AIPGMEE 2010 QUESTIONS

Anatomy

1-hypogastric sheath is condensation of
1-pelvic fascia
2-colles fascia
3-scarpas fascia
4.
ans-

2.urogenital diaphram is made up of a/e
1.deep transvers perinei
2.perineal membrane
3.sphincter urethrae
4.colles fascia
ans-d

3.relation of celiac plexus ?
a.anterolateral to aorta
b.posteromedial to aorta.
c.anteromedial to lumbar sympahathetic chain
d.posterolateral to lumbar symphathetic chain
ans-

4.structures passing thro foramen magnum ?
a.vertebral artery
b.12th N.
C.lumbar symphathetic
d.internal carotid art
ans-vert art

5.gluteus medius is supplied by
a.superior gluteal nerve
b.inferior gluteal nerve
c
d
ans-sup glu

6-coarctation, collateral formed by all except
a-vertebral artery
b-suprascapular artery
c-pst int cost
d-axillary
ans-vert

7-which of the following is composite muscle except
a-flexor carpi ulnaris
b-pectineus
c-biceps
d-flexer dig superficialis
ans-a

8-which tendon passes below sustentacula tali closely associated
a-tibialis anterior
b-tibialis posterior
c-flexer hallucis longus
d-
ans-c

9-median nerve leision at wrist cause all of the following except
a-thenar atrophy
b-adductor pollicis
c-lumbricals of index
d-lumbricals of middle
ans-b

10- left side SVC drains into
1 - right atrium
2 - left atriam
3 - coronary sinus
4 - pericardial space
ans-coronary sinus

11-shoulder abduction all except....
a-clavi movemnt
b-medial scapula rotation
c-acromio clavicl jt movement
d-humerus evelation
ans-b

12-lymph drainage of spongiform urethra
1. deep inguinal LN
2. sup inguinal
3. int iliac
4. ext iliac
ans-deep ing

13-pt rta,quadriparesis,loss of bladder bowel tone,sensory level supra sternal rr-30,hr-120
a-medulla
b-c1 c2
c-c5 c6
d-t
ans-c5 c6

14-mc anomaly of renal vein
a. Supranumerary renal vein
b. Supranumerary renal artery
c. Double renal vein
d. Double renal artery
ans-

15-bronchial artery a/e
a- helps in gas exchange
b-shunt
c-
d-
ans-
Physiology

1-which inhibit insulin...
a.gasrtin
b.secrtin
c,adrenlin
d-
ans-adrenalin

2.hot water bath use in intestine colic-
a.adrenergic
b.cholinergic
c.cold receptor
d.peritoneal worm receptor
ans-

3-Non resp function of lung
1. exchange of anions
2. sodium exchange
3. potassium exchange
4. ............
ans-b

4-water mainly absorbed in which part of intestine?
a-colon
b-jejunum
c-stomach
d-ileum
ans-jejunum.

5-Action of NO on intestine?
a-vasoconstrict
b-vasodilatation
c-smooth mus relaxation
d-
ans-

6-in standing position venous return affected by a/e?
a-calf mus
b-bp
c-tendinous fassa
d-peforator
ans-bp

7-vit k dependent clotting factors
a-9 10
b-
c-
d-
ans-a

8-low bmi is seen in
a-obesity
b-after feeding
c-exercise
d-hyperthyroid
ans-a

9-bmi depends on
a-bsa
b-lean body mass
c-
d-
ans-a

10-minimal motion heart max at
a-late sys
b-late diastole
c-mid systole
d-mid diastole
ans-

11-During Exercise the cardiac output rises upto 5 times, but pulmonary vascular resistance only few mm hg. Why?
a. sympathetic stimulation causing vasodilatation
b. opening of parallel channels
c. pulmonary vasoconstricion
d.
ans-
a question was on bert effect- Bert effect is cns manifestations of oxygen toxicity

5-sectetion in stomach not dep on -gastrin,etc


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qquin.
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PostPosted: Thu Jan 14, 2010 12:57 pm Post subject:
BIOCHEMISTRY

1-sphingomelinase def
a-neimann pick
b-
c-
d-
ans-a

2-rothera test
a-ketone
b-
c-
d-
ans-a

3-not moving on elctrophoresis...
a-chylomicron
b-LDL
c-VLDL
d-hdl
ans-chylomicron

4-used for aneuploiidy detection a\e
a-FISH...
b-micro array genomic hybridisation
c-
d-PCR

5-prenatal diagnosis of hemophilia is made by
1 - linkage studies
2 - RT PCR
3 - microarray
4 - cynogenetics
ans-

6- to analyse gene expression which technique is used
or for detecting genetic transfer of disease
1 - northern blot
2 - sourthern blot
3 - western blot
4 - microarray
ans-

7-multiple dc def
a-maple syp
b-
c-
d-
ans-a

8-hepatomegaly,hypoglycemia not resp to epinephrine
a-von gar
b-
c-
d-
ans-a

10-process in which exchange of ions in solution form with
that on to surface form occurs in
a. ion exchange*
b. paper chromatography
c.
d-
ans-


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qquin.
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PostPosted: Thu Jan 14, 2010 12:59 pm Post subject:
Pathology

1-Low CSF protein is seen in a/e
a. Infant
b. Pseudotumor cerebri
c. Hypothyroidism
d. Recurrent lumbar puncture
ans-

2-urea/creatine ratio 20:1 so relatively creatinine not increase in
a lead nephropathy
b cgn
c myolysis
d is prerenal failure as it is used to distinguish prerenal from postrenal failure.
ans- d

3-AFP is increased in
1.seminoma
2.renal cell carcinoma
3.hepatoblastoma
4.
ans-hepatoblastoma

4-bradykinin..
a.pain
b vasodil
c.vasoconst
d-
ans-pain

5-for typing langerhans histiocytosis
a-cD 1a
b-cd 20
c-cd 3
d-cd 30
ans-a

6-in monoclonal gammopathy raised
a-igg
b-ig a
c- ig m
d-igd
ans-.

