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Version.

SECTION.A

'

l.

Lipschutz inclusion bodies are seel in infections caused by

,a.

Herpes virus

b.. Vaccinia virus c. Hepatitis A virus

d.

Hanta

One of the following drugs is a weak, reversible monoamine oxidase inhibitor. There are case reports'of serotonin syndrome occurring'when this drug is co-administered with selective serotonin reuptake inhibitors. Name the antibiotic
a. c.

quinupri stin- dalfopristin

b. clindamycin

linezolid

d. capreomyctn

Which of the following amino acids is purely ketogenic

a
b. d.

Phenylalahin

Leucine Tyrosine
as

c. Proline
Whichbf the following is also known
Micky Finn?

a. Ethylene glycol b. Chloral hydrate c. MethylAlcohol d, Chloroform


5_

i'

In the life cycle of malaria parasite, tbe definitive host is

c. Pig d. Sandfly
6.

a. b.

Mosquito
Man

Isolated deletion of which chromosome causes Myelodysplastic syndrome?

c. 8q d. llq
7_

a. 2q b. 5q

Down beat nystagmus can occur in each of the following EXCEpT

c. labyrinthine lesion
d.
cerebellarstroke

a. multiple sclerosis b. craniocervicaljunction lesion

Version-D teehniques of tubectomy The lowest failure rate is seen with which of the following
i

8.

a. PomeroY's method b. LaParoscoPic ligation

c. Madlener'stechnique d. Aldridgemethod

g.

Crohn's disease is associated with

a. NOD2/CARD15 gene b. P53 suPressor gene d.


BRAC1 gene

.t\

c. PhiladblPhiachromosome
seen in

10. Apple jellY nodules are


i

)
H

a. Tuberculosis vemrcosa b. Tuberculous gumma

cutis

E E

c. scrofuloderma
d.

LuPus vulgaris

J.

f,{ t,t

b. 5 months c. 9 months ' d. 12 months


of the 12. Dissociative fugue is a disorder that refers to one

a.

3 months

following

,
"

a.

personalities of which only one is being manifest Patient being dominated by two or more distinct
at a time

b. Loss of memory following a traumatic event c. Episodes of u#xpected ylt organized wandering away from home d. Aisence of voluntary movements or speech
Hering-Breuer inflation reflex 13. The receptors giuirrg rise to signals'that bring about

'

: j::l:i

-ii:;

are

'

a. b.

PropriocePtors
J recePtors

"..'',:

c. Pain recePtors d. Stretchreceptors

14. Middle meningeal vessel damage results in


i

X/ (
I I
,

Subdural hemorrhage b. Sub arachnoid hemorrhage c. Intraderebral hemorrhage d. Epidural hemorrhage


a.

Version{)

15. All the following develop from surface ectoderm, EXCEPT

a. Cornealepithelium . b. Conjunctival epithelium c. IriS epithelium d. Lens

'

16. Which of the following statements is NOT TRIJE aboutTrichotnonas vaginclis?

a. Cyst is the infective form b. Possesses 3-4 anteriot and 1 posterior flagella c. Trophozoite is pear shlped d. Vagin'a is the usual site of infection
t7. A night blood survey is done in

a. Malaria b. Filariasis

c. Plague
d.
Dei'gue

18.

Delivery of head in normal labor is by the following movement

a. Flexion. b. Extension. c. Rotatioh. d. Restitution.


19. In the context

of inhalation anaesthetics, MAC refers to

a. b.

c; Minimum alveolar concentration d. Maximum alveolarconcentration

Minimumanaestheticconcentration

Maximum anaesthetic concentration

20. Which of the following

stages is described as Stage of surgical anaesthesia?

b.2 c.3 d.4


21. Radiographic fo4turbs:of p'irlmonary embolism inehde-all EXCEPT

a-1

a. Westermark's sign b. The Fleischner sign c. Hampton's hump d. Virchow sign

ii

Version-D

"ruggerjersey" spine is seen in

a. Fluorosis b. Achondroplasia

c.
d.

Renalosteodystrciphy Marfan?s syndrome

23. Theopporttrnistic fungi whichproduces nrycbto*ins'is'

a. AspergillusJlavus b. Peniciltiummamffi

c. AllescheriaboYdii
d.

Phiatophora ieanselmi by
(

24. Skin of dorstrft of first web space of foot is supplied


ii
)
fr E
i

a. sural nerve b. saphOnousnerve ''': c. deepperoneal nerve d. lateral Plantarnerve


25.
Shield cataract is seen in

'.
i:'

:r

J ta
!

