>:</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>A.</b><span> </span>Pregnancy should be excluded before other evaluation is done</div>
<div class="ABCD" style="line-height: 11.7pt;">
<b>B.</b><span> </span>Gentle probing should be done with a uterine sound</div>
<div class="ABCD">
<b>C.</b><span> </span>Ultrasonography
is the best method of diagnosis</div>
<div class="ABCD">
<b>D.</b><span> </span>Laparotomy is
required in all cases</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 225; DC Dutta Textbook of Gynaecology 4th ed., p 441)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Laboratory is not required in all cases of lost IUCD.</div>
<div class="Para">
In case of perforation, laparotomy is needed because Cu-T causes
adhesions and cannot be retrieved easily through laparoscope.</div>
<div class="Para">
<b>Causes of lost IUCD:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Uterus enlarged
through pregnancy.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Thread has curled
inside uterus.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Perforation has
occurred and tract is buried in myometrium.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>It has been
expelled.</div>
<div class="Para">
<b>Investigstions done in case of lost IUCD:</b></div>
<div class="Indent">
1.<span> </span>Pregnancy test.</div>
<div class="Indent">
2.<span> </span>Sounding.</div>
<div class="Indent">
3.<span> </span>Plain radiograph.</div>
<div class="Indent">
4.<span> </span>USG.</div>
<div class="Indent">
5.<span> </span>Hysteroscopy.</div>
<div class="Ques">
114.<span> </span>Which of the following
are the adverse side effects of oral contraceptives?</div>
<div class="ABCD">
1.<span> </span>Acne<span> </span>2.<span> </span>Premenstrual tension</div>
<div class="ABCD">
3.<span> </span>An increased risk of
monilial vaginitis</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>1 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 229; DC Dutta Textbook of Obstetrics 6th ed., p 545)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
By virtue of non-ovulation OCP can relieve premenstrual tension.
Acne and monilial vaginitis are side effects of OCP.</div>
<div class="Para">
<b>Benefits of OCP:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Controls fertility
effectively.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Useful in
haemorrhoge.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Polymenorrhoea.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Dysmenorrhoea.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Premenstral lesion.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Prevent anaemia by
decreasing blood loss.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Decreased incidence
of:</div>
<div class="Indent">
–<span> </span>Benign breast
neoplasia.</div>
<div class="Indent">
–<span> </span>Functional ovarian
cyst.</div>
<div class="Indent">
–<span> </span>Pelvic inflammatory
disease.</div>
<div class="Indent">
–<span> </span>Ectopic pregnancy.</div>
<div class="Indent">
–<span> </span>Protects against
rheumatoid arthritis.</div>
<div class="Ques">
115.<span> </span>All of the following
are the advantages of Depo-Provea <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>It can be given
to lactating mothers<span> </span><b>B.</b><span> </span>A 150 mg dose is effective for a period of
12 weeks</div>
<div class="ABCD">
<b>C.</b><span> </span>It gives good
cycle control<span> </span><b>D.</b><span> </span>It prevents ectopic pregnancy</div>
<div class="Body">
<span style="color: windowtext;">Ans. C<span> </span></span><i><span style="color: windowtext; font-weight: normal;">(Shaw
13th ed., p 229) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Menstrual irregularity occurs and amenorrhoea is reported in 20
to 50% at end of 1 year with use of depot medroxy-progesterone acetate.
Menstrual irregularity is accepted by puerperal women as physiological.</div>
<div class="Ques">
116.<span> </span>The contraceptive of
choice for a newly married couple wishing to postpone their first child for 2
years is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Safe period<span> </span><b>B.</b><span> </span>Spermicidal jelly</div>
<div class="ABCD">
<b>C.</b><span> </span>Copper T<span> </span><b>D.</b><span> </span>Oral pills</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 239) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Out of the given choices OCP is the best and most effective
method of contraception in a newly married couple. Safe period is one of the
most unsafe and very difficult to practice method for newly married couple.</div>
<div class="Para">
Spermicidal jelly alone has very little power to prevent conception.
Along with a barrier method spermicidal jelly is however very effective method
of contraception. </div>
<div class="Para">
Copper T is not advised in a nulliparous woman.</div>
<div class="Ques">
117.<span> </span>After vasectomy,
aspermia will become evident in:</div>
<div class="ABCD">
<b>A.</b><span> </span>2 to 3 weeks<span> </span><b>B.</b><span> </span>4 to 6 weeks</div>
<div class="ABCD">
<b>C.</b><span> </span>8 to 10 weeks<span> </span><b>D.</b><span> </span>10 to 12 weeks</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Shaw
13th ed., p 234) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Sperms are stored in the reproductive tract for up to 3 months
and only after 10-12 weeks there is aspermia.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Approximately 12
ejaculates clear the semen of all sperms.</div>
<div class="Para">
<b>Remember the following important point about complications of
vasectomy:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Local pain,
bleeding, haematoma formation, skin discolouration.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Infection, trauma to
testicular artery causing gangrene.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Antibody formation
and autoimmune disease.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Granuloma formation.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Spontaneous
recanalization and failure with about 0.15/100 woman years at end of one year.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Decreased libido and
impotency are psychogenic.</div>
<div class="Ques">
118.<span> </span>During suction
evacuation in MTP, the negative pressure of suction should be:</div>
<div class="ABCD">
<b>A.</b><span> </span>100 to 200 mmHg<span> </span><b>B.</b><span> </span>200 to 300 mmHg</div>
<div class="ABCD">
<b>C.</b><span> </span>400 to 600 mmHg<span> </span><b>D.</b><span> </span>700 to 900 mmHg</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Obstetrics 6th ed., p 564) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
During suction evacuation in MTP the negative pressure of suction
should be raised to 400-600 mmHg.</div>
<div class="Para">
<b>Indications for suction evacuation:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>MTP during first
trimester.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Inevitable abortion.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Recent incomplete
abortion.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Hydatidiform mole.</div>
<div class="Para">
<b>End point of suction is denoted by:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>No more material is
sucked out.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Cupping of cannula
by contracting small size uterus.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Grating sensation.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Appearance of
bubbles in the cannula or in the transparent tubing.</div>
<div class="Ques">
119.<span> </span>Pregnancy should be
strongly discouraged in women with:</div>
<div class="ABCD">
<b>A.</b><span> </span>Mitral stenosis<span> </span><b>B.</b><span> </span>ASD</div>
<div class="ABCD">
<b>C.</b><span> </span>VSD<span> </span><b>D.</b><span> </span>Eisenmenger’s syndrome</div>
<div class="Body">
<span style="color: windowtext;">Ans. D<span> </span></span><i><span style="color: windowtext; font-weight: normal;">(DC
Dutta Textbook of Obstetrics 6th ed., p 279)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Patients suffering from Eisemmenger’s syndrome are strongly
advised to avoid pregnancy.</div>
<div class="Para">
Patients with Eisenmenger’s syndrome have pulmonary hypertension
with shunt (right to left) through PDA, ASD or VSD. Maternal mortality is 50%
and there is high perinatal loss. Termination of pregnancy should be seriously
considered. Suction evacuation is the preferred method.</div>
<div class="Ques">
120.<span> </span>Which of the following
are the advantages of cryosurgery over electrocauterization of the cervix?</div>
<div class="ABCD">
1.<span> </span>Less post-operative
discharge<span> </span>2.<span> </span>Less post-operative bleeding</div>
<div class="ABCD">
3.<span> </span>Less chance of cervical
stenosis</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>1 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(DC
Dutta Textbook of Gynaecology 4th ed., p 539; 6th ed., p 316)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Drawback of cryosurgery is excessive discharge for about 2-3
weeks.</div>
<div class="Para">
<b>Advantages of cryosurgery over thermal cautery:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Anaesthesia is not
required.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Precise destruction
of tissue.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>There is no
secondary haemorrhage.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Cervical stenosis is
rare.</div>
<div class="Para">
<b>Indications of cryosurgery:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Benign cervical
lesion: </div>
<div class="Indent">
–<span> </span>CIN.</div>
<div class="Indent">
–<span> </span>Condyloma acuminata.</div>
<div class="Indent">
–<span> </span>Leucoplakia.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Condyloma
acuminata/vault granulation tissue following hysterectomy.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Condyloma acuminata
of vulva diagnosed laparoscopically and not more than 2 cm.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>As palliative
measure to arrest bleeding in CA cervix and vulvae.</div>
</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-521225683707508693.post-37261712943586038042011-12-26T07:28:00.000-08:002011-12-26T07:28:15.767-08:00UPSC PAPER-1 1998<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Ques">
1.<span> </span>In ulcerative
colitis, the inflammatory process is usually confined to:</div>
<div class="ABCD">
<b>A.</b><span> </span>Mucosa alone</div>
<div class="ABCD">
<b>B.</b><span> </span>Mucosa and
submucosa</div>
<div class="ABCD">
<b>C.</b><span> </span>Mucosa,
submucosa and muscularis</div>
<div class="ABCD">
<b>D.</b><span> </span>Mucosa,
submucosa, muscularis and serosa</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1778)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In <b>ulcerative colitis</b> the inflammation is <b>confined to
mucosa and superficial submucosa</b> usually. In fulminant disease the deeper
layers are also involved.</div>
<div class="Para">
See Q 98 of UPSC 1999 paper 1 for clinical features and treatment
of ulcerative colitis.</div>
<div class="Ques">
2.<span> </span>Cleft palate should
be repaired at the age of:</div>
<div class="ABCD">
<b>A.</b><span> </span>6 to 12 months<span> </span><b>B.</b><span> </span>12 to 18 months</div>
<div class="ABCD">
<b>C.</b><span> </span>18 months to 4
years<span> </span><b>D.</b><span> </span>4 to 7 years</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 23rd ed., p 589-590; 24th ed., p 649) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
According to Bailey and Love cleft palate repair is frequently
performed between 6 and 18 months. Cleft lip repair is commonly done between 3
and 6 months of age.</div>
<div class="Para">
In this question it is not mentioned whether it involves soft
palate, hard palate or both. According to Bailey & Love for soft palate
(only) repair is done by one operation at 6 months of age, when cleft involves
both soft and hard palate then soft palate is repaired by one operation at 6
months of age and the hard palate is repaired at 12-15 months of age. However
in general operation is usually done around one and half years of age.
Considering all these facts the answer is choice B.</div>
<div class="Ques" style="margin-top: 5pt;">
3.<span> </span>Aneurysmal
bone cysts:</div>
<div class="ABCD">
<b>A.</b><span> </span>Are true
aneurysms of nutrient arteries</div>
<div class="ABCD">
<b>B.</b><span> </span>Occur only in
flat bones</div>
<div class="ABCD">
<b>C.</b><span> </span>Are the same as
osseous haemangiomas</div>
<div class="ABCD">
<b>D.</b><span> </span>Manifest as
osteolytic lesions in long bones</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 23rd ed., p 277; 24th ed., p 434)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Features of aneurysmal bone cyst:</b></div>
<div class="Indent">
–<span> </span>A benign bone lesion,
more common in long bones.</div>
<div class="Indent">
–<span> </span>Aneurysmal bone cyst
forms expanding osteolytic lesion containing bloody fluid.</div>
<div class="Indent">
–<span> </span>Gradually increasing
swelling is a common presentation. There is little pain and often presents as
pathological fracture.</div>
<div class="Indent">
–<span> </span>On x-ray examination
there is expansion of overlying cortex, trabeculation within substance of
tumor. Eccentric well defined radiolucent area.</div>
<div class="Indent">
–<span> </span>Treatment consists of <b>curettage
and bone grafting.</b></div>
<div class="Indent">
–<span> </span>Recurrence is seen in
25% of cases.</div>
<div class="Ques">
4.<span> </span>Volkmann’s
contracture:</div>
<div class="ABCD">
<b>A.</b><span> </span>Is localised
thickening of palmar fascia</div>
<div class="ABCD">
<b>B.</b><span> </span>Develops at the
ankle in a case of chronic venous ulcer</div>
<div class="ABCD">
<b>C.</b><span> </span>Follows
ischaemia of the forearm muscles</div>
<div class="ABCD">
<b>D.</b><span> </span>Is due to
excessive scarring of the skin of the arm following a burn</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Maheshwari
3rd ed., p 85)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Among the choices given in the question <b>Volkmann’s contracture
follows ischaemia of the forearm muscles</b> commonly the <b>flexor compartment
of the forearm</b>.</div>
<div class="Indent">
1.<span> </span>Volkmann’s ischaemia
also called <b>compartment syndrome</b> is also seen in lower limb muscles.</div>
<div class="Indent">
2.<span> </span>In forearm it is
caused by the <b>occlusion of brachial artery by:</b></div>
<div class="Indent">
–<span> </span>Supracondylar fracture
of humerus.</div>
<div class="Indent">
–<span> </span>Fracture both bones
forearm.</div>
<div class="Indent">
–<span> </span>Dislocation of elbow.</div>
<div class="Indent">
3.<span> </span>Most common muscles
affected are <b>flexor pollicies longus and flexor digitorum profundus</b>
(medial half).</div>
<div class="Indent">
4.<span> </span>Volkmann’s ischaemia
is an orthopedic emergency.</div>
<div class="Ques">
5.<span> </span>In the case of a
65-year old person, with fracture neck of femur, the treatment of choice is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Close reduction</div>
<div class="ABCD">
<b>B.</b><span> </span>Close reduction
with internal fixation</div>
<div class="ABCD">
<b>C.</b><span> </span>Open reduction</div>
<div class="ABCD">
<b>D.</b><span> </span>Replacement of
head and neck of the femur with a prosthesis</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Maheshwari
3rd ed., p 116)</span></i><span style="color: windowtext;"></span></div>
<div align="center" class="Table" style="margin-top: 0in; text-align: center;">
<br /></div>
<div align="center" class="Table" style="margin-top: 0in; text-align: center;">
<img height="267" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="491" /></div>
<div align="center" class="Table" style="text-align: center;">
<b>Fig.: Treatment plan
of fresh (< 3 weeks) fracture of neck of femur.</b></div>
<div class="Ques">
6.<span> </span>The procedure of
choice in the case of a child who has inhaled a peanut is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Endotracheal
suction<span> </span><b>B.</b><span> </span>Tracheostomy</div>
<div class="ABCD">
<b>C.</b><span> </span>Bronchoscopy<span> </span><b>D.</b><span> </span>Immediate thoracotomy</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 367)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Bronchoscopy </b>should by undertaken if the clinical and
radiological picture suggests the diagnosis even when the history of foreign
body aspiration is not forthcoming. The foreign body can be removed under
direct vision by bronchoscopy.</div>
<div class="Para">
Inhaled peanut may cause stridor and respiratory distress. If not
removed early it may cause pneumonia later.</div>
<div class="Ques">
7.<span> </span>While performing
orchidectomy for testicular tumours, the spermatic cord is ligated:</div>
<div class="ABCD">
<b>A.</b><span> </span>At the deep
inguinal ring<span> </span><b>B.</b><span> </span>At the superficial inguinal ring</div>
<div class="ABCD">
<b>C.</b><span> </span>At the neck of
scrotum<span> </span><b>D.</b><span> </span>Just above the epididymis</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 1413; Harrison 15th ed., p 616)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
While performing orchidectomy for testicular tumors, the
spermatic cord is ligated at the <b>deep inguinal ring.</b></div>
<div class="Para">
Orchidectomy is essential to remove the primary tumour. While
doing orchidectomy clamp is placed over the cord at the very beginning to stop
dissemination of malignant cells. Spermatic cord is displayed by dividing the
external oblique aponeurosis through groin incision.</div>
<div class="Ques">
8.<span> </span>Renal trauma is best
treated by:</div>
<div class="ABCD">
<b>A.</b><span> </span>Observation and
supportive measures</div>
<div class="ABCD">
<b>B.</b><span> </span>Early drainage
and perirenal haematoma</div>
<div class="ABCD">
<b>C.</b><span> </span>Heminephrectomy</div>
<div class="ABCD">
<b>D.</b><span> </span>Nephrostomy</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 1311)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Conservative treatment of closed renal trauma is usually
successful but appropriate measures must be instituted without delay</b>.</div>
<div class="Para">
Surgical exploration is necessary in less than 10% of closed
injuries and is indicated if either there are signs of progressive blood loss
or there is an expanding mass in the loin.<span>
</span>Approach should be <b>trans-peritoneal</b>.</div>
<div class="Para">
<b>Remember the following important points about renal trauma:</b></div>
<div class="Indent">
1.<span> </span>An intravenous urogram
(IVU) should be obtained urgently:</div>
<div class="Indent">
a.<span> </span>To assess the damage
to kidney and </div>
<div class="Indent">
b.<span> </span>To show that other
kidney is normal.</div>
<div class="Indent">
2.<span> </span>Closed renal injury is
almost always extraperitoneal, exception is seen in young children who have
very little extraperitoneal fat.</div>
<div class="Indent">
3.<span> </span>Haematuria is cardinal
sign of damaged kidney. Profuse bleeding may be accompanied by clot colic.</div>
<div class="Indent">
4.<span> </span>Sudden profuse
haematuria between 3rd day and 3rd week after accident is due to clot becoming
dislodged.</div>
<div class="Indent">
5.<span> </span>Abdominal distension
24-48 hours after renal injury is probably due to retroperitoneal haematoma
implicating splanchnic nerves.</div>
<div class="Ques">
9.<span> </span>A one-month old baby
is brought with complaints of photophobia and watering. Clinical examination
shows normal tear passages and clear but large cornea. The most likely
diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Congenital
dacryocystitis<span> </span><b>B.</b><span> </span>Interstitial keratitis</div>
<div class="ABCD">
<b>C.</b><span> </span>Keratoconus<span> </span><b>D.</b><span> </span>Buphthalmos</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Parsons’
Diseases of the Eye 19th ed., p 214)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Buphthalmos </b>is also called hydrophthalmos or infantile
glaucoma. The symptoms are photophobia and defective vision. The eyeball
enlarges and becomes enlogated and oval. Edema and enlargement of cornea
occurs. Intraocular tension is raised and cupping of optic disc occurs.
Treatment is not very satisfactory but trabeculotomy, goniotomy etc are done
with varying results.</div>
<div class="Para">
<b>Keratoconus </b>also called conical cornea is due to
congenital weakness of the cornea. The cornea is thin in the centre and
progressively bulges forwards. The apex of the cone always being sightly below
the centre of the cornea. The condition is almost invariably <i>bilateral.</i></div>
<div class="Ques">
10.<span> </span>A 10-year old boy
presents with nasal obstruction and intermittent profuse epistaxis. He has a
firm pinkish mass in the nasopharynx. All of the following investigations are
indicated in this case <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>X-ray base of
skull<span> </span><b>B.</b><span> </span>Carotid angiography</div>
<div class="ABCD">
<b>C.</b><span> </span>CT scan<span> </span><b>D.</b><span> </span>Biopsy</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Logan
Turner 10th ed., p 111; Bailey and Love 23rd ed., p 677-678)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The child is suffering from nasopharyngeal angiofibroma. </div>
<div class="Para">
Nasopharyngeal angiofibroma is found commonly in <i>adolescent
boys.</i> It is an invasive tumour which does not<span> </span>involve bones but expands. Involvement of
periosteum of base of skull can occur. A less vascular variety can be confused
with antrochoanal polyps. Tumour tends to regress after 25 years of age. Surgery
is the mode of treatment for nasopharyngeal angiofibroma. Surgery is done by <i>transpalatine
approach or Danker’s approach. </i>Tumour has to be removed completely
otherwise severe bleeding may occur. </div>
<div class="Para">
The age group and clinical picture are the clues for the
diagnosis of angiofibroma. Biopsy from the mass will confirm the diagnosis.
