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A girl presented with recurrent occipital headache associated with ataxia and vertigo. Mother also has similar complaints. Most probable diagnosis is?
A. Vestibular neuronitis
B. Basilar migraine
C. Tension head ache
D. Cluster head ache
1. ANs. B. Basilar migraine -
A 32 year old mountaineer has a hematocrit of 70%. What is the possible explanation?
A. Polycythemia with relative dehydration
B. High altitude cerebral oedema
C. High altitude pulmonary oedema
D. Hemodilution
2. Ans. A. Polycythemia with relative dehydration
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Tetracycline is used in the prophylaxis of which of the following diseases?
A. Cholera
B. Brucellosis
C. Leptospirosis
D. Meningitis
3. Ans. A. Cholera -
Punnett square is used for -
A. Finding genotype of offspring
B. Statistical analysis
C. Anatomical surface area of human body
D. Diseased & non diseased individuals
4. Ans. A. Finding genotype of offspring -
Cavitation is seen in?
A. Mycolplasma pneumonia
B. Tuberculous pneumonia
C. Streptococcal pneumonia
D.Staphylococcus pneumonia
5. Ans. C. Streptococcal pneumoni -
In pseudohyperparathyroidism, true is?
A. Gain of function mutation in GsR
B. Decreased conversion of GTP to GMP
C. Decreased inositol tri phosphate production
D. Decreased formation of cAMP
6. Ans. D. Decreased formation of cAMP -
Difference between follicular carcinoma and follicular adenoma is?
A. Vascular invasion
B. Mitosis
C. Nuclear pleomorphism
D. Tubule formation
7. Ans. A. Vascular invasion -
Which among the following is used for diagnosis of anti phospholipid antibody syndrome
A.Beta 2 microglobulin antibody
B. Anti nuclear antibody
C. Anti centromere antibody
D. Anti beta 2 glycoprotein antibody
8. Ans. D. Anti beta 2 glycoprotein antibody -
Which is the most reliable objective sign of identifying pulmonary plethora in chest X-ray?
A. Diameter of the main pulmonay artery >16mm
B. Diameter of the left pulmonay artery >16mm
C. Diameter of the descending Right pulmonay artery >16mm
D. Diameter of the descending Left pulmonay artery >16mm
9. Ans. C. Diameter of the descending Right pulmonay artery >16mm -
Necrotizing lymphadenitis is seen in?
A. Kimura disease
B. Kikuchi disease
C. Hodgkin disease
D. Castelman disease
10. Ans. B. Kikuchi disease -
NARP syndrome is seen in?
A. Mitochondrial function disorder
B. Glycogen storage disorder
C. Lysosomal storage disorder
D. Lipid storage disorder
11. Ans. A. Mitochondrial function disorder -
Superior vena cava syndrome is most commonly caused by?
A. Lymphoma
B. Small cell lung ca
C. Non small cell lung ca
D. Secondary tumours
12. Ans. B. Small cell lung ca -
Which of the following is not included in parenteral nutrition?
A. Fat
B. Carbohydrate
C. Fibres
D. Micronutrients
13. Ans. C. Fibres -
All are true about pheochromocytoma except?
A. 90% are malignant
B. 95% occur in the abdomen
C. They secrete catecholamines
D. They arise from sympathetic ganglions
14. Ans. A. 90% are malignant -
Intraoperative myocardial infarction is best diagnosed by:
A. ECG
B. Invasive arterial pressure
C. Central venous pressure
D. Trans Esophageal echocardiography
15. Ans. D. Trans Esophageal echocardiography -
ECG is poor at detecting ischaemia in areas supplied by?
A. Left anterior descending
B. Left circumflex
C. Left coronary artery
D. Right coronary artery
16. Ans. B. Left circumflex -
A patient with history of discharge from right ear for past 1 year presented with severe ear ache. The discharge was cultured and the organism was found to be gram positive cocci .CT scan shows
ing enhancement The least likely cause is?
A. Psuedomonas
B. Streptococcus pneumoniae
C. Staphylococcus
D. Haemophilus influenza
17. Ans. B. Streptococcus pneumoniae -
A 15 day old baby came with history of seizures. Blood tests revealed Ca 5mg/dl, PO4 9mg/dl,PTH 30pg/ml (n=10-60). What is the most probable diagnosis?
A. Pseudohypoparathyroidism
B. Vitamin D deficiency
C. Hyperparathyroidism
D. HIE
18. Ans. A. Pseudohypoparathyroidism -
Which among the following not used in diagnosis of insulinoma?
A. Fasting glucose test
B. Xylulose test
C. C peptide levels
D. Insulin / glucose ratio
19. Ans.B. Xylulose test -
All are true about Nesidioblastosis except ?
A. Hypoglycemic episodes are seen
B. Occurs in adults more than children
C. Histopathology shows hyperplasia of islet cells
D. Diazoxide is used for treatment
20. Ans. B. Occurs in adults more than children -
Gold standard test for diagnosis of laryngopharyngeal reflux?
A. 24 hr double probe pH monitoring
B. Flexible endoscopy
C. Barium swallow
D. Laryngoscopy
21 Ans. A. 24 hr double probe pH monitoring -
Least common cause of ambiguous genitalia in a female child?
A. Placental steroid sulfatase deficiency
B. Fetal aromatase deficiency
C. WT-4 mutation
D. CAH
22. Ans. A. Placental steroid sulfatase deficiency -
What will you give to treat hypothyroidism in a patient with ischemic heart disease?
A. Low dose of levothyroxine
B. Normal dose of levothyroxine
C. Do not give levothyroxine
D. Thyroid extract
23. Ans. A. Low dose of levothyroxine -
A 35 year old female has proximal weakness of muscles, ptosis and easy fatiguability. The best test to diagnose her condition is:
A. Muscle biopsy
B. CPK
C. Edrophonium test
D. EMG
24. Ans. C. Edrophonium test -
Compliance is decreased in all except
A. Pulmonary congestion
B. COPD
C. Decreased surfactant
D. Pulmonary fibrosis
25. Ans. B. COPD -
A 70yr old presents with intemittent jerks of recent origin, EEG showing bilateral periodic spikes. What is the most probable diagnosis?
A. Hepes simplex encephalitis
B. Lewy body dementia
C. Alzheimer’s
D. CJD
26. Ans. D. CJD -
Not a disorder of protein misfolding?
A. Alzheimer’s disease
B. Tuberculosis
C. Cystic fibrosis
D. CJD
27. Ans. B. Tuberculosis -
A 12 year old male presents with hemetemesis, melena and splenomegaly. What is the most probable diagnosis?
A. NCPF
B. Cirrhosis
C. Malaria with DIC
D. Extra hepatic portal venous obstruction
28. Ans. D. Extra hepatic portal venous obstructio