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#Dermatology --------------# Medicine @ Chronic alcohol pt with 2 days h/o free alcohol Presented with seizure Valproate Diazepam Midazolam Thiopentone @ HBsAg and HBeAg positive in? Chronic hepatitis @ In PDA unlikely seen Co2 washout @ hypertensive pt headache vomiting neck rigiditySAH ishaemic stroke/? @ most vascular tumor of brain spinal cord ? cavernous hemangioblastomas @ not a major criteria in acute rheumatic fevera.polyarthralgia b.subcutaneous nodules
c.chorea d. carditis ans polyarthralgia @ alzheimer'sparietal temp, frontal occiptal @ nephrotic syndrome steroid toxicity altlevamisole cyclophosphamide mycophenolate/? @ fever wiyh hyptension n red spots @ priapism caused bySea snake Rattle Snake Spanish fly Scorpion @ sign of lbbb 1)recent mi 2)ashman focus 3)hyperkalemia 4)hypokalemia @a pt.has renal failure and bone pain.serum M spike.35% plasma cell.diagnosisa)multiple myeloma, b)monoclonal gammopathy with unknown significance, c)smouldering myeloma, d)plasma cell leukaemia @ Positive babinski sign, damage in? @ iodine rx nt given in? hyperthyroidsm @ TEE better than TTE because? 1)convinient 2) better visualisation of atheromatous plaque of asc aorta 3)bettr to visualise left atrial appendage thrombi @ Mild ptosis. but no diplopia Emg myopathic pattern.. AchR -ve Dx is CPEO? @pco2-30,po2-115,pH-7.45.pt has compensated a.resp alkalosis b.met alkalosis c.resp.acidosis d.met.acidosis
@h/o fever,headache followed by gtcs 2 episodes,csf cell300,protein-70,sugar-50: herpes encephalitis/cerebral malaria @ difference between seizure n syncopeurine incontinence clear consciousness with weakness post ictal confusion/sensorium in epilepsy @ .genetic defect in MODY hnf 1a @ gerstmann syndrome @ Treatment for seizure of unknown origin? @Lesion on T3 dernatome.Diagnosis is 1)VZV 2)HSV @Not found in IDA 1) increased RDW 2Decreasd TIBC 3)decreased serum iron # GOB @ To avoid mother to child hiv tranmission Breast feeding Vaginal delivary Ziduovudine Vit a @ a. b. d. d. 18. about fetal breathing movements all are true except: may cause reapiratory distress syndrome cause aspiration of amniotic fluid increase towards term help in conditioning of respiratory muscles
@16. urinary metabolite of progesterone: a. pregnanolone b. progestriol c. 17 hydroxy pregnanolone d. @ 17. in healthy female ovulation occurs when: a. before LH surge b. after biphasic rise in basal body temp. c. after follicular ripening by FSH d. after cervical mucus breaks down
@ A female from hilly region, of poor socioeconomic status, coming with amenorrhea, weight loss, low grade fever. no pain abdomen. diagnosis: a. pelvic inflammatory disease b. genital tuberculosis c. d. @ 15. most accurate and safest way to diagnose viable pregnancy at 6 weeks: a. beta HCG levels b. pv examination to check uterus size of 6 weeks c. USG for fetal cardiac activity d. Doppler for fetal cardiac activity @ urethral crest is due to prostatic glands @ labia majora everted margins painless ulcer 22yr @ To avoid PPH except give oxytocin during delivary of shoulder Mesoprostol Cut the U cord early @ intrauterine respiration in fetus @ a woman after normal labour suddenly goes into shock. Diagnosis: a. PPH b. inversion of uterus c. Amniotic fluid embolism d. @ Duncan method of separation of placenta, all are true except: a. commonest mode of separation of placenta b. maternal surface of placenta presents at vulva c. peripheral separation of placenta occurs d. blood accumulates between placenta and membranes and escapes through vagina @ test to differentiate maternal and fetal rbc-ans. apt test @ active management of 3rd stage of labour @ 16 yr female with normal pubic hair and breast c/o primary amennorrhea.dx? a.XYY b.gonadal dysgenesis c. androgen insensitvity syndrome d.XO
@a girl with short stature, widely spaced pages and primary amenorrhea. Karyotype: a. 47XXX b. 47XYY c. 45 XO d. 46 XX @All are done to prevent maternal to fetal transmission of HIV except 1)preanatal Ziduvudine 2) Vaginal delivery @vaginal epithelium is derived from: a. endoderm of urogenital sinus b. mesoderm of urogenital sinus c. endoderm of genital ridge d. mesoderm of genital ridge @2. female recuurent abortions, pain in calves, deficincy a.protien s b.thrombin c.plasmin d.factor XIII @ HRT in Post menopausal women is given fir A/E 1) vasomotor symptom 2) prevention of CAD 3)Prevention of Osteoporosis @Female presented with 3X3 cm rekatively painless lesion on vulva. Diagnosis is 1) Trepnemal infection 2)Clamydia 3) @ 30 yr old Poor patient from hilly area with h/o low grade fever, infertility diagnosis is 1)TB endometritis 2) @ 19 yr old femal with primary amenorrhoea with axillary n pubic hair but absent vagina n uterus.Dx is 1)Mullerian agenesis 2)XYY syndrome # SPM @ In anganwadis which growth charts are used to assess malnutrition:
a. NCHS b. CDC c. IAP d. @ 3 yr rural MBBS was given by which commitee?? high level expert group for planning of health in india @ WHO defines high endemic meningococcal meningitis as: a. <2/1,00,000 b. 2-10/1,00,000 c. >10/1,00,000 d. >100/1,00,000 @ renumeration not given to asha for 1)institutional delivery 2)recording of birth weight 3)1st dose of opv and bcg 4)registration of birth @ . oral prophylactic dose of vit. A for pregnant female: a. 50000 U b. 1 lakh U c. 2 lakh U d. 3 lakh U @BIOSTASTICS ,..in a population 50 % is diseased.. if the investigator wants to know about the population between 45% and 55% in 95th percentile , then wat is the minimum population to be taken ..?? A)100 B)200 C)300 D)400 @ . how many millineum developmental goals MDGs are directly health related: a. 3 b. 2 c. 4 d. 5 @ highly endemic ... <2 cases 2-10 cases >10 cases >100 cases
@ sample size was2 be calculated...100,200,300,400 @ in testing a hypothesis, by increasing the confidence limits: 1) previously significant data becomes insignificant 2)previously insignificant data becomes significant c. no change in significance d. @ social pathology? @ disease under icds surveillance a/e @ recent mental health act in India is designated as: a. mental health act b. mental health care act c. mantal health care and rehabilitaion act d. mental health treatment and rehabilitation act @ Num of vision centres under NPCB? 20000 @ childhood blindness estimation from blind schools # oPHTHALMOLOGY @ Most common non hodgkins lymphoma seen in orbit? A. B cell B. T cell C. NK cell D. ??? @ CMV retinitis is best identified by isolation from vitreous aspirate Enzyme immunoassay PCR for intra vitreal fluid--most sensitive and rapid method for cmv retinitis @ cornela penetrating ulcer gm neg coccoid oxidase positive bacteria ? Lid swelling and discharge. Gram negative cocci with tiny colonies on culture and oxidase positive. Diagnosis? A. Moraxella catarahalis B. Neiserria @ chalazion-lipogranuloma @An ophthalmologist working in district hospital is likely to perform following surgical procedure most commonly ? A. Phacoemulcification B. DCR
C. Bilateral Lamellar Tarsus Rotation D. Pars plana vitrectomy Ans: C (to be confirmed) @ Which of the following pair regarding drug and its mechanism is correctly matched ? A. Pilocarpine - increases uveoscleral outflow B. Brimonidine - decreases synthesis of aqueous humor C. Latanprost - carbonic anhydrase inhibitor D. Betaxolol - Decreases trabecular outflow Ans: D @ Ocreoplasmin is the newer drug used in which of the following ? a. Retinal break b. Vitreomacular traction c. Submacular bleed d. Diabetic macular bleed Ans: B @ Which of the following is not the risk factor for Rhegmatogenous retinal detachment ? A. Pseudophakia B. Hyperopia C. Trauma D. Lattice degeneration Ans: B @ inferior wall of orbit is formed by all except: a. ethmoid b. maxillary c. palatine d. zygomatic @Pigmentatory changes between posterior pole and equator (misspelled as equation in paper), [salt and paper retinopathy] are seen in all of following except ? A. Resolving retinal detachment B. Congenital Rubella C. Phenothiazine toxicity D. Fundus flavimaculatus Ans: D @Which of the following classically does not have calcified foci ?
A. Retinoblastoma B. Persistent hyperplastic primary vitreous C. Optic disc Drusens D. orbital osteoma Ans: B @ Which of the following is not true of conjuctivitis ? A. Vision is not affected B. Pupil is spared C. Corneal infilteration D. topical antibiotics is the treatment Ans: C @ Most common presentation of retinoblastoma ? A. Leukocoria with pseudohypopyon B. Leucokoria with Hyphema C. Leucokoria with Heterochromia Iridis D. Leukocoria with strabismus Ans: D @ most common secondary intra ocular tumor in females 1ovary 2cervix 3endo 4breast @ B. For myopic degeneration what is true 1. Associated with <-6 d 2. Associated with retinal detachment 3. ?? #pHARMACOLOGY @which of the following is given subcutaneously terbutline albuterol pirbuterol @ SLE like reactions a/eINH penicillamine @ maximum tolerated dose of a new drug is evaluated in: a. phase I b. phase II
c. post marketing surveillance d. Phase VI @ ritonavir does not induce diazepam amiodarone cisapride @ in drug design concern is for 1 decreasing affinity of drg with target protein 2 increasing affinity of drug with non target protein 3 increasing frequency of drug and target interaction @ Mucormycosis Rx Amphotericin B ? @ orphan drug is? drug for rare diseases @ Rho kinase inhibitor A) fasudil B) ranolazine @Vasopressin antagonist act on 1)Cortical Collecting Duct 2)Medullary Collecting Duct 3)DCT 4) pCT @ prolonged post antibiotic effect and concentration dependent killing seen in a)flouroquinolones b) penicillin c) clindamycin d) erythromycin # bIOCHEMISTRY @ insulin resistance dev in liver disease bcuz of 1)inhibn of release of insulin 2)dysfuncn of hepatocytes 3)4? @ irreversible enzymes in glycolysis..... 1hexokinase pyruvate kinase phosphofructokinase gluc 6 phosphatase pyrv carboxylase @ Real time PCR is used for DNA Amplification
Rna Protiens @ suicidal enzyme is 1)lipoxygenase 2)cyclooxygenase 3) thomboxane synthase, 4)? @The following enzymes dont participate in Oxygenation Reduction reaction Dehydrogenase oxygenase peroxidase @ why does person with von gierkes have ketosis?all true except 1.they have hypoglycemia 2. have low blood sugar levels 3.oxaloacetate needed for gluconeogenesis 4,fat utilization low @ whch can not metabolise ketone bodies 1)brain 2)kidney 3)rbc 4)? @ method of detcting known gene loci FISH Comparitive hybridization RT PCR # mICRO @ eggs size 100micron wid malabsorption.. al except-- --opisthorcis viverini @ non supparatve complication of sore throat (Sudden sore throat, with red palate , foul smell froath coming from mouth) acute rheumatic fever alone acute glomerulonephritis alone arf n acute gn scarlet fever @ rapid growing atypical org not involved in lung infection?? 1) m.chelonae
2) m.fortuitum 3) m.abscessus 4)m.kansasi ans:m.kansasi @ridley jopling classfn. for bacteriological epidemiological histological therapeutic @legionella pneumophila-air conditioners @ meningococal vaccine age group # Paediatrics @ most cmmn comlplicn seen in baby birth wt< 1000gm 1)glaucoma 2)rop 3)4? @ neonate in icu seizure first inv-transcranialusg/mri/ct/? Premature baby wth seizure ob 2day.. next investigation Usg Ct Mri Xray @ child wid abdominal mass..wid right hand n leg longer..diagnosis nephroblastoma neuroblastoma wilms angiomyolipoma @ pinhead silvery nodules child @ A/E are comon cause of neonatal sepsis in India 1)Klebsiella 2)E coli 3) Group B streptococcus 4)Staphylococcus @retts disorder a/e-macrocephaly # ENT @ Father of neuro otology? @ Mastoidectomy presenting complaints not resolved
@ 58 year old male with 3m h/o bilateral conductive hearing loss with intact tympanic membrane with fluid behind TM . What is further management investigate for nasopharyngeal CA Grommet insertion and myringotomy @ complete cartilagethyroid cricoid cuneiform epiglottis @ Facial recess boundries @ biominerlisation.... seen in?? 1 pinna ( anatomy) 2 hooves of cattles 3 honeycomb 4 mull shell @75yr diabetic with granulation tissue at external auditory canalmalignant ootitis externa @ Left sided ear discharge from post canal wall..diagnois @ Thumb sign on x ray @ Child with croup, well hydrated, feeding well, consolable. T/t is dexamethasone @. . patient presents with 4x5 cm lymph node in left lateral neck. Clinical examination and scans reveal no other nodes. no other symptoms. stage? a. T0N2Mx b. T1 N2aM0 c. T0N2aMx d. T1N2aM0 @ Ideal PAtient for BAHA ? having B/L micotia
The BAHA is a unique implantable device that helps people with conductive or mixed hearing loss
# Forensic @ False regarding Methanol poisoning toxic lethal dose 1.25 mg Fomipizole competitively inhibits Aldehyde dehydrogenase Toxic symptoms are due to effect of formic acid
@ . A girl coming with kerosene like odour on breath, lacrimation, pin point pupil, rhinorrhea, weakness. Which statement is false: a. atropine is the antidote b. plasma ACh has no prognostic value c. atropine reverses neuromuscular weakness d. Ache not needed @ signature fracture depressed fracture @ difficulty in identifying entry and exit wounds due to surgical alteration is also known as: a. mac naughten's rule b. kennedy's rule c. alec jeffrey's rule d. # pHYSIOLOGY @ in RTA pCo2 drops bcoz 1 respiratory centre affected 2resp apparatus affected 3 both 4 none @ tracheobronchial receptors @fick s law ? 1)passive osmosis along conc gradient 2)active osmosis along conc gradient @ person lie down what happen? immediate increase in venous return # pSYCHIATRY @ out of sight out of wotld theory of child development concrete theory (not sure) @ study of brain and behaviour in a normal and diseased brain called as 1neuropsychology 2 neuro developmental psy @opioid receptor for dysphoria # Radiology @ t2 weighted images of tumor in liver and kidney in child ? Nephroblastoma Wilms
VonHippel Lindau Neuroblastoma @ stage of neurocysticercosis without edema on imaging # Orthopaedics @ Old woman on alendronate for 7 years develops pain in hip nd thigh. Investigation of choice? a) Xray b) ALP levels c) DEXA d) Vit D levels Answer- Xray?? Thinkin it mite be pathological fracture.. @ osteoblastic metastasisbreast cx endometrium uterus @ limb shortening, abduction and extrenal rotation is seen in which dislocation of hip: a. anterior b. posterior c. lateral d. central @ A person lying unconscious with right lateral position on the road with suferficial injury to the face, bruises on the right arm, and injury to the lateral knee...what could be the reason for his condition? a) common peroneal nerve injury b) radial n injury c)? femoral n d) trigeminal n. ans: should be a @ hockey player with injury to right knee presents after 3 monthswith laxity in fully extended knee but no laxity in 90 degree. what is the structure damaged? a) Anteromedial part of ACL b) Posterolateral part of ACL c) PCL d) Anterior horn of medial meniscus Answer- PCL?? poteromedial part of anterior cruciate ligament??? @
1. Forgotten muscle in rotator cuff shoulder, which was not given importance earlier but now coming back in focus: a. subscapularis b. teres minor c. supraspinatus d.infraspinatus @ . Supracondylar fracture humerus wat is false: a. distal segment is mostly displaced posteriorly b. cubitus varus is more common than cubital valgus c. injury causes weakness of elbow flexion d. nerve injury related manifestations are transitory @ a child is given Gallows traction. he is having what fracture: a. shaft of femur b. neck of femur c. femur trochanter d.
@ 29. in patient of rickets on calcium supplementation, surgical treatment of deformity should be started when: a. x ray shows healing b. serum vit d levels become normal c. serum alkaline phosphate level normalises d.