Tiwari Aiims

ANATOMY: Q1] Medial most structure in femoral traingle is Lymphatics Vein ,Artery ,Nerve Q2]factors contributing to ankle joint stability are all except? ,Strong collateral Ligament Strong Cruciate Ligament articular facets of bones tendons of muscles passing across the joint Q3] in # head of fibula all of the following r affected xcept Tibial Common Peroneal Superficial Peroneal Ant. Tibial Q4] On per rectal examination in males, which is not felt ? Bulb of penis Ureter Membranous urethra ,urogenital diaphragm Q5] Deep peroneal nerve cutaneous supply Web of 1st finger Web of 5th finger anterolateral leg anterolateral part of foot Q6] Spincters of vagina A/E External urethral Spincter Internal Urethral Sphincter Pubovaginalis Bulbospongiosus Q7] Urothelium is present in A/E Major Calyx Ureter Bladder Membranous Urethra

Q8] Which is true about left phrenic nerve Goes Behind hilum goes behind left subclavian artery is anterior to scalenus anterior goes in front of left subclavian artery goes behind left subclavian vein 9] Structure which is not deep to Flexor Retinaculum Ulnar N Median N FDS FDP 10] Mullerian Agenesis absent is Ovary Cervix Uterus Vagina 11] in post ductal aortic stenosis the vascular supply to lower limb is maintained by all the following EXCEPT a. suprascapular a b. post interthoracic a c. vertebral a d. intercostal a 12] ganglion cells of Auerbach's and Meissner's plexus derieved from Neural Crest cell Yolk sac Primordial germ cells Epithelial lining of gut 13] Which of the following is not true? Superior thyroid artery is a branch of external carotid Inferior thyroid is a branch of thyro-cervical trunk Parathyroid artery is a branch of superior thyroid artery , posterior br. of Sup. thyroid artry supplies parathyroid gland Thyroid ima artery is invariably a branch of aorta

14] sectioning of central part of spinal cord causes sensory loss because it affects dissosiated sensory loss decussating fibers of spinal thalamic tract dorsal tracts lat spinothalamic tract 15] are true for prostatic urethra except: The lumen is trapezoid in shape has an elevation called veru montarum HAS OPENINGS OF PROSTATIC DUCTS posterior wall has urethral crest

ANAESTHESIA: 16] 16 YR MALE WITH EXOSTROPHY OF BLADDER WITH CHRONIC RENAL FAILURE ADMITTED FOR BLADDER RECONSTRUCTION ANAESTESIA OF CHOICE.. PANCURIUM VECURONIUM ROCURONIUM ATRACURONIUM 17] first topical anaesthesia used clinically Lidocaine procaine Cocaine Bupivacaine BIOCHEMISTRY: 18] which statement is incorrect : a. chemiluminescence :- excited electron in higher orbit comes to lower orbit by emitting energy in form of photon b. bioluminescence:- is a form of chemiluminescence c. phosphorescence :- absorbed radiation emitted as light d. photochemiluminescence

19] Zn is seen in which enzymatic rXN: pyruvate decaboxylase Pyruvate Dehydrogenase a Keto glutarate Dehydrogenase Alcohol Dehydrogenase 20] Which vitamin deficiency can result in Neonatal Seizures ? Thiamine Pyridoxine Cyanocobalamin vit-c 21] Which is the best for diagnosing Dyslipidemia ? HDL LDL Ratio Chylomicron VLDL Ratio cholesterol-triglyceride ratio Total Cholesterol apo A1 22] NARP Syndrome Glycogen Storage Disease Lysosomal Disorder Mitochondrial Disorder Lipid disorder 23] DNA repair Defect most commonly associated with Xeroderma Pigmentosa Sickle cell diseaase Ataxia telengectasia Albinism 24] insulin uptake in myocytes is by? GLUT 1 GLUT 2 GLUT 3 GLUT 4 25] Western Blot technique used for DNA RNA Proteins mRNA

