JIPMER 2015 MAY Questions and Answer
ANATOMY
1)Musculocutaneous from wht cord of brachial plxs
lateral cord
posterior cord
2)transpyloric plane of addison is a horizontal line halfway between the jugular notch and the upper border of the pubic symphysis . It cuts through :
- Bifurcation of Aorta
- Inferior vena cava pierces through diaphragm
- Ureters enter bladder
- Superior Mesentric artery arises from abdominal aorta
3)pt with tonsilitis had otalgia .. reffered nnerve ..!??
Glossopharynegeal
4)horizontal line fron angle of louis to t4 vertebrae divide mediatinum to
superior & inferior
anterior & posterioir
5)abductor of vocal cord
post cricoarytenoid
6)posterior to 1st part of duodenum
portal vein
superior mesentric vessels
7)swelling in the midline of neck due to
thyroid cartilage
cricoid
arytenoid
8)abdominal viscera in infant protuding through abd ..covered by sac
exomphalos
gastrochisis
9)nerve injured while extracting third molar
Inf Alv Nerve
marginal mandibular n
10)bronchopulmonary segment in right lung
10
9
11)true abt femoral artery
crossed by cutaneous nerve of thigh
medial to femoral vein
12)rotator cuff attachment
tres minor
subclavius
13)Which is true?
Ureteric bud develops collecting tubules, a part of metanephros
Fundus of bladder develops from mesonephros
14)True abt female urethra
A . homologous to male prostatic urethra.
B embedded in or relaged to posterior vaginal wall
15)True?
A.Female has both x chromosome active.
B.turner 1 extra x chromosome
C.klinefelter is male wd extra y chromosome.
Physiology
1)Normal csf volume
A 150 ml
B 100 ml
C 200 ml
D 250ml
2)Which is less in csf when compared to plasma
glucose
phosphate
protein
??
3)Which of the following is correct for 70kg person
plasma volume 5L
total body fluid 42L
Interstitial volume 22
4)Component more extra cellular than intracellular than
A.phosphate
B.protein
C.sodium,
5)angiotensin 2 true is
produced by kidney
causes vasoconsrtiction
6)Oxygen dissociation curve shifts to right in
dec in ph
Dec temp
Dec 2,3 dpg
Sun May 31, 2015 11:04 pm (15 hours ago) #4 | |
BIOCHEMISTRY
1)Mousy odor in pku due to- phenyl acetate alpha keto glutarate:5 carbon oxidative phosporylayion takes place in cytoplasm Northern blotting 1. helps in the digestion of CHO 2. is a steroid 3. conjugated with albumin |
PATHOLOGY
1)Ring like enhancement with frontal lobe involvement with areas of necrosis
glioblastoma multiforme
2)First active cells in healing after tissue injury
mast cells
Macrophages
lymphocytes
platelet
3)Which are activated in apoptosis
Ans- caspases
4)Which of the following is a tumor supressor gene
RAS
Rb
Myc
5)benzathine pencillins was infused to a child , after 2nd dose hypotension etc reactions develops . Which type of hypersensitivity ? ?
type 1
2
3
4
6)A 50 yr old lady with irregular overy massive ascites with palpable mass in rt. Iliac fossa.tumour marker.?
CEA
a-FP
CA 19-9
CA 125
7)Polygenic inheritance seen in?
Huntington
Penred
Fragile X
ankylosing spondylitis
8)Incidence of which cancer increases in AIDS pt
1-squamous cell ca of esophagus
2-anaplastic ca of thyroid
3-basal cell ca of skin
4-B cell non Hodgkin’s lymphoma
MICROBIOLOGY
1)mrsa infection in hospital best means of cntrl infection hand washing cl.botulinum gonoccus staph A.can be neuralized by antibody. B.general reaction produced by gram+ only Hiv Hbv Hsv Ebv a.IgA proteases b.M protein c.beta lactamase |
1)cotrimoxazole can be given with
warfarin
metronidazole
2)What is not a radiosensitizer.
hydroxyurea.
5FU.