However according to Bailey and Love biopsy should be avoided as it leads to
severe bleeding. Angiography helps us to study the blood supply to
angiofibroma. X-ray base of skull and CT scan will help in detecting the extent
of the mass.</div>
<div class="Ques">
11.<span> </span>Carcinoma of the true
vocal cord at an early stage is best treated by:</div>
<div class="ABCD">
<b>A.</b><span> </span>Excision of the
growth through laryngofissure<span> </span><b>B.</b><span> </span>Radiotherapy</div>
<div class="ABCD">
<b>C.</b><span> </span>Total
laryngectomy<span> </span><b>D.</b><span> </span>Chemotherapy</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Logan
Turner 10th ed., p 176)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Tumours limited to cords can be treated by surgery or
radiotherapy with equal chances of cure. But <i>radiotherapy is the treatment
of choice </i>as laryngeal functions are preserved.</div>
<div class="Para">
When cancer is localized to vocal folds there is more than 90% 5
year disease free cure rate when treated with radiotherapy alone.</div>
<div class="Para">
<b>Remember the following important points commonly asked in
examination:</b></div>
<div class="Indent">
1.<span> </span>Glottis is the
commonest site of laryngeal cancer.</div>
<div class="Indent">
2.<span> </span>Cancer is confined to
vocal cord for a long time because of lack of lymphatics and metastasis.</div>
<div class="Indent">
3.<span> </span>Cancer of larynx is
the commonest head and neck cancer.</div>
<div class="Ques">
12.<span> </span>Consider the
following statements:</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>‘Unsafe’
chronic suppurative otitis media is:</div>
<div class="ABCD">
1.<span> </span>Central perforation of
the tympanic membrane</div>
<div class="ABCD">
2.<span> </span>Posterior perforation
of the tympanic membrane</div>
<div class="ABCD">
3.<span> </span>Usually dry</div>
<div class="ABCD">
4.<span> </span>Associated with
accumulation of skin debris with purulent and offensive discharge</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Of
these statements:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 3 are
correct<span> </span><b>B.</b><span> </span>2 and 3 are correct</div>
<div class="ABCD">
<b>C.</b><span> </span>1 and 4 are
correct<span> </span><b>D.</b><span> </span>2 and 4 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Dhingra
3rd ed., p 89)<span> </span></span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In unsafe CSOM posterosuperior part (attic, antrum and mastoid)
of tympanic membrane is involved and there is attic or marginal perforation. It
is associated with accumulation of skin debris with purulent and offensive
discharge i.e., cholesteatoma formation.</div>
<div class="Para">
Cholesteatoma causes erosion of the bone. It involves attic,
antrum and the posterior tympanum. It is also considered the dangerous or the
unsafe variety of CSOM. </div>
<div class="Para">
Cholesteatoma can only be eradicated from the temporal bone by
surgical resection. The main purpose of surgery is eradication of disease with
management of complications and reconstruction of middle ear. Several factors
are taken into considerations for example:</div>
<div class="Indent">
a.<span> </span>Nature and extent of
disease. </div>
<div class="Indent">
b.<span> </span>Presence of
complications.</div>
<div class="Indent">
c.<span> </span>Hearing state of both
the ears.</div>
<div class="Indent">
d.<span> </span>Eustachian tube
functions.</div>
<div class="Indent">
e.<span> </span>Mastoid
pneumatization.</div>
<div class="Indent">
f.<span> </span>General medical
condition.</div>
<div class="Indent">
g.<span> </span>Skill of surgeon etc.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Surgery of choice in
cholesteatoma is modified radical mastoidectomy.</div>
<div class="Table" style="margin: 4pt 0in 2pt;">
<b>Table: Differences between atticoantral and tubotympanic
type of CSOM.</b></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<span> </span><b>Tubotympanic or safe type<span> </span>Atticoantral or
unsafe type</b></div>
</div>
<div class="Table" style="margin-left: 15pt;">
Discharge<span> </span>Profuse, mucoid,
odourless<span> </span>Scanty,
purulent, foul smelling</div>
<div class="Table" style="margin-left: 15pt;">
Perforation<span> </span>Central<span> </span>Attic
or marginal</div>
<div class="Table" style="margin-left: 15pt;">
Granulations<span> </span>Uncommon<span> </span>Common</div>
<div class="Table" style="margin-left: 15pt;">
Polyp<span> </span>Pale<span> </span>Red
and fleshy</div>
<div class="Table" style="margin-left: 15pt;">
Cholesteatoma<span> </span>Absent<span> </span>Present</div>
<div class="Table" style="margin-left: 15pt;">
Complications<span> </span>Rare<span> </span>Common</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; padding: 0in;">
Audiogram<span> </span>Mild to moderate conductive
deafness<span> </span>Conductive or mixed
deafness<span> </span></div>
</div>
<div class="Ques">
13.<span> </span>Claw hand deformity
is the characteristic of a lesion of:</div>
<div class="ABCD">
<b>A</b><span> </span>Median nerve<span> </span><b>B.</b><span> </span>Musculocutaneous nerve</div>
<div class="ABCD">
<b>C.</b><span> </span>Radial nerve<span> </span><b>D.</b><span> </span>Ulnar nerve</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Maheshwari
3rd ed., p 51)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Claw hand (Main-en-graffe)</b> means hyperextension at the
metacarpo-phalangeal joints and flexion at the proximal and distal
interphalangeal joints. This occurs due to paralysis of the lumbricals, which
flex the metacarpo-phalangeal joints and extend the interphalangeal joint
(intrinsic minus hand).</div>
<div class="Para">
Clawing is more marked in low ulnar nerve palsy than in high ulnar
nerve palsy because in the latter flexors of the fingers are also paralysed.</div>
<div class="Para">
In ulnar nerve palsy, only the medial two fingers develop clawing
while all the four fingers develop clawing in combined median and ulnar nerve
palsies.</div>
<div class="Para">
Clawing may not become apparent in early post injury period.</div>
<div class="Para">
<b>Remember some other characteristic frequently asked
deformities:</b></div>
<div class="Indent">
–<span> </span><b>Wrist drop:</b>
Radial nerve palsy.</div>
<div class="Indent">
<b>–<span> </span>Foot drop:</b>
Common peroneal nerve palsy.</div>
<div class="Indent">
<b>–<span> </span>Winging of scapula:</b>
Paralysis of serratus anterior in long thoracic nerve palsy.</div>
<div class="Indent">
<b>–<span> </span>Ape/simian thumb
deformity</b>: Median nerve palsy.</div>
<div class="Indent">
<b>–<span> </span>Pointing index:</b>
Due to paralysis of flexor digitorum superficialis and that of lateral half of
the flexor digitorum profundus muscle in median nerve palsy.</div>
<div class="Indent">
<b>–<span> </span>Policeman tip
deformity:</b> Erb’s palsy due to involvement of C5 and C6.</div>
<div class="Indent">
<b>–<span> </span>Other tests of
ulnar nerve:</b> Egawa test, Card test, Froment sign /book test.</div>
<div class="Indent">
–<span> </span>Causes of complete
claw hand are combined ulnar and median nerve palsy, VIC, leprosy,
poliomyelitis, syringomyelia, amyotrophic lateral sclerosis, progressive
muscular atrophy.</div>
<div class="Ques">
14.<span> </span>In a patient with
head injury, black eye associated with subconjunctival haemorrhage occurs when
there is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Fracture of
floor of anterior cranial fossa</div>
<div class="ABCD">
<b>B.</b><span> </span>Bleeding between
the skin and galea aponeurotica</div>
<div class="ABCD">
<b>C.</b><span> </span>Haemorrhage between
galea aponeurotica and peri-cranium</div>
<div class="ABCD">
<b>D.</b><span> </span>Fracture of
greater wing of sphenoid bone</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 23rd ed., p 549; 24th ed., p 595)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Anterior fossa fractures present with subconjunctival haematomas,
anosmia, epistaxis and CSF rhinorrhoea and may occasionally be associated with
caroticocavernous fistulae.</div>
<div class="Para">
<b>Periorbital or Racoon eyes</b> indicate subgaleal haemorrhage
and not necessarily base of skull fracture as do subconjuntival haemorrhages
extending beyond the conjunctival reflections.</div>
<div class="Para">
Both black eyes with subconjunctival haemorrhage are seen in
fracture of anterior cranial fossa</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span><b>Battle sign:</b>
Bruising behind the ear occurring 36 hours after a head injury with petrous
temporal base of skull fracture.</div>
<div class="Ques">
15.<span> </span>All of the following
are true of arterial blood gas analysis <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>Plastic syringe
should be used</div>
<div class="ABCD">
<b>B.</b><span> </span>Syringe should
be flushed with heparin and emptied completely</div>
<div class="ABCD">
<b>C.</b><span> </span>Syringe should
be sealed with cork or a cap</div>
<div class="ABCD">
<b>D.</b><span> </span>Samples should
be preserved in a cool environment</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Kumar
and Clark 4th ed., p 850)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
For ABG analysis syringe should not be emptied completely. After
flushing with heparin, excess heparin should be expelled except that filling
the dead space of the syringe and needle. After drawing 2-4 ml of blood from a
peripheral artery (radial, femoral) air bubble should be removed and after this
the tip of the needle should be inserted in a cork.</div>
<div class="Para">
For ABG analysis samples should not be preserved; rather it
should be analyzed as early as possible. It can be kept in room temperature for
a maximum of 10-15 minutes that too if it cannot be analyzed immediately. If
immediate analysis is not possible then the syringe should be kept in cool
environment. If kept in room temperature then with every 10 minutes pH drops by
0.01, PO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span>falls by 0.1 mmHg and PCO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span>increases by 0.1 mmHg. The sample should be
discarded if it is not analyzed within 2 hours of keeping it in cool
environment.</div>
<div class="Ques">
16.<span> </span>The anaesthetic drug
that is contraindicated in the presence of jaundice is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Halothane<span> </span><b>B.</b><span> </span>Ether</div>
<div class="ABCD">
<b>C.</b><span> </span>Gallamine<span> </span><b>D.</b><span> </span>Nitrous oxide</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Short
Textbook of Anaesthesia 2nd ed., Ajay Yadav p 61, 138)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In patients with abnormal liver functions halothane should not be
used. It can cause <b>halothane hepatitis.</b> Inhalational agent of choice in
such patients is isoflurane. Anaesthesia is maintained on oxygen (50%), nitrous
oxide (50%), isoflurane and atracurium. Risk factors for halothane hepatitis
are <b>multiple exposures</b> (single most important factor), hypoxia, middle
age, obesity, females, patients with other autoimmune diseases. Pathologic
lesion is <b>centrilobular necrosis.</b> Hepatotoxicity may occur due to toxic
reaction to a metabolite or due to hypersensitivity reaction. Genetic factors
may also be of importance. In children halothane can be given repeatedly but in
adults particularly obese, middle aged women at intervals less than 12 weeks
may cause acute liver damage. Severe liver damage is unlikely to occur
following single administration of halothane.</div>
<div class="Ques">
17.<span> </span>In the commonest form
of oesophageal atresia:</div>
<div class="ABCD">
<b>A.</b><span> </span>The lower pouch
opens into the trachea</div>
<div class="ABCD">
<b>B.</b><span> </span>The upper pouch
opens into the trachea</div>
<div class="ABCD">
<b>C.</b><span> </span>Both lower and
the upper pouch open into the treachea</div>
<div class="ABCD">
<b>D.</b><span> </span>Both lower and
the upper pouch have a blind ending</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(OP
Ghai 6th ed., p 178)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In the <i>most common type</i> of tracheo-oesophageal fistula the
upper part of oesophagus ends blindly and the lower part of oesophagus is
connected to trachea with a fistula. In this type of esophageal atresia the
infant has drooling of saliva and with the first feed there is overflow of milk
and saliva.</div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 10pt;"><img height="276" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="191" /></span></div>
<div align="center" class="Table" style="text-align: center;">
<b>Fig.: Commonest type
of tracheo-oosophageal fistula.</b></div>
<div class="Ques" style="margin-top: 5.5pt;">
18.<span> </span>Which
one of the following operations is carried out for the treatment of congenital
hypertrophic pyloric stenosis?</div>
<div class="ABCD">
<b>A.</b><span> </span>Pyloromyotomy<span> </span><b>B.</b><span> </span>Pylorectomy</div>
<div class="ABCD">
<b>C.</b><span> </span>Pyloroplasty<span> </span><b>D.</b><span> </span>Gastrojejunostomy</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 1033)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Ramstedt’s pyloromyotomy</b> is done in congenital
hypertrophic pyloric stenosis. In this operation the hypertrophied muscles are
incised and the stenosis is relieved.</div>
<div class="Para">
Congenital hypertrophic pyloric stenosis is <b><i>most common
surgical cause of vomiting in infants</i></b>.</div>
<div class="Para">
It affects first born males more commonly (4:1) and incidence is
3 per 1000 live births. Most commonly seen at 4 to 6 weeks after birth. Non
bilious vomiting is the presenting symptom which becomes forcible and
projectile after 2-3 days. Immediately after vomiting child is usually hungry.
By 2 to 4 weeks complete obstruction develops. Weight loss is a striking
feature and rapidly the infant becomes emaciated and dehydrated. Infant
develops <b><i>hypokalemic, hypochloremic metabolic alkalosis with paradoxical
aciduria</i></b>. Diagnosis can usually be made with a test feed. <b><i>This
produces characteristic peristaltic waves that can be seen to pass across the
upper abdomen</i></b>. At the same time, using a warm hand, the abdomen is
palpated to detect the lump in the right upper quadrant (typical ‘olive’ felt).
<b><i>Ultrasonography is investigation of choice (95% diagnostic accuracy</i></b>).
Treatment is surgical <b><i>(Ramstedt’s operation)</i></b>.</div>
<div class="Ques">
19.<span> </span>Dentigenous cyst
arises from:</div>
<div class="ABCD">
<b>A.</b><span> </span>The root of a
caries tooth</div>
<div class="ABCD">
<b>B.</b><span> </span>The periosteum
of the fractured mandible</div>
<div class="ABCD">
<b>C.</b><span> </span>An unerupted
permanent tooth</div>
<div class="ABCD">
<b>D.</b><span> </span>The sequestrum
of osteomyelitis of mandible</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 23rd ed., p 597)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Dentigerous cyst </b>arise as a result of separation of the
reduced enamel epithelium from the surface of the crown of an unerupted tooth
with accumulation of fluid. The tooth is displaced deeper into the jaw and is
prevented from erupting by the cyst. Cyst lining is usually attached around
neck of tooth so that crown, prortudes into the cyst cavity. On the contrary,
the dental cysts develop at the apices of teeth with necrotic pulps.</div>
<div class="Ques">
20.<span> </span>Match List-I with
List-II and select the correct answer using the codes given below the Lists:</div>
<div class="ABCD">
<span> </span><b> List-I<span> </span>List-II</b></div>
<div class="ABCD">
a.<span> </span>Pancreatic tumour<span> </span>1.<span> </span>Beckwith syndrome</div>
<div class="ABCD">
b.<span> </span>Wilms’ tumour<span> </span>2.<span> </span>Multiple endocrine neoplasia II</div>
<div class="ABCD">
c.<span> </span>P<span style="letter-spacing: -0.75pt;">arathyroid adenoma</span><span> </span>3.<span> </span>Multiple endocrine neoplasia I</div>
<div class="ABCD">
d.<span> </span><span style="letter-spacing: -0.75pt;">Medullary carcinoma</span>
thyroid<span> </span>4.<span> </span>Zollinger Ellison syndrome</div>
<div class="codes">
Codes:</div>
<div class="CodAns">
<b>A.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>B.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>C.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>D.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d</div>
<div class="CodAns">
<span> </span>4<span> </span>1<span> </span>2<span> </span>3<span> </span>4<span> </span>1<span> </span>3<span> </span>2<span> </span>1<span> </span>4<span> </span>2<span> </span>3<span> </span>1<span> </span>4<span> </span>3<span> </span>2</div>
<div class="Body">
<span style="color: windowtext;">Ans. B<span> </span></span></div>
<div class="Table" style="margin: 4pt 0in 2pt;">
<b>Table: Multiple endocrine neoplasia.</b></div>
<div style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; padding: 0in;">
<div class="Table" style="border: medium none; padding: 0in;">
<b><span style="font-size: 8pt;">MEN 1<span> </span>MEN
2</span></b></div>
</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in;">
<div class="Table" style="border: medium none; margin: 0in 0in 2pt 315pt; padding: 0in; text-indent: -315pt;">
<b><span style="font-size: 8pt;"><span> </span>MEN
2A<span> </span>MEN
2B</span></b><span style="font-size: 8pt;"></span></div>
</div>
<div class="Table" style="margin-left: 315pt; text-indent: -315pt;">
<span style="font-size: 8pt;">Parathyroid hyperplasia or adenoma<span> </span>Pheochromocytoma<span> </span>Medullary thyroid
CA</span></div>
<div class="Table" style="margin-left: 315pt; text-indent: -315pt;">
<span style="font-size: 8pt;">Pituitary hyperplasia or adenoma<span> </span>Medullary thyroid CA<span> </span>Pheochromocytoma</span></div>
<div class="Table" style="margin-left: 315pt; text-indent: -315pt;">
<span style="font-size: 8pt;">Islet cell hyperplasia, adenoma or carcinoma<span> </span>Parathyroid
hyperplasia or adenoma<span> </span>Mucosal and
gastrointestinal neuromas</span></div>
<div class="Table" style="margin-left: 315pt; text-indent: -315pt;">
<i><span style="font-size: 8pt;">Less commonly</span></i><span style="font-size: 8pt;"><span> </span>Cutaneous
lichen<span> </span>Marfanoid
features</span></div>
<div class="Table" style="margin-left: 315pt; text-indent: -315pt;">
<span style="font-size: 8pt;">Foregut carcinoid, pheochromocytoma,<span> </span>Amyloidosis</span></div>
<div class="Table" style="margin-left: 315pt; text-indent: -315pt;">
<span style="font-size: 8pt;">subcutaneous or visceral lipomas, dermal<span> </span>Hirschsprung disease</span></div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in;">
<div class="Table" style="border: medium none; margin: 2pt 0in 2pt 315pt; padding: 0in; text-indent: -315pt;">
<span style="font-size: 8pt;">angiofibromas or collagenomas</span></div>
</div>
<div class="MsoNormal" style="margin-top: 4pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 10pt;">See
Q 92 UPSC 2000 paper 1 for role of gastrinoma in ZES.</span></div>
<div class="Para">
The features of <b>Beckwith-Wiedman syndrome</b> are
hemihypertrophy, macrosomia, macroglossia, omphalocele and increased risk of
Wilm’s tumour.</div>
<div class="Ques">
21.<span> </span>Match List-I with
List-II and select the correct answer using the codes given below the Lists:</div>
<div class="ABCD" style="margin-left: 174pt; text-indent: -151.5pt;">
<span> </span><b>List-I<span> </span>List-II</b></div>
<div class="ABCD" style="margin-left: 174pt; text-indent: -151.5pt;">
a.<span> </span>Grahm’s patch with closure of perforation<span> </span>1.<span> </span>Periampullary carcinoma</div>
<div class="ABCD" style="margin-left: 174pt; text-indent: -151.5pt;">
b.<span> </span>Lord’s operation<span> </span>2.<span> </span>Varicose
veins</div>
<div class="ABCD" style="margin-left: 174pt; text-indent: -151.5pt;">
c.<span> </span>Whipple’s operation<span> </span>3.<span> </span>Vaginal
hydrocele</div>
<div class="ABCD" style="margin-left: 174pt; text-indent: -151.5pt;">
d.<span> </span>Trendelberg operation<span> </span>4.<span> </span>Duodenal
ulcer perforation</div>
<div class="codes">
Codes:</div>
<div class="CodAns">
<b>A.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>B.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>C.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>D.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d</div>
<div class="CodAns">
<span> </span>3<span> </span>4<span> </span>1<span> </span>2<span> </span>3<span> </span>4<span> </span>2<span> </span>1<span> </span>4<span> </span>3<span> </span>2<span> </span>1<span> </span>4<span> </span>3<span> </span>1<span> </span>2</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 963, 1058, 1130, 1408)</span></i><span style="color: windowtext;"></span></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin: 4pt 0in 2pt; padding: 0in;">
<b>Disease<span> </span>Operation</b></div>
</div>
<div class="Table" style="margin-left: 15pt;">
Vaginal hydrocele<span> </span>Lord
operation</div>
<div class="Table" style="margin-left: 15pt;">
<span> </span>Jabouley’s
procedure</div>
<div class="Table" style="margin-left: 15pt;">
Periampullary
carcinoma<span> </span>Whipple
operation (pancreaticoduodenectomy)</div>
<div class="Table" style="margin-left: 15pt;">
Varicose veins<span> </span>Trendelenberg
operation (saphenofemoral ligation)</div>
<div class="Table" style="margin-left: 15pt;">
Duodenal ulcer
perforation<span> </span>Grahm’s
patch with closure of perforation</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 4pt; padding: 0in;">
<span> </span>Billroth
type II gastrectomy</div>
</div>
<div class="Para">
In patients with massive duodenal or gastric perforation simple
closure is impossible.</div>
<div class="Ques">
22.<span> </span>Laparoscopic
cholecystectomy is best avoided in patients with:</div>
<div class="ABCD">
<b>A.</b><span> </span>Hypertension</div>
<div class="ABCD">
<b>B.</b><span> </span>Diabetes</div>
<div class="ABCD">
<b>C.</b><span> </span>Obesity</div>
<div class="ABCD">
<b>D.</b><span> </span>COPD (chronic
obstructive pulmonary disease)</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 23rd ed., p 1298)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Severe chronic obstructive airway disease and ischaemic heart
disease may be contraindications to the laparoscopic cholecystectomy.</div>
<div class="Indent">
–<span> </span>Moderate obesity <b><i>does
not </i></b>increase operative difficulty significantly.</div>
<div class="Ques">
<span style="font-weight: normal;"><span> </span>The
following 8 (eight) items consist of two statements, one labelled the
‘Assertion A’ and the other labelled the ‘Reason R’. You are to examine these
two statements carefully and decide if the Assertion A and the Reason R are
individually true and if so, whether the Reason is a correct explanation of the
Assertion. Select your answers to these items using the codes given below and
mark you answer sheet accordingly:</span></div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>Both A and R are
true and R is the correct explanation of A</div>
<div class="ABCD">
<b>B.</b><span> </span>Both A and R are
true but R is <i>not</i> a correct explanation of A</div>
<div class="ABCD">
<b>C.</b><span> </span>A is true but R
is false</div>
<div class="ABCD">
<b>D.</b><span> </span>A is false but R
is true</div>
<div class="Asser">
<b>23.<span> </span>Assertion A<span> </span>:</b><span> </span>Acute
retropharyngeal abscess is on one side of the midline.</div>
<div class="Asser" style="margin-top: 0in;">
<span> </span><b>Reason
R<span> </span>:</b><span> </span>Retropharyngeal space is divided into two compartments by a strong
midline fascial septum.</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Dhingra
3rd ed., p 320-321)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In <b>acute retropharyngeal abscess</b> bulge is seen in
posterior pharyngeal wall usually on <b>one side of the midline.</b></div>
<div class="Para">
Retropharyngeal space lies behind pharynx between the
buccopharyngeal fascia covering pharyngeal constrictor muscles and the
prevertebral fascia. The space is divided into two lateral compartments (spaces
of Gillette) by a fibrous raphe. Parapharyngeal space communicates with the
retropharyngeal space.</div>
<div class="Para">
<b>Causes of acute retropharyngeal abscess:</b></div>
<div class="Indent">
–<span> </span><b>In children: </b>Suppuration
of retropharyngeal lymph nodes secondary to infection in adenoids, nasopharynx,
posterior nasal sinuses or nasal cavity.</div>
<div class="Indent">
–<span> </span><b>In adults: </b>Penetrating
injury of posterior pharyngeal wall or cervical oesophagus.</div>
<div class="Para">
Rarely pus from acute mastoiditis tracks along the undersurface
of petrous bone.</div>
<div class="Para">
<b>Clinical features:</b></div>
<div class="Para">
Dysphagia, difficulty in breathing, stridor, cough, torticollis
and bulge in posterior pharyngeal wall.</div>
<div class="Para">
On X-ray soft tissues lateral view of neck, widening of
prevertebral shadow and possibly even presence of gas may be seen.</div>
<div class="Para">
Incision and drainage is done usually without anaesthesia.