ENT : 26] onodi and hellar cells in relation to the ethmiod sinus are located close to optic nerve and optic nerve and orbital floor optic nerve and internal carotid artery orbital fossa and nasolacrimal duct 27] Acoustic Neuroma is by Superior Vestibular of 8th CN ,Inferior Vestibular of 8th CN Auditory N CN VII FORENSIC : 28] Hatter Shake seen in : Chromium Mercury Arsenic Lead 29] Section 377 of IPC deals with rape Incest adultry unnatural Sexual Offences 30] A teacher slapped a student in class who developed a 25% hearing loss in that ear, which was then fully corrected by surgery . Which type of injury did the teacher cause ? Dangerous Injury Grevious Injury Simple Injury Serious Injury 31] seen in antemortum burn a/e VESICLE WITH ERYTHEMATOUS BASE VESICLE WITH AIR IN IT RED LINE pus formation

32] Best method to identify dried seminal stains on clothing is UV - fluorescence spectroscopy MAGNIFYING GLASS INFRA RED 33] All of the following body fluids contain ABO agglutinogens except sweat saliva semen CSF 34] caustic poison corrodes mucosa because a. it is hygroscopic b. it has glue like action c. it is programmed to stick d. it has affinity for mucosa MED : 35] HLA B27 seen in RA Ankylosing Spondylitis SJOGRENS SYNDROME 36] ANCA is seen in Wegeners Granulomatosis RA Goodpasture 37] C in CRP (C Reactive Protein) is: Concanavalin A in series with chondroitin sulphate(ARP and BRP) Cellular polysaccaride capsule of pneumococcus 38] Maternal Diasomy on Chr 15 diagnosis is : Prader Willi Angelman 39] HLA present on Long arm Chr 6 Short arm Chr 6 Short arm Chr 3 Long arm Chr 3

40] Low Haptoglobin level due to haemolysis is masked by which condition ? peranchymatous liver disease malnutritioon Bile duct Obstruction Pregnancy 41] pt presnted with aneurysm ascending aorta, it was dissected and histo pathology report showed granulomatous inflammtin most probable dignosis aneurysm and hypertension wegners pan non- specific aorto arteritis (tubercular aortitis) 42] which doesnt occur in adults hsp kawasakis plymyalgia rheumatica 43] which murmur has max aggravation on valsalva? vsd ms as hocm 44] 50 YR MALE WITH CONTROLLED THYROTOXICOSIS AND CA RECTUM UNDERGOING LAPAROSCOPIC ABDOMINO PERINEL RESECTION FOUND TO HAVE DECREASED BP & HR, End-tidal CO2 REDUCED FROM 40 TO 10 AND MILL WHILLER MURMUR +nt the cause THYROID STORM BLEEDING Air embolism 45] a male presented with thunder clapping head ache, unconscious ness, vomitings probable diagnosis also vertigo ruptutre of aneurysm subarachnoid hemorrhage vestibular neuronitis viral enchephalitis

46] a female with intermitent ptosis and weakness of proximal muscles what is the best diagnostic investigtion AND FATIGUABILITY edrophonium test muscle biopsy CPK electromyogram 47] A head injury patient opens eye with painful stimuli, there is inappropriate verbal response, able to localise pain 8 10 12 14 48] A PATIENTS PRESENTS IN A MEDICAL OPD WITH INCREASED BILIRUBIN WITH 50% DIRECT BILLIRUBIN OTHER LIVER FUNCTION WERE FOUND TO BE NORMAL WHAT COULD BE THE CAUSE Sepsis Rotor's Syn Gilbert's Syn HEREDITARY GLUCURONYL TRANSFERASE DEFICIENCY 49] Which of the following is true in hypertropic pyloric stenosis Hyperkalemic metabolic alkalosis Hyperkalemic metabolic acidosis Hypokalemic metabolic alkalosis Hypokalemic metabolic acidosis 50] Renal lesion in wegeners granulomatosis? vessel wall granuloma focal necrotising GN granuloma in the interstitium nodular glomerulosclerosis 51] True about Burkitt's Lymphoma: CD 34 +ve and Surface Ig +ve CD 34 -ve and Surface Ig +ve CD 34 +ve and Surface Ig -ve Both negative