7-in amylodosis which heavy chain disease is associated
a-gamma
b-labda
c-mu
d-
ans-

8-caspases -
a-cell injury
b-necrosis
c-apoptosis.
d-
ans-apoptosis

9-apoptosis light microscopic microscopic featue...?
a-intact cell membrane...
b-eosinophilic cytoplasm
c-swelling of cell
d-nuclear
ans-

10-Down s genetics
a-maternal...non disjunction
b-paternal..non disjunction
c-mosaicism
d-
ans-a

11-CHROMOPHIL cell RCC...genetics
a-mutn VHL gene
b-loss of 5p
c-loss of 3p
d-trisomy of 7,17
ans-d

12-burkitt
a-8:14
b-12:21
c-
d-
ans-a

13-mcc of abd aortic aneurysm
a- artherosclerosi
b-syphylis
c-
d-
ans-a

14-hyperthalamic hypogonadotrophic
a-klienfelters
b-noonan
c-viral orchitis
d-kallaman
ans-

15-lymphoplasmacytoid cells seen in
a.mltiple myelome
b.lymphoma
c-
d-

16- bence jones proteinuria
a-
b-
c-
d-
ans-

17-testicular tumour with elevated afp all poss except
a-choricaarcinoma
b-teratocarcinoma
c-yolk sac carcinoma
d-emb cell ca
ans-

18-t(2,Cool is a/s with
1.t cell ALL
2.b cell ALL(BURKITTS)
3.CML
4.CLL
ans-b



19-both mullerian and wolffian ducts never seen in
1 ovotesticular synd
2 gonadal dysgenesis
3 FSH receptor defect
4
ans-

20-A Pedigree chart regarding cystic fibrosis. Percentage of siblings to be a carrier ,autosomal recessive
a)0
b)1/2
c)2/3
d)1/4
ans-b

21-rb gene mutation,pt not having retinoblastoma.next most common tumor will be
a-osteosarcoma
b-
c-
d-
ans-a

22-in pnh which somatic gene mutation
a-daf
b-mirl
c-gpi
d-
ans-

23-fanconis anaemia a/e
a-ad
b-
c-
d-
ans-a

24-Brown tumour ass wit
a-Hyperparathyroidism
b-
c-
d-
ans-a

25-Pathogenesis of all of the following is granulomatous except
1. wegener's granulomatosis
2. buerger's disease
3. takayasu's arteritis
4. microscopic polyangitis
ans-d

26-antigen binding site in mhc1
a-alpha beta cleft
b-distal end of alpha sub u
c-prox end of alpha sub u
d-
ans-

27-alfa fetoprotein inc in
a-haptoblastoma
b-
c-
d-
ans-a

28-disease only occuring in male
a-x linked res
b-xd
c-ad
d-
ans-a

29-paraganglioma associatd with
a-dense core granules
b-mt
c-
d-
ans-a

30-thrombosis in neph synd due to
a-loss of at3
b-protc
c-prot s
d-
ans-a


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qquin.
Guest







PostPosted: Thu Jan 14, 2010 1:00 pm Post subject:
MICRO

1-neonatal meningitis,beta haemolysis,bacitracin registant,camp positive,
a-s pyogenis
b-s agalactiae
c-s pneumoniae
d-
ans-b

2-asthma,fila funi wit septate hyphae
a-aspergilous
b-candida
c-mucor
d-
ans-

3-neonate+ethmoidal opaque+no growth in 1st cult,
a, blod culture
b.repeat culture
c. ct
d.
ans-

4-hyphe in nose at 45 degrees diabetic with fungal infn
a-rhizopus
b-mucor
c-aspergillous
d-
ans-

5-vibrio eltor wrong is
a-
b-
c-toxin act other than int tissue
d-human is the only resorvoir
ans-

6-isolation of chlamydia
a-yolk sac inoculation
b-immuneagglutatin
c-
d-pcr
ans-a

7 fungus-wall stain invariably by
a-pas.
b-
c-alizarin
d-massn trichome
ans-

8-in non mismatch transfusion done
a-direct coomb
b-ind
c-doner antibody
d-rec antibody
ans-


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qquin.
Guest







PostPosted: Thu Jan 14, 2010 1:01 pm Post subject:
PHARMA

1-Pancreatitis occur with
a)abacavir
b)zidovudine
c)lamivudine
d)didanosine
ans-didanosine

2-all are drugs causin hirsutism except
1.phenytoin
2.danazol
3.norethisterone
4.flutamide
ans-d

3-Which is a ppi
1) ranitadine
2)
3)
4) omeprazole
ans-d

5.corticosteroid effective in which base/
a.ointment
b.cream
c.gel
d.lotion
ans-

6-with rivastagmine which medicine can not b given
a-ssri
b-rima
c-tca
d-atypica anti
ans-c

7-hydantoin sydrome
a-phenytoin
b-alcohol
c-
d-
ans-a

8-tyrosine kinase inhibitors are used in ??
1 - GIST
2 - receptor mediated neuroendocrine tumors
3
4
ans-a

9- which is incorrectly matched
1 - phenytoin - cleft lip and palate
2 - zidovudine -
3 - valproate - neural tube defect
4 -
ans-zidovudine


