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1-All of the following are chromosomal breakage syndrome except:
a-Fanconi’s anaemia b-Ehlers-Danlos syndrome
c-Bloom syndrome d-Ataxia telengiectasia
Ans-B
10-Which hepatitis virus is notorious for causing a chronic hepatitis evolving cirrhosis?
a-Hepatitis C virus b-Hepatitis B virus
c-Hepatitis E virus d-Cytomegalo virus
Ans-A
23-Reasons for marked variation in the shape of exit wounds of rifled weapons:
a-Deformation of bullet during its passage through body and thereby presenting an irregular wound
b-Absence of tumbling of the bullet in the body & hence it may not be able to exit with nose end first
c-Intact bullet in the body after striking bone
d-At times , both entry and exit wounds are of the same as in the assassination of kennedy , President of
USA
Ans-A
26-The single test that confirms the diagnosis of autoimmune hemolytic anaemia is:
a-Coombs test b-Reticulocyte count
c-Peripheral smear d-Hemoglobin electrophoresis
Ans-A
38-Clozapine is a:
a-Atypical anti-psychotic drug b-Anti-anxiety drug
c-Used in dementia d-Also known as disulfiram
Ans-A
39-Flouxetine is a :
a-Anti- psychotic drug b-Used in opiate poisoning
c-Tricyclic antidepressant d-Selective sacrotin reuptake inhibitor
Ans-D
40-Fluctuating level of consciousness is seen in:
a-Hysteria b-Delirium
c-Dementia d-Mania
Ans-B
41-After oral ingection of 8- methyoxypsoralen , how long an interval should be allowed before UVA
radiation is given in PUVA treatment?
a-1 hr b-2 hr
c-3 hr d-4hr
Ans-B
42-Which positive test does not necessarily indicate HIV infection in a newborn?
a-ELISA for HIV IgG antibody b-p24 antigen
c-Virus culture d-ELISA for HIV IgA antibody
Ans-A
44-Which of the following may occur either as a result of an elevated antrogen level or an exaggerated
clinical response of tissues to androgen?
a-Acne b-Hirsutism
c-Alopecia d-All of these
Ans-D
45-Which of the following is found least frequently in patients with TEN (Toxic Epidrmal Necrilysis)?
a-Anamia (erythrocytic) b-Lymphopenia
c-Neutropenia d-Eosinophilia
Ans-D
53-The operative wound after surgery for gangrenous , perforated appendicitis is best managed by:
a-Primary suture b-Delayed primary closure
c-Healing by secondry intention d-Antibiotic lavage
Ans-B
55-The ratio of males to female in the incidence of strangulated inguinal hernia in infancy is :
a-5:1 b-1:2
c-2:1 d-1:5
Ans-D
82-Studies have indicated the most important of the components of the Bishop score to be that related to:
a-Dilatation b-Effacement
c-Station d-Consistency
Ans-A
85-How much is the risk of ovarian cancer increased above normal in a women with nonautosomal dominant
genotype with one first degree related with ovarian cancer:
a-2-3 times b-5 times
c-10 times d-20 times
Ans-A
86-What is the most common method for detecting early stage ovarian cancer?
a-Evaluaation of vague gastrointestinal symtomss
b-Palpation of an asymptomatic mass during routine pelvic examination
c-Screening CA 125
d-Screening vaginal ultrasound
Ans-B
87-Which ultrasound finding with an adnexal mass is most suspicious for malignancy?
a-8 cm in diameter b-Several internal excrescences
c-Cyctic with two thin septations d-Freee pelvic fluid
Ans-B
89-The patient with pre-eclampsia diagnosed remote from term, which of the following is NOT necessarily
an indication for expeditious delivery:
a-Blood Pressure 170/115 on medication
b-Proteinuria 5g per 24 hours
c-Platelet count 80,000/ul
d-Serum transaminase levels three times normal
Ans-B
92-The severity of pelvic pain in patients with endometriosis correlated best with:
a-Number of implants b-Depth of invasion of lesions
c-Type of lesions d-stage of disease
Ans-B
93-accepted indication for Assisted Reproductive Technologies (ART) in endometriosis patients include all
of the following except:
a-Advanced disease b-At least one year of infertility
c-Multifactorial infertility d-Advanced disease
Ans-B
94-The data are most convincing for which theory as the pathogenesis of endometriosis in the peritoneal
cavity:
a-Coelomic metaplasia b-Induction
c-Embryonic rests d-Lymphatic & vascular metastasis
Ans-C
96-controlled ovarian hyperstimulation as a treatment for infertility is most useful in which patient:
a-Women with premature ovarian failure
b-Women undergoing cancer therapy
c-Couples undergoing artificial insemination
Ans-C
97-The formation of primordial follicle in human fetus is completed by:
a-4 weeks b-8 weeks
c-13 weeks d-18 weeks
Ans-D
98-During pregnancy there is an increased respiratory sensitivity to Carbon dioxide due to higher circulating
level of:
a-Progesterone b-Estrogen
c-Estriol d-Prolactin
Ans-A
99-An effective and safe treatment for recurrent lag cramps in the second half of pregnancy is:
a-Vitamin C b-Vitamin D
c-Acetaminophen d-Calcium 1 gm. Twice daily for 2 weeks
Ans-D
100-The Ureter:
a-Crosses superior to the uterine artery in the Broad ligament
b-Derives its sympathetic nerve supply from the 2nd and 3rd lumbar nerve roots
c-Is widest at the pelvic ureteric junction
d-Derives its blood supply entirely from the renal and superior vesical arteries
Ans-B
101-Who said these words: “To study phenomenon of disease without books is to sail an uncharted sea,
while to study without patients is not to go to sea at all”
a-Hamilton Bailey b-Sir Robert Hutchison
c-Sir William Osler d-J.B.Murphy
Ans-C
107-Infection with Hepatitis B virus is associated with the appearance in the blood of all of the following
except:
a-Hepatitis B antibody b-Hepatitis B surface antigen
c-The Dane particle d-DNA polymerase activity
Ans-A
109-The best guide to adequate tissue perfusion in the fluid management of a patient with burns, is to
ensure a minimum hourly urine output of:
a-10-30 ml b-30-50 ml
c-50-70 ml d-70-100 ml
Ans-B
112-The four points of probe placement in Focuced Abdominal Sonogram for Trauma (FAST) in blunt
thoraco-abdominal trauma are:
a-Epigastrium , R hypochondrium , (L) Lower chest, hypogastrium
b-Epigastrium, R & (L) Hypochondria R Iiiac fossa
c-Epigastrium, r 7 (L) Lumbar regions, hypogastrium
d-Hypogastrium, r& (L) Lumbar region,R lower chest
Ans-A
113-In the acronym “SWELLING” used for the history and examination of a lumb or swelling , the letter ‘N’
stands for:
a-Nodes b-Noise (Thrill/bruit)
c-Numbness d-Neurological effects
Ans-B
118-Poland’s syndrome of the congenital absence of the sternal head of the pestoralis major muscle is
associated with:
a-Mastalgia b-Amazia
c-Polymazia d-Gynecomazia
Ans-B
120-Disparity of the bowel ends during end to end anastamosis is corrected by:
a-Cheatle’s manoeuvre b-Connell suture
c-Lembert suture d-Czerny technique
Ans-A
121-Odynophagia is :
a-Throat pain b-Pain on swallowing
c-Heartburn d-Painless dysphagia
ans-B
122-For inoperable gastric neoplasms involving the cardia, the best palliation is by:
a-Intubation b-Exclusion
c-Pre-sternal bypass d-Gastroenterostomy
Ans-A
128-The paranasal air sinuses opening into the middle meatus include all except:
a-Frontal sinus b-Maxillary sinus
c-Posterior ethmoidal sinus d-Anterior ethmoidal sinus
Ans-C
129-The following are the branches of the internal iliac artery except:
a-Ovarian artery b-Uterine artery
c-Superior vesical artery d-Obturator artery
Ans-A
131-The distance by which two touch stimuli must be separated to be perceived as two separate stimuli is
greatest on:
a-The lips b-The palm of the hand
c-The back of scapula d-The dorsum of the hand
Ans-C
142-The antiretroviral drug which is also effective in chronic active hepatitia-B infection is:
a-Zidovudine b-Nelfinavir
c-Efavirenz d-Procarbazine
Ans-D
144-Which of the follwing antipileptic drug does not produce Hepatic Micromosomal enzyme induction?
a-Phenobarbitone b-Carbamazepine
c-phenytoin d-Sodium valproate
Ans-D
145-The antithyroid drug preferred for use during pregnancy and lactation is:
a-Propylthiouracil b-Methimazole
c-Carbimazole d-Radioactive iodine
Ans-A
155-The drug of choice for a patient with a combination of primary generalized tonic-clonic seizures and
absence seizures is:
a-Ethosuximide b-Carbamazepine
c-Valproic acid d-Phenytoin sodium
Ans-C
161-The level of LDL cholestrol at which therapy should be intiated in a aotient without coronary artery
disease and no risk factor is:
a-100 mg/ dL b-130 mg/ dL
c-160 mg/ dL d-190 mg / dL
Ans-C, D
173-Finding suggestive of an obstructive jaundice on a liver function test is a marked elevation of:
a-Unconjugated bilirubin b-Conjugated bilirubin
c-Alkaline phosphatase d-AST and ALT
Ans-C
175-In a patient with hypoxemia the finding suggestive of hypoventilation on an arterial blood gas analysis
is:
a-Elevated PaCO2 b-Decreased PaCO2
c-Elavated pH d-None of t he above
Ans-A
181-The overall prevalence of tuberculosis infection in India as per 4th round of longitudinal survey was:
a-20% b-30%
c-40% d-50%
Ans-B
183-In high risk areas the radial treatment for plasmodium vivax infection sfter microscopic confermation is
administration of tablets primaquine in the daily dosage of:
a-0.25 mg/Kg body weight b-0.50 mg/Kg body weight
c-0.75 mg/Kg body weight c-1.00 mg/Kg body weight
Ans-A
185-By international agreement , low birth weight has been defined as a birth weight when measured within
the first hour of life is:
a-Less than 2000 grams b-Less than 2500 grams
c-Less than 2800 grams d-Less than 3000 grams
Ans-B
186-For an adult Indian male the daily requirement of protein is expressed as:
a-0.5 gms/ Kg body weight b-0.75 gms/Kg body weight
c-1.0 gms/ Kg body weight d-1.50 gms/Kg body weight
Ans-C
190-The optimum floor space recommended per adult person in a dwelling place is:
a-50-100 sq. ft. b-101-150 sq.ft.
c-151-200 sq.ft. d-201-250 sq. ft.
Ans-A
191-An upper limit of noise which people can tolerate without sub damage to their hearing is:
a-45 db b-65 db
c- 85 db d- 105 db
Ans-C
194-Following latrines are suitable for camps and temporary use except:
a-Shollow trench latrine b- Pit latrine
c-Borehole latrine d-Septic tank
Ans-D