52] Transtentorial herniation results in all except Ipsilateral Hemiparesis Ipsilateral Oculomotor Paresis Ipsilateral mydriasis Decerebration Cheyne Stokes respiration 53] 25yr old male wid B/L ptosis nd restriction of movenents no squint, no diplopia myasthenia CPEO thyroid myopathy multiple nv palsies 54] ,nitrates can be used in all except? chf oesophagus spasm cyanide pois. renal colic 55] alkaline phophatase is low in hyperphosphatemia hypophosphatemia viral hepatitis PRIMARY BILIARY CIRRHOSIS 56] periventricular leucomalacia is associated with spatic diplegia hypotonia mental retardation spastic quadriplegia 57] Aniridia Seen in Retinoblastoma Hepatoblastoma Nephroblastoma MEDULLOBLASTOMA 58] Pt with limited scleroderma and one month h/o shortness of breath had the following parameters: FVC Expected 84% Measured 80%, FEV1 Expected 88% Measured 82%, DLCO expected 100% measured 55%. Most probable diagnosis is?

a. Interstitial lung disease b. Pulmonary HTN c. d. diaphragmatic weakness 59] A 67 yr male smoker with haemoptysis with cough....brochoscopic biopsy shows undifferntiated tumour...immunohistochemical marker useful is a. cytokeratin b. viamentin c. calretinin d. 60] Memory of incidents 1 week ago is known as a. recent memory b. remote memory c. Working memory d. Delayed memory MICRO : 61] TRUE ABOUT CAMPYLOBACTER JEJUNI IS INFECTION MAY PREDISPOSE TO GUILLAN BARRE SYNDROME c.jejuni is most common species causing campylobacterosis in humans. Poultry is common source of infection humans are the reservoir of infection 62] true about H.influenza is all except most common infection is meningitis H.influenza meningitis is unusual before 2 months of ags PROTEIN CAPSULE IS IMPORTANT FOR PATHOGENECITY for type b H. inluenza meningitis REQUIRES FACTOR 5 ND 10 FOR GROWTH 63] which factor prevents apoptosis of memory cells pdgf ngf fgf igf b. 64] Q abt Gram positive cocci differentiated by pt presented with cough, fever Bile solubility Catalase test Oxidase test Bacitracin sensitivity

65] on stool examination eggs measuring 100 microns in length , most probable infective organism is A/E fasciola gigantica B.gastronimus homins echinococcus D.opthochinesis viverini 66] About Widal test, all except one, are correct: Even one high titer is not enough for conclusive diagnosis O antibody lasts longer and hence is not indicative of recent infection Baseline titers differ depending on the endemicity of the disease H antibody cannot differentiate between types 67] For Immuno Fluorescence study of rat organ used is Liver Brain Kidney Stomach 68] drug abuser has a vegetation over the tricuspid valve most common reason is pseudomonas staph aureus klebsiella CANDIDA 69] MC organism causing Neonatal Sepsis in India E Coli Grp B Streptococcus Listeria coagulase negative streptococci 70] Which stain helps in diagnosis of fungal infection ? Masson's Trichrome Silver methanamine mucicarmine

71] A MALE WITH FEVER CHILLS AND LT INGUINAL LYMPH NODE ENLARGEMENT HAS A ULCER ON LEFT FOOT. FLUID FROM THE INGUINAL LYMPH NODE IS TAKEN WHICH OF THE FOLLOWING STAIN WOULD BE USED TO STAIN THE ENDS OF THE ORGANISM word used was "bipolar staining" ZEIL NEELSON ALBERT WAYSONS Mucicarmine 72] BEST SPECIMEN FOR A CHILD WITH COUGH FOLLOWED WITH A WHOOOP IS aged 6 months COUGH PLATE CULTURE ENDOTRACHEAL ASPIRATE nasopharyngeal swab Oral swab OBGY 73] A FEMALE PRESENTS TO OPD WITH PAIN AND POST COITAL BLEED THE NEXT STEP OF MANAGEMENT IS CLINICAL EXAMINATION AND PAP SMEAR STAIN WITH ACETIC ACID STAIN WITH LUGOLS IODINE HPV testing 74] THE MOST COMMON PROGESTIN PREFERED FOR EMERGENCY CONTRACEPTION IS LEVONORGESTREL Medroxy Progesterone Acetate Micronized Progesterone norethisterone 75] a male child of 3.8 kgs born to a diabetic mother ,developded seizures 16 hrs after birth,dia? hypoglycemia Hypocalcemia Birth asphyxia Intracranial hemorrhage