Incision is given in the most fluctuant area of the abscess.</div>
<div class="Para">
<b>Chronic retropharyngeal abscess:</b></div>
<div class="Para">
Tubercular in nature.</div>
<div class="Para">
<b>Causes:</b></div>
<div class="Indent">
–<span> </span>Caries of cervical
spine.</div>
<div class="Indent">
–<span> </span>Tuberculous infection
of retropharyngeal lymph nodes secondary to tuberculosis of deep cervical
nodes.</div>
<div class="Para">
<b>Clinical features:</b> Discomfort in throat. Dysphagia is not
marked.<span> </span>Posterior pharyngeal wall shows
a fluctuant swelling centrally or on one side of midline.</div>
<div class="Para">
<b>Treatment: </b>Incision and drainage and full course of ATT.</div>
<div class="Asser">
<b>24.<span> </span>Assertion A<span> </span>:</b><span> </span>Left
lobe liver abscess is treated by laparotomy and external drainage.</div>
<div class="Asser" style="margin-top: 0in;">
<span> </span><b>Reason
R<span> </span>:</b><span> </span>It often ruptures into left pleural cavity.</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1216)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Left lobe of liver abscess is aspirated to prevent rupture
into pericardium and cardiac tamponade.</b></div>
<div class="Para">
<b>The other indications of aspiration of liver abscess are:</b></div>
<div class="Indent">
1.<span> </span>To rule out pyogenic
abscess in multiple liver abscesses.</div>
<div class="Indent">
2.<span> </span>Failure to respond to
therapy.</div>
<div class="Indent">
3.<span> </span>Imminent rupture.</div>
<div class="Asser">
<b>25.<span> </span>Assertion A<span> </span>:</b><span> </span>Patients
with posterior flail segment following chest injury do not need assisted
ventilation.</div>
<div class="Asser" style="margin-top: 0in;">
<span> </span><b>Reason
R<span> </span>:</b><span> </span>Posterior flail chest does not cause respiratory embarrassment.</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Schwartz
Principles of Surgery 6th ed., p 679)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Patients with posterior flail segment after chest injury do not
require assisted ventilation because of strong muscular and scapular support
and because of patient’s natural tendency to lie with their back against the
mattress. However this is true only when there is no major intrathoracic
damage.</div>
<div class="Asser">
<b>26.<span> </span>Assertion A<span> </span>:</b><span> </span>20%
mannitol solution given intravenously in a case of head injury reduces oedema
and swelling of brain.</div>
<div class="Asser" style="margin-top: 0in;">
<span> </span><b>Reason
R<span> </span>:</b><span> </span>Mannitol increases plasma osmolality thus drawing fluid from
extravascular compartment into the blood.</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1631, 2450)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The question is self-explanatory. Mannitol is one of the most
frequently used drug for reduction of brain oedema and raised ICT after head
injury. Steroid, furosemide, hyperventilation are the other methods used for
reducing ICT.</div>
<div class="Asser">
<b>27.<span> </span>Assertion A<span> </span>:</b><span> </span>For
acute fissure in ano, lateral sphincterotomy is best carried out under
intravenous ketamine anaesthesia.</div>
<div class="Asser" style="margin-top: 0in;">
<span> </span><b>Reason
R<span> </span>:</b><span> </span>Ketamine provides satisfactory analgesia.</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 1254; Short Textbook of Anaesthesia 2nd ed., Ajay Yadav p
77-78)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Because of severe pain associated with anal fissure the object of
all treatment is to obtain complete relaxation of the internal sphincter.
Provided all the complications are dealt with, the fissure will slowly heal as
soon as all spasm has disappeared.</div>
<div class="Para">
Treatment is conservative initially, consisting of laxatives and
chemical agents in the form of ointments e.g., glyceryl trinitrate designed to
relax the anal sphincter and improve blood flow.</div>
<div class="Para">
Surgery is indicated if the above measures fail and consists of
lateral internal sphincterotomy or anal advancement flap. Lateral internal
sphincterotomy consists of division of internal sphincter away from the fissure
itself. Healing is usually complete within 3 weeks. For surgery GA is best, but
can be done under LA in the form of xylocaine or lignocaine introduced into
ischiorectal fossa on each side or under caudal anaesthesia.</div>
<div class="Para">
<b>Ketamine </b>is a phencyclidine derivative and is used as an
intravenous anaesthetic. Its solution pH is acidic (3.5-5.5) and is highly
lipid soluble.</div>
<div class="Para">
It is a<b> strong analgesic. </b>Onset of action is within 30-60
seconds. Early regain of consciousness after 15-20 minutes is because of
redistribution. Elimination half-life is 2-3 hours. It is metabolised in liver
and metabolites are excreted in urine.<b> </b>It is not a muscle relaxant
(rather it <b>increases muscle tone</b>).</div>
<div class="Para">
Its primary site of action is <b>thalamocortical projection. </b>It
produces <b>dissociative anaesthesia. </b>Emergence reaction is seen in 10-30%.
Hallucinations are the most common side<b> </b>effect of ketamine. It raises
intracranial tension.</div>
<div class="Para">
It stimulates sympathetic system causing <b>tachycardia</b> and
hypertension and so it is <b>IV anaesthetic of choice for shock</b>. It is a <b>potent
bronchodilator. </b>So it is <b>IV anaesthetic of choice for asthmatics. </b>It
increases intraocular tension.</div>
<div class="Para">
IV dose is 2 mg/kg and IM dose is 5-10 mg/kg. It can be used as <b>sole
agent</b> for minor procedures (like incision and drainage), burn dressings.</div>
<div class="Asser">
<b>28.<span> </span>Assertion A<span> </span>:</b><span> </span>In
a child with diagnosis of ileal atresia, barium enema study is desirable.</div>
<div class="Asser" style="margin-top: 0in;">
<span> </span><b>Reason
R<span> </span>:</b><span> </span>Ileal atresia is associated with microcolon.</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 23rd ed., p 1071; 24th ed., p 1431; Schwartz Principles of Surgery 6th
ed., p 1134; West Afr J Med 2004 Apr-Jun; 23(2):186)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Barium studies are avoided in intestinal atresia due to chances
of perforation and peritonitis.<span> </span></div>
<div class="Indent">
–<span> </span>Diagnosis by plain
radiographs is only diagnostic when air-fluid levels are seen.</div>
<div class="Indent">
–<span> </span>Type 3 of
ileum/jejunal atresia are associated with multiple stenosis.</div>
<div class="Para">
Microcolon is a rare congenital cause of intestinal obstruction.
It generally results from intrauterine underutilization of colon, which would
include conditions in which intestinal contents are not passed into the colon
during gestation. It is seen with ileal atresia. It is not seen in duodenal
atresia as the middle and distal small bowel continue to shed epithelial tissue
(meconium precursor) into the colon during gestation. Microcolon is also a part
of megacystis-microcolon-intestinal hypoperistalsis syndrome.</div>
<div class="Para">
Congenital atresia and stenosis are the commonest cause of acute
intestinal obstruction of the newborn.</div>
<div class="Indent">
–<span> </span>Most common atresia of
<i>intestine </i>is of duodenum (35%).</div>
<div class="Indent">
–<span> </span>Most common atresia of
<i>alimentary canal </i>is of oesophagus (TOF).</div>
<div class="Indent">
–<span> </span>High incidence of
multiple sites atresia are seen except in case of duodenal atresia which are
frequently associated with abnormalities of the heart and great vessels.</div>
<div class="Indent">
–<span> </span>In duodenal atresia, <b>double
bubble</b> appearance is seen.</div>
<div class="Asser">
<b>29.<span> </span>Assertion A<span> </span>:</b><span> </span>Vaccination
against influenza is <i>not</i> recommended in patients with HIV infection.</div>
<div class="Asser" style="margin-top: 0in;">
<span> </span><b>Reason
R<span> </span>:</b><span> </span>The immune response to vaccination is impaired in patients with
AIDS.</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1107)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In HIV infected patients there are no increase in the adverse
reaction from live or inactivated vaccines.</div>
<div class="Para">
However, immune response may not be as vigorous as in those with
a normal immune response. Immunization is recommended when CD4+ T cell count is
greater than 200/µL. In more advanced disease the role of vaccination is not
very clear.</div>
<div class="Para">
There is no contraindication of vaccination against influenza.
Although live vaccine can be given against influenza but killed/inactivated
vaccine is preferred.</div>
<div class="Indent">
–<span> </span>Live MMR vaccine can
be administered to HIV infected individuals but OPV should be avoided.</div>
<div class="Indent">
–<span> </span>Inactivated polio
vaccine should be used when vaccination against polio is required.</div>
<div class="Indent">
–<span> </span>Live attenuated
vaccines are normally contraindicated in immunocompromised patients including
those with congenital immunodeficiency syndromes and those receiving
immunosuppressive therapy.</div>
<div class="Asser">
<b>30.<span> </span>Assertion A<span> </span>:</b><span> </span>Patients
with cirrhosis of liver and ascites are susceptible to spontaneous bacterial
peritonitis.</div>
<div class="Asser" style="margin-top: 0in;">
<span> </span><b>Reason
R<span> </span>:</b><span> </span>Hypoalbuminaemia impairs the antibody mediated defence against
infection.</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
15th ed., p 1763) </span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The assertion is correct. SBP occurs in patients with ascites and
cirrhosis without an obvious primary source of infection.</div>
<div class="Para">
The reason seems to be correct as well. According to Harrison <i>“.…The
ascitic fluid in these patients typically has especially low concentration of
albumin and other so called opsonic proteins, which normally may provide some
protection against bacteria. Although key steps in the pathogenesis of SBP
remain to be elucidated, it is clear that most bacteria contributing to SBP
derive from the bowel and eventually are spread to ascitic fluid by the
haemotogenous route after transmigration through the bowel wall and
transversing the lymphatics.…”</i></div>
<div class="Para">
After going through this statement we have come to the answer as
choice A. See also Q 97 paper I UPSC 1999 for explanation and details of SBP.</div>
<div class="Ques">
31.<span> </span>Which of the
following are associated with late systolic murmur?</div>
<div class="ABCD">
1.<span> </span>Rheumatic mitral
regurgitation<span> </span>2.<span> </span>Mitral valve prolapse</div>
<div class="ABCD">
3.<span> </span>Hypertrophic
cardiomyopathy<span> </span>4.<span> </span>Persistent ductus arteriosus</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>2 and 4<span> </span><b>B.</b><span> </span>2 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 2 and 3<span> </span><b>D.</b><span> </span>1, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"> <span> </span>(Harrison
16th ed., p 1310)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Late systolic murmur</b> is heard after midsystolic click in
MVP due to late systolic mitral regurgitation. In MVP the mitral valve leaflets
prolapse in left atrium.</div>
<div class="Para">
In HOCM late systolic murmur may be heard because in early systole
there is no impairment of ejection. However typically the murmur is
midsystolic.</div>
<div class="Para">
In rheumatic mitral regurgitation the murmur has blowing
character and is <b>pansystolic.</b></div>
<div class="Para">
In PDA the murmur is <b>continuous</b>. It is also called <b>machinery
murmur (Gibson’s murmur).</b></div>
<div class="Para">
<b>Remember the following important points commonly asked in
examination:</b></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in;">
<div class="Table" style="border: medium none; margin: 4pt 0in 2pt 111pt; padding: 0in; text-indent: -111pt;">
<b><span> </span>Type
of murmur<span> </span>Cause</b></div>
</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
1.<span> </span>Holosystolic<span> </span>MR,
TR, VSD.</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
2.<span> </span>Midsystolic<span> </span>AS,
PS, functional murmur, MR & TR with papillary muscle dysfunction.</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
3.<span> </span>Early systolic<span> </span>Large VSD with pulmonary hypertension, very small
muscular VSD, TR in absence of pulmonary hypertension, infective endocarditis
(IV drug addicts), acute MR.</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
4.<span> </span>Late systolic<span> </span>MVPS,
papillary muscle dysfunction due to infarction or ischemia.</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
5.<span> </span>Early diastolic<span> </span>AR, PR.</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
6.<span> </span>Middiastolic<span> </span>MS,
TS.</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
<span> </span>MR,
PDA or VSD: Across mitral valve.</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
<span> </span>TR
and ASD: Across the tricuspid valve.</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
<span> </span>Acute
rheumatic fever <b>(Carey Coombs murmur).</b></div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
<b><span> </span>Austin
Flint murmur </b>(often presystolic).</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
<span> </span>Atrial
myxoma.</div>
<div class="Table" style="margin-left: 111pt; text-indent: -111pt;">
7.<span> </span>Presystolic<span> </span>Austin
Flint murmur, atrial myxoma.</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in;">
<div class="Table" style="border: medium none; margin: 2pt 0in 2pt 111pt; padding: 0in; text-indent: -111pt;">
8.<span> </span>Continuous<span> </span>PDA,
AV fistula, coronary AV fistula, anomalous origin of left coronary artery from
pulmonary artery, coarctation of aorta, pulmonary embolism, communication
between sinus of Valsalva and the right side of heart, mammary souffle,
cervical venous hum.</div>
</div>
<div class="Ques">
32.<span> </span>Which one of the
following is <i>not</i> associated with Prinzmetal’s angina?</div>
<div class="ABCD">
<b>A.</b><span> </span>S-T segment
depression in ECG<span> </span><b>B.</b><span> </span>Migraine</div>
<div class="ABCD">
<b>C.</b><span> </span>Raynaud’s
phenomenon<span> </span><b>D.</b><span> </span>Early morning attacks</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1448; Beside Interpretation of ECG – A Practical Approach 1st ed.,
TK Koley p 71)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Prinzmetal’s angina</b> is variant angina. It mainly occurs at
rest. It is due to coronary vasospasm. Most often the spasm occurs around an
atherosclerotic plaque.</div>
<div class="Para">
ECG shows <b>ST segment elevation</b> in Prinzmetal’s angina. Q
waves are usually absent.</div>
<div class="Para">
<b>Remember: </b>Treatment is with nifedipine. Beta-blockers are
contraindicated.</div>
<div class="Ques">
33.<span> </span>Consider the
following statements:</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>In
mitral stenosis:</div>
<div class="ABCD">
1.<span> </span>Angina may occur</div>
<div class="ABCD">
2.<span> </span>Severity of stenosis is
determined by closeness of opening snap and second heart sound</div>
<div class="ABCD">
3.<span> </span>Hoarseness of voice may
be a feature</div>
<div class="ABCD">
4.<span> </span>Onset of atrial
fibrillation is associated with fall in cardiac output</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Of
these statements:</div>
<div class="ABCD">
<b>A.</b><span> </span>2 and 3 are
correct<span> </span><b>B.</b><span> </span>1, 3 and 4 are correct</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 2 and 4 are
correct<span> </span><b>D.</b><span> </span>1, 2, 3 and 4 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
15th ed., p 1344; 16th ed., p 1391-1392)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In MS angina may occur due to myocardial ischaemia secondary to
coronary atherosclerosis. Chest pain also may be due to pulmonary hypertension.</div>
<div class="Para">
See Q 86 paper 1 UPSC 1999 for details of opening snap.
Hoarseness of voice may be due to stretching of left recurrent laryngeal nerve
due to enlargement of left atrium.</div>
<div class="Para">
Atrial fibrillation decreases cardiac output by causing high
ventricular rate and inadequate LV filling.</div>
<div class="Ques">
34.<span> </span>All of the following
are features of malignant hypertension, <i>except:</i></div>
<div class="ABCD">
<b>A.</b><span> </span>Grade IV
hypertensive retinopathy<span> </span><b>B.</b><span> </span>Haemolytic blood picture</div>
<div class="ABCD">
<b>C.</b><span> </span>Renal failure<span> </span><b>D.</b><span> </span>Respiratory failure</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1480)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Respiratory failure is not a feature of malignant hypertension</b>.
Fundus examination reveals <b>papilloedema with haemorrhage and exudates</b>.</div>
<div class="Para">
It may present as <b>hypertensive encephalopathy</b> in the form
of headache, vomiting, altered sensorium.</div>
<div class="Para">
It may present as <b>CCF</b>.</div>
<div class="Para">
<b>Oliguria with azotaemia</b> is the renal manifestation of
malignant hypertension. Fibrinoid necrosis of walls of small renal arteries and
arterioles may be seen.</div>
<div class="Para">
Microangiopathic haemolytic anaemia is probably secondary to
kidney involvement.</div>
<div class="Para">
Nifedipine (5 mg) is given sublingually to reduce blood pressure
urgently. The main problem with nifedipine is that the fall in BP can not be
controlled. <b><i>Sodium nitroprusside is the drug of choice for hypertensive
emergency.</i></b></div>
<div class="Para">
<b>The following drugs have immediate effect (onset within 5 min)
in treatment of malignant hypertension:</b></div>
<div class="Indent">
a.<span> </span>Nitroprusside (0.25
µg/kg/min.): IV infusion.</div>
<div class="Indent">
b.<span> </span>Nitroglycerin (5
µg/min.): IV infusion.</div>
<div class="Indent">
c.<span> </span>Diazoxide (50 mg q 5
to 10 min.): IV bolus.</div>
<div class="Indent">
d.<span> </span>Fenoldopam (0.1 to 0.3
µg/kg/min): IV infusion.</div>
<div class="Indent">
e.<span> </span>Esmolol (250 to 500
µg/min × 1 min, then 50 to 100 µg/kg/min × 4 min): IV infusion.</div>
<div class="Para">
The following drugs have <b>delayed onset </b>(within 10 to 20
min) in treatment of malignant hypertension:</div>
<div class="Indent">
a.<span> </span>Enalapril (1.25 mg q
6h) : IV.</div>
<div class="Indent">
b.<span> </span>Nicardipine (5 to 15
mg/h) : IV.</div>
<div class="Indent">
c.<span> </span>Hydralazine (5 to 10
mg q 20 min × 3) : IV, IM.</div>
<div class="Indent">
d.<span> </span>Labetalol (20 to 80 mg
q 10 min) : IV.</div>
<div class="Ques">
35.<span> </span>The most specific
differentiating feature of ventricular tachycardia from superventricular
tachycardia with aberrant conduction is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Concordant QRS
pattern in all precordial leads<span> </span><b>B.</b><span> </span>Fixed R-R interval</div>
<div class="ABCD">
<b>C.</b><span> </span>Fusion beats<span> </span><b>D.</b><span> </span>QRS duration of more than 140 msec</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Schamroth
7th ed., p 420; Bedside Interpretation of ECG – A Practical Approach 1st ed.,
TK Koley p 113)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
One of the best signs of ectopic ventricular origin of a complex
is <b>ventricular fusion complex. </b>This beat results from concomitant
activation of the ventricles by supraventricular (sinus) impulse and a
ventricular ectopic complex.</div>
<div class="Para">
Presence of fusion beat indicates ventricular tachycardia.</div>
<div class="Para">
Concordant pattern and QRS duration more than 140 msec also
indicate VT.</div>
<div class="Ques">
36.<span> </span>The first heart sound
is loud in which of the following conditions?</div>
<div class="ABCD">
1.<span> </span>Mitral regurgitation<span> </span>2.<span> </span>Pregnancy</div>
<div class="ABCD">
3.<span> </span>Anaemia<span> </span>4.<span> </span>Mitral stenosis</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 4<span> </span><b>B.</b><span> </span>1, 2 and 4</div>
<div class="ABCD">
<b>C.</b><span> </span>3 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1307)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>S</b><b><span style="font-size: 5.5pt; position: relative; top: 1pt;">1</span><span> </span>is loud</b> if diastole is short because of
tachycardia (anaemia), if AV flow is increased because of high cardiac output
(anaemia and pregnancy) or prolonged because of MS or if the atrial contraction
precedes the ventricular contraction by unusually short interval (short PR
interval).</div>
<div class="Para">
In mitral regurgitation S<span style="font-size: 5.5pt; position: relative; top: 1pt;">1</span><span> </span>is soft.</div>
<div class="Para">
<b>Remember the following important points commonly asked in
examination:</b></div>
<div class="Indent">
1.<span> </span>Commonest cause of <b>wide
split of S</b><b><span style="font-size: 5.5pt; position: relative; top: 1pt;">1</span></b><span> </span>(M1T1) is complete RBBB.</div>
<div class="Indent">
2.<span> </span><b>Reversed split of S</b><b><span style="font-size: 5.5pt; position: relative; top: 1pt;">1</span></b><span> </span>(T1M1) occurs in severe MS, LBBB and left
atrial myxoma.</div>
<div class="Indent">
3.<span> </span><b>Wide split of S</b><b><span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span></b>(A2 P2) is seen in:</div>
<div class="Indent">
–<span> </span>RBBB: LV pacemaker.</div>
<div class="Indent">
–<span> </span>LV ectopic beat:
Pulmonary embolism.</div>
<div class="Indent">
–<span> </span>Pulmonary stenosis:
ASD.</div>
<div class="Indent">
4.<span> </span><b>Wide and fixed
split of S</b><b><span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span></b>(A2P2)
is seen in ASD and it occurs due to increased hangout interval.</div>
<div class="Indent">
5.<span> </span><b>Reverse (paradoxic)
split of S</b><b><span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span></b>(P2A2)
is seen in LBBB (commonest cause), RV ectopic beat, severe AS, large aorta to
pulmonary shunt, systemic hypertension, IHD, cardiomyopathy.</div>
<div class="Indent">
6.<span> </span><b>S</b><b><span style="font-size: 5.5pt; position: relative; top: 1pt;">3</span><span> </span></b>is normal below 40 years of age. It is
seen in MR and impairment of ventricular function.</div>
<div class="Indent">
7.<span> </span><b>S</b><b><span style="font-size: 5.5pt; position: relative; top: 1pt;">4</span><span> </span></b>is seen in systemic hypertension, AS,
HOCM, IHD, acute MR etc. It is absent in AF.</div>
<div class="Ques">
37.<span> </span>In a patient of
ventricular tachycardia, the normal sinus rhythm has been restored by
cardioversion. Which of the following drugs can be used to prevent further
attacks of ventricular tachycardia?</div>
<div class="ABCD">
1.<span> </span>Mexiletine<span> </span>2.<span> </span>Amiodarone</div>
<div class="ABCD">
3.<span> </span>Disopyramide<span> </span>4.<span> </span>Verapamil</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 4<span> </span><b>B.</b><span> </span>2 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 2 and 3<span> </span><b>D.</b><span> </span>1, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1352-1353)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
DC cardioversion is the best treatment of VT. In acute stage the
preferred drug is procainamide. IV lignocaine is also very effective.</div>
<div class="Para">
In this question all the given drugs are effective in prophylaxis
of VT. We are not very sure whether the question is right or wrong. Because
verapamil, class IA, IC or III agents and amiodarone are effective in
management of VT. Mexiletine is also effective. Beta blockers are also very
helpful. However the drug is selected by programmed stimulation so that the
most effective drug to prevent VT is given.</div>
<div class="Ques">
38.<span> </span>Consider the
following drugs:</div>
<div class="ABCD">
1.<span> </span>Beclomethasone<span> </span>2.<span> </span>Ipratropium bromide</div>
<div class="ABCD">
3.<span> </span>Salbutamol<span> </span>4.<span> </span>Nedocromil sodium</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Those
which are useful in reducing bronchial airway inflammation in asthma would
include:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 2<span> </span><b>B.</b><span> </span>2 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>3 and 4<span> </span><b>D.</b><span> </span>1 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1514)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Glucocorticoids are not bronchodilators. It can be given by
inhalation, oral or injectable route. The main effect is suppression of airway
inflammation. Inhalation route is preferred to avoid systemic toxicity.</div>
<div class="Para">
<b>Nedocromil sodium is mast cell stabilizer.</b> It prevents
release of chemical mediators of anaphylaxis. It is not a bronchodilator. It
improves lung function, reduces airway reactivity.</div>
<div class="Para">
<b>Salbutamol (</b><b><span style="font-family: Symbol;">b</span> stimulant) and ipratropium (anticholinergic) are mainly
bronchodilators.</b></div>
<div class="Ques">
39.<span> </span>The following results
were obtained on arterial blood gas analysis in a 58-year old male (while
breathing room air), hospitalised on account of increasing breathlessness: pCO<span style="font-size: 5.5pt; position: relative; top: 1.5pt;">2</span><span> </span>= 76 mmHg; pO<span style="font-size: 5.5pt; position: relative; top: 1.5pt;">2</span><span> </span>= 32 mmHg, pH = 7.34.</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>The
most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Bronchial asthma<span> </span><b>B.</b><span> </span>Interstitial lung disease</div>
<div class="ABCD">
<b>C.</b><span> </span>Chronic
obstructive airway disease<span> </span><b>D.</b><span> </span>Left ventricular failure</div>
<div class="Body">
<span style="color: windowtext;">Ans. C<span> </span></span></div>
<div class="Para">
Patient is suffering from type II respiratory failure with
respiratory acidosis.</div>
<div class="Para">
PaO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span>< 60
mmHg, PaCO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2 </span>> 50 mmHg is present in respiratory failure.</div>
<div class="Para">
Type 1 failure has PaO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span>low with normal or low PaCO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span>.</div>
<div class="Para">
Type 2 failure has PaCO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span>raised with low PaO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span>.</div>
<div class="Para">
Bronchial asthma usually produces acute type 1 respiratory
failure. </div>
<div class="Para">
ILD produces chronic type 1 respiratory failure.</div>
<div class="Para">
LVF produces acute type 1 respiratory failure.</div>
<div class="Para">
COPD produces chronic type 2 respiratory failure.</div>
<div class="Para">
Since the age is 58 years the most likely diagnosis is COPD.
