Monday, March 17, 2008

ALL INDIA PRE PG ENTRANCE EXAM 13 JAN 2008--incomplete ques & ans..

1) 21 alpha hydroxylase deficiency ALL true EX - Commonest cause for CAH / Females present with ambiguous genitalia / Males attain puberty earlier / Most common in females
2) Abbe estlander flap – Lip / Tongue
3) Alcoholic and chronic smoker with swollen tongue and atrophy of papillae, what would you do - Surgical biopsy of tongue /
4) Alcoholic presenting with Hb 11.5g%, PCV 35% MCV 100, next step of investigation is - Evaluate thiamine levels
5) Alcoholic who quit 1 yr back has stone in pancreatic duct - Relieved by analgesics treatment /
6) Alcoholic, with h/o pancreatitis, multiple stones in tail of pancreas, what is the management - Remove tail / Pancreaticojejunostmy / Percutaneous removal..
7) Alkalinizing the urine is useful in which - phenobarbitone / dhatura / Atropine
AML, which has worse prognosis - inv16,t(15:17) / monosomy 7 / normal cytogenetics
9) Androgen insensivity syndrome, ALL true EX - absent vagina / absent ovaries /marked presence of pubic hair
10) Anti-fungals are ALL EX – Clofazamine / Ciclopirox / Fluconazole / Undecyclenic acid
11) Aortic Arch on Right seen in – Corrected TG / Truncus arteriosus / TOF
12) Aortitis, sign of - Ascend aorta calcification / Descend aorta calcify. /
13) Apolipoprotein c is involved in -
14) Atherosclerosis (severe), which is not a histological feature of -
15) Basement Membrane degeneration is mediated by - Metalloproteinases
16) Biliary obstruction caused by ALL EX - A duodenale / Fasciola / Clonorchis / Ascaris
17) Black water fever seen in – Malaria / Trypanosomiasis / Mycoplasma
1 Bradykinin role – Pain /
19) Breast mass, intra-ductal, 25 yrs - Radical duct excision / Microchodotomy / Radical mastectomy
20) Bronchial artery supplies up to the level of - Respiratory bronchiole /
21) C1-C2 # what view - Odontoid / Lateral /
22) Cavernous sinus tributaries ALL EX – Inf. petrosal / Sup. Petrosal / Superf. Middle cerebral vein / Deep cerebral vein
23) Cerebral blood flow, what is the effect of exercise on –
24) Cervical CA caused by virus? – HPV / EBV /
25) Cervical Squamous Cell CA ALL true EX - Arise in squamocolumnar junction / Hpv 16 & 18 associated with high risk / Common symptom is post coital bleeding /Ct scan necessary for staging
26) CHC as per RCH is - Primary referral / Secondary referral / Tertiary referral / Not a referrral
27) Chest pain, sweating, restlessness, 25 y/o brought to casualty; ECG & X- ray normal; with supportive measure asymptomatic, Diagnosis - Panic attack / Vasovagal attack / Acute MI
2 Cholecystitis (acute calculous) - Laparoscopy contraindicated in acute stage / IV antibiotics /
29) Chorionic villous sampling is indicated in a previous child in ALL EX - Neural tube defects / Downs
30) Clomiphene Citrate, mech. of action - Block estrogen receptors/negative feedback mechanism at hypothalamus
31) CML, DOC - Imatinib
32) Coarctation of aorta is associated with - bicuspid aortic valve /
33) Cold AIHA mediated by is mediated by – IgG / IgM / Donath Landstiener
34) Complex muscle ALL EX - Rectus femoris / Add. Magnus / Pectinius / Biceps femoris
35) Concurrent list does not encompass -
36) Congenital adrenal hyperplasia ALL true EX - If seen in males manifested late during puberty / MC seen in females /
37) Coronary ligament of knee, is situated - Between two anterior attachment of meniscus /
3 Corporo basal index used for – stature / sex / age / race
39) Crohn’s disease following organism is implicated - M.para TB / Chlyamidia
40) Cruciate ligament of knee is supplied by - Anterior synovial artery / Middle SA / Post. SA / Circumflex A
41) Crypt branching, crypt abscess, chronic diarrhoea seen in – UC / Crohn's / Microscopic colitis
42) Death due to suffocation, seen in EX - Throttling / Choking / Strangulation / Gagging
43) Delphis method is used in –
44) Dementia precox term coined by – Schneider / Bleuler / Schneiden
45) Dharmendra /roedley’s scale – Leprosy / TB
46) Diffuse axonal injury is characterised by - Predominant white matter haemorrhages, in basal ganglia and corpus collosum /
47) Digastric muscle, ALL EX – Occipitofrontalis / Sternocliedomastoid /Omohyoid / Lig of trietz
4 Diphtheria chemoprophylaxis – Tetracycline / Erythromycin
49) Diploic veins, ALL true EX - thin walled / present in skull bones / valveless / develop by 8th week of IUL
50) Duodenum and head of pancreas injury, stricture in distal bile duct, what is the management – Duodenoduodenostomy / Whipples proceedure /
51) Ergot CI in -
52) Erythropoietin causes all EX - Decrease the requirement for repeated transfusions / In. Hematocrit / In. HB / Decreased reticulocyte count
53) Facial N colliculus is located in - Mid brain / Pons / Medulla / interpeduncular fossa
54) Fatty yellow liver caused by which poisoning – aconite / arsenic
55) Ferruginous bodies seen in – Silicosis / Asbestosis / Byssinosis / Bagassosis
56) Flatulent dyspepsia in otherwise normal female - Immediate lap.cholecystectomy / Laprotomy after 1/2 months / Wait till biliary colic
57) G6PD does not matter in treatment with – Quinine / Pyrimethamine / Chloroquine / Primaquine
5 Gallstone 2cm on USG, woman, symptoms arecontrolled what next - Regular followup
59) Genetic preferential expression, __ depending on parental - Genomic imprinting /
60) GFR measured with which isotope -
61) Glaucoma, intractable caused by - Lens swelling / diffuse iris melanomas / pigment cell hyperplasia of ant. surface of iris /posterior iris thickening
62) Gumma is seen in which stage of syphilis - Primary / Secondary / Tertiary /
63) H5N1, what is – Bird Flu /
64) HBs Ag positive, AST, ALT normal, HBe Ag negative , next line of management -
65) Hematuria (recuurent) in a child, diagnosis is - Wilms tumor / IgA nephropathy / Alports syndrome
66) Hemochromatosis (hereditary), which is not seen - Gonadal failure /
67) Hemodialysis associated amyloidosis - B2 microglobulin /
6 Heparin when given in pregnancy should be supplemented with – Zinc / Calcium / Folic acid
69) Hepatic resection; When mass was somewhere to the left of falciparum ligament, the surgeon would rescect which segments - 1a and 4 / 1 and 4b / 2 and 3 / 1 and 3
70) Hip Pain (severe) in a 30 y/o HIV pt, likely aetiology is - avascular necrosis /
71) Hitselbergers sign ( Paraesthesia of the post. Ear canal) suspicious for - Vestib. schwannoma / Mastoiditis /
72) HMB 45 marker of - Melanoma
73) Hodgkins lymphoma - CD10 15 / CD15 20 / CD15 30 /
74) India (National and International Law w regards to India) ALL true EX – Health Care is Central Govt. Responsibility / India signatory to alma atta decl. /
75) Induction of labour is not done in – Hypertension / DM / Heart disease / Anaemia
76) Interstitial lung disease, investigation OC – MRI / HRCT
77) Intrauterine infection most commonly associated with CNS abnormalities - CMV & Toxo / Toxo & Rubella /
7 Ipratropium bromide is CI in - Urinary retention / Asthma / Hypertension
79) Kap studies – HIV / Cancer /
80) Kawasaki disease all true EX - Coronary art aneurysm 25% / DOC IV Immunoglobulins / MC immune mediated vasculitis in children
81) Knee injury (acute), most useful test - Lachmans / Ant. Drawer’s / Apleys /
82) Left Atrium Hypertrophy, earliest sign in CXR is - Widening of carina / Lifting of left main bronchus / Double shadow in R Heart border / Esophageal displacement
83) Lens transport protein is concerned with -
84) Lepra 2 reaction DOC – Steroid / Thalidomide /
85) Leucovorin rescue is given with - Methotrexate therapy
86) Low vision definition by WHO – best corrected vision between 6/18 & 6/60 / 3/18 & 6/60 /
87) Lymph drainage from foot, what helps - Foot massage /
8 Malignant tumours are ALL EX – Fibromatosis / Plasmacytoma
89) Meconium non passage for 48 hrs, which is the diagnostic POC -
90) Meconium passage in urine with anal atresia, what is the management -
91) Mediastinum (posterior) cyst in child with posterior Vertebral B defect - Myelocele / Bronchogenic cyst / Neuroblastoma
92) Mediastinum, Posterior MC tumour - Nerugenic /
93) Megaloblastic anaemia is treated with folate and B12 because - Folate acts as coenzyme for B12 metabolism / B12 alone will result in improvement of anaemia but worsening of neurological symptoms / B12 acts as co enzyme for absorption of FA
94) MEN1 MC tumour seen is – Gastrinoma / Somatostatinoma / Glucagonoma / Insulinoma/
95) Meningitis in elderly, which is not a cause - Herpes simplex 2 / Listeria / Pneumococcus / Gram – bacilli
96) Methergine CI in - Heart disease
97) Microotia and external auditory canal atresia bilaterally, treated by - Before 1 yr / Delayed till 6 yrs / after puberty
9 Migratory thrombophlebitis seen with ALL EX - CA of lung / Prostate / GIT / pancreas
99) MMR in India, MC - Obstetric haemorrhage / Anemia / Abortion / Septicemia / Obstructed labour
100) Mother with previous h/o of delivering CAH child, what to advice for next pregnancy with regard to steroid therapy- To start before conception / To start as soon as pregnancy is confirmed / After chorionic villous sampling / After USG sex determination and then decide
101) Muellarian dysgenesis all EX – Uterus / Vagina / Cervix / Ovary
102) Muscle protein, ALL true EX – Dystrophin / Sarcoglycan / Dystroglycan
103) Nasal septum formation ALL EX – Ethmoid / Sphenoid / Palatal bone / Lacrimal
104) Neck penetrating trauma defined as - 2 cm deep / Injury to vital structure / Platysma breach
105) Necrotizing enterocolitis (perforated) treated with – Conservative / Drain/ Laprotomy with resection anastamosis / Extracorporeal memb. oxygenation
106) Neonate with distended abdomen and bilateral gas shadow below diaphragm, Likely cause - Perforation of stomach /
107) Neoplasia growth factor is - Sis / Kit / myc
108) Nephrotic syndrome congenital, mutation seen is - Nephrin / Podocin
109) Nerve supplying area of Great Saphenous Vein – Femoral / Sural / Tibial / Superf. Peroneal
110) Neuropathy (dying back) seen in – DM / Amyloidosis /
111) Newborn after delivery develops hypoxemia, no response to surfactant, ground glass appearance, normal echo? Diagnosis - Proteinosis
112) Newborn soon after delivery develops hypoxia, intubation which is followed by shift of __, immediate measure to be done - Confirm tube by x ray /
113) Nigro's protocol in Epidermoid CA anal canal - Chemotherapy with radiation as alternative to surgery /
114) Nocturnal enuresis, least relapse with – Desmopressin / Bed alarm / Imipramine
115) Non communicable diseases ALL EX- Temporal association / Specificity / Dose response relationship /
116) Occupational cancer most commonly involves - Skin / Bladder /
117) Ocular morbidity in India, MC – Cataract / Ref errors / Diabetes
118) Oesophageal spasm (diffuse) diagnosed by - Barium meal / Endoscopy / Manometry
119) Okazaki fragments seen in - S strand DNA rep / DS DNA rep / RNA transcription
120) Ossicular joint of Middle Ear is a – Synovial Jt /Primary cartilaginous / Secondary catiliginous / Fibrous
121) Osteosarcoma mandible primary, in a patient with previous Retinoblastoma due to - Mutation in RB / Mutation in p53 / Radiation / Chemotherapy
122) P53 all true EX - Chromosome 17 / 54 kd protein
123) Paclitaxel mode of action ALL EX - Inhibit folic acid / Assembly of tubular dimers / topoisomerase 2 inhibitor
124) Pancytopenia with cellular marrow - Congenital dyserythrocytic anaemia / PNH / Myelodysplaastic syndromes / Megaloblastic anaemia
125) Para duodenal fossa, Vein lying in - Inf mesenteric / Middle colic / Left colic / Splenic
126) Parotid surgery, which is not a pointer for facial N – Tragus / Inf. belly of omohyoid / Digastric / Retrograde dissection of peripheral branch
127) PDA ALL true EX - 2/3 rd occur in females / Common in preterm babies / Treatment is ligature and cutting
128) Peptide which is used as anti tumour – Bleomycin / Doxorubicin / Dacarbazine / Valinomycin
129) Persistent Hyperplastic Primary Vitreous (PHPV) – Downs / Patau / Sturge weber / Tuberous sclerosis
130) Photoreceptor complex, which compound is not found -
131) Physiological locking of knee – Fixed Femur IR Tibia / Fixed Tibia IR Femur / Fixed Tibia ER Femur /
132) Pneumocystis jevoricci all true EX - Only seen in immunocompromised / MC assoc. with CMV
133) Pollicization is - Surgical construction of a thumb from index finger /
134) Post traumatic stress disorder, ALL seen EX – Hyperarousal / Emotional numbing / Hallucinations
135) Posterior Column carries ALL EX – Temp / Pressure / Movement
136) Post-op urinary spasm, drug not useful in relieving is – Toltoredine / Darifenasine / Ipratropamide
137) Preeclampsia (severe) DOC – Labetalol / Metaprolol / A-methyldopa / Nifidipine /Atenolol
138) Premenstural syndrome treated with – SSRI / Progestins / Anti prostaglandins / Anti anxiety drugs
139) Prions are – Infectious / Made up of bacteria and virus particle
140) Probiotics used in - Necrotizing enterocolitis /
141) Proliferative NS / GN – Membranous / Focal segmental / Mesangiocapillary /
142) Protein synthesis inhibiting drug is – Cefotetan / Amox / Penicillin / Doxycycline
143) Protein used for protein folding -
144) Proteins are processed in – Golgi / Ribosome/
145) Psoriasis (pustular) in pregnancy nearing term the treatment is - Dapsone / Methotrexate / Cyclosporin / Prednisolone
146) Psuedomonas, effective pencillin – Piperacillin / Ampicillin /
147) Psychometry -
148) Puberty boy, MC cause of delay - Constitutional Delay /
149) Puberty girl, earliest sign - Breast budding / Growth Spurt / Menarche / Pubic and axillary hair
150) Pulmonary HTN, multiple nodules over H&N area all true EX - Bone morphogenetic factor /
151) Pulmonary V HTN, earliest sign in CXR is - Kerley b lines / Pleural effusion / Cephalisation of veins
152) Purpura (palpable) in a lady with rashes all over trunk limbs buttocks - Henoch schonlein purpura / Meningococceimia
153) Radiosensitive phase of cell cycle - G2m / G1 / S /
154) Reactive oxygen intermediates are released by – NADPH oxidase/ Dismutase /
155) Recommended dietary intake - Meets dietary requirements of all people / Based on recommendation by group of experts /
156) Renal scan – Dtpa / Dmpa /Mag
157) Rib notching on X-ray - Coarctation of aorta /
158) Salpingitis (endo) is best detected by – Hysterosalpingograpgy / Laproscopy / Hysteroscopy / Sonosalpingography
159) Saturated fatty acid max seen in - Ground nut oil / Palm /
160) Scrotum, swelling, sudden onset pain & no fever, third decade, O/e reddened & tender, ALL true EX - Probable diagnosis is torsion testis / If torsion confirmed, treat w antibiotics, anti-inflammatory / if torsion and if not treated he may lose his testis / Treatment with antibiotics
161) Secretin causes - Decreased gastric juice secretion /
162) Seizure neonates, MC type - Subtle / Tonic / Clonic / Myoclonic
163) Sideroblasts (ringed) seen in – Myelodysplasia Syndrome / Anemia of CD /
164) SLE, what is not seen - Venous thrombosis / Recurrent foetal loss / Pulmonary V HTN / Pancytopenia
165) Soft tick is the vector - Relapsing fever / Kfd / Tularemia / Tick typhus
166) Soil transmitted infection ALL EX– Tetanus / Cocidiomycosis / Brucella
167) Son suffering from leukemia, 45 y/o father presents with sleep deprivation, headache, and low mood. He interacts reasonably well with others, but has absented himself from work. Diagnosis - Somatisation disorder / Adjustment / Depression
168) Sperm passes through, correct order is -
169) Spermatogensis, for - Temp lesser than core temp reqd. / Optimum conditions of testosterone metabolism /
170) Suddenly died (25 y/o M) while undergoing an atheletic event. Autopsy showed interventricular septal thickening. Diagnosis – HOCM / Right ventricular conduction abnormality
171) SVT, DOC - Verapamil / Digoxin / Diltiazem
172) Synovial Sarcoma, the cytogenetic abnormality is - t(X;1 /
173) Tacrolimus SE ALL EX – neurotoxicity / hirsuitism / nephrotoxicity / DM
174) TB of ileocecum ALL true EX - Apple core appearance of caecum / Pulled up caecum / Narrow terminal ileum / Change in angle of ileocaecal juncn
175) Therapeutic index is measure of – Safety / Potency / Efficacy / Toxicity
176) Thyroid Ca, most common - Pappillary / Medullary / Anaplastic
177) Torticollitis (progressive) in a boy with bilateral bony lesion, the correct - Prognosis for survival poor /
178) Train-Of-Four- Ventilator weaning / Treatment of met. Acidosis /
179) Trauma of Chest & Abd. , hemodynamically stable, next? - Radiographic studies / Laprotomy /
180) Trigeminal nerve, A sensory nerve supply of Masseter goes to which nucleus – Spinal / Motor / Mesencephalic
181) Tube (FT) procedures with highest recanalisation - Isthmic-isthmic / Isthmic ampulla / Ampullo ampullary / Cornual
182) Tubectomy (endoscopic) least failure rates seen with - Hulka clip / Ring
183) Umbilical artery Doppler all true EX - Syst/dyst ratio decreased due to nicotine / S/d ratio increased due to nicotine /
184) Ureteric Colic pain due to stone is due – Stretching of renal capsule / Increased peristalsis of ureter / Irritation of intramural ureter
185) V Cholera O139, foll are true EX - Similar to el tor / Discovered in Chennai / produces O1 lipopolysaccharide
186) Vaccine CI in pregnancy is – MMR / Rabies / Hep B
187) Vaginal Delivery following previous Caesarean CI in – H/o Classical CS / Breech /
188) Vas Deferens blood supply - Superior vesical / Middle rectal / Inf. Epigastric / Cremasteric
189) Vocal Cord nodules in professional singer with 6 months h/o hoarseness & reflux, treated with - Direct laryngoscopic biopsy to rule out CA / Cordectomy / Speech therapy with PPI / Immediate microscopic excision
190) Volvulus all done EX - Sigmoidoscopy /
191) Vulvar fluctuant swelling on the introitus, TOC is – Marsupialization / Incision and drainage / Surgical resection /
192) Warts treated by which immunomodulator – Imiquimod / Podophylline
193) Whipple’s disease histology -
194) Yaws all true EX - Caused by T pallidum sp. pertuneii /
195) Zoonosis all EX – HIV / TB / JE / Plague


ANSWERS

ans2-lip
ans7-phenobarbitone
ans8-monosomy7
ans15-metalloproteinases
ans18-pain
24-hpv
25-post-coital bleeding??
27-panic attack
30-block estrogen receptors,negative feedback at hypothalamu
31-imatinib
32-bicuspid aortic valve
33-cold aiha-igM
45-leprosy
46-predominant white matter
59-genomic imprinting
60-hippuran???
63-h5n1-bird flu
67-b2 microglobulin
73-cd15 cd30
76-hrct
78-urinary retention
84-thalidomide
92-neurogenic
94-gastrinoma
96-heart disease
98-git

1 comment:

Anonymous said...

This blog is really fantastic as I have gone through all the posts. I don't know why the blog mater is not interested in posting some more relative information. I request the blog mater to add some more content to this great blog. I shall link from my blogs to this blog soon.
I was simply wondering why we can’t find some thing useful in this direction. Since HIV and its treatment is an important issue or information we need more specific information on this subject. It is free public information website on HIV and AIDS. HIV and all about HIV world will be available under one roof. This is your complete resource website. Latest Holistic treatment can kill HIV.I have found a nice informative guide on HIV from following URL http://hiv-info.org/hiv-videos/
This blog deals with HIV related videos. I dreamt of a HIV free world after reading this guide.
Hope that you will add more free information to the comment boxes to let other people read about these interesting subjects.
God bless you all-