5 bromoheximide
Cyclophosphmde
3)vancomycin toxicity
no toxicity with oral medication
irreversible vestibular toxicity
4)cyclosporine toxicity
bm toxicity
nephrotoxicity
5)dose of the drug to be decreased in pt. wid radiation therapy..
cyclophisphamide,
vincristine,
doxarubicin
6)pt on morphine for c/c pain..wht is effect of addition of partial agonist
more sedtion
7)Cisplatin toxicity
Ototoxicity
Sun May 31, 2015 11:06 pm (15 hours ago) #8 | |
FORENSIC
1)Blue green postmortem stainimg is due to 1.hydrogen sulphide 2. sodium nitrite 3.cyanide poisoning Antr part middle part post part 3)A person fired a bullet but it didnt.go.off.and the second.time.he fired 2 bullets.came.out 1. Rikochet bullet 2. Dum.dum.bullet 3. Tandem bhllet 12 10 Root transparency chief judicial magistrate executive magistrate A.maceration B.adipocere C.rigormortis D.mummification A.prominance of frontal part B.square shped orbits |
ENT
1)Pyriform fossa nerve supply
recc laryngeal n
internal laryngeal n
external laryngeal n
2)definite Indication for tonsillectomy..?
5 or more attacks in 1 yr
reccu glue ear with Gormmet insertion
3)wof is treatment of glue ear
decongestants
steriods
4)cochlear implant at
oval windoe
ganglia of auditory nerve
inner cochlear hair cells
OPHTAL
1)Which of the following isn’t supplied by oculomotor nerve? medial rectus lateral rectus inferior oblique superior rectus colour vision vision in dim light ant. uvetitis episcleritis |
SPM
1)SD+2 covers ______ % of ppl A.85 B.95 C.97 D.99 median is 3 mean is 3 tp/tp+fn life expectancy at 1yr life expectancy @ birth income knowledge 1971 1983 1967 child moratality maternal mortality envrnmnt devlpmnt Jenner ancient chinese physician toxoid. live attenuated killed prion |
1)True about ankylosing spondylitis
more in female
50% associated with HLA-B27
Heart affected
Aso with plantar fascitis
2)hypercalcemia caused by?
a-adrenocoortical insufficiencu
b-amyloidosis
3)true regarding diabetic ketoacidosis :
Glucose and Ketone cause diuresis
More common in type 2 DM ?
?
?
4)mutism and akinesia but the patient is awake and alert
- stupor
- oneroid
- delirium
- twilight
5) girl with mild von willebran disease and molar tooth extraction who had previous history of bleeding episode..most appropriate step
Demsopressin
FFP
Cryoprecipitate
6)A pt with decreased ph with incresed pCO2 with decreased bicarb
partially compensated Respiratory acidosis
uncompensated Respiratory acidosis
rsp alkalosis
7)raised ICT nerve affected?
6th
3rd
8)heart muscle specific disease is asso with
scleroderma
9)True about hyperthyroidism
A.T3 T4 TSH all increase
B.T3 T4 TSH all decrease
C.T3 increase T4 increase Tsh decrs
D.T3 T4 BOTH decrease TSH increase
10)which the following is true abt glycosylated hb
a.increase in diabetic patient with sickle cell anemia
b.its nt a poor indicator of long term diabetic status in apt with renal ds
C.contain hb with a sugar moiety
11)Pt with lung ca was operated n lobectomy was done….after surgery which parameter increases?
A)dead space
B)inspiratory reserve capacity
C)tidal volume
D)forced vital capacity
12)which of foll ass with decrease in DLCO
asthma
pul hmrg
exercise
lobectomy
13)ARDS ass with
pul embolism
?
SURGERY
1)Patient presented with constipation perianal pain and blood stained stools. What might be the diagnosis? 1.Ulcerative colitis 2.ca colon 3.Anal fissur 4… acute pancreatitis duodenal perforation prostatic urethra, spongy urethra, testicular artery. fnac can detect papillary carcinoma of thyroid fnac can detect follicular ca loss of haustrations rectum sparing middle meningeal artery A.phimosis. B.at 3month age his prepuse dsnt retract rapid Urease test Urea brath test Culture serology 1 . central necrosis uncommon. 2…also c/a molluscum sebeceum 3…caused by pox virus 4..heals wid out scarring extend beyond margin occurs months after injury glucose a)mc site is scalp b)arise from epidermis c)rarely hav central punctum a)occur only in sun exposed skin b?most common malignancy in transplant pts a)transitional cell ca b)scc c)adenoca breast cyst fibroadenoma pneumothorax phrenic n injury sub phrenic abscess ac cholangitis liver spleen C1 C2 D1 D2 VHL NF durcums ds |
OBG
1)Ectopic common after??