Bronchial asthma can also cause type 2 respiratory failure but there is no
history of recurrent attacks and the patient is not young.</div>
<div class="Ques">
40.<span> </span>A middle-aged patient
presents with a short history of high fever and rigors. On examination, the
pulse rate is 140/min and there are signs of toxaemia. Chest examination shows
restriction of movement over left infraclavicular region and there is dullness
on percussion. Vocal resonance is increased with low-pitched bronchial breath
sound over the above area. The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Bronchial
carcinoma<span> </span><b>B.</b><span> </span>Lung abscess</div>
<div class="ABCD">
<b>C.</b><span> </span>Lobar pneumonia<span> </span><b>D.</b><span> </span>Pleural effusion</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 11532)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is suffering from lobar pneumonia. The history and
examination findings are typical of pneumonia. See Q 94 paper 1 UPSC 1999 for
further details.</div>
<div class="Ques">
41.<span> </span>Obstructive sleep
apnoea may result in all of the following <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>Systemic
hypertension</div>
<div class="ABCD">
<b>B.</b><span> </span>Pulmonary
hypertension</div>
<div class="ABCD">
<b>C.</b><span> </span>Cardiac
arrhythmia</div>
<div class="ABCD">
<b>D.</b><span> </span>Duodenal ulcer</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1574)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Sleep apnoea</b> is defined as intermittent stoppage of
airflow at nose and mouth during sleep. It is divided into two types <b>central
and obstructive.</b></div>
<div class="Para">
In central sleep apnoea respiratory drive is transiently stopped
whereas in obstructive sleep apnoea respiratory drive is present but airflow is
stopped due to oropharyngeal obstruction.</div>
<div class="Para">
50% of patients suffering from obstructive sleep apnoea suffer
from hypertension and 20% suffer from pulmonary hypertension. The main
complaint of these patients is excessive daytime sleepiness. Bradycardia or
dangerous tachyarrhythmias have been noted in some patients. Duodenal ulcer is
not seen in sleep apnoea.</div>
<div class="Ques">
42.<span> </span>Consider the
following statements:</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Prolonged
hyperventilation may lead to:</div>
<div class="ABCD">
1.<span> </span>Paraesthesia<span> </span>2.<span> </span>Low bicarbonate level</div>
<div class="ABCD">
3.<span> </span>Tetany<span> </span>4.<span> </span>Ketonuria</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Of
these statements:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 4 are
correct<span> </span><b>B.</b><span> </span>2 and 3 are correct</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 2 and 3 are
correct<span> </span><b>D.</b><span> </span>1, 3 and 4 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1572-1573)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Hyperventilation</b> is associated with increased respiratory
drive, muscle effort and minute volume of ventilation. It leads to <b>respiratory
alkalosis</b> and to counter it the bicarbonate level goes down. Alkalosis
leads to dizziness, visual impairment, syncope, seizure, paraesthesia, tetany
(due to decreased free serum calcium), carpopedal spasm, muscle weakness etc.
Cardiac arrhythmia, periodic breathing and central sleep apnoea may be seen.
Ketonuria is absent.</div>
<div class="Ques">
43.<span> </span>Consider the
following viruses:</div>
<div class="ABCD">
1.<span> </span>Hepatitis A<span> </span>2.<span> </span>Hepatitis C</div>
<div class="ABCD">
3.<span> </span>Hepatitis D<span> </span>4.<span> </span>Hepatitis E</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Those
which spread infection by the faeco-oral route would include:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 4<span> </span><b>B.</b><span> </span>2 and 4</div>
<div class="ABCD">
<b>C.</b><span> </span>1 and 3<span> </span><b>D.</b><span> </span>1 and 2</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1829)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Hepatitis E has epidemiologic features resembling those of
hepatitis A which is transmitted by feco-oral route. HCV, HBV, and delta virus
are transmitted through blood transfusion or by sexual contact. Hepatitis E
virus is non-enveloped, HAV like virus with single standed RNA genome. All HEV
isolates appear to belong to a single serotype.</div>
<div class="Table" style="margin: 4pt 0in 2pt;">
<b>Table:</b> <b>Epidemiological and clinical features of
various hepatitis.</b></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<b><span> </span>HAV<span> </span>HBV<span> </span>HCV<span> </span>HDV<span> </span>HEV</b></div>
</div>
<div class="Table">
<b>Incubation
(days)</b><span> </span>15-45, mean 30<span> </span>30-180, mean 60-90<span> </span>15-160, mean 50<span> </span>30-180,
mean 60-90<span> </span>14-60, mean 40</div>
<div class="Table">
<b>Transmission</b></div>
<div class="Table">
Feco-oral<span> </span>+ + +<span> </span>—<span> </span>—<span> </span>—<span> </span>+ + +</div>
<div class="Table">
Sexual<span> </span>±<span> </span>+ +<span> </span>±<span> </span>+ +<span> </span>—</div>
<div class="Table">
Percutaneous<span> </span>Unusual<span> </span>+
+ +<span> </span>+ + +<span> </span>+ + +<span> </span>—</div>
<div class="Table">
Perinatal<span> </span>—<span> </span>+ + +<span> </span>±<span> </span>+<span> </span>—</div>
<div class="Table">
<b>Clinical</b></div>
<div class="Table">
Fulminant<span> </span>0.1%<span> </span>0.1%-1%<span> </span>0.1%<span> </span>5-20%<span> </span>1-2% (10-20% in<br />
<span> </span>pregnant
women)</div>
<div class="Table">
Chronicity<span> </span>—<span> </span>1-10%<span> </span>50-70%
<span> </span>Common<span> </span>—</div>
<div class="Table">
<span> </span>chronic
hepatitis<span> </span></div>
<div class="Table">
Carrier<span> </span>—<span> </span>0.1-30%<span> </span>1.5-3.2%<span> </span>Variable<span> </span>—</div>
<div class="Table">
Cancer<span> </span>—<span> </span>+<span> </span>+<span> </span>±<span> </span>—</div>
<div class="Table">
Prognosis<span> </span>Excellent<span> </span>Worse with age<span> </span>Moderate<span> </span>Chronic poor<span> </span>Good</div>
<div class="Table">
<b>Prophylaxis</b><span> </span>Inactivated vaccine<span> </span>HBIg<span> </span>None<span> </span>HBV vaccine<span> </span>—</div>
<div class="Table" style="margin-top: 0in;">
<span> </span>Ig<span> </span>Recombinant
vaccine<span> </span></div>
<div class="Table">
<b>Treatment</b><span> </span>None<span> </span>Interferon<span> </span>Interferon<span> </span>Interferon<span> </span>None</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in;">
<div class="Table" style="border: medium none; margin: 0in 0in 2pt; padding: 0in;">
<span> </span>Lamivudine<span> </span>Ribavirin</div>
</div>
<div class="Ques" style="line-height: normal;">
44.<span> </span>Which
one of the following is best <i>avoided </i><span> </span>in the treatment of acute pancreatitis?</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>Antibiotics<span> </span><b>B.</b><span> </span>Nasogastric suction</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>Anticholinergics<span> </span><b>D.</b><span> </span>Morphine</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1899)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Anticholinergics are avoided in management of acute pancreatitis.
See Q 45 paper 1 UPSC 1999 for further details.</div>
<div class="Ques" style="line-height: normal;">
45.<span> </span>Intrinsic
factor for absorpition of vitamin B<span style="font-size: 5.5pt; position: relative; top: 1.5pt;">12</span><span> </span>is secreted by the:</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>Parietal cells<span> </span><b>B.</b><span> </span>Peptic cells</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>Chief cells<span> </span><b>D.</b><span> </span>Goblet cells</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 602)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Intrinsic factor</b> is secreted by parietal cell, lack of
which leads to vitamin B<span style="font-size: 5.5pt; position: relative; top: 1pt;">12</span><span> </span>deficiency. It is seen in type A chronic
gastritis, which leads to pernicious anaemia.</div>
<div class="Ques" style="line-height: normal;">
46.<span> </span>Which
one of the following statements about <i>H. pylori</i> is <i>not</i> true?</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>Its prevalence increases with age</div>
<div class="ABCD" style="line-height: normal;">
<b>B.</b><span> </span>Its prevalence is inversely related to socio-economic status</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>Commonly, fundus is the site of colonization</div>
<div class="ABCD" style="line-height: normal;">
<b>D.</b><span> </span>It is implicated in duodenal ulcer, gastric ulcer and gastric
carcinoma</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1749)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The initial site of colonization of <i>H. pylori</i> is <b>antrum
of stomach</b> and then it spreads gradually proximally. Rest of the three
statements are correct. It is also associated with gastric MALT lymphoma. The
various risk factors for development of <i>H. pylori</i> infection are:</div>
<div class="Indent">
a.<span> </span>Low socioeconomic
status.</div>
<div class="Indent">
b.<span> </span>Domestic overcrowding.</div>
<div class="Indent">
c.<span> </span>Unhygienic living
conditions.</div>
<div class="Indent">
d.<span> </span>Drinking unclean
water.</div>
<div class="Indent">
e.<span> </span>Exposure to gastric
content of infected person.</div>
<div class="Ques" style="line-height: normal;">
47.<span> </span>Consider
the following statements:</div>
<div class="Ques" style="line-height: normal; margin-top: 3pt;">
<span> </span>Delayed gastric emptying
(gastroparesis) is seen in:</div>
<div class="ABCD" style="line-height: normal;">
1.<span> </span>Hypokalaemia<span> </span>2.<span> </span>Diabetes</div>
<div class="ABCD" style="line-height: normal;">
3.<span> </span>Anticholinergic
drug therapy<span> </span>4.<span> </span>Reflux oesophagitis</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Of
these statements:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 2 are
correct<span> </span><b>B.</b><span> </span>2, 3 and 4 are correct</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 2 and 3 are
corect<span> </span><b>D.</b><span> </span>1, 3 and 4 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. C<span> </span></span></div>
<div class="Para">
Hypokalaemia causes paralytic ileus and causes loss of muscle
tone and flaccid paralysis and hence it can delay gastric emptying.</div>
<div class="Para">
Diabetes by causing autonomic neuropathy may lead to
gastroparesis. Cholinergic stimulation leads to gastric emptying and intestinal
movement and hence anticholinergic drugs will cause gastroparesis.</div>
<div class="Ques">
48.<span> </span>Which of the
following are characteristic of nephrotic syndrome?</div>
<div class="ABCD">
1.<span> </span>Massive proteinuria<span> </span>2.<span> </span>Hypoproteinaemia</div>
<div class="ABCD">
3.<span> </span>Hyponatraemia<span> </span>4.<span> </span>Generalised oedema</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>2, 3 and 4</div>
<div class="ABCD">
<b>C.</b><span> </span>1. 3 and 4<span> </span><b>D.</b><span> </span>1, 2 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1684)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Nephrotic syndrome consists of proteinuria of >3.5 g/1.73 m</b><b><span style="font-size: 5.5pt; position: relative; top: -4pt;">2</span><span> </span>per 24 hours</b>, hypoalbuminaemia, oedema,
hyperlipidaemia, lipiduria and hypercoagulability. However the main component
is massive proteinuria, which is due to altered permeability of the glomerular
filtration barrier for protein.</div>
<div class="Para">
Hyponatraemia is not a part of nephrotic syndrome.</div>
<div class="Ques">
49.<span> </span>Polyuria is a feature
of all of the following <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>Hypocalcaemia<span> </span><b>B.</b><span> </span>Hypokalaemia</div>
<div class="ABCD">
<b>C.</b><span> </span>Lithium toxicity<span> </span><b>D.</b><span> </span>ADH deficiency</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 251)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Polyuria is defined, as 24-hour urine volume greater than 3
litres. <b>Hypocalcaemia does not cause polyuria.</b> Hypercalcaemia causes
polyuria by solute diuresis. Solute diuresis is also seen with glucose,
mannitol, hypokalaemia, radiocontrast agent, urea, resolving ATN, diuretics
etc.</div>
<div class="Para">
Lithium causes nephrogenic diabetes insipidus and hence polyuria.
ADH deficiency causes central diabetes insipidus. The various causes are
postoperative (removal of pituitary), trauma, supra- or intrasellar tumour,
Sheehan’s syndrome, infections etc.</div>
<div class="Ques">
50.<span> </span>Which of the
following are the features of minimal change glomerulonephritis?</div>
<div class="ABCD">
1.<span> </span>Highly selective
proteinuria<span> </span>2.<span> </span>Good response to steroid therapy</div>
<div class="ABCD">
3.<span> </span>Occurrence two weeks
after sore throat<span> </span>4.<span> </span>Commonly seen in children</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 4<span> </span><b>B.</b><span> </span>2 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 2 and 3<span> </span><b>D.</b><span> </span>1, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1685)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Minimal change glomerulonephritis</b> mainly occurs in
children. Highly selective proteinuria is the main feature. It responds very
well to steroid and has a good prognosis. See Q 101 paper 1 UPSC 1999 for
further details. However according to Nelson all the four statements are
correct.</div>
<div class="Para">
The following diseases are known to occur after respiratory tract
infections:</div>
<div class="Indent">
1.<span> </span>Poststreptococcal
glomerulonephritis.</div>
<div class="Indent">
2.<span> </span>Rheumatic fever.</div>
<div class="Indent">
3.<span> </span>Minimal lesion
glomerulonephritis.</div>
<div class="Indent">
4.<span> </span>Henoch-Schonlein
purpura.</div>
<div class="Indent">
5.<span> </span>Guillain-Barre
syndrome.</div>
<div class="Indent">
6.<span> </span>IgA nephropathy.</div>
<div class="Ques">
51.<span> </span>Investigations in a
patient of oliguria revealed:</div>
<div class="ABCD">
Urine osmolality: 620 mosm/kg</div>
<div class="ABCD">
Urinary sodium: 12 mmol/L</div>
<div class="ABCD">
Urine/plasma urea ratio: 13 : 1</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>The
most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Prerenal acute
renal failure<span> </span><b>B.</b><span> </span>Acute tubular necrosis</div>
<div class="ABCD">
<b>C.</b><span> </span>Acute cortical
necrosis<span> </span><b>D.</b><span> </span>Urinary tract obstruction</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1649)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is suffering from pre-renal renal failure. </div>
<div class="Para">
According to Kumar and Clark 4th ed., p 568 in prerenal azotemia
urine sodium is < 20 mmol/L and in intrinsic renal failure urine sodium is
> 40 mmol/L. See also Q 77 paper 1 UPSC 2001 for further details.</div>
<div class="Ques">
52.<span> </span>Which of the
following drugs are used in the treatment of Parkinson’s disease?</div>
<div class="ABCD">
1.<span> </span>Anticholinergic drugs<span> </span>2.<span> </span>Selegiline</div>
<div class="ABCD">
3.<span> </span>Butyrophenones<span> </span>4.<span> </span>Phenothiazines</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes" style="margin-top: 2pt;">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>2 and 3<span> </span><b>B.</b><span> </span>1 and 2</div>
<div class="ABCD">
<b>C.</b><span> </span>1 and 4<span> </span><b>D.</b><span> </span>1, 2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2410-2411)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The various <b>anticholinergic drugs</b> in use are benztropine
(0.5-2 mg TID), trihexphenidyl (2-5 mg TID), biperidin (1-3 mg QID),
orphenadrine (100 mg TID), procyclidine (2.5-10 mg TID) etc. Treatment is
started in a low dose and gradually increased till desired effect is achieved.</div>
<div class="Para">
<b>Selegeline is a MAO-B inhibitor</b> (selective). It reduces
oxidative damage and may inhibit the progression of Parkinsonism. It is given
in a dose of 5 mg BD.</div>
<div class="Para">
However the main drug for Parkinsonism is <b>levodopa,</b> which
is a precursor of dopamine. It is combined with peripheral dopa-decarboxylase
inhibitor (carbidopa or benserazide). See Q 84 paper 1 UPSC 2001 for clinical
features of Parkinsonism.</div>
<div class="Ques">
53.<span> </span>Which one of the
following regions of the body has the largest representation in cortical area
4?</div>
<div class="ABCD">
<b>A.</b><span> </span>Trunk muscle<span> </span><b>B.</b><span> </span>Muscles of forearm</div>
<div class="ABCD">
<b>C.</b><span> </span>Muscles of
mastication<span> </span><b>D.</b><span> </span>Muscles of thumb</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Ganong
18th ed., p 193)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The cortical representation of each body part is proportional in
size to the skill with which part is used in fine, voluntary movement.<span> </span>The area involved in speech and hand
movements are especially large in the cortex. Use of the pharynx, lips and
tongue to form words and of the fingers and opposable thumb to manipulate the
environment are activities in which humans are especially skilled.</div>
<div class="Ques">
54.<span> </span>Sudden loss of vision
occurs in all of the following <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>Retrobulbar
neuritis<span> </span><b>B.</b><span> </span>Central retinal artery occlusion</div>
<div class="ABCD">
<b>C.</b><span> </span>Papilloedema<span> </span><b>D.</b><span> </span>Retinal detachment</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Parsons’
Diseases of the Eye 19th ed., p 367-372)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
In papilloedema there is oedema of the optic disc or nerve head
due to raised intracranial preesure. Elevated CSF pressure produces axoplasmic
stasis in the optic nerve head leading to swelling of the optic disc and
secondary vascular changes at the disc surface.</div>
<div class="Para">
Papilloedema is characterized by <i>blurring of margins of the
optic disc. </i>It starts at the upper and lower margins and extends around the
nasal side. Temporal margins are usually visible sharp. For long, the vision
may be <i>unimpaired </i>particularly central vision. Transient attacks of
blurred vision may occur in early stages but with progressive enlargement of
blind-spot, progressive contraction of visual field (due to atrophy of nerve)
occurs.</div>
<div class="Para">
<b>Sudden loss of visual acuity</b> occurs in occlusion of
central retinal artery, optic neuritis, papillitis, retrobulbar neuritis,
vitreous or retinal haemorrhage, retinal detachment, acute congestive glaucoma,
quinine poisoning, methyl alcohol poisoning, temporal arteritis, optic nerve
injury, brain injury, brain stem arteriovenous malformations, meningeal
carcinomatosis.</div>
<div class="Ques">
55.<span> </span>All of the following
statements regarding the oculomotor nerve are true <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>It accommodates
the eye<span> </span><b>B.</b><span> </span>It raises the upper eyelid</div>
<div class="ABCD">
<b>C.</b><span> </span>It innervates
lateral rectus<span> </span><b>D.</b><span> </span>It constricts the pupil</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Parsons’
Diseases of the Eye 19th ed., p 427, 466)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Lateral rectus is innervated by the 6th nerve.</b></div>
<div class="Para">
In complete paralysis of the third nerve there is ptosis (which
prevents diplopia), semidilated and immobile pupil and paralysis of
accommodation. Slight degree of proptosis may occur due to loss of tone of the
paralysed muscles. There is limitation of movement upwards and inwards, on
raising the lid eye is seen to be deflected outwards and rotated internally
owing to tone of two unparalysed muscles (lateral rectus and superior oblique).