76] a female having prosthetic valve ,which week can heparin be started 36w 32w at onset of labour 40 w 77] blood in urine during labour in a post LSCS preg woman impending scar rupture urethral injury prolonged labour cystitis 78] uterine blood flow at term? 50-75ml/min 150-175ml/min 350-500ml/min 600-700 ml/min 79] most sensitive diagnostic method for Chlamydia infection? Serology pcr Culture NAAT-nucliec acid amplification test 80] Fallopian tube dysmotility seen in Kartagener syndrome Noonan’s syndrome c. Marfan’s syndrome 81] A PATIENTIN LABOUR PRESENTED WITH OCCIPITO POSTERIOR POSITION NEXT SEP OF MANAGEMENT IS WAIT AND OBSERVE THE LABOUR CAESAREN SECTION EARLY RUPTURE OF MEMBRANES Oxytocin Infusion 82] Baby with 46XX has ext genitals of male, which of the following is not a possible d/d of this condition a. aromatase deficiency b. wnt-4 mutation c. mother has adrenal androgen tumor d. anti mullerian hormone deficiency

83] . tocolytic of choice in heart disease a. nifidipine b. mgso4 c. atosiban d. alcohol 84] 17 yr girl with amenorrhoea, absent breasts, hypoplastic uterusa. Turners syndrome b. gonadal dysgenesis c. androgen insensitivity syndrome d. 85] Clue cells seen in : Bacterial Vaginosis Trichomonas vaginalis Chlamydia candidiasis 86] Carl Exner Bodies Seen in : Granulosa Cell Tumour Seminoma Dysgerminoma EMBRYONAL CELL CARCINOMA 87] Most useful investigation for ectopic pregnancy ? Serial Beta hCG estimation Transvaginal Ultrasound Culdocentesis fluid in pouch of douglus 88] Early Labour pains are felt at which dermatomal level ? T11-12 L2-3 L4-5 S1-S3 OPTHAL : 89] Thinnest Part of Sclera is : in Front of insertion of muscle Behind insertion of Muscle Equator Limbus

90] sparing of pupillary reflex in 3rd nerve palsy? trauma diabeties aneurysm Raised ICT 91] most common lid carcinoma? sebaceous squamous malignant melanoma basal cell 92] A person present with bilateral temporal hemianopia most probable site of lesion.. ,with 6/6 vision lesion at chiasma toxic neuropathy trauma 93] 17 year old girl in on decongestants on last 3 days. she has been treated in the past with symptoms of nasal discharge and pain on pressing medial canthus. now she having ciliary congestion and miosis. what is the diagnosis? , ciliary congestion & mydriasis, exophthalmos pupillary reflex absent Orbital apex syndrome sinus thrombosis orbital cellulitis actute ethomdosis 94] blow out fracture of orbit involves roof medial wall Postero-medial part of floor Lateral wall ORTHO : 95] regarding pseudo gout all are true except Involves small joints Involves large joints Calcium pyrophosphate crystals present Chondrocalcinosis

96] MIC-2 is seen in which sarcoma ? Alveolar cell sarcoma Osteosarcoma Ewing's Sarcoma DERMATOFIBROSARCOMA PROTUBERANS 97] Person of distal 1/4th of tibia with multiple puckered scar, discharging sinus and 4 cm shortening. which is the best line of management? non united facture ilizarov fixation platting external fixator interlocking nail 98] 6 yr old child wid h/o swelling middle of d thigh ..past h/o trauma 2 yrs back...mild fever present raised esr.....Xray..concentric periosteal reaction shaft femur....most logical step is core biopsy femur MRI bone scan TLC and CRP PAEDS : 99] a child was playing and suddenly collapsed and died a autospy performed showed hypertrophy of muscle bundles, and other changes?Hypertrophy of blood vessels ,also myofiber disarray was included as a finding hypertrophic cm obstructive cm restrictive cardiomyopathy Dilated cardiomyopathy disarray arryhthemia............???? 100] Which of the following when present is associated more than 20% of the time with a chromosomal disorder? Omphalocele Gastroschisis Neural Tube Defect Cleft Palate