Previous mtp
progestone only pills
2)risk for breast ca heighst in
pregnancy with preeclampsia
pregnancy with small placenta
pregnant female with pre term labor
micropralactinoma
3)Breast carcinoma in pregnancy….
1hs better prognosis thn non pregnant . .
2.chemotherapy cn b given in 1st tri…..
3tt by mastectomy wid axillary LN sampling
4)HELLP syndrme..characteristc
Lower abd pain??
Low platelet count?
Pre eclampsia?
5)genuine stress incontinence diagnosed by
a.cystometry
b.cystoscopy
1)Newborn with umbilical hernia ..asso wid…
1down syn
2.hypoparathyroidism.
ORTHO
1)Comminuted fracture of tibia , pulses present . Remitting pain, numbness of foot. severe pain on dorsiflexion of foot.
Rupture of achilles tendon
gastronemius , sura tear
compartment syndrome
2)trendelenburg gait due to?
sup. gluteal n injury
inf gluteal n injury
3)A child falls from a chair,no external injuries,he’s unable to bear his weight on standing..diagnosis..?
- A) angular fracture
B)spiral fracture
C)comminuted fracture
D)fracture epiphysis
4)True abt #in children
brittke bone
angulation & rotation not tolerated
immobilisation lead to fixity of adjacent joints
5)true regarding osteomyelitis in newborn
mc in diaphysis
is unifocal
due organism from maternal genital tract
6)Osteosarcoma
A.Sunburst appearance due to bony involvement
B.hematogenous spread to lung
c.seen in epiphysis
7)Perthes diseas of boneinvestigation
A.mri
Bct
Cxray
Dusg
ANES
1)Structure pierced spinal anaesthesia after interspinous lig
ligamentum flavum
aeriolar space
arachnoid space
2)not a compli of lscs with regional anes
delayed resp depression
ischemia of lower limbs
venous air embolism
3)To decrease pain in LA wht is used
alkalnize anaesthetic
add adrenaline
cool the LA
4)esophageal intubation
cannot be detected by stethoscope
PSYCHIATRY
1)unable to enjoy pleasurable activity is anhedonia avoliation |
DERMAT
1)True is eryrhthrma chronicum migrans- lymes ? 1-actinic keratitis 2-acanthosis nigricans 3-keratocanthoma 4-dermatitis hepetifirmis |
RADIO
1)Structure superior to male bladder in CT scan
sigmoid colon
pubic symphsis
2)i.o.c for insulinoma-
m.r.i,
radionucleotide,
cect.
3)radiological feature of hyperparathyroidism
pancreatic calcification
bone cyst
4)xray n light waves vary in
energy
speed
mass
type of wave
5)gold stndrd Ix forscarring of kidney
Tc 99 DMSA Scan
Tc99 DTPA
MIBG
6)True abt PA chest xray view-
- Rotation of patient changes lung transperancy
- Pul vessels behind heart are not visible
- Bowel between liver & rt hemidiaphgrm is abnormal
- Lt dome is highr than rt.
7)Plain Abdominal xray can can diagnose..
Sigmoid volvulus
Cholesterol gall stones
Carcinoma Caecum
Acute pancreatitis.
8)following pelvic irradiation which s least likely.
1.pelvic melanoma.
2.pelvic fracture.
3.small bowel entritis
4.obs of ureter
9)Wht ia true about physics of usg
Refraction depends on the material used.
piezoelectric sustance is used bcoz of..
10)hot spot in cardiac imaging
thallium scan
Tc scan
11) Tc99 white cells used for?
1-ca colon
2-intra abdominal mass
3-terminal iliitis in chron’s disease
4-stricture
n spinal anesthesia layer pierced after interspinous ligament?
ligamentum flavum?
supraspinatous ligament?
areolar tissue?
arachnoid mattr?
Comminuted fracture of tibia , pulses present . Remitting pain, numbness of foot. CSF volume.
Pyriform fossa nerve supply
Musculocutaneous from wht cord of brachial plxs
Structures pierced spinal anaesthesia
To decrease pain in LA, small needle/ alkalnize anaesthetic/ add ADR/ cool the LA
Structure superior to bladder in CT scan
severe pain on dorsiflexion of foot.
Rupture of achilles tendon
gastronemius , sura
?
hypercalcemia caused by?
a-adrenocoortical insufficiencu
b-amyloidosis
Ovarian Ca marker – CA125
Ankylosing spondylosis – Planter Facitis
III, II, aVF – Right Coronary Artery
Type II error – Reject alternate hypothesis even though it is true
true regarding diabetic ketoacidosis :
- Glucose and Ketone cause diuresis
- More common in type 2 DM ?