</div>
<div class="Para">
<b>Remember: </b>(LR<span style="font-size: 5.5pt; position: relative; top: 1pt;">6</span>SO<span style="font-size: 5.5pt; position: relative; top: 1pt;">4</span>)<span style="font-size: 5.5pt; position: relative; top: 1pt;">3</span>:
Lateral rectus is supplied by 6th nerve. Superior oblique is supplied by 4th
nerve. Rest of the extraocular muscles are supplied by 3rd nerve.</div>
<div class="Ques">
56.<span> </span>Hemianopia, cortical
blindness, amnesia and thalamic pain are associated with the occlusion of:</div>
<div class="ABCD">
<b>A.</b><span> </span>Anterior
cerebral artery<span> </span><b>B.</b><span> </span>Middle cerebral artery</div>
<div class="ABCD">
<b>C.</b><span> </span>Posterior
cerebral artery<span> </span><b>D.</b><span> </span>Basilar artery</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2384-2385) </span></i><span style="color: windowtext; font-weight: normal;"></span></div>
<div class="Para">
<b>Occlusion of posterior cerebral artery leads to the following:</b></div>
<div class="Indent">
a.<span> </span><b>Peripheral
territory:</b> Homonymous hemianopia, cortical blindness, awareness or denial
of blindness, failure to see to and fro movements, apraxia of ocular movements,
colour anomia, memory defect, hemivisual neglect, visual hallucinations etc.</div>
<div class="Indent">
b.<span> </span><b>Central territory:</b>
Thalamic syndrome, spontaneous pain and dysaesthesia, intention tremor,
Claude’s syndrome, Weber’s syndrome, contralateral hemiplegia etc.</div>
<div class="Ques" style="margin-top: 5.5pt;">
57.<span> </span>An
80-year old person has started forgetting the names of familiar persons and
places. There has been no confabulation. He tends to forget whether he had his
meals. Clinical and neurological examination reveal no abnormality. CT scan of
the brain showed symmetrical enlargement of lateral ventricles and wide sulci.
The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Confusional
state<span> </span><b>B.</b><span> </span>Alzheimer’s disease</div>
<div class="ABCD">
<b>C.</b><span> </span>Alcohol dementia<span> </span><b>D.</b><span> </span>Chronic cerebrovascular insufficiency</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2398)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The described clinical picture is typical of <b>Alzheimer’s
disease</b>. In Western countries it is the commonest cause of dementia. The
main feature is loss of memory, which is gradually progressive in nature.</div>
<div class="Para">
Pathologically the most important features are <b>‘senile
plaques’ and ‘neurofibrillary tangles’</b>, which are most commonly seen in
hippocampus, temporal cortex and nucleus basalis. PET scanning has shown that
the earliest change occurs in parietal cortex.</div>
<div class="Para">
<b>Tacrine and donepezil</b> are the only two drugs approved for
treatment.</div>
<div class="Ques" style="margin-top: 5pt;">
58.<span> </span>A
40-year old woman presented with a CT scan of head showing an enlarged sella
turcica. Neurological and endocrine work up in detail were found to be normal.
The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Prolactinoma<span> </span><b>B.</b><span> </span>Chromophobe adenoma</div>
<div class="ABCD">
<b>C.</b><span> </span>Craniopharyngioma<span> </span><b>D.</b><span> </span>Empty sella syndrome</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2079)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is most probably suffering from <b>empty sella
syndrome</b>. This is usually a MRI or CT finding. They have normal pituitary
function and there are no neurological symptoms or deficit.</div>
<div class="Para">
Hypopituitarism may develop insidiously.</div>
<div class="Para">
Sometimes there is silent infarction of pituitary and the sella
is filled up with CSF but in these cases endocrine abnormalities are seen.</div>
<div class="Ques" style="margin-top: 5pt;">
59.<span> </span>A
16-year old female presents with generalised weakness and palpitations. Her Hb
is 7 g/dl and peripheral smear shows microcytic hypochromic anaemia;
reticulocyte count = 0.8%, serum bilirubin = 1 mg%. The most likely diagnosis
is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Iron deficiency
anaemia<span> </span><b>B.</b><span> </span>Haemolytic anaemia</div>
<div class="ABCD">
<b>C.</b><span> </span>Aplastic anaemia<span> </span><b>D.</b><span> </span>Folic acid deficiency</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 588-589)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is suffering from <b>iron deficiency anaemia</b>.
Microcytic hypochromic anaemia is found in:</div>
<div class="Indent">
1.<span> </span>Iron deficiency.</div>
<div class="Indent">
2.<span> </span>Thalassaemia.</div>
<div class="Indent">
3.<span> </span>Sideroblastic anaemia.</div>
<div class="Para">
In this patient reticulocyte count is normal which excludes
thalassaemia and haemolytic anaemia in which reticulocyte count is raised.
There are no features suggestive of sideroblastic anaemia.</div>
<div class="Para">
In <b>aplastic anaemia </b>there is normochromic and normocytic
anaemia.</div>
<div class="Para">
In <b>folic acid deficiency </b>there is megaloblastic anaemia.</div>
<div class="Ques">
60.<span> </span>A 55-year old male
presents with enlarged glands over the left side of the neck. On examination,
spleen is enlarged 4 cm below the costal margin and liver is enlarged 2 cm
below costal margin. Blood examination shows a total leucocyte count of
80,000/cumm, mostly lymphocytes and a few premature cells. The most likely
diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Infective
adenopathy<span> </span><b>B.</b><span> </span>Acute leukaemoid reaction</div>
<div class="ABCD">
<b>C.</b><span> </span>Lymphatic
leukaemia<span> </span><b>D.</b><span> </span>Hodgkin’s disease</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 648)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is suffering from <b>chronic lymphocytic leukaemia (CLL)</b>,
which is the commonest leukaemia of old age. Lymphadenopathy with
hepatosplenomegaly further points towards CLL. The peripheral blood picture in
CLL shows leucocytosis with lymphocytosis as the main abnormality. Sometimes
autoimmune haemolytic anaemia may be found in these patients.</div>
<div class="Para">
CLL is of B cell origin and displays CD5 antigen.</div>
<div class="Para">
Chemotherapy is not given in majority as CLL has a slow indolent
course. Chlorambucil or fludarabine are used, as single agent for chemotherapy
and <b>fludarabine is the drug of choice</b>.</div>
<div class="Ques">
61.<span> </span>An elderly person has
been having refractory anaemia with pancytopenia. The peripheral smear shows
ring sideroblasts and 15% blast cells. The bone marrow is hypercellular. The
most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Myelodysplastic
syndrome<span> </span><b>B.</b><span> </span>Acute myelogenous leukaemia</div>
<div class="ABCD">
<b>C.</b><span> </span>Blast crisis of
chronic myeloid leukaemia<span> </span><b>D.</b><span> </span>Malignant infiltration of bone marrow</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 624-625)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is suffering from <b>myelodysplastic syndrome (MDS).</b>
It is characterized by cytopenias with dysmorphic and usually cellular bone
marrow and ineffective blood cell production.</div>
<div class="Para">
Idiopathic MDS is a disease of old persons. The main feature is
refractory anaemia. Fever and weight loss may be present. 20% patients have
splenomegaly.</div>
<div class="Para">
Refractory anaemia with pancytopenia is the main abnormality.
Ringed sideroblasts are also seen. The number of blast cells is more than 5% in
blood and between 20-30 percent in bone marrow in ‘refractory anaemia with
excess blasts in transformation’ subtypes of MDS.</div>
<div class="Para">
In blast crisis the number of blasts in marrow or peripheral
smear is more than 20%.</div>
<div class="Para">
Treatment is unsatisfactory and only <b>stem cell transplantation</b>
offers cure.</div>
<div class="Ques">
62.<span> </span>Which one of the
statements about non-insulin dependents diabetes mellitus (NIDDM) is <i>not</i>
true?</div>
<div class="ABCD">
<b>A.</b><span> </span>Circulating
islet cell antibodies are usually found</div>
<div class="ABCD">
<b>B.</b><span> </span>There is no HLA
association</div>
<div class="ABCD">
<b>C.</b><span> </span>Ketosis is rare</div>
<div class="ABCD">
<b>D.</b><span> </span>Relative
resistance to insulin is present</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2156)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Circulating islet cell autoantibodies</b> are a composite of
several antibodies directed at pancreatic islet molecules such as GAD (glutamic
acid decarboxylase), insulin, IA-2/ICA512 and an islet ganglioside and they
serve as <b>marker of autoimmune process in type IA DM.</b></div>
<div class="Para">
These are present in more than 75% of newly diagnosed type IA DM
within 5 years.</div>
<div class="Para">
Rest of the statements in the question are true for type 2 DM
(NIDDM).</div>
<div class="Ques">
63.<span> </span>Consider the
following features:</div>
<div class="ABCD">
1.<span> </span>Hyperthyroidism<span> </span>2.<span> </span>Pretibial myxoedema</div>
<div class="ABCD">
3.<span> </span>Atrial fibrillation<span> </span>4.<span> </span>Ophthalmopathy</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Those
which are characteristic of Graves’ disease would include:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 3 and 4<span> </span><b>B.</b><span> </span>2, 3 and 4</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 2 and 3<span> </span><b>D.</b><span> </span>1, 2 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2113)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>The three main features of Graves’ disease are goitre with
hyperthyroidism, ophthalmopathy and dermopathy (pretibial myxoedema).</b></div>
<div class="Para">
Hyperthyroidism is due to thyroid stimulating antibodies.
Ophthalmopathy and dermopathy are due to immunologically mediated activation of
fibroblasts in extraocular muscles and skin that lead to accumulation of
glycosaminoglycans, which in turn lead to oedema.</div>
<div class="Para">
Atrial fibrillation is a feature of thyrotoxicosis, which is also
seen in Graves’ disease.</div>
<div class="Ques">
64.<span> </span>Which of the
following antidiabetic drugs are particularly to be <i>avoided</i> in elderly
diabetic patients?</div>
<div class="ABCD">
1.<span> </span>Glibenclamide<span> </span>2.<span> </span>Gliclazide</div>
<div class="ABCD">
3.<span> </span>Chlorpropamide<span> </span>4.<span> </span>Glipizide</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 2<span> </span><b>B.</b><span> </span>1 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>2 and 4<span> </span><b>D.</b><span> </span>1, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2175)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Glibenclamide and chlorpropamide</b> are better avoided in
elderly patients because they have greater incidence of <b>hypoglycaemia</b>
and frequent drug interaction. The second-generation sulfonylureas (gliclazide,
glipizide, glimepiride, glyburide etc) are preferred in elderly persons.</div>
<div class="Ques">
65.<span> </span>Wermer’s syndrome
(multiple endocrine neoplasia type I) is characterised by all of the following <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>Tumours of
anterior pituitary<span> </span><b>B.</b><span> </span>Tumours of parathyroids</div>
<div class="ABCD">
<b>C.</b><span> </span>Pancreatic
adenomas<span> </span><b>D.</b><span> </span>Phaeochromocytoma</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2231)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Pheochromocytoma is seen in MEN type 2. It is rare in MEN type 1.
See also Q 20.</div>
<div class="Ques">
66.<span> </span>Periodic paralysis
may be associated with all of the following <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>Hyperkalaemia<span> </span><b>B.</b><span> </span>Hypokalaemia</div>
<div class="ABCD">
<b>C.</b><span> </span>Hyperthyroidism<span> </span><b>D.</b><span> </span>Hypothyroidism</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2536-2537)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Periodic paralysis</b> means episodic muscle weakness followed
by recovery. Each episode lasts for few hours to several days and may occur
daily or once in four years.</div>
<div class="Para">
Hypokalaemia (mutation in voltage sensitive, skeletal muscle
calcium channel), hyperkalaemia and thyrotoxicosis are known causes of periodic
paralysis.</div>
<div class="Para">
Acetazolamide and IV/oral K<span style="font-size: 5.5pt; position: relative; top: -4pt;">+</span><span> </span>suplementation is used in management of
hypokalaemic periodic paralysis.</div>
<div class="Para">
<b>Remember the following important points commonly asked in
examination:</b></div>
<div class="Indent">
1.<span> </span>High carbohydrate diet
provokes hypokalemic periodic paralysis.</div>
<div class="Indent">
2.<span> </span><b>Hyperkalemic
periodic paralysis </b>is a disorder of sodium channel of muscles. In 50% of
patients serum K<span style="font-size: 5.5pt; position: relative; top: -4pt;">+</span><span> </span>is
moderately elevated but it may be normal or low.</div>
<div class="Indent">
3.<span> </span><b>Myotonia congenita </b>occurs
due to Cl<span style="font-size: 5.5pt; position: relative; top: -4pt;">–</span><span> </span>channel disorder of
muscles.</div>
<div class="Indent">
4.<span> </span>Paramyotonia congenita
is a sodium channel disorder of muscle.</div>
<div class="Indent">
5.<span> </span>In <b>thyrotoxic
periodic paralysis </b>there is evidence of decreased activity of calcium pump.
Acute attacks respond to potassium. Beta blockers prevent attacks and
acetazolamide is not useful.</div>
<div class="Ques">
67.<span> </span>Vitamin D resistant
rickets is associated with:</div>
<div class="ABCD">
<b>A.</b><span> </span>Hypophosphataemia<span> </span><b>B.</b><span> </span>Increased calcium absorption</div>
<div class="ABCD">
<b>C.</b><span> </span>Metabolic
acidosis<span> </span><b>D.</b><span> </span>Renal failure</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1700)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Vitamin D resistant rickets</b> is an X-linked dominant
disorder in which there is defective renal tubular phosphate reabsorption with
hypophosphataemia that leads to rickets. The vitamin D level is relatively low
for the degree of hypophosphataemia. Treatment is with very high dose of
vitamin D and oral phosphate.</div>
<div class="Para">
<b>Hypophosphataemia </b>is mainly due to reduced tubular
reabsorption of phosphate, low intestinal absorption also contributes. The
features are bow legs, delayed dentition, skull abnormalities, short stature
etc. The serum calcium is normal. Vitamin D level is also normal which should
have been elevated in presence of hypophosphataemia.</div>
<div class="Ques" style="line-height: normal;">
68.<span> </span>A
patient after vomiting several times develops carpopedal spasm. The most
appropriate treatment would be:</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>Intravenous injection of 20 ml 10% calcium gluconate solution</div>
<div class="ABCD" style="line-height: normal;">
<b>B.</b><span> </span>Intravenous infusion of isotonic saline</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>Oral ammonium chloride 2 gm four times a day</div>
<div class="ABCD" style="line-height: normal;">
<b>D.</b><span> </span>5% CO<span style="font-size: 5.5pt; position: relative; top: 1.5pt;">2</span><span> </span>inhalation</div>
<div class="Body">
<span style="color: windowtext;">Ans. A<span> </span></span></div>
<div class="Para">
The patient has developed <b>carpopedal spasm</b>. This means he
has <b>tetany</b>, which has developed due to <b>alkalosis (due to loss of acid
in vomitus)</b> that leads to <b>decreased level of serum ionized calcium.</b></div>
<div class="Para">
There are three parts in management. The first part is immediate
management of tetany, second part is correction of alkalosis and third part is
correction of cause of vomiting.</div>
<div class="Para">
For immediate control of tetany IV 20 ml of 10% calcium gluconate
is given.</div>
<div class="Para">
For alkalosis the best approach is to give IV NS. Ammonium
chloride and 5% CO<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span> </span>inhalation are other alternatives.</div>
<div class="Para">
For vomiting metoclopramide with ranitidine may be given.</div>
<div class="Ques" style="line-height: normal;">
69.<span> </span>Which
one of the following is AIDS defining illness?</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><i><span> </span>Mycobacterium tuberculosis</i> meningitis<span> </span><b>B.</b><span> </span><i>Cryptococcus neoformans </i>meningitis</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>Cytomegalovirus meningitis<span> </span><b>D.</b><span> </span><i>Histoplasma capsulatum </i>meningitis</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1116)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Cryptococcal meningitis is the initial AIDS defining illness in
about 2% of cases and it usually occurs in patients with CD4+ T cell count
<100/µL.</div>
<div class="Para">
The features are fever, vomiting, altered sensorium, headache,
neck rigidity etc. About 1/3rd of patients have pulmonary cryptococcosis.</div>
<div class="Para">
<b>India ink examination of CSF</b> helps in diagnosis. Treatment
is with IV amphotericin B (0.7 mg/kg OD) with flucy-tosine (25 mg/kg QID) for
14 days followed by fluconazole 400 mg/d orally for 8 weeks followed by 200
mg/d for life.</div>
<div class="Ques" style="line-height: normal;">
70.<span> </span>Which
one of the following vectors transmits scrub typhus?</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span>Louse<span> </span><b>B.</b><span> </span>Flea</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span>Mite<span> </span><b>D.</b><span> </span>Ticks</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1004)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Scrub typhus is caused by <i>Orientia tsutsugamushi</i></b>,
which is maintained in nature by transovarian transmission in <b>trombiculid
mites</b>, mainly of genus <i>Leptotrombidium</i>.</div>
<div class="Para">
After hatching, the infected larval mites (chigger) inoculate
organisms into the skin while feeding.</div>
<div class="Para">
Clinical features are fever, headache, myalgia, cough,
gastrointestinal symptoms, regional lymphadenopathy etc.</div>
<div class="Para">
<b>Doxycycline</b> (100 mg BD for 15 days) or chloramphenicol
(500 mg QID for 15 days) is used for treatment.</div>
<div class="Ques" style="line-height: normal; margin-top: 5pt;">
71.<span> </span>Which one of the following organisms is
responsible for toxin mediated food poisoning?</div>
<div class="ABCD" style="line-height: normal;">
<b>A.</b><span> </span><i>Bacillus anthracis<span> </span></i><b>B.</b><span> </span><i>Salmonella</i><b> </b>species</div>
<div class="ABCD" style="line-height: normal;">
<b>C.</b><span> </span><i>Staphylococcus aureus<span> </span></i><b>D.</b><span> </span><i>Campylobacter jejuni</i></div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Ananthnarayan
and Paniker 6th ed., p 182, 233)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Most likely cause is <b><i>Staphylococcal food poisoning</i></b>,
which is due to preformed toxin. Incubation period is 1 to 6 hours and is
characterised by sudden onset of vomiting, abdominal cramps and diarrhoea.</div>
<div class="Para">
Food poisoning is classified into three types depending upon the
pathogenesis. </div>
<div class="Indent">
a.<span> </span><b><i>Infection type:</i></b>
In this type the infective dose of pathogenic microorganism is ingested. The
incubation period is 12 to 24 hours. Typical example is <i>Salmonella </i>food
poisoning. Man gets the infection from farm animals and poultry.</div>
<div class="Indent">
b.<span> </span><b><i>Toxin type:</i></b>
Here the patient consumes preformed toxin present in food.The incubation period
is short, 1 to 6 hours. Typical example is Staphylococcal food poisoning. The
foods involved are salads, custards, milk and milk products which get
contaminated by staphylococci. Food poisoning results from ingestion of toxins
preformed in food in which bacteria have grown. Since the toxin is heat
resistant, it can remain in food after the organisms have died. Patient
presents with sudden onset of vomiting, abdominal cramps and diarrhoea.</div>
<div class="Indent">
c.<b><span> </span><i>Intermediate
type:</i> </b>In this case the ingested pathogenic bacteria liberates toxin in
gut and causes diarrhoea.The incubation period is 6 to 12 hours. Typical
example is <i>Clostridium perfringens </i>food poisoning. <i>Cl. perfringens </i>food
poisoning outbreaks are associated with ingestion of meat, meat dishes and
poultry. Usual story is that the food has been prepared and cooked 24 hours or
more before consumption and allowed to cool slowly at room<b> </b>temperature
and then heated immediately prior to serving. <b><i>Nausea and vomiting are
rare in Clostridium food poisoning</i>.</b></div>
<div class="Ques">
72.<span> </span>Type II lepra
reaction is seen in which of the following conditions?</div>
<div class="ABCD">
1.<span> </span>Lepromatous leprosy<span> </span>2.<span> </span>Borderline leprosy</div>
<div class="ABCD">
3.<span> </span>Intermediate leprosy<span> </span>4.<span> </span>Tuberculoid leprosy</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 2<span> </span><b>B.</b><span> </span>2 and 4</div>
<div class="ABCD">
<b>C.</b><span> </span>1 and 3<span> </span><b>D.</b><span> </span>3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 969)</span></i><span style="color: windowtext;"></span></div>
<div class="B-level">
Type 2 lepra reaction</div>
<div class="Para" style="margin-top: 0in;">
Type 2 lepra reaction i.e.,<b> erythema
nodosum leprosum (ENL) occurs in lepromatous and borderline lepromatous
leprosy.</b> ENL may precede the diagnosis of leprosy.</div>
<div class="Para">
Commonly it presents in the form of crops of painful erythematous
papules that resolve spontaneously in a few days to a week.</div>
<div class="Para">
Skin biopsy reveals vasculitis or panniculitis. TNF level is
raised.</div>
<div class="Para">
Treatment is with <b>short course of glucocorticoid</b> (40-60
mg/day for 7 to 14 days). In recurrent or persistent cases <b>thalidomide</b>
is given.</div>
<div class="B-level">
Type 1 lepra reaction</div>
<div class="Para" style="margin-top: 0in;">
Type 1 lepra reaction is seen in about 50%
case of borderline leprosy but not in patients with polar disease. There is low
grade fever, ulnar nerve is thickened and tender, there is inflammation in
previously involved macules, papules and plaques. Oedema is most characteristic
microscopic feature of type 1 lepra reaction.</div>
<div class="Para">
Treatment is with glucocorticoid.</div>
<div class="Ques">
73.<span> </span>The treatment of
choice in resistant malaria is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Chloroquine<span> </span><b>B.</b><span> </span>Quinine</div>
<div class="ABCD">
<b>C.</b><span> </span>Primaquine<span> </span><b>D.</b><span> </span>Tetracycline</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1226)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Resistance of <i>P. vivax</i> to chloroquine is not yet a major
problem but it is a very big problem as far as <i>P. falciparum</i> is
considered.</div>
<div class="Para">
<b>Drug resistant malaria is treated with quinine.</b> In USA
quinidine is more commonly used. The oral dose of quinine is 10 mg of salt/kg 8
hourly for 7 days and the intravenous dose is 20 mg of salt/kg over 4 hours
followed by 10 mg/kg 8 hourly over 2-8 hours for 7 days.</div>
<div class="Para">
The various other drugs used in drug resistant malaria are
sulfadoxine + pyrimethamine, mefloquine, artesunate, artemethers, halofantrine
etc.</div>
<div class="Ques">
74.<span> </span>The treatment of
choice in <i>Taenia saginata </i>and <i>Taenia solium</i> infections is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Metronidazole<span> </span><b>B.</b><span> </span>Niclosamide</div>
<div class="ABCD">
<b>C.</b><span> </span>Praziquantel<span> </span><b>D.</b><span> </span>Albendazole</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1273-1274)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>The treatment of choice for <i>Taenia saginata</i> and <i>Taenia
solium</i> is praziquantel.</b> A single dose of 5-10 mg/kg is sufficient.
