Anatomy
1. Panniculus adiposus is seen in- eye lid/orbit/penis/scrotum - ans orbit (Cunningham textbook of anatomy page 360 to 364-It is specifically said that panunculus adiposus is present in the whole body except eyelids, penis and scrotum)
2. Turkish saddle/sella turcica - pituitary gland
3. Cavernous sinus thrombosis a/e by inferior opthalmic vein / ethmoidalsinusitis/ loss of orbital sensation/ loss of jaw jerk- ans loss of jaw jerk(mandibular nerve not affected)
4. Discharge from umbilicus while crying - urachal fistula
5. Which cranial nerve nucleus lies deep to facial colliculus? Abducent nucleus
6. Membrana tectoria is a continuation of - ans - posterior longt ligament The Membrana Tectoria (occipitoaxial ligaments) is situated within the vertebral canal. It is a broad, strong band which covers the dens and its ligaments, and appears to be a prolongation upward of the posterior longitudinal ligament of the vertebral column.
7. All are true about sphincter urethrae except? Located at bladder neck, pudendal nerve supplies it, voluntary, origin from ischiopubic rami ans - located at bladder neck
8. All pass through foramen ovale in picture except - maxillary nerve
9. All are made of dense regular collagen except? Tendon/ ligament/ periosteum/ aponeurosis ans - periosteum wiki
Physiology
10. H-reflex - to test s1 nerve root
11. Receptors for noxious stimuli in intestine/spleen/liver/mesentery - ans - mesentery
12. Sleep spindles and Kcomplexes in -stage 2 nrem (repeat)
13. Counter current mechanism is seen in all except - thin desending loop, thick ascending loop, collecting duct, vasa recta the answer is vasa recta. Confirmed from Ganong and Guyton. Vasa recta are involved in countercurrent exchanger mechanism while the other three are a part of countercurrent multiplier. Multiplier generates osmotic gradient. Exchanger maintains the osmotic gradient.
14. Satiety centre - ventromedial nucleus in hypothalamus
15. Stimulated in knee jerk reflex? Static bag and chain fibre of muscle spindle, dynamic intrafusal fibres, golgi tendon, golgi tendon and muscle spindle, ans -dynamic intrafusal fibres
16. All are carried by dorsal column except pain (repeat)
17. Raised ict,htn, bradycardia - cushing’s triad
18. Mechanism to measure single ion channel - iontophoresis/patch clamp tech ans - patch clamp technique
19. Attention and concentration is mediated by a) Frontal lobe b) Basal ganglia c) Hypothalamus d) Parietal lobe Ans D Parietal lobe
Biochemistry
20. Technique to visualize biomolecule - Xray crystallography
21. Aminoacid absent in collagen - glycine/lysine/proline/desmosine ans - desmosine
22. Epigenetic studies include all except? (a) HPLC (b) methylation (c) Bisulphite sequencing (d) ChIP-on-chip Ans??? ChIP-on-chip
Pharmacology
23. Not used in hyperkalemia - beta antagonist (beta2 agonist salbutamol nebulisation given)
24. Time dependent and post antibiotic effect - clindamycin (repeat)
25. Lithium toxicity occurs at >2? (fatal dose of lithium- 6)
26. False about NSAIDS: decreases effectiveness of antihypertensives/used in neuropathic /causes renal failure/can be used topically - ans - used in neuropathic pain?
27. Drug not given in alcohol dependence - phenytoin / disulfirum / acamprosate ans-??Phenytoin/Disulfiram
28. Drug not causing edema - nsaid, digoxin, estrogen and cyclosporin? Ans - ? Digoxin
29. Abatecept is used in Rheumatoid Arthritis
30. Cholinomimetic drugs not used in? Ans bradycardia (repeat)
31. Most effective drug in severe falciparum malaria - quinine/cholorquine/artesunate ans - artesunate
32. 3rd generation cephalosporin with anti mrsa – ceftriaxone /aztreonam / cefazolin/ceftabiprole ans ceftriaxone(3gen)
33. Wrong about paclitaxel - stablizes spindle/indic in ovarian, breast, lung ca/ most commonly causes myelosuppression and alopecia/ Obtained fom E.coli ans most commonly causes myelosuppression and alopecia
34. Wrong about rituximab – chimericmab/anti CD20/dose dependent kinetics/ M/C S/E infusion reactions ans MC S/E infusion reactions(rare)
35. Similar to albumin in molecular weight MW 30000 and can cause less reactions but should be cautious - dextran/hes/polygeline/polyphloridone ans Poly Geline (page 645 of new tripathi book)
36. Penicillin G is given for rat bite fever (repeat)
37. Not a long term side effect of PPI? Hypothyroidism/osteoporosis/community acquired pneumonia/c.difficile infection ans - ?hypothyroidism
38. Treatment of advance Prostate ca - goserlin (repeat)
39. All are tertiary amines except atropine/glycopyrrolate ans - glycopyrrolate
40. Toc for C. Difficile - oral vancomycine (repeat)
41. Drug not given in Hep B? Zydovudine, entacavir, lamivudine, telbivudine ans - zidovudine (harrison)
42. Drug of choice for acute bacterial meningitis.a) Erythromycin
b) Sulfamethoxazole c) cefotaxime d) Cefadozone Ans C Cefotaxime
Pathology
43. Apoptosis caused by glucocorticoids (repeat)
44. Schwannoma - antoni a and b bodies seen
45. Chromosome 5 - Cri du chat synd
46. Asbestos exposure, mass in upper lobe – HPE mass with long villi (repeat)
47. Picture of thyroid nodule 2x2 cm - biopsy - ???Papillary Ca
48. FNAC cannot distinguish btwn follicular carcinoma
49. Picture of kidney biopsy after death of a patient with ureteric obstruction - pyelonephritis with hydronephrosis/ADPKD/cystic dysplasia/TCC ans ?ADPKD
50. 90% association with HLAB27 is seen with ans - ankylosing spondylosis
51. Nurse with hbsag and hbeag - acute infectious hepatitis
52. Marker for diagnoising acute hepatitis B - igm antihbcab
53. Afro american with c/f of sickle cell - single nucleotide mutation
54. Microvesicular fatty liver in reye’s syndrome is due to ans defect in beta oxidation
55. 40y/m presents with primary infertility, testis pesent, Azoospemia and absent vas deferens. Ans - CFTR mutation
56. Grey white mass in central bronchus with distal bronchiectasis/pneumonia ans - HPE of elongated spindle arrangement seen(squamous cell ca)
57. True about viral antibodies? Formed before intererons, ans??Formed against nuclear sequences…
58. FNAC for lump in breast well defined nontender mobile beningn lesion patho feature ans tightly arranged ductal epethelial cells with discohesive bare nuclei
59. Cancers are associated with? Hypermethylation of tumor suppressor genes/ demethylation of oncogenes/ loss of heterozygosity/mutation of introns ans - hypermethylation of tumor suppressor genes
60. Immunohistomarkers wrongly matched. Melanoma – S 100/ Lymphoma – Common Leucocyte Antigen/ Carcinoma – Desmin/ Sarcoma – Vimentin Ans Carcinoma – Desmin
Microbiology
61. Girl visits a village, nasal discharge, meningitis and death in 5 days. Organism - naeglaria fowleri
62. Microbe with Et, Eh, Ep strains - E.Coli
63. Significance of mucoid strain pseudomonas aeroginosa - produces biofilms?
64. Drug against pseudomonas - piper+tazabactum
65. All are true about entamoeba histolytica except - stool trophozoites are essential for diagnosis/mostly symptomless/ cause disease in brain, liver/ ans - ?Mostly symptomless/ stool trophozoites are essential for diagnosis
66. 2 days after penicllin adminsitration, antibodies developed, hemolysis, Type of hypersensitivity - type 2?
67. Non typable H. Influenza can cause all except - meningitis, otitis media, puerperal infection ans - meningitis (Hib)
68. Gram +ve organism cause of meningitis - Listeria
69. 70yr old women refused to take influenza vaccine, developed flu.Death happened 1 week after pneumonia. Cause of Post influenza pneumonia a) staphylococcus b) Measles c) Legionella d) cmv Ans A staphylococcus
70. Discharge PV / chlamydia? Presentation. Most sensitive test for diagnosing? Nucleic acid amplification test/ gram stain ans - ?NAAT
71. MHC 1 and MHC 2 for--- antigen presentation to Tcells (repeat)
FM
72. Calibre - distance between two lands of a rifle
73. Homicide case ,doctor should inform police -crpc 39
74. Fatal dose of arsenic is 120-200mg
75. At what age iliac crest is fused in a girl? 15/18/20--- ans--- 18-19 years
76. Harakiri - suicide by stabbing abdomen
ENT
77. T3 laryngeal Ca treatment - Concurrent Chemoradiation (repeat)
78. Major risk of disk battery stuck in nose? Local toxicity/tetanus/removal by specialist ans Local toxicity
79. Not true about malignant otitis externa - granulation tissue in superior wall/ MC presents as severe deafness - ans MC presents as severe deafness
80. All are complications of post adenoidectomy except - hyponasal voice/grisel syndrome/velopharyngeal insufficiency/retropharyngeal absess ans hyponasal voice
81. Steroids contraindicated in ans???Post antrochoanal polyp (repeat)
82. Which of the following is true about Meniere’s disease? Surgery is the mainstay of treatment
Opthalmalogy
83. Not true about Rhegmatogenous Retinal Detachment - can extend upto ora serrata/ surgery is the primary treatment/pull of vitreous (?)Ans vitreous pull (as it is a eg of Exudation/Traction RD)
84. Congenital Cataract - PITX3( PAX6 is Aniridia)
85. Subretinal demarcation lines( high water marks ) is seen in - Fresh Retinal Detachment/Longstanding Retinal Detachment Ans - Longstanding RD
86. All are true of fungal corneal ulcer except? 1.signs are more than sypmptom 2.fixed hypopyon 3.sloughed out (ans) sloughed out
87. Self tonometry -rebound/perkin/diaton ans diaton transpalpebral tonometry
88. Painless loss of vision with raised iop (60) - a) chronic papilledema b) glaucomatocyclitic crisis c) acute angle closure glaucoma d) Neovascular glaucoma Ans D Neovascular glaucoma
89. All are absolute contraindications to corneal transplant except? Rabies/ TB meningitis/ unknown cause of death/SSPE Ans - Death of unknown cause Ref lions eye donation service melbourne
90. Drug having both cycloplegic & mydriatic effect – ans atropine
91. MCC of corneal edema in hypoxia? Co2, lactate, pyruvate ans -?lactate
92. All are true about patient perceiving different size images except? Because of unequal convex lens/ because of use of cylindrical lens/ called anisekonia ans-- because of use of cylindrical lens
93. Fungal keratomycosis treatment -silver sulphadiazine/ linezolid/ vancomycin / doxycycline ans silver sulfadiazine
94. Not used in dilated pupils - gonioscopy (repeat)
95. Category B drug in pregnancy - brimonidine/ latanoprost/ pilocarpine/ dorzolamide ans -brimonidine
96. The normal reading of electroculogram A.1 B.1.5 C>185% D<185% ans >185%
97. Followup of vision in intraocular metallic foreign body - EOG/ERG/Arden index ans ERG
98. Laser trabeculoplasty is indic in?a) Chronic Angle Closure Glaucoma b)Uveitic Glaucoma c) Pseudoexfoliation Glaucoma d) Neovascular Glaucoma Ans C Pseudoexfoliation (chronic open angle) glaucoma. All are SACG except pseudo exfoliative which is SOAG.
SPM
99. Effevctiveness of RNTCP - curerate / incidence rate /annual infection rates Ans Annual Infection Rates (and also BCG & Chemotherapy)
100. Definition of population attributable risk : Incidence of the disease in total population –Incidence in non-exposed population / Incidence of the disease in total population
101. RNTCP diagnosis is based on ----sputum microscopy
102. Under ICDS, pregnant women are given - 300kcal + 15gm protein (500+25)
103. School closing in influenza epidemics. Which is not correct? School closing not reduce the spread
104. Reason for H5N1 influenza not becoming a pandemic - man to man transmission is rare no human to human transmission occurs ref:robbins chapter 15 pg 715 8/e
105. Measuring variation between different units- variance, coeeficient of variation, standard error of mean, Standard deviation. ans coeeficient of variation
106. ESI act correct? ⅛ state 7/8 ESI
107. Not included in mental health act 1982? 1) Minimum mental health care for all 2) human rights of mentally ill 3) application of mental health knowledge in health care. 4) provision of mental health services to all ans provision of mental health services to all(to at risk people)
108. Every 10th person is selected from a population - systematic random sampling
109. Rough estimate of infant population in a village - follifer tablets consumed in the past one year/ TT inj/ eligible couple/ marriedwomen Ans???
110. Most efficient anti larval measure in urban areas - clean drainage/ close overhead tanks/ cover pits ans close overhead tanks
111. Not a vaccine derived polio virus - aVDPV, cVDPV, mVDPV, iVDPV ans - mVDPV
112. Chandler’s index. All are true except- Can be used for monitoring treatment chandlers index/endemic index is average no of hook worm eggs per gram of faeces for the entire community. <200 no much significance 200-250 potential danger 250-300 minor public health problem >300 important public health problem.monitor the reduction in eggs after treatment.
113. Criteria for pandemic? 5cities/<2 weeks/>25 cases ???
114. True about inertiation is all except? Use cement/ increased water contamination/ for drugs/ ans - increased water contamination
115. All are true about dengue hemorrhagic fever except? Malnutrion is protective/lamivudine is drug of choice ans - lamivudine is drug of choice
116. Smoking causes Coronary Heart disease .Then low exercise and high exercise are (a) Bias (b) Confounding (c) effect modifier (d) collinear factor Ans C effect modifier
117. Cataract surgery rate.A/E Its a rate/ target is 3000/1 million in 2020 ans CSR 3000 it is 4000 in 2020
118. Chairman of district blindness control society -district collector/district programme manager/district health officer/opthalmic surgeon - District Collector
119. NPCB outcome indicator? Decreas in prevalence of blindness/ no. Of people with improved vision following surgery???
Medicine
120. Arteritis not seen in adults - kawasaki disease
121. 1st disease to be described based on single neurotransmitter deficiency - parkinson’s/huntington/alzheimer/schizophrenia ans alzheimer
122. Not a marker of heart failure? Crp/sirtuin/bnp/troponin ans sirtuin
123. Brief high frequency stimulation of hippocampus with 5hz produces? Long term potentiation, post tetanic potentiation, depressions. Ans - long term potentiation
124. Inability to carry out any activity without discomfort- NYHA grade 4 Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms of heart failure or the anginal syndrome may be present even at rest. If any physical activity is undertaken, discomfort increases.
125. Rheumatic fever is not associated with Pulmonary stenosis (repeat)
126. Girl with Syndandem chorea to prove recent infection IOC? ---? ASO titre / anti hylauranic /throat culture ans ?ASO
127. Normal height with absent pubertal features - pure gonadal dysgenesis/ kallman/ testicular feminisng syndrome/ turner ans - kallman
128. MC site of osteoporosis in hemiplegic patient after one year? Proximal Humerus/ proximal femur/distal radius/lumbar verterbrae -? proximal femur
129. Head injury with CSF rhinorrhea - conservative managemnt for 4-5 days?
130. Excess Intake of calcium causes - milk alkali syndrome / osteoporosis/ osteomalacia - milk alkali syndrome
131. Damage to brain cell not related to ageing – amnestic syndrome /dementia/ delirium/ pseudodementia???
132. Toc for tension pneumothorax - needle in second intercostal space
133. False about obstructive sleep apnea. It affects more women/ a/w hypertension/ day time sleepiness/ >5 episodes/hour ans - it affects more women (men women ratio 2:1)
134. Great toe swollen, painful, pounched out lesions - gout arthritis (repeat)
135. Le Veen shunt in Ascites, svc /renal pelvis, ans - SVC
136. Tuberous sclerosis all are seen except -ependymoma/ white matter lesions/ giant cell astrocytoma/ sub ependymal nodules ans? Ependymoma / white matter lesions?
137. Middle age female with lytic bone lesions, fracture clavicle, periosteal resorption of 2 nd 3 metatarsals diagnosis? Renal osteo dystrophy/ ostomalasia/hyperparathyroidism/hyperthyroidism - hyperparathyroidism
138. Person suffers seizure on waiting for train. Has band showing him to be epileptic and the meds he takes. Meds are in his pocket. So what should you do? 1. Take person away from train make sure he does not fall meanwhile call for medical help and transfer to hospital 2. Take person away from train stuff handkerchief in his mouth hold his hands and feet till seizure subsides then tranfer to hospital 3. Take person away from train make him laid down hold his leg up give the meds and water then transfer to hospital 4. Take person away from train give meds and water then transfer to hospital ans - 1.
139. Triad of angina, syncope and dyspnea ans - Aortic stenosis
140. Regarding lactate levels in head injury all are true except? Increased lactate levels beneficial for head injury pt/ decreased activity of PDH activity/ increased uptake of lactate from blood/ lactate increased in CSF/???
141. APLA syndrome patient routine treatment to prevent abortion ans- aspirin and low molecular weight heparin
142. Severe MS, on auscultation - all are true except - loud s1/s3/ opening snap/ MDM - ans - S3 “ S3 gallop originating from the left ventricle is absent in patients with MS, unless significant MR or AR coexists”
143. All of the following can be used as sclerosing agents for venous mass in thigh except? a.polyvinyl alcohol b.absolute alcohol c.sodium tetradecyl sulphate d.sodium tetrathiocyanate Ans b.absolute alcohol
144. All are features of SIRS Except A.TEMP >>38 B LEUKOCYTES>>12000 C RESPIRATORY RATE >>24 D URINE OUT PUT << 0.5ml/kg/hr ans URINE OUT PUT << 0.5ml/kg/hr
145. NSIP/Non-specific interstitial pneumonitis true is? Early onset of honeycombing /male predominance /elderly /good prognosis ans - good prognosis............ref:harrison the overall prognosis and response to therapy for idiopathic NSIP is favorable compared to idiopathic pulmonary fibrosis/usual interstitial pneumonitis (IPF/UIP)
146. All the following pulmonary symptoms and non pulmonary causes are correctly matchedexcept (a) cyanosis-anxiety (b) wheezing –Congestive heart failure (c) tachypnea-acidosis (d) chest pain-pericarditis Ans?? A
Surgery
147. 70 year male, routinely doing colonic test (-ve), fresh bleeding, toilet bowl full, dizzy diagnosis? Hemrroids, early colon ca, diverticulosis, dilated viens ans diverticulosis
148. Rt illiac fossa mass and aching pian anaemia in 50 year old male – ileocecal t.b/appendicular mass/ ca caecum/ Ans ?Ileocecal t.b
149. Timing for repair of cleft palate - 6-9 months, 9-12 months, 15-22 months ans 9-12 months
150. MCC vocal cord palsy in adults - surgical trauma
151. Exploratory burr hole technique - a. Burr hole on opposite side of dilated pupil b. If both pupils are dilated then put burr hole in midline c. If no clue found then place burr hole on temporal region. D. Refer to specialist. The correct answer is c. If no clue found then place burr hole on temporal region Reference....principles of surgical patient by c. J. Mieny page 453.
152. Pre malignant except? Peutz jagger, ulcerative colitis, crohns, barrets esophagus ans Peutz jagger(least)
153. Wrong about GIST? Mc mesenchymal tumor of intestine, from cajal cells, prognosis depends on size, alk mutation ans - ALK mutation (neuroblastoma, rcc)
154. MALT is located mc in stomach/ileum? STOMACH
155. Molecular classification of breast ca by Ans ER & HER2/neu
OG
156. Ideal time for elective caesarian section - 37/38/39/40 weeks. Ans - 39 weeks. (ACOG Cesarean delivery on maternal request should not be performed before a gestational age of 39 weeks.)
157. All are given in abnormal uterine bleeding in 13 year old except - E+P, P, tranaexamic acid, mefenemic acid - ans - mefenemic acid /tranaexamic acid
158. EDD inaccurate satement -- 3 weeks SD, 80% delivery within 2 weeks of EDD, 5o% delivery within 1week of EDD, <5% of delivery occur at time of estimated EDD--- [4% ON EDD/ 1 WEEKS BOTH SIDE EDD 50%/ 2week before and 1 week after EDD 80%/ DUTA OBG / WIKI a standard deviation of 13days, means that 90% of babies will be born within three weeks of their EDD, and 21% will be born within three days of it. Only 4% of births will occur on the EDD.] ans SD3 weeks
159. Not an abdominal method of tubal ligation - pomeroy/ parkland/ essure/ irving ans - ESSURE
160. Augmentation of labour , all are true except - oxytocin is contraindicated in twins/ methods of augmentation does not increase the risk of operational managment - ans - methods of augmentation does not increase the risk of operational management
161. Screening test is used for all except ANS endometrial sampling for endometrial ca (repeat)
162. Life style choice to increase fertility are all except? Decrease weight/increase weight/decrease exercise/veg food ans - veg food
Pedia
163. Child with respiratory distress at birth, Displacement of trachea, hyperinflated Lt upper lobe - congenital lobar emphysema /pneumonia ans -cong lobar emphysema
164. Child with chronic cough with wheeze h/o TEF correction. Tracheomalacia/subglottic stenosis/asthma ans - Tracheomalacia
165. 7 month child vomiting after fruit juice feeds. Enzyme deficiency to be evaluated? Aldolase B
166. Pellagra like dermatitis, aminoaciduria, absent in parents, 2chids present, 2child absent,( AR) - Hartnup disease
167. Child with k/c/o bronchial asthma comes with resp distress rate 48/min cant speak 2 words,occasional wheeze.saturation 95%, you give 3 doses of salbutamol nebulisation then he started to speak a sentence but saturation falls to 85% a.VP mismatch b.r to left shunt c.due to salbutamol d.faulty pulse oxymeter ans - faulty pulse oxymeter /VP mismatch
168. Most dangerous finding in 10 day old neonate - increased unconjugated bilirubin, increased conjugated bilirubin, not gained weight Ans increased conjugated bilirubin
169. Child passing white stools, icterus in eyes. Next best investigation - usg/ ct abdomen/liver function tests - ans - USG?
170. Nephrotic syndrome patient after diarrhea presented with acute kidney injury with creatine 4.5. All are possible reasons /Except? Renal vein thrombosis/diarrhoea water depletion/frusemide water depletion/steroid induced diabetes ans - steroid induced diabetes
171. Not true about autism - ⅔ are mentally retarded/poor eye contact/ language developement delay/dermatoglyphic abn ans - ???
172. 1st line in management of female child abuse with fracture pelvis severe bleeding from perineum - 1)blood transfusion 2)immediately inform the police 3) assess airway 4)internal iliac ligation-Ans???
173. 6 month baby Child crying in midnight with pain in epigastrium passing red current jelly stools and pain subsided...ans Intussuception
174. Child with Respiratoy Rate 48, cold, cough, ans “no pneumiona” (repeat)
Orthopedics
175. Features of Colles fracture are all except - volar tilt/dorsal tilt/ radial displacment/ supination ans volar tilt
176. Sunray appearance in osteosarcoma is because of??? Periosteal reaction
177. Pronation of foot angles parallel— calcaneocuboid & talonavicular jts
178. Bone dysplasia - fault in development
179. Mother pulled hand of child, child unable to move elbow and crying - pulled elbow
180. Lucent defect in midshaft tibia lined with sclerotic bone - fibrous cortical defect/fibrous dysplasia/ osteoid osteoma – Ans?osteiod ostemoa is the answer,as this lesion is in shaft tibia with central translucency and surroundng sclerosis
Anaesthesiology
181. Breathing circuit of choice for spontaneous ventilation - Mapleson A
182. Muscle pain after day care surgery with propofol and sch - SCH
183. Not a method to increase ventialtion in patient on ventilator???Make him prone
184. Dexmedetomidine - centrally acting alpha 2 agonist
185. Anesthetic for day care surgery - propofol (repeat)
186. Bethune and Bethren - a.precordial doppler b.transesophageal echocardiography c.plethysmography d.end tidal co2 ans ETCO2
Dermotalogy
187. Picture of acne like rash, photosesivity, emotional stress, - rosacea/ SLE/ ans Rosacea
188. Picture of taenia versicolor, next step - KOH smear
189. Picture of elderly male, itchy, tense bullae-bullous pemphigoid / phemphigus vulgaris/ IGA disease - Bullous pemphigoid
190. Not a type of lichen planus - lichen scrofulosorum
191. recurrent penile ulcers with hyper pigmentation in a young male are due to ans Fixed drug eruption
192. 16y/f with nodulocystic acne - treatment of choice – tretinoin isotretinin/acetretinin
Radiology
193. Investigation of choice in acute head trauma - NCCT
194. Investigation of choice for child with appendicitis - USG?
195. Gold standard for diagnosis of bronchiectasis - HRCT chest
196. Glass piece injury in forefinger - first invt - X ray/ USG/ CT/ MRI - ans X ray
197. Newborn has not passed meconium for 48 hours , IOC - Lower Gi Contrast Study /manomety
198. Bilious vomiting in child. Investigation of choice - USG/CT/
Psychiatry
199. Psych pt with epigastric crepitus, alopecia, vomiting - trichobezoar
200. PTSD treatment of choice - Eye movement desensitisation and reprocessing (EMDR). EMDR is a relatively new treatment that has been found to reduce the symptoms of PTSD. EMDR involves making side-to-side eye movements, usually by following the movement of your therapist's finger, while recalling the traumatic incident.
201. 3 days after taking haloperidol, schizophrenic pt with rolling up of eyes - acute dystonia
202. M/C method of Parasuicide – Drug ingestion / wrist sliting
Courtesy: "DrPoongs"
1. Panniculus adiposus is seen in- eye lid/orbit/penis/scrotum - ans orbit (Cunningham textbook of anatomy page 360 to 364-It is specifically said that panunculus adiposus is present in the whole body except eyelids, penis and scrotum)
2. Turkish saddle/sella turcica - pituitary gland
3. Cavernous sinus thrombosis a/e by inferior opthalmic vein / ethmoidalsinusitis/ loss of orbital sensation/ loss of jaw jerk- ans loss of jaw jerk(mandibular nerve not affected)
4. Discharge from umbilicus while crying - urachal fistula
5. Which cranial nerve nucleus lies deep to facial colliculus? Abducent nucleus
6. Membrana tectoria is a continuation of - ans - posterior longt ligament The Membrana Tectoria (occipitoaxial ligaments) is situated within the vertebral canal. It is a broad, strong band which covers the dens and its ligaments, and appears to be a prolongation upward of the posterior longitudinal ligament of the vertebral column.
7. All are true about sphincter urethrae except? Located at bladder neck, pudendal nerve supplies it, voluntary, origin from ischiopubic rami ans - located at bladder neck
8. All pass through foramen ovale in picture except - maxillary nerve
9. All are made of dense regular collagen except? Tendon/ ligament/ periosteum/ aponeurosis ans - periosteum wiki
Physiology
10. H-reflex - to test s1 nerve root
11. Receptors for noxious stimuli in intestine/spleen/liver/mesentery - ans - mesentery
12. Sleep spindles and Kcomplexes in -stage 2 nrem (repeat)
13. Counter current mechanism is seen in all except - thin desending loop, thick ascending loop, collecting duct, vasa recta the answer is vasa recta. Confirmed from Ganong and Guyton. Vasa recta are involved in countercurrent exchanger mechanism while the other three are a part of countercurrent multiplier. Multiplier generates osmotic gradient. Exchanger maintains the osmotic gradient.
14. Satiety centre - ventromedial nucleus in hypothalamus
15. Stimulated in knee jerk reflex? Static bag and chain fibre of muscle spindle, dynamic intrafusal fibres, golgi tendon, golgi tendon and muscle spindle, ans -dynamic intrafusal fibres
16. All are carried by dorsal column except pain (repeat)
17. Raised ict,htn, bradycardia - cushing’s triad
18. Mechanism to measure single ion channel - iontophoresis/patch clamp tech ans - patch clamp technique
19. Attention and concentration is mediated by a) Frontal lobe b) Basal ganglia c) Hypothalamus d) Parietal lobe Ans D Parietal lobe
Biochemistry
20. Technique to visualize biomolecule - Xray crystallography
21. Aminoacid absent in collagen - glycine/lysine/proline/desmosine ans - desmosine
22. Epigenetic studies include all except? (a) HPLC (b) methylation (c) Bisulphite sequencing (d) ChIP-on-chip Ans??? ChIP-on-chip
Pharmacology
23. Not used in hyperkalemia - beta antagonist (beta2 agonist salbutamol nebulisation given)
24. Time dependent and post antibiotic effect - clindamycin (repeat)
25. Lithium toxicity occurs at >2? (fatal dose of lithium- 6)
26. False about NSAIDS: decreases effectiveness of antihypertensives/used in neuropathic /causes renal failure/can be used topically - ans - used in neuropathic pain?
27. Drug not given in alcohol dependence - phenytoin / disulfirum / acamprosate ans-??Phenytoin/Disulfiram
28. Drug not causing edema - nsaid, digoxin, estrogen and cyclosporin? Ans - ? Digoxin
29. Abatecept is used in Rheumatoid Arthritis
30. Cholinomimetic drugs not used in? Ans bradycardia (repeat)
31. Most effective drug in severe falciparum malaria - quinine/cholorquine/artesunate ans - artesunate
32. 3rd generation cephalosporin with anti mrsa – ceftriaxone /aztreonam / cefazolin/ceftabiprole ans ceftriaxone(3gen)
33. Wrong about paclitaxel - stablizes spindle/indic in ovarian, breast, lung ca/ most commonly causes myelosuppression and alopecia/ Obtained fom E.coli ans most commonly causes myelosuppression and alopecia
34. Wrong about rituximab – chimericmab/anti CD20/dose dependent kinetics/ M/C S/E infusion reactions ans MC S/E infusion reactions(rare)
35. Similar to albumin in molecular weight MW 30000 and can cause less reactions but should be cautious - dextran/hes/polygeline/polyphloridone ans Poly Geline (page 645 of new tripathi book)
36. Penicillin G is given for rat bite fever (repeat)
37. Not a long term side effect of PPI? Hypothyroidism/osteoporosis/community acquired pneumonia/c.difficile infection ans - ?hypothyroidism
38. Treatment of advance Prostate ca - goserlin (repeat)
39. All are tertiary amines except atropine/glycopyrrolate ans - glycopyrrolate
40. Toc for C. Difficile - oral vancomycine (repeat)
41. Drug not given in Hep B? Zydovudine, entacavir, lamivudine, telbivudine ans - zidovudine (harrison)
42. Drug of choice for acute bacterial meningitis.a) Erythromycin
b) Sulfamethoxazole c) cefotaxime d) Cefadozone Ans C Cefotaxime
Pathology
43. Apoptosis caused by glucocorticoids (repeat)
44. Schwannoma - antoni a and b bodies seen
45. Chromosome 5 - Cri du chat synd
46. Asbestos exposure, mass in upper lobe – HPE mass with long villi (repeat)
47. Picture of thyroid nodule 2x2 cm - biopsy - ???Papillary Ca
48. FNAC cannot distinguish btwn follicular carcinoma
49. Picture of kidney biopsy after death of a patient with ureteric obstruction - pyelonephritis with hydronephrosis/ADPKD/cystic dysplasia/TCC ans ?ADPKD
50. 90% association with HLAB27 is seen with ans - ankylosing spondylosis
51. Nurse with hbsag and hbeag - acute infectious hepatitis
52. Marker for diagnoising acute hepatitis B - igm antihbcab
53. Afro american with c/f of sickle cell - single nucleotide mutation
54. Microvesicular fatty liver in reye’s syndrome is due to ans defect in beta oxidation
55. 40y/m presents with primary infertility, testis pesent, Azoospemia and absent vas deferens. Ans - CFTR mutation
56. Grey white mass in central bronchus with distal bronchiectasis/pneumonia ans - HPE of elongated spindle arrangement seen(squamous cell ca)
57. True about viral antibodies? Formed before intererons, ans??Formed against nuclear sequences…
58. FNAC for lump in breast well defined nontender mobile beningn lesion patho feature ans tightly arranged ductal epethelial cells with discohesive bare nuclei
59. Cancers are associated with? Hypermethylation of tumor suppressor genes/ demethylation of oncogenes/ loss of heterozygosity/mutation of introns ans - hypermethylation of tumor suppressor genes
60. Immunohistomarkers wrongly matched. Melanoma – S 100/ Lymphoma – Common Leucocyte Antigen/ Carcinoma – Desmin/ Sarcoma – Vimentin Ans Carcinoma – Desmin
Microbiology
61. Girl visits a village, nasal discharge, meningitis and death in 5 days. Organism - naeglaria fowleri
62. Microbe with Et, Eh, Ep strains - E.Coli
63. Significance of mucoid strain pseudomonas aeroginosa - produces biofilms?
64. Drug against pseudomonas - piper+tazabactum
65. All are true about entamoeba histolytica except - stool trophozoites are essential for diagnosis/mostly symptomless/ cause disease in brain, liver/ ans - ?Mostly symptomless/ stool trophozoites are essential for diagnosis
66. 2 days after penicllin adminsitration, antibodies developed, hemolysis, Type of hypersensitivity - type 2?
67. Non typable H. Influenza can cause all except - meningitis, otitis media, puerperal infection ans - meningitis (Hib)
68. Gram +ve organism cause of meningitis - Listeria
69. 70yr old women refused to take influenza vaccine, developed flu.Death happened 1 week after pneumonia. Cause of Post influenza pneumonia a) staphylococcus b) Measles c) Legionella d) cmv Ans A staphylococcus
70. Discharge PV / chlamydia? Presentation. Most sensitive test for diagnosing? Nucleic acid amplification test/ gram stain ans - ?NAAT
71. MHC 1 and MHC 2 for--- antigen presentation to Tcells (repeat)
FM
72. Calibre - distance between two lands of a rifle
73. Homicide case ,doctor should inform police -crpc 39
74. Fatal dose of arsenic is 120-200mg
75. At what age iliac crest is fused in a girl? 15/18/20--- ans--- 18-19 years
76. Harakiri - suicide by stabbing abdomen
ENT
77. T3 laryngeal Ca treatment - Concurrent Chemoradiation (repeat)
78. Major risk of disk battery stuck in nose? Local toxicity/tetanus/removal by specialist ans Local toxicity
79. Not true about malignant otitis externa - granulation tissue in superior wall/ MC presents as severe deafness - ans MC presents as severe deafness
80. All are complications of post adenoidectomy except - hyponasal voice/grisel syndrome/velopharyngeal insufficiency/retropharyngeal absess ans hyponasal voice
81. Steroids contraindicated in ans???Post antrochoanal polyp (repeat)
82. Which of the following is true about Meniere’s disease? Surgery is the mainstay of treatment
Opthalmalogy
83. Not true about Rhegmatogenous Retinal Detachment - can extend upto ora serrata/ surgery is the primary treatment/pull of vitreous (?)Ans vitreous pull (as it is a eg of Exudation/Traction RD)
84. Congenital Cataract - PITX3( PAX6 is Aniridia)
85. Subretinal demarcation lines( high water marks ) is seen in - Fresh Retinal Detachment/Longstanding Retinal Detachment Ans - Longstanding RD
86. All are true of fungal corneal ulcer except? 1.signs are more than sypmptom 2.fixed hypopyon 3.sloughed out (ans) sloughed out
87. Self tonometry -rebound/perkin/diaton ans diaton transpalpebral tonometry
88. Painless loss of vision with raised iop (60) - a) chronic papilledema b) glaucomatocyclitic crisis c) acute angle closure glaucoma d) Neovascular glaucoma Ans D Neovascular glaucoma
89. All are absolute contraindications to corneal transplant except? Rabies/ TB meningitis/ unknown cause of death/SSPE Ans - Death of unknown cause Ref lions eye donation service melbourne
90. Drug having both cycloplegic & mydriatic effect – ans atropine
91. MCC of corneal edema in hypoxia? Co2, lactate, pyruvate ans -?lactate
92. All are true about patient perceiving different size images except? Because of unequal convex lens/ because of use of cylindrical lens/ called anisekonia ans-- because of use of cylindrical lens
93. Fungal keratomycosis treatment -silver sulphadiazine/ linezolid/ vancomycin / doxycycline ans silver sulfadiazine
94. Not used in dilated pupils - gonioscopy (repeat)
95. Category B drug in pregnancy - brimonidine/ latanoprost/ pilocarpine/ dorzolamide ans -brimonidine
96. The normal reading of electroculogram A.1 B.1.5 C>185% D<185% ans >185%
97. Followup of vision in intraocular metallic foreign body - EOG/ERG/Arden index ans ERG
98. Laser trabeculoplasty is indic in?a) Chronic Angle Closure Glaucoma b)Uveitic Glaucoma c) Pseudoexfoliation Glaucoma d) Neovascular Glaucoma Ans C Pseudoexfoliation (chronic open angle) glaucoma. All are SACG except pseudo exfoliative which is SOAG.
SPM
99. Effevctiveness of RNTCP - curerate / incidence rate /annual infection rates Ans Annual Infection Rates (and also BCG & Chemotherapy)
100. Definition of population attributable risk : Incidence of the disease in total population –Incidence in non-exposed population / Incidence of the disease in total population
101. RNTCP diagnosis is based on ----sputum microscopy
102. Under ICDS, pregnant women are given - 300kcal + 15gm protein (500+25)
103. School closing in influenza epidemics. Which is not correct? School closing not reduce the spread
104. Reason for H5N1 influenza not becoming a pandemic - man to man transmission is rare no human to human transmission occurs ref:robbins chapter 15 pg 715 8/e
105. Measuring variation between different units- variance, coeeficient of variation, standard error of mean, Standard deviation. ans coeeficient of variation
106. ESI act correct? ⅛ state 7/8 ESI
107. Not included in mental health act 1982? 1) Minimum mental health care for all 2) human rights of mentally ill 3) application of mental health knowledge in health care. 4) provision of mental health services to all ans provision of mental health services to all(to at risk people)
108. Every 10th person is selected from a population - systematic random sampling
109. Rough estimate of infant population in a village - follifer tablets consumed in the past one year/ TT inj/ eligible couple/ marriedwomen Ans???
110. Most efficient anti larval measure in urban areas - clean drainage/ close overhead tanks/ cover pits ans close overhead tanks
111. Not a vaccine derived polio virus - aVDPV, cVDPV, mVDPV, iVDPV ans - mVDPV
112. Chandler’s index. All are true except- Can be used for monitoring treatment chandlers index/endemic index is average no of hook worm eggs per gram of faeces for the entire community. <200 no much significance 200-250 potential danger 250-300 minor public health problem >300 important public health problem.monitor the reduction in eggs after treatment.
113. Criteria for pandemic? 5cities/<2 weeks/>25 cases ???
114. True about inertiation is all except? Use cement/ increased water contamination/ for drugs/ ans - increased water contamination
115. All are true about dengue hemorrhagic fever except? Malnutrion is protective/lamivudine is drug of choice ans - lamivudine is drug of choice
116. Smoking causes Coronary Heart disease .Then low exercise and high exercise are (a) Bias (b) Confounding (c) effect modifier (d) collinear factor Ans C effect modifier
117. Cataract surgery rate.A/E Its a rate/ target is 3000/1 million in 2020 ans CSR 3000 it is 4000 in 2020
118. Chairman of district blindness control society -district collector/district programme manager/district health officer/opthalmic surgeon - District Collector
119. NPCB outcome indicator? Decreas in prevalence of blindness/ no. Of people with improved vision following surgery???
Medicine
120. Arteritis not seen in adults - kawasaki disease
121. 1st disease to be described based on single neurotransmitter deficiency - parkinson’s/huntington/alzheimer/schizophrenia ans alzheimer
122. Not a marker of heart failure? Crp/sirtuin/bnp/troponin ans sirtuin
123. Brief high frequency stimulation of hippocampus with 5hz produces? Long term potentiation, post tetanic potentiation, depressions. Ans - long term potentiation
124. Inability to carry out any activity without discomfort- NYHA grade 4 Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms of heart failure or the anginal syndrome may be present even at rest. If any physical activity is undertaken, discomfort increases.
125. Rheumatic fever is not associated with Pulmonary stenosis (repeat)
126. Girl with Syndandem chorea to prove recent infection IOC? ---? ASO titre / anti hylauranic /throat culture ans ?ASO
127. Normal height with absent pubertal features - pure gonadal dysgenesis/ kallman/ testicular feminisng syndrome/ turner ans - kallman
128. MC site of osteoporosis in hemiplegic patient after one year? Proximal Humerus/ proximal femur/distal radius/lumbar verterbrae -? proximal femur
129. Head injury with CSF rhinorrhea - conservative managemnt for 4-5 days?
130. Excess Intake of calcium causes - milk alkali syndrome / osteoporosis/ osteomalacia - milk alkali syndrome
131. Damage to brain cell not related to ageing – amnestic syndrome /dementia/ delirium/ pseudodementia???
132. Toc for tension pneumothorax - needle in second intercostal space
133. False about obstructive sleep apnea. It affects more women/ a/w hypertension/ day time sleepiness/ >5 episodes/hour ans - it affects more women (men women ratio 2:1)
134. Great toe swollen, painful, pounched out lesions - gout arthritis (repeat)
135. Le Veen shunt in Ascites, svc /renal pelvis, ans - SVC
136. Tuberous sclerosis all are seen except -ependymoma/ white matter lesions/ giant cell astrocytoma/ sub ependymal nodules ans? Ependymoma / white matter lesions?
137. Middle age female with lytic bone lesions, fracture clavicle, periosteal resorption of 2 nd 3 metatarsals diagnosis? Renal osteo dystrophy/ ostomalasia/hyperparathyroidism/hyperthyroidism - hyperparathyroidism
138. Person suffers seizure on waiting for train. Has band showing him to be epileptic and the meds he takes. Meds are in his pocket. So what should you do? 1. Take person away from train make sure he does not fall meanwhile call for medical help and transfer to hospital 2. Take person away from train stuff handkerchief in his mouth hold his hands and feet till seizure subsides then tranfer to hospital 3. Take person away from train make him laid down hold his leg up give the meds and water then transfer to hospital 4. Take person away from train give meds and water then transfer to hospital ans - 1.
139. Triad of angina, syncope and dyspnea ans - Aortic stenosis
140. Regarding lactate levels in head injury all are true except? Increased lactate levels beneficial for head injury pt/ decreased activity of PDH activity/ increased uptake of lactate from blood/ lactate increased in CSF/???
141. APLA syndrome patient routine treatment to prevent abortion ans- aspirin and low molecular weight heparin
142. Severe MS, on auscultation - all are true except - loud s1/s3/ opening snap/ MDM - ans - S3 “ S3 gallop originating from the left ventricle is absent in patients with MS, unless significant MR or AR coexists”
143. All of the following can be used as sclerosing agents for venous mass in thigh except? a.polyvinyl alcohol b.absolute alcohol c.sodium tetradecyl sulphate d.sodium tetrathiocyanate Ans b.absolute alcohol
144. All are features of SIRS Except A.TEMP >>38 B LEUKOCYTES>>12000 C RESPIRATORY RATE >>24 D URINE OUT PUT << 0.5ml/kg/hr ans URINE OUT PUT << 0.5ml/kg/hr
145. NSIP/Non-specific interstitial pneumonitis true is? Early onset of honeycombing /male predominance /elderly /good prognosis ans - good prognosis............ref:harrison the overall prognosis and response to therapy for idiopathic NSIP is favorable compared to idiopathic pulmonary fibrosis/usual interstitial pneumonitis (IPF/UIP)
146. All the following pulmonary symptoms and non pulmonary causes are correctly matchedexcept (a) cyanosis-anxiety (b) wheezing –Congestive heart failure (c) tachypnea-acidosis (d) chest pain-pericarditis Ans?? A
Surgery
147. 70 year male, routinely doing colonic test (-ve), fresh bleeding, toilet bowl full, dizzy diagnosis? Hemrroids, early colon ca, diverticulosis, dilated viens ans diverticulosis
148. Rt illiac fossa mass and aching pian anaemia in 50 year old male – ileocecal t.b/appendicular mass/ ca caecum/ Ans ?Ileocecal t.b
149. Timing for repair of cleft palate - 6-9 months, 9-12 months, 15-22 months ans 9-12 months
150. MCC vocal cord palsy in adults - surgical trauma
151. Exploratory burr hole technique - a. Burr hole on opposite side of dilated pupil b. If both pupils are dilated then put burr hole in midline c. If no clue found then place burr hole on temporal region. D. Refer to specialist. The correct answer is c. If no clue found then place burr hole on temporal region Reference....principles of surgical patient by c. J. Mieny page 453.
152. Pre malignant except? Peutz jagger, ulcerative colitis, crohns, barrets esophagus ans Peutz jagger(least)
153. Wrong about GIST? Mc mesenchymal tumor of intestine, from cajal cells, prognosis depends on size, alk mutation ans - ALK mutation (neuroblastoma, rcc)
154. MALT is located mc in stomach/ileum? STOMACH
155. Molecular classification of breast ca by Ans ER & HER2/neu
OG
156. Ideal time for elective caesarian section - 37/38/39/40 weeks. Ans - 39 weeks. (ACOG Cesarean delivery on maternal request should not be performed before a gestational age of 39 weeks.)
157. All are given in abnormal uterine bleeding in 13 year old except - E+P, P, tranaexamic acid, mefenemic acid - ans - mefenemic acid /tranaexamic acid
158. EDD inaccurate satement -- 3 weeks SD, 80% delivery within 2 weeks of EDD, 5o% delivery within 1week of EDD, <5% of delivery occur at time of estimated EDD--- [4% ON EDD/ 1 WEEKS BOTH SIDE EDD 50%/ 2week before and 1 week after EDD 80%/ DUTA OBG / WIKI a standard deviation of 13days, means that 90% of babies will be born within three weeks of their EDD, and 21% will be born within three days of it. Only 4% of births will occur on the EDD.] ans SD3 weeks
159. Not an abdominal method of tubal ligation - pomeroy/ parkland/ essure/ irving ans - ESSURE
160. Augmentation of labour , all are true except - oxytocin is contraindicated in twins/ methods of augmentation does not increase the risk of operational managment - ans - methods of augmentation does not increase the risk of operational management
161. Screening test is used for all except ANS endometrial sampling for endometrial ca (repeat)
162. Life style choice to increase fertility are all except? Decrease weight/increase weight/decrease exercise/veg food ans - veg food
Pedia
163. Child with respiratory distress at birth, Displacement of trachea, hyperinflated Lt upper lobe - congenital lobar emphysema /pneumonia ans -cong lobar emphysema
164. Child with chronic cough with wheeze h/o TEF correction. Tracheomalacia/subglottic stenosis/asthma ans - Tracheomalacia
165. 7 month child vomiting after fruit juice feeds. Enzyme deficiency to be evaluated? Aldolase B
166. Pellagra like dermatitis, aminoaciduria, absent in parents, 2chids present, 2child absent,( AR) - Hartnup disease
167. Child with k/c/o bronchial asthma comes with resp distress rate 48/min cant speak 2 words,occasional wheeze.saturation 95%, you give 3 doses of salbutamol nebulisation then he started to speak a sentence but saturation falls to 85% a.VP mismatch b.r to left shunt c.due to salbutamol d.faulty pulse oxymeter ans - faulty pulse oxymeter /VP mismatch
168. Most dangerous finding in 10 day old neonate - increased unconjugated bilirubin, increased conjugated bilirubin, not gained weight Ans increased conjugated bilirubin
169. Child passing white stools, icterus in eyes. Next best investigation - usg/ ct abdomen/liver function tests - ans - USG?
170. Nephrotic syndrome patient after diarrhea presented with acute kidney injury with creatine 4.5. All are possible reasons /Except? Renal vein thrombosis/diarrhoea water depletion/frusemide water depletion/steroid induced diabetes ans - steroid induced diabetes
171. Not true about autism - ⅔ are mentally retarded/poor eye contact/ language developement delay/dermatoglyphic abn ans - ???
172. 1st line in management of female child abuse with fracture pelvis severe bleeding from perineum - 1)blood transfusion 2)immediately inform the police 3) assess airway 4)internal iliac ligation-Ans???
173. 6 month baby Child crying in midnight with pain in epigastrium passing red current jelly stools and pain subsided...ans Intussuception
174. Child with Respiratoy Rate 48, cold, cough, ans “no pneumiona” (repeat)
Orthopedics
175. Features of Colles fracture are all except - volar tilt/dorsal tilt/ radial displacment/ supination ans volar tilt
176. Sunray appearance in osteosarcoma is because of??? Periosteal reaction
177. Pronation of foot angles parallel— calcaneocuboid & talonavicular jts
178. Bone dysplasia - fault in development
179. Mother pulled hand of child, child unable to move elbow and crying - pulled elbow
180. Lucent defect in midshaft tibia lined with sclerotic bone - fibrous cortical defect/fibrous dysplasia/ osteoid osteoma – Ans?osteiod ostemoa is the answer,as this lesion is in shaft tibia with central translucency and surroundng sclerosis
Anaesthesiology
181. Breathing circuit of choice for spontaneous ventilation - Mapleson A
182. Muscle pain after day care surgery with propofol and sch - SCH
183. Not a method to increase ventialtion in patient on ventilator???Make him prone
184. Dexmedetomidine - centrally acting alpha 2 agonist
185. Anesthetic for day care surgery - propofol (repeat)
186. Bethune and Bethren - a.precordial doppler b.transesophageal echocardiography c.plethysmography d.end tidal co2 ans ETCO2
Dermotalogy
187. Picture of acne like rash, photosesivity, emotional stress, - rosacea/ SLE/ ans Rosacea
188. Picture of taenia versicolor, next step - KOH smear
189. Picture of elderly male, itchy, tense bullae-bullous pemphigoid / phemphigus vulgaris/ IGA disease - Bullous pemphigoid
190. Not a type of lichen planus - lichen scrofulosorum
191. recurrent penile ulcers with hyper pigmentation in a young male are due to ans Fixed drug eruption
192. 16y/f with nodulocystic acne - treatment of choice – tretinoin isotretinin/acetretinin
Radiology
193. Investigation of choice in acute head trauma - NCCT
194. Investigation of choice for child with appendicitis - USG?
195. Gold standard for diagnosis of bronchiectasis - HRCT chest
196. Glass piece injury in forefinger - first invt - X ray/ USG/ CT/ MRI - ans X ray
197. Newborn has not passed meconium for 48 hours , IOC - Lower Gi Contrast Study /manomety
198. Bilious vomiting in child. Investigation of choice - USG/CT/
Psychiatry
199. Psych pt with epigastric crepitus, alopecia, vomiting - trichobezoar
200. PTSD treatment of choice - Eye movement desensitisation and reprocessing (EMDR). EMDR is a relatively new treatment that has been found to reduce the symptoms of PTSD. EMDR involves making side-to-side eye movements, usually by following the movement of your therapist's finger, while recalling the traumatic incident.
201. 3 days after taking haloperidol, schizophrenic pt with rolling up of eyes - acute dystonia
202. M/C method of Parasuicide – Drug ingestion / wrist sliting
Courtesy: "DrPoongs"
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