10-drug inhibiting HER1 HER2...
a-imatinib
b-lapatinib
c-erlotinib
d-geftinib
ans-b

11-not prophylactic use in migraine
a-propranolol
b-sumatryptan
c-
d-
ans-b

12-histaminic+antiemetic
a-metoclopramide
b-dom
c-promethazine
d-ondansetron
ans- c

13-ampho b to be given how to decrease its toxicity
a-liposomal
b-
c-
d-
ans-a

14-thalidomide not true
a- morning sickness tt
b-
c-has been reintroduced for enl
d-used for multiple myeloma
ans-

15-hyperpigmntn after use for acne
a-tetracyline
b-doxy
c-azitho
d-mino
ans-d

16-narrow safety index drug...
a-Lithium
b-
c-
d-
ans-a

17-Lithium teratogenicity
a-cardac malfomation....
b-
c-
d-
ans-a

18-phenytoin true a/e
a-saturable kinetics
b-
c-
d-
ans-a

19-not a pyrethrum extract...?
a-permethrin
b-DDT
c-
d-
ans-

20-mycopentalate mofetil, true a/e
a-
b-active comp
c-given along with mycophenolate mophetil
d-highly nephrotoxic
ans-

21-linezolid rx monitor
a-audiometry
b-renal function test
c-platelet count
d-lft
ans-c

22-carbidopa given along with levodopa
a-prevents peripheral decarboxylation of levodopa
b-
c-
d-
ans-a

23-resistance to penicillin in diffuse meningo coccemia having rash
a-chloroamphenicol
b-meropenem
c-teicoplanin
d-cipro
ans-

24-ethosuximide can be given in
a-gtcs
b-absence
c-complex
d-
ans-b

25-drug not given in myoclonic epilepsy
a-topiramate
b-zonisamide
c-carbamazepine
d-valproate
ans-

26-Heparin induced thrombocytemia treatment ,but notcompleted
a-lepirudin
b-aprotinin
c-plasminogen
d-
ans-

27-THEOPHYLLINE moa
a-Phophodiestetase 4 inhibitor
b-beta2 ago
c-
d-
ans-a

28-penicillinn binding protein a/e
a-
b-
c-
d-
ans-

29-All of the following are true abt opioids except?
a. Naloxone is short acting
b. naltrexone used to lower craving in alsoholics
c. Nalmefen can be used in
d-
ans-


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qquin.
Guest







PostPosted: Thu Jan 14, 2010 1:04 pm Post subject:
FMT

1-lightening flash injuries because of a/e
1.direct effect of its current
2.burns due to superheated light
3.compressed air pressure before flash
4.expanded air around flash
ans-

2.primary impact injury common in?
a.head
b.abdomen
c.legs
d.chest
ans-leg

3-poisoning case of trmors ,incrsd salivation,blue line in gum
a-mercury poisong
b-pb
c-
d-
ans-a

4-aconit
a-incrsed bp
b-tingling &numbness
c-
d-
ans-b

5-death in 3yrs of married woman
a-176 crpc
b-174 crpc
c-304 ipc
d-306 ipc
ans-b

6-[bleep] which leaves a visible mark in pathway so that person can see the
a-tandem
b-tracer
c-dumdum
d-riochet
ans-

7-commonly used in narcoanalysis
1. atropine sulfate
2. scopolamine hcl
3. opium compds
4 morphine
ans-b


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qvick.
Guest







PostPosted: Thu Jan 14, 2010 1:05 pm Post subject:
SPM

1-true about scrub typhus a/e
1.transmitted by r.tsutsugumashi
2.vector is trobiculid mite
3.adult mites feed from bite of vertebral host
4.tetracline doc
ans-

2-ASHA works in
1) village level
2) phc level
3) chc level
4)
ans-villege

3-Jsy stands for
1) janani suraksha yojana
2) jana suraksha yojana
3)jana swasthya yojana
4)
ans-a

4-NPCB strategy for screening of diabetic retinopathy..
1 - opportunistic screening
2 - high risk screening
3 - ophtalmoscopic eye examining by diabetologist
4 - mass screening
ans-

5-malaria incidence ,population 165000,after jan 1st incidence
22,prevance-220/6 month?
a-13/1ooo000
b-133/1000000
c-27/1000000
d-
ans-

6-true +ve 40,false -ve-80 ,sensitivity?
a-50
b-33%
c-
d-
ans-b

7-to eradicate by 2015
a-filariasis
b-malaria
c-tb
d-
ans-filaria

8-movement in socio economic level../?
a-social equality
b-socioeconomic upliftment
c-
d-
ans

9-RESURGENT malaria due to except
a-antigenic variation in parasite
b-drug resistance
c-change in host registance
d-
ans-


10-perinatal mortality includes?
a-still birth+early neon death
b-abortion+early neon death
c-upto 42 days
d-
ans-a

11-mass immunizn not done in
a-yaws,.
b-
c-
d-
ans-

12-mmr wrong statemnt
a-rate not ratio
b-denominator includes still nd abortion
c-numeretor upto 42 day preg rel compl
d-
ans-b

13-Z score is calculated for
1. Normal distribution
2. Binomial
3. Chi square
4-t
ans-c

14-ARI tuberculosis a/e
a-currently 1.7%
b-denotes infection prevailing beyond control measures
c-1% = 75 cases
d-
ans-

15-in AFP follow up for residual paralysis is done after
1 - 20 days
2 - 30 days
3 - 60 days
4 - 90 days
ans-60 days

16-Rural Urban divide not seen with?
1 - lung cancer
2 - tb
3 - chronic bronchitis
4 - mental illness
ans-

17-community provides maximum participation in
1 resources
2 planning of intervention
3
4

18-not an element of primary health care
a-cost effectiveness
b-intersectorial cord
c-provision of essential drug
d-health education
ans-

19-newer concept of primary health care
1 Primary health care
2
3
4
ans-

20-confidence limits
a-
b-
c-
d-
ans-

21-red cross not true
a.established in 1960 in uno
b.size of cross equal horizantally and vertically
c.uno members use this
d.permission of gov of india req to use


22-Which was the first one to bring forward the primary health care proposal
1. bhore committee?
2. alma ata declaration
3. global forum for public health o somethin like that
4.

