AIPGME2012

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1) Regions of the brain populated with neurons that are resistant to AD-related damage included the striatum, visual cortex, cerebellum, and brainstem. 2) Section 228A IPC prohibits the disclosure of the identity of victims in rape 3) Sham rage is defined as an affective and pathological aggressive state characterized by manifestations of fear and anger that lead to drastic physiological and behavioral changes. –seen in decorticate animals 4) Hypertriglyceridemia and Hypercholesterolemia seen in Human Immunodeficiency Virus-1-Infected Treated with Protease Inhibitors. 5) Doc fos syphilis in pregnanat lady-pencillin 6) Glasgocoma scle- Verbal makes no sounds-1 Incomprehensible sounds-2 Utters inappropriate words-3 Confused, disoriented-4 Oriented converses normally-5 7) Fast acetylation leads to higher blood levels of the toxic metabolite acetylisoniazid and thus to an increase in toxic reactions – hepatitis which is 250 times more common than in slow acetylators Temozolamide- is an oral alkylating agent used for the treatment of Grade IV astrocytoma 9) H2S-In Japan it is known as detergent suicide, a near-instant death achieved by mixing common household chemicals into a poisonous cloud of gas. 10) Ductectatic Mucinous Cystic Neoplasms of the Pancreas:on ct shows grape like clusters and dilated pancreatic duct 11) cholera toxin is an oligomeric protein composed of one A subunit and five B subunits (AB5). A subunit detaches and becomes activated by proteolytic cleavage, allowing it to catalyze the ADP ribosylation of the Gαs subunit of the heterotrimeric G protein resulting in constitutive cAMP production. 12) CT appearance of a lateral meningocele is that of a wide neural foramen 13) Deltoid and supraspinatus-shoulder abduction. four muscles that facilitate elbow flexion are the biceps brachii, brachialis, brachioradialis and pronator teres

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Transcript of AIPGME2012

1) Regions of the brain populated with neurons that are resistant to AD-related damage included the striatum, visual cortex, cerebellum, and brainstem.2) Section 228A IPC prohibits the disclosure of the identity of victims in rape3) Sham rage is defined as an affective and pathological aggressive state characterized by manifestations of fear and anger that lead to drastic physiological and behavioral changes. seen in decorticate animals4) Hypertriglyceridemia and Hypercholesterolemia seen in Human Immunodeficiency Virus-1-Infected Treated with Protease Inhibitors.5) Doc fos syphilis in pregnanat lady-pencillin6) Glasgocoma scle- Verbalmakes no sounds-1Incomprehensible sounds-2Utters inappropriate words-3Confused, disoriented-4Oriented converses normally-57) Fast acetylation leads to higher blood levels of the toxic metabolite acetylisoniazid and thus to an increase in toxic reactions hepatitis which is 250 times more common than in slow acetylatorsTemozolamide- is an oral alkylating agent used for the treatment of Grade IV astrocytoma9) H2S-In Japan it is known as detergent suicide, a near-instant death achieved by mixing common household chemicals into a poisonous cloud of gas.10) Ductectatic Mucinous Cystic Neoplasms of the Pancreas:on ct shows grape like clusters and dilated pancreatic duct11) cholera toxin is an oligomeric protein composed of one A subunit and five B subunits (AB5).A subunit detaches and becomes activated by proteolytic cleavage, allowing it to catalyze the ADP ribosylation of the Gs subunit of the heterotrimeric G protein resulting in constitutive cAMP production.12) CT appearance of a lateral meningocele is that of a wide neural foramen13) Deltoid and supraspinatus-shoulder abduction. four muscles that facilitate elbow flexion are the biceps brachii, brachialis, brachioradialis and pronator teres14) grepafloxacin showed the longest half-life15) Vibrio alginolyticus is a Gram-negative marine bacterium. It is medically important since it causes otitis and wound infection16) Apixaban directly inhibits factor Xa, thereby interfering with the conversion of prothrombin to thrombin and preventing formation of cross-linked fibrin clots17) most common cause of Moebius Syndrome is use of the drugs Misoprostol or Thalidomide while pregnant18) subluxated lens wil be seen as shining golden crescent19) hemochromatosis-AR20) Q wave onset to peak S2 (electromechanical systole, Q-S2)21) methicillin resistant staph aureus infection-cotrimoxazole.422) dilator pupillae is supplied by cervical sympathetic chain23) daptomycin bacteriostatic. Tigecycline has been shown to be a bacteriostatic agent against Escherichia coli, Klebsiella pneumoniae, Enterococcus faecalis, and Staphylococcus aureus24) langerhans histiocytosis CD1a25) Bispectral index (BIS) is one of several technologies which purport to monitor depth of anesthesia26) Pregnant women are encouraged to do kegels because strong pelvic floor muscles help make childbirth, specifically pushing, easier. Plus, the exercise can lower chances of tears happening during labor. During the postpartum period, doing kegels can aid in healing from an episiotomy as well as prevent postpartum incontinence and tone stretched out vaginal muscles

27) Relations of right ureter Anterior Duodenum Terminal ileum Right colic and ileocolic vessels Right testicular / ovarian vessels28) The appearance of cortical cataracts show up as spokes of a wheel.