3.?
4.?
Normal csf volume
A 150 ml
B 100 ml
C 200 ml
D 250ml
Which is less in csf when compared to plasma
glucose
phosphate
protein
??
Which of the following is correct for 70kg person
plasma volume 5L
total body fluid 42L
Interstitial volume 22
Another option sum 25L
Mousy odor in pku due to- phenyl acetate
True about ankylosing spondylitis
more in female to male
More than 50% associated with HLA-B27
Heart affected
??
Which of the following isn’t supplied by oculomotor nerve? (Repeat)
medial rectus
lateral rectus
inferior oblique
superior rectus
ans- lateral rectus
transpyloric plane of addison is a horizontal line halfway between the jugular notch and the upper border of the pubic symphysis . It cuts through :
- Bifurcation of Aorta
- Inferior vena cava pierces through diaphragm
- Ureters enter bladder
- Superior Mesentric artery arises from abdominal aorta
ans : 4
mutism and akinesia but the patient is awake and alert
- stupor
- oneroid
- delirium
- twilight
Not sure about this question. Can anyone confirm
Blue green postmortem stainimg is due to
1.hydrogen sulphide
3.
Ques on girl with mild von willebran disease and molar tooth extraction asked for prophylaxis..!?
And. Demsopressin (repeat)
Asked about tonsil problem and otalgia and asked the reffered nnerve ..!??
Glossopharynegeal
A lot of questions were from large bowel diseases.
Patient presented with constipation perianal pain and blood stained stools. What might be the diagnosis?
1.Ulcerative colitis
2.CA colon
3.Anal fissur
4…
A person fired a bullet but it didnt.go.off.and the second.time.he fired 2 bullets.came.out
- Ricochet bullet
- Dum.dum.bullet
- Tandem bhllet etc.
SD+2 covers ______ % of ppl
A.85
B.95
C.97
D.99
Ring like enhancement with frontal lobe involvement glioblastoma multiforme
Component more intracellular than extra cellular
A.phosphate
B.protein
D.
Mediastinum- sup n inf
Indication for tonsillectomy..?
5 or more attacks
Gormmet insertion glue ear
Abductor of vocal cord _ posterior cricoarytenoid
1st part of duodinum portal vien
Finger print min numbr of similarities??
Ectopic common after?? Previous mtp
gustaffson most reliable?? Root transparency
Krebs cycle alpha keto glutarate:5 carbon
m-rna — Northern blotting
old woman pain at base of thumb- ra, ank spon
2.base of thumb tender n swollen.1st carpometacarpal.
scaphoid necrosis, osteoartritis.rheumatoid arthritis.
3.i.o.c for insulinoma-m.r.i, radionucleotide, cect.
4.boy after 1,2,2,4,6 ???median is 3
incidence-new cases
prevalance-total cases
sensitivity def-tp/tp+fn
sd2-95%
repeated frequencies-mean
hdi all except-life expectancy at 1yr fall sustained injury to pernium.during micurition der was scrotal swelling..injury to-prostatic urethra, bulbar urethra, testicular artery.
5.ext urethra in female homologus to wat structure in male
First active cells in healing after tissue injury
mast cells
Macrophages
lymphocytes
?
Function of rods
colour vision
vision in dim light
?
?
Which are activated in apoptosis
Ans- caspases
Which of the following is a tumor supressor gene
RAS
?
?
Vancomycin & benzathine pencillins was infused to a child , after 2nd dose hypotension etc reactions develops . Which type of hypersensitivity ? ?
type 1
2
3
4
Swelling in anterior triangle of neck. FNAC done , which shows
ans- papillary carcinoma of thyroid
Notch in the midline of neck due to
thyroid cartilage
cricoid
arytenoid
ans- thyroid
MTP Act introduced in the year
1971
1983
1967
ans- 1971
All of the following are included in HDI except
Real GDP per capita
life expectancy at age 1
life expectancy at birth
adult literacy rate
ans- life expectancy at age 1
Angiotensin 2 is released when??
palatoprints are taken from which site of palate
LaterAl
medial
posterior
mrsa infection in hospital best means of cntrl
exhumation order given by
mtp act 1971
mdg 4 related to
first vaccine–Jenner
which1 is nt used as vaccine
toxoid. live attenuated
killed,prion.
abdominal viscera in child-exomphalos vs gastroschisis
Laryngeal prominence due to?