101] A child is born with meconium stained liquor...all can be used to assess the condition of the child except Non vigorous baby in ( resuscitation...??? )examine all except.. tone colour HR RR 102] Growth Chart for children A/E: In between upper 2 curves : Road to health done primarily for educating mother lower curve 3rd percentile for wt. of child position of dots is more important than its direction. 103] neonate at 2 hours age develops moderate respiratory distress, interms of inctresed respiratory rate (70/m), chest indrawing and grunting. which is the best management: what is most logical step? surfactant therapy and mechanical ventilation intubation and mechanical ventilation facemask with nasal C PAP 100% O2 and and head box 104] a 2 month robust child is brought with complaint of vomiting immd. after feeding. what is most probable diag??? brain tumor con. hyperplastic pyloric stenosis HirschP. disease anorectal malformation 105] All are seen in fetal alcohol syndrome except Microcephaly Poor coordination Overgrowth of body Flat face 106] Hirschsprung disease is due to a. loss of ganglion cells in sympathetic chain b. failure of migration of neural crest cells from cranial to caudal direction c. atrophy of longitudinal muscles 107] chromosomal instability is seen in which of the following disorders? a) ataxia telengiectasia b) albinism

PATHO : 108] All are true about p53 except Gene is present on chromosome 17 It arrests cell cycle in G1 Wt 53 Kda Wild p53 non mutated gene is associated with childhood neoplasms 109] Transfusion of which of the following does not require cross matching FFP Cryoprecipitate Single donor platelet platelet rich plasma 110] Normally stain used for karyotyping is C Banding G Banding Q Banding BUdr-staining 111] type of anemia in ileocecal tb iron deficiency megaloblastic normo cytic normo chromic Sideroblastic 112] Which of the following is false? a. bcl-6-burkitts lymphoma b. bcl-2-follicular and mantle cell lymphoma c. CD-10 mantle cell lymphoma 113] GIST CD117 CD34 114] Which stain is used for Lipid IN FROZEN SECTION BIOPSY Oil red O Alcian Blue PAS 115] Infection by organisms is not known to cause which of the following cancers Hepatocellular Cancer Nasopharyngeal Carcinoma GASTRIC CANCER NON SMALL CELL CA OF LUNG

116] lynch syndrome asso.?? ca. breast ovary endo ca.brest ,colon,endo ca.breast,colon,ovary ca.endo,ovary,colon 117] b cell marker a/e cd19 cd20 cd10 cd135 118] true about ASLO titre are all except one of the major criteria in modified jones criteria 20% positive may be found in normal chilldren as well aslo may be negative in a person with carditis depns upon endemicity in that community 119] ABO blood group agglutinogens can be demonstrated in A/E saliva sweat semen CSF 120] COX 2 causes Cell Differentiation Cell Adhesion cell proliferation Cell migration 121] Good Prognostic Factor for ALL is all except Age < 2 WBC count 4000-1,00,000 testicular involvement presence of blasts 122] In histo pathology necrotizing Lymphadenitis seen in Kimura disease Kikuchi disease Castelmen Syndrome Hodgkin's lymphoma

Pharmac : 123] Hyperkalemia Rx A/E Calcium Gluconate Soda bicarbonate Ion exchange resins Dextrose 124] OCP effect is counteracted by A/E Aspirin Phenytoin Rifampicin Tetracycline 125] drugs used for visceral leishmanisis are all except: sitamaquine Miltefosine Paramomycin hydroxy chloroquine 126] Which is the least narcotic ? Morphine Codiene Papavarine, Heroin 127] metabolite of Carisoprodol? amphetamine doxylamine meprobamate methadone 128] buspirone is muscle relaxant causes sedation used for inducing sleep reduces anxiety 129] true abt fumazenil a/e given iv blocks the gaba receptor and prevents the action of bzds GABA-A receptor Can also be used in Barbiturate poisoning as it also binds with gaba A IS A PURE BENZODIAZEPINE ANTAGONIST