29) T1 DermatomeMedial side of forearm to base of little finger30) congenital aplastic anemia FANCONI ANEMIA31) collarete of scales on trunk pityriasis rosea32) Q. What is not a complication in fracture head of femur-malunion33) itchy lesion, linear IgA deposit Dematitis herpetiformis34) The characteristic histologic feature of nocardiosis is an abscess with extensive neutrophil infiltration and prominent necrosis. Granulation tissue usually surrounds the lesions, but extensive fibrosis or encapsulation is uncommon35)child sex ratio-91436) 20yrs man with Comet tail sign With asbestos exposure-Round atelectasis

37) Secondary Hemochromatosis

This type of hemochromatosis usually is the result of another disease or condition that causes iron overload. Examples of such diseases and conditions include:

Certain types of anemia, such as thalassemias and sideroblastic anemiaAtransferrinemia and aceruloplasminemiaboth are rare, inherited diseasesChronic liver diseases, such as chronic hepatitis C infection, alcoholic liver disease, or nonalcoholic steatohepatitis

Other factors also can cause secondary hemochromatosis, including:

Blood transfusionsOral iron pills or iron injections, with or without very high vitamin C intake (vitamin C helps your body absorb iron)Long-term kidney dialysis38) renal scarring detect in infected kidney DMSA39) Salmonella typhi dose needed to infect human 10^2 10^5 bacilli40)drug induced osteomalacia?a steroid b heparin c phenytoin.ans:c41) the ventromedial hypothalamus (which is important for sexual behavior).42) type of hypersensitivity in membranus glomerulonephritis-type 243) Pt has external strabismus, ptosis and uniocular diplopia. Involvement of ? occulomotor44) Right subclavian cannulation was done in a patients. Few hours later, he has dyspnoe, tachycardia, hypotension, hyper resonance on percussion, decreased breath sounds etc.45) suarachnoid hemo which art is mc involved???? PICA46) to demonstrate one drug is better than other which trail-247) IUCD not necessary to change after 3 5 yrs-cu380A

48)inguinal canal Contents in males : the spermatic cord and its coverings + the ilioinguinal nerve. in females : the round ligament of the uterus + the ilioinguinal nerve.The classic description of the contents of spermatic cord in the male are: 3 arteries: artery to vas deferens (or ductus deferens), testicular artery, cremasteric artery 3 fascial layers: external spermatic,internal spermatic,cremastic 3 other vessels: pampiniform plexus, vas deferens (ductus deferens), lymphatics nerve: genital branch of the genitofemoral nerveThe ilioinguinal nerve passes through the superficial ring to descend into the scrotum, but does not formally run through the canal.49) function of gene best demonstrated bywesternsoutherngene knock outtransgenic animalsKnockout rats can mimic human diseases and are important tools for studying gene function (functional genomics) and for drug discovery and development50) repeated chalazion: sebaceous cell Ca51) congenital erythropoietic porphyria autosomal recessive52) amylin is secreted by:

alpha cellsbeta cellsgamma cellsdelta cells

ans :beta cells

53) Q3. All Structures Are derivatives of pharyngeal arches except?a, tensor veli palitini.b. tensor tympani.c. stapedius.d. palatine Tonsils. Ans:LPS

54) Q4. all nerves supply the auricle except.?a. Greater Auricularb. Lesser Occipital.c. Tympanic Branch of Vagus.d. Auriculotemporal nerve.

55) Diabetic elderly male with lesion in external ear with facial nerve palsy resistant to antibiotics.a. Malignant Otitis Externa56) Lesion developed from Olfactoty Mucosa?

esthesionneuroepithelioma.

