Test-2

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Test-2

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Questions and Answers
  • 1. 
    Antiphospholipid syndrome is associated with all of the following except
    • A. 

      Pancytopenia

    • B. 

      Recurrent abortions

    • C. 

      Venous thrombosis

    • D. 

      Pulmonary hypertension

  • 2. 
    A 20 year young man presents with exert ironal dyspnoea,headache and giddiness.On examination there is hypertension and LVH.X-ray picture shows notching of the anterior ends of ribs.The most likely diagnosis is
    • A. 

      Pheochromocytoma

    • B. 

      Carcinoid syndrome

    • C. 

      Coarctation of aorta

    • D. 

      Superior mediastinal syndrome

  • 3. 
    A patient with fracture pelvis is admitted in ICU after surgery.Postoperatively he develops sudden dyspnoea and chest pain. the likely cause is
    • A. 

      Pulmonary thromboembolism

    • B. 

      Shock

    • C. 

      Respiratory infection

    • D. 

      ARDS

  • 4. 
    The most common cause of renal scarring in a 3year old child
    • A. 

      Trauma

    • B. 

      Tuberculosis

    • C. 

      Vesicourethral reflex induced pyelonephritis

    • D. 

      Interstitial nephritis

  • 5. 
    A 50 yr old male has 4 dependent family members.He has been diagnosed with early stage squamous cell cancer of anal canal.he has more than 60% chances of cure. the best treatment option is
    • A. 

      Abdomino-perineal resection

    • B. 

      Combined surgery and chemotherapy

    • C. 

      Combined chemotherapy and radiotherapy

    • D. 

      Chemotherapy alone

  • 6. 
    Which is not true about alcholic hepatitis
    • A. 

      Gamma glutamyl transferase is raised

    • B. 

      SGPT is raised>SGOT

    • C. 

      SGOT is raised>SGPT

    • D. 

      Alkaline phosphatase is raised

  • 7. 
    A 35 yr old male develops involvements of PIP,DIP,and metacarpophalengeal joints with sparing of wrist and carpometacarpal joints.The probable diagnosis is
    • A. 

      Psoriatic arthropathy

    • B. 

      Osteo arthritis

    • C. 

      Rheumatoid arthritis

    • D. 

      Pseudo gout

  • 8. 
    The drug of choice for abscence seizures
    • A. 

      Valproate

    • B. 

      Gabapentin

    • C. 

      Carbamezepine

    • D. 

      Phenytoin

  • 9. 
    A 45year old woman,presenting with history of diplopia and dysphagia worsening as day progresses,can be diagnosed as
    • A. 

      Thyrotoxicosis

    • B. 

      Myesthenia gravis

    • C. 

      Muscular dystrophy

    • D. 

      Brain tumour

  • 10. 
    All are the features of aneroxia nervosa except
    • A. 

      Predominently seen in females

    • B. 

      Loss of weight at the time of presentation

    • C. 

      Amenorrhea is rare

    • D. 

      Avoidance of high caloric foods

  • 11. 
    True about tumour lysis syndrome are all except
    • A. 

      Hyperuriceamia

    • B. 

      Hypercalcemia

    • C. 

      Hyperkalemia

    • D. 

      Hyperphosphatemia

  • 12. 
    All are true regarding gynecomastia except
    • A. 

      Seen in addisons disease

    • B. 

      Unilateral in young males

    • C. 

      Acini are not involved

    • D. 

      Bilaterality is due to endocrinopathy

  • 13. 
    In Postoperative room after thyroid surgery patient developed sudden respiratory distress, dressing was removed and it was found to be blood stained and wound was bulging.what will be the first thing to be done
    • A. 

      Tracheostomy

    • B. 

      Cricothyroidotomy

    • C. 

      Laryngoscopy and intubation

    • D. 

      Remove the stitch and take patient to O.T

  • 14. 
    When a spontaneous perforation of the esophagus occurs as a result of severe barotrauma while a person vomits  against a closed glottis,what is the condition known as
    • A. 

      Mallory weiss syndrome

    • B. 

      Plummer vinson syndrome

    • C. 

      Kartagener syndrome

    • D. 

      Boerhaave syndrome

  • 15. 
    A 43 yr old male presents with painless cystic liver enlargement of 4 years duration without fever or jaundice. the most likely diagnosis is?
    • A. 

      Amoebic liver abscess

    • B. 

      Hepatoma

    • C. 

      Hydatid cyst of liver

    • D. 

      Choledochal cyst

  • 16. 
    Which of the following is not an indication for cholecystectomy
    • A. 

      70-yr-old male with symptomatic gallstones

    • B. 

      20-yr-old male with sickle cell anemia with symptomatic gallstones

    • C. 

      65-yr-old female with large gallbladder polyp

    • D. 

      55-yr-old with a symptomatic gallstone

  • 17. 
    A 45 year old gentle man has undergone truncal vagotomy and pyloroplasty for bleeding duodenal ulcer seven years ago . now he has intractable recurrent symptoms of peptic ulcer.all of the following suggest the diagnosis of Zollinger Ellison syndrome except
    • A. 

      Basal acid output of 15meq/hr

    • B. 

      Serum gastrin value of 500 pg/ml

    • C. 

      Ulcers in proximal jejunum and lower end of oesophaguss

    • D. 

      Seum gastrin value of 220pg/ml with secretion stimulation

  • 18. 
    Most common cause of lower GI bleed in INDIA is
    • A. 

      Benign tumour

    • B. 

      Non specific ulcer

    • C. 

      Cancer rectosigmoid

    • D. 

      Hemorrhoids

  • 19. 
    Coffee bean sign is usually seen in
    • A. 

      Volvolus

    • B. 

      Pyloric obstruction

    • C. 

      Intessuception

    • D. 

      Intestinal obstruction

  • 20. 
    Golf hole ureter is seen in
    • A. 

      Ureteric calculus

    • B. 

      Ureteral polyp

    • C. 

      Tuberculosis of ureter

    • D. 

      Retroperitoneal fibrosis

  • 21. 
    During urethral catheterisation in male patients,resistance is encountered at the following sites except,
    • A. 

      Base of navicular fossa

    • B. 

      Mid-penile urethra

    • C. 

      Urogenital diaphragm

    • D. 

      Bulbo membranous junction

  • 22. 
    All of the following conditions are known to cause diabetes except-
    • A. 

      Multiple sclerosis

    • B. 

      Head injury

    • C. 

      Histiocytosis

    • D. 

      Viral encephalitis

  • 23. 
    FNAC needle size is?
    • A. 

      18-22

    • B. 

      22-26

    • C. 

      27-19

    • D. 

      16-18

  • 24. 
    Arthroscopy is contraindicated in
    • A. 

      Chronic joint disease

    • B. 

      Loose bodies

    • C. 

      Hemophilia

    • D. 

      Meniscal tear

  • 25. 
    Madelung's deformity involves the following
    • A. 

      Knee

    • B. 

      Wrist

    • C. 

      Hip

    • D. 

      Elbow

  • 26. 
    Nail patella syndrome is characterised by following except?
    • A. 

      Iliac horn

    • B. 

      Sacral horn

    • C. 

      Absent patella

    • D. 

      Knee deformity

    • E. 

      Dislocation of patella

  • 27. 
    Best treatment for fracture neck femur in a 65 year old female
    • A. 

      Gleotomy

    • B. 

      Pop cast

    • C. 

      Hemireplacement arthroplasty

    • D. 

      Bone grafting and compression

  • 28. 
    Frieberg's osteochondritis is
    • A. 

      2nd metatarsal head

    • B. 

      5th metatarsal head

    • C. 

      2nd metatarsal base

    • D. 

      5th metatarsal base

  • 29. 
    Ring sequestrum is seen in
    • A. 

      Typhoid osteomyelitis

    • B. 

      Chronic osteomyelitis

    • C. 

      Amputation stump

    • D. 

      Tuberculosis osteomyelitis

  • 30. 
    ARM is containdicated in
    • A. 

      Placenta previa

    • B. 

      Hydramnois

    • C. 

      Accidental hemorrhage

    • D. 

      Twins

  • 31. 
    Investigation of choice for recurrent GIST
    • A. 

      MIBG

    • B. 

      PET

    • C. 

      MRI

    • D. 

      CECT

  • 32. 
    Most useful drug in enuresis
    • A. 

      Haloperodol

    • B. 

      Diazepam

    • C. 

      Trimipramine

    • D. 

      Chlorpromazine

  • 33. 
    Dangerous area of eye
    • A. 

      Ciliary body

    • B. 

      Optic nerve

    • C. 

      Sclera

    • D. 

      Choroid

  • 34. 
    Wavelength of Nd:Yag laser
    • A. 

      1040 nm

    • B. 

      104 nm

    • C. 

      2040nm

    • D. 

      404 nm

  • 35. 
    Iris cysts are induced by
    • A. 

      Atropine

    • B. 

      Pilocarpine

    • C. 

      Phenylephrine

    • D. 

      Ecothiophate

  • 36. 
    Fish acts as intermediate host in
    • A. 

      Latum

    • B. 

      Chlonorchis sinensis

    • C. 

      H.diminuta

    • D. 

      None of the above

  • 37. 
    Negri bodies are located in
    • A. 

      Astrocytes

    • B. 

      Oligodendroglia

    • C. 

      Neurons

    • D. 

      Microglia

  • 38. 
    Antenatally the measurement most useful in ultrasound
    • A. 

      Crown Rump length

    • B. 

      Femur length

    • C. 

      BPD

    • D. 

      None

  • 39. 
    Para cervical block is associated with danger of
    • A. 

      Inhibition of labour

    • B. 

      Fetal bradycardia

    • C. 

      Increased loss of blood

    • D. 

      Atony of uterus

  • 40. 
    In deep transverse arrest the delivery of baby is conducted by all except
    • A. 

      Caesarian section

    • B. 

      Vaccum extraction

    • C. 

      Kielland forceps

    • D. 

      None of the above

  • 41. 
    Virchow riad does not include
    • A. 

      Venous stasis

    • B. 

      Venous thrombosis

    • C. 

      Blood hypercoagubility

    • D. 

      Vessel wall injury

  • 42. 
    Triangle of doom bounded by all except
    • A. 

      Vas deferens

    • B. 

      Testicular vessels

    • C. 

      Cooper ligament

    • D. 

      Reflected peritoneal fold

  • 43. 
    Which of the following have maximum post prandial contractility
    • A. 

      Transverse colon

    • B. 

      Ascending colon

    • C. 

      Descending colon

    • D. 

      Sigmoid colon

  • 44. 
    Which of the following is not a part of phase-1 reaction
    • A. 

      Oxidation

    • B. 

      Reduction

    • C. 

      Conjugation

    • D. 

      Hydrolysis

  • 45. 
    Embalming fluid contains all except
    • A. 

      Glycerine

    • B. 

      Phenol

    • C. 

      Formaldehyde

    • D. 

      Methanol

  • 46. 
    A girl on exposure to cold developed cyanosis is predisposed to
    • A. 

      Sleroderma

    • B. 

      JRA

    • C. 

      SLE

    • D. 

      None

  • 47. 
    A female has hypopigmented lesion on centre of forehead, drug responsible is
    • A. 

      Hydroquinine

    • B. 

      Monobenzone metabolite of hydroquinone

    • C. 

      Para tetra butyl catechol

    • D. 

      Para tetra butyl phenol

  • 48. 
    Fastest route of absorption of local anesthestic is
    • A. 

      Intercoastal

    • B. 

      Epidural

    • C. 

      Branchial

    • D. 

      Caudal

  • 49. 
    A 65 year old male smoker presents with gross total painless hematuria.the likely diagnosis is
    • A. 

      Carcinoma of urinary bladder

    • B. 

      Benign prostatic hyperplasia

    • C. 

      Carcinoma prostate

    • D. 

      Cystolithiasis

  • 50. 
    Commonest calcifying brain tumour in a child is
    • A. 

      Medulloblastoma

    • B. 

      Craniopharyngioma

    • C. 

      Glioma

    • D. 

      Meningioma