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Exam Review
Exam Name: 044 - 28 June 2011
1.
2.
3.
4.
Which of the following stain is used to find carcinoma while doing endoscopies?
a) Toluidine blue
b) Gentian violet
c) Hematoxylyin and eosin
d) Methylene blue
Review:MICROBIOLOGY--
5.
Review:OBG-6.
7.
Sporulation occurs in
a) Lag phage
b) Log phage
c) Stationary phase
d) Decline phase
Review:Microbiology-Mycology-
8.
9.
Review:Medicine-Hematological Malignancies23. Drugs associated with significant ototoxicity potential include the following except
a) Ethacrynic acid
b) Nitrogen mustard
c) Gentamicin
d) Co-trimoxazole
Review:Pharma-Chemotherapy24. The most poisonous mercury salt is
a) chloride
b) Oxide
c) Cyanide
d) Chromate
Review:FM-TOXICOLOGY25. False about tryptophan is
a) It is purely glucogenic
b) Niacine synthesis
c) Serotonin synthesis
d) None of the above
Review:Biochemistry-Proteins26. A 78-year-old female is anesthetized for a right hemicolectomy for 3 hours. At the end of
the operation the patient's blood pressure is 130/85 mm Hg, heart rate is 84 beats/min
core body temperature is 35.4 degree C, and PECO2 on mass spectrometer is 38 mm Hg.
Which of the following would be the least plausible reason for prolonged apnea in this
patient?
a) Residual neuromuscular blockade
b) Narcotic overdose
c) Cerebral hemorrhage
d) Persistent intraoperative hyperventilation
Review:Anesthesia-General-Hyperventilation to Paco2 of 20 mm Hg or higher for more than 2
hours will result in active transport of HC)3- out of the CNS. This results in spontaneous
breathing at a lower (not higher) Paco2. The other choices should be included in the differential
diagnosis of apnea
27. Least amount of CO2 is in
a) Anatomical dead space-end inspiration phase
b) Anatomical dead space-end expiration phase
c) Alveoli-end inspiration phase
d) Alveoli-end expiration phase
Review:Physiology-Respiratory28. The classical flexion and rotatin deformities at hip and knee joints, as a sequelae of
polimyelities, are due to the contracutre of
a) Tensor fascia lata
b) Gastrocnemious
c) Tendo Chilles
d) Hamstrings
Review:ORTHOPAEDICS--Vinod
29. Direct coombs is positive in hemolytic anaemia due to
a) Paroxysmal cold hemoglobinuria
b) Paroxysmal nocturnal hemoglobinuria
c) Hereditary spherocytosis
d) Idiopathic thrombocytopenic purpura
Review:Pathology-Red Blood cell and Bleeding Disorders30. All can commonly occur in a patient who suffered decelerating injury in which pituitary
stalk was damaged except:
a) Diabetes mellitus
b) Thyroid insufficiency
c) Adrenocortical insufficiency
d) Diabetes insipidus
Review:Sugery-Neurology31. Zinc is an essential component of the following enzymes except
a) Carbonic anhydrase
b) Alkaline phosphatase
c) xantrhine oxidase
d) Ethanol dehydrogenase
Review:Biochem-ENZYMES32. For transplantation cornea is preserved in
a) Modified MK medium
b) Glycerine medium
c) Wet medium
d) None of the above
Review:Opthal-Cornea-Methods of corneal prservations: 1. Short terms storage : 4 degree
Celcius in moist chamber (upto 48 hrs) 2. Intermediate (Upto 2 wks) : Mc Carey - Kaufman
(MK) medium -Optisol medium ( Choondroitin sulfate enriched) 3. Long term storage - Organ
cultur method (35 days)
33. Deep blue colour of hypostasis is seen in death due to poisoning by
a) Potassium cyanide
b) phosphorous
c) Aniline dyes
d) Carbon monoxide
Review:FM-Death,Post Mor. Changes & Autopsy34. Investigation of choice for a pregnant lady with upper abdominal mass
a) Barium meal
b) MRI
c) CT scan
d) DSA
Review:Radiology Diagnosis-Diagnosis35. All are true about mumps excpet
a) Caused by myxovirus
b) Secondary attack rate is 86%
c) Most frequent in age group 5-15 years
d) Incubation period 7 days
Review:SPM-36. A women is exposed to muliple sex partners has 5 times increased risk for CaCx the
attributable risk is:
a) 20%
b) 50%
c) 80%
d) 100%
Review:SPM-Statistics37. All of the following programmes are sponsored by Ministry of Social Welfare except
a) Balwadi nutrition programme
b) Special nutrition programme
c) Midday meal programme
d) ICDS
Review:SPM-Demo, FP, MCH38. Alpha-1 antitrypsin deficiency causes
a) Emphysema
b) Bronchitis