23-Emotional valence
a-belief
b-Practise
c-
d-
ans-

24-difference b/w IMNCI and IMCI all except?
a. also incudes malaria and anemia
b. more stress on saving neonates than mild older cases
c. 0-7
d. on going immunization
ans


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qvick.
Guest







PostPosted: Thu Jan 14, 2010 1:07 pm Post subject:
MEDICINE

1-serotonin syndrome caused by all except
a-chlorpromazine
b-
c-
d-
ans-a

2-hyperglycemia associated with
a-mm
b-ewings
c-osteosarcoma
d-
ans-

3-truck driver patchy lung leision,non productive cough fever
wt loss,oral white patch ,causative ageny
a-pneumocystis
b-tuberculosis
c-candidiasis
d-
ans-


4-hypoechoic lesions in spleen with fever for 3wks,mild splenomegaly,hypoechoic
lesion
a-cmv
b-toxo
c-salmonella
d-tb
ans-c

5-which one not a/s with thymoma
a-siadh
b-myasthenia gravis
c-hypogammaglobulinemia
d-red cell aplasia
ans-a

6-case for pco2 30 n po2 102 ph 7.4
a-metabolic acidosis
b-met alk
c-rsp acidosis
d-rsp alk
ans-

7-primary criteria for polycythemia
a-reduced erythropoeitin
b-jak 7
c-
d-
ans-

8-kayser flieshner ring
a-wilsons
b-
c-
d-
ans-a

9-case of xray with ptchy fibrosis ,fibroblasts proliferation
a-nonspecific interstitial fibrosis
b-
c-
d-
ans-

10-retinoblastoma a/s wid
a-osteosarcoma
b-renal cell carcinoma
c-
d-
ans-a

11-triad of gait abnorm,dementia,urinary prob
a-normal pressure hydrocaphlus
b-
c-
d-
ans-a

12-Boy with seizures,BP - 200/140 in upperlimb
femoral pulse not palpable..most likely diagnosis
1. takayasu's aortoarteritis
2. renal parenchymal disease
3. grandmal seizure
4..
ans-a

13-vaccant stare 20sec,
a-absence seizure
b-
c-
d-
ans-a

14-past h/o APL synd ,tt
a.)start low dose aspirin + lmw heparin
b.)
c-
d-
ans-a

15-Beck's triad seen in?
1. constrictive pericarditis
2. cardiac tamponade
3. LVMI
4...
ans-b

16-carcinoid effect on heart
a-fibro elastic degeneration of rt ventricle
b-tricuspid
c-
d-
ans-

17-mitochonrial enzyme...??
a-alkaline phosphatase...
b-alt
c-ast
d-ggt
ans-

18-20 yr old man is HBsAg positive.HBeAg negative
liver enzymes SGOT, SGPT raised > 5 times the normal
what is he suffering from?
1. wild type HBV
2. surface-mutant HBV
3. core-mutant HBV
4-
ans-

19-GBS except..
a-albumino cytologic dissoc.
b-ascending paraysis.
c-definite sensory lesion
d-
ans-c

20-motor neuron disease site of lesion...
a-spnicerebellar
b-ant. horn cell
c-
d-
ans-b

21-lesion to lateral cerbellum...except
a-resting tremor....
b-coordination
c-
d-
ans-a

22-VZ remain latent in?
a-trigeminal n
b-
c-
d-
ans-

23-lung ca true is
a-70% squamous cell ca
b-oat cell characterestic calcification
c-hilar adenopathy by
d-necrosis
ans-

24-true trientine.except
a-more potent than penicillamine & orlly absorbd
b-cause iron def anemmia which is reversible by oral iro supplement
c-alternative to penicillamine in non tolerant
d-not given with iron in 2 hrs
ans-

25-s3 heart sound
a-asd, cons pericar
b-ventricular sys phase
c-
d-
ans-

26-high grade fever, MRI - frontal n temporal lobe diffuse
enhancement
a-hsv
b-
c-cmv
d-toxoplas
ans-hsv

27-carcinoid of intestine.false is
a-rectum is least
b-after rese 5 yr survival 60%
c-
d-
ans-

28-female with mid sys click on auscultation
a- myxomatous degeneration.
b-mvp
c-
d-
ans

29-features of pseudo hyperparathyroid
a. low PTH*
b. end organ resistance
c. low calcium high phosphate
d-
ans-c

30-fragile vegetations seen in
a-inf endocarditis
b-rheumatic
c-rheumatoid
d-sle
ans-

31-gout treatment-..
a-
b-
c-
d-

32-electron micros diagnostic of
a.alports
b.churg struss
c.googpas
d.wegner
ans-a

33-parasite causing cholestasis
a - chlonorschisis
b-ank duodenale
c-ascaris
d-chlonochis
ans-

34-plasmapheresis not done in
a-cholinergic crisis
b-myasthenic crisis...
c-aidp
d-
ans-

35-pt with hbsag poistive hbv no of copies 1000?
hbeag neg, liver scan normal .diagnosis?
a-silent carrier
b- active case,
c- mutated virus
d-
ans-

