AIIMS May 2007 1. L-J (Levey-Jennings) charting is done for: a. Accuracy b. Precision c. Sensitivity d. Specificity 2.

Cause of half-and-half nail syndrome in uremia is: a. Melatonin b. Hypoproteinemia c. Dilatation of the capillary nail bed d. Azotemia 3. Spongy-mass with central sunburst calcification on CT is seen in: a. Serous cystadenoma of the pancreas b. Mucinous cystadenoma of the pancreas c. Somatostatinoma d. Adeno Ca of the pancreas 4. Which of the following anti-hypertensive causes impotence: a. CCBs b. Angiotensin receptor blocker c. ACE inhibitors d. Beta blockers 5. Myopathy is not a feature of: a. Cushings syndrome b. Oncogenic osteomalacia c. Nutritional osteomalacia d. X-linked hypophosphatemic rickets 6. Plasma exchange is useful in: a. HUS b. ITP c. DIC d. AIHA 7. The best investigetion for colonic diverticula is: a. CT b. MRI c. Ba-enema d. Colonoscopy

8. Michaelis-Gutmann bodies are found in: a. Malakoplakia b. Fabrys disease c. Nail-patella syndrome d. Metachromatic leucodystrophy 9. Charcoal hemoperfusion is done in: a. Barbiturate poisoning b. Salicylate poisoning c. Digitalis toxicity d. Methyl alcohol poisoning 10. Liver secretes all of the following except: a. Immunoglobulin b. Hepatoglobin c. Complement C3 d. Fibrinogen 11. Rennin is secreted by: a. PCT b. DCT c. Collecting tubules d. Juxtaglomerular apparatus 12. JG cells are located in what part of the nephron:: a. PCT b. Ascending distal tubules c. Descending distal tubules d. Glomerulus 13. Renal angle is measured between: a. 12th rib and lateral border of sacro spinatus b. 11th rib and lateral border of sacro spinatus c. 12th rib and lateral border of quadratus lumborum d. 11th rib and lateral border of quadratus lumborum Clinical Das says erector spinae 14. Cycle which does not occur in the mitochondria: a. EMP pathway b. TCA cycle c. Urea cycle d. ETC 15. Ultimate breakdown of Glucose into CO2 and H2O occurs in: a. Food vacuole

b. Cytosol c. Mitochondria d. Ribosomes 16. Y-chromosome is: a. Metacentric b. Sub-metacentric c. Acrocentric d. Longer then the X-chromosome 17. The earliest disgnostic method to identify X/Y intersex is: a. FISH b. PCR c. Karyotyping d. SSCI 18. Drugs causing interstitial nephritis are A/E: a. Methicillin b. Diuretics c. INH (given in Harrison that it causes allergic interstitial nephritis) d. Allopurinol 19. The root value of the pudendal nerve fibres supplying the external urethral sphincter is: a. L3-L4 b. L4-L5 c. S1-S2 d. S2-S3 20. Post surgery, perioperative monitoring is done by testing which nerve: a. Radial nerve b. Ulnar nerve c. Median nerve d. Facial nerve 21. Comprehensive emergency obstetric care does not include: a. Manual removal of placenta b. Hysterectomy c. Blood transfusion d. Ceasarean section 22. Bilateral germ cell tumour is: a. Dysgerminoma b. Immature teratoma c. Embryonal cell carcinoma d. Endodermal sinus tumour

23. A neonate at 14 days presents with an unconjugated bilirubin levels of 18mg%.The most unlikely diagnosis is: a. G6PD deficiency b. Breast milk jaundice c. Neonatal cholangiopathy d. Hypothyroidism 24. AST/ALT > 1 is seen in: a. NASH b. Alcoholic hepatitis c. Wilsons disease d. All of the above 25. Decrease in which of the following occurs d/t hypothalamic/pituitary damage following cranial irradiation: a. GH b. ACTH c. TSH d. Gonadotropin 26. Common carotid artery bifurcation occurs at: a. Cricoid cartilage b. Thyroid cartilage c. Sternoclavicular joint d. Angle of the mandible 27. Which is not a B-cell lineage marker: a. CD 15 b. CD 19 c. CD 21 d. CD 24 28. Which of the following muscle relaxant can be used in presnce of renal and hepatic failure: a. Rapacuronium b. Pipecuronium c. Cisatracurium d. Rocuronium 29. Most common site of heterotropic pancreatic tissue is: a. Stomach b. Splenic hilum c. Duodenum d. Jejunum