57) All cause Conduction Deafness Except?a. menieres disease ( Hydrops)b. otosclerosis.c. serous OTitis Mediad. suppurative otitis mediaANS:A58) acute pulmonary oedema treatment all except morphine,digoxcin,frusemide ,positive ventillation59) aseptate hyphae-A candida b penicillum c aspergillus d asfomyces60) old blood stain detected using?-LUMINOL SPRAY61) common enzyme utilised in cholestroal and ketone synthesis-hmg62)

in kallman ,which of the following increased?LHFSHTSHGHRELINans:tsh63) disease spread by culex anopheles and aedes globally 1 malaria 2 filaria 3 dengue 4 yellow feverAns:264) HYPOECOIC ON USG? a) colon b) ovary c) bladder d) mucinous adenocarcinoma

65) dilator pupilae supplied by: post ganglionic sympathetic frm cervical plexus

66) scholastic performance impeded by all excepta.pica.b.adhd.c.anxiety.d.autism.e.scd

67) Ppi decreases efficacy of clopidogrel a cyt 2b b cyt 2c c cyt 2d68) eosinophil count diurnal variation reason?cortisol

69) repeated transcranial magnetic stimulation of brain? depression? resistant schizo? OCD? acute psychosis?ans:depression70) The occurrence of hyperthyroidism following administration of supplemental iodine to subjects with endemic iodine deficiency goiter is known as:A. Jod-Basedow effectB. Wolff-Chaokoff effectAns:b71) contraindicated in renal failure morphine, pethidine, fentanyl, atracuriumAns:fentanyl72) infection to brain spreads thru all except-direct bony invasionround n oval windowlymphaticwas last option hematogenousAns:c73) A neonate shows eroded skin (and more feature) while mother handles diagnosis?epidermolysis bullosa .

74) Q2. middle aged male comes wiyth shortening of leg by 7 cms, Hip in Flexion and External Rotation, clinically hard mass palpable in lateral gluteus region, whats the most probable Diagnosis?a Post Dislocation.b, Central Dislocation.c. Grade 4 Dislocation.d. Fracture of acetabulum with dislocation of Hip joint.75) Q6. Proximal Segment of Scaphoid Fracture goes into AVN Due To?76) SACH (solid ankle cushioning heel) prosthetic foot77) Retinoblastoma metstasis by ? hemat, lympho, scleral, optic nerve invasion.Ans?a?78) drug used to treat/prevent vasospasm: nimodipine79) drug used in IBS WIT CONSTIPATION80) . Cyanide toxicity caused by drug-nitroprusside

81) a pt peresent with vomiting of 500ml, spleen size 5cm below costle margine, diaa) gastric ulcerb) drug induced) portal htn???????

82) after 12-24 hrs starvation, what will not happen?

1. Increase free fatty acid2. increase ketone bodies.3. decreased glycogen4. decreased serum protiens.83) Q8. elderly man Vaccine Not to be given( Measles, H Influenza, TT.. Pneumococcal V)

84) Extra axial enhacing lesion on MRI-meningioma

85) Subhimalayan region recurrect ulcer causative agent?-sporothrix86) All causes tachychardia except?amphetamine r nifidipine r theophylline?

A/E are germ cell tumora. seminomab. dysgerminomac. endodermal sinus tumord. choriocarcinoma

Ans:granulose cell tumor

87) presence of smegma is the answer for sodomy88) not.a.method.of.protein.estimation?.biuret,bradfords,lowrys,bromocresol.green

89) 2)aminoacidresidue mc involved in o-glycosylation?serine/threonine/asparagine/glutamine90) 6)maternal use of whch drug ll cause Hypospadias in baby? diethylstilbestrol91) pathogenesis of disease- screening no use, tertiary prevention possible, entry of agent, including sub clinical casesAns:a92) 1alkaline diuresis useful for morphine amphetamine?Ans:phenobarbitone93)minimum value of assay of 3rd generation TSH?? 0.4/0.04/0.004/0.000494) Mitomycin fr Tracheal Stenosis Plat notes95) 21 hydroxylase deficiency-ambiguos genitalia with at 7 yrs with no palpable mass in inguinal or labia with virilization.

96) Child with recurrent resp infection(??) h/O bulky stoolcystic fibrosis970Mean was 105 with SD 10 they asked range in 85-12598) Cause of LH surge ? ans high level of estrogen99) most common tumor in the fetus- sacrococcygeal teratoma neuroblastoma??

100) Child staying in dirty surroundings, gets a pink nodule on conjunctiva with surrounding congestion, also has cervical n axillary LNpathy? Diagno: phlyctenular conjunctivitis?