Effect of thyroid hormones on insulin?
Hormones’ levels in Thyrotoxicosis? T3, T4, TSH.
Questions on helicobacter pylori, toxoplasma gondii- congenital hydrocephalus, trendelenburg gait due to???
A patient is about to have Gastroscopy.What is commonly done with this?
Breath Urease test
Urease biopsy
Culture
serology
Ans:?Urease biopsy
A pt with decreased ph with incresed pCO2 with increased bicarb
Ans Not fully compensated Respiratory acidosis
nerve injured while extracting third molar
Inf Alv Nerve
true abt sebaceous cyst
a)mc site is scalp
b)arise from epidermis
true abt cutaneous scc
a)occur only in sun exposed skin
b?most common malignancy in transplant pts
bladder malignancy in c/c smoker?
a)transitional cell ca
b)scc
c)adenoca
phosphate in ecf / protatic urethra rupture/ rectum above male bladder /dvt is from atheromatous aorta/ 1971 mtp/ lr not by 3 nerve/
question about seborric keratitis??
treatment of glue ear
tinsillits pain reffered to ear-glosdopharyngeal nerve
injury to the perineum while riding bicycle….which part of urethra injured??
thymus develpos from which brachial arch??
subclavian vein: pneumothorax
RNA virus is
Hiv
Hbv
Hsv
Ebv
breast swelling in post menopausal women
8yrs child weighing 18kgs aftr an attack of diarrhoea.
Rate of Maintainence fluid requirement??
??ml/hr.
cyclosporine toxicity
cisplatin toxicity
vancomycin toxicity
cochlear implant
hot spot in cardiac imaging
consent
contrast in radiology
esophageal intubation
wof is a polygenic disorder
huntingtons
fragile x syndrome
pendred syndrome
ankylosing spondylitis
teres minor.
micropitutary tumor
16
isoniazid
HELLP syndrme..characteristc
MTP act.which yr..?1951,1961,1971,1974???
Not Radioactiv sensitizer?
Cisplatin? Cyclophosphmde?5flurouracil?
child sitting with three pt seat belt on right side… suddrn break.sudfen flexion.. but low bp tender abdomen.. cause..
liver injury
spleen
peritoneum..
Muscle cut in anterolateral approach of hip joint
1) gluteus Maximus
2)gluteus medius
3)gluteus minimus
4)gemellus
Answer??
True about HELLP
- Lower abdominal pain
- Related to pre eclampsia
- Always hs low platelet count
- Seen in non pregnant
Procudure used in female with incontinence
1.cystoscopy
2.cystometry
3.colposcopy
- Colonoscopy
Elderly female with massive ascites and (on CT scan I think) abnormality seen in Right ovary and peritoneum.. What investign would u do ?
- CA 125
- CA 19-9
- AFP
- CEA
Breast cancer in pregnancy. Which one of the foll is correct?
1) better prognosis
2) radiotherapy can b given in first trimester
3)TT is mastectomy and radical node dissection
4) surgery for breast cancer should be done
It was which muscle exposed on splitting tensor fascia lata on anterolateral approach before hip bone was exposed
Gluteus Maximus
G medius
G minimus
Sup gemelli
Supracondylar # Humerus in a child. Pulselessness cold hands. Next step of management
Open reduction internal fixation
Immediate exploration of brachial artery
Fracture clinic referral
Reduction under anaesthesia
7)CO INCREASED IN
A.SLEEP
B.EATING
C.STANDING FROM LYING
Difference between light and X ray
- speed
- energy
3.. type
- Mass
pain in local anesthesia can be decreased with??
fineness of needle?
adrenaline dilution?
coolin the drug?
Bile – true statement is:
- helps in the digestion of CHO
- is a steroid
- conjugated with glycerine
1.Apoptosis- activation of caspases
2.Question on hypernatremia
3.which of the following is nt a virulence factor
a.IgA proteases
b.M protein
c.beta lactamase
d……
- Which of the following is true abt HELLP Syndrome
a.sign of pre eclampsia
b.always associated with low platlet count
C……
5.genuine stress incontinence diagnosed by
a.cystometry
b.cystoscopy
c…..
6.which the following is true abt glycosylated hb
a.increase in diabetic patient with sickle cell anemia
b.its nt a poor indicator of long term diabetic status
C.contain hb with a sugar moiety
Premalignant conditions of skin- ansr actinic keratosis?