30. Which is not a marker for primary hepatic tumour: a. Alpha-2 macroglobulin b. Fucosylated alfafetoprotein c. Neurotensin d. PIVKA 31. Atkins diet is: a. Protein restricted diet b. Fat restricted diet c. Vitamin restricted diet d. Carbohydrate restricted diet 32. Mutation of which gene causes primary pulmonary hypertension: a. Bone morphogenic protein receptor-2 b. Endothelin c. .. d. .. 33. A pregnant women in the 9 th month had jaundice and delivered a healthy baby.In the post partum period her liver function deteriorated further with her ALT levels 1100 and bilirubin 5 mg%.Her urine out put was decreased and she had pedal; edema,the ascitic fluid had lymphocytes 10 in number per ml,ascitic fuild albumin was 3 mg%.The most likely diagnosis is: a. Acute fatty liver of pregnancy b. HELLP syndrome c. Acute liver failure d. Acute Budd Chiari syndrome 34. Which of the following drugs is not used in pregnancy: a. Spironolactone b. Enalapril c. Sodium nitroprusside d. Labetalol 35. Hypervitaminoses A causes injury to: a. Mitochondria b. Microtubules c. Lysosomes d. Endoplasmic reticulum 36. Endothelin receptor does not causes: a. Bronchodilation b. Vasoconstriction c. Positive ionotropic effect d. Decrease GFR

37. Maximum amount of vitamin D is found in: a. Fish oil b. Egg c. Milk d. Vegetables 38. Mechanism of action of Imatinib mesylate is: a. Blocks the action of the chimeric fusion protein of bcr-abl b. Increase the metabolism of P glycoprotein c. Blocking the action of P glycoprotein d. Competitive inhibition of ATP binding site 39. FK506 is a: a. Immunoglobulin antibody b. Non-depolarising muscle relaxant c. Macrolide antibiotic d. Opioid anaesthetic 40. Most common site of osteosarcoma is: a. Upper end of femur b. Lower end of femur c. Upper end of humerus d. Lower end of tibia 41. Isometric exercise causes an increase in A/E: a. Heart rate b. Cardiac output c. Mean arterial pressure d. Systemic vascular resistance 42. Not a feature of malignant hyperthermia: a. Hyperkalemia b. Bradycardia c. Hypertension d. DIC 43. Which of this is not a cause of hypertension: a. Erythropoietin b. Cyclosporine c. NSAIDs d. Levodopa 44. Not a cause of reticulocytosis: a. Acute hemorrhage b. PNH c. Nutritional anaemia

d. Dyserythropoietic syndrome 45. Which of these is not an endogenous amine: a. Epinephrine b. Norepinephrine c. Dobutamine d. Dopamine 46. A patient presents with anaemia,chronic diarrhoea and jaundice.Which of the following investigation would help in the diagnosis: a. Anti-mitochondrial antibody b. Anti-endomysial antibody c. Anti smooth muscle antibody d. Thyroid function 47. Which of these is not an anti-oxidant in the eye: a. Vitamin A b. Vitamin C c. Vitamin E d. Catalase 48. Increased urinary copper excretion is seen in all except: a. Primary biliary cirrhosis b. Hepatic tumours c. Sclerosing cholangitis d. Fulminant hepatic failure 49. Best method to measure intra cranial pressure is: a. Intraventricular catheter b. Intraparenchymal catheter c. Subarachnoid bolt d. Epidural catheter 50. In a hypothesis,if the level of confidence is increased,: a. No change in hypothesis b. Significant result becomes non-significant c. Non-significant result becomes significant d. .. 51. Histiocytosis X most common site involved is: a. Bone b. Liver c. Skin d. Lung 52. Acute GVHD affects all except:

a. Liver b. Lung c. Gut d. Skin 53. A 5 year old child presents with multiple petechiae all over the body overnight.he had h/o abdominal pain 2 weeks back.presently he has mild pallor.no hepatosplenomegaly.most likely diagnosis is: a. Acute viral illness b. ITP c. Aplstic anaemia d. Acute leukaemia 54. A woman comes with features of thyrotoxicosis.TSH levels r high,T4 is low.Next step in the investigation would be: a. Thyroid scan b. Radioactive iodine uptake c. USG d. CT scan 55. In hemochromatosis the earliest phenotypic manifestation is: a. Elevated post prandial iron levels b. Elevated serum ferritin levels c. Slate grey pigmentation of the skin d. Elevated serum transferrin levels 56. In pheochromocytoma,not to be done is: a. CT b. MRI c. MIBG Scan d. FNAC 57. Not a component of MEN2 is: a. Pheochromocytoma b. Medullary carcinoma of thyroid c. Parathyroid hyperplasia d. Islet cell hyperplasia 58. Hepatic lesion is malaria: a. proliferation of kuffer cells and accumulation of mononuclear cells b. .. c. .. d. .. 59. Regarding pseudomembranous colitis.true is: a. Caused by toxin A of Cl.difficile

b. Caused by toxin B of Cl.difficile c. Blood in stool is a feature d. summit sign 60. In relation to Addison disease,false is: a. Low renin levels b. Serum cortisol < 8 mg% c. Cardiac atrophy d. Low diastolic pressure 61. A woman with h/o recurrent abortions presents with isolated increase in ptnt most likely cause is: a. Lupus anticoagulant b. Factor VII deficiency c. Vonwillebrands disease d. Hemophilia A 62. Most common cause of neonatal sepsis in India is: a. Klebsiella b. E.coli c. Listeria d. Staph.aureus 63. HUS is caused by A/E: a. Campylobacter jejuni b. Shigella c. E.coli d. V.cholera 64. Travellers diarrhoea is caused by: a. Enterotoxigenic E.coli b. Enteroinvasive E.coli c. Enteropathogenic E.coli d. Enterohemorrhagic E.coli 65. Naloxone/Naltrexone is C/I in a pregnant lady,if she has a h/o intake of which of the following drugs: a. Cocaine b. Amphetamine c. Methadone d. Phencyclidine 66. Which one is a tuberculide: a. Lupus vulgaris b. Scrofuloderma c. Lichen scrofulosorum

d. Lichen erythematosus 67. A 2 yr old child presenting with ecchymosis.He has a h/o of prolong umbilical bleeding at birth.Most likely defect is in: a. Factor IX b. Factoe XIII c. Gp IIb/IIIa d. Platelets 68. Cause of bacteremia in patients with i.v. cathethers: a. Gram negative bacilli b. Coagulase positive staph c. Coagulase negative staph d. Enterobacter 69. Water hammer pulse is found in: a. Mitral stenosis b. Mitral regurgitation c. Aortic stenosis d. Aortic regurgitation 70. Loefflers syndrome is caused by A/E: a. Toxocara b. Giardia c. L tryptophan d. Strongyloides 71. O2 carrying capacity is influenced by A/E: a. Cardiac output b. Hemoglobin concentration c. Oxygen saturation d. Type of fluid given to the patient 72. Not a component of a good screening test: a. Low cost b. High sensitivity c. High specificity d. High safety margin [please see this link... http://www.fpnotebook.com/PRE11.htm ] 73. Electrophoresis is based on: a. Weight of the molecule b. Charge and mobility c. Solubility d. ..

74. Gynaecomastia in males is caused by: a. Spironolactone b. Clomiphene c. Testolactone d. Tamoxifen 75. Carbimazole produces the following teratogenic effets except: a. Choanal atresia b. Cleft lip/palate c. Scalp defect d. Fetal goiter 76. Bile acids are synthesized from: a. Amino acids b. Glucose c. Cholesterol d. .. 77. Pituitary apoplexy is associated with all except: a. Diabetes mellitus b. Thyrotoxicosis (hyperthyroidism) c. Hypertension d. Sickle cell anaemia 78. Apoptosis is characterized by A/E: a. Inflammatory process b. Chromatin cleavage c. Nuclear condensation d. Cell shrinkage 79. CEA is raised in all except: a. Breast carcinoma b. Bronchogenic carcinoma c. Osteogenic sarcoma d. Gastric carcinoma 80. Merit of nasotracheal intubation is: a. Less infection b. Better oral hygiene c. Less bleeding d. More chances of endotracheal tube displacement 81. Active form of vitamin D is: a. 25(OH) D3 b. 1,25-(OH)2 D3

c. Calcitroic acid d. .. 82. All of the following have anti-emetic properties except: a. Domperidone b. Ondansetron c. Phenazocine d. Cyclizine 83. Highest amount of triglycerides are found in: a. Chylomicrons b. VLDL c. LDL d. HDL 84. Most common complication of ERCP is: a. Acute pancreatits b. Acute cholecystitis c. Duodenal perforation d. Acute cholangitis 85. The vitamin which is excreted in urine: a. Vitamin C b. Vitamin A c. Vitamin D d. Vitamin K 86. Nile blue sulphate test is used to detect: a. Fetal lung maturity b. Fetal liver maturity c. Fetal skin maturity d. Fetal kidney maturity 87. Orchidopexy in cases of undescended testes is most commonly done at: a. Birth b. 1-2 years c. 5 years d. puberty 88. Most common finding in children with renal artery stenosis is: a. Fibrointimal hyperplasia b. Fibromedial hyperplasia c. Takayasus disease d. Polyarteritis nodosa 89. HRT is helpful in A/E:

a. Hot flushes b. Vaginal dryness c. Prevention of osteoporosis d. Prevention of coronary artery disease 90. Most common site of intracerebral bleed is: a. Cerebral cortex b. Basal ganglia c. Thalamus d. Cerebellum 91. All of the following are causes of clubbing except: a. Fungal infective endocardititis b. Pulmonary arteriovenous fistula c. Aortic dissection d. Tricuspid atresia 92. DIC is seen in: a. Acute lymphocytic leukaemia b. Acute promyelocytic leukaemia c. AIHA d. CML 93. Life threatening complications of diabetes mellitus are all except: a. Malignant otitis externa b. Emphysematous appendicitis c. Emphysematous pyelonephritis d. Rhinocerebral mucormycosis 94. Arsenic is used to treat: a. Acute lymphocytic leukaemia b. Acute promyelocytic leukaemia c. Myelodysplastic syndrome d. Transient myelofibroproliferative disorders 95. Not seen in hemolysis is: a. Decreased haptoglobin levels b. Reticulocytosis c. Burr and tear drop cells d. Hemoglobinuria 96. Mineralocorticoid (aldosterone) receptors are present at all of the following sites except: a. Colon b. Kidney c. Hippocampus

d. Endothelial cells/liver 97. Krebs cycle begins with: a. Pyruvic acid b. HCl c. Lipoprotein d. Glycine [snip]. BNP is degraded by: a. Neutral endopeptidase b. Elastase c. Omapatrilat d. .. 99. The disadvantages of oxygen therapy are all except: a. Absorption atelectasis b. Increase in pulmonary compliance c. Decreased vital capacity d. Endothelial damage 100. All are manifestations of rickets in an infant except: a. Craniotabes b. Rachitic rosary c. Bow legs d. Wide open fontanelle 101. Which of the following is asso. with increase in birth weight: a. Aspirin use b. Calcium and magnesium supplements c. Cessation of smoking d. Bed rest 102. True about plasma free water clearance: a. Influenced by aldosterone b. Influenced by ADH c. Increases with furosemide administration d. .. None 103. Which is an antimetabolite: a. Vinblastine b. Cyclosporine c. Methotrexate d. Etoposide 104. Vision 2020 includes A/E: a. Trachoma