130] thiazide causes – ,hypouricemia hypolipidemia ,impotence ,HYPERKALEMIC METABOLIC ALKALOSIS 131] which ace inhibitor not have active metabolite ,Fosinopril lisnopril enalapril 132] Voriconazole used for a/e? aspergillosis, Candida albicans, C. tropicalis Mucormycosis

133] Nephrotoxic Chemotherapy drug is Tacrolimus Mycophenolate Mofetil Azathioprin Leflunomide 134] Anti TNF used in Rx of A/E RA with pulmonary fibrosis RA with HIV RA with HBV RA with HCV 135] cAMP is second messenger for all except? corticotropin dopamine glucagon vasopressin 136] Erythromycin help in gastric motility disease via... Increasing bacterial load Motilin receptor Decreasing bacterial load

137] All are supervised doses EXCEPT Rifampicin Pyrazinamide Dapsone Clofazimine 138] what about phenytoin is correct except? it follows zero order kinetics metabolite excreted unchanged in urine teratogenic 139] treatment of kastmann syndrome?? Immunosuppressants + G-CSF GM CSF + cyclosporine+ Immunosuppresants G-CSF Radiotherapy GM CSF + androgens 140] ALL ARE USED IN TREATIN CHF EXCEPT Spironolactone Nitrate nestiride Trimetazidine 141]. Metabolism of Benzopyridine, all true EXCEPT: a. Epoxidation b. Cytochrome reductase c. Increased synthesis of Cyt. P450 d. 142] Which of the following is not needed in a case of Hyperkalemia without ECG manifestations ? Calcium Gluconate Soda bicarbonate Salbutamol Insulin PHYSIO : 143] concentration of K is maximum in Pancreatic Fluid Bile Terminal ilium rectal fluid

144] Bronchial Asthma seen is Inc FRC, Inc RV – Inc FRC, Dec RV Dec FRC, Inc RV Dec FRC, Dec RV 145] WHICH OF THE FOLLOWING IS SEEN AFTER LESION AT THE MID LEVEL OF PONS? HYPERVENTILATION RAPID AND SHALLOW BREATHING APNEUSIS – ,HYPOXIA 146] STABILITY OF ALVEOLI IS MAINTAINED BY? – COMPLIANCE OF LUNG – DUE TO DECREASE IN SURFACE AREA BY SURFACTANT NEGATIVE INTERPLUERAL PRESSURE ,Residual air left – 147] Rhythmic centre in respiratory neural control? pre botzinger complex Apneustic centre Dorsal gp of neurons Pneumotaxic centre 148] In the periphery, Substance P is stored in Nerve endings Vascular endothelium Mast Cells Plasma 149] A MALE WITH AZOOSPERMIA ...ON EXAMINATION SIZE OF TESTIS NORMAL FSH NORMAL TESTOSTERONE NORMAL...PROBABLE CAUSE... A MALDESCENDED TESTIS B KLINIFELTERS SYND C KALLMAN SYND D VAS OBSRUCTION

150] which of the following nerve on stimulation causes elevate mood olfactory nerve trigeminal nerve optic nerve vagus nerve 151] during pregnancy there is increased estrogen which further increases the prolactin level increase FSH Increase oestrogen increase testosteron increase libido 152] Toxicity of CO is limited to its diffusion d/t a. high affinity to Hb b. alveolar membrane less permeable to CO PSM : 153] Which of the following is false about Japanese Encephalitis? Pigs act as amplifiers spread by culicine mosquitoes vector grows in overhead tanks two doses of primary vaccination is given 154] infective stage for mosquito in P.vivax gameto cytes sporozoites merozoites Zygote 155] effective leprosy control program a/e a. high new case detection rate b. Increasing number of children affected c. decreased type 2 disability d. decreasing the incidence rate of leprosy.. 156] Which of the following is false? a) food poisoning causing strains of cl.perfringes produce heat resistant spores b) shows positive negler's reaction c) most imp toxin is hyaluronidase d) cl.perfringes is the most common cause of gas gangrene