101) 2monitoring bld level not reqd lithium cycloserine gentamicine warfarin?ans:c

102) supraduodenal bile duct receives blood supply from103) least common presentation in multiple myeloma ? hyperviscosity, anemia, bone pains, infections104) metabolic failure at cerebral blood flow of :a. 10ml/minb. 20c. 30d. 40105) larvicidal all except ans pyrethrum106) carcinoma ans cytokeratin107) amount of alcohol before and after ans paired t test108) reids index increased in ans chronic bronchitis109) 20 yr old with night blindness and tunnel vision.- pigmentary retinal dystrophy110) white pupillary reflex, retina totally normal. Which condition ? Primary optic neuritis.chalky white optic disc111) pre-eclampsia, effect on gfr: increased, decreased, remain same?112) yoga is considered as a part of modern medicine, it ll b considered as: physiotherapy, preventive medicine.113) Perforation of duodenum wil most likely involve?-gastrodudenal114) child with recurrent infection by bac havin polysaccaride capsule, what assay to b done: IgA, IgG1, IgG2, IgA or IgG2115) Radiotherapy given fr a tumour then later pt develop some symptom?? how to diff its recurrence or post radiotherapy necrosis18-FDG glucosePET Scanans:b116) child involved in repetitve tasks, no communication? Autism

117) atherosclerosis mechanism..ct angio118) A multigravida, term, in labour. Cx 2cm, head per abdomen 3/5 palpable, contractions 2 in 10 mins lasting 30-35 seconds. After 4 hours, Cx 4cm, cervicography crossed alert line and to its right. Wat is the comment on progress of labour ?119) 9 yr child operated for papillary Ca thyroid, near total wit neck dissectn. next best management?a.thyroxine suppressionb.whole body scan for metsc.d. CECT to see residual ds120) ,butterfly rash on face- sle??Ds dna

121) A man on provocation hit another man with a stick leading to formation of a bruise 4 * 4 cm on his arm. Which of the following is correct for his punishment?

a. simple imprionsment 1 yr with 1000 rs fine.b. rigrous punishment. 6 monthsc. simple imprisonment 2yr and 5000 fined. none of above122) vision 2020 in india a/ea catarctb refractory errorc vitamin a defecicyd glaucoma.e. DM retinopathyAns:c123) selfmutilative behaviour rpt q??Leschnihans-uricacid124) 30 yr male pt with rectal prolapse.. rx of choiceabdominal rectopexy?125) Facioscapulohumeral muscular dystrophy126) child on tacrolimus, ca 7.5mg/dl , alb 1.5 urea 79mg/dl creat .5 present with seizers likely diag . tacro toxicity , hypocalcemia , uramea.ans:b127) Which muscle relaxant causes pain on injection ?A. Succinyl cholineB. VecuroniumC. RocuroniumD.128) in posterior dislocation of shohoulder hill sach lesion is seen inA) AnteriorB) AnteromedialC) posteriorD) postero ???Ans:b129) one ques bt d mtp consent was ther ask only wife only husband both wife n husband ????ans:a130) cochlear implantimproves learning n reading remarkablydramatic improvementbrain stem implant is betterbetter sound localisation and discriminationans:a131) Not associated with gynaecomastia?a.prolactinomab.tsh adenomaIts a repeat question. And answer given in volume was prolactinoma. And explanation given is TSH adenoma some times leads to gynecomastia but function of prolactin is for milk ejectn. . . So it ll not lead to gynecomastia132) sleep pattern if external source is removed then ??a will not change b more than 24 hrs c less than 24 hrsThe rhythms persist in the absence of external cues (endogenous). The rhythm persists in constant conditions with a period of about 24 hours. The rationale for this criterion is to distinguish circadian rhythms from simple responses to daily external cues. A rhythm cannot be said to be endogenous unless it has been tested in conditions without external periodic input133) The Houston valve is located between the transverse and descending sections of the colon in front of the position of the left kidney. It prevents decaying fecal matter from backing up into the transverse colon134) chronic implantation of self-stimulating devices for stimulation of the posterior periventricular gray matter for pain control135) one ques was bt d contact lens wearers acamtameoba136) 40 yr old man lifted something heavy and then he had pain ON LATERAL ASPECT OF LEG & GREAT TOE diagnosisA) L3 L4 disc prolapseB) L4 L5 disc prolapseC) L5 S1 disc prolapseD) ???137) .a patient was given a drug to inhibit oxidase-reductase something? Wat infestation was he having ?Beef tapeworm,whip wormcryptosporidiumNitazoxanide has been FDA-approved for treatment of diarrhea caused by Cryptosporidium in people with healthy immune systems and is available by prescription.