36-pt had left upper limb ischemia which slowly recovered over time
a-tia
b-ischemic stroke
c-
d-
ans-

37-subararachnoid haem assesment
a-hunt n hess
b-gcs
c-modified gcs
d-
ans-a

38-rx of choice chlamydia in preg
a-doxy
b-tetra
c-erythro
d-
ans-erythro

39-adverse prognosis in a 24 yr old with head trauma?
1.hyperglycemia
2.hypothermia
3.hypocapnia
4.hemodilution

40-b/l uretric stones with hydronephrosis.urea 220,cr 14.1.ph 7.45
best management in this situation
a-haemodialysis
b-
c-
d-
ans-

41-6month h/o frontal throbbing headache not given
a-na valp
b-proprn
c-ethosuccimide
d-
ans-

42-raised PO4 and decreased Ca
a-reduced pth
b-
c-
d-
ans-

43-lady progressive dyspnoea,clinical exam normal,fev1/fvc=90
po2 90mm,diag
a-anxiety
b-pulm edema
c-pph
d-ms
ans-

44-perephheral art disease,obesity, associated
a-insulin res
b-hypothyroid
c-estrogen
d-
ans-

45-a pt comes with hypoglycemia. Insulin high. C – peptide normal.
a. insulinoma
b. sulfonylurea excess
c. accidental insulin
d-
ans-

46-high idio ventricular rhythm is seen in
a. reperfusion therapy
b. AV Nodal Ds
c. dilated cardiomyopathy
d. digitalis toxicity
ans-

47-Cavitatory lesion In lung are seen in
a. Primary pulmonary Tb
b. Staph. aureus
c. Pneumococcus
d-
ans-


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qvick.
Guest







PostPosted: Thu Jan 14, 2010 1:10 pm Post subject:
SURGERY

1-a patient presenting to ER after 6 hrs of RTA , hemodynamically stable.FAST POSITIVE, CECT shows leak of contrast from spleen.and grade3 laceration in spleen..what is treatment ?
1 - splenectomy
2 - splenorraphy
3 - splenic artery embolisation
4 -observation
ans-

2-A lady with stab injury left HYPOCHONDRIUM .FAST positive. CECT shows a 2 cm left liver lobe laceration.hemodynamicaly stable.
Laproscopy was planned.The PO2 of patient suddenly dropped after producing pneumoperitoneum.Most likely cause?
1 - Air embolism through splenic artery
2 - Diaphragmatic rent
3 - Inferior venecava compression
4 -
ans-

3-Bismuth-Strasburg classification of cystic duct stump blow out..
1. grade 1
2. grade 2
3. grade 3
4. grade 4
ans-

4-most common site of urethral ca.
a- bulbourethra
b-memb ur
c-pros ur
d-ext ur meat
ans-

5-In acute renal failure pt wit normal USG, next investigation of choice
a. IVU,
b.ant pyelo
c.Renogram
d-retro pyelo
ans-

6-Lord plication
a-hydrocele
b-
c-
d-
ans-a

7-undesended testis time of surgery around
a-12 months
b-24 months
c-6 months
d-just after birth
ans-a

8- which is the best way to get bile drainage in donor liver??
1 - donor bile duct with reciepient bile duct
2 - donor bile duct with duodenum of reciepient
3 - donor bile duct with jejunum of reciepient
4 - external drainage....
ans-

9-a woman present with non progressive dysphagia for solid barrium shows dilated oesophagus with narrowing..diagnosis?
1 - peptic stricture
2 - esophageal cancer
3 - achlasia cardiac
4 -
ans-achalasia

10-triss stands for
a. GCS, RR, Systolic BP
b. RS, ICS, Age
c. RS, ICS, IRS
d-
ans-b

11-stone hard to break
a-ca oxalate monohydrate
b-ca oxalate dehydrate
c-struvite
d-uric acid
ans-

12 -Yeah kid with pain in left flank, rt kidney hydronephrosis. 10mm cortical thickness
next line of Rx would be
1. nephrectomy
2. pyeloplasty
3.shunt oper
4.
ans-

13-PCNL was done b/l at the site of 11th rib . most common complication in this case would be
1. hydrothorax
2. hematuria
3. remnants
4. damage to colon
ans-

14-female with recurrent hypoglycemia, glucose invariably touches 20 mg%, insulin remains elevated. A lesion is found in pancreas of 8 mm. what should be the treatment.insulinoma..?
a-enucleation..
b-whipples operation..
c-enucleation+antrectomy
d-
ans-

15-pt 1 episode of haematemesis.pancreatic tail inv.spleen inv ulcer in post wall of antrum,dignosed stomal tumor, treatment....?
a-close abdomen
b-distal gastrectomy+distal pancreatectomy+splenectomy
c-vagotomy+antrectomy
d-
ans-

16-rectal prolapse, reducible, RxOC?
a-apr
b-rectopexy
c-delmore
d-goodsal
ans-

17Which of the following i not a Restrictive sugery for obesity...
a) Gastric banding
b) Duodenal switch
c) Roux en y gastro jejunostomy...
d)
ans-

18-annular pancreas tt
a-duodenoduodenostomy
b-dj
c-
d-
ans-

19-suspected volvulus with perforation in childnext inv
a-x ray abdomen
b-barium meal
c-barium enema
d-
ans-

20-First Autologus ureter transplant
a. Hardy
b. Kavosis
c. Higgins
d. Studor
ans-

21- mc cystic lesion of spleen
a-–cystic lymphangioma
b-pseudocyst
c-hyadati
d-
ans-