157] In a population of 10000, 20% are affected by a disease. A test with 95% sensitivity and 80% specificity is applied. What would be the Positive Predictive Value? 54.3 % 98.4% 73.2% 45.3% 158] WHICH OF THE FOLLOWING STUDY HAS MORE CHANCE OF RECALLERS BIAS? Case control studies Cohort study RCT study Cross sectional studies 159] Noble Prize Recently given for : Lipoxin iRNA Transcription Factor beta Mitochondrial DNA 160] which of the following is a learned , consistent and permanent but is liable to change Practice Cultural Belief Attitude Value 161] Unsafe Vaccine in pregnancy is: MMR Rubella Hepatitis B diptheria 162] OPV A/E Killed Vaccine Neurological Symptoms seen stored at sub zero temperature INDUCES INTESTINAL IMMUNITY 163] CYTOTOXIC DRUGS AND DISCARDE MEDICINES ARE TREATED BY DESTRUCTION AND DISPOSAL IN A SECURED LAND FILL AUTOCLAVING wait for 10 years and then dispose in landfill dispose in municipal waste –

164] which is the impact indicator for ASHA under NRHM ,no. of ASHA trained – ,no. of institutional deliveries no. of ASHA attending reference meeting after one year infant mortality rate 165] Reliability Refers to: giving same result each time ability of performer to know the test result 166] Best Association is wid which Risk: Risk A : Odds Ratio : 2.5 C/L 1-3.1 Risk B : OR : 1.4, CL: 1.1-1.7 Risk C : OR : 1.7 CL : 0.9-1.7 Risk A Risk B – Risk C same for all 167] Standard error of Mean A/E: increases when population increases – measure of standard deviation follows normal distribution used to determine confidence limits 168] NRHM A/E : a) build state & national level strategy b) janani suraksha yojna c) put up family & social welfare units d) training of ASHA 169] true about hpv vaccine monovalent bivalent quadrivalent both bivalent and quadrivalent

PSYchiatry : 170] A 12 YR OLD FEMALE COMPLAINING OF HEADACHE,PAIN IN THE LEGS,RECURRENT VOMITING,ALL PHSYSICAL AND LABORATORY TESTS ARE NORMAL.WHAT IS HER MOST PROBABLE CONDITION? Somatization Conversion Somatoform pain disorder Generalized Anxiety Disorder 171] Not associated with PERSONALITY TRAIT? Sensation seeking problem Solving neuroticism – Selflessness behaviour Openness to experience 172] Substance dependence not associated with intelligence – Peer pressure family history personality RADIO : 173] which radioisotope is obsolete now Radium 226 Iridium 192 Cesium 137 Cobalt 60 174] radiotherapy used in primary treatment of? Glottic Ca (T3N1) Subglottic Ca T3N0) Supraglottic Ca T3N0) Nasopharyngeal Ca (T3N0) 175] notching of ribs is seen in all except: Blalock taussing shunt Inturupption in arch of aorta VSD with pulmonary stenosis WATERSON-COOLEY SHUNT – 176] Posterior indentation on barium swallow is due to aortic knukle left atrium innominate left subclavian artery

177] Radiation induced brain necrosis can be best diagnosed by CT scan MRI PET scan Biopsy 178] vascular ring causing external airway compression can be best diagnosed by CT scan MRI PET scan Angiography of pulmonary and aortic circulation SKIN : 179] Which is not a cutaneous manifestation of Dermatomyositis ? Gottron's Papules PERIUNGUAL TELANGECTASIA Mechanic's fingers salmon rash – 180] A child have numerous flacid bullae on trunk along wid Muco cutaneous involvement, seen in : - oral mucosal involvemant IgG deposits at Dermo epidermal Junction FISH NET SHAPED IgG IN EPIDEMIS LINEAR IGA DEPOSITS IN DERMO EPIDERMAL JUNCTION 181] 19 year old sexually active male had recurrent erythematous eruptions on the glans. in between the eruptions he had residual hyperpigmentation. whats the cause? fixed drug eruption herpes genitalis candidal balanoposthitis GENITAL APHTHOSIS 182] Genital Warts in Pregnancy Rx is : ImiQuimod Podophyllotoxin Cryotherapy sialic acid and lactic acid lotion

183] A 10 yr old boy comes with boggy swelling of scalp with multiple sinuses and easily pluckable hair. Lymph nodes in occipital region were enlarged. Which of these will help in diagnosing the cause? Biopsy Culture KOH slide patch test – Surgery : 184] Orchiopexy Sx at : neonate 1-2 yrs 5 yrs Puberty 185] Most important prognostic factor for Congenital Diaphragmatic Hernia ? Gestational Age Pulmonary Hypertension Size of Hernia TIME OF SURGERY 186] blunt abd trauma with hemodynamicly stable next step? plain xray abd FAST DPL barium enema 187] TRUE ABOUT CA TESTIS A/E SEMINOMA IS MOST COMMON MALDESCENT PREDISPOSES IN CRYPTORCHISM OPPOSITE TESTIS CAN HAVE MALIGNANCY orchidopexy reduces the risk in future 188] which of the following doesnt have a malignant potential – peutz jeghers polyp familial adenomatous polyp juvenile polyposis syndrome juvenile polyp 189] 60 yr old man had black stools for 1 day. he was taking aspirin since 2 yrs for coronary artery disease. ab examination was normal. whats most probable diagnosis? duodenal ulcer tb ca colon esophgeal varices

190] full thickness flap obtain from a/e ? axilla – groin elbow – supraclavicular – 191] All are true about flail chest...eXCEPT.. in needs at least 3 rib # wid bilateral side Paradoxical movment may not present with conscious patient Open reduction needed in overlaped ribs 40% FiO2 & PPO2 = 40 mmHg needs mechanical ventilation 192] Best treatment for DESMOID Tumor is Local resection Wide surgical resection wide excision & radiotherapy 193] CA GALL BLADDER IN ONLY MUCOSA FOUND AFTER RESECTION,WHAT IS NEXT STEP IN MANGEMENT -AFTER RESECTION FOUND IN THE WALL - a patient underwent lap cholecystectomy for cholelithiasis.post op patho examination revealed adenomatous carcinoma invading the muscular layer and not spreading beyond.what should be next step in mgmt? REGULAR U/S FOLLOW UP PERIHILAR LYMPHADENECTOMY RADIO AND CHEMO wedge resection of liver regular followup with usg 194] TRUE ABOUT BRANCHIAL ARCH DERIVATIVES A) BRANCHIAL SINUS MOST COMMONLY FROM 2ND ARCH B) BRANCHIAL CYST MORE COMMON THAN BRANCHIAL SINUS C) SURGICAL EXCISION OF B. SINUS NOT ALWAYS INDICATED 195] NOT a high risk factor for Cholangio Ca a. chronic typhoid b. Cl. sinensis infestation c. choledocholithiasis d. chronic Ulcerative Colitis

196] A child was having Wilms tumour in Rt kidney and also showed nephroblastomatosis in his Lt kidney in peri renal tissue, which of the following is true? a) Chance of LN involvement increased b) Chance of wilm’s tumour in Lt kidney increased c) Poor prognosis MISSED QS ADDED: 197] Not true about N. gonorrhoeae: 1. Exclusive human pathogen 2. Acute urethritis is MC maifestation in males 3. Highly sensitive to Penicillin 4. Some strains may cause disseminated disease 198] syphilis test for monitoring treatment is 1 vdrl 2 treponema imobilisation 3 flourescent trepo antige 4 dark field microscopy 199] True about rhabdomyolysis a) it can cause ARF 200] AFP most likely to be raised in A/E: Hepatoblastoma Seminoma 201] Dissociative Anaesthesia in spinal cord diseases due to: a) Dorsal column b) deccusated lateral tract affection c) ANt spinothalamic tract d) cilioretinal pathwa