www. entranceexams.io atom 1. Regarding anterior choroidal artery syndrome, all are true except? A. Homiparasis 1B. Hemisensory loss CC. Predominant Involvement af anterior limb of internal capsule D. Hamonyrnous hemiangpia 1. Ans.-C. Involvement of anterior Sib of internal capsule Ref. KEITH & MOORE CLINICAL ANATOMY Posterior limb of internal capsule Is supplied by the anterior choroidal artery: Anterior choroidal artery territory stroke features: + Complete Hemiplegia . Hemianesthesia . Homanymous hemnianopia Blood Supply = Lenticwlstrate artes “Tracts between the frantal lobe and pons (brainstem) {ranches of the middle anterior | Tee es the frost be 7 cerebral artery) ea Ymeetmec Oe ecroscnd one gas” Remap af emer i a (branch of the anterior | cerebral artery) = Lenticulostriate arteries (branches of the middle cerebral artery) ~ Recurrent artery of Heubner (orench of the anterior ‘cerebral artery) [LcTracts between the motor corten in the frontal labe and the cranial nerve nucle! in the brainstem (aka corticobulbar tract) [Tracts between the motor cortex of ronal labe and “antorr horn of spinal cord (aca corcconpnal Gott) | “Medial lemniscustrect (@ continuation of the dorsal _ (branches af the mide [Postarior owns) nic cares itrmatan about Hg fou, cerebral acy) - Lenticulestriate arteries fimb vibration, and pressure sensation from the body and soinal ~ Anteriar ehargidal artery ford. (ranch of the internat ( Anterolateral (aka: spinothalamic) tract, which carries carotid) | ipain and temperature information 2. Surgeon removes a part of liver to the left of falciform ligament. Which segment the surgeon bras removed Aaeae e282 re pina 2Ans.p.283 Reference: Sabiston Surgery 18" Resection of TH and TIE & a commanty performed sublobar resection and i often referred to asa eft Iateral segmentectomy afd Wf lateral sectinectanty 0” FEF lobectomy. Left lobe is that part of fiver tthe le at {he faciform ligament. r for Most Common Major Anatomic Hepatic ‘GOLDSMITH AND WOODBURNE, (COUINAUD, 19571957 [BRISBANE, 2000 [Right hepatectomy Right hepatie lobectomy Right hem-nepatectonny [Right lobectomy Extended right hepatic lobectomy Right tesectionectorsy [Let nepetecomy [Lan nenabe becom Lett hemi hepatectemy | [Ler bectomy |e ater segmentectomy af aterat | ‘sectionectomy Vv, | Extended tft [extended eft bectomy Left tisectionectomy | 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 NOTE: he Information provided bereits only ferccceference: Ik maxcvary the Origtina:NOTE: The Inforsation provided bere- ke -o www. entranceexams.io ‘coutnauo, 1957 ‘BRISBANE, 2000 Toepaccoey Janie phe sing pion amie noo tment ed ety e Soreutnee ete Capea Neve, Vertcl ater 3. Ans. D. Vertebral Artery Ref Gray, 40" ed.,6.0.C. 4% ed. “The foramen magaum is a large opening in the occipital bone of the cranium, It is ont of the several oval or CGreular apertures in the base of the skull (the faramnina), through which the medulla oblongata (an extension of the spinal cord) enters and exits the skull vaut. ‘Apart from the transmission of the medulla oblongata and its membranes, the foramen magnum transmits the spinal accessory nerve, vertebral arteries, the anterior and pasterior spinal arteries, the membrana tectoria and alas ligaments. Batra Eoge- Formas ‘Structure Passing through it Hiypogioseal canal Hiypaglossal nerve & artery Fspinesum Middle meningeal artery & vein.meningeal branch of mandibular Supuler Forameny Cranial nerve 810,18, Inferior petrosal situs, internal jugular vein Fovale ‘Mandibular nerve, accesscy ‘meningeal ertery, Lesser petresal nerve,Emissary vein FRatndum Maxillary artery ‘Mandibular foramen Trfarior alveolar nerve & vassals [Carotid Cana _| Tnternal Caronid artery | 4. —_Deaxygenated blond is not seen in AL Pulmonary artery B. Umbilical artery C. Umbilical vein D. Right heart 4. Ans. ¢. Uibiical vein Ref. Ganong Physiology 23" ed., Dutta 6” ed heart ascumes normal four chambered configuration by End of 6 weeks of Intrauterine hfe. For exchange of gas Fetus depends on Placenta While Neonate depends on Lungs. OXYgenated Blood from placenta. Umbilical Vein — Portal Vein Ductus Verwsus-1VC Right Atrium — From hece Blood is divided in 2 streams by Crista dividends(infarior margin of Septum Secundum. ) ‘Stream 1 (One third of blood goes to Fossa ovelis eft atria Left ventricle ~vAscending aorta for distribution to coronaries,nead & upper lim. Stream 2 ‘Twa third of blood get mbied with SUC blood and it goes te RV —pulmanary trunk —-ductus arteriosus — Descending aorta lower bady In fetal crculabon LV & RV works in paraiel |. LV supplies upper body & R W supplies lamer body. 5. __Allof the following are pneumatic bones except? A Frontal Ethmoid . Mandible D. Maxi 5. Ans. C. Mandible bones: Pneumatic bones can also be categorized under the Iraguiar bones because they are alsa irragular in shape Dut since there is @ diference between the two that is characteristically very important therefare they ere often Classified Separately. The characterisbc Gference is the presence Of large alr spaces in thace Donas wihich make them light in weight end thus they form the major portion of skull in the farm of sphenoid, ethmoid and maxilla Besides making the skull ight in weight Chay alsa help in resonance of sound and a= air conditioning charnbers for the inspired ai. 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 for-ceterence: Tk-maxcveary the Oricinalwww. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 [= Preumatic bones are thase boats which contain an a fed cavity within them] in humans, they are #2en in relation to the the nasal cavity ~ they enclose the paranasal sinuses . Pneumatic bones are ~ maxilla, frontal bone, sphenoid and ethmoi 6. _All.are seen in injury to common peroneal nerve except? [AL Lass of sensation over sole 3. Foot drop injury ta neck of fibula D. Lass-of doesifiexion of toe 6. ANG. A, Loss of sensation aver sole Ref. Gray's Anatomy 40” ed..6.0.C. ded ‘Sensory lass to sole of foot in tibial nerve palsy, Common Peraneal Nerve PED - Peroneal Everts and Dorsifiexes, if injured than see foot drop. Root Value- Li, L5, 51, 52 |Loss offen due Lo Compression at Fibuiar Nack (Superficial there - seen with knealing alot and banging knees), Hip Fracture/Dislacation, Misplaced Gluteal Injection, Piriformis Syndrome causes dec sensation of Anterior Lea, Dorsum of Foot: dee Dorsifiesion, Eversion of Foot Innervates: Anterior and Lateral Leg Compartments: Tobias Anterior Muscle Extensee Digitorum Loogus Muscle Fibularis Tertius Muscle (Peraneus) Extensor Halucis Longus Muscle ‘Bularis Lonous Muscle (Peroneus) ‘bulats Brewis Muscle (Peraneus) ‘Skin Sensation On tap of foot (dorsum, not the sole) Pathology Neck Fracture of Fibula or trauma to lateral lea Baker's Cyst Removal can hurt nerve in popliteal fosse dec innervation of Tibialis Anterior via deep branch (dec Dorsifiexion, Foot Eversion and Foot Drop/Dragging} and dec sensation to anterolatersl upper call 2c ealtich among the following it 8 branch from the trunk of brachial plenus? |AL Suprescepular nerve 5. ceacie neve C. anterior toracie nerve DiNerve te subetavius 7. Ans. Suprascapular nerve Ref. Ugo Human Anatomy BRANCHES OF THE BRACHIAL PLEXUS ‘There are a total of 17 branches arising from the brachial plexus that are destined to supply the upper lim, There are other branches thet supplies structures within the neck, they Include; nerve to sealen: and a branch that join ‘he phrenic nerve to supply the diaphragm. Of the seventeen branches of the brachial plexus, three of the branches arise from the root, one from the trunk, ‘tkrae from the lateral cord, five from Use medial Cord and five from the posterior ened, BRANCHES FROM THE ROOT 1. Lang thoracic nerve of bell (C5,C5,C7). 2 Doral scapular nerve (C5). 3. Nerve to subclavius (C5, C6). BRANCH FROM THE TRUNK 1. Suprascapular Nerve. BRANCEHS FROM THE LATERAL CORD 4, Lateral pectoral Nerve. ((CS, C6). 2 Museuiocutaneous - (C5,C5, C7) 3. Lateral roat of median nerve (C5, C6, C7) BRANCHES FROM THE MEDIAL CORD 4, Medial pectoral nerve 2. Medial cutaneous nerve of arm 3, Madial cutaneous nerve of forearms 4 Ulnar nerve 5. Madial roat of median nerve POSTERIOR CORD BRANCHES 1. Axillary nerve (C5, C5) 2. Upper subscapular nerve (C5,C5) 3. Thoracodorsal nerve (C7,C5). 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 OTR: The Inforsation brovided bere-is onky for-teference: It -may:very the Orletina:NOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 4. Lower subscapular nerve (C5,05) 5. Radial nerve (C5-T1). 8. Main blood supply of neck of femur? A, Lateral circumflex femoral artery 8. Medial circumflex femoral artery : Profunda fernoris artery D. External Hae artery 8. Ans. B, Medial circumflex femoral artery 3. Right isomerism is? AL Asplania B. Two spleens C. One spleen D. Polysplenia 8. Ans. A. ASplenio 210. Urethral crest is situated in: A. Prostatic urethva—-B. Membranousurethra C. Penile urethra D. Bulbar urethra 10. Ans. A. Prostatic urethea 11, Whatis the type of joint seen at Growth plate- A. Pbrocartlaginaus B. Primary cartilagenous C. Secondary cartlagenous D. Gompnosis 11. Ans. B, Primary eartiagenous 12. __wmich among the following is not a carponent of hypogastric sheath? 1, Broad igament of uterus B. Transverse cervical ligament lateral igament of uterus Diketeral ligament of adder 12. Ans. A. Broad ligament of uterus 13. All are Seen in the floor of 3rd ventricle except? | Infundibutar B. Cewlomatnr nerve © c. mammiary body D. Optic stam 13. Ans. D. Optic Statk 24, Lines of blasehko are: AL Lymphstics B. Blood vessel ©. Nene D. Lines of development 14. Ans. D. Linas of development 15. __All of the following are affected in low radial nerve palsy ‘A. Extensor carpi radials longus 1B. Extensor carpi radials brevis C. Finger extensors Sensation on dorsum of hand 415. Ans. A. Extensor carpi radials longus 16. Site not affected in pasterior cerebral artery infarct is? A. Miabrain Pons C. Thalarmus D. Strate cortex 16 Ans. 8. Pons 17. Bifurcation of Common carotid artery is palpated at? ‘A. Upper border of cricoid cartilage B. Upper border of thyroid cartilage Cyd bone D. Cricothyroid membrane 47. Ans. B. Upper border of thyroid cartilage 1B. _ In L5 root involvement, which among the following is nat affected? A. Thigh adduction B. knee flexion ‘C. Koge extension D. Toe extension 18. Ans. A. Thigh adduction 15. Muscular component of dorsal aorta develops from? |A. Septum transversum B. Paraxial mesoderm 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 he Information provided bereits only ferccceference: Ik maxcvary the Origtina:NOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 . Intermediate mesoderm D. Lateral plate mesoderm 19. Ans. B. Paranal mesoderm 20. Diaphragm develops from all exce [AL Septum transwersum B. Dorsal mesocardium CC. Bleuropertoneal membrane D: Cervical myotomes 20. Ans. B. Dorse! mesocardium 24. Posterior relations of head of pancreas are all except? A. Common bile duct First part of duodenum C-Right crus of Diaphragm D. Inferlor vena cava 24. Ans. B. First part of duodenum 22. Which of the follawing is not supplied by the anterior division of mandibular nerve (W3) ? ‘AL Temporatis Medial pterygoid C. Lateral ptarygaie D Masseter 22. Ang. 8. Medial pterygoid Physiology 1 Basal metabolic rate is closely associated with? Laan body mass. Body Sufacearea | €. Daily activity . Food Intake 1. Ans. A. Lean body mass > 8. Body suface ares Both options & and B seems correct (BM = 3.52 X body wight"). If there are two individuals with the same Surface area But one has a higher lean body mags then the ane with a greater lean body mass will have a higher EMR Basal Metabolie Rate (BMR), and the Gosely ralatad resting metabolic rate (RMR), « the amaunt of daily eneray expended by humans and other animals at rest. Rest is defined as existing in ‘evirally temperate environment while in the past-absorptive state (Inactive digestive system ,which requires about 12 hours af rest) BBSIR normally averages about 65 to 70 calf hr In average 7Okg male. AS EMR is energy experided at rest $0 option C8 D are ruled out. 2. Mineratecorticoid receptor is not present in? A. Uver B. Colon Hippocampus D. Kidney 2. ns. A, Liver ‘The mineralocorticoid receptor (or MR, MLR. MCR), alsa know as the aldosterone receptor or nuclear receptor subfamily 3, group C, member 2, (NR3C2) i 2 protein that in humans i encoded by Use NRICZ gene that is located on chromosome 4q34.1-31.2 MR i expressed in many Ussues, cuch as the kidney, colon, heart, central nervous sustem (hinoacamaus), brown adinose tissue ond sweat lands. In caine! tssucs, ts activation lends to ‘he expression of proteins requiating ionic and water transports {mainly the epithelial eoguln channt o ENaC, NEt/K? pup, Se°um end glicecortcoid induced fanase or'SGK4} resuling in the reabsoprton of sodium, land as a consequence an increase in extracellular volume, increase in blood prassure, and an excretion ‘of potassium to maintain a normal sam concentration in the body, 3. The primary action of NO in GIT is? |A. vasodilatation, B. Vasoconstriction C.GI smooth muscie Relaxation D. Slow Sriaath muscle contraction 3. Ans. C. GI smooth muscle Relaxation NO, aiso k/a EDRF (endothelial derived relaxation factor), is synthesired by the endothelial cells in response to & fnuthber of sumull. The NO that is formed by the endothellal cells diffuses to thesmooth muscle cells, where it acts via CGMP to produce vascular smoath muscle relaxation. [Action of NO in the gut: During peristalsis intlated by stretching of the gut wall by the contents of the smal intesting, there occurs a ring af contraction behind the f00d and an area of relaxation in front of it.The relaxation ‘produced in the anterograde direction is due to activation of neurons that secrete NO, VIP, and ATP, all of which produce relaxation. 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 he Information provided berets only fer-cceference: Tk-maxcveary the Oriatus:NOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 NO causes Relaxation of smooth musele via Non Adrenergic Non cholinergic action, 4. Main site of water absorption is: AL Jejunum B. Colon C.tleum B. Stomach 4. Ans. A. Jejunumn Dally total water input into the GI tract i approximately 000m! 22000m is ingested dally and 700m from endogenous secretions. 5500m! is reabsorbed in the jejunum, 2000) in the ileum, 1300rn! in the colon and the remaining 20001 appears in the stocl 5. Small air way has laminar flow because? A. Reynald number more than 2000, B. Diameter is very small (CL The linear Velocity of Aiflow in Small Airway is extremely low Total cross sectional area low 5. Ans..C. The linear Valocay of Airflow in Smalt Airway i extremely low The onset of turbulence under ideal conditions can be predicted by calculating the Reynolds number (Re Re=Dvas/V Where D = diameter, v = mean velocity, d = density, V = viscosity Reynold's Number greater than 3000 + Turbulent Flow. Reynolds Number less than 2000 ~ Laminar Flow. Velocity of flow is inversely proportional to total crass sectianal arée: since the total cross sectional area of senall airways is large the velocity of flow «© low. When the velocity of flow is low Reynold’s number is less and so is tendency for turbulence. Capillaries Rave highest crass sectional araal/g®| Hakimem turbulence. 6 _Orthopnoea in Congestive heart failure develops due to? A, Reservoir function af pulmonary ving BB. Pooling of blood in lower lint veins C! Pulmonary Hypertension Bi Systemic Hypertension 6. Ans. A. Reservar function of pulmonaty veins Ref: Harrison 37" ed pg 14 Orthopnea is Sensation of breathlessness in recumbent pasition ,relieved by sitting ar standing. itis ‘caused by An increase in venous return associated with recumbent position. Drthapaoee is usualy a later marifestation of HF Bhan fs exeytanal dyspnosa. I esuts from redistribution of ‘ula trom the splanchnic circulation and lower extremities into the central circulation during recumbency, wih resuitant incease in pulmonary capilary pressure. 7. Nucleus involved in papex circuit Pulvinar BLVPL Nucleus Cuntfaterninar Anterior NU. Of thalamus 7. Ans.d. Anterior NU. Of thalamus 8. —_All the following are true about phagocytosis except- ‘ALAmoeba & other protozoans lives thier Wife Out of I. B.Used to ingest particies < 0.5microns in se CuUsed to ingest particles > O,Srsicrans in se D.Digestion occurs within phagolysosomes 4, Ans.8,Used to Ingest particles < 0.Smlerons in size Biochemistry 1, Thiamine deficiency causes decreased energy production because? ‘Alt is required for the process of trensemination But is co-factor in oxidative reduction Cit is co-enzyrse for transketolace in pentase phosphate pathway Bilt is eo-enzyme for pyruvate dehydrogense A alpha keloglitarate dehydrogenase 4. Ans. Dult is co-enzyme for pyruvate dehydrogenase & alpha ketoglutarate dehydrogenase 2. What factor is responsible for deciding whether an antibody will remain membrane bound or get secreted? ‘A. Carbohydrate content B. Class switching, Differential RNA splicing, Sutace charge 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Information provided bere: oni for-referenue: Tk maycvary the Origina:www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 2. Ans. C. Differential RNA splicing Vitamin K is invalved in the post translational modification of? KX cutanate B. Aspartate ©. Tyrasine D. Tryptophan 3. Ans. Glutamate 4. Which among the following is not a cause of fasting hypoglycemia? |A. Glucagon excess 'B. Glucose 6 phospatase deficiency . Gietotic liver damage D. Glycogen synthase deficiency 4. Ang. A. Glucagon excass 5. Cell fusion is @ innovative method of preparing specific antibodies. Technique to induce cell fusion includes following all except? A. Atlaching inactive viral particle on cell membrane B. Adding ethylene glycol CC Applving smell electric current . Reducing the viscosity of the membrane 5. Ans. D, Reducing the viscosity of the membrane & Urea cyete occurs in: A Uver 'B Intestine ©. Brain D. Kidney 6. Ans. A. Liver 7. Which of the following chang in. a vector used to increase the yield of protein produced in recombinant protein synthesis? A. Inducible promater . Genes for protease inhibitors Translation initiation Di Trenslation and transcription termination 7. Ans. A. Inducible promoter 8. Two plants are grown. One to exprass green fluorescent pigment & Other express Fire fly luciferase cantaining media. Which plant will glow inthe dark? ‘A. Both plants will glow B. Neither will glow C Plant expressing green fluorescent pigment wl low! D. Plant expressing firey lucsferrase witl glow 18. Ans. D. Plant expressing firefly iucferase will glow 3. _A patient who was given primaquin develops hemolysis. The probable cause may be AlGlucose 6 phosphate dehydrogenase deficency B. Glucose 6 phosphatase deficiency CC hlpha keto oluterate dehydrogenase deficiency D. Pyruvate Kinase Deficiency 9. Ang. A.Glucose 6 phosphate dehydrogenase deficiency 10, Transfer of sn amino graup from an amin acid to an aipha keto acid is done by? ATranaminases BuAminases CTransketolase D.Decarboxylase 10. Ans. ATranaminases Ql Which oF the Following statements about high density lipoproteins (MDL) is false ALHDL increases oxidation of LOL 'B.NDL reduces foam call production by Idi CHDL is best predictor of CAD D.HDL helps to clear ips from atheroma 11. Ans. AHDL increases axsdation of LOL PATHOLOGY 1. which ef the following helps in generating oxygen burst in the neurophils 7 A. Superoxide dismutase BNADPH oxidase . peroxidase D. Glutathione reductase 1. Ans. B.NADPH onidase 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 NOTE: he Information provided bereits only ferccceference: Ik maxcvary the Origtina:NOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 2. Which is nat an autoimmune disease? ASE B. Grave's dissase C. Myasthenia gravis, Sickle cell disease 2. Ans. D. Sickle cell disease 3. _An Byear eld boy completed 8 out of 10 day course of cefacior. Now he develaped a (generalized erythmatic rash which is mildly pruritic and lymphadenopathy. Diagnosis 1s? A. Kawasaki disease B. Type 3hypersensitvity C. Anaphylaxis D. Infectious mononucleusis 3. Ans. B. Type 3 hypersensitivity 4. Which among the fellowing is the hallmark of acute inflammation? |A. Vasoconstriction B. Stasis C Vaodilation and increase in permeability D. Leukocyte margination 4. Ans. C. Vasoditation and increase in permeabitty 5. Some antigen was injected into a rabbit. what antibody will t produce initially? Als 8. 19M C198 D190 5. Ans. B. 19M 6 _ Principle organelle involved in the execution of A. Nucleus B. Lysosome GeMitochandria D. Endoplasmic reticulum Ans. C, Mitochondria 7. Paammoma bodies are seen in all except? [A Follicular carcinarna thyroid ‘BePapillary carcinoma thyroid C. Cystagenacarcinoma 1D. Meningioma 7. Ans. A, Follicular earcinama thyroid 5. _Netappresisposing factor for atherostiarOtie plague formation? A pot B. Alpha 2-macroolobul (E, Onidised LDL D. Increased homocystiene 8 Ans. B, Alpha 2-macrogiabulin 2. Most potent activator of T cells? AB cols B. Folicular dendritic cals . Mature dendritic celis D. Macrophages Ans. C. Mature dendritic cells 10. True about platelet function defect? |A. Normal platelet count with prolonged bieading time B. Thrombocytogenia with prolonged bleeding time CC! Normal bleeding tire with normal platelet number . Normal platelet count with decreased Bleeding tne Ans. A. Normal platalet count with prolonged bleeding time 11. All are true about blood coagulation except? ‘A. Factor 10 in & part of both intrinsic and extrinsic pathway B. Extrinsic pathway is activated by cantact with plasma and negatively charged proteins Calcium i very impartant for coagulation DD. Intrinsic pathway can be activated in vitro 1 Ans. B. Extrinsic pathway is activated by contact with plasma and negatively charged prot 12. All of the following are neuronal tumours except? [A Gangliocytoma’ B-Ganglogioms C. Neuroblastoma D. Ependymoma 12. Ans. D. Ependymoma 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 he Information provided bereits only ferccceference: Ik maxcvary the Origtina:www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 13. Which complement component is first common point between involved classical and alternate ? Ac Ba ccs pce 13. Ans. C..c3 14. All are tru# about xanthogranulomatous inflammation except? ‘8. Presence of foamy macrophages '. Presence-of tuberculous infection C. Mutinucieated giant cet D. Presence of yellow Noduies 14. ANS. B. Presence of tuberculous infection, Q.45 _All.are involved in generating free oxygen radical for killing of bacteria except- Superoxide Dismutase B Fenton's reaction NADPH oxidase, DsGlutathion peroxidase 15. Ans. D.Gtathion peroxidase Q.16 Which is false about Bernard Soulier syndrome- -A-Ristacetin aggregation is norms ‘BLAggrEgation with collagen & ADP is narmal Large platelets D.Thrambocytopenia 16. Ans. A.Ristacetin aggregation 1s normal Q.17__Stide fixing in pathology most cdriimonly done by - AFormatgenyde Satchel EPicie acid D.Glutraisenyde 47. Ans. A.Formaldehyde PHARMACOLOGY Which oF the following is given to treat thrombocytopenia secondary to myelasuppresive llron Dextran B.Oprevelkin(inteneykinatay! | C-Tranexamic acid D.Erythropoietin 1. Ans. B.Oprevelitin(interteutine11) 2. True about MRSA resistance is- |ALDue te production of Paniclinase B.Due to alteration in penicitin binding proteins C Plasmid mediated D-Trested with amoaicilin 8 clavulinic acid 2. Ans. B.Due to alteration in penicilin binding proteins 3.___ Treatment with INH leads to deficiency of ? Thiamine B.Niatin C.Pyridoxine D Pantothenic acd 3. Ans. C Pyridoxine 4. Which drug not used to control bleeding while delivery of a wornan with heart disease ? ‘A. Metnplergometrime B.Carboprost ‘€-Syotoin D.Misoprostol 4. Ans. A.Methylengometrime 5. _Alltrue about Futvestrant ( selective estrogen receptor downregulator) ‘A Used for teatment of advanced Breast cancer B. Also known as pure anti estrogen Cis slower acting have shorter duration of action Blower safety profile than SERM Administered as once monthly intramuscularinfection Ans, ©. 15 slower acting have shorter duration of action Blower safety profile than SERM 6 _All.are true about Ranalozine except? AL Hes hypotensive effects 8. Ist line antianginal drug affects glycemic control Dinduces C¥PSA 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 NOTE: Inforsation mrovieed bere-be-onky fer-reference: Ti max:very the Orletna:www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 6. Ans. A. Has hypotensive effects 7. _Drug of choice for central diabetes insipidus is? A. Destmopressin B. Leuparotice C. Thlazide diuretics Dunsutn 7.Ans. A. Desmopressin 8. __Integrase inhibitor approved for treatment of HIV is A. Raltegravir B. Indinavie . Lopinavie D-Tipranavir Ans. A. Rategravir 2. Which of the following antihypertensive drugs is contraindicated in @ patient an lithium therapy in order to prevent toxicity? A. Goniaine’ B. Beta blockers C. Caeium channel bioekers ——D. Diuraties 9. ans. D. Dluraties 10. Which of the following is not an adverse effect of thalidomide? A Diarehoes| B. Teratopenicty c. DVT D. Hypothyroigism 10. Ans. A, Diarrhoea 11. Amphotericin b causes deficiency Of? aie B.ce eK Deg 1 Ans. C.K 12. _All ofthe following decrease bone resorption in osteoporosis except? [A ilendronate 'B. Ftidronate Strontium DB. Teriparatide 12. Ans. D. Teriparatige 13. Whichis not seen in digoxin toxicity? |A. Brventricular tachycardia {81 Proxysmal atrial tachycardia C. Ventricular bigeminy D. Regularisation of Atrial Fibritation 13.Ans. D. Regularisation of Atrial Fibrillation 14. Buprenorphine is? |A. Partial agonist at mu receptor 6. Partial agonist at kappa receptor CC. Full agonist at mu receptor D. Antagonist at kappa receptor 14.Ans. A. Partial aganist at mu receptor 15. Which among the following is the best inotrape drug for use in right heart failure due to pulmonary hypertension A. Dopamine B. Isoprenaline Halothane D. Mirinone 15. Ans. D. Milrinane 16. Which among the following does not cause hyperpyrexia? AL Hao inhibitors 'B. Alcohol cTeKs, D. Amphetamine 16. Ans. B. alcoho! 17. All are true about Aprepitant except? A, Agonist at Mkt 8. Crosses bload brain barrier C_ ameliorates nausea end vomiting of chemotherany D. Metabolized by CYP3AA 17. Ans. A, Agonist at Nk 18, Which of the fallowing is true? [A cetyicholinesterase inhibition by malathion can be reversed by increasing the level of atrapine 8. Suiphonitamide iniibits folate reductase irravesibly 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 NOTE: Information peovided bere: oni for-referenue: Tk maycvary the Origina:NOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 C. Foueroacetate competetively inhibits aconitase 1 Ethanol acts by inhibiting aldehyde dehygragenase when used in methanal poisoning 1B. Ans. D. Ethanal acts by inhibiting aldehyde dehydrogenase when used in methanol poisoning 19. A schizophrenic patient started on haloperidol 2 days back, comes with complaints of torticoilis, and orofaciolingual movements. What is the diagnosis? A. Acute dystonia B. Tardive dyskinesia . Parkinsonism D. Akathisia 19. Ang. A. Acute dystonia 20. Mifepristone is used in? ‘A Molar pregnancy B. Threatened abortion Fibroid D. Ectopic pregnancy 20. Ans. C. Fibroid > D. Ectopic pregnancy 21. All of the following are true about erlotinib except? |A. Small molecular imhbitor of tyrosine kanase associated with EGER receptors B. Faod delays its ebsorptian CC acniform eruptions and diarrhea are its common side effects . Used in nan small call lung cancer when there is na response to ather chemotherapeutic agents 21. Ans. B, Food delays ts absorption 22. Pulmonary toxicity is seen with? ‘A. Bleamycin B.Cplatin ©. Doxorubicin D. Actinomycin D 22. Ans. A, Bleornycin 23. All are used in the treatment of hot flushes except? A. Temaxifene B. Venlafaxine €. Gabapentine DPeroxetine 23. Ans. A. Tamoxifen 24. _Alliare true about meglitinides [A Decreases post parandial hyperglycemia B. Incidence of Hypaglycemia less common than sulfonylureas Cit decreases insulin resistance Di. Causes stimulation af insulia release from pancheas 24. Ans. C. M decreases insulin resistance 25. Pregnant mother at 35 weeks of gestation with SLE. Which of the following drug can not be used 1A. Prednisolane B. Methotrexate . Suifsatazine D. ttydroxychioraquine 25, Ans. B. Methotrexate 26. Tolerance in opioids develops to all except? A. Mioais B. Analgesia, C. Euphoria . Nausea and vomiting 26. Ans. A. Miosis 27. Alliare actions of muscarinic antagonist except? AA, Decreases gastric secretion B. Prolongs A-V conduction C. Decreases tracheobronchial secretions D. Causes Contraction af radial muscles of iis 27. Ans. D. Causes Contraction of radial muscles of ris 28. __Drugs used in prophylaxis of migraine are all except? |k. Propranolat Be Funarizine ‘C. Topiramate D. Levetiracetam 28. Ans. D. Levetiracetam, 25. __ Administration of which of the following drug needs alkalization of urine? |A. Cytasine arabinosise 'B Methotrexate C. Cisplatin D. Hastamide 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 he Information provided bereits only ferccceference: Ik maxcvary the Origtina:www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 29. ans. 8. Methotrexate 30. All of the following are true regarding diabetes mellitus except? |A. Type 2 diabetes patients never requires insulin B. Sliding scale regimen is used in hospitalized patients Low evening insulin dose prevents nocturnal hypoglycemia DiRegular insulin is used in treatment of gestabonal diabetes 30. Ans. A. Type 2 diabetes patients never requires insulin 31. all are true ragarding seratonin syndrome except? [A It not iGesyneretic and unpredictable B. Dantralene is drug at choice C.Can be used by SSRI D.Fastures include hyperthermia & hypertension 31. Ans. B, Oantroiene is crug of choice MICROBIOLOGY 1 About tetanus true isa/e A.Meat resisitant spares 18.3 doses of vaccine to be given for primary prevention . Incubation period period 6-10 days D,Person to person transmission does not occur Ans. B.3 doses of vaccine to be givin far primary prevention 2. ng nes fram Hiowachal pradesh presents with smal ulceron leg After few days he developed » Swelling in the inguinal region which later uleerated. What stain can be used to detect bipolar stained ‘organisms? AL Albert's stain B. Waysons stain . Ziel Neelson staining DMacFadyean'’s stain 2. An. B, Waysons stain 3. __ Vectors daes nat transmits infection by ~ AL Ingeston— B.Regurgitation c fof infected feces D.Contaminsted body fluids 3. Ans. A. Ingestion 4. Allare factors responsible for resurgentée-of malaria except A. Drug resistance 8, Use of Ded nets. vector fesistance —D. Development of newer strains of parasite 4. Ans, 8, Use of bed nets 5. Regarding Leptospirasis.True is- ALRats are only reservoir B.Fluraguinolones are drug of choice (C-Person fo person transmission D. Ore fecal transmission. 5. Ans. A.Rtats are only reservoir & Fungus causing infection in immunocompetent individuals is- Aspergatus 22 Penicatium “S.cryptacoccus 4. Candida 6. Ans. 4, Candida 7. _A7 month old child presents with history of bouts of cough ending with a whoopimmunization history is qot available. What is the best way ko confirm the diagnosis? A Nasophayngeal swab B. Cough plate culture. Trachea espirate D. Oral swab 7.Ans. A. Nasophayngea! swab & Aflatoxin is produced by? A. Aspergillus flavus "8. Aspergillus niger ——16mm - Diarseter of the left pulmonay artery > 6rim. Diameter of the descending Right pulmonay artery >16rem }. Diameter of the descending Laft pudmonay artery >16mm © ppmPpe ‘Ans. C. Diameter of tne descending Right pulmanay artery >16mm 10. Necrotizing lymphadenitis is see A. Kimura sense B. Kiki ©. Hodgkin disease iD, Castelman disease 10. Ans. B. Kikuchi disease 11. MARP syndrome is sean in? |A. Mitochondrial function disorder B. Giydogen storage disorder Lysosomal storage disorder D. Lipia storage disaraer 11. Ans. A, Mitachondeial function disaraor 12. Superior vena cava syndrome is mast Comimonly caused by? A. Lymphoma B. Small cell lung ca C. Non small cell ung ca D. Secondary tumours 12. Ans. B, Small cell tung ea 13. Which of the following Is not included in parenteral nutrition? A Fat 1B. Carbohydrate Fibres D. Micronutrients 13. ANS. C. Fibees 14, All are true about pheochromocytoma 2 ‘A. 30% are malignant 9584 occur in the abdomen They secrete catecholaminas D. They arise from spmpathetic ganglions 14, ANS. A. 90% are malignant 15. __ Intraoperative myacardial infarction is best diagnosed by: ACECG B. Invasive arterial pressure Central venous pressure . Trans Esophageal echocardiography 15. Ans. D. Trans Esaphagest echocardiography 16. ECG is poorat detecting ischaemia in areas supplied by? A, Left anterior descending Left ccumfiex Left coranary artery D. Right corpoary artery 18. Ans. B, Left circumflex 17, _ A patient with history of discharge from right ear for past 2 year presented with severe ear ache. The discharge was cultured and the organism was found to be gram positive cocci .CT scan shows 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Information provided bere: oni for-referenue: Tk maycvary the Origina:www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 ring enbancement The least likely cause is? A. Pouedomanas 1B. Streptococcus pneumoniae C. Staphylacaceus D. Haemophilus infuenza 47. Ans. B. Streptococcus pneumoniae 18. AAS day old baby came with history of sefrures. Blood tests revealed Ca Smg/dl, POS Sma/dl, PTH 30pg /rml (a=10-60). What is the most probable diagnosis? A. Pseudehypoperathyroidism =. Vitamin Deficiency —C. Hypérparathyroidism BIE 1B. Ans. A, Pseudohypoparathyroidisen 19. Which among the following not used in diagnosis of insulinama? AA. Fasting glucase test B. Xylulose test .C peptide levels . Insulin / glucnse ratio 15. Ans.B. Xyilulose test 20. _ All are true about Nesidioblastosis except ? [A Hypoglycemic episodes are seen . Occurs in adults mare than children (C. Histopathology shows hyperplasia of islet cells D. Diazoxide is used for treatment 20. Ans. B. Occurs in adults mare than children 21. Gold standard test for diagnosis of laryngopharyngeal reflux? |A. 24 br double probe pH monitoring B, Fienlble endoscopy C. Barium swallow 1D. Laryngoseapy 21 Ans. A. 24 hr Gouble probe pit monitoring 22. Least common cause of ambiguous genitalia in a female child? [A Placental steroid sulfatase deficiency Fetal aromatase deficiency C.WT-4 mutation D.calt 22. Ans. A, Placental steroid sulfatase deficiency 23. What will you give to treat hypothyroidism in a patient with Ischemic heart disease? 1A. Low dose of levothyroxine 8. Normal cose of levothyroxine Do not give levothyroxine D. Thyroid extract 23. ANS. A. Low dose of levothyroxine 20. A. 3S.year eld female has proximal weakness of muscles, ptosis test to diagnose her condition i A. Muscle biopsy 5. CPK . Edrophanium test DEM nd easy fatiguability. The best 24. Ans. C. Edrophanium test 25. Compliance is decreased in all except ‘A. Pulmonary congestion 8. COPD C. Decreased surfactant. Pulmonary forosis 25. Ans. 8. COPD 25. A TOyr old presents with intemittent jerks of recent origin, EEG showing bilateral periodic ‘Spikes. What is the most probable diagnosis? AL Hepes simplex encephailiss 8. Lewy hody dementia Alzheimer's as} 26. Ans. D. CID 27. Nota disorder of protein mistolding? Izheimer's disease B. Tuberculosis ©. Cystic fibrosis boo 27. Ans. B. Tuberculosis 28. A A2 year old male presents with hemetemesis, melena and splenomegaly. What is the most probable diagnosis? A. NCPF B. Cirrhosis C, Malaria with DIC, Extra hepatic portal venaus obstruction 28. ans. D. Extra hepatic portal venous obstruction 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 NOTE: The Inforestion provided bere oni for-referenue: Tk maycvary the Origina:NOTE: The Inforsation provided bere- ke -o www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 29. About diabetes insipidus all true except |A.Water deprivation test is diagnostic. .Before doing test first enerect hypaaldosteranisen. CHypathyroidism does nat affect the diagnostic test. D.Pre test serum osmalayity 288 (should be in rarmal range) 29. Ans. C.Hypothyroicicm does not affact the diagnostic test 30. Poor prognastic factor for ALL is? A. Hyper diploidy 8.19522) t(4514) ©. 2-8 yrs of age D. Tic < S000 30. Ans. B. (9:22) t(4;42) 31. _The acid base status of a patient is of Hg. Patient has partially compensated? A. Metabolic acidosis = B, Metabolic alkalosia © C. Respiratory atidosis D. Respiratory alkalosis follows : pH - 7.45, pCO2 - 30 mm of Hg, pO2 - 105 mm 31. Ans. D. Respiratory alkalosis 32. Arman connected to a body plethysmograph exhales against a closed glottis. What wit be the finding? |A. The pressure in both the lungs and the Box increases 1B. The pressure in both the lungs and the box decreases CThe pressure in the lungs decreases, but that in the box increases 1 The pressure in the lungs increases, but that in the box decreases ‘ans. C. The pressure in the tangs Gecreases, but that in the Box increases 33. cue Cons are seen in a A, Bacterial vaginosis B. Vagina candidiasis CChtamyeia vaginosis “Trighomoniasis 33. Ans. A. Bacterial vaginosis. 34. HHS seen in? |A. Deletion of 3 alpha gene 8 Deletion of ali 4 alpha ganes C. Deletion of 3 beta genes D, Deletion ofall 4 beta genes 34. Ans. A. Deletion of 3 alpha gene 35. ASO yr lady nas history of sprained afle 2 months back followed by recovery. She now complains of ‘Severe pain in that ankle with inabilty to flex that foot. Physician nates edema and shiny skin in local examination, What is the probable diagnosis: A. Fibromyalgia B. Camplex:t#Gional pain syndrome 1 (C. Complex regional pain syncrame 2D. Peripheral neuropathy 38. Ans. B. Complex regional pain syndrame 36. _Which amang the following is an earty sign of magnesium toxicity? |A. Depression af deap tendonafienes 5. Respiratory depression .Cardioc arrest. D. Decreased urine output 135. Ans. A. Depression of deep tendon reflexes 7.__True about gastrie carcinoma is? ‘a. Occumt bleeding in stool is not seen 5. associated with achiorhycria/mypochlorhydria C Aways Squarsous call carcinoma D, Radiosensitive 17. Ang. B, associated with achlorhydria/hypochlorhydria 38. True iniketo acidasisis. ‘A. Decreased HOS B, Increased levels of lactate C. Gluease level <250 mg /l_D. Normal anion gap 3B. Ans. A. Decreased HCO3 39. __In 7 rod following Sx for craniopharyngioma hormone first to De given |A. Growth hormone B. Steroids C. Prolactin D-Thyroxine 39. Ans. B. Steroids 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 for-ceterence: Tk-maxcveary the OricinalNOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 40. A Patient presents with high TSH & low T4, what could be the probable diagnosis? A.Grave's disease B.Mashimoto's disease C.Piutary Failure Diiypotnalamic fallure 40. Ans:B.Hashimoto's disease 41. ‘Blood examination of a Patient revealed low serum Ca,elevated phosphorus & elevated PTH. Which of the folowing investigation s feast contrinutory to diagnosis? ‘A. Urine myoglobin B, CAMP response to PTH . Vitamin D levels D. S. Creatinine levels 41. Ans. C. Vitamin D levels SURGERY L.A lyr old patient has a single kidney with an exophyltic mass of 4 cm size at it's lower pale. Which among the following is the Dest course of action? ‘A. Partial nephrectorny 1B. Radical nephrectomy with dialysis CC. Radical nephrectorny with immadiate renal trenswerpiant D. Observation 1. Ans. A. Partial nephrectomy 2. Ima S yaar old chitd the burn area corresponding to the size of paim is equal to Al 5.5% 10% D20% Dans. A. 1M 3. Most common site of abstruction after TURF? ‘A. Novicull fossa, Bulb Prostatic membranous uretnra D. Bladder neck 3. Ans. D. Bladder neck wa tn mae bout OOP amine eb ery. Pees ese RS ten {nthe umbilical area through fare stable heart rate 60 bpm & bioad pressure ‘tay The reat step inthe management ofthe patients rast S.Laparotomy, Wound eigleration & repestioning ot omentum —D:CECT Abdomen hes C.wound exploration 8 rescsiioring of mentum, 5 Renal calculi assocsted with proteus infection ist ure saa Brie phosphate po ©. Cakium oxiaate Xanthine 5: Ang. Trine phosphate 5. Which of the following is & contraindication for m asia! teatment in gallstones? ‘A. Radio opaque stones B. Radialucent stones (CaNormel functioning gall ladder D. Small stones 6 ans. A. Radio opaque stones 7. Which organ ebtained from a cadaver Is not used for transplantation? A. Blood vessel Lung, C. Liver D. Bladder 7. Ans. 0. Bladder 5A young sewage worker nas brought to hospital with history of feeling of exheustion -absominal pain ‘vamiing lever & shock. Mis heart rate i 120/min respiratory rate. 3O/min & blood pressure ts 100/70 per ‘minute His dinical features are suggestive of peritonitis What isthe next step of management? immediately tave the patient fr laparotomy under GA 'B. Take the patient for Diagnostic laparoscopy & then exploratory laprotomy insert an abdominal dram under UA and then for exploratory lap D. Resuscitate the patientwth ,V. Mid Boxygen,then Shit pabient for exploratory Japrotary 8 Ans. D-Resuscitate the patentwith 1 laprotamy uid oxygen, then shift patient for exploratory 9. A patent with head injury an examination revealed aye opening in responce to pain, inappropriate words ‘and pain lacalisation. Calculate GCS? a0 86 cn bat Sane. A. 10 10. A'S year old child presented with ballooning af perpuce while micturition. Perpuce adhesions were present. What is the best treatment for him? AL Adhesiolysis and dilatation 8. Circumcision ©. Darsal sit. Canservative 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Inforeation provided here- ke only fercreference: Ti-maxcveary the OrletinalNOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 10. Ans. B. Circumcision 11. During TURP, sucgeon takes care to dissact above the verumantenum £0 as to prevent injury to? A. External urethral sphincter B. Urethral crest ‘C. Prostatic utriie DD. Trigone of bladder LARS. A, External Urethral sphincter 12. _ est treatment option for genuine stress incontinence? ‘A. Burch colposuspension B. Kelly's procedure answer CC. Sing operation D. Tension free vaginal taping 12. Ans. D. Tension tree vaginal taping 13. A patient presents with faver and abdominal pain. Clinical examination reveals hepatomegaly extending 4 finger breadths below the castal margin. USG & CT reveals e 4cm*Scm*acm hypoechoic & hypodense lesion Lcm dedp to liver surface, Teste fr hydatid disease were -ve, Best course of action 1s? |A. Resection of affected lobe. Multiple percutaneaus aspirations and metranidarale injection in right lobe (C Metronidazole therapy only Surgical drainage of abscess & matronidazole therapy 13. ans. C .Metronidazote therapy oniy 14. A lady who presented with hematuria on evaluation was found ta have stage 2 transitional cell carcinoma ‘af bladder. Which af the fallowing is true? [A 708 chance of requiring cystectomy in 5 yrs B. Cystoscopic fulguration required in cfo recurrence C.A.10 year history of bead Smoking Is not B risk factor There no role af chematherapy 14. Ans. A. 70% chance of requiring cystectORiVAS Pre 15. Medical treatment for varices bleed|is by? A, Octreotide B. Pantaprazale €. Desmopressin D. Somatatraphin 15. Ans. A. Octreotide 16. __A.55 year old man presents with history of 5 episodes of hematurie each lasting for about 4-5 days ‘associated with clots in the past 5 yaars. What will be the best investigation to arrive at a diagnosis? ‘AL Urine examination and microscopy" B. X-ray KBs C. Abdominal USG D. DTPA scan 16. ANS. A, Urine examination and microscopy 17. &S0yr old patient presents with 2 yrs fol Fecifent abdominal pain, radiating to beck, rtived only by frenteral analgesic This time pain is severe 8 raating to back jappropriste treatment procedure is? ‘Avegotomy with Gastroduodencstorny Bevagotomy with antrectory Conbuipale pacedure D Longitudinal pancreaticaejunostomy 17. Ans D.Longitudinal panereaticojejenostomy (Q.18 Muttipta sonaceous eysts seen in: A. Gardner's syndrome 1B. Tureot syndrome Cl muir Torre syndrome D. Camden syndrome 1B. Ans:A Gardner's syndrame Q.19.4 Patient presents with epigastric pain which radiates to the back and relieved by fod, patient have history Of such pain in past for which he was taking analgesics ang in past § years 2 Limes operated for duodenal llcer.Pein before & after surgery has bees contralad with praton purtp iotibitors, What could be prabable is A. Gastric ulcer B. Dudenal ulcer C. Chronic pancreatitis D. Atopic gastritis 18. Ans:Duodenal Ulcer Q.20. Patient having pain in epigastrium which radiates to back, serum amylase Is normal, USG abdomen reveals gall stone and bulky pancraas.CT scan was dona, which cinched the diagnasis.The scenario is suggestive of- Acute Pancreatitis” — BAcuiechalecyctiis " C.Duodenal ulcer DB. Acute Appendicitis 20. Ans:A.Acute Pancreatitis, PAEDS 1. Earliest symptom of GERD which becomes pathological in an infantis? A. Respiratory distess —B. Upper Gl bleed C. Regurgitation & Vomiting Fuad bolus ebstruetion 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Inforeation provided here- ke only fercreference: Ti-maxcveary the OrletinalNOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 2. Ans.-C, Regurgitation & Versiting Its common fer infants to spit up after & meal, but frequent vomiting among infants may be caused by GERD (gastroesophageal reflux disease), the upward movement of stomach content, including ‘20, into the esophagus and sometimes into or aut af tne mouth. Olsar children also can be affected In normal reflux infant just spit up after meal doesnot wart & regurgiate If vomiting & regurgitation present itis pathological sign.Respiratory distress i late sign. 2. Most important pragnastic factor in congenital diaphragmatic hernia? ‘A. Pulmonary hypertension B. Timing of surgery C. se af defect D. Gestational age at which child was born 2. ans. Pulmonary hypertension 3A child presented with fever, mild breathlessness & non-productive cough. She was treated with course Of antibiotics and she improved aver 4 days and latar deteriorated again with Fever and more breathiessness.chest 2 ray showed hyperiucency Pulmonary function test mas suopestve of obstructive airway Gisease-The probable Giagnosis would A.Bronchioltis obliterans ——_BLAlveolar prateinasis (C.Post viral syndrome Do Asthmna 3. Ans. A.Bronchiadtis obiRerans 4. Which amang the fatiowing is the most common tumeur associated with neurofibromatosis in a child?* ‘A. Juvenile myelomonocytic leukernia: BuAcute lymphoblastic leukemia C.Acute monocytic leukemia 1D. Acute myalois leukemi 4, ans. duvenile myelomonocytic seusfamia AABOUE 80% of JMML patients have some sort of genetic abnocmality in their laukernia cells that can be identified vith laboratory testing. This includes: . 15-20% of patients with meurofibromatosis 4 (NF1) + Secor patents ts mutans in one of he RAS arty Of aacagenes (any i ther eukomv cs) + nathes "0 of peients ih 2 reton Ino gene eled PNA Capen, only in te lees ces). 5.3 baby of « dubecc mache AOUgPET Mle 16 hours ater birth Nose prone cause 7 ‘A. nypootyeumia eu Hypacacema C.BGhasphyanD ira ventricular hemormage 5, Ans. A. Hypoglycemia: Hypocaicemia after 72 hours & Most common cause of meningoencepnaltisiaiGhiren? anv ‘8. Enterovirus c. Mumps: D. uisteria 6. Ans Enterovieus 7. Baby born at 33 weeks with body weighti.5 kg should be started an? A oral and 1V fluids. 1B Oral nasogastric tube / alternate oral route CIV fiuids an assessment. DLTPN 7, Ans. 8, Oral nasagastric tube / alternate oral route &—_A.6 yoar old child presents with pain in hip in famoral triangle region &.limtatien of movments, X-ray does ‘ot reveal any abnaemnality. What i the next step? ausG 8. Met C. Aspiratian D. Traction 8 ans mat Diagnosis is -Perthe's disease desl age for surgery in unilateral undescended testis i? A. 6 months B12 month C. 24 months D. 36:months 3. ans. A, Somonths 40. Peptalagy of fait has which one of fouowing entities: ALASD ®. Coarctation of aorta cin D. Poa 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Inforeation provided here- ke only fercreference: Ti-maxcveary the OrletinalNOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 10. Ans. A. ASD 11. A child presents with abdominal pain only during passage of stools. No other symptoms like vomiting or blood in stools. There are na signs of intestinal obstruction. Mest probable diagnosis is? A. Rectal palyp B. Intussusception C. Mackels diverticulum D. Necratising enterocotis 11 ans. A. Rectal potyp 12. caarctation of aorta most commonly associated with |A.Bicuspid aortic valve B.PDA c. vsD Dasp 12. Ans. A.BICUSpiG aortic valve 13. A.B days old male infant was Brought ia a state af dehydration and shock. Examination revealed hyper pigmentation over the body with normal external genitalia. Blood tests revealed hypoglycemia, Na ~ 124 mEq/L. and K- 7 mEG/L. What # the probable diagnosis * |A. Congenital adrenal hyperplasia B. Adrenal haemorrhage and shock (C_ Acute gastroenteritis with dehydration . Hyper aldasteronism 43. Ang. A, Congenital adrenal hyperplasia 44. Anseonate delivered at 38 weeks of gestation, birth weight of 2.2kg develops intolerance to feeds an 2nd day Physical examination reveals no abnormalities. Sepsis screen in negative. And PCV is 70%. What is the next step in management? ALIVMuid ——B. Presumptive trearment of sepsis, . Exchange transfusion BD, Repeat sepsis screen 44, Angi Exchange transfusion 25. 1yrold child present with growth falure.dry shih dnd palpable thyroid, with low thyroid harmones and 2 high 3h, whats couse? [Thyroid Dysnormonogenesis | Fhipoid oysgonesis . Central Hypothyroidism . TSH Receptor blocking antinady Ans. A.Thyrosd Dyshormenogenasis Obstta cyne a 1. Tn expectant management of placenta praevia, all ere done except? 1K. Cervical encrchage TB Ao D soministration . Corticosteroids administration D. Blood transfusion 1. Ans. A, Cervical encirclage 2 Best tast/Gold standard test for assesing HCG function |A. Radioimmunoassay BL ELISA . Late test D. Bioassay 2. Ans. A, Radioimmunoassay 3. Causes of primary amenarshoea are all except? [A Rokintasky syndrome B. Kallaman syndrome ©. Shecham syndrome —D.Tumner syndrome 3. Ans..C. Sheehan syndrame 4. Which of the following is not # contraindication for pregnancy? ‘A. WeW syndrome 'B. Bulmnonary hypertension . Eisenmenger syndrome D. Martan syndrome with aarti root dilatation 4, ANE. A. PW syndrome 5. Weight gain in pregnancy is related to all except? AL Ethnicity B. Smoking C. Socioeconomic status D. Pre conceptional weight 5. Ans. B. Smoking & Regarding POOD, all are true except? A. igh LIVESH 1B. high OHEAS C.Markealy high protactin D. Raised Lt 6. Ans. C.Markedly high prolactin 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Inforeation provided here- ke only fercreference: Ti-maxcveary the OrletinalNOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 7. Best marker for intrahepatic cholestasis of pregnancy is? A. oe acids B. Liver enzymes(AST & ALT) ©. Biirubn Alkaline phosphatase 7. Ans. A. Bile acids 8. Feature of obstructive azoospermia A. High FSH, high testosterone B. Low FSH, high testosterone C High FSH, low testosterone D. Normal FSH, normal testosternoe 8. Ang. D. Normal FSH, normal testosterone 3. __Which of the Following contraception method is contraindicated in women with epllepsy? A. Oral Contraceptive pill B.IUCD . Condom . Mifepristone 9. Ans. A. Oral Contraceptive pill 10. Low dase eral contraceptive pill contains? A. Levonorgestrel B. worgestre! C. Desogestrel D. Norethihisterone 10. Ans. C. Desogestre! 11 Mother to Baby transwermission of HIV can be minimised by all except? A. Zdvudine 8 HAART C. Vaginal dekvery . Aveidance of breast feccing 1 Ans. C. Vaginal every 22g tmiroan a 7 monks of esa eres wi ncn cers whch neice, rine contractions & pain suggestive ot nga ea is. eae managements Ax Sedat the patient and nat eictony Induction wth membrane rupture 12. Ans, A. Sedatethe patient and wait 13. A prinigravia in 1st wimester Ned sputum poskivefar acid fst baci. Whats the refered entment? S ATreatment deterred tl nd timestér B. Gilegary DOTS C. Category 2 DOTS _D. Category 3 DOTS 15. Ans. 8. Category 1 DOTS Lj Ail you Oe lay presented wits DUB B USG final ot Sum tick endomat um, What i he net step? A. Endometial histopathology rectarny c0cP 1. Follow up 1d. Ans. A. Endometrial histopathology 15. Fallopian tube dysmoulity is seen in? A. Churg strauss syndrome B. Kartagente’s syndrome C. Noanan syndrome _D. Tumer syndrome 415. Ans. B. Kertagener's syndrome 16. Best marker for open mural tube defect. A Acetyicholinestorase 8 Pseudocholinesterase care Dance 16. Ans. A.Acetyicholinesterase 17. All of the following are dane in management af shoulder dystocia except? A. Mauriewueelivait maneuver —B. Suprapubie pressure C, McRoberts maneuver D, Woads maneuver 17. Ans. A. A.Maurieauceli veit maneuver 1B. Which of the following are not associated with menstrual cycle? ‘A. Hormonal changes 1B. Vaginal cytolagy changes. Estrus profile. Endometrial changes 18. Ans. C, Estrus profile 19. Confined Bload Chinerism is associated with? [A Dichorianic diamniatic twins 'B. Monachorionic diamniatic twins C. Singleton pregnancy D. Manocharionic ‘Manoamniotic twins 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Inforeation provided here- ke only fercreference: Ti-maxcveary the OrletinalNOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 19. Ans. B. Monachorianie ciamniatic twins 20,_ Which of the following is not an evidence based treatment for mengrrhagia? A Ethemsylate B.oce ‘C Tranexemic acid D. Progesterone 20. Ans. A. Ethamsylate 21. True regarding chlamydia i? |A. Cumure of endocervical discharge can be used for isolation of arganism B. Patient using OCP's are at higher risk for Chlamydia infection = Most of genital Chlamydia in re asymptomatic, D. Panic is drug of enoice: 21. Ans. B, Patient using OCPs are at higher risk for Chlamydia infection 22... female prasents with XO genotype and Primary amenarrhoea.What i most lkely diagnosis A. Gonadal dysgenesis B. Androgen insensitivity syndrame, C. MRKH B.caH 22, AnS:A Gonadal dysgenesis DERMATOLOGY Q.4 Pseudoisomorphic phenomenan is seen in ~ A. Psoriasis 'B. Lidken planus c. weeiga D. Plane warts 1. Ane: D Plane warts Q. 2.Cicatrising alopecia with pecfaliculde ilBgray pathches is mast commanly assaciated with A, Nil dystrophy “BWI isin in the Bycel cosa Arthritis ‘loca lamves ne face 2. Ans: B. Whitish lesion in the buccal mlkcosa Q.3 Erythema nodosum is seen in all except: A. Pregnancy . Tuberculosis, ese D. Chromic pancreatitis 13. Ans: D Chronic pancreatitis 9-4 -& young male presented with history of fever and a nodule in the leg. Histopathology of the nodule revealed foamy Mrdogyes en neutrophilic init ate in garmia betprobante agnosis? A Sweet's syndrome 5. Rosai n disease C Erythema Nedosum Leprosum Dieryihema nodosum 4. Ane: D.erythema:nadesum: Q.5. Aman presents with maculopapular rash 2weeks after having @ painless genital ulcer. Causative organism of the candition is: Treponema pallidum B.Chlemydia C.Coranulomatis DiHducrey! 5. Ans: Trepanems pallidum 1. Spinal anaesthesia is given at which level? Aue BL csi D. Midline thorecic segments 1 Ans. 8.134 2 Epileptic potential is present in |, Desfurana’ 8. Halothane . Sevenurane D. Ether 2. Ans C. Sevofturane 3. __ Which of the following anestnete drugs is contraindicated in a patient with hypertension who is being gosto for cholaystectonn? AL Ketamine '3. Propofol . Etomidate B. Midazolam 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Inforeation provided here- ke only fercreference: Ti-maxcveary the OrletinalNOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 3. Ans. A, Ketamine 4. True about spinal apioids are all except? [A Acts on dorsal hom substantia gelatinase B. Can cause Itching C Intestinal motity 1s decreased D. Can cause respiratory depression 4. Ans. C. Intestinal maciity is decreased 5. _A fire breaks out occurs during laser vocal cord surgery on larynx Under general anaesthesia. What is not to be done in management of stove? ‘A. Pouring sterile water into the oral cavity B. Remaving endotracheal tube C_ 100% oxygen ater aiscontinuing anesthete gases D. Treatment with steroid & antibioue 5. Ang.C. 100% oxygen alter discontinuing anesthetic gases Which anasthetie modasty # to be avoided in sickle col disease? A. General anesthesia B. Brachial plexus block C. IV regionel anesthesia D. Spinal 6. Ang C. IV regional anesthesia 7. AAD year old female underwent surgery. Post operatively she told the angesthetist that she was aware of operative events B. mas very discomfortable ‘bout that - Individual intraoperative awareness is evaluated Dy (ta.pravant such instances from occurring)? A. Pulse oximetry 1B. Colour doppler (GeBispectral index D. End tidel COZ 7. Ans.-C. Bitpactral index 8.35 yes aia female wos surgery under General anesthesia. During which thre was Sidden fie vend tidal C02. Neen’ ce A anaphyiacis Magnan hypertnermia Thro storm D. Neioleptc malignant syndrome ane. A. Anaphylaxis ©. __amanectnesa resident was ging epiduil/SAGSEila when he patent had sudan aphonia and loss of Consciousness. What could hove happened? Scots spral ennestnesia anaphylaxis vaso vagal attack intra vestlinction 9. Ans. C. Vaso vagal attack 10. All are” Definitive” alrway except? ‘A Nesotracheal tube B. Orotracheal tube C.LMA, D. Cricothyroidotomy 10. ANS. C. LMA 1H. _Anaasthatic agent with vasaconstrictor properties are contrainaicated in? |. Finger block Spinal block. Epidural block . Surface anaesthesia for bronchoscopy LL Ans. A. Finger block RADIOLOGY 1. The distant metastasis of bone can be best detected by: AMR B. Bone scan cor D. Intravenous venageam 1. Ans. 8. Bone scan 2. Daseaf radiation required far development of haematological syndrome is? A.2wsGy B.10Gy c. 100 Gy . 200 Gy 3. Ans. 2105 Gy 3. Which among the following i preferred in @ patient with decreased renal function ta avoid contrast ‘Bepliropathy? AL Wacetyicysteine ——_B. Fenoldoparn . Low asmotar contrast media D. Mannitol 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Inforeation provided here- ke only fercreference: Ti-maxcveary the OrletinalNOTE: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 3. Ans.-C. Low esmblar contrast media 4 Earliest to be diagnosed by USG is? A. Anencephaly B. Prosencephaly ©. Meningocele D. Spina bifida 4. ans. A. Anoncophaly 5. Aortic knob_shilouette on chest X ray, PA view is obliterated bby consolidation of which portion af tung? |A. Apicapasterior segment of left upper lobe ‘8. Superior linguat segment of left upper labe CC. Apical segment of left lower lobe 1D. Inferiartingular segment of left upper lobe 5. Ans. A. Apicoposterior segment of left upper labe & CT scan is least accurate for diagnasis af: ‘A. L-tm size aneurysm in hepatic artery 1B. 2 crs size lymph nade in para aurtic region C1 Lem size mass intel of pancreas Diam sizeqgall stone ©. Ans. D. Lem size gall stone 7 Differentiating feature of ASD fram VSD in Chest x-ray? ‘A. Pulmonary hypertension 1B. ABSENCE of left atrium enlargment C. Pulmonary congestion D. Aortic shasow 7. Ans. B. Absence af left atrium enlargment 3.___Which ofthe following is true about contrast eadiography ‘An conventional monomers iodinated conttast media De iodine molecule to solute particle ratios 3:2. B.injection inka aitery is associted with times more complication than infection into a vein Test dose shoud be perforred if is suspected D.Gadolinium OTPA ertsses blood bral 8 Ans. A. In conventional monomenc isin Sted Gontrast Media tne iodine molecule to solute particle ratio is 3:2 1. Antidepressant drug that can be used in RBEUMal Bneursis, ADHD 8 chronic pain ‘A Imipresnine B. Fluoxamine Bupropion BFuvaxemine 4. Ans. A, Imipramine 2 scoot Lama patient presented with denreS88a cod, Is of appetite Bnd no terest in surroundings. There '5 associated insomnia. The onset of depression was preceeded by a history of business loss and immediately soon afer she developed the follamsung symptoms for Che past 1 year. Which of the following is tue |A. No treatment is necessary as itis due to business loss 18. SSRI fs the most efficacious of the available drugs C Start antidepressant drug treatment based on site effect profle 1. Combination therapy of 2 anti depressant drugs 2. Ans. C. Start antidepressant drug treatment based on side effect profile 3. Regarding an imbecile, all are trua except? A. 1Qis 50-60 'B. Intellectual capacty equivalent to a child of 3-4 years of age C.Not able to take care of themselves 0. Candition is congenial ar acquired at an early age 3. Ans. A. 1Q 6 50-60 4. Maintenance dase of which of the following drugs is used worldwide for aplaid dependence? A. Naloxane B. Methadone LAM D. Pethiaine 4. Ans. 8, Methadone 5. _ Mast comman Cause of premature death in schizophrenia? A. Homicide B Suicide C. Toxicity of antipsychotic drug. Hospital acquired infections, 5. Ans. 8, Suicide Fc maltigh among the folowing i nat used to tret alcohol dependence? A. Fumazenil Acomprosate . Naltrexone D. Disulficom 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 The Inforeation provided here- ke only fercreference: Ti-maxcveary the OrletinalNOTE: The Inforsation provided bere- ke -o www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 5. Ans. A. Flumazenil 7. All are true about dalirium tremens except? A. Visual hollucinations B. Coarse tremees © Third Nerve palsy. Confusion 7. Ans..C. Third Nerve palsy 8 Me X is a chronic smoker. His farnily insists on quitting sreoking. He i thinking about quitting, but is reluctant to de so because he is worried that on quitting he will become irritable Accoreding to health belie mode! state of patient is? [A Precontemplation and preparation B. Contemplation and extent of sickness susceptabilty C. Contemplation and cast D. Precontemplation and cost 8. Ang.C. Contemplation and cost ofthe 1. _ 865 yrs old lady presented with a swoten and paintul knee. On examination, she was found to have Grade IIL osteoarthritic changes, What is the Dest treatment option ? ‘A. Conservative management . Arthroscopic washing . Partial knee replacement D. Total knee replacement 1. Ans D. Total knee replacement Grade IIT always do total knee replacement. 2 ls Ebon nerve iues i sdecindy fracture menus? mecisn . agit c Umar 4. anterior interosseus nerve 2. ns. Anterior interosseus nervé™ References: The elbow and its disorders By Bemend F. Morey, Joaquin Sanchez Sotelo, Page 226 ‘Skeseta trauma in children, Volume 3 By Nei & Green, Mare F. Swiontkowsk, Page 212 ‘The order is Anterior Interosseus Nerve> Media Radial Ulnar H [Nerve injuries occur in about 40% of type III (Gartland's classification) supracondylar fractures: ‘ Earlier iterature stated that racial nerve was the most commonly injured nerve ia supracandylar fractures + But recent studies indicate that the anterior interosseous branch of median nerve is mostly affected Nerve involvement differ with the type of fracture Anterior interosseaus nerve is mosty affected during posterolateral displacement ofthe dtl fragment Radial nerve is mostly affected with posteromedial ds Ur erv stwoled in lenio type of suprecondta acre. 3. Blunt's cisease is: A. Genu valgum B. Genu varum . Gen recurvatum ——, Meniseeal injury 3. Ans. B. Genu varum Blount's disease Tibia vara Blguet's disease is @ growth disorder of the shin Done (tibia) in whch the lower leq turns inward, resembling @ How 129, Causes, incidence, and risk factors Blouet's disease accurs in Young children and adolescents. The cause is unknown but is thought to be due to the effects of weight on the growth plate. The inner part af the:shin bone, just below the knee, fails to develop ‘normally. Unie Bowiegs, which tend to straighten as the child develops, Blount's disease slowly gets worse. It can cause Severe Bowing of one oF Doth tags This condition is mare common among African-American children. Tt is also associated with obesity and early walking. ‘Gena recurvatum is a deformity in the knee Joint, sp that the knee bends backwards. In this deformity, ‘excessive extension occurs in the Uhiofemoral joint. Genu recurvatum is also called knew 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114 for-ceterence: Tk-maxcveary the OricinalNOTE: he Information provided bereits only ferccceference: Ik maxcvary the Origtina: www. entranceexams.io DELHI ACADEMY OF MEDICAL SCINECES PVT. LTD. AIPG-2011 hyperextension and back knee. This deformity is more common in women and people with familial Egamentous ety 4, A Teenaged girl complains of pain in knee on climbing stairs and on getting up after sitting fora lang time. ‘What is the probable diagnosis? ‘A. Chondromalacia patellae 8. Plica syndrome C. Bipartite patie D. Patelio-femars! osteoarthritis 4. ans. A. Chondromalacia patellae Chandromalacia patella Patellofemoral syndrome; Knee pain - chondromalacia CChondromalacia patella is the'safening and Breakdown af the tissue (cartilage) that Hines the underside of the kneecap (patella) Itisa common cause of anterior kage ain Chondromalacia of the patella occurs in adolescents and young adults. ‘The condition is more common in females, If can be related to ta abnormal position ef the knee. Symptoms © A rating oF grinding sensation when the knee is flexed (moved so that the ankle is Beaught closer bo the back of the thigh) + Knee pain in the front of the knee that occurs when you get up after sitting for a long period of time + Knee pain that worsens when you use stairs or get out of a chair . knee tengerness Plica syndrome of the knee is @ constellation of signs and symptoms thet occur secondary to injury or overuse. Aan otherwise normal structure, 3 pica ean Be a significant saurce of anterior knee pai. Bipartite patella ‘A bipartite patella occurs when the patella, or kneecap, occurs as two separate bones. Instead of fusing together in-early childhood, the patella remaing separated. A bipartite patella is usually not a problem; occurs int least | percent of the population, and perhaps more. 5. Fest structure tm be fixed after atiputaion is? A. Bone fixing 8. Arterial repair , Vengus repair D. Nerve repair 5. Ans. A, Bone fixing Replantation ThE goal oI” resartaten (commonly know as resmplantation a reattachment sugery) after waumate rvpuation Is succesful restoration ef funchom. simply rturring crauston ta an amputated part does natin ioe dafioe success, The ain of the both the Balen ao the surgedn is useful function - replantation af & pat that wil aot perform usehl adivy should be avardede Bone Fixation (Osteosynthesis) Tf the part is deemed to be replantable, bone fixation is performed first. Most commonly, Mxation with k= wires & performed. Tendon Repair [After bone flxation is performed, the dorsel extensor tendon (above) and flexor tendon (below) are repaired. With all the “macro” structures repaired - bone, extensor and flexor tendon - attention Is than wrned to the ‘microsurgical portion of the procedure Miccosurgical Artery and Nerve Repair ‘The microsurgical repair of an artery can naw be performed with the operating micrascope. A digital vessel, which |S approximately 1 millimeter in size, can De repaired with 6 to @ sutures of nylon. Remavel of the vascular clamps reveals whether circulation can be re-established Co the finger. Microsurgical Vein | Attention if then usually turned to the dorsal agpact of the finger where the wenous system is present that draing blood from the finger. Usually ene or occasionally two veins are repaired with the operating micrascope. The veins {are often much smaller and mare fragile tan the arterias and hence mare prone to cloting post-operative. ‘Skin Closure and Spiinting ‘The skin ig then closed, offen with a skin graft, depending on the sweling and the nature of the injury. ‘The hand is usually placed in & splint and the patent is monitored closely for circulatory changes in the finger during the post-operative period, 011-42433051, 011-25853434, 9873314110, 9953550295, 8447461112, 8447461113, 8447461114