{l

a.
l

Diabetes

I I

j,

- c. Neurofibromatosis tYPe 2
d. Galactosemia
26. Whaf pereentage of the health-care
waste generated is infegtious?

b. lAtopicdermatitis

ll
1

a. d.

ll-l1Vo

b. 50Vo c. 75Vo
I00Vo
'dorti'C
27

Theductus arteriosus is derived frcnritne. fOllowing

afctr

a. 3'd b. 4,h c. 5th d. 6th


28. The following drug is predominantly
&. a

'"t'

dual serstonin and norepinephrine reupbkd inhibitor'

Fluvoxamine b. Duloxetine c. Fluoxetine


d. Paroxetine

Version-D

29. Glycoprotein II b - III a comphx is deficient in

a. Bernard Soulier syndrome b. Glanzmann'sdisease

c. Gray platelet syndrome

d. Von-Willebranddisease
30. Which among the'ftugs,given'below,
a.

does NOT act,by.protease inhibition?

b. c. d.

.Ritonavir Saquinavir

Nelfinavir

Zanarivir
.

31- The guidelines for immunizationagainstinfectious disease.ineludes all of the.following EXCEPT

'-a. Live vaccines

are contraindicated in pregnant

wompn.

b. Live vaccines should rrot be administered within three months of giving human'Imrnunoglobulin. a. Inactivated vaccines should not be given if there has been significant riaction to previous dose. d. Hay fever , sickle cell anaemia and tuberculosis are contraindications for vaccination
32. The following condit'ioas,are
associated with endometriosis EXCF,PT
]t

'

a. Anovulation b. Lutenized unruptured follicle

c. Hyperprolactenomeia d. Hypothyroidism
t-

JJ. Benign prostatic hyperplasia first develops in the

a. Periurethral transition zone b. Peripheral zone

c. Central zone
d.

Anterior fibromuscular stroma

34. The Government of India launched National Mental Health Programme in the year ':

a. 1982 b. 1983 c. 1984. d. 1985


35. Prions
a.

are infectious Agents c'onsisting

of

a single

DNA chain.

b. a pair of DNA chains. c. a single RNA chain. d. protein molecules.

Version-D

36. Erythema Nodosum Leprosum is seen in

a. Lepromatous leProsY b. IndeterminateleProsY c. Borderline tuberculoid leprosy d. Tuberculoid leProsY


for assessment of hearing in a 9 month old child? 37. Which is the most appropriate parameter

a. shows some response to his own name b. searches for quiet sounds made out of sight c. Turns the head when spoken to from side d. Pauses and listens to prolonged sound
is best 38. A rwo day old child with bilateral idiopathic clubfeet managed by

a. b.
t t" ii
il
{.

ManiPulation bY the mother Manipulation andDenis Brown c. ManiPulation and casts d. Surgicalrelease.

splint

'!
i

39. The type of study that determines


d

including the the norms and limits of the distribution of variables' study, is referred to as characieristics of the events and population under
a.

ii
Explanatory
Cross
b. c. d.

Sectional

Descriptive

Analytical

tinnitus and dysequlibrium is seen in 40. Progressive unilateral sensorineural deafness with

a. Secretory otitis media b, Benign Paroxysmal Positional Vertigo c. Vestibularneuronitis d. Acoustic neuroma
4r. The karyotYPe of comPlete mole is
a.

46

b,
c. d.

XX 46)(Y 45 XX or 46 XY
Triploid

reduce the risk of suicide is 42. Theonly atypical antipsychotic drug that is indicated to

a. clozaPine b. ziprasidone

c. risperidone d. asenaPine

Version.fl

43.

"Restless leg syndrome" is commonly caused by addiction to which of the following


a.

Caffeine

b. Cocaine c. Cannabis
d.

Opium

44. Dissociated sensoryrloss is seen in

a. syringomyelia. b. Vitamin Bl2deficiency.

c.
d.

transversemyelitis.
pellagra

45. Massive retinal hemorrhages are seen.in

a. Central retinal artery occlusion b. Central retinal vein occlusion

c. Caroticl artery occlusion


d.
Branch artery occlusion 46. Nasion lies at the junction

of

c.
d.

a. b.

Frontonasal and internasal suture Frontonasal and interparietal suture Frontonasal and frontozygomatic suture Frontozygomati'c and internasal suture

47. One of the statements regarding Hermansky-Pudlak syndrome is

FALSE

a. It is characterized by tyrosinase positive oculocutaneous albinism b. Bleeding tendencies are secondar5r to decreased platelets

c. Restrictive.lung disease is a rarity in the syndrome d. Cardiomyopathy is expected to occur in the 3rd or 4th decade of

life

48. A 40 year

old woman presented to the surgical OPD with features suggestive of colitis. She was on prolonged treatment with clindamycin. Faecal samFle was positive for toxin produced by this agent. Her condition improved on treatment with metronidazole .The clinical condition is associated with
.

a. Bacillus anthracis b. Acinetobacter baurnanii

c.

Clostridiumdfficile

d.. Listeria monocyto genes

49. Salivary centers are located in

a. Spinal cord b. Medulla c. Hypothalamus d- Cerebellum

50. Ganglion of haY fever is

a. Otic ganglion b. PterygoPalatine d. Geniculate


5

ganglion

c, Submandibularganglion
ganglion

1. "SensitivitY" of a test is

a.

(False positive +True negative)] [True negative / (True positive + True negative)l inatse positive /

b.[Truepositiu"lti,o"positive+Falsenegative)]

". ;.

inurr" n"gu'i*

lirtue

positive + False negative)l

when cD 4 count indicated in HIV positive patients Prophylaxis for Pneumocystis cariniiis 52.

is

a. < 300 cells / mm3 b. < 200 cells / mm3

:
::

c. < 100 cells / mm3 d. < 50 cells / mm3


colitis is true statements regarding ulcerative
a

53. Following

a' ' d

Smoking has

b. c.

Protective effect Smoking does not have a protective effect There is no relation to smoking

Smoking causes relaPses

54.RespiratorySyncytialViruscausesallofthefollowinginchildrenEXCEPTl a. Bronchiolitis b. CrouP

c. Pneumonia
d.

Rhinosinusitis

55'lnvestigationofchoicetodiagnoseHypertrophicPyloricStenosisininfantsis

a. Contrast radiologY b. GastroscoPY c. Ultrasound abdomen

d'

C.T. Scan 4bdomen


as a

56. weil felix test is referred to is obtained from

..Heterophile agglutination test"

as the antigens used to detect

i'fection

a. PePto strePtococcl b. Proteus c. Pseudomonas d. Pasteurella


10

Version-D
51. ln electroretinogram, the

A wave is generated by

a. Rods

and cones

b.

c. d.

Retinal pigment epithelial cells Anterior lens cells Amacrine cells

chain is a 58. A mutation that results in premature termination of incorporation of amino acid into a peptidb

a. Nonsense mutation. b. Transversion.

c. Silent mutation.
d.

Frameshiftmutation

59. The

following chemical mediator is a product of arachidonic acid metabolism by cyclo oxygenase

pathway

a. b.

LxA4 LxB4
PGH2

c. 5 FIETE
d.
from

60. The normal daily excretion of uric acid ranges

ii3;13'T--d.
500

a. l0-30mg
-

:::
i
l

700 mg

6i. The vector for Dengue fever

is

a. Culexfatigans b. Anopheles culicifacies c. Aedes aegypti d. Aedes africanus


62. Localization in insulinoma is best with

a. Contrast ComputerisedTomography b. Magnetic Resonance Imaging

c. SomatoslatinReceptor Scintigraphy
d.
Selective arteriography

63. 50 yr old male presents with severe refractory hypertension. weakness, muscle cramps and hypokalemia, the most likely diagnosis is

a. b.

c.

Hypoaldosteronism Hyperaldosteronism Cushings syndrome

d.

Phaeochromocytoma

'

Vercion{)

64. Post spinal

headache is due

to*

a. b.

c.
d.

Injury to sPinal cord CSF leak from dura Meningitis Raised intracranial Pressure

radiograph? 65. Which of,these is a sign of left atrial enlargement on a PA chest

Elevation of the right main bronchus shadow b. Double densityon the left side of the heart the left cardiac margin below the pulmonary bay c. Discrete bulge of d. Displacement of the trachea to the right
a.

Mental retardation is

NoT

a feature

of one of the Mucopolysaccharidosis

a. HurlerMPS-I b. Hunter MPS -II

*
:l

c. SanfilliPoMPS -III
d.
Morquio MPS

-IV

67.
3
Fi

neck complains of pain and "drooping" A 37 yearold male with a history of a penetrative trauma to the weakness of abduction. The nerve mosf of the right shoulder with inability to hunch the shoulders and likely tJhave been affected is the

a. Axillarynerve b. SuprascaPularnerve

c. Spinal accessory
d.

nerve Long thoracic nerve

68. A

TB presehts with massive hemoptysis' 60 year old patient with a past history of treatqd pulmonary What is the most likely cause for hemoptysis?
a.

Pulmonary amYloidosis

b. Aspergilloma
c.

Broncholith

d. Relapse of

TB liver failure (parabetamol indr:ced

69. King's College criteria for orthotopic liver transplantation

include all of the following EXCEPT


a.

pH <7.30

b. PT > 100s c. Grade three encePhaloPathY


d.

Bilurubin >300PmoVl

Version-D

70. Which

one of the following clinical features is

NOT

seen inpheochromocytoma?

c.

a. hypertension b. episodicpalpitations
weight Ioss

d. diarrhea

71. All of the following

are causes of giant

'a' wave in IVP EXCEFJ

a. Tricuspid stenosis b, Pulmonary stenosis c. Pulmoiraryhypertension d. Aortic stenosis


72. All of the followi4g
are techniques of quantitativ management,-EXCEPT

a. Cost benefit analysis b. Network analysis c. Work sampling d. Management by objectives


73. Wernicke's hemianopierpupillary
response is seen in lesion

of

c.
d.
74.

a. b.

Optic tract
Optic chiasm

Optic radiation Lateral geniculate b-ody

The following bacteria can invade intact corneal epithelium

EXCEPT

a. Neisieria gonorrhoh.& ., b. Corynebacterturndiptheriae c. Staphyloc:occus &ureus ' d. Listeria monocytogenes


75. Tuberculosis control is achieved when

a.

Tuberculosis conversion index in infants is less than lVo


rate

b.P.reyalenceofnaturalinfectioninigegroup0-14yearsisinorderofIo%.,',.).'

c. Annual infection
?6j' A 25

d. Prevalence of natural infectiori

<5Vo

;',

in 0-14 years is <1Zo

year oldmale iS:brouglet to the emergency room with accidental ingestion of moth balls. F{d is found to have $evere haemolysis; The ntost likely mechanism for haemolysis is :, '. r
.

;;,

i.Jir:

a. G6PD deficiency. b. Pyrimidine 5' nucleotidase deficiency. c- RBC glutathione deficiency. d. Pyruvate kinase deficiency

Version-D

84. Diffusion into gas-containing

spaces is a problem

with

c. Isoflurane
d. Ether
85.

a. Halothane b. Nitrous oxide

A a. b.

reversal of shunt to right-to-left producing late cyanosis is called

Lutembachersyndrome Eisenmengersyndrome

c. Kartegener syndrome d. correctedtransposition


86.

All

the following open into Right atrium EXCEPT

a. b. d.

c. Coronary sinus

Anterior cardiac vein Venae cordis minimi

Middle cardiac vein

87. Fever, headache and nasal obstruction with bilateral bulging of nasal septum is due to

a. Septal haematoma b. Rhinoscleroma

c. Septal abscess
d.

Tuberculosis ofnasal septum

88. Mayer- Rokitansky- Kuster- Hauser syndrome is characteri zedby all

EXCEpT

c. Presence ofovaries d. Absence of uterus


t9. Lymphogranuloma
venerum is caused

a. b.

Urinary tract abnormality in3}Vo Phenotypicallymale

by \
II

c. Human T cell'lymphoma
d.
qL
Donovaniagranulomatis

a- Chlamydia trachomatis b. Hemophillus ducnei


virus type

The most critical and constant finding of Retinitis pigmCntosa is

a- Dense b6ne spicule in the retinal periphery b- A significantly reduced electroretinogram c- Tubular visual fields

d.

Attenuated retinal arteries

''
91. Selenocysteine residues are present in

I
Vdrslon-D

a. Pyruvatecartoxylase b. Xanthine oxidase c. Deiodinase d. Lysyl oxidase


92. Claviceps fusiftrmis is responsible for

a. b.

c.
d.
'i
l.

Neurolathrysim Ergotism Epidemic dropsy


Endemic ascites

93. ZollingerEllison Syndrome is NOT causedby tumors from

il

a. Pancreas b. Ouary

c. Colon
d.

Duodenum
status

E
!

94. Which of the following is thebest indicator of long term nutritional


I

a. Mid arm circumference b. Height for age

c.

Weight fop age

d. Weightforheight
95. The primary site of infection'il Pott's spine is
'l

'

'.: .

iii,:.:i:: .

...

b.

a. vertebral

body'

inter-vertebralilisc

c. transverse process d. spinous process


cause for amenorrhoea in cases of vesico-vaginal fistula is

96. Most likely'

a. b.

Ashermahs syndrome

Hypothalamicsuppression

c. Nutritional d. Infection
Prominent or enlarged corneal nerves are seen in all of tbe following conditioasffiSPf,
,,

a. Keratoconus b. Acanthamoebickeratitis c. Fuch's endothelial dystrophy d. Congenital hereditary endothelial dystrophy

--.,

:
,..

Version-D

98' All of the following

immunosuppressives cause profound myelosuppression EXCEpT

a. Sirolimus b. Cyclosporine c. Azathioprine d. Mercaptopurine


99. A kidney transplant between identical twins is an example of

c. Autograft d. Xenograft
100.

a. Isograft b. Allograft

Molecular pathogenesis of a thalassemia involves

a. Mutation in transcription promoter sequence b. Gene deletion

d.

c. Codon termination mutation


nRNA splicing defect

l0l.Experimental studies are meant to,

a. b. d.

c. find oirt causes of epidemics


to

test aetiological hypothesis find out prevalence: rates

find out the history of disease

l(D' cells present in the medulla of the ovary, which are homologous to interstitial cells of the Testes

c. Germinal epithelium d. Tunica albuginea


ItB-The use of 57o dextrose as an intravenous resuscitation fluid can

a- Stromal cells b. Hilus cells

c. Reduce intracranial pressure and cause laxity ofbrain d. Reduce serum osmolality and cause brain oedem
!(X-The commonest cause of chronic renal failure is

a. Improve cerebral perfusion b. Provide glucose substrate for cerebral metabolism

a- diabetes
c. d.
b.

mellitus.

hypertension.

pyelonephritis. cystic disease of kidneys.

Version-D

l05"All the following diseases are associated with triplet and other repeat sequences EXCEPT

a. Huntington'sdisease b. Friedreich's ataxia c. Myotonic dYstroPhY d. Hereditary motor - sensory


106. "Declaration of

neuropathy

Tokyo" deals with

a. Abortion b. Torture

c. HumanexPerimentation d. Consumerism

107.Attention deficit hyperactivity disorder is seen in

t I
i_

a. Insulin Resistance b. Thyroid Hormone Resistance c. TestosteroneDeficiencY d. CalmodulinDeficiencY


108. The stria

f:

&

of Gennari is

histological feature of

a. Motor speech area b. Auditory area c. Visual area d. Pre frontal area
I

09.

Buphthalmos usually presen-ts as

a. High intraocular pressure b. Optic cupping . c. Field defects d. Enlarged cornea


110. The syndrome

of growth failure rash, and hypogonadism is due tc deficiency of

a. Calcium b. Copper c. Lrnc d. Magnesium


-i

11.

A1l the following are primary solid ovarian rrmors EXCEPT

a. Krukenberg's tumor b. f)ysgerminoma c. Brenner tumor d. Carcinoid tumor

18#

L -

Version-D t

t'

i,'J:ffiJffi:T:'J11,1?,-"T$ "rTffi:T:fri.0'* a. b.
Threatenedabortion
Missed abortion Ectopic pregnancy

and breeding.

on exarnination the uten,s is rorveeks

c. d. Inevitable abortion
113.

10 yr female presents with pain in the right hypochondrium, fever jaundice and , right hypochondrium rhe probable diagnosis is

a palpable mass

in the

c.
d.

a. b.

Hepatitis
Hepatoma Choledochal cyst Mueocoele gall bladder

114. Sebonheic dermatitis is frequently seen

in

c. d.

a. lipid storage disorders b. psoriasis vulgaris


irypertensionParkinson's disease

I 15'A 50 yr old male presents with pain upper abdomen, prurit,,s, jaundice and weight loss; elevatcd the likely diagnosis is

A|lA,

c.

a. b.

d.

Primary sclerosirig cholangitis Klatskins tumor Secondary sclerosing cholangitis Choledocholithiasis

ll6.PlasmapheresisisindicatedineachofthefollowingEXCEPT
l

a. b.

Hemolytic-uremic syndrome.
Good Pasteur's syndrome.

c.
d.

Polycythemia vera.

Landry-Guillain Barre syndrome,

IlT."Square root" sign is characteristic of

c. Constrictivepericarditis. . d. Cardiac tamponade.

a. Dilated cardiomyopathy. b. Rcstrictive cardiomyopathy.

ll8.Bilateral, multicentric type of carcinoma in breast is usually

.'::

c.

r. ilJ:1'i":ffiHTlinoma
Infiltrating ductal carcinoma

d- Noninfrltrating ductal carcinoma

Version-D I
19.

Pulmonary mycetomas on ratliographs most commonly show as

a. Air fluid level b. Lucent crescent c. Eccentric nodule d. Rimcalcification


l2o.Which of the following is a necessary criterion to diagnose
a depressive episode?

a. Past historY of mania b. Suicidal attempt

c. Prese.nce of a stress
d.

depressed mood for a minimum two weeks duration

121

has started warking. Examination reveals a shc A two year old male child has been limping ever since he sign is positive however telescopy right lower limb with limited abduction atihe hip. The Trendlenburg

absent. The most probable diagnosis

is

i,

a. Kimer's deformitY b. Congenital dislocation of the hip

c. Congenital
d.

{ r.l

&

coxa vara Perthes'disease

122. Study

of liP Prints is known

as

' a. Poroscopy
b. RugoscoPY c. CheiloscoPY d. Oroscopy
123.

Contraindication to nasotracheal intubation is

a. Basilar skull fracture h. Severe otitis media

c. Labyrinthitis d. Pituitary microadenoma


a premature

l24.Pharmacological closure of ,patent ductus arteriosus in

infant is by adminisffation of

a. b.

Aspirin
Estrogen

c.

lbuprofen

d, Prednisolone
I25.Peripheral nerves can withstand ischemia up

to

a. b.

30 minutes

One hour Four hours

c. Three hours
ri.

Version-D

l26.The rabies virus recovered from naturally occurring case of rabies is called.

a. Fixed virus b. Street virus g. Negri body d. None of the above


l27.Fitz-Hugh- Curtis syndrome is associated with

c.

a. Chlamydialinfection b. Genitaltuberculosis
Syphilis
Candida infection
a

d.

128'The dark areas in

conventionalradiographic film are due to particulate deposits of

c.

a. Carbon b. Iron
Silver

d. Copper
t29'The main infectious agent associated with recurrent pulmonary infections in patients with cystic fibrosis is

c. Pneumocystis d. Aspergillus
130-Human chorionic Gonadotropin levels are increased if the fetus is having

a. b.

Mycoplasma
Pseudomonas

ir. Down's syndrome b- Anencephaly

c- Hydrocephalus d. Spina bifida


t3l-Strychnine acts by inhibiting

b. Glycine c- Acetylcholine d. Dopamine


[lLEcthyma gangrenosum is typically
due to

GABA

. a- Escherichiacoli
bPsetrdomonas aeruginosa

a,- Staphylococcus aureus il,L Candidnalbicans

tr-{

133,Initial manifestation following infection

as an

infection of the limbic regions of the brain is seen in children with the

a. b.

Enterovirus
Rabies

c. Ebstein Barr Virus d. Cytomegalovirus


Cardiomyopathy has the strongest association with the use of which of the following drugs?

134.

a. Didanosine b. Zidovudine d.

c. Zalcitabine
Lamivudine

about t 135.According to the concept of iceberg phenomenon of diseases, all of the following statements submerged portion of the iceberg are true EXCEPT

/
&
:j

4 tr
-:;

a. [t includes sub-clinicalcases b. It includes carriers c. It constitutes undiagnosed reservoir of infectjon d. Diagnosis can be made with available techniques
136.

Which is true of Anxiety disorders?

a. They are the least prevalent psychiatric disorders in the general population b. They are presenr in l5-2ovo of patients attendin$ medical clinics

c. They are characterized


d.

by pervasive sadness

They are primarily treated with antipsychotics

l3T.Amongst the following fats and oils, highest proporlion of poly unsaturated fatty acids (PLTFA) is found in

a. b. d.

Groundnut oil Coconut oil

c. Safflower oil
Butter
138.9-year old boy complains of "something crawling inside my head". He u'as conscious with no eye . blinking. The most likely diagnosis is

a. Simple partial seizure b. Tics c. Migraine d. Dissociative disorder

Version:D 139'A 160 mg dose of a drug was administered.i.v, and 80 mg was eliminated during the first l2Q minutes.If the drug follows first order elimination kinetics, how iruch of the drug will remain 6 hours after its administration?

c.

a. None b. 20 mg
10 mg

d. 40 mg
l4O. Structure passing through foramen Rotundum is

c. Maxillary nerve d. Abducent nerve


l4l-McArdle's

a. Ophthalmic nerve b. Mandibular nerve

syndrorme is due to

d.

?. b.

Deficiency of gldcose-6- phosphatase


Absence of muscle phosphorylase Deficiency of liver phosphorylase Deficiency of liver phosphorylase kinase

142-Acute cellular rejection foilowing sorid organ transprantation occurs

d. beydnd 30 days after transplantation.

c. between 5 to 30 days of transplantation.

a. within minutes to hours of transplantation. b. within 48 hours of transplantation.

I+3-A40yr old female presents with fever, fatigue, diffuse nainful.l.wglling in the midline of the neck FNAC of rhe same reveals epitheloid."rrr"unJgiu;;;iffi; likely diagnosis is

c.
d"

a- Acute thyroiditis b- Subacutethyroiditis


Tubercularlymphadenitis Hashimotosthyroiditis

c- l0
d15

Ll b-5

The perrnissible dose of radiation from man-made sources in terms of rads per year should NOT exceed

Cmjugated hyperbilirubinemia is seen in

a-

Dubin

c- Criggler - Najjar Syndrome _ II d- Gilbert Syndrome

Criggler- Najjar Syndrome_l

Johnson Syndrome

Version-D

139'A 160 mg dose of a drug was administered j.v, and 80 mg was eliminated during the first l2Q minutes.If the drug follows first order elimination kinetics, how iruch of the drug will remain 6 hours after its administration?

c.
d.

a. b.

None 20 mg l0 mg 40 mg

l-[0. Structure passing through foramen Rotundum is

c. Maxillary
d.

a. Ophthalmic nerve b. Mandibular nerve


nerve

Abducent nerve
is due to

l-tl.McArdle's syndrorne

a
d.

b. Absence of muscle phosphorylase

Deficiency of ghicose_6_ phosphatase

Deficiency of liver phosphorylase Deficiency of liver phosphorylase kinase

l4l'Acute cellular rejection foilowing sorid organ transprantar.ion occurs

a. within minutes to hours of transplantation. b. within 48 hours of transplantation. c. between 5 to 30 days of transplantation. d. beyond 30 days after transplantation.
[{-3'a 40yr old female presents with fever, fatigue, diffuse painful swelling in the midline of the neck, FIIAC of the same reveals epitheloid cells --and giunt ."itr, th; hkely diagnosis is

a. Acute thyroiditis b. Subacutethyroiditis

i lliil;llJJiilo.Ilt:"'.
The permissible dose of radiation from man-made sources in terms of rads per year should
a_

Nor

e.rceed

I
5

b.
L-

10
15

d.

x- Dubin - Johnson Syndrome b. Cri*egler - Najjar Syndrome_I c- Cri_egler - Najjar Syndrome _ II


dGilbert Syndrome

Version'D injected intra-thecally? agents may be safely following groups of contrast 146.which of the

a.

f' ;. ;

Water soluble ionic monomers wur"t soiuble non-ionic monomers Water soluble ionic dimers

oiiuu"aiodinatedconffasts
incre ases

147.Which of the following.illnesses

'i therisko developinq tuberculosis?

' a, Anthracosis
b.
Berylliosis

c, Sarcoidosis d. Silicosis

is of hairy cell leukemia 148. Cell of origin

t :
::

a' B cell b. T cell c. NKcell


d. Dendriticreticulumcell

{.

'

is of yellow fever vaccination' period of 'valid certificate 149.The validity

a.

7 days after date of


10 days

b.

ufo

c' 10 days "f;il ;. i6: *o


a.

7 years aot" of vaccination upto years of vaccination upto 10 upto 7 year aot" of vaccination

vaccinati:nlPto

L0 years

$0'TheactivitiesofallthefollowingerrzymesareincreasedinstarvationEXCEPT
PYruvate kinase

b. PYruvatecarboxYlase c. Phosph";;t;"ate carboxykinase d. Glucose-6'PhosPhatase

Version-D

SECTION.B

No.151to 154)
A 35 female presented to the outpatient with a swelling in the neck for the past 2 months, she had ketuentfol Hodgkin's lymphoma when she was 22yrs with irradiation. On examination, her vitals weFe normal, there was a single, firm, irregular nodule, moving with deglutition in the left side of midline. Clinical examination also revealed a single node.in'the left side of the neck,
15f - The most likely clinical diagnosis of this condition is

a- Recurrence of lymphoma b- Malignant goiter c- Benignmultinodular goiter

d. Toxic nodular

goiter

tt?-IV{ost probable pathological diagnosis would be

c. Medullary
d-

a- Anaplasticcarcinoma b- Follicularcarcinoma
carcinoma

Papillarycarcinoma

TheFNAC( FINE NEEDLE ASPIRATION CYTOLOGY) of the lesion should reveal

a- 'Orphan-Annie eye' nucleus cells b. Amyloid deposits c. Epitheloid cells and giant cells d. Follicularcells
The ideal treatment of the above condition rvould be
a.-

Total rhyroidectomy with lymph nodal dissection of the same side.

b. Radiotherapy c. Lobectomy d. Lobectomy with isthmusectomy

No. 155 to 157) A S5-year-old man presented with a two-day history of headache, fever, and generalized weakness. He had received a cadaveric kidney transplant five years earlier. Hismedicatjons inclurled S..mig of tacrolimus twice a day and L0 mg of prednisone daily. On aenrologic examination, he was confused end incoherent. Cranial nerves were normal, but he had a nazy teft retina. Magnetic resonance imaging of the brain with contrast showed multiple enhanqing lesions in both cereiral hemispheres
The most probable diagnosis is

a
b.

c. Nocardia

Cerebraltoxoplasmosis Listeriamoncytogenes infection


asteroides infection

d- Miliarytuberculosis

Version'D (Question No. 162 to L65)

'

A 60 year old man pr.."rrt"d with weight loss over a four month period and the recent onset of fever in the evenings with night sweats. He hadenlarged cervical lymph nodes. FNAC of the nodes showed epithelioid cells and giant cells. Chest x-ray revealed an irregular opacity of the right upper lung with pl,eural effusion. Thoracocentesis was performed, and examination of the pleural fluid was
done.

162. What findings would you expect in the pleural

fluid?
)

a. b.

Increased proteins, decreased glucose and plenty of mesothelial cells Decreased proteins, increased glucose atta ptet iy of neutrophils

c, Increasedproteins,decreasedglucoseandplentyoflymphocytes
d.Decreasedproteins,incre4sedg1ucoseandplentyoflymphocytes:i

'

i i"

l63.The lesion of secondary pulmonary tuberculosis begins near the

a. hiterlobarfissure b. IIiIum

c. Aplcal
d.

reglon Blood vessels

l64,Multidrtig resistant tuberculosis is caused by Mycobacterium tuberculosis that is resistant to

a. Rifampicin and Isoniazid b. Rifampicin, Isoniazid and Ethambutol c. Rifampicin, Isoniazid, Ethambutol and Pyrazinamide d. Any of the two first line antitubercular drugs
l

165 Which one of the l-ollowing is


a.

FALSE about tuberculosis in the HIV infected

patient?

There is a7 -ljVo annual risk of reactivation of tuberculosis Dis seminated tuberculosis is common U. The clinical presentation of tuberculosis is independent of tde CD4 count d. Lower lobe pirlmonary tuberculosis is conunon wiih low CD4 counts
b.

Question No. 166 to

168)

A 55-year-old man presented with a l-month history of yellow discoloration of his palms and soles . Diabetes mellitus had been diagnosed 1 month before adrnission, His conjunctiva was not icteric. The fasting glucose level was 293 mgper clecilite r (16.2 mmol per liter), and the glycated hemoglobin value was 12.8Vo,

66.Thecausefortheyellowdiscolorationof.the.palmsintlrispatientwas.duqto,,,.,;-;

,'

..,-,,,-;

a. Vitamin B12 deficiency b. Amiodarone exposure c. Diabetes mellitus d. Hyperlipidemia type III

Version'D

\
16?.

is NOT Yellow discoloration of the skin


a.

a feature

of

HypothYroidislrr

b, Liver

disease.

c. Di4bgtesmellitus d. HyperliPidemia tYPe

III

is 168.The treatment for this patient

a. Good glYcemic control b. VitaminBl2 injection c. Lower his cholesterol d. ThYroxine


(Question No. 169 to 171)
' ...i,

I
4

A Ss-year-old man presented


abdomenof

yth

right lower quadrani of the intermittent, crampy pain in-the


or other

i"rui; iro nausea, vomiting, hematoche"iu, J"up p"tpation "y'1"ili" in the right lower oo revealed only foq mild tenderner.
due for this pain abdomen could be

twodaysdur"tioo.g"rupl.i}p"rianarrtcningiJn**ir""ocn3nseinrowetmovemeilts tf*ptoms'Th1-PhVsrcal exlmrr*tibn

quadrant

' ,1

169. The probable cause

to

'':'

a. Trichuris trichiura b. AncYlostomaduodenale

c. Ancylostomaduodenale d. Enterobius vermicularis

microscdpy of the stools is due to l?0.Non-Bile stiiined ova seen on

a. Trichuris trichiufa b. Taenia solium

c.

d.

Ascarislumbricoides Enterob,ius vermicularis

this patient is 171.The treatment of choice for

a. Albendazole b. MetrogYl

c. Mebendazole
d.
BenzodiazeP\ne

28

Version-D

(Question No. 172 to 174)

A 2 year old boy has a one week history of facial puffiness. His blood pressure is 100/60 mmHg. and there is generalised oedema and asciies. Serum concentrations are: creatinine 0.4mgldL, albumin 1.4 gdL,and cholesterol 569 mg/dl. Urine analysis shows 4+ protein and no blood. The 24 hour .urinary protein excretion is 3865 mg/day.
172..Themost likely diagnosis is

a. Acute poststreptococcal glomerulonephritis b. Nephrotic syndrome due to minimal change disease c. Nephrotic syndrome due to focal segmental glomerulosclerosis d. Henoch-Schonlein purpura with nephritis
I

173.The above presentation in an adult patient with the presence of granular immunofluorescdnt deposits of immunoglobulins and complement along the glomerular basement membrane would suggest the diagnosis of Membranous glomerulonephritis b. Wegener granulomatosis c. Good pasture syndrome d. Post-infectious glomerulonephriti
a.

,.,i

il
s
I

t,..r

.il ;"*

i,!

IT4.Acontraindication for renal biopsy is:

{fr Fl

a. b. ,

Lupus nephritis

Polycystic kidney disease


u renar transpranr

I SHllLHXl,?t"i"l?,'i,,.,

(Question No. L75 to 177)

A 40 yr old male presents to the Accident and Emergency ward of the hospital with suddenonset of severe central abdeminal pain of few hours duration, increasing in intensity with time, with severe abdominal distension, a skiagram of the abdomen revealed a "coffee bean" appearance
l75.The diagnosis of the above condition would be

a. Acute pancreatitis b. Duodenal ulcer perforation

c. Sigmoidvolvulus
d. Ureteric
a. b.
calculus

176.

After optimisation this.patient should have


Exploratorylaparotomy Urgentsigmoidoscopy Computedtomography

c.

d. Oesaphago-Gastroscopy

29