ANATOMY

Person with accident unable to abduct shoulder and flex at elbow due toa) Shoulder dislocationb) Medial cord injuryc) Lateral cord injuryd) Upper trunk injury

Dermatome of little finger isa)C6b)C7c)C8d)T1

Nerves supply to auricle a/ea)9th nerve tympanic brb)Greater Auricularc)Lesser occipitald)Auriculotemporal

Sub arachnoid hemorrhage and fourth ventricle blled can be attributed to which vessela)anterior communicating arteryb)aneurysm at top of basilar arteryc)anterior inferior cerebellar arteryd)posterior inferior cerebellar artery

Avasular necrosis of Scaphoid occurs in the proximal fragment becausea)comminuted fractureb)Articulates with radiusc)Blood flow retrograde in Scaphoidd)Difficult to fix the proximal fragment

A person was incolved in RTA. After that he had inability to Abduct shoulder and inability to flex elbow. Other movements of upper limb are normal. The cause of injury isa)Shoulder dislocationb)Medial cord injuryc)Upper trunk injury ;posterior cordd)Lateral cord injury

Which of the following does not pass through the inquinal cancl in femalea)Inferior epigastric Arteryb)Round ligament in ovaryc)lymphatics from fundus of uterusd)Illio inguinal Nerve

Muscle which is NOT derived from pharyngeal archesa)Tensor tympanib)Palatine tonsilc)Levator palpebrae superiorisd)orbicularis oculi

PHYSIOLOGY

Part of Hypothalamus which is related to Sexual behavioura)Preopticb)Supraopticc)Lateral Hypothalamusd)posterior hypothalamus

Glutamate is the predominant neurotransmitter in whi h of the following part of braina)Subtantia Nigrab)putamenc)Globus pallidus internad)Globus pallidus externa

The carotid artery is clamped above the level of Carotid sinus. What is the possible outcome?a)Increase in BP with Bradycardiab)Increase in BP with Tachycardiac)Decrease in BP with Bradycardiad)Decrease in BP with Tachycardia

Pyrogenic cytokines are all EXCEPTa)IL – 6b)TNF alphac)IL- 18d)INF – alpha

BIOCHEMISTRY

Phosphorylation of all occurs excepta)arginineb)threoninec)Serined)tyrosine

Enzyme for both cholesterol and fatty acid synthesis isa)Hmg co a synthaseb)Hmg co a reductasec)Thiokinased)Lyase

Site for O – type binding of polysaccharide is seen in which of following amino acida)Asparagineb)Threoninec)Serined)Tyrosine

PHARMACOLOGY

Drug used for inflammatory bowel disordera)Lubiprostoneb)c)d)

The hypoglycemic drug causing Vitamin B12 deficiency isa)Exenatideb)rapaglinidec)sitagliptind)Metformin

Temozolamide is ana)Alkylating agentb)Anti tumour antibioticc)d)

Side effects of thalidomide-all excepta)sedationb)constipationc)neuropathyd)myocarditis

Which fluoroquinolone shows the longest half-life?a) Levofloxacinb) Lomefloxacinc) Grepafloxacind) Moxifloxacin

Lipodystropy protease in HAART

a)Ritonavir

Thiazide used in t/t of a/ea) Idiopathic hypercalceuria with nephrocalcinosisb) Hyperlipidemiac) CCF

Hypertriglyceridemia and Hypercholesterolemia seen in Human Immunodeficiency Virus-1-Infected Treated witha) Ritonavirb) Reltegravirc) Didanosined) Efavirenz

Doc for syphilis in pregnant ladya) PenicillinTemozolamide isa) Oral alkylating agentb) Antibiotic antitumorIn Japan, known as detergent suicide, a near-instant death achieved by mixing common household chemicals into a poisonous cloud of gasa) H2S

Drug used usually for cerebral vasospasm ?a)Nimodipineb)Nitroglycerinec)Nifidipined)

Slow acetylator of INH develops which type of toxicity ?a)Peripheral Neuropathyb)Hepato toxicityc)Thrombocytopeniad)