c) Bronchieactasis
d) Pneumonia alba
Review:PATH-39. In trauma all of the following hormones are raised except
a) Glucagon
b) Corticosteroid
c) Insulin
d) Mineralocorticoid
Review:Surgery-Healing & Mana of wound & Accident40. Rubeosis iridis is seen in
a) Central retinal vein occlusion
b) Iridocyclitis
c) Glaucoma
d) Cataract
Review:Opthal-Retina41. The smallest cranial nerve is the
a) Olfactory
b) Oculomotor
c) Trochlear
d) Accessory
Review:-42. All of the following are characteristics of the rash of chickenpox:
a) Quick evolution of rash
b) Rash begins on the trunk
c) Quick prodromal period
d) Profusion of lesions of face
Review:Medicine-43. The rod receptor potential differs from other sensory receptors in that it shows
a) Depolarization
b) Decreased negativity
c) Increased conductance of sodium
d) Hyperpolarization
Review:Physiology-Spl. Senses44. A pt aged 60yrs needs an eye examination.He needs a drug which will dilate his eyes but
not paralyse his ciliary muscles.Choose the drug:
a) Atropne
b) Phenylephrine
c) Cyclopentolate
d) Tropicamide
Review:OPHTHALMOLOGY-NUEROLOGY-Sreelatha
45. A chest physician performs bronchoscopy in the procedure room of the out patient
department. To make the instrument safe for use in the next patient waiting outside, the
50. Water tolerance test is useful in differentiating the short stature as a result of
a) Hypopituitarism
b) Gonadal dysgenesis
c) Primordial dwarfism
d) Mild hypothyroidism
Review:Paediatrics-Endocrinology51. Emergency contraception prevents pregnancy by all of the following mechanisms, except:
a) Delaying/inhibiting ovulation
b) Inhibiting fertilization
c) Preventing implantation of the fertilized egg
d) Interrupting an early pregnancy
Review:OBG-52. Which of the following is not a cause of systemic lupus erythematosus like reaction
a) Hydrallazine
b) Isoniazid
c) Oestrogen
d) Diphenylhydantoin
Review:Dermatology-53. Dymetria is seen in
a) Extra pyramidal lesions
b) Cerebellar lesions
c) Pyramidal lesions
d) Cortical lesions
Review:Physiology-CNS54. Treatment of squamous cell carcinoma of anal canal?
a) Abdominoperineal resection
b) Anterior resection
c) Local resection
d) Chemo radiotherapy given concurrently
Review:SURGERY-55. Treatment of choice III CIN in 40 year old female is;
a) Hysterectomy
b) Laser coagulation
c) Cryocoagulation
d) Cone excision
Review:OBG--Modalities for management of CIN -Ablative procedure - Cryotherpy - Laser
vaporisation -Excisional Procedure -Loop electro surgical excision (LEEP) Surgery Hysterectomy - Conisation Ablative Procedures -They are performed in out patient setting
(OPD procedures) -They must only be performed when the following conditions exist: 1. There
is no evidence of micro invasion or invasive cancer (on cytologyy, colposcopy or ECC). 2. The
lesion is located on the ectocervix (as determined by colposcopy and ECC). 3. There is no
involvement of the endocervix (as determined by colposcopy and ECC) 4. Cytology and
histology correspond with each other.
56. Rigor mortis develops__ after death
a) 1/2 - 1 hr
b) 1-2 hours
c) 3-6 hours
d) 6-8 hours
Review:FM-Death,Post Mor. Changes & Autopsy-onset, of Rigor is 1-2 hours, but since here
'develops' is asked, answer is 3-6 hours. Conditions altering the onset and duration of rigor. 1.
Age 2. Nature of death 3. Muscular state 4. Atmospheric conditions
57. Select the statement which best characterises lymph capillaries
a) Have smaller diameter than blood capillaries
b) Less permeable than blood capillaries
c) Have no endothelial lining
d) Have a discontinuous basement membrane
Review:Anatomy-Histology58. The proportion of children in the age group of 0-6 years, who are the beneficiaries of
integrated Child Development Services Scheme, in the population is about
a) 6%
b) 13%
c) 20%
d) 27%
Review:SPM-Demo, FP, MCH59. Skin lesion in meningococcal meningitis is due to
a) Exotoxin
b) Endotoxin
c) Allergic reaction
d) Direct vascular
Review:Micro-Bacteriology--The pathogenic agent in meninigococcal disease appears to be
endothelium is particularly sensitive to endotoxin -Meningococcemia presents as acute fever,
with chills, malaise, prostration and petechial rash.
