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1.

Drug causing hypothyroidism - amiodarone


2. Stratosphere sign in usg pneumothorax
3. Increased vocal resonance -bronchial ca
4. Pointing index - ain injury
5. Alendronate hip pain invst xray
6. Fusion inhibitor enfuvirtide
7. Ketone bodies not utilised by - rbc
8. Muscle not contain - glucose6phosphatase
9. Most metabolised inhalational anaesthetic halothane
10. No cns penetration glycopyrrolate
11. Incresed cerebral blood flow by and ci in epilepsy- ketamine
12. Potent la bupivacaine
13. Psychiatry coined by -reil
14. Wandering acetabulm tb hip
15. Mallet finger extensor tendon avulsion
16. Fruit bite mark preserved in.........meta bisulphate
17. Negri body not found in
18. Chronic mild depression for two year or more- dysthymia
19. Magistrate inquest not in -homicide
20. Espundia caused by - leishmania
21. Post.cricothyroid abductor of vocal cord
22. Globoid bodies - krabbes disease
23. Mansonia transmits chickungunya
24. Hinge fracture skull #
25. Drug used in monotherapy of juvenile myoclonic epilepsy in pregnancy -lamotrigine
26. Drug which does not affect retina? amiodarone
27. Non motile- klebsiella
28. Spontaneous breathing -mapelson a
29. Hyperkalemia s/e succinylcholine
30. Capillary leak syndrome (cls) seen with -gmcsf
31. Pco2 in the expired air - 32
32. Medullary ca all are true except- it is usually familial (sporadic is more common)
33. March fracture - second metatarsal shaft
34. Montagia # - ulna # wit sup ru jt dislocation
35. Ateral condyle fracture - cubitus valgus
36. Maffuci enchondroma wit hemangioma
37. Light bulb sign - post dislocation humerus
38. Hill sach lesion -post sup lesion in humeral head
39. Tom smith - septic arthritis of infancy
40. Meralgia paresthetica- lat cut nerve of thigh
41. Hpe of osteosarcoma- malignant cells wit osteoid formation
42. Mdg to reduce mmr by 0.75
43. Metazoonosis- plague
44. International food standards- codex alimentarius
45. Case control study -rare disease
46. Not a test of significance - sd
47. Point source not true - many secondry waves
48. Killed vaccine- salk
49. Endoscope sterilisation glutraldehyde
50. Waste sharps -blue/white bag
51. Nrhm asha - community participation
52. Childhood obesity prevention- primordial prevention
53. Lithium stopped before surgery- 48 hrs
54. For post puncture headache--wrong statement - stylet kept inside and needle removed

55. Retina gas- sf6


56. Salmonella common to all species - indole negative
57. Painless ulcer labia majora - treponema pallidum
58. Freis test -lgv
59. Whiff test - bacterial vaginosis
60. Kochs postulates not true - antibiotics cures the disease
61. Transmitted through pilus - conjugation
62. Not a fungal infection -mycosis fungoides
63. Craige tube - diff b/w motile and nonmotile
64. Exotoxin not true - heat stable
65. Staphylococcus not true -catalase negative
66. Hot spot on t99madenolymphoma
67. Nerve damage by sentinel node biopsy in breast ca--intercostobrachial nerve
68. Follicular ca.--hematogenous route
69. Mc blunt trauma injury--spleen
70. Abdominal desmoid to screen for - colonic ca
71. Good pasture syndrome- type four collagen
72. Burkitt -ebv
73. Lepra 2 rxn - type3 hs
74. Allograft rejection - delayed hs
75. Ig in alternate pathway - iga
76. Rhabdomyosarcoma marker- desmin
77. Alziemer - a beta amyloid
78. Inflammatory mediator not from cells -kinin
79. Whorled epithelium in asthma- curschman spiral
80. M/c benign tumor of esophagus leiomyoma
81. Ct for ca esophagus cisplatin
82. Ileostomy complication - necrosis
83. Intussusception -submucus lipoma
84. Secondaries neck mass grade - t0 n2a mx
85. M/c melanoma - superficial spreading
86. Osteoblastic metastasis -prostate
87. Damage control surgery- minimum intervention definitive surgery later
88. Not a complication of tpn -neutrohil dysfunction
89. Marker for contrast nephropathy -creatinine
90. Symptomatic spinal injury wit normal radiology children
91. Agent for tinea capitis - t.violaceum
92. Contact dermatitis most effective treatment -moist compress
93. Thiazide diuretic in rf-metolazone
94. Betablocker with antioxidant property - carvidilol
95. Membrane stabilising agent maximum -propanolol
96. Azole -ergosteron synthesis inhibitor
97. Not used in chf clopidogrel
98. Not a prodrug ticagrelor
99. 8 yrs familial hyper cholestrelemia trt - pravastatin
100. Iodine not true- ci in hypothyroidism
101. Not a cell adhesion molecule......spectrin
102. Fetal and maternal blood diff by - apt test
103. Apt test uses naoh
104. Active management of third stage oxytocin =10 u im
105. Cin2 in pap smear next step- colposcopy
106. Dysmenorrhea wit uniformly enlarged uterus 14 wks adenomyosis
107. Most accurate method of dignosis of pregnancy at 6 wks - usg fetal cardiac activity
108. Asymptomatic bacteriuria- trt not needed in pregnancy

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Hrt not given for- cad prevention


Secretory phase progesterone
11 wks method of termination- suction evacuation
M/c progestrone metabolite in urine pregnanediol
Not a stimuli for insulin- hypokalemia
Mmse for.......dementia
Increased anion gap acidosis a/e -diarrhea
Hyerkalemia a/e - u wave
Bmr decreased in hypothyroidism
Not a feature of thyrotoxicosis hair loss
Alkaline diuresis phenobarbitone
Mi first marker- myoglobin
Peanut eating tongue swelling -angioneurotic edema
Takayasu mc involved -subclavian artery
Acute pancreatitis not seen -hypoglycemia
Obst sleep apnea next step - wt reduction
Edema in nephritic syndrome due to - reduced oncotic pressure
Alert not responding stupor
Least sensitive to muscle relaxant- diaphragm
Celiac plexus block- diarrhea and hypotension
Ci for epidural and spinal all except - hyper tension
Red velvetty mucosa - arsenic
Lead poisoning-sideroblasts
Rta - secondary injury
Viper resembles- abrus
Last organ to putrify- prostate
Vision not affected in papilledema
Visualise angle - gonioscope
Rosette- traumatic cataract
Not seen in vitreous hemorrhage - metamorphopsia
Horner syndrome- miosis
Vertically oval pupil angle congestive glaucoma
Soft contact lens - hema
Iridotomy -yag laser
Not a part of ethmoid inferior turbinate
Claudius cells- organ of corti
Mucormycosis - amphotericin
Sinus at birth - maxillary and ethmoid
Ca larynx wit vocal cord fixation- t3
Auditary tube - ant wall of middle ear
Otosclerosis as curve
Reverse transcriptase - telomerase
Subs level phosphorylation not seen in -pfk
Heparin releases lpl
Lyase -aldolase b
Insulin dependent glucose transport not in liver
Low km - high affinity
Immediate change after lying down -increased venous return
Proprioception - a alpha
Electrical synapse- gap junction
Neuropraxia - physiological interruption
Diastolic murmur - pathologic
Mr child wit flank mass and liver swellings -tuberous sclerosis
Adrenaline dose in a neonate- 0,01 mg/kg or .1 mg /kg of 1 /10000

163. Imp sign in resp disease - retraction


164. Widened epiphysis wit bow legs rickets
165. Erythema of cheek -pure red cell aplasia
166. Blood nerve barrier formed by perineurium
167. Collecting duct is derived from metanephros
168. Null cells or nk cells 5 -10%
169. Retropharyngeal space extend frm skull base to the level of diaphragm
170. Hypocalcemia not seen in turniquet application
171. Best treatment to prolong life in copd- oxygen
172. Not a sign of increased pulmonary blood flow -kerley b lines
173. Hypothermia during anaesthesia... Warm saline prevention
174. Loading dose - to attain the target concentrationrapidly ..
175. All are associated with sudden death in hocm except? - mr
176. Avg.threshold of hearing at 500,1000,1500 is 45db then % of hearing loss is? 30
177. Icd 10 for psychiatric illnesses :
178. Atypical lymphocytes in infectious mononucleosis cd8t cells
179. Aseptic meningitis- intrathecal methotrexate
180. Not a pleotropic effect of statins - ldl lowering
181. Plasma osmolality 285-295
182. Efficacy of phototherapy not depend on level of bilirubin
183. Osteogenesis imperfecta type 1collagen
184. Disease transmitted by virus mumps and rabies
185. Field h2 of forel =lenticular fasciculus
186. Receptors not true???? Meissner in hairy skin
187. Receptors not true???? Meissner in hairy skin
188. In which pneumoconiosis there is snow-storm appearance on c-xr silicosis
189. 14 yr old child with abnormal movements with hyperintensity and inv of thalamus pons striatum ? Wilson's
disease
190. Radiation in cervical ca 80-85 -85-90 at point a
191. Amt of iron req by lactating women-38mg
192. L:s ratio for - fetal lung maturity
193. Photoelectric effect -low energy photon nd inner shell electron
194. Abundant element flourine
195. Lung neuroendocrine cells - carcinoids
196. Urinary catheterised individual no need of any rx
197. Spider leg -polycystic kidney
198. Multiple myeloma.....m spike..35% blast
199. It is not possible to apply koch's postulates to leprosy
200. M/c mucocele in pns? Frontal
201. Regarding trigeminal nerve, false option is arises from midbrain
202. Melanoma marker s100
203. %percentage of burn in child wid burn in buttocks ,thigh , head n neck ? 37
204. Mc form of vaginitis senile
205. A patients relative gives a h/o tattoo however it wasnt found on autopsy,wht should b dissected to prove ?
Ans = lymph node
206. Vaginal adenosis precedes clear cell ca vagina
207. Eye muscle not supplied by occulomotor? Ans= so
208. Tonsillectomy? Grisler syndrome is not common
209. Hepatitis after blood transfusion is c
210. Anastomosis in arteries except ans = uterine and ovarian artery
211. Extensor hallucis palsy: l5 palsy
212. Inferior tympanic artery is is branch of ascending pharyngeal artey
213. Content of mesorectum except?? - inf rectal arterty
214. Aortic opening--t12

215. Lenalidomide and dexamethasone increased risk of thrombo embolism


216. Earliest serum marker in downs- pappa
217. The difference between hus & ttp is--fever(not found in hus)

FAILURE RATE OF CONTRACEPTIVE METHODS IN 1st 12 MOTHS OF USE.


METHODS
PREGNANCY RATE PER 100 WOMEN YRS
No method
80
natural family planning
21
spemicidal jelly
21
lactational amenorrhoea
2
condom(male)
14
diaphragm
20
IUCD
medicated- 1
inert- 3
combined oral pill
0.1
progestin only pill
1
DMPA and NET injectables
0.3
norplant/implant
0.1-0.4
vasectomy
0.15
tubectomy
0.15
NATURAL FAMILY PLANNING METHOD:
1.RHYTHM/CALENDER METHOD: failure rate 25-35%(unsafe period)
failure rate 10% (safe period)
overall high failure rate-9/100 WY
2.STANDARD DAYS METHOD: failure rate 2/100WY
Typical failure rate of natural family planning method is 20/100 Women in 1st yr of use but it can be reduced to 1-9% with correct usage and
practice.
SPERMICIDES: failure rate 20-25/100 WY when used alone.
TODAY/ VAGINAL SPONGE: failure rate 9-30/100 WY.
VAGINAL RING (NUVA RING): failure rate 0.3%
POP: breast feeding women- typical use: 1/HWY
perfect use: 0.3/HWY
non breast feeding women- typical use: 3-10/HWY
perfect use: 0.3/HWY
PROGESTIN ONLY INJECTABLES: typical use: 3/HWY
perfect use: 0.3/HWY
PROGESTIN ONLY IMPLANT: NORPLANT: failure rate: 0.1-0.4%
In 40% cases fertility returns by end of 3 months.
in 76% cases fertility returns by end of 2 yrs
in 90% cases fertility returns by end of 3 yrs.
PROGESTERONE CONTAINING IUCDs: failure rate: 0.1-0.4/HWY.
FEMALE STERILISATION AND FAILURE RATES:
pomeroys method
0.4%
madlener
7%
laproscopic
0.2-1.3%
hysteroscopic tubal block
-cauterisation
30%
-sclerosants
15%
irwing
irreversible
fimbriectomy
irreversible.
RESULTS OF MICROSURGICAL RECONSTRUCTIVE SURGERY AFTER STERILISATION PROCEDURS:
sterilisation
term pregnancy(range%)
ectopic pregnancy(range%)
1.spring loaded clip
88(75-100)
2(0-4)
2.ring occlusion
(silastic bands)
75(44-95)
2(0-4)
3.pomeroy ligation
59(45-70)
2(0-3)
4.electrocoagulation
43(26-58)
5(0-9)
MALE STERILISATION:VASECTOMY: failure rate 0.1-0.5%

vasovasotomy: reversibility - 90% return of sperm


70% pregnancy rate.
LIFE SPAN OF IUCDs:
NovaT/multi load 375/levonova
cuT380A (paragard)
cuT200 B
progestasert
mirena
CAUSES OF INFERTILITY:
male factors
tubal/ uterine/peritoneal factors
anovulation/ ovarian factors
cervical factors
unexplained infertility

5yrs
10yrs
4yrs in US,3yrs in india and europe
1yr
7-10 yrs,but approved for 5yrs

30%
25%
25%
10%
10%

after treatment of genital TB pts who conceive 50% have tubal pregnancy
20-30% abort and 2% have live birth.

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