Forced alkaline Diuresis is done to remove which drug during intoxication?a)Phenobarbitoneb)Amphetaminec)d)

In a pregnant lady of 8 weeks and 4 days, VDRL was done which confirmed the presence of treponema pallidum infection. The drug of choice for treatment isa)Erythromycinb)Penicllinc)d)

A new drug A is being compared with an old drug B, The efficacy of this new drug in relation to the old drug can be established by which phase of drug triala)Phase 1b)Phase 2

c)Phase 3d)Phase 4

Apixaban is aa)TNF alpha inhibitorb)Antiplateletc)Factor Xa antagonistd)Interferon alpha inhibitor

PATHOLOGY

Which of the following is not pyrogenica)IL 1b)IL 18c)TNF ALPHAd)INTERFERON alpha

Secondary amyloidosis is due to deposition ofa)Amyloid Associated Proteinb)Amyloid light Chainc)Beta 2 Microglobulind)

Wide Neural Foramina seen in which disordera)NFb)Tuberous Sclerosisc)Wyson Weber Syndromed)

The following CD marker is used to diagnose Langerhans Histiocytosisa)CD1ab)c)d)

Immune complex shows what protein structure?a)Primaryb)Secondaryc)Tertiaryd)Quartenary

A person with Blood group A will have which of the following genetic makeupa)OOb)AOc)ABd)BO

The type of Hypersenitivity reaction in Myaesthenia gravis isa)Type Ib)Type IIc)Type IIId)Type IV

MICROBIOLOGY

The endotoxin involved in Cholera has its action by which of the followinga)cAMPb)cGMPc)d)

The Endotoxin does NOT play a role in parthenogenesis of which organisma)E.Colib)Cholerac)Klebsiellad)Pseudomonas

How does Ebstein Barr Virus causes autoimmunity?a)Molecular mimicryb)Exposure of sequestered antigensc)Antigenic cross reactivityd)Polyclonal B cell activation

Most common cause of pyogenic liver abcess isa)Traumab)Biliary tract diseasec)Appendicitisd)Diverticulitis

Among the following which is the most resistant to action of antisepticsa)Sporesb)VIrusesc)Prionsd)Mycobacteria

The disease common to mosquitos Anopheles, Aedes, Culex isa)Japanese Encephalitisb)Malariac)Filariasisd)

A Gram-negative marine bacterium causing ear infectiona) Vibrio cholera

b) Vibrio parahemolyticusc) Vibrio alginolyticusd) Vibrio mimicus

pt. was infected with MRSA. All of the following can be given exceptA) CotrimoxazoleB) CeflacorD) CiprofloxacinD) Vancomycin

Cholera toxin acts via secondary messengera) cAMPb) cGMPc) Ca2+d) IP3

FORENSIC MEDICINE

IPC prohibits the disclosure of the identity of victims in rape underA) Section 225AB) Section 226AC) Section 227AD) Section 228A

Sham rage is seen ina) Decerebrate animalsb) Decorticate animalsc) Hypothalamic lesions

A person is brought to casuality by police under the alleged offence of Sodomy. You being a medical officer are asked to examine the patient. Which will not be seen?a)Faecal smellb)Smegmac)Frenual teard)Penile shaft constriction

MEDICINE

Macroadenoma size…greater thena)1 cmb)c)d)

Which of the following is a congenital Aplastic anemia?a)Fanconi’s anemia

b)c)d)

An example of small vessel vasculitis isa)Giant cell vasculitisb)Takayasu arteritisc)PANd)Microscopic Polyangitis

Critical Metabolic failure occurs at cerebral blood flow ofa)10ml/minb)20ml/minc)30ml/mind)40ml/min

Type 1 renal tubular acidosis-which s not true?a)failure 2 acidify urine 2 a ph<5b)increased risk of urinary stonesc)replacement of bicarbonated)hyperkalemia

40 yr.old hypertensive pt was admitted in d hospital with complaints of head ache and high BP. he died after 4 hrs./1 day. what will b d findings in his kidney?

a)petechial haemorrhages on surfaceb)b/l small contracted granular kidneyc)small kidney with smooth surfaced)enlarged kidney

Episodic muscular weakness a/ea)Chanellopathyb)lambert eaton syndromec)Hypercalcemiad)Hyperphosphatemia

Amylin is secreted froma)Alpha cellsb)Beta cellsc)Delta cellsd)pancreatic polypeptide or Gamma

Criteria for brain stem deatha)doll\’s eye reflexb)Fixed and dilated pupils

c)pin point pupild)positive vestibulo ocular reflex

treatment not administered to a patient with severe pulmonary edemaa)digoxinb)positive pressure ventillationc)frusemided)morphine

Glasgow coma scale- Verbal Makes inappropriate wordsa) 4b) 3c) 2d) 1

Rheumatoid factor isa) IgM antibody directed against IgGb) IgG antibody directed against IgM

treatment not administered to a patient with severe pulmonary edemaa)digoxinb)positive pressure ventillationc)frusemided)morphine

After 24 hours starvation what will NOT be seena)increased glycogen breakdownb)increased free fatty acidsc)increased ketone bodiesd)decreased serum proteins

Topical application of mitomycin-ca)Layngeotracheal stenosisb)Nasal angiofibromac)d)

The least occurence of infective endocarditis is due toa)Small ASDb)Mild Aortic stenosisc)Mild Mitral regurgitationd)

Which of the following porphyrias is NOT Autosomal Dominant?a)Congenital Erythropoietic porphyriab)Acute intermittent porphyria

c)Porphyria cutanea tardad)Herditary porphyria

Reid index is used to measurea)Bronchiectatsisb)Chronic bronchitisc)Tuberculosisd)Emphysema

Yoga if considered as part of medicine, it will be considered aa)physiotherapyb)preventive medicinec)emergency medicined)

Least common presentation of Multiple myeolomaa)Hyperviscocityb)Bone painc)Anemiad)Infections

A patient on regular medication for a medical illnes is posted for abdominal surgery. Which such medication can be stopped on day of surgerya)Beta blockersb)Steroidsc)Statinsd)ACE inhibitors

Electromechanically Systole isa)R wave to first heart soundb)Q wave to second heart soundc)Q wave to T waved)

1. All are included in the active management of third stage of labor except.

a.Controlled Cord Traction

b.Uterine Massage

c.Inj.Syntocinon

d.Inj.Methergine

Ans:Uterine Massage

2.Drug that causes B12 deficiency on prolonged usage

a.Metformin

Ans:Metformin

3.Langerhans Cell Histiocytosis immuno histochemistry positive for

a.CD1a

Ans:CD1a

4.In GlassgowComa Scale(GCS), scoring for inappropriate speech in verbal response is

a.2

b.3

c.4

Ans:3

5.The causative agent of recurrent ulcer in sub-himalayan region is

a.cladosporium

b.sporothrix

6.Identity of rape victim is to be maintained secret as dictated under

7.Maximum cerebral Vasodilation is caused by

a.Hypercarbia

8.Drug responsible for cyanide toxicity.

a.Sodium Nitroprusside

b.

9. An active agent in sodomy was subjected to examination. Which findings are not observed ?

a.Torn frenulum

b.fecal smell

c.smegma

d.penile reconstruction

10.A hit B after provocation with a stick to cause a bruise of 3*3 cm. What is the correct.

a.punishment for 1 yr & fine 1000

b.severe punishment for 6 mths

c.none of the above.

11.The wave lengh of laser used for refraction correction is.

12.Eye infection in a contact lens user, not responding to routine antibiotics. Cause is ?

13.A neonate shows skin erosions at sites the mother handles. What is the probable pathology behind it ?

a.Epidermolysis bullosa

b.Bullouus pempihoid

c.

14.Mitochondria is involved in all except ?

15.All arteries are involved in blood supply to auricle except ?

a.greater auricular

b.lesser auricular

c.tympanic branch.

16.Hypo Echoic Lesion on USG ?

17.Pathogenesis of Vibrio Cholera involves one of the folowing second messenger system.

a.cAMP

18.Which of the following is least resistant to antibiotics and disinfectants.

a.spores

b.prions

c.

19.Drug not to be used in hypercalemia.

a.hydrochlorthiazide

b.furosemide

20.All the following are found in DIC except ?

a.Increased fibrinogen

b.

21.Interaction between Clopidogrel and PPI is due to metabolism by

22.Which of the following drug is asssociated with increased cardiac mortality ?

a.rolecoxib

b.nicrondil

c.losartan

d.metoprolol

23.Emergency management of acute pulmonary oedema treatment all except

a.morphine

b.digoxcin

c.frusemide

d.positive pressure ventillation

24.Hemochromatosis is not seen in

a.Repeated blood transfusions

b.Thalassemia

c.PNH

d.Spherocytosis

25.In Secondary Amyloidosis , the commonly deposited amyloid form is

a.Beta 2 Microglobulin

b.amyloid light chain

c.

d.

26.Primary hypothyroidism, commonly demonstrated associated with

a.

b.

c.

d.

27.An AIDS patient on HAART has hyperlipidemia. The drug causing this is

a.zidovudine

b.

c.

d.

28.A man experiences tingling sensation on the lateral aspect of leg and great toe after lifting heavy weight.The lesion responsible is

a.L4-L5 Disc Prolapse

b.L3-L4 Disc Prolapse

c.L5-S1

29.A middle aged man presents with varicocele that appeared recently. This should raise the suspicion of

a.testicular tumour

b.

c.

d.

30.Which of the following vaccination is not needed in 70 yrs elderly male

a.measles

b.tetanus

c.hepatitis

d.typhoid

31.The lowest risk of rectal prolapse recurrence is seen with.

a.Delorme Procedure

b.Rectopexy

c.

d.

32.After a subclavian vein cannulation, man presents with absent breath sounds on one side, increased resonance. m/c cause is

a.Tension Pneumothorax

b.subclavian vein air embolus

c.

d.

33.A pt presenting with hematemesis, splenomegaly m/c cause is

a.Portal Hypertension

34.Posterior perforation of duodenum, m/c involved structure is

a.IVC

b.

35.A 15 yr old presents with delayed puberty. FSH, LH done to exclude

a.

b.

c.

d.

36.Maternal drug usage m/c associated with hypospadiasis is

37.Japanese Detergent Suicide, works by

a.generating foam

b.H2S gas

c.

38.Fracture of Neck of femur not associated with.

a.malunion

b.nonunion

c.AVN

d.limb shortening

39.A pt presents with mobile gluteal mass, shortening m/c cause is

a.acetabular fracture with posterior dislocation of femur head.

b.

c.

d.

40.Newer Modified Liver Donor criteria includes all axcept

a.Age>40 yrs

b.Hepatitis B core Antigen Positive

c.acute cholestatic hepatitis

d.

41. X-ray exposure for detecting minimal pneumoperitoneum is

a.standing

b.supine

c.rt lateral decubitus,

d.lt lateral decubitus

42. Anteroposterior diameter is high is following type of skull.

a.dolicocephaly

b.brachycephaly

c.plagiacephaly

43.A child with pubertal delay , LH,FSH,Testosterone are estimated to exclude which of the following ?

a.Klinefelter Syndrome

b.

c.

d.

44.Size of Pituitary Macro Adenoma

a >1 cm.

b >1.5 cm.

c >2 cm.

d >2.5 cm.

45.What kind of study will be conducted on? group before intervention and after intervention.

a.Paired t test.

b.Unpaired t test.

c.Chi square.

d.

46.A study conducted on a group of 100 indls mean is ___ sd is _.

what is the standard mean of error.

47.which of the following is not included in “right to sight”.

a.cataract

b.

c.

d.

48.A lady presents with? , leucopenia, splenomegaly, what will be the findings on int biopsy.

a.longitudinal ulcers.

b.transverse ulcers.