60. The proportion of children in the age group of 0-6 years, who are the beneficiaries of
integrated Child Development Services Scheme, in the population is about
a) 6%
b) 13%
c) 20%
d) 27%
Review:OBG-Contraception67. The fungi, which do not have sexual phase, belong to which of the following groups
a) Phycomycetes
b) Fungi inperfecti
c) Basidiomycetes
d) Ascomycetes
Review:Microbiology-Parasitology68. The epidemiological trend of poliomyelitis are except
a) Effects higher age groups
b) Increasing in tropics
c) Increased upper limb paralysis
d) Sporadic to epidemic
Review:P & SM-69. The following are alkylating agents except
a) Cyclophosphamide
b) Methotrexate
c) Chlorambucil
d) Busulphan
Review:Pharmacology-70. Medial geniculate body is concerned with
a) Hearing
b) Vision
c) Smell
d) Taste
Review:Physiology-CNS71. Egg shell calcification is seen in
a) Silicosis
b) Asbestosis
c) Farmers lung
d) Anthracosis
Review:p-72. Features of hypovolemic shock are all except
a) Oliguria
b) Bradycardia
c) Low B.P
d) Acidosis
Review:Surgery-Resuscitation and Support73. Vibro cholerae produce a heat labile exotoxin that act via the CAMP pathway to cause
cholera, which of the following bacteria causes disease in man by a similar mechanism
a) Shigella dysenteriae type I
b) Escherichia coli
c) Bacillus cereus
d) S.aureus
Review:Microbiology-Gram- bact--The heat stable toxins of E.coli acts by activation of cyclic
guanosine monophasphate (cGMP) in the intestine -Cholera enterotoxin is very similar to the
heat labile toxin of E.coli in structural chemical, biological and antigenic properties.
74. A child, presented with progressive loss of developmental milestones, banging and
writhing movements of hands. He has also intermittent fever, joint pain and reduced
urine output. Which of the following is the most probable enzyme deficiency responsible
for it?
a) HGPRTase deficiency
b) Adenosine deaminase deficiency
c) Phenylalanine hydroxylase deficiency
d) Acid maltage
Review:Paediatrics-75. Al are useful in digoxin toxicity except
a) Hemodialysis
b) Fab antibodies
c) Postassium
d) Atropine
Review:MEDICINE-76. All are features of primary tuberculosis; except
a) Pleural effusion
b) Consolidation
c) Pulmonary fibrosis
d) Lymphadenopathy
Review:Respiratory-Pulmonology77. Long term complication of infants born to IDDM mother is
a) DM
b) Ketotic hypoglycemia
c) Obesity
d) Blindness
Review:Paediatrics-Endocrinology78. If the axial length of the eyeball is changed by 1mm then the power changes by
a) 1dioptre
b) 2D
c) 3D
d) 4D
Review:OPHTHALMOLOGY-LENS-Sreelatha
79. Global eradication of small pox was declared by WHO on one of the following dates
a) 26th October 1977
b) 5th July 1975
c) 17th May 1975
d) 8th May 1980
Review:SPM-Communicable disease80. A testicular tumor in a man aged 60 years is; most likely to be
a) Germ cell tumor
b) Sertoli cell tumor
c) Teratocarcinoma
d) Lymphoma
Review:Surgery-81. Conductive deafness is assoiciated with:
a) Acoustic Neuroma
b) Meniere's disease
c) Otosclerosis
d) Suppurative Labyrinthitis
Review:ENT-Ear-Acoustic neuroma, Miniere's disease and Suppurative Labyrinithitis cause
Sensory- Neural deafness, while otosclerosis causes conductive deafness.
82. Maggots appear in body in rainy season within
a) 24 hrs
b) 1-2 days
c) 2-3 days
d) 3-4 days
Review:FM-Death,Post Mor. Changes & Autopsy83. Which is not a feature of skeletal muscle
a) Spindle shaped fibres
b) Syncytium
c) Striations
d) Hypolemmal nucleus
Review:Anatomy-Histology84. The most important reservior of infection for most of the diseases of human is:
a) Humans
b) Animals
c) Birds
d) Fishes
Review:Health-85. Casual association factors can be revealed by?
a) Case control study
b) Cohort study
c) Cross sectional study
d) Experimental study
Review:SPM-Statistics86. Best Index to assess recent fertility pattern is
a) Generally fertility rate
b) Pregnancy rate
c) Age specific fertility rate
d) Net production rate
Review:SPM-Demo, FP, MCH87. Best prognosis in lymphoma is seen in
a) Ig Ab + BALL
b) T ALL
c) Early Pre B ALL
d) Pre B ALL
Review:pathology-88. The time gap between primary and secondary case is:
a) Serial interval
b) Generation time
c) Median incubation period
d) Secondary attack rate
Review:SPM-Epidemiology89. Twin peak sign seen in:
a) Monochorionic diamniotic
b) Dichorionic monaminiotic
c) Conjoined twins
d) Diamniotic dichorionic
Review:OBG-Multifetal Pregnancy90. 6 month old baby with sever pallorand hepatosplenomegaly,similar history with the
sibbling. Investigation of choice;
a) Lung
b) Liver
c) intestines
d) Skeletal muscle
Review:FM-97. Toxic amblyopia is produced by
a) INH
b) Rifampicin
c) Ethambutol
d) Pyrazinamide
Review:Opthal-98. What organism most frequently causes a urinary tract infection
a) Staphylococcus epidermidis
b) Staphylococcus aureus
c) Pseudomonas aeruginosa
d) Escherichia coli
Review:Medicine-Kidney99. Brunner's glands are located in the
a) Duodenum
b) Jejunum
c) Iieum
d) All
Review:Anatomy-Histology100. Latest inclusion in community health is
a) Felt need of people
b) At doors steps
c) Economical
d) Community participation
Review:Health
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