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 :

  1. Bifurcation of Aorta
  2. Inferior vena cava pierces through diaphragm
  3. Ureters enter bladder
  4. 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
2)Krebs cycle true is

alpha keto glutarate:5 carbon

oxidative phosporylayion takes place in cytoplasm
3)m-rna —

Northern blotting
4)true abt Bilurubin

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
2)protein degrading enzyme secreted by

cl.botulinum

gonoccus

staph
3)Exotoxin whts true..

A.can be neuralized by antibody.

B.general reaction

produced by gram+ only
4)RNA virus is

Hiv

Hbv

Hsv

Ebv
5)which of the following is nt a virulence factor

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
2)Palatoprint obtained from which part of hard palate

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
4)Finger print min numbr of similarities required

12

10
5)gustaffson most reliable??

Root transparency
6)exhumation order given by

chief judicial magistrate

executive magistrate
7)deadborn after birth all seen except

A.maceration

B.adipocere

C.rigormortis

D.mummification
8) Wht is diffrnt in male skull compare to female

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
2)Function of rods

colour vision

vision in dim light
3)crohns ds is asso with

ant. uvetitis

episcleritis

SPM

1)SD+2 covers ______ % of ppl

A.85

B.95

C.97

D.99
2)3)true abt observatins 1,2,2,4,6 ???

median is 3

mean is 3
3)sensitivity def-

tp/tp+fn
4)hdi all except-

life expectancy at 1yr

life expectancy @ birth

income

knowledge
5)MTP Act introduced in the year

1971

1983

1967
6)mdg 4 related to

child moratality

maternal mortality

envrnmnt devlpmnt
7)first vaccine–

Jenner

ancient chinese physician
8)which is nt used as vaccine

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

  1. stupor
  2. oneroid
  3. delirium
  4. 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…
2)alcoholic duodenal ulcer surgery history can only sit cannot lie down periumbilical discoloration

acute pancreatitis

duodenal perforation
3)boy after fall sustained injury to pernium.during micurition der was scrotal swelling..injury to-

prostatic urethra,

spongy urethra,

testicular artery.
4)Swelling in anterior triangle of neck. FNAC done ,true is

fnac can detect papillary carcinoma of thyroid

fnac can detect follicular ca
5)ulcerative colitis can diagnosed by

loss of haustrations

rectum sparing
6)lucid interval question-pt collapsed then recovered consciouness again collapsed..artery involved-

middle meningeal artery
7)A child need circumsectn when..

A.phimosis.

B.at 3month age his prepuse dsnt retract
8)A patient is about to have Gastroscopy.What is commonly done with this?

rapid Urease test

Urea brath test

Culture

serology
9)keartoacanthoma true is

1 . central necrosis uncommon.

2…also c/a molluscum sebeceum

3…caused by pox virus

4..heals wid out scarring
10)hypertropic scar true is

extend beyond margin

occurs months after injury
11)acute pancreatitis glassgow coma scale which parameter is used

glucose
12)true abt sebaceous cyst

a)mc site is scalp

b)arise from epidermis

c)rarely hav central punctum
13)true abt cutaneous scc

a)occur only in sun exposed skin

b?most common malignancy in transplant pts
14)bladder malignancy in c/c smoker?

a)transitional cell ca

b)scc

c)adenoca
15)breast mass in a perimenoposal lady.. Fluctuating

breast cyst

fibroadenoma
16)compli of cannulation of subclavian vein:

pneumothorax

phrenic n injury
17)female with rt side abdominal pain with fever after operation for duodenal ulcer radinting to rt shoulder….

sub phrenic abscess

ac cholangitis
18)seat belt injury in child..mc injury to?

liver

spleen
19)ca colon involving bowel wall..mets in LN ..modified dukes staging

C1

C2

D1

D2
20)adult male with soft swellings, not fixed to skin or underlying strutures ..his brother also had similar lesions

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..?

  1. 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

?
2)Premalignant condition is?

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-

  1. Rotation of patient changes lung transperancy
  2. Pul vessels behind heart are not visible
  3. Bowel between liver & rt hemidiaphgrm is abnormal
  4. 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 :

  1. Glucose and Ketone cause diuresis
  2. 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 :

  1. Bifurcation of Aorta
  2. Inferior vena cava pierces through diaphragm
  3. Ureters enter bladder
  4. Superior Mesentric artery arises from abdominal aorta

ans : 4

 

mutism and akinesia but the patient is awake and alert

  1. stupor
  2. oneroid
  3. delirium
  4. 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

  1. Ricochet bullet
  2. Dum.dum.bullet
  3. 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

  1. Lower abdominal pain
  2. Related to pre eclampsia
  3. Always hs low platelet count
  4. Seen in non pregnant

 

Procudure used in female with incontinence

1.cystoscopy

2.cystometry

3.colposcopy

  1. Colonoscopy

 

Elderly female with massive ascites and (on CT scan I think) abnormality seen in Right ovary and peritoneum.. What investign would u do ?

  1. CA 125
  2. CA 19-9
  3. AFP
  4. 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

  1. speed
  2. energy

3.. type

  1. Mass

 

pain in local anesthesia can be decreased with??

fineness of needle?

adrenaline dilution?

coolin the drug?

 

Bile – true statement is:

  1. helps in the digestion of CHO
  2. is a steroid
  3. 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……

  1. 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?

Jipmer

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