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Dashboard>Result

Answered:185

CorrectRate:
99.44%
Unanswered:6

Correct:178

Incorrect:7

Score:178/179

MyTest2012/May160541
No.

Questions

1 Ventriculardepolarizationstartsfrom:

CorrectAnswers

YourAnswers

Leftpartof
interventricularseptum

Leftpartof
interventricularseptum

Duringmoderateexercise,bloodflow
tobrain:

Doesnotchange

Doesnotchange

Allofthefollowingaretrueabout
actionofADH,except:

Increasedsecretion
whenplasma
osmolalityislow

Increasedsecretion
whenplasma
osmolalityislow

StewartHamilton
equation

StewartHamilton
equation

Closetoresidual
volume
RateofCSF
absorption

Closetoresidual
volume
RateofCSF
absorption

Writtenandspoken
language

Writtenandspoken
language

Histaminereleasedue
tolocalinjurytomast
cells
Continuewithcycle
lengthofmorethan24
hours
Reduced
concentrationof
surfactant
Itsfunctionsare
profoundlyaffectedby
changesinexternal
environment

Histaminereleasedue
tolocalinjurytomast
cells
Continuewithcycle
lengthofmorethan24
hours
Reduced
concentrationof
surfactant
Itsfunctionsare
profoundlyaffectedby
changesinexternal
environment

Ayoungfemalepatientcamefor
routineexamination.Onexamination
amidsystolicclickwasfound.There
12 isnohistoryofRHD.The
histopathologicalexaminationismost
likelytoshow:

Myxomatous
degenerationand
prolapseofthemitral
valve

Myxomatous
degenerationand
prolapseofthemitral
valve

Whichofthefollowingisthe
13 characteristicofirreversibleinjuryon
electronmicroscopy?

Amorphousdensities
inmitochondria

Amorphousdensities
inmitochondria

Acutelymphoid
leukemiainlessthan
oneyearhasapoor
prognosis
Lackofantigensof

Acutelymphoid
leukemiainlessthan
oneyearhasapoor
prognosis
Lackofantigensof

Whichscienctifcprincipleisthebasis
forthermodilutionmethodusedin
4
measurementofcardiacoutputby
pulmonarycatheter?
Whichofthefollowingiscorrectabout
5
adultcriticalclosingvolumeis?
6 CSFpressureismainlyregulatedby:
Inrighthandedindividuals,theleft
cerebralhemisphereismore
7 developedthantherightcerebral
hemisphere.Theleftcerebral
hemisphereismainlyresponsiblefor:
InLewisTripleResponse,redness
8 whenskinisscratchedwithapointed
objectisseendueto:
9

Iftheexternalcausesareremoved,
thesleepwakecycleinhumans:

10

Whichofthefollowingisseenin
pneumothorax?

11

Inhumans,thebrainisconsideredto
beresponsive:

Whichofthefollowingstatementsis
14
true?
Whichofthefollowingregarding
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15 Bombaybloodgroupisfalse?

severalbloodgroup
systems
Havearoleinbone
marrowregeneration

severalbloodgroup
systems
Havereceptorsfor
anchoringproteins

RBCs

RBCs

Increasedvascular
permeability

Increasedvascular
permeability

Coombstest

Coombstest

10%bufferedneutral
formalin

10%bufferedneutral
formalin

FactorXdeficiency

FactorXdeficiency

ClassIandII

ClassIandII

Whichofthefollowingstatements
23
aboutantiepilepticsisfalse?

Phenytoinand
carbamazepineactby
prolongingNa+
channelactivation

Phenytoinand
carbamazepineactby
prolongingNa+
channelactivation

Despitetheirshorthalflives(2hours),
ProtonpumpInhibitors(PPIs)causea
24 prolongedsuppressionofacid
secretion(upto48hours)because:

Theyirreversibly
inhibittheproton
pumpmoleculeand
hence,acidsecretion
requiressynthesisof
newprotonpumps

Theyirreversibly
inhibittheproton
pumpmoleculeand
hence,acidsecretion
requiressynthesisof
newprotonpumps