However in case of <i>Taenia solium</i> one has to be careful because
praziquantel can evoke inflammatory response in CNS if concomitant cryptic
neurocysticercosis is present.</div>
<div class="Para">
However according to Kumar and Clark 4th ed., p 95 niclosamide is
mentioned as treatment along with praziquantel. Previously niclosamide was used
extensively but now praziquantel is considered to be highly effective though it
is not available all over the world. Harrison does not even mention about
niclosamide.</div>
<div class="Ques">
75.<span> </span>An Indian adult who
has never travelled abroad comes with a history of high fever, headache,
jaundice, marked oliguria and shock with TLC of 16,000/cumm. The most likely
diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Viral hepatitis<span> </span><b>B.</b><span> </span>Leptospirosis (Weil’s disease)</div>
<div class="ABCD">
<b>C.</b><span> </span>Yellow fever<span> </span><b>D.</b><span> </span>Haemolytic uraemic syndrome</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 990)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient has developed <b>leptospirosis</b>. For further
details see Q 101 paper 1 UPSC 2001.</div>
<div class="Ques">
76.<span> </span>Which one of the
following drugs causes hyperprolactinaemia?</div>
<div class="ABCD">
<b>A.</b><span> </span>Domperidone<span> </span><b>B.</b><span> </span>Metoclopramide</div>
<div class="ABCD">
<b>C.</b><span> </span>Cisapride<span> </span><b>D.</b><span> </span>Lansaprazole</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2085)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Drug induced inhibition of dopaminergic receptors</b> result
in hyperprolactinaemia. <b>Metoclopramide</b> is a common drug to cause
hyperprolactinaemia.</div>
<div class="Para">
Besides metoclopramide the other drugs that cause
hyperprolactinaemia are phenothiazines, butyrophenones (haloperidol),
thioxanthenes, alpha methyldopa, reserpine, cimetidine, ranitidine,
amitryptyline, fluoxetine, verapamil, oestrogen, antiandrogens etc.</div>
<div class="Para">
In all cases of unexplained glactorrhoea always drug history
needs to be taken carefully.</div>
<div class="Ques">
77.<span> </span>Consider the
following adverse effects of penicillin:</div>
<div class="ABCD">
1.<span> </span>Haemolysis<span> </span>2.<span> </span>Drug fever</div>
<div class="ABCD">
3.<span> </span>Neutropaenia<span> </span>4.<span> </span>Anaphylaxis</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Those
related to dose of penicillin are:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 2<span> </span><b>B.</b><span> </span>1 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>2 and 4<span> </span><b>D.</b><span> </span>3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B<span> </span></span></div>
<div class="Para">
<b>The greatest concern for beta lactams is the allergic
reactions.</b> The types of reactions are:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Type 1
hypersensitivity: Anaphylaxis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Type 2
hypersensitivity, cytotoxic reaction: Nephritis and Coombs’ positive haemolytic
anaemia.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Type 3
hypersensitivity, immune complex formation: Drug fever and serum sickness.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Type 4
hypersensitivity, cell mediated effects: Contact dermatitis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Type 5
hypersensitivity, idiopathic reaction: Maculopapular eruptions.</div>
<div class="Table" style="margin: 4pt 0in 2pt;">
<b>Table: Adverse effects of penicillin.</b></div>
<div style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
<b><span> </span>Hypersensitivity<span> </span>Dose
related</b></div>
</div>
<div class="Table" style="margin-left: 15pt;">
–<span> </span>Skin rash (urticaria/maculopapular)<span> </span>–<span> </span>Neutropenia, reversible</div>
<div class="Table" style="margin-left: 15pt;">
–<span> </span>Anaphylaxis<span> </span>–<span> </span>Haemolysis</div>
<div class="Table" style="margin-left: 15pt;">
–<span> </span>Drug fever<span> </span>–<span> </span>Encephalopathy</div>
<div class="Table" style="margin-left: 15pt;">
–<span> </span>Interstitial nephritis</div>
<div style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; margin-left: 15pt; margin-right: 0in; padding: 0in;">
<div class="Table" style="border: medium none; margin-bottom: 2pt; padding: 0in;">
Sometimes seizures are also seen with penicillin
(high dose).</div>
</div>
<div class="Ques">
78.<span> </span>Alcohol ingestion may
give rise to disulfiram type reactions with: </div>
<div class="ABCD">
<b>A.</b><span> </span>Hydroxyquinolone<span> </span><b>B.</b><span> </span>Furazolidine</div>
<div class="ABCD">
<b>C.</b><span> </span>Sulphonamide<span> </span><b>D.</b><span> </span>Metronidazole</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 803)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Disulfiram like reactions</b> occur due to <b>inhibition of
enzyme aldehyde dehydrogenase</b>, which leads to accumulation of aldehyde,
which is an intermediate product in metabolism of alcohol. It causes a very
unpleasant reaction in presence of alcohol. Hence disulfiram is used for
deaddiction from alcohol. </div>
<div class="Para">
Metronidazole produces disulfiram like side effect in alcoholics.</div>
<div class="Ques">
79.<span> </span>Consider the
following factors:</div>
<div class="ABCD">
1.<span> </span>HIV<span> </span>2.<span> </span>Malignancy</div>
<div class="ABCD">
3.<span> </span>Systemic lupus
erythematosus<span> </span>4.<span> </span>Glomerulonephritis</div>
<div class="Ques" style="margin-top: 2pt;">
<span> </span>Those
factors which predispose to candidiasis would include:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 2<span> </span><b>B.</b><span> </span>2 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>3 and 4<span> </span><b>D.</b><span> </span>1 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1186)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Candidiasis occurs mainly in immunocompromized persons.</b>
Various immunosuppressed states like AIDS, malignancy, steroid therapy,
diabetes mellitus etc have increased incidence of candida infection.</div>
<div class="Para">
Candida infection increases after broad-spectrum antibiotic
therapy. Vulvovaginal candidiasis is common in third trimester of pregnancy.
Cutaneous candidiasis often involves macerated skin such as diapered area of
infants, hands constantly in water etc. Neutropenia is also an important risk
factor for candidiasis.</div>
<div class="Ques" style="margin-top: 4pt;">
80.<span> </span>Healing
with calcification is a feature of:</div>
<div class="ABCD">
<b>A.</b><span> </span>Cryptococcosis<span> </span><b>B.</b><span> </span>Mucormycosis</div>
<div class="ABCD">
<b>C.</b><span> </span>Aspergillosis<span> </span><b>D.</b><span> </span>Histoplasmosis</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1179)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Healing with calcification is a feature of histoplasmosis.</b>
For further information see Q 47 paper 1 UPSC 2002 and Q 9 paper 1 UPSC 2000.</div>
<div class="Ques" style="margin-top: 4pt;">
81.<span> </span>Which
one of the following signs is most valuable in the diagnosis of Wernicke’s
encephalopathy?</div>
<div class="ABCD">
<b>A.</b><span> </span>Ataxia</div>
<div class="ABCD">
<b>B.</b><span> </span>Confusional
state</div>
<div class="ABCD">
<b>C.</b><span> </span>Korsakoff’s
psychosis</div>
<div class="ABCD">
<b>D.</b><span> </span>Bilateral
symmetrical ophthalmoplegia</div>
<div class="Body">
<span style="color: windowtext;">Ans. D<span> </span></span></div>
<div class="Para">
<b>The most valuable sign of Wernicke’s encephalopathy is some
form of bilateral, symmetrical ophthalmoplegia.</b> This may be in one or more
than one direction and accompanied by nystagmus and/or abnormal pupillary
reflexes. </div>
<div class="Para">
See also Q 6 paper 1 UPSC 2003.</div>
<div class="Para">
It should be treated on emergency basis. 50 mg of thiamine
hydrochloride should be given IV followed by 50 mg daily IM for a week.</div>
<div class="Ques" style="margin-top: 5pt;">
82.<span> </span>Match
List-I (Nutrients) with List-II (Clinical effects/roles) and select the correct
answer using the codes given below the Lists:</div>
<div class="ABCD">
<b><span> </span>List-I<span> </span>List-II</b></div>
<div class="ABCD">
a.<span> </span>Copper<span> </span>1.<span> </span>Eczematous dermatitis around nose and mouth</div>
<div class="ABCD">
b.<span> </span>Tocopherol<span> </span>2.<span> </span>Antioxidants</div>
<div class="ABCD">
c.<span> </span>Zinc<span> </span>3.<span> </span>Increased density of bone</div>
<div class="ABCD">
d.<span> </span>Fluoride<span> </span>4.<span> </span>Chronic liver disease</div>
<div class="codes">
Codes:</div>
<div class="CodAns">
<b>A.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>B.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>C.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>D.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d</div>
<div class="CodAns">
<span> </span>4<span> </span>2<span> </span>1<span> </span>3<span> </span>4<span> </span>2<span> </span>3<span> </span>1<span> </span>2<span> </span>4<span> </span>3<span> </span>1<span> </span>2<span> </span>4<span> </span>1<span> </span>3</div>
<div class="Body">
<span style="color: windowtext;">Ans. A<span> </span></span></div>
<div class="Para">
<b>Copper accumulation</b> in liver is a feature of <b>Wilson’s
disease</b>. Chronic liver disease with hepatic failure is a major clinical
feature.</div>
<div class="Para">
<b>Tocopherol</b> (vitamin E) is a well known <b>antioxidant.</b>
It protects body from oxygen derived free radials.</div>
<div class="Para">
<b>Zinc deficiency</b> leads to <b>dermatitis</b> around mouth
and nose. See also Q 44 paper 1 UPSC 2002.</div>
<div class="Para">
Excess fluoride consumption leads to <b>fluorosis</b>. It leads
to increased density of bone. Chalky white bones are seen in X-ray.</div>
<div class="Ques">
83.<span> </span>A 30-year old male
presents with pruritic flat-topped polygonal, shiny violanceous papules with
flexural distribution. The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Psoriasis<span> </span><b>B.</b><span> </span>Pityriasis rosea</div>
<div class="ABCD">
<b>C.</b><span> </span>Lichen planus<span> </span><b>D.</b><span> </span>Lichenoid dermatitis</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Short
Textbook of Dermatology and Venereology 1st ed., Praveen Jain p 53)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The clinical feature is typical of <b>lichen planus</b>. <b>Wickham’s
striae and Koebner’s phenomenon </b>are seen in it.</div>
<div class="Para">
<b>Lichen planus</b> is characterized by:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Flat topped
polygonal greyish white or purple eruptions.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Eruptions have scaly
surface and is traversed by fine white lines, called <b>Wickham’s striae.</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Papule may be
scattered or grouped.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Papules may be
linear over marks of excoriation or trauma <b>(Koebner’s phenomenon).</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Involves flexor
surfaces or wrist and forearms, lumbar area, ankles, glans penis, anterior
aspect of lower legs and dorsal surfaces of the hands.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Mucous membrane
involved in 50% cases.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Nails involved in
10% cases. Most common nail change is slight thinning of nail plate.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span><b>Civatte bodies </b>or
<b>colloid bodies </b>which are necrotic keratinocytes are seen.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span><b>Max-Joseph space:
</b>This is a clear area, seen at dermoepidermal junction in lichen planus.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Lichen planus of
hair follicle is known as lichen planopilaris causing scarring alopecia <b>(Pseudopelade).</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span><b>Conditions
associated</b> with lichen planus are alopecia areata, morphea, vitiligo,
ulcerative colitis, myasthenia gravis and other autoimmune disorders.</div>
<div class="Ques">
84.<span> </span>Chancroid (soft sore)
is caused by:</div>
<div class="ABCD">
<b>A.</b><span> </span><i>Haemophilus
ducreyi<span> </span></i><b>B.</b><span> </span><i>Treponema pallidum</i></div>
<div class="ABCD">
<b>C.</b><span> </span><i>Treponema
pertenue<span> </span></i><b>D.</b><span> </span><i>Borrelia recurrentis</i></div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 866)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b><i>Haemophilus ducreyi</i> causes chancroid.</b> It is a
gram-negative bacterium that requires X factor (hemin) for growth.</div>
<div class="Para">
Chancroid is a STD. After incubation period of 4 to 7 days a
papule appears in genitalia, which gets converted into painful ulcers that
bleeds easily. Tender inguinal lymphadenopathy is seen in 50% cases.</div>
<div class="Para">
Ceftriaxone 250 mg IM single dose, azithromycin 1g orally single
dose or ciprofloxacin 500 mg BD for 3 days may be given.</div>
<div class="Para">
<i>Treponema pallidum </i>causes syphilis.</div>
<div class="Para">
<i>Treponema pertenue</i> causes yaws.</div>
<div class="Para">
<i>Borrelia recurrentis </i>causes louse borne relapsing fever.</div>
<div class="Ques">
85.<span> </span>Lilac coloured
(heliotrope) pigmentation over the face is characteristic of:</div>
<div class="ABCD">
<b>A.</b><span> </span>Dermatomyositis<span> </span><b>B.</b><span> </span>Polymyositis</div>
<div class="ABCD">
<b>C.</b><span> </span>Systemic lupus
erythematosus<span> </span><b>D.</b><span> </span>Systemic sclerosis</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2540)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Dermatomyositis</b> is an inflammatory myopathy. It affects
both adults and children and more commonly women than men.</div>
<div class="Para">
The main feature is progressive and symmetric muscle weakness. In
dermatomyositis there is <b>heliotrope (lilac coloured, bluish purple coloured)
rash</b> on upper eyelids with oedema, and erythema of knuckles with raised
violaceous scaly eruption <b>(Grotton’s rash)</b>.</div>
<div class="Para">
In up to 15% of cases there is increased risk of malignancy. <b>Serum
CK is elevated 50 times</b>. Muscle biopsy confirms diagnosis. It should be
differentiated from polymyositis.</div>
<div class="Para">
Prednisolone and immunosuppressive drugs are used in treatment.</div>
<div class="Ques">
86.<span> </span>All of the following
can be used to prevent gouty attack <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>Allopurinol<span> </span><b>B.</b><span> </span>Aspirin</div>
<div class="ABCD">
<b>C.</b><span> </span>Probenecid<span> </span><b>D.</b><span> </span>Sulfinpyrazone</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2047)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Aspirin is a NSAID and it is used to treat acute attack of gout.
See Q 62 paper 1 UPSC 2002 for further information.</div>
<div class="Ques">
87.<span> </span>A young male presens
with joint pains and backache. X-ray of spine shows evidence of sacroilitis.
The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Rheumatoid
arthritis<span> </span><b>B.</b><span> </span>Ankylosing spondylosis</div>
<div class="ABCD">
<b>C.</b><span> </span>Polyarticular
juvenile arthritis<span> </span><b>D.</b><span> </span>Psoriatic arthropathy</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1994)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Sacroilitis is a classical feature of ankylosing spondylitis
that affects young adults</b>. See also Q 49 paper 1 UPSC 2002.</div>
<div class="Para">
Ankylosing spondylitis is commonly seen in young male and it is
associated with <b>HLA B27.</b> Sacroilitis is the main feature in the early
part of the disease. Gradually the spine is involved. There are features of
both enthesitis and synovitis.</div>
<div class="Para">
There is subchondral granulation tissue with infiltration of
inflammatory cells. Synovitis follows with pannus formation. Iliac cartilage is
eroded before thicker sacral cartilage and gradually the joint space may be
obliterated.</div>
<div class="Para">
TNF alpha antagonists are now the drug of choice for ankylosing
spondylitis.</div>
<div class="Ques">
88.<span> </span>A young female is
suffering from recurrent thrombosis of leg vein, abortion, thrombocytopaenia
and focal neurological lesions. The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Disseminated
intravascular coagulation<span> </span><b>B.</b><span> </span>Systemic lupus erythematosus</div>
<div class="ABCD">
<b>C.</b><span> </span>Syphilis<span> </span><b>D.</b><span> </span>Vasulitis</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1963)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is suffering from SLE. See Q 117 paper 1 UPSC 2001
for clinical features of SLE.</div>
<div class="Ques">
89.<span> </span>Lithium carbonate is
the drug of choice in:</div>
<div class="ABCD">
<b>A.</b><span> </span>Anxiety neurosis<span> </span><b>B.</b><span> </span>Conversion reaction</div>
<div class="ABCD">
<b>C.</b><span> </span>Manic depressive
psychosis<span> </span><b>D.</b><span> </span>Schizophrenia</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Niraj
Ahuja 5th ed., p 72)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Lithium is the drug of choice for manic episode as well as for
the recurrent manic depressive attacks.</b> The preventive use is best in
usually those bipolar patients where the frequency of episodes is 1-3 per year
or 2-5 per two years. Before starting treatment, it is essential to make sure
of normal functioning of kidneys, thyroid, heart and CNS. There is a 1-2 weeks
lag period before any appreciable response is observed. The usual dose is
900-1200 mg of lithium carbonate per day. The treatment is closely monitored by
repeated blood levels as the difference between therapeutic and lethal blood
levels is not very wide.</div>
<div class="Ques">
90.<span> </span>A middle-aged patient
was brought to the hospital in stuporous condition with loss of power in all
four limbs. Waxy flexibility of muscle tone in the limbs was detected. The most
likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Hysterical
stupor<span> </span><b>B.</b><span> </span>Organic stupor</div>
<div class="ABCD">
<b>C.</b><span> </span>Catatonic stupor<span> </span><b>D.</b><span> </span>Depressive stupor</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Niraj
Ahuja 5th ed., p 56)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The patient is suffering from <b>catatonic schizophrenia. Waxy
flexibility</b> means that the patent will keep his body parts in a certain
posture for a long time even if very uncomfortable and flexible like wax.</div>
<div class="Para">
<b>Catatonic schizophrenia</b> is characterized by marked
disturbance of motor behaviour. Important <b>clinical features</b> of catatonia
are mutism, rigidity, negativism, posturing, stupor, echolalia, echopraxia,
waxy flexibility, ambitendency mannerisms, stereotypies and verbigeration. </div>
<div class="Ques">
91.<span> </span>Which one of the
following disorders is X-linked dominant transmission to the offsprings?</div>
<div class="ABCD">
<b>A.</b><span> </span>Vitamin D
resistant rickets<span> </span><b>B.</b><span> </span>Nephrogenic diabetes insipidus</div>
<div class="ABCD">
<b>C.</b><span> </span>Colour blindness<span> </span><b>D.</b><span> </span>Christmas disease</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1700)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Hypophosphataemic vitamin D resistant rickets </b>is a X
linked dominant disorder. Hypophosphataemia is mainly due to reduced tubular
reabsorption of phosphate, low intestinal absorption also contributes. The
features are bow legs, delayed dentition, skull abnormalities, short stature
etc. The serum calcium is normal. Vitamin D level is also normal which should
have been elevated in presence of hypophosphataemia.</div>
<div class="Para">
<b>Nephrogenic diabetes insipidus is X-linked recessive</b>
disease and another variety of it is autosomal recessive. </div>
<div class="Para">
<b>Colour blindness </b>is also X-linked recessive disease.</div>
<div class="Para">
<b>Christmas disease </b>is also X-linked recessive disease.</div>
<div class="Ques">
92.<span> </span>In the flow of
genetic information, transcription is directly involved in the step:</div>
<div class="ABCD">
<b>A.</b><span> </span>DNA to RNA<span> </span><b>B.</b><span> </span>DNA to DNA</div>
<div class="ABCD">
<b>C.</b><span> </span>RNA to protein<span> </span><b>D.</b><span> </span>Protein to RNA</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 362-363)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The information stored in DNA code of a gene is transcribed from
one strand to a particular type of RNA (messenger RNA) so that each base of
mRNA formed is complimentary to corresponding base in DNA of the gene i.e.,
cytosine with guanine, thymine with adenine but adenine with uracil since
uracil replaces thymine in RNA.</div>
<div class="Para">
Gene transcription starts when RNA polymerase starts synthesizing
RNA from DNA template.</div>
<div class="Para">
Translation is the process of formation of protein from RNA.</div>
<div class="Ques">
93.<span> </span>Chromosomal
localisation is known in which of the following disorders?</div>
<div class="ABCD">
1.<span> </span>Wilson’s disease<span> </span>2.<span> </span>Diabetes mellitus</div>
<div class="ABCD">
3.<span> </span>Whipple’s disease<span> </span>4.<span> </span>Retinitis pigmentosa</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 3<span> </span><b>B.</b><span> </span>1, 2 and 4</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 3 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1770)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Whipple’s disease </b>has no relation with chromosomes because
it is not a genetically transmitted disease. It is caused by bacteria <i>Tropheryma
whippelii</i>. It is a small gram-positive bacillus. </div>
<div class="Para">
The clinical features are diarrhoea, pain abdomen, weight loss,
arthropathy, fever, steatorrhoea etc.</div>
<div class="Para">
It is treated with trimethoprim/sulfamethoxazole for 1 year.</div>
<div class="Para">
The genetic abnormality in Wilson’s disease, diabetes mellitus
and retinitis pigmentosa are well known.</div>
<div class="Ques">
94.<span> </span>A farmer who worked
in the field whole day suddenly took ill and was brought to the hospital with
vomiting, diarrhoea, salivation, perspiration, constricted pupils and pulmonary
oedema. The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Acute left
ventricular failure<span> </span><b>B.</b><span> </span>Organophosphorus poisoning</div>
<div class="ABCD">
<b>C.</b><span> </span>Snake bite<span> </span><b>D.</b><span> </span>Aluminium phosphide poisoning</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
15th ed., p 2614; 16th ed., p 2589)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The farmer has developed <b>organophosphorous poisoning</b>.