138) YOGA KA QUE KYA THA?OPTIONSA) PHYSIOTHERAPYB) PREVENTIVE MEDICINEC) EMERGENCY MEDICINED) CALORIC USURPER139) A young boy came with dyspnea and was found to have a mediastinal mass. which of the following is known to produce mediastinal lymphadenopathy?A.diffuse large B cell LymphomaB. B cell rich T cell lymphomaC. T cell rich b cell lymphomaD.t cell all

moxiflox nd trovaflox are having maximum t1/2 so can be given orally.

140) drug used in IBS WIT CONSTIPATION????Ans is lubiprostone. Drugs used are tegaserod,prucalopride,loxiglumide,nd lubiprostone.Lubiprostn stimulates chloride channel in intestine and increases liquid secretion in hut and decrease transit time.Its a direct line from goodman.

141) CRAO in DM, CMV retinitis,mucormycosis.ans:

142) repeat: splenomegaly not asso witha. CMLb. PVc. essential thrombocythemiad. primary myelofibrosisAns:c

143) girl having pain when severe she exposes to cold ???Sausage digitHardening of fingerSomething lyk pale pulp finger

144) rod used to grade tear of hymenA) GABA rodB) cylider RodC) glaister-keen rodsD) ?

145) PD which part of brain is stimulated by trans megnatic stimulation?????cant rema.g pallidus b putamen c.sub th nucl d

146) breast-milk jaundice : which is true :lasts for 7 daysoccurs in 24hrs,raised conjugated bilirubin causes kernicterusVents cn cause Jaundice

while examining active agent for sodomy this is trueno smegma seenmay have constristion of shaft of penisfecal matter is present on active agentthe examinee confesses he is an active agent

147) Proximal Segment of Scaphoid Fracture goes into AVN Due To?a. REtrograde Blood Supply to Scaphoid

148) sportman with chest pain.mi trop t & IAll Structures Are derivatives of pharyngeal arches except?a, orbicularis oculib. lpsc. stapedius.d. palatine Tonsils.Ans:b

149) age of child who can use 4-5 words including meaningful nouns & represent his ideas mostly by non verbal communication then what is his age ?A) 15monthsB) 18 monthsC) 24 monthsD) 12 months15m jargon speech

All except seen in fracture Neck of Femur?a. Shorteningb. mal-unionc. non-uniond AVNB ans#neck-avn,nonunion#intertrochanter-malunion

Median is Imp For all except (Blood pressure,Survival Time,Incubation Period,Health Expenses.Ans:a

Q4. All Are True about SACH- ic10 Except?a. Full Form is Solid Ankle comfortable Heel.b. managed by prosthesisc. shoose can be worn outd. woody heel in centreAns:a

150) fibromyalgia?A. more common in males B. asso with EEG abnormalities C: something on brain stimulation? D.stress ans steroidsFibromyalgia is estimated to affect 24% of the population,[7] with a female to male incidence ratio of approximately 9:1eeg abnormalitites in sleep is found thats mostly ans151) . ResOURSE of training for ASHAA.AWW AND MPWB.ANM MPWC.MO ANDans:Anganwadi Worker (AWW) and the Auxiliary Nurse Midwives (ANM).

152) In prokaryotic proteins phosphorylation occurs on the serine, threonine, tyrosine, histidine or arginine or lysine residues

153) glutamate is pre dominant neuro transmitter in which part of the brain?A. Globus pallidus interbaB. Substantia nigraC. globus pallidus externaD.putamen

154) least likly to cause infective endocarditis??Small vsd,Small asd,Mild a.s.Mild a.r.Ans:b

155) small nerve neuropathy or somethingVit b 12 def

156) . Regular Reporting of Heath Statistics Given For(Trends of the Disease,To Appreciate ppls efforts, )epidemiological reserch

157) question was to detect minimum pneumoperitoneum options : a) erect abdomen 2) supine3) rt lat decubitus with horizontal beam n left lat decubitus with horizontal beam

158) assay has a sensitivity of 0.004 mcIU/mL and meets all criteria as a 3rd Generation TSH assay"

159) Most resistant cell structure..?spore?prion

160) ataxia, ankel & knee jerk absent & planter extensor..diag-fredericks ataxia

161) p value question????-probabaility

162) aminoacidresidue mc involved in o-glycosylation?serine/threonine/asparagine/glutamine O-linked glycans attached to the hydroxy oxygen of serine, threonine, tyrosine, hydroxylysine, or hydroxyproline side-chains, or to oxygens on lipids such as ceramide

163) Max cerebral vasodilation done by??ans hypercarbia164) pt with bronchiectasis amyloid nephropathy165)Secondary amyloidosis- amyloid associated protein

166) not causes fever .il 6 , tnf , inf , il 18( ans 18)