22-penile shunt
a-
b-
c-
d-
ans-

23-a pt 50 years age comes with weakness for 5-6 months, anemic, occult blood in stool +whats the best investigation fog him
a. colonoscopy*
b. CT with contrast
c.
d.
ans-


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qvick.
Guest







PostPosted: Thu Jan 14, 2010 1:12 pm Post subject:
Paediatrics

1-health status of children bw 0-5 yrs in community will be adversely affectd by a/e
1.malnutrition
2.low birth weight
3.maternal hb<11 gm/dl
4.infection
ans-c

2-most common cause of menigiencephalitis in children
a-adenovirus
b-enterovirus
c-arbo
d-hsv
as-b

3-7yr girl fatigue mcv 70 MCh 22 rdw 28....
a-iron def anemia
b-thalsemia minor
c-sideroblastic anemia
d-
ans-a

4-predisposiyion to getr epilepsy in later life after
febrile convulsions except
a-complex febrile convulsn
b-family hist
c-age of onsett
d-mental retd
ans-

5-2 mth old female comes with h/o bilateral nasal discharge, fever 103-104degF, conjunctival discharge, left periorbital congestion and edema
x-ray shows left ethmoidal sinus opacity o somethin .. conjunctival discharge culture yields no result
next best test?
1. blood culture
2. urine culture
3. ct
4. repeat culture for conj discharge
ans-

6-Paediatric age grp - recurrent CSF leaks - organism which can cause meningitis
1. meningococci
2. strep pneumoniae
3. h influenzae
4. e.coli
ans-

7-Boy with weakness in lower limbs, calf hypertrophy, positive Gower's signCPK - 10,000 Diagnosis
1. duchenne muscular dystrophy
2. spinal muscular atrophy..
c-
d-
ans-a

8-child, biphasic stridor, management does notinclude
a-steroid
b-antibiotic is t trt of ch
c-
d-
ans-

9-cause of HTN in a female 13 yr old, with only persistentHTN as a finding, no other sign.most common cause
a) Chr GN
b) PKD
c).....
d).....
ans-

10-unconjugated bilirubinemia, inc excretio of urobilinogen,
condition?
a-here spero
b-g6pd def
c-bil cirr
d-thal
ans-


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qvick.
Guest







PostPosted: Thu Jan 14, 2010 1:12 pm Post subject:
Orthopaedics

1-congenital scoliosis
a- hemivertebra
b-blocked vertebra
c-wedged vert
d-unseg vert
ans-

2-glucose intolerance
a- Multiple myeloma
b- Ewings sarcoma
c-chodrosarcoma
d-osteo sa
ans-

3-Synovial sarcoma -all true except
1. originates in synovium
2. seen in > 50 yrs
3. occurs at extraarticular sites more often
4. seen in sites such as knee and foot..
ans-

4-About primary gouty arthritis NOT true
1. 90% cases are mostly due to overproduction of uric acid than under excretion
2. uric acid level is normal in case of a pt with an 30% acute attack of gouty arthritis..
3. more common in male/female
4.
ans-

5-lift of sign, muscle?
a-supraspinatus
b-infraspina
c-subscapularis
d-teres minor
ans-c

6-medial meniscus a/e
a-medial miniscus is more mobile
b-attached more to tibial lateral condyle
c-
d-
ans-

7-gout results due to defect in which metabolism?
a-purine
b-pyrimidine
c-uric acid
d-hyperuricemia
ans-purine

8-with aging a/e
1 proteoglycan content decreases
2 degradation increases
3 synthesis decreases
4 water content dec
ans-

9- triad of klieppel feil syndrome includes all except
a-low hair line
b-elev scapula
c-rest neck mov
d- short neck
ans-

10-metal on metal avoided in
a. primary failure
b. revision surgey
c. inflammatory cause
d. young female
ans-


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qvick.
Guest







PostPosted: Thu Jan 14, 2010 1:13 pm Post subject:
O&G

1-maternal polyhydramnios at 20 wk
1.conganital diapphragmatic hernia
2.cleft lip
3-epispadias bladderexostrophy
d-
ans

2-Which is nt done in active management of3rd stage of labour
1) oxytocin
2) methargin
c-general massage of ut
4) control cord traction of placenta
ans-c

3-methydopa use in-
a-pregnancy induces hypertension
b-
c-
d-
ans-

4-A 40 yr old woman presenting with CIN III on pap smear. treatment of choice?
1 - hysterectomy
2 - colposcopy with leep
3 - trahelectomy
4 - conization
ans-

5-pregnancy can b continued in
a-wpw syn
b-eisenmengers
c- primary pul ht
d-aortic dil with coactation
ans-

6-best inv of choice for vvf
a-3 swab test
b-ivu
c-rgu
d-mri
ans-a

7-primary amenorrhea with normal ext genitalia,normal breast;
normal ut
a-mrkh syn
b-turner
c-noonan
d-
ans-

8-a pt had a spontaneous abortion, then she came with amenorrhea and FSH 6miu/ml whats the most probably diagnosi?
a-uterine synaechiae
b-pituitary failure
c-regestation
d-ovarian failure
ans-

9-hypergonadotropic hypogonadism seen in
a-sheehan syn
b-kf syn
c-noonan
d-kallaman

10-cause of leak per vaginum and meconium stained liquor in 32 weeks gravida
1. cmv
2. listeria
3. toxoplasma
4. herpes simplex
ans-

11-mc asso with ca cervix...
a-hpv 16
b-
c-hpv 18
d-
ans-a

12-sentinel node biopsy most useful for...?
a-ca endo
b-ca cx
c-ca vulva
d-vagina
ans-c