b. Cataract c. Onchocerciasis d. Epidemic conjunctivitis 105. All of the following cause bone marrow aplasia except: a. Chloramphenicol b. Methicillin c. Methyl hydantoin d. Chlorpromazine ( all names are given in harrison...though it's hyadantoin in the list...!) 106. Standard error of mean is given by: a. SD x n b. SD/n c. SD/n d. n/SD 107. In a village the blood pressure of 100 women was measured,with a mean of 10mm Hg and a standard deviation of 1.0 mm Hg.what would be standard error? a. 0.001 b. 1.0 c. 10 d. 0.1 108. Raised jugular venous pulse with shock is seen in A/E: a. Heart failure b. Cardiac tamponade c. Right ventricular infarction d. Second degree AV block 109. Regarding rectal ulcer syndrome/ solitary rectal ulcer, true is: a. Increase number of smooth muscle fibres in the muscularis b. Increase number of intraepithelial lymphocytes c. Deposition of collagen at the floor of the ulcer (subepithelialy) d. Crypt distortion 110. Most common cause of post menopausal bleeding in India is: a. Ca-endometrium b. Ca-cervix c. Endometriosis d. Treatment with estrogen 111. Anti-HT C/I in pregnancy: a. Beta blockers b. Methyl dopa c. CCBs

d. ACE inhibitors 112. Screening has reduced the incidence of: a. Ca-colon b. Ca-lung c. Ca-breast d. Ca-kidney 113. Which are seen in endodermal sinus tumor: a. Schiller-duval bodies b. Reed-Sternberg cells c. Reinkes crystals d. Russell bodies 114. Drug of choice for prophylaxis of rheumatic fever in a patient with allergy to penicillin is: a. Erythromycin b. Clindamycin c. Vancomycin d. Gentamicin 115. Investigation least useful in a patient with neurocardiac syncope: a. Tilt table testing b. Carotid sinus massage c. Carotid duplex scan d. .. 116. A patient presents with tongue swelling,neck swelling and hoarseness of voice.He gives h/o ingestion of peanuts.Most probable diagnosis is: a. FB in larynx b. FB in bronchus c. Parapharyngeal abscess d. Angioneurotic oedema 117. A boy suffering from acute pyelonephritis,most specific urinary finding will be: a. Leucocyte esterase test b. Leucocyte casts c. Nitrite test d. Gram stain 118. The most common gene defect in idiopathic steroid resistant nephrotic syndrome is: a. ACE b. NPHS2 c. HOX11 d. PAX

119. The most important marker for acute and chronic malnutrition is: a. Weight for age b. BMI c. Weight for age d. Weight for height 120. A 6 year old child with IQ of 50.Which of the following can the child do: a. Read a sentence b. Identify colours c. Copy a triangle d. Ride a 2 wheeled cycle 121. The most common congenital anomaly in baby born to IDDM mother: a. NTD b. Cardiovascular anomalies c. GIT anomalies d. Pulmonary anomalies 122. Which fruit juice helps in preventing UTI: a. Grape b. Raspberry c. Orange d. Cranberry 123. A patient has Ca-tongue of the right side,in the lateral border with lynph node size 4cm in level III on the left side.What is the stage? a. N0 b. N1 c. N2 d. N3 124. All of the following polyps are premalignant except: a. Juvenile polyposis syndrome b. Familial polyposis syndrome c. Juvenile polyp d. Peutz-Jeghers syndrome 125. The most common heart disease which is associated with maximum mortality during pregnancy: a. Eisenmengers complex b. MS c. VSD d. AS 126. Amniotic fluid contains acetylcholinesterase enzyme.Diagnosis is: a. Omphalocele

b. Gastrochisis c. Open spina bifida d. Osteogenesis imperfecta 127. 16 year old female presents with primary amenorrhoea with B/L inguinal hernia.She has normal sexual development with no pubic hair.USG shows no uterus and ovaries and a blind vagina.Diagnosis is: a. Turners syndrome b. Mullerian agenesis c. STAR syndrome d. Androgen insensitivity syndrome 128. A lady with B/L hearing loss since 6 yrs.It was worsened during pregnancy.What type of graph will her impedence audiometry show: a. As b. Ad c. A d. B 129. Treatment of choice for GLUE EAR is: a. Conservative treatment b. Myringotomy with cold knife c. Myringotomy with diode laser d. Myringotomy with ventilation tube insertion / grommet insertion 130. A 6 yr old child presents with recurrent URTI with mouth breathing and impaired hearing.Treatment is: a. Tonsillectomy b. Myringoplasty with grommet insertion c. Grommet insertion d. Adenoidectomy with grommet insertion 131. The best method to find the difference between a newly found test and a gold standard test is: a. Correlation test b. Regression test c. Bland and Altman analysis d. Kongarov Smrinov test 132. Foramen transversarium is found in: a. Thoracic vertebra b. Cervical vertebra c. Lumbar vertebra d. Skull 133. Sternocleidomastoid tumour is asso. with A/E:

a. Always asso. with breech extraction b. Spontaneous resolution occurs in most cases c. rd have palpable neck mass d. Uncorrected cases developed plagiocephaly 134. For MRSA which of the following is not useful: a. Ciprofloxacin b. Vancomycin c. Cefaclor d. Cotrimoxazole 135. Brucella is transmitted by all of the following means except: a. Through placenta of animals b. Aerosols c. Man to man transmission d. Eating uncooked food 136. A premature baby of 34 weeks was delivered.The baby has rhinitis and vesiculo[bleep] lesions on the body.X-ray shows evidence of periostitis.Next investigation would be: a. VDRL of the mother and baby b. ELISA for HIV c. PCR for TB d. HbsAg of the mother 137. A person from a village complains of pustules over the legs. Extract from the pus shows presence of gram positive cocci showing hemolysis,catalase negative,identified as group A streptococci.Following test is useful for further evaluation: a. Optochin sensitivity b. Bile solubility c. Bacitracin sensitivity d. Novobiocin sensitivity 138. Which of these investigations is helpful in heterotropic ossification: a. Sr. Alkaline phosphatase b. Sr. calcium c. Sr. acid phosphatase d. Sr. phosphorus 139. Lice are not the vectors for: a. Epidemic typhus b. Q fever c. Relapsing fever d. Trench fever 140. Which of the following method is used for the estimation of chlorine demand of

water: a. Chlorometer b. Horrocks apparatus c. Berkefield filter d. Double pot method 141. All about cow milk are true except: a. Contains more amount of whey proteins than casein as compared to human milk b. Contains more calcium and phosphorus than in infant feeding formulas c. Contains less amount of lactose than in human milk d. Contains less amounts of lactalbumin than in human milk 142. Which of the following statements about lepromin test is not true: a. It is negative in most children in 1st month of life b. It is a diagnostic test c. Helps classify leprosy d. BCG vaccination converts lepra reaction from negative to positive 143. Which is not an aryl phosphate: a. Parathion b. Malathion c. Tik-20 d. Folidol 144. Mercury poisoning affects: a. Proximal convoluted tubules b. Distal convoluted tubules c. Collecting ducts d. Loop of henle 145. Spaldings sign is seen in: a. Maceration b. Mummification c. Drowning d. Putrefaction 146. A patient presents with osteoarthritis of the knee.Which of the following muscles would be affected: a. Quadriceps only b. Hamstrings only c. Quadriceps and Hamstrings both d. Gastrocnemius 147. Reflex not present at birth: a. Rooting reflex b. Asymmetric neck reflex

c. Symmetric neck reflex d. Crossed extensor reflex 148. Least common complication of measles is: a. SSPE b. Diarrhoea c. Pneumonia d. Otitis media 149. The shape of the nulliparous cervical canal is: a. Circular b. Longitudinal c. Transverse d. Fimbriated 150. Which of the following can be easily cultured in vitro: a. Hepatitis A virus b. Hepatitis B virus c. Hepatitis D virus d. Hepatitis E virus 151. Which of the following IUCD last for 10 years: a. Progestasert b. NOVA-T c. Cu-T 380A d. Multiload 250 152. Autosomal dominant retinal disorder is: a. Lawrence-Moon-Biedel syndrome b. Bests disease c. Bassen Kornweigs disease d. Gyrate atrophy 153. The mucopolysaccharide Hyaluronic acid is most commonly present is: a. Synovial fluid b. Vitreous humor c. Cornea d. Lens 154. All of the following are causes of childhood blindness in India except: a. Glaucoma b. Refractive errors c. Ophthalmia neonatorum d. Congenital dacrocystitis 155. Bohlers angle is measured in:

a. # Calcaneum b. # Talus c. # Navicular d. # Cuboid 156. A 3year old child has eczematous dermatitis on extensor surfaces. His mother has a h/o Bronchial asthma. Diagnosis could be: a. Contact dermatitis b. Atopic dermatitis c. Infantile eczematous dermatitis d. Pleotropic dermatitis 157. DOC for obsessive compulsive disorder is: a. Imipramine b. Fluoxetine c. Clozapine d. Benzodiazepine 158. A 3 year old child presented with normal developmental milestones except for speech.He is unable to concentrate,not able to make friends,unable to do his work.Likely diagnosis is: a. Attention deficit disorder b. Autism c. Speech learning disorder d. Specific learning disorder 159. Naltrexone is used in opioid addiction to: a. Treat withdrawal symptoms b. Treat overdose c. Prevent relapses d. To decrease addiction 160. Most common substance abuse in India is: a. Tobacco b. Alcohol c. cannabis (park) d. Opioid 161. Which of the following waves are not used for deep tumours: a. Short wave diathermy b. Ultrasound waves c. Microwave d. Infrared waves 162. High anion gap metabolic acidosis is seen in A/E: a. Diabetic ketoacidosis

b. Diarrhoea c. Starvation d. Salicylic acid poisoning 163. Iron is absorped at: a. Stomach b. Duodenum and Proximal jejunum c. Distal jejunum d. Terminal ileum 164. Lithotripsy is useful in all of the following stones except: a. Calcium oxalate stones b. Struvite stones c. Uric acid stones d. Cysteine stones 165. The most common site where female sterilization is done is: a. Ampulla b. Isthmus c. Fimbriae d. Interstitial 166. A 21 yr old male presents with hepatosplenomegaly and hemoglobin < 5mg%.He has received only 1 blood transfusion so far.Most likely diagnosis is: a. Thalassemia major b. Thalassemia minor c. Thalassemia intermedia d. Autoimmune hemolytic anaemia 167. For exposing the subclavian all of the following muscles are divided except: a. Sternocleidomastoid b. Omohyoid c. Scalenus anticus d. Scalenus medius 168. Persistence of Moros reflex beyond what age is considered significant: a. 3 months b. 4 months c. 5 months d. 6 months 169. The End-product of purine catabolism in nonprimate mammals is: a. Inosine b. Uric acid c. Xanthine d. Allantoin

170. Nephrocalcinosis is seen in A/E: a. Sarcoidosis b. Milk alkali syndrome c. Distal RTA d. Medullary cystic disease 171. Which of the following is radioresistant: a. Osteosarcoma b. Ewings sarcoma c. Wilms tumour d. Neuroblastoma 172...reduces mortality following Acute myocardial infarction is: a. -3 PUFA b. Potassium supplements c. High fiber diet d. Esters(?) 173. A patient comes with hematemesis and malena since 2 days. An endoscopy done revealed no abnormal findings.He again has one episode of bleeding.Next step would be: a. Angiography b. Repeat endoscopy at the time of re-bleed c. Enteroscopy d. Surgery 174. The action of which of the following is not NO mediated: a. Fenoldopam b. Hydralazine c. Sodium nitroprusside d. NTG 175. Regarding ASHA which is false: a. Volunteer healh worker b. Skilled birth attendant c. One per population of 1000 d. Mobilizer of antenatal care 176. A female presents with sensorineural deafness,lab findings reveal-S.calcium=9.5mg %, S.phosphorus=3.6,S.alk.phos=440IU/ml.Xray shows cotton wool spots in the skull and Ivory vertabra .Likely diagnosis is: a. Pagets disease b. Osteoporosis c. Osteogenesis imperfecta d. Fibrous dysplasia