167) Analysis of the IFN-gamma responses of whole blood cells from BCG-vaccinated or non-BCG-vaccinated donors or patients with tuberculosis, stimulated with PPD, ESAT-6 or CFP-10 antigens, and evaluation of the specificity and sensitivity of the testifn y assay in tb is A) 1st gen using esat B) 2nd gen using esat n cfp10c) cant diff b/w mycobacteria nd other atypical

168) General Adaption Syndrome-post traumatic stress syndrome

For polysachharide coated organisms:a.IgAb.IgG1c.IgG2d.IgA and IgG2

169) during anesthesia which is least affected-visual evoked response??BrainstemBERA

170) False about non small cell Ca lung is?Geftinib m/c used

171) punishment for drug users and paddlersa.ndpa act.b. drug users sent to t/t not jail.c. alcoholism included .d. equal punishment for paddlers and users and farmers allowed to grow unlimited opium

172) Radiotherapy effect on childs brain, some QDoesnot effect iq

173) Both skin and nail have keratin. The difference in ther flexibility is cause?1. Fewer S-S bonds in skin keratin2. Exclusion of water from nail keratin3?4?Ans:a

174) not an antilarval- malathion or pyretherum??

175) 1) Limbal scar, Dark reflex in pupillary area, Wide AC, Vision 6/6 with +11D Spherical Lens Diagnosis??? Aphakia, Pseudophakia, Posterior Dislocation of IOL, Hypermetropia

176) Buphthalmos Corneal Diameter > 13mm

177) 4) Fungal Corneal Ulcer

178) at 4atm pressure wat is o2 conc in 100ml of plasma-6

179) one ques on dic- all except??DEC PT

180) pneumococcus meningitis : options? HIGH PRO+LOW SUGAR

181) 40wks old baby of diabetic mother with blood glucose levels 35 mg per 100ml. what should be the line of treatment:a. fortified expressed breast milkb. 10%dextose @10ml/kg b.wt. by oral routec. 10%dextrose i.v.D.RL

Regarding Houstons valve true?represents the peritoneal reflectn/ contains all layers of intestine/ disappear on distension

182) least recurrence in?a. Delormeb. Thierschc. perineal..ANS:RECTOPEXY

183) Not a feature of drug dependence ?Attempts to quit drugs.

184) one abt TSH. Central hypothyrodismTSH level not requiredtherapy is done accor to TSH level in plasmaTSH level is good marker

spleen metastases

ovarian (most common)melanomapancreatic

185) scaly truncal lesions,perineal area,oral lesions in a lady??SECONDARY SYPHILIS

186) false abt spinal cord??187) mRNA -heavier than hnRNA, transcribed from dna not translated, cytosolic RNA not DNA, n RNA has got U, not T188) In normal pregnancy, which of the following does NOT occur :ans. decreased systolic pressure

Myasthenia gravis is a Type II hypersensitivity reaction

189) 1 repeat rt leg pain.. relievd by lat colun lat cordotomy190) Cohort and case Control. .. cohorts chosen dependng on exposure191) clozapine-carbamezapine interaction occurs-mosapridedomeperidone KETOCONAZOLE

192) 45 yr male, with both upper limbs paralysed in childhood, now develops pain, fatigue in both lower limbs. diagnosis?a. post polio syndb. polymyositisc. muscular dystrophyd. neuropathyANS:A

193) Q.what does not happen in mitochondria?1.protein syn 2. fatty acid syn ????

194) 70 /60 yr male with left varicocoele most probable u will think is:?A) Lt testes cancerB) lt renal cancerC) ?D) ?Ans:b195) yr old female with abdominal distension, ascites, dyspnoea, raised CA 125.Diag ?Ca ovary, cervix, endometrium..Ans:a

196) autosomal dominant a/e : ataxia telengiectasia?

197) laryngomalacia a/e : surgery is a must (modified repeat)

198)amifostine-radioprotective

1990a blood grp- ans OA200) EBV causes tumor(?) by which mechanism?polyclonal B cell expansion i too did

201) drug not used in severe pulmonary edema?digoxinmorphinethiazide

202) PITUITARY MACROADENOMA : >1cm 203) which of these is not used in hypercalciuria frusemide204) small round blue cell tumor : chromosomal association?205) Not a feature shared by T n B lymhocytes?natural selection b cells me hota hai

206) When a nerve impulse arrives at NMJ, wat happens?Ach binds to receptors in sarcolemmal membrane,Release of calcium from sarcoplasmis reticulum207) Whole body irradiation T/t done for:Sezary syndrome or mycosis fungoides.TSEB- total skin electron beam radition therapy s used for myc fung n sezary too since it s a severe form of myc fung..but go for sezary