Vomiting, diarrhoea, sweating, salivation with constricted pupil are the main
clue for organophosphorous poisoning. See Q 4 paper 1 UPSC 2001 for further
details.</div>
<div class="Ques">
95.<span> </span>Match List-I
(Poisoning) with List-II (Treatment) and the select the correct answer using
the codes given below the Lists:</div>
<div class="ABCD" style="margin-left: 148.5pt; text-indent: -1.75in;">
<b><span> </span>List-I<span> </span>List-II</b></div>
<div class="ABCD" style="margin-left: 148.5pt; text-indent: -1.75in;">
a.<span> </span>Paracetamol<span> </span>1.<span> </span>Physostigmine</div>
<div class="ABCD" style="margin-left: 148.5pt; text-indent: -1.75in;">
b.<span> </span>Salicylate<span> </span>2.<span> </span>Potassium
chloride</div>
<div class="ABCD" style="margin-left: 148.5pt; text-indent: -1.75in;">
c.<span> </span>Theophylline<span> </span>3.<span> </span>Acetyl
cysteine</div>
<div class="ABCD" style="margin-left: 148.5pt; text-indent: -1.75in;">
d.<span> </span>Tricyclic antidepressants<span> </span>4.<span> </span>Forced
alkaline diuresis</div>
<div class="codes">
Codes:</div>
<div class="CodAns">
<b>A.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>B.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>C.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d<span> </span><b>D.</b><span> </span>a<span> </span>b<span> </span>c<span> </span>d</div>
<div class="CodAns">
<span> </span>3<span> </span>4<span> </span>2<span> </span>1<span> </span>4<span> </span>3<span> </span>1<span> </span>2<span> </span>3<span> </span>4<span> </span>1<span> </span>2<span> </span>4<span> </span>3<span> </span>2<span> </span>1</div>
<div class="Body">
<span style="color: windowtext;">Ans. A<span> </span></span></div>
<div class="Para">
<b>Paracetamol poisoning is treated with N-acetylcysteine.</b> It
is a sulphydryl (SH) group donor and increases hepatic glutathione
availability. It is given in a dose of 150 mg/kg in 200 ml of 5% glucose IV
over 15 minutes followed by infusion of 50 mg/kg in 500 ml 5% glucose every 4
hourly.</div>
<div class="Para">
<b>Salicylate poisoning is treated by forced alkaline diuresis.</b>
The following is mixed together and given IV at a rate of 2 litres hourly for 3
hours.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Normal saline: 0.5
litre.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>5% dextrose: 1
litre.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>NaHCO<span style="font-size: 5.5pt; position: relative; top: 1pt;">3</span><span> </span>(1.26%): 0.5 litre.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>KCl: 3 g.</div>
<div class="Para">
<b>Theophylline causes hypokalaemia and hence KCl is required</b>.
Activated charcoal, gastric lavage, IV diazepam, control of arrhythmias are the
main treatment methods.</div>
<div class="Para">
Physostigmine salicylate (1-3 mg) is given slow IV to abolish CNS
effects of tricyclic antidepressant drugs.</div>
<div class="Ques">
96.<span> </span>T-lymphocytes
function can be tested by delayed hypersensitivity skin testing using which of
the following antigens?</div>
<div class="ABCD">
1.<span> </span>Tetanus<span> </span>toxoid<span> </span>2.<span> </span>PPD</div>
<div class="ABCD">
3.<span> </span>Mumps antigen<span> </span>4.<span> </span>Pneumococcal antigen</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1, 2 and 4<span> </span><b>B.</b><span> </span>1, 2 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 3 and 4<span> </span><b>D.</b><span> </span>2, 3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Anantnarayan
and Paniker 6th ed., p 133)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Delayed hypersensitivity and other types of CMI (cell mediated
immunity) are mediated by T lymphocytes.</div>
<div class="Para">
Delayed hypersensitivity skin testing using purified protein
derivative for TB, mumps antigen and pneumoccoccal antigen will test T
lymphocyte function as they are due to CMI.</div>
<div class="Para">
<b>CMI participates in following immunological functions:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Delayed
hypersensitivity.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Transplantation
immunity and graft-versus-host reaction.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Immunological
surveillance and immunity against cancer.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Pathogenesis of
certain antoimmune disease e.g., thyroiditis, encephalomyelitis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Immunity in
infectious diseases caused by obligate and facultative intracellular parasites.
Infection with:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Bacteria e.g.,
tuberculosis, leprosy, listeriosis, brucellosis, pneumococcus is also an
intracellular organism.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Fungi:
Histoplasmosis, coccidiodomycosis, and blastomycosis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Protozoa:
Leishmaniasis, trypanosomiasis.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Viruses e.g.,
measles, mumps.</div>
<div class="Ques">
97.<span> </span>Transfusing blood
after prolonged storage could lead to:</div>
<div class="ABCD">
<b>A.</b><span> </span>Citrate
intoxication<span> </span><b>B.</b><span> </span>Potassium intoxication</div>
<div class="ABCD">
<b>C.</b><span> </span>Circulatory
overload<span> </span><b>D.</b><span> </span>Haemorrhagic diathesis</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 666)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>During prolonged storage of blood K</b><b><span style="font-size: 5.5pt; position: relative; top: -4pt;">+</span><span> </span>leaks out from RBC</b>. Hence if this blood is
transfused to neonates or renal failure patients there is a high risk of <b>hyperkalaemia.</b></div>
<div class="Para">
The other electolyte disturbance seen as a complication of blood
transfusion is <b>hypocalcaemia.</b> This occurs because <b>citrate </b>used as
anticoagulant <b>chelates calcium.</b></div>
<div class="Ques">
98.<span> </span>A 15-year old girl
presents with history of 7 days high fever, toxic appearance, anaemia,
petechiae over skin, ulcers in the mouth and mild hepatosplenomegaly with total
count of 30,000/cumm. The most important investigation for diagnosis would be:</div>
<div class="ABCD">
<b>A.</b><span> </span>Blood culture<span> </span><b>B.</b><span> </span>Splenic puncture</div>
<div class="ABCD">
<b>C.</b><span> </span>Liver biopsy<span> </span><b>D.</b><span> </span>Bone marrow aspiration</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Kumar
and Clark 4th ed., p<span> </span>426-427)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The girl has developed acute leukaemia and hence bone marrow
aspiration will confirm the diagnosis. The points in favour of leukaemia are,
short history, TLC 30,000/cumm, petechiae (thrombocytopenia), mouth ulcer,
anaemia, fever and hepatosplenomegaly. </div>
<div class="Ques">
99.<span> </span>Consider the
following modes of transmission:</div>
<div class="ABCD">
1.<span> </span>Kissing<span> </span>2.<span> </span>Mosquito bite</div>
<div class="ABCD">
3.<span> </span>Transplacental<span> </span>4.<span> </span>Needlestick injury</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Those
of HIV infection would include:</div>
<div class="ABCD">
<b>A.</b><span> </span>2 and 4<span> </span><b>B.</b><span> </span>1 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>2 and 3<span> </span><b>D.</b><span> </span>3 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1079)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>The various modes of transmission of HIV are sexual, through
blood and blood products and maternal-foetal/infant transmission.</b></div>
<div class="Para">
Transplacental transmission is very important mode of
transmission in developing countries. Virus can be transmitted as early as 1st
or 2nd trimester of pregnancy. However maternal transmission to the foetus
occurs most commonly in perinatal period. Treatment of HIV positive patients
during pregnancy has significantly reduced the foetal infection.</div>
<div class="Para">
Needle stick injury (mostly while recapping) is responsible for
HIV transmission in health care workers. The risk of HIV transmission is 0.3%.</div>
<div class="Para">
In saliva the titre of HIV is very low and there is no evidence
of transmission of HIV by kissing.</div>
<div class="Para">
Mosquito or any other vector does not transmit HIV.</div>
<div class="Ques">
100.<span> </span>Which of the following
are true of management of high grade lymphoma?</div>
<div class="ABCD">
1.<span> </span>90% patients require
chemotherapy</div>
<div class="ABCD">
2.<span> </span>Stage I is uncommon</div>
<div class="ABCD">
3.<span> </span>Prognosis is worse in
younger patients</div>
<div class="ABCD">
4.<span> </span>A combination of
cyclophosphamide, adriamycin, vincristine and prednisolone is most effective</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>2, 3 and 4<span> </span><b>B.</b><span> </span>1, 3 and 4</div>
<div class="ABCD">
<b>C.</b><span> </span>1, 2 and 4<span> </span><b>D.</b><span> </span>1, 2 and 3</div>
<div class="Body">
<span style="color: windowtext;">Ans. B<span> </span></span></div>
<div class="Para">
Patients with intermediate and high-grade lymphoma are
occasionally treated with irradiation for localized disease, but the <b><i>mainstay
of therapy is combination chemotherapy</i></b>. The <b><i>traditional treatment
regimen has been cyclophosphamide, doxorubicin, vincristine and prednisone </i></b>(CHOP).</div>
<div class="Para">
For patients with high risk disease like:</div>
<div class="Indent">
–<span> </span>Age over 60 years. </div>
<div class="Indent">
–<span> </span>Elevated serum LDH
level.</div>
<div class="Indent">
–<span> </span>Advanced stage disease
(stage III and IV) and poor performance status should be treated initially with
autologous stem cell transplantation.</div>
<div class="Para">
<b>Remember the following important points about non Hodgkin’s
lymphoma:</b></div>
<div class="Indent">
1.<span> </span>For relapse following
initial chemotherapy treatment of choice is high dose chemotherapy with autologous
stem cell transplantation.</div>
<div class="Indent">
2.<span> </span>High-grade lymphoma
includes immunoblastic, lymphoblastic, true histiocytic, small non-cleaved
Burkitt’s and non-Burkitt lymphoma.</div>
<div class="Indent">
3.<span> </span>In intermediate grades
beside follicular large cell variety all diffuse type are included like diffuse
small-cleaved cell, diffuse large cells and diffuse mixed cell variety.</div>
<div class="Indent">
4.<span> </span>In Burkitt’s lymphoma
characteristic cytogenetic abnormality is translocation between long arms of
chromosomes 8 and 14</div>
<div class="Indent">
5.<span> </span>Diagnosis of lymphoma
is made by tissue biopsy.</div>
<div class="Ques">
101.<span> </span>The extent of muscle
damage by a bullet depends primarily on the:</div>
<div class="ABCD">
<b>A.</b><span> </span>Size<span> </span><b>B.</b><span> </span>Velocity</div>
<div class="ABCD">
<b>C.</b><span> </span>Shape<span> </span><b>D.</b><span> </span>Weight</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 23rd ed., p 281; 22nd ed., p 21; 24th ed., p 292-293; Reddy 22nd ed.,
p 171-172)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Tissue damage produced by high velocity bullets is
disproportionaltey greater than that produced by bullet of ordinary muzzle
velocity. </div>
<div class="Para">
<b>A bullet’s ability to wound is directly related to its kinetic
energy</b> [E=1/2 m (V<span style="font-size: 5.5pt; position: relative; top: 1pt;">2</span><span style="font-size: 5.5pt; position: relative; top: -4pt;">2</span>-V<span style="font-size: 5.5pt; position: relative; top: 1pt;">1</span><span style="font-size: 5.5pt; position: relative; top: -4pt;">2</span>)]
at the moment of impact because kinetic energy increases in direct proportion
to weight (mass) of the bullets and square of its velocity.<span> </span>A bullet travelling at twice the speed of a
second bullet having equal weight and similar shape possesses four times much
energy or wounding power. </div>
<div class="Indent">
–<span> </span>Hydrostatic forces
cause excessive degree of destruction due to explosive displacement of liquid
in all directions.</div>
<div class="Indent">
–<span> </span>Greater the tissue
density, greater is the amount of energy discharged by bullet passing through
it.</div>
<div class="Ques">
102.<span> </span>Consider the following
statements:</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Post-operative
synergistic gangrene:</div>
<div class="ABCD">
1.<span> </span>Can occur as a
complication of colostomy</div>
<div class="ABCD">
2.<span> </span>Can occur as a
complication of drainage of empyema thoracis</div>
<div class="ABCD">
3.<span> </span>Needs hyperbaric oxygen
therapy</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Of
these statements:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 2 are
correct<span> </span><b>B.</b><span> </span>1 and 3 are correct</div>
<div class="ABCD">
<b>C.</b><span> </span>2 and 3 are
correct<span> </span><b>D.</b><span> </span>1, 2 and 3 are correct</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Schwartz
Principles of Surgery 6th ed., p 149)</span></i><span style="color: windowtext; font-family: Wingdings; font-size: 8pt; font-weight: normal;"></span></div>
<div class="Para">
Bacterial synergistic gangrene can occur as a complication of
colostomy and drainage of empyema thoracis. Most of them are caused by mixed
aerobic and anaerobic gram-negative and gram-positive bacteria. Clostridium
species are the most common. The use of hyperbaric oxygen is a bit
controversial. It inhibits the production of alpha toxin by clostridium. Its
use in nonclostridial infections is controversial. Hyperbaric oxygen should not
be used before surgical debridement.</div>
<div class="Ques">
103.<span> </span>In which of the
following abscesses is drainage carried out without waiting for fluctuations to
appear?</div>
<div class="ABCD">
1.<span> </span>Scalp abscess<span> </span>2.<span> </span>Parotid abscess</div>
<div class="ABCD">
3.<span> </span>Ischiorectal abscess<span> </span>4.<span> </span>Inguinal abscess</div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>Select
the correct answer using the codes given below:</div>
<div class="codes">
Codes:</div>
<div class="ABCD">
<b>A.</b><span> </span>1 and 2<span> </span><b>B.</b><span> </span>2 and 3</div>
<div class="ABCD">
<b>C.</b><span> </span>3 and 4<span> </span><b>D.</b><span> </span>1 and 4</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Sabiston
Textbook of Surgery 16th ed., p 984)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Parotid abscess and ischiorectal abscess must be drained as early
as possible. Parotid abscess may involve facial nerve and cause facial
paralysis.</div>
<div class="Para">
Ischiorectal abscess are often deep seated and fluctuation
appears late. Neglected abscess may lead to devastating, necrotizing infection
of the perineum that can spread rapidly and become fatal.</div>
<div class="Ques">
104.<span> </span>A 56-year old lady is
found to have a hard, nodular, painless swelling in the thyroid region.
Diagnosis in this case is best established by:</div>
<div class="ABCD">
<b>A.</b><span> </span>Ultrasound scan<span> </span><b>B.</b><span> </span>FNAC</div>
<div class="ABCD">
<b>C.</b><span> </span>CT scan<span> </span><b>D.</b><span> </span>Radioactive iodine scan</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 785)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Fine Needle Aspiration Cytology (FNAC) has become established, as
investigation of choice is discrete thyroid swelling.</div>
<div class="Para">
<b>Remember the following important points about FNAC:</b></div>
<div class="Indent">
1.<span> </span>FNAC cannot
distinguish between follicular adenoma and follicular carcinoma, as this
distinction is dependent not on cytology but on histological criteria, which
include capsular and vascular invasion.</div>
<div class="Indent">
2.<span> </span>There are very few
false positives with respect to malignancy but there is a definite false
negative rate with respect to both benign and malignant neoplasms.</div>
<div class="Indent">
3.<span> </span>FNAC is less reliable
in cystic than in solid swelling.</div>
<div class="Indent">
4.<span> </span>Relatively few cysts
are permanently abolished by one or more aspirations and because of the risk of
malignancy, recurrent cyst should be removed.<span> </span></div>
<div class="Ques">
105.<span> </span>A simple equation to
estimate the maximum allowable blood loss is:</div>
<div class="Ques" style="margin-top: 3pt;">
<span style="font-weight: normal;"><span> </span>Allowable blood loss = Estimated blood
volume × change in haematocrit × (3 – the average haematocrit).</span></div>
<div class="Ques" style="margin-top: 3pt;">
<span> </span>A
patient whose estimated blood volume is 5 litres, has an initial haematocrit of
42%. His surgeon assumes that he can tolerate an haematocrit of 35%. How much
blood volume can be lost before blood needs to be transfused?</div>
<div class="ABCD">
<b>A.</b><span> </span>500 ml<span> </span><b>B.</b><span> </span>800 ml</div>
<div class="ABCD">
<b>C.</b><span> </span>900 ml<span> </span><b>D.</b><span> </span>1000 ml</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Miller
Anaesthesia 5th ed., 1652)</span></i><span style="color: windowtext; font-family: Wingdings; font-size: 8pt; font-weight: normal;"></span></div>
<div class="Para">
We have not come across the mentioned formula for allowable blood
loss in any standard textbook and besides this the formula seems to be wrong.
Allowable blood loss is calculated for autologous transfusion. The formula for
calculation of allowable blood loss is:</div>
<div class="Para" style="margin-top: 0in;">
V = <img height="35" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="305" /></div>
<div class="Para" style="margin-top: 2pt;">
V is allowable blood loss and EBV is
estimated blood volume.</div>
<div class="Para" style="margin-top: 2pt;">
Hence V = <img height="39" src="file:///D:/Users/ALICE/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="109" /><span> </span>=
909.09 ml.</div>
<div class="Ques" style="margin-top: 4pt;">
106.<span> </span>After
closure of a perforated duodenal ulcer, a 50-year old man has been maintained
on gastric suction for seven days and has been receiving 5% dextrose in water,
normal saline and vitamins as intravenous therapy. The average daily volume of
gastric aspirate is 1500 ml/day. The patient has developed adynamic ileus and
is extremely weak and lethargic. The most likely abnormality is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Metabolic
acidosis<span> </span><b>B.</b><span> </span>Low serum magnesium level</div>
<div class="ABCD">
<b>C.</b><span> </span>Low serum sodium
level<span> </span><b>D.</b><span> </span>Hypokalaemic alkalosis</div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 1201)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Adynamic obstruction (paralytic ileus), weakness and lethargy
following gastric aspirate by gastric suction for 7 days following perforated
duodenal ulcer closure suggest hypokalaemia.</div>
<div class="Para">
<b>Remember the following important points about adynamic
obstruction (paralytic ileus):</b></div>
<div class="Indent">
1.<span> </span>It is a state in which
there is failure of transmission of peristaltic waves occurring secondary to
neuromuscular failure. </div>
<div class="Indent">
2.<span> </span>Resultant stasis leads
to accumulation of fluid and gas within the bowel with associated distention,
vomiting, absence of bowel sounds and absolute constipation.</div>
<div class="Indent">
3.<span> </span>Uraemia and
hypokalaemia are the commonest contributory factors.</div>
<div class="Indent">
4.<span> </span>Post-operative
paralytic ileus is <b><i>self-limiting </i></b>with a variable <b><i>duration
of 24-72 hours </i></b>after any abdominal operation.</div>
<div class="Indent">
5.<span> </span>Post-operative ileus
may be prolonged in presence of hypoproteinaemia or metabolic abnormality.</div>
<div class="Indent">
6.<span> </span>Intra-abdominal sepsis
may give rise to localized/generalized ileus.</div>
<div class="Indent">
7.<span> </span>Reflex ileus may occur
following fractures of the spine or ribs, retroperitoneal haemorrhage or even
the application of a plaster jacket.</div>
<div class="Para">
Essence of treatment is prevention with the use of nasogastric
suction and restriction of oral intake until bowel sounds and the passage of
flatus return.<span> </span>Electrolyte balance must
be maintained. </div>
<div class="Para">
Specific treatment is directed towards cause:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Remove the primary
cause.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Gastrointestinal
distension must be relieved by decompression.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Maintenance of fluid
and electrolyte balance.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>No place for routine
use of peristaltic stimulants.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Rarely <b>Catchpole
regime</b> (neostigmine) may be used in resistant cases.</div>
<div class="Para">
If paralytic ileus is prolonged and threatens life, a laparotomy
should be considered to exclude a hidden cause and facilitate bowel
decompression.</div>
<div class="Ques">
107.<span> </span>Two hours after
subtotal thyroidectomy for thyrotoxicosis, a young woman rapidly becomes
agitated and complains of increasing difficulty in breathing. Her pulse rate
rises and central cyanosis is noticed. On examination, her neck is found to be
tensely swollen beneath the stitches. The most appropriate management in the
case would be:</div>
<div class="ABCD">
<b>A.</b><span> </span>Intranasal
oxygen</div>
<div class="ABCD">
<b>B.</b><span> </span>Passing an
endotracheal tube in the ward</div>
<div class="ABCD">
<b>C.</b><span> </span>Removing sutures
from all layers in the ward</div>
<div class="ABCD">
<b>D.</b><span> </span>Immediate
transfer of the patient to the operation theatre for tracheostomy</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 796)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
2 hours after sub-total thyroidectomy, young women with agitation
and increasing difficulty in breathing, increasing pulse rate and central
cyanosis suggests <b>post-operative airway obstruction</b>. Tensely swollen
neck beneath the stitches indicate <b>tension haematoma</b>, which, is most
important cause of laryngeal oedema. <b>Laryngeal oedema in most cases cause
respiratory obstruction.</b></div>
<div class="Para">
Treatment of tension haematoma is to open the wound in the ward
to relieve tension before taking the patient to theatre to evacuate the
haematoma and to tie off a bleeding vessel.</div>
<div class="Para">
If releasing the tension haematoma does not immediately relieve
airway obstruction, the trachea should be intubated at once. Endotracheal tube
can be left in place for several days; steroids are given to reduce oedema and
tracheostomy is rarely necessary.</div>
<div class="Para">
<b>Remember the following important points about postoperative
complications of thyroidectomy:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span><b><i>Haemorrhage</i>:</b>
Tension haematoma is usually due to slippage of a ligature on the superior
thyroid artery, occasionally haemorrhage from thyroid remnant or a thyroid vein
may be responsible.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><b><i><span> </span>Respiratory
obstruction:</i></b> Most cases of respiratory obstruction are due to laryngeal
oedema. The most important cause of laryngeal oedema is a tension haematoma.
Unilateral or bilateral recurrent nerve paralysis will not cause immediate
postoperative respiratory obstruction unless laryngeal oedema is also present.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><b><i><span> </span>Recurrent
laryngeal nerve paralysis</i>:</b> May be unilateral or bilateral, transient or
permanent. Transient paralysis occurs in about 3 percent of nerves at risk and
recovers in 3 weeks to 3 months.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><b><i><span> </span>Thyroid
insufficiency:</i></b><i> </i>Usually occurs within 2 years. Rare after surgery
for a thyroid adenoma because there is no autoimmune disease.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><b><i><span> </span>Parathyroid
insufficiency</i>:</b> It occurs due to removal of parathyroid glands or
infarction through damage to the parathyroid end artery. Often both factors
occur together. Vascular injury is far more important than inadverent removal.
Most cases present 2-5 days after operation but rarely delayed for 2-3 weeks or
patient with marked hypercalcemia is asymptomatic.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><b><i><span> </span>Thyrotoxic
crisis (storm)</i>:</b> Is an acute exacerbation of hyperthyroidism. It occurs
if patient has been inadequately prepared for thyroidectomy and is now
extremely rare.</div>
<div class="Para">
Very rarely, a thyrotoxic patient presents in a crisis and this
may follow an unrelated operation.</div>
<div class="Para">
Symptomatic and supportive treatment is for dehydration, hyperpyrexia
and restlessness. This requires administration of intravenous fluids, cooling
the patients with ice packs, administration of oxygen, diuretics for cardiac
failure, digoxin for uncontrolled atrial fibrillation, sedation and intravenous
hydrocortisone.</div>
<div class="Para">
Specific treatment is by:</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Carbimazole: 10-20
mg 6 hourly.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Lugol’s iodine: 10
drops 8 hourly by mouth.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Sodium iodide: 1 gm
IV.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><b><i><span> </span></i></b>Propranolol
40 mg 6 hourly orally will block adverse beta-adrenergic effects.</div>
<div class="Para">
Other complications are wound infection, hypertrophic/keloid
scar, stitch granuloma.</div>
<div class="Ques">
108.<span> </span>An inflammatory
carcinoma of the breast, measuring 4 cm in diameter, is staged as:</div>
<div class="ABCD">
<b>A.</b><span> </span>T<span style="font-size: 5.5pt; position: relative; top: 1.5pt;">1<span> </span></span><b>B.</b><span> </span>T<span style="font-size: 5.5pt; position: relative; top: 1.5pt;">2</span></div>
<div class="ABCD">
<b>C.</b><span> </span>T<span style="font-size: 5.5pt; position: relative; top: 1.5pt;">3<span> </span></span><b>D.</b><span> </span>T<span style="font-size: 5.5pt; position: relative; top: 1.5pt;">4</span></div>
<div class="Body">
<span style="color: windowtext;">Ans. D</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(ASI
Textbook of Surgery p 1056; Schwartz Principles of Surgery 6th ed., p 541)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The carcinoma is staged as T4d.</div>
<div class="Para">
<b>Abridged TNM classification of carcinoma of breast:</b></div>
<div class="Para">
Tx: Primary tumour cannot be assessed.</div>
<div class="Para">
T0: No evidence of primary tumour.</div>
<div class="Para">
Tis: Carcinoma in situ:</div>
<div class="Indent">
–<span> </span>Clinical Paget’s
disease of nipple with no tumour mass.</div>
<div class="Indent">
–<span> </span>Pathological
intraductal carcinoma.</div>
<div class="Indent">
–<span> </span>Lobular carcinoma in
situ.</div>
<div class="Indent">
–<span> </span>Paget’s disease with
no invasive component.</div>
<div class="Para">
T1: Tumour 2 cm or less in greatest dimension.</div>
<div class="Para">
T2: 2-5 cm size tumour in greatest dimension.</div>
<div class="Para">
T3: Tumour more than 5 cm in greatest dimension.</div>
<div class="Para">
T4: Tumour of any size with direct extension to chest wall or
skin. Chest wall includes ribs, intercostal muscles and serratus anterior
muscles but not pectoral muscles.</div>
<div class="Para">
T4a: Extension to chest wall.</div>
<div class="Para">
T4b: Oedema (including peau d’orange):</div>
<div class="Indent">
–<span> </span>Ulceration of skin of
the breast.</div>
<div class="Indent">
–<span> </span>Satellite skin nodule
confined to same breast.</div>
<div class="Para">
T4c: Both 4a and 4b above.</div>
<div class="Para">
T4d: Inflammatory carcinoma.</div>
<div class="Ques">
109.<span> </span>The best results of
tamoxifen therapy following modified radical mastectomy are obtained if the
tumour is (ER: Estrogen Receptor; PR: Progesterone Receptor):</div>
<div class="ABCD">
<b>A.</b><span> </span>ER positive and
PR positive<span> </span><b>B.</b><span> </span>ER negative and PR positive</div>
<div class="ABCD">
<b>C.</b><span> </span>ER positive and
PR negative<span> </span><b>D.</b><span> </span>ER negative and PR negative</div>
<div class="Body">
<span style="color: windowtext;">Ans. A</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Schwartz
Principles of Surgery 6th ed., p 583)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Antifertility drug, <b>tamoxifen</b> initiates regression of
breast cancer. Antitumour activity is correlated closely with reactivity of ER
and/or PR.</div>
<div class="Para">
Antioestrogens block the uptake of oestrogen by the target tissue
following cytosol binding to ER.</div>
<div class="Indent">
–<span> </span>Decreased
responsiveness at one dose level may be reversed by escalation of dose.</div>
<div class="Indent">
–<span> </span>Advantage of tamoxifen
over chemotherapy is the absence of toxicity and profound side effects.</div>
<div class="Indent">
–<span> </span>Flare of bone pain
with hypercalcaemia at initiation of therapy is seen which is usually short
lived.</div>
<div class="Indent">
–<span> </span>With therapeutic
oestrogen pain, nausea, vomiting and fluid retention is seen.</div>
<div class="Ques">
110.<span> </span>The most important
prognostic factor in a patient with carcinoma breast is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Age of the
patient<span> </span><b>B.</b><span> </span>Size of the primary tumour</div>
<div class="ABCD">
<b>C.</b><span> </span>Nodal status<span> </span><b>D.</b><span> </span>Hormone receptor status</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 839)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>Best indicators of likely prognosis in breast cancer are
tumour size and lymph node status.</b> However it is to be kept in mind that
some large tumours will remain confined to the breast for decades whereas some
very small tumours are incurable at diagnosis.</div>
<div class="Para">
So best indicator for prognosis is lymph node status.</div>
<div class="Para">
To define which tumour will behave aggressively, and thus require
early systemic treatment, a host of prognostic factors are described which
include:</div>
<div class="Indent">
–<span> </span>Histological grade of
the tumour.</div>
<div class="Indent">
–<span> </span>Hormone receptor
status.</div>
<div class="Indent">
–<span> </span>Measure of tumour
proliferation such as S phase fraction and thymidine-labeling index.</div>
<div class="Indent">
–<span> </span>Growth factor
analysis.</div>
<div class="Indent">
–<span> </span>Oncogenes or oncogene
product measurements.</div>
<div class="Ques" style="margin-top: 4pt;">
111.<span> </span>A
20-year old male patient has been brought to the casualty in a state of shock
after a scooter accident. Plain X-ray shows fracture of left lower ribs with
bruising of overlying skin and rigidity in left upper abdominal quadrant. The
most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Injury to left
kidney<span> </span><b>B.</b><span> </span>Rupture of spleen</div>
<div class="ABCD">
<b>C.</b><span> </span>Perforation of
stomach<span> </span><b>D.</b><span> </span>Injury to left lobe of liver</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 1087)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
After scooter accident, patient is in state of shock with
bruising of overlying skin and rigidity of left upper abdominal quadrant with
X-ray finding of fracture of left lower ribs favors the diagnosis of internal
hemorrhage due to <b>rupture of spleen.</b></div>
<div class="Para">
<b>Other findings in this type of presentation are:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span><b>Kehr’s sign:</b>
Pain referred to left shoulder.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>There may be
hyperaesthesia in area demonstrated 15 minutes after elevation of foot of the
bed.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Shifting dullness
may be present in the flanks and on rectal examination fullness in the pelvis
is present.</div>
<div class="Para">
<b>Other types of presentation mentioned are:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>The patient succumbs
rapidly from massive haemorrhage. It rarely occurs in the normal spleen but is
a reminder that a slipped pedicle suture can lead to rapid exsanguination.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>In delayed case,
after the initial signs have passed off and the concern about a serious
intra-abdominal bleed has been postponed, late rupture can occur. Such cases
should now be rare as scanning should delineate such patients and <b><i>a
haematoma around spleen should be an indication for either laparotomy </i></b>or,
at the minimum, close observation.</div>
<div class="Indent">
–<span> </span><b>Delayed type of
rupture</b> (following trivial injury) is also very common and the patient is
admitted with a perisplenic haematoma.</div>
<div class="Indent">
–<span> </span><b>Malaria is most
common cause of spontaneous splenic rupture in tropical countries.</b></div>
<div class="Ques">
112.<span> </span>A patient presents with
jaundice, right upper quadrant pain, chills with high fever, hypotension and
mental confusion. The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Gallstone
pancreatitis<span> </span><b>B.</b><span> </span>Hepatitis</div>
<div class="ABCD">
<b>C.</b><span> </span>Acute
suppurative cholangitis<span> </span><b>D.</b><span> </span>Amoebic liver abscess</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 1109)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Pain, jaundice and fever with rigor is known as <b>Charcot’s
triad.</b> It is a feature of acute cholangitis seen in CBD stones.</div>
<div class="Para">
Cholangitis is a complication of CBD stone. The features are due
to inflammation, which usually requires partial obstruction to bile flow.
Bacteria can be isolated from bile in about 75% of cases.</div>
<div class="Para">
Nonsuppurative cholangitis respond better to antibiotics.
Suppurative cholangitis is however a dangerous complication and may even lead
to septic shock. Immediate drainage of infected bile by endoscopy or surgery is
required with good coverage of antibiotics.</div>
<div class="Ques">
113.<span> </span>Serious complications
in pancreatic pseudocyst include all of the following <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>Intracystic
haemorrhage<span> </span><b>B.</b><span> </span>Secondary infection</div>
<div class="ABCD">
<b>C.</b><span> </span>Calcification in
the cyst wall<span> </span><b>D.</b><span> </span>Rupture of the cyst</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Schwartz
Principles of Surgery 6th ed., p 1419)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The most feared complications of pseudocyst are haemorrhage,
rupture and infection.</div>
<div class="Para">
Other complications of pseudocyst of pancreas include obstruction
of the gastrointestinal tract (duodenum and stomach) and common bile duct
obstruction.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Mature asymptotic
cysts, less than 5 cm in diameter, probably require no treatment.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Elective surgery is
to be delayed for 4-6 weeks till pseudocyst is mature.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Three types of
surgical procedures used to treat pseudocyst are – resection, external drainage
and internal drainage.</div>
<div class="Para">
Pseudocyst of pancreas occurs usually as a complication of
pancreatitis although some may occur even after trauma.</div>
<div class="Ques" style="margin-top: 5pt;">
114.<span> </span>A
40-year old male was brought to the hospital with acute pain in the upper
abdomen. Patient was in shock with feeble pulse and tachycardia. There was
tenderness in the epigastrium. There was no blood in the gastric aspirate and
the patient felt better after aspiration. X-ray abdomen showed no free gas
under the diaphragm. Investigations revealed<span>
</span>TLC 13500, serum bilirubin 2.0 mg and serum amylase 800 IU. The most
likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Acute
cholecystitis<span> </span><b>B.</b><span> </span>Acute pancreatitis</div>
<div class="ABCD">
<b>C.</b><span> </span>Acute
peritonitis<span> </span><b>D.</b><span> </span>Acute appendicitis</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 1897)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>The patient is suffering from acute pancreatitis. </b>The main
point in diagnosis is the serum amylase level. In normal condition the value is
60-180 IU/L and three to four fold rise is seen in acute pancreatitis. In this
patient the value is 800 IU.</div>
<div class="Para">
The other causes of raised amylase level are to be kept in mind
and excluded. The important causes are:</div>
<div class="Indent">
a.<span> </span>Intestinal obstruction
with gangrene: No air fluid level in X-ray in the patient.</div>
<div class="Indent">
b.<span> </span>Perforated duodenal
ulcer: No blood in gastric aspirate or gas under diaghragm in X-ray.</div>
<div class="Indent">
c.<span> </span>Cholecystitis: No
history or examination finding suggestive of cholecystitis and X-ray does not
show any stone though the incidence is less.</div>
<div class="Indent">
d.<span> </span>Acute peritonitis: No
history or examination finding in this patient. Tenderness present only in
epigastrium.</div>
<div class="Para">
<b>Acute appendicitis is not a cause of raised amylase</b>. </div>
<div class="Para">
For treatment of pancreatitis see Q 45 paper 1 UPSC 1999.</div>
<div class="Para">
For Ranson and Imrie criteria see Q 46 paper 1 UPSC 2003.</div>
<div class="Ques">
115.<span> </span>All of the following
are features of direct inguinal hernia <i>except</i>:</div>
<div class="ABCD">
<b>A.</b><span> </span>Rarely descends
into the scrotum<span> </span><b>B.</b><span> </span>Strangulation rarely occurs</div>
<div class="ABCD">
<b>C.</b><span> </span>Passes through
the internal ring<span> </span><b>D.</b><span> </span>Contents may be bladder</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 1278)</span></i><span style="color: windowtext;"></span></div>
<div class="Indent" style="margin-top: 4pt;">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>In 35% adult males inguinal hernia is direct
though most common type is indirect type of inguinal hernia.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Direct hernias do
not often attain a large size or descend into the scrotum.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>As the neck of the
sac is wide, direct inguinal hernia does not often strangulate.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>A direct inguinal
hernia is always acquired. The sac passes through a weakness or defect of the
transversalis fascia in the posterior wall of the inguinal canal.</div>
<div class="Para">
<b>Remember the following important points about direct inguinal
hernia:</b></div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Women practically
never develop a direct inguinal hernia.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Predisposing
factors: </div>
<div class="Indent">
–<span> </span>Smoking.</div>
<div class="Indent">
–<span> </span>Occupation that
involves straining and heavy lifting.</div>
<div class="Indent">
–<span> </span>Damage to
ilio-inguinal nerve (previous appendicectomy) due to resulting weakness of the
conjoined tendon.</div>
<div class="Indent">
<span style="font-family: Wingdings; font-size: 8pt;">l</span><span> </span>Though direct hernia
does not often strangulate, as neck of the sac is wide <b>‘funicular direct
hernia’</b> (syn. prevesical hernia) is a narrow necked hernia with prevesical
fat and a portion of the bladder that protrudes through small oval defect in
the medial part of the conjoined muscle just above the pubic tubercle.<span> </span>Unless there are definite contraindications
operation should always be advised.</div>
<div class="Ques">
116.<span> </span>Abnormal obturator
artery creates a dangerous situation in the repair of:</div>
<div class="ABCD">
<b>A.</b><span> </span>Direct inguinal
hernia<span> </span><b>B.</b><span> </span>Indirect inguinal hernia</div>
<div class="ABCD">
<b>C.</b><span> </span>Femoral hernia<span> </span><b>D.</b><span> </span>Obturator hernia</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Gray’s
Anatomy 38th ed., p 1560)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Abnormal obturator artery creates a dangerous situation in repair
of femoral hernia. Obturator artery is a branch of anterior trunk of internal
iliac artery.</div>
<div class="Para">
In 20-30% of subjects an enlarged pubic branch of the inferior
epigastric artery, which descends almost vertically to the obturator foramen,
replaces the obturator artery.<span> </span>Such an
obturator artery is usually near the external iliac vein lateral to femoral
ring.</div>
<div class="Indent">
–<span> </span>Sometimes it curves
along the edge of the lacunar part of the inguinal ligament, partly encircling
the femoral ring.</div>
<div class="Ques">
117.<span> </span>Which one of the
following physical signs/laboratory aids is helpful in the diagnosis of bowel
strangulation?</div>
<div class="ABCD">
<b>A.</b><span> </span>Marked abdominal
distension<span> </span><b>B.</b><span> </span>Persistent local tenderness</div>
<div class="ABCD">
<b>C.</b><span> </span>Profuse voming<span> </span><b>D.</b><span> </span>Multiple air fluid levels on X-ray</div>
<div class="Body">
<span style="color: windowtext;">Ans. B</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 23rd ed., p 1061; Schwartz Principles of Surgery 6th ed., p 1029)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
Steady severe pain without quiescent periods is usually indicative
of strangulation.</div>
<div class="Para">
In the 23rd edition of Bailey & Love it is written that in
nonstrangulated obstruction of intestine there may be an area of localized
tenderness at the site of obstruction; in strangulation there is always
localized tenderness associated with rigidity/rebound tenderness.</div>
<div class="Para">
Rest of the three conditions may be present in both obstruction
as well as strangulation. The presence of shock indicates ischaemia of bowel.
In strangulation pain is never completely absent.</div>
<div class="Para">
<b>Remember the following important points about intestinal
obstruction and strangulation:</b></div>
<div class="Indent">
–<span> </span>Four cardinal symptoms
and signs of intestinal obstruction are <b>crampy abdominal pain, vomiting,
obstipation and abdominal distention.<span> </span></b>The
finding of localized tenderness, fever, tachycardia and leuocytosis are
supportive of, but not diagnostic for strangulation.</div>
<div class="Indent">
–<span> </span>Progressive
distention, which may be marked in the presence of a competent ileocaecal
valve, is the most dangerous aspect of colonic obstruction.<span> </span>If the ileoacaecal valve is competent, then a
closed-loop obstruction is present, with progressive distention and there is
strong possibility of <b>caecal perforation.</b></div>
<div class="Indent">
–<span> </span>Mild to moderate
dehydration, early in the course, with hemoconcentration and a decreased output
of concentrated urine.</div>
<div class="Indent">
–<span> </span>White blood count
modestly elevated (<15,000 cell/ml) but elevation above this is suggestive
of strangulation. Very high counts (< 40,000 cell/ml) are suggestive of
primary mesenteric vascular disease.</div>
<div class="Indent">
–<span> </span>Other nonspecific
tests used to differentiate obstruction and strangulation include serum
amylase, phosphorus and lactic acid.</div>
<div class="Indent">
–<span> </span>In abdominal films
with an upright chest radiograph, <b><i>gas fluid levels </i></b>are highly
suggestive of intestinal obstruction, but are also seen in extreme aerophagia,
gastroenteritis, severe constipation, sprue and infants.</div>
<div class="Ques">
118.<span> </span>A 35-year old woman
complains of attacks of breathlessness, cyanosis and flushing. Apart from
occasional diarrhea she has no abdominal symptoms. Abdominal examination
reveals an enlarged nodular liver. If laparotomy is done, we could expect to
find:</div>
<div class="ABCD">
<b>A.</b><span> </span>An ovarian
tumour<span> </span><b>B.</b><span> </span>A multicentric hepatoma</div>
<div class="ABCD">
<b>C.</b><span> </span>An appendicular
carcinoid<span> </span><b>D.</b><span> </span>Crohn’s disease</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 2222; Bailey and Love 24th ed., p 1217-1218)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
<b>History of breathlessness, cyanosis and flushing points
towards carcinoid syndrome.</b></div>
<div class="Para">
Enlarged nodular liver means hepatic metastasis, which is
essential to produce carcinoid syndrome.</div>
<div class="Para">
Appendicular carcinoids are detected in 1 in every 200-300
appendicectomies. It is one of the commonest sites for carcinoid tumours. </div>
<div class="Para">
Considering these facts the logical conclusion is that in
laparotomy appendicular carcinoid will be found. </div>
<div class="Para">
Carcinoid tumours are commonly seen in appendix, small intestine,
lungs, stomach etc.</div>
<div class="Para">
Flushing, diarrhoea, wheezing, pellagra like skin lesions are the
common features.</div>
<div class="Para">
Carcinoid tumours secrete large amount of <b>serotonin.</b></div>
<div class="Para">
Treatment is with somatostatin analogues like octreotide,
lanreotide etc. Surgery is done whenever possible to remove the tumours.</div>
<div class="Ques" style="margin-top: 4pt;">
119.<span> </span>The
operation of choice for annular pancreas is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Division of
annular ring<span> </span><b>B.</b><span> </span>Gastrojejunostomy</div>
<div class="ABCD">
<b>C.</b><span> </span>Duodenojejunostomy<span> </span><b>D.</b><span> </span>Pancreaticoduodenectomy</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Bailey
and Love 24th ed., p 1120; Schwartz Principles of Surgery 6th ed., p 1406)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The treatment of <b>annular pancreas is duodenojejunostomy or
gastrojejunostomy</b> either of which bypasses the obstruction. </div>
<div class="Para">
According to Bailey and Love duodenoduodenostomy or
duodenojejunostomy are usual operation.</div>
<div class="Para">
Obstructing pancreatic ring must not be simply divided.<span> </span>Since this may not relieve the obstruction
and pancreatic fistula may result.</div>
<div class="Para">
Annular pancreas is formed by a thin band of normal pancreas
tissue that completely encircles the second portion of duodenum and is
continuous with head of pancreas anteriorly and posteriorly.<span> </span>40% patients have associated duodenal
stenosis or atresia.</div>
<div class="Para">
Symptoms of duodenal obstruction (gastric distention and
vomiting) occur in about one third of cases in the first week of life and about
one half of cases in the first year.<span>
</span>Rest are asymptomatic until adulthood, when abdominal pain, nausea and
vomiting may occur.</div>
<div class="Ques" style="margin-top: 4pt;">
120.<span> </span>A
24-year old male, who has been having fever for 15 days, starts having acute
pain and distension of abdomen. Abdominal examination reveals generalised
tenderness with guarding. The most likely diagnosis is:</div>
<div class="ABCD">
<b>A.</b><span> </span>Acute
appendicitis<span> </span><b>B.</b><span> </span>Acute pancreatitis</div>
<div class="ABCD">
<b>C.</b><span> </span>Enteric
perforation<span> </span><b>D.</b><span> </span>Duodenal ulcer perforation</div>
<div class="Body">
<span style="color: windowtext;">Ans. C</span><i><span style="color: windowtext; font-weight: normal;"><span> </span>(Harrison
16th ed., p 899)</span></i><span style="color: windowtext;"></span></div>
<div class="Para">
The clinical picture described is classical of enteric
perforation and peritonitis.</div>
<div class="Para">
In <b>enteric fever ulcers occur in intestine</b>, which may
perforate if not treated properly. This complication is seen in third or
fourth week of fever. It is a life threatening complication and urgent medical
and surgical intervention is required.</div>
<div class="Para">
GIT haemorrhage is another life threatening complication of
enteric fever that occurs in third or fourth week of fever.</div>
<div class="Para">
In acute appendicitis and acute pancreatitis abdominal pain is
the main feature rather than fever of 15 days duration.</div>
<div class="Para">
In DU perforation fever is absent.</div>
</div>Unknownnoreply@blogger.com0