13-chlamydia i pregnancy...treatment
a-doxycycline
b-tetracycline
c-erythromycin
d-
ans-c

14-mc genital ulcer iin HIV..
a-chlamydia
b-
c-herPes.
d-
ans-

15-partial mole true excpt
a-rarely causes persistent Gstn Tropho disease
b-triploidy...
c-
d-


16-lady with lower abd pain, increased constipation on stress n menstruation, 2 yr hist ,colonoscopy normal,diag?
a-ibs
b-endomet
c-ibd
d-
ans-

17-pcod assos with all except
a. increased risk of ca ovary
b. ca endometrium
c. diabetes
d.osteoporosis
ans-

18-What does not influence weight gain in pregnancy?
1 pregravid birth wt
2 ethnicity
3 socioeconomic status
4 smoking
ans-

19-best indicator of female reproductive ability
1.ferning test
2.hormonal analysis
3.spinbarket pattern
d-vag cytology
ans-

20-indicator of neural tube defects
a-acetlylcholinesterases...
b-
c-
d-
ans-a

21-intrahepatic cholestasis treatment in pregnancy...
a-choletryamine...
b-ursodiol
c-antihistaminic
d-
ans-

22-nuchal transluscency seen in
a-down
b-turnor
c-
d-
ans-

23-wrong abt menstrual cycle in human
a-
b-
c-
d-estrous
ans-

24-hiv trasmission prev a/e
a-cs
b-ap zidi
c-
d-not using methergine
ans-d

25-Not a sign of choriocarcinoma
a- plateau of HCG
b-ut enlargement
c-ant urethral nodule
d-persistent lutein cyst
ans-a

26-non immune fetal hydrops
a-parvo b19
b-cmv
c-
d-
ans-a

27- All are used in shoulder dystocia except
a. Mc rober’s
b. supra pubic pressure
c. woods procedure
d. marriceu smellie viet method
ans-

28-true is
a-twin peak sign
b-
c-
d-
ans-


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qvick.
Guest







PostPosted: Thu Jan 14, 2010 1:15 pm Post subject:
OPHTA

1-arden ratio
a-eog
b-erg
c-
d-
ans-a

2-endophthalmitis include all except
a-vitreous
b-sclera
c-uvea
d-retina
ans-

3-A person who has been wearing contact lenses for 1-2 months comes with h/o irritation in left eye.. diagnosis - keratitis.. corneal scrapings revealed presence of pseudomonas aeruginosa which was multidrug resistant.. how did it attain that level of resistance?
1. by horizontal transfer of genes from commensal bacteria of eye
2. improper contact lens hygiene
3. frequent and prior use of topical antibiotics / steroid preparation ??
d-biofilm production
ans-

4-in corneal transplantation, which is true?
a-whole eye is preserved in culture
b-donor not taken if age more than 60 yrs..
c-hla matching done
d-
ans-

5-afferent pupilary defect...
a-optic nerve
b-
c-
d-
ans-a

6-Causes of cherry red spot in macula are A/E
1. Nieman Pick
2. GM1 Ganglioside
3. Tay Sachs
4. Gauchers
ans-all is well

7-least common condition .
a-macular dystrophy
b-lattice 1
c-lattice 2
d-granular
ans-


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qquin.
Guest







PostPosted: Thu Jan 14, 2010 1:16 pm Post subject:
ENT

1.Acoustic neuroma arises fm
A. Facial n
B. Inferior vestibular n.
C. Abducent n.
D. Superior vestibular n.
ans-d

2-all are correct ab8 nasopharyngeal ca except
1.bimodal age distribuion.
2.nasopharyngectomy with neck dissection
3.ebv antigen
4.squamous cell ca is common
ans-b

3-sodium fluoride acts in oytosclerosis mecha
a-inhibit osteoblast
b. useful only if pinkish TM seen
c. inhibits enzyme action in cochlea
d-
ans-

4-larngeal operation which laser....?
a-nd yag
b-CO2
c-krypton
d-argon
ans-

5-drug localy used for laryngeal stenosis
a-mitomycin C
b-
c-
d-
ans-a

6- child presents wit eye swelling,opacity of ethmoid sinus on xray,nxt investigation.conjuctival culture negative....?
a-repeat culture
b-blood cult
c-urine cult
d-ct
ans-

7-extralarnygeal membrane a/e
a-hyoepiglo
b-cricotra
c-cricotra
d-cricothy
ans-

8-retraction of ptosis results from chewing cramming , condition
a-marcus gun jaw winking phenomenon
b-hornor
c-
d-
ans-

9-Acoustic emesions are generated from>
a) outer hair cells
b) inner hair cells
c) cochlea
d)
ans-a

10-traumatic csf rhinorrhoea wrong
a-fossa ethmoidalis mc site
b-beta2 transferase is characteristic
c-
d-
ans-

positive schwartz sign - indication


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qquin.
Guest







PostPosted: Thu Jan 14, 2010 1:17 pm Post subject:
SKIN

1-white lacy lesions in oral,nail fold reached upto distal end
a. lichen planus..
b
c
d
ans-a

2-female with pimples, was on treatment rsulted in pigmentation, drug given
a-
b-
c-
d-

3-t/t for erythematous rash in preg female
a-puva
b-corticosteroid
c-isotretenoin
d-
ans-b

4-grey patches on back n menal retardn infantile spasms hypo pigmented patch
a-tuberous sclerosis
b-sturge weber
c-linear naevus synd
d-neuro fib
ans-


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sanghi.
Guest







PostPosted: Thu Jan 14, 2010 1:20 pm Post subject:
Anaesthesia

1-speedy induction with intubation, on ausculation faint breath sounds,reason with intubation done .high etCo2 n increased airway pressure.with high bp
a-fentanyl induced chest rigidity
b.broncospasm
c.oesophageal intubation
d-
ans-

2-liver disease, muscle relaxant of choice?
a-atra
b-
c-
d-
ans-a

3-after induction n intubation, difficulty in breathing, Pco2 increases, reason?
a-embolism
b-
c-
d-
ans-


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qquin.
Guest







PostPosted: Thu Jan 14, 2010 1:21 pm Post subject:
RADIOLOGY

1-Egg-on-side radiographical appearance seen in
a)tof
b)tapvc
c)tricuspid atresia with vsd
d)completely corrected TGA
ans-

2- most ionizing radiation
1 alpha
2 beta
3 x ray
4 gamma
ans-alpha

3-difference between X ray and light
1 - energy
2 - mass of photon
3 - type of wave
4 - speed
ans-

4-not seen in bronchoscopy
a. sub carinal node
b.
c. trachea
d-vocal cord
ans-

5-renal failure,usg normal,anuria,next inv
a-ivu
b-anterograde
c-retrograde
d-

6-In bone scurvy affects by
1- decreasing mineralization of bone
2-less formation of osteoid matrix
3-
4-
ans-

7-ct scan room doors
a-tungsten/
b-glass
c-steel
d-pb
ans-

8-what is background radiation
a-continuously present in earth
b-nuclear explosion
c-
d-
ans-

9-Stochastic effects of radiation means -
a-
b-
c-
d-
ans-

10-measure of radiation effect
a-
2.probability of occurrence is a function of their dose - ans
3.severity of occurrence is a function of their dose
4. skin manifestations and erythema
ans-

11-Which of the following is not a CT feature of adrenal adenoma
a) low attenuation
b) homogeneous density and well defined borders
c) enhances rapidly, contrast stays in it for a long time and washes out late
d) calcification is rare
ans-c

12-to enhance dye contrast in renogram
a-dehydration of pt
b-increase conc dye
c-
d-
ans-


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qvick.
Guest







PostPosted: Thu Jan 14, 2010 1:22 pm Post subject:
Psychiatry

1-anxiouslady with sadness+no h/o hopelessness.
occasional palpitations.
1 - mixed depression anxiety
2 - mild depression
3 - adjustment disorder
4 - generalised anxiety
ans

2-not a cognitive dysfunction...
a.catastrophysism
b.thought block
c.
d. overgeneralization
ans-

3- A 30 yea old person thinks that his wife and boss have an affaire, he also thinks that his friend is also involved in this and he provides them with technological support. Otherwise he is normal. office reg 2 mon history
1 - persistent delusion disorder
2 - schizophrenia
3 - paranoid personality disorder
4 - acute and transient psychotic disorder
ans-

4-cognitive behaviour therapy, all used except
1 interpretation
2 punishment
3 exposure and response prevention
4
ans-

5-alcohol paraonia
a-fixed delusion
b-hallucination
c-impulsive behavior
d-Agitation
ans-

6-autistic disorder has all except
a- visual impairment
b-
c-
d-
ans-

7-cognitive enhancement technique all except
a- consolidation stage
b-precontemplation
c-practice
d-contemplation
ans-

8-a pt feels that he has committed sins throught out life, he contemplated abt suicide but has not thought how to do it, he also consulted his spiritual guru
a. further session with guru
b. anti depressant with anti psychotics
c. anti depressant and behavior therapy
d-
ans-


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sanghi.
Guest








Pathology with ref.

1-Low CSF protein is seen in a/e
a. Infant
b. Pseudotumor cerebri
c. Hypothyroidism
d. Recurrent lumbar puncture
ans-B HARRISON 188 (INC ICT BUT CSF NORMAL)

6-in PLASMACYTOID LYMPHOMA MAINLY SECRETES
a-igg
b-ig a
c- ig m
d-igd
ans-C HARRISON 706

7-in amylodosis which heavy chain disease WITH BENCE JONE PROTEINURIA is associated
a-gamma
b-labda
c-mu
d-
ans-C (HARR 707)

9-apoptosis light microscopic microscopic featue...?
a-intact cell membrane...
b-eosinophilic cytoplasm
c-swelling of cell
d-nuclear
ans-B (ROBBINS 531)

17-testicular tumour with elevated afp all poss except
a-choricaarcinoma
b-teratocarcinoma
c-yolk sac carcinoma
d-emb cell ca
ans-A

22-in pnh which somatic gene mutation
a-daf
b-mirl
c-gpi
d-
ans-C(HARS 661)

26-antigen binding site in mhc1
a-alpha beta cleft
b-distal end of alpha sub u
c-prox end of alpha sub u AND ALPHA2
d-
ans-C (ROBBINS 537)

1q: In NRHM programme , JSSY stands for ?

answer: Janani Swasthya Suraksha Yojana.

2q: Pancreatitis occur with which of the following ?
a. Didanosine
b. Lamivudine
c. Zidovudine
d. Abacavir





Here is the list of drugs which cause Pancreatitis .

3q: Egg on side appearance is seen in ?
a. TOF
b. TGA
c. TAPVC
d. Tricuspid atresia with VSD




4q: Acoustic neuroma most commonly arises from?
a. Inferior vestibular nerve
b. Superior vestibular nerve
c. Facial nerve
d. Abducent nerve



*The above question on acoustic neuroma was also asked in AIIMS November 2009 examination paper.

5q: Cherry red spot is seen in all except ?
a. Taysach's disease
b. Gaucher's disease
c. Niemann pick's disease
d. Fabry's disease