25 Trueaboutfirstorderkineticsis:

Therateofelimination
isproportionaltothe
plasmaconcentration

Therateofelimination
isproportionaltothe
plasmaconcentration

Clindamycin

Clindamycin

Atropinesulphatewas
administeredasan
antidote

Atropinesulphatewas
administeredasan
antidote

Penicillin

Penicillin

Sodium
chromoglycate

Sodium
chromoglycate

TerminaliaArjuna

TerminaliaArjuna

Chlorhexidine

Chlorhexidine

Hematopoeticstemcelldifferfrom
progenitorstemcellinthattheycan:
Inanablatedanimal,myeloidseries
17 cellsareinjected.Whichoffollowing
isseenafterincubationperiod?
Theroleofbradykinininprocessof
18
inflammationis:
A23yearoldfemalepresentedwith
jaundiceandpallorfor2months.Her
peripheralbloodsmearshowsthe
19
presenceofspherocytes.Themost
relevantinvestigationtoarriveata
diagnosisis:
16

20 Thefixativeusedinhistopathology:
Anewbornbabypresentedwith
profusebleedingfromtheumbilical
stumpafterbirth.Restofthe
21
examinationandPT,APTTarewithin
normallimits.Mostofprobable
diagnosisis:
HLAantigensobservedonocular
22
dendriticcellsare:

Druginducedcolitisismostfrequently
associatedwith:
Afemaletreatmentfordepression
tookamassivedoseofamitriptyline
27 forsuicide.Whichofthefollowingis
wrongregardingmanagementfor
her?
26

AllofthefollowingcancauseSLElike
syndromeexcept:
Thedrugthatisnotbannedfor
29 playersbytheInternationalOlympic
Committee(IOC)is:
28

Whichofthefollowingtraditional
30 medicinesiseffectiveinthetreatment
ofheartfailure?
31

Sputumcanbedisinfectedbyall
except:
Ina4yearoldboywhohashistoryof

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pyogenicinfectionsbybacteriawith
32 polysacchariderichcapsules,which
ofthefollowinginvestigationsshould
bedone?

IgAandIgG2
deficiency

IgAandIgG2
deficiency

Anabbatoirworkerpresentedwitha
pustuleonhishandthatprogressed
toformanulcer.Smearistakenfrom
33 theulcerandsenttolaboratoryfor
investigation.Whichofthefollowingis
thebeststaintodeterminethe
causativeagentoftheulcer?

Polychrome
methyleneblue

Polychrome
methyleneblue

Withreferencetoantibioticresistance
34 alloffollowingstatementsaretrue
except:

Plasmidmediated
resistanceis
exclusivelytransferred
vertically

Plasmidmediated
resistanceis
exclusivelytransferred
vertically

Optochin

Optochin

McCoycellline

McCoycellline

DifferentialRNA
processing

DifferentialRNA
processing

Shotgun

Shotgun

Apersondiedduetobulletinjury.On
postmortemexamination,ametallic
bulletwasfoundinhisbody.This
39
bulletshowedthepresenceofprimary
andsecondarymarkings.These
markingscanbeusedfor:

Identificationof
weapon

Identificationof
weapon

Apatientcommittedsuicideby
shootingabulletintohisrighttemple.
Onpostmortemexamination,the
skullwasburstopen.Therewas
40 charringandcherryreddiscoloration
alongthetrackofbulletandthe
weaponwasfirmlyclaspedintheright
handofdeceased.Thebulletwas
firedfromwhatdistance?

Contactshot

Contactshot

Ayoungfemalepresentedwith
consumptionofsomesubstancein
theemergencydepartment.Greenish
bluefrothwasseencomingoutofher
41
nostrilsandoralcavity.Thepoisoning
ismostlikelyduetowhichofthe
following?

Copperpoisoning

Copperpoisoning

Apersonpresentswithpneumonia.
Hissputumwassentforculture.The
bacteriumobtainedwasgrampositive
35 cocciinchainsandalphahaemolytic
coloniesonsheepagar.Whichofthe
followingwillhelpinconfirmingthe
diagnosis?
Ayoungmalepatientpresentedto
OPDwithurethraldischarge.Onurine
36 examinationpuscellswerefoundbut
notorganisms.Whichmethodwould
bethebestforculture?
Synthesisofanimmunoglobulinin
37 membraneboundorsecretoryformis
determinedby:
Chokingisassociatedwithwhichof
38
thefollowingfirearm?

Thereisacaseofinfanticide.During
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42 thepostmortemexamination,the
doctorperformsBreslaussecondlife
test.Thistestdetectschangesin
whichofthefollowingorgan?
Lastorgantobedissectedduring
43 autopsyindeathcausedbyasphyxia
is:
A32yearoldadultmalebrokethe
44 jawofanotherinanallegedfight.The
investigatingpoliceofficer:
Musclesareobservedinaburns
deceased.Thisindicatesthatthe
45
personisexposedtointenseheat
abovewhattemperature?

Stomachandintestine

Stomachandintestine

Neck

Neck

Canarresthimwithout
warrant

Canarresthimwithout
warrant

60C

60C

Dyke

Dyke

Thereisgross
negligence

Thereisgross
negligence

Apatientcomeswithpinpointpupil,
salivation,tremorsandredtears.
48
cholinesteraseactivitywas30%of
Normal.Probablediagnosisis:

Organophosphate
poisoning

Organochlorine
pesticidepoisoning

Inacaseofalcoholintoxication,motor
49 incordinationandjudgmenterrors
occuratbloodalcohollevelsof:

80200mg/dL

80200mg/dL

Inacaseofalcoholintoxication,motor
50 incordinationandjudgmenterrors
occuratbloodalcohollevelsof:

80200mg/dL

80200mg/dL

Ayoungmalepresentedwith
abdominalpainforthepast2years.
51 Healsocomplainsofweaknessinhis
hands.Hishemoblobinlevelwas8
gm/dL.Themostlikelydiagnosis:

Leadpoisoning

Leadpoisoning

InWHORoadtoHealthchart,upper
52
andlowerlimitofrepresents:

50percentileforboys
and3percentilefor
girls

50percentileforboys
and3percentilefor
girls

AccordingtoICMRguidelines,whatis
53 thedailyproteinrequirementofagirl
agegroup1315yearsofage?

0.95gms

0.95gms

Weightforage

Weightforage

55 RashtriyaSwasthyaBimaYojnais:

Governmenthealth
insurancescheme
meantforthepoor

Governmenthealth
insurancescheme
meantforthepoor

AccordingtoVision2020,the
56 recommendationsforsecondarycare
servicesincludingcataractsurgeryis:

1servicecenterfor
5,00,000population

1servicecenterfor
5,00,000population

Highlyinfectiousbut
lowpathogenicity
Healthprofessional
involvedinthe
patientspersonalrole

Highlyinfectiousbut
lowpathogenicity
Healthprofessional
involvedinthe
patientspersonalrole

Activepartnerinlesbianismiscalled
as:
Apatientdiedduringsurgery.The
relativesallegethatdeathwasdueto
negligence.Accordingtoarecent
47
SupremeCourtjudgment,doctorcan
bechargedforMedicalNegligence
undersection304A,onlyif:
46

54

57

Commontobothacuteandchronic
malnutritionis:

Leprosyisnottargetedforglobal
eradicationbecause:

Whichofthefollowingistrue
58 regardingroleplayedbysocial
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worker?

performance,
interpersonalskills
andfamilyfunctions

performance,
interpersonalskills
andfamilyfunctions

Thereevaluationofacaseofacute
flaccidparalysisforresidualparalysis
59
forthepurposeofAFPsurveillanceis
doneafterhowmanydays?

60days

60days

60 Biascanbeeliminatedbyallexcept:

Multivariateanalysis

Multivariateanalysis

Confoundingfactor

Confoundingfactor

Egg

Egg

Humansaretheonly
reservoir

Humansaretheonly
reservoir

Todeterminethe
periodofisolationof
cases

Todeterminethe
periodofisolationof
cases

Astudyfoundthataninverserelation
existsbetweenconsumptionof
vegetablescontainingbetacarotene
anddevelopmentofcancer.This
findingcouldalsobebecauseofother
61 factorslikefibers,whicharealso
consumedbypeoplealongwiththe
vegetablesandwhichalsoprevents
thedevelopmentofcancer.Thisisan
exampleof:
62

Foodwithmaximumcholesterol
content:

Filariaeliminationispossiblein
63 SouthEastAsianregionduetoallof
thefollowingexcept:
64

Whichofthefollowingisnottruefor
incubationperiod?

65 TrueaboutIndianreferencemaleis:
66

Naturaldisastercausingmaximum
deaths:

Worksfor10hours
Hydrological

Hydrological

AccordingtoTheWorkmens
CompensationAct,1923,whichofthe
67
followingisconsideredan
occupationaldisease?

Anthrax

Anthrax

AccordingtoVision2020,the
68 recommendedOphthalmologist:
populationratioinIndia:

1:50,000

1:50,000

Aninvestigatorobtainedanincreased
incidenceofadiseaseduetolow
fiberdietinacountrybyobtaining
69
datafromthehealthauthoritiesand
foodindustryofthecountry.Thistype
ofstudyisknownas:

Ecological

Ecological

Inacertainpopulation,therewere
4050birthsinthelastoneyear.There
were50stillbirths.50infantsdied
70
within7dayswhereas150diedwithin
thefirst28days.Whatistheneonatal
mortalityrate?

62.5

62.5

Claspknifespasiticity

Claspknifespasiticity

71

Allofthefolowingsignsacanbeseen
incorticospinaltractinjuryexcept:
A50yearoldmalecameto
emergencydepartmentwith
complainsofunilateralheadache,
diplopiaanddifficultyinchewingfood.

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72 Onevaluation,MRIwasnormal,ESR
waspersistentlyhigh.Themost
appropriatedrugfortreatment:

Prednisolone

Coxibs

A20yearoldmalepresentedwith
jaundiceforthepast2weeks.His
liverfunctiontestsrevealedserum
bilirubintobe0.9mg/dL,SGOT/SGPT
73
tobe1240/1450lU.Hewasfoundto
bepositiveforHBsAgandIgManti
HEVantibodiesandnegativeforIgM
antiHBc.Themostlikelydiagnosisis:

Superinfectionof
hepatitisEviruswith
chronichepatitisB
infection

Superinfectionof
hepatitisEviruswith
chronichepatitisB
infection

Apatientwithpreviouslynormal
haemoglobinsufferedasudden
74 massiveacutehemorrhage.Heis
mostlikelytoshowallofthefollowing
except:

Highpackedcell
volume

Highpackedcell
volume

Thetreatmentofapatientwith
myocardialinfarctionisthrombolytic
75
therapy,ifthepatientpresentswithin
.hoursofchestpain:

24hours

24hours

Whichofthefollowingregardingsmall
vesseldisease(SVD),cerebral
76
amyloidangiopathy(CAA)and
Alzheimersdisease(AD)isnottrue?

SVDisrelatedtoAD

SVDisrelatedtoAD

ECfollowedby
percutaneousballoon
mitralvalvuloplasty

ECfollowedby
percutaneousballoon
mitralvalvuloplasty

Myoclonus

Myoclonus

Moyamoyadisease
aorticaneurysm

Moyamoyadisease
aorticaneurysm

SCA2

SCA2

Deltaactivity

Deltaactivity

Lowerlimbischemia

Lowerlimbischemia

Age

Age

Obesefemalesinthe
agegroup2045years

Obesefemalesinthe
agegroup2045years

A40yearoldfemalepresentedwith
dyspnoeaonexertiongradeIIIand
palpitations.ECGshowedatrial
fibrillationwithfastventricularrate.
77
Echocardiographyshowssevere
mitralstenosiswithleftatrial
appendageclot.Whichofthe
followingisnotadvised?
Mostcommonclinicalpresentationof
78
juvenilemyoclonicepilepsy:
79

Allofthefollowingarecorrectly
metchedexcept:

Themostcommonformof
80 spinocerebellarataxia(SCA)inIndia
is:
Inmetabolicencephalopathy,EEG
81
willmostlikelyshow:
Twopatientspresentedwith
significantatherosclerosis.Onehad
significantcomorbiddiabetesandthe
82 otherisnondiabetic.Theincidenceof
whichofthefollowingisincreased
100timesinthepatientshaving
diabetes,whenbotharecompared?
Whileassessingtheriskoffatality
amongadultsfromthePneumonia
83
SeverityIndex,whichofthefollowing
factorismostimportant?
Pseudotumorcerebriismost
84
commonlyseenin:
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A25yearoldpersonwithhistoryof
repeatedepisodesofRheumaticfever
ishypersensitivetopenicillin.Which
ofthefollowingdrugcanbe
prescribedtohim?
A25yearoldpersonwithhistoryof
repeatedepisodesofRheumaticfever
ishypersensitivetopenicillin.Which
ofthefollowingdrugcanbe
prescribedtohim?
Apersonpresentswithfollowing
parametersPCO,30mmofHg,PO2
105mmofHg,pH7.45ishaving
partiallycompensated:
a.A60yroldmalehadasuddenfall
intoilet.HisBPwas90/50mmHgand
pulsewas100/mm.Hisrelatives
reportedthathisstoolwasblack/dark
incolourFurthercarefulhistory
revealedthatheisaknowncaseof
hypertensionandcoronaryartery
diseaseandwasregularlytaking
aspirin,atenololandsorbitrate.The
mostlikelydiagnosisis:

Sulfisoxazole

Sulfisoxazole

Sulfisoxazole

Sulfisoxazole

Respiratoryalkalosis

Respiratoryalkalosis

Gastriculcerwith
bleeding

Gastriculcerwith
bleeding

AstudyofskinbiopsyofSLEpatient
usingFITClabeledhumanIgG
antiserumshowsdepositionof
89
irregularparticlesatdermoepidermal
junction.Thismeansthereis
presenceof:

Immunecomplex
deposits

Immunecomplex
deposits

Whichofthefollowingisassociated
90 withanintrinsicdefectintheRBC
membrane?

Hereditary
spherocytosis

Hereditary
spherocytosis

91 Feverblisterscanoccurdueto:

ReactivationofHSV1

ReactivationofHSV1

Afemaleof40yearspresentingwith
intolerancetocold,constipationand
hoarsenessofvoicewasfoundto
havecardiomegalyonchest
92
roentgenogram.Whichofthe
followinginvestigationsisthebestto
determinethecauseofher
cardiomegaly?

Echocardiography

Echocardiography

Anelederlymalepresentedwith
headache,feverandhemiparasisof
rightside.Onfurtherexaminationand
93 investigationadiagnosisofbrain
abscesswasmade.Whichofthe
followingantibacterial/antibacterials
iseffectiveinthispatient:

Acombinationof
cephalosporinand
metronidazole

Acombinationof
cephalosporinand
metronidazole

A45yearoldfemaleisdiagnosedas
acaseofpneumococcalmeningitis.
Herbloodsampleweresentfor
94
culturesensitivity.Inthemeantime
bestdrugtostartasanempirical
treatmentis:

Vancomycin+
ceftriaxone

Vancomycin+
ceftriaxone

86

87

88

Whichofthefollowingismostlikelyto
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95 beaffectedinananuerysmof
posteriorcerebralartery(PCA)?
Anadulthypertensivemalepresented
withsuddenonsetsevereheadache
andvomiting.Onexamination,there
96
ismarkedneckrigidityandnofocal
neurologicaldeficitwasfound.The
symptomsaremostlikelydueto:
Anelderlyfemalepresentstothe
emergencydepartmentandwas
foundtohaveatransmuralmyocardia
linfarction.BasedonherECG,shewas
97 startedonthrombolytietherapywith
streptokinase.Onfurtherexamination,
whichofthefollowingfindingswould
indicatethatthethrombolytictherapy
isriskyandshouldbestopped?
A60yearoldfemalepresentedwith
decreasedmovementsforthelast2
98 yearswithrigidityandverticallarge
squarewavejerks.Themostlikely
diagnosisis:
99 AllexceptonearetrueforhepatitisB:

100

101

102

103

Aboyissufferingfromacute
pyelonephritis.Mostspecificurinary
findingwillbe:
A25yearoldfemalepresentedwith
historyofrecurrentabortions.The
mostrelevantinvestigationtoidentify
thecauseis:
Mostimportantpathophysiological
causeofGERDis:
Afterremovaloftheparotidgland,
patientishavingsweatingoncheeks
whileeating.Inthiscomplicationseen
afterparotidectomy,the
auriculotemporalnervewhich
containsparasympathetic
secretomotorfibrestoparotidglandis
fusedwithwhichnerve?

Whichofthefollowingistrueabout
104
epigastrichernia?
105

Whichofthefollowingjawcystispre
malignant?

A40yearoldladypresentswithlarge
leftparietalconvexitymeningioma
withperilesionaledema.Sheis
scheduledforsurgerythenextday.A
106
seniorneurosurgeonasksajunior
residenttowritethepreopnotesfro
thelady.Whichofthefollowingpreop
noteswrittenbyhimiswrong?
Atoddlerhasfewdropsofblood
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Oculomotornerve

Oculomotornerve

Subarachnoid
hemorrhage

Subarachnoid
hemorrhage

Significantpericardial
effusionon
echocardiography

Significantpericardial
effusionon
echocardiography

Progressive
supranuclearpalsy

Progressive
supranuclearpalsy

Verticaltransmission
ismoreimportantthan
horizontal

Verticaltransmission
ismoreimportantthan
horizontal

WBCcasts

WBCcasts

Diluterusselviper
venomtest

Diluterusselviper
venomtest

TransientLES
relaxation

TransientLES
relaxation

Glossopharyngeal
nerve

Glossopharyngeal
nerve

Alwaysabovethe
umbilicusