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