177. Post operative regime in a 32year old woman who has undergone a MRM for Ca-left breast with positive axillary lymph nodes: a. Adriamycin based chemotherapy b. Adriamycin based chemotherapy followed by Tamoxifen if status for estrogen receptors is postive c. Tamoxifen d. No need for chemotherapy 178. A 2 year old child with low grade fever completed with 8 days of 10-day course of cefaclor. His fever was still persistent and he had now developed pruritic rash all over the body with lymphadenopathy.Most likely diagnosis is: a. Kawasakis disease b. Type 3 hypersensitivity reaction c. Post viral syndrome d. Infectious mononucleosis 179. Cerebral blood flow depends on A/E: a. Sr.Potassium b. CO2 concentration in the blood c. Blood pressure d. Cerebral metabolic rate 180. For PCR which of the following is not required: a. Taq polymerase b. d-NTP c. Primer d. Radiolabelled DNA probe 181. Which of the following is an example of disability limitation: a. Reducing the occurrence of polio by immunization b. Arranging for schooling of child suffering from PRPP c. Resting the affected limb in the neutral position d. Providing calipers for walking 182. All of the following are Dialyzable poisons except: a. Ethylene glycol b. Methanol c. Barbiturates d. Copper sulphate 183. During surgery for a right sided thoracic outlet injury,the following complications can occur except: a. Pneumothorax b. Lymphatic fistula c. Brachial plexus injury d. Long thoracic nerve injury

184. A 50 yr old man has undergone TURP for BPH.On the 3rd day after operation he developed drowsiness and confusion.Most likely cause is: a. Cerebral infarct b. Hypernatremia c. Hyponatremia d. Meningitis due to spinal Anaesthesia 185. Thiamine deficieny is seen in all except: a. Food faddists b. Alcoholics c. Diarrhoea d. Homocysteinemia 186. Which of the following drugs is used in prevention of mortality and renal failure in an alcoholic patient with hepatic encephalopathy: a. Pentoxyfilline b. S-adenosyl methionine c. Silymarin d. Orlistat 187. A survey was done to study the effect of insulin dose and corresponding Hb1Ac levels corrected for age.what would be the best test to study the relation a. Linear regression b. Logistic regression c. Pearson correlation d. Student t test 188. All are true about the blood pressure measurement except: a. Korotkoff sound 4 correspond to intra-arterial diastolic blood pressure b. BP cuff should be 40% of arm circumference c. Small cuff gives rise to spuriously high bp d. Monkeberg sclerosis gives rise to pseudohypertension 189. 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 hyperlucency and PFT shows severe obstructive changes.What is the ,most likely diagnosis a. Post viral syndrome b. Alveolar microlithasis c. Bronchiolitis obliterans d. Follicular bronchiolitis 190. A patient of infective endocarditis with pseudomonas etiology is most likely to be: a. On steroids

b. Eldery with community acquired pneumonia c. i.v Drug addict taking pentazocine d. Splenectomy 191. Digoxin action is not affected by: a. Myocardial infarction b. Electrolyte disturbances c. Hepatic failure d. Renal disease 192. Muscle used for testing the facial nerve: a. Orbicularis oris b. Masseter c. Temporalis d. Sternomastoid 193. Which cell doesnt migrate and come at the apex of the crypt of the small intestine: a. Paneth cell b. Goblet cell c. Endocrine cell d. Enterocyte 194. Not an acceptable method of Randomization: a. draw of lots (lottery system) b. Random number table c. Computer random selection d. Odd-even hospital admission 195. A female child presents with virilization.She also has hypertension and low potassium levels.Most likely cause is: a. 21--hydroxlase deficiency b. 3-- hydroxlase deficiency c. 11- - hydroxlase deficiency d.Conn's disease 196. which of the following is not an essential amino acid a.Alanine b.leucine c.lysine dmethionine *197. What is true about branchial cyst? a) cyst are more common than sinuses b) sinus should always be operated c) mostly arise from 2nd branchial arch d) cause dysphagia and hoarseness

198. a 26 year female presents with recurrent pregnancy loss laboratory examination shows isolated prolonged APTT. What is the most probable diagnosis? a-APLAS b-vonwillebrand disease c-DIC *199.plasma exchange therapy is therapeutic in a-HUS b-TTP c-AIHA d-DIC *200. Most common biochemical abnormality in congenital hypertrophic pyloric stenosis: a. Hypokalemic metabolic alkolosis b. Hyperkalemic metabolic acidosis c. Hypokalemic metabolic acidosis d. Hyperkalemic metabolic alkalosis