208) 9 yr child operated for papillary Ca thyroid, near total wit neck dissectn. next best management?a.thyroxine suppressionb.whole body scan for metsc.d. CECT to see residual ds209) agent is there but no transmissionA) eliminationB) relapseC) eradicationd.holoendemic

210) Short bowel syndrom affects absorption of which one maximally ?Vit B12, Vit K211) seen in Von Hippel Lindau ?craniospinal hemangioblastoma?multiple tumors rarely seen

212) hormone increased in prader willi? Gh fsh lh ghrelin213) CBT T/t for OCDa exposureb thoughtc reaction

214) pain in pressing in pin point seen in glomus tumor

thiazide used in t/t of a/e a-idiopathic hypercalceuria wit nephro calcinosisb-hyperlipedemiac-ccf

6yr old boy nephrotic syndrome, on prednisolone and tacrolimus..Na 136, Ca 7.5, Cr : 0.5 seizures and edema..cause is :hypocalcemiahyponatremiauremiatacrolimus toxicity215) complicatoin related to first and second twin2nd twin mor chance of hyaline membrane?Polycythemiaasphyxia in 1st twinincreased mortality in first twin

216) not a serotonin adrenaline antagonist or something like this? options- clozapine,zotepine,amisulpuride,sertindole217) leucocytosis, platelet count increased in a female.. Which of the following not a diagnosis?Dic, evans syndrome . ..Hav u all add this 1: pregnant lady with low platelet (which is not the 50000), posiibility?a. DICb. TTPc. HELLPd. Evans syndrome

218) Stage 1 Wilms tumour. Treatment?Laparoscopic nephrectomy, open nephroueterectomy, chemo ?

219) meningocele preotected by? mercurochrome? methyl blue? normal saline? tincture iodine?

220) Aids related complex gen lymph..,herpes zoster,oppurtunistic inf2210denominator modified(age distribution) in :crude mortality rates?222) PSM ka SLE wala question,-pretest probability

223) another easy one (a rarity in this paper) : basal exudates, infarcts, hydrocephalus?TB meningitis.

224) SD was 10, sample size of pregnant woman with Hb 10mg% was 100.S.E?225) Role of restriction enzymes2?226) MRI not useful for: calcified lesions

Laboratory criteria separating AIDS-related complex ( ARC) from AIDS include elevated or hyperactive B-cell humoral immune responses, compared to depressed or normal antibody reactivity in AIDS; follicular or mixed hyperplasia in ARC lymph nodes, leading to lymphocyte degeneration and depletion more typical of AIDS227) white pupillary reflex, retina totally normal. Which condition ? Primary optic neuritis.pt has weakness of limbs,winging of scapula, facial palsy. Diag ?Fascioscapulohumeral dystrophy..228) Spontaneous CSF leak in a/e :a. raised ICPb. low risk encephalocoele

229) QUE 1) Patient had a renal mass diagnosed by exfoliative cytology. Which is the possibility?1. Adenocarcinoma2. TCC3. Well differentitated carcinoma4. All can be diagnosed by exfoliatuve cytologytrue about cytosolic rna a/e (BIOCHEM)a. translated from nuclear dnab.molecular wt is more than heterogenous rnac.has thymine in place of uracild.sugar is deoxyribose

230) Spasmodic dysphonia, all are true except?1. Affects muscles of larynx2. BTX-A is the treatment3. Multiple sittings of BTX-A are required4. Abductor involvement presents with strained and strangled speech.

laryngomalacia true is a/ea.mc congenital anamoly of larynxb.omega shaped epiglotisc.more stridor while crying and relieved on proned.surgical tracheostomy treatment

231) Which of the following is not a phase one reaction ?A) oxidationB) reductionC)hydrolysisD) conjugation

232) A pt on one regular medication, which should be stopped before an abdominal surgeryA) statinB) steroidsC) beta blockersD) ACEI

233) Which of following is most common cause bone fracture in indiaA) sarcoidosisB) pagetsC) nutritionalD)steroid

234) hypoglycemic drug causing b12 deficiencya.exenatideb.rapaglinidec.gliptand.metformin

235)Que 41)Investigation of choice in Hirschsprungs (sURGERY)A. rectal biopsyB.Barium enemaC.MR angiographyD.manometry

236) All except occurs on Decrease in liver glucose level :a.inhibition of PFK2b.Activation of Fructose 26bisphosphatasec.increase in glucagond.increase in F26bis phosphate

237) In Immune complex formation structure of protein involved isA) PrimaryB) SecondaryC) TertiaryD) Quaternary

238) conduction velocityof nerves; velocity is NOT affected in which?A)leprosyB) MNDC) GBSD) polio

239) a/e have episodic weakness exceptA) channelopathyB) lambert eatonC) hypercalcemiaD) hyperphosphtemia

persistent leukopenia after 6 wk of Ara C n 1 mor drug. Cause?a.Chemot/y induced myelosuppessionb.c.persistent leukemia

240) 11. Angioneuritic edema (twisted repeat)

241) 3. Pustular lesions on leg Bacitracin test wala Q.

242) 240. After successful phacoemulsification and IOL placement, after few days, vision deteriorates with aqueos flare and posterior synechiae. Cause ?Post operative pan ophthalmitis.

243) . age related dementia increase in followinghomocystiene, cystiene /TAURINE

244)Q small vessels vasculitis seen in1 gaint cell arteritis2 takayasu arteritis3 PAN4 Microscopic Polyangitisans microscopic polyangitis

245) Added this? a young man with c/o ataxia, headache, vomiting, with a mural mass seen in right cerebellar hemisphere. diagnosis?a. ependymomab. lymphomac. haemangioblastomad. metastasis

246) Q BONE DENSITY BEST STUDIED BY

247) Q 3rd stage labour all exceptcontoled cord traction,methergine.syntosinon.massage of uterus

248) Man with dysphagia,anemia,foul breath,crepts in lungs,diagnosiaSchatzi ringZenkersCorkscrew esophagusPlummer vinson

249) Carcinoid,true isCommonest tumor of small intestineMultiple tumors lead to increased lung cancer

250) Ligature tied proximal to baroreceptors,wat is seen?Ht/bradycardiaHypertension /tachycardia

251) Daly,true isPremature death with life adjusted for diseaslife adjusted for severity of dis

252) For which technique STUDY DESIGN(iam nt able to remember exact thng asked,help anyone though choices yahi thi shayad) model is used? 1simple sampling 2.systematic sampling 3.cluster sampling 4.stratified sampling

253) Q8. 7yr old child comes wid Ambiguous genitalia..he does nt have hyperpigmentation or hypertension..mullerian structures r present..shows phallus 2.5cm n labial folds r separated wid two perineal openings..no gonads palpable in folds or intraabdominaly.. Which one explains the condition? 1. Simple virilisation of primary CAH 2. complete androgen insensitivity synd 3.5 alpha reductase def 4.Maternal virilising synd

254) all of d followings studies can b done wid individual as a unit except.. drugvaccineeducationAns:health education

255) the gal had splenomegaly, leucopenia, fever and died in a few days longitudinal ulcers?Typhoid

256) The Q was Neuroma at amputated stump treatment modality of choice??Ans is Ultrasound Therapy

257)delusions are not seen in..

depressiondementiaschizophreniaconversn

258) RTA type1 has all except?nephrocalcinosishypokalemiaHCO3 excretion >15%

259) there was some q related to F wave in eegGb syndrome

260) 2)drugaddict experiencin synasthesia. likely agent??lsd,cocaine,

261) some question abt anesthetic machine?1. halothane vapourises at 39?2. O2 meter attached to inspiratory limb?rotameter

262) Extended criteria for liver donationAge>70 yr,Hbs Ag

263) bizzare perception of objects??illusionhallucinationdelusion264) thipentone protects the brain by which mechanism? ans. prevents cerebral metabolism

265) 70 yr pt with anti hepatitis c but skin ka manifestation nahi diya tha ?MPGN r cryo ,i mark mpgn266) 211. Negative pressure in pleural space is due to?Its a repeat questionAns: Elastic recoil..

267) which of the following is a cause of psychosis on a cocaine user ?A. tolarenceB. WithdrawlC. regular intakeD.reverse tolerance

268) A paraplegic with lesion at T3 came with BP 210/100, what should be done in him ?A. Start subcutaneous LMW heparinB. ?C?

269) A young man living in a metropolitan city comes with abuse to a particular drug. He says he Sees sounds and hears colours. What substance is he taking?A. LSDB. PCPC. cocaineD.270) A 70 years old male after catarct surgery complained of diminished vision. On FFA Petals of flower appearance was noticed and_____ whats the probable diagnosis ?A. Cystoid macular edemaB. Central serous retinopathyC. EndophthalmitisD.

271) difference between 20% and 10% lipid solution of lipids all except?A. Less hyper triglyceridemiaB. Less hpyer cholesterolemiaC. less energy suppliedD.?

272) biers block ivra

273) rheumatoid factor is igM antibody directed against igG.

274) barorecptor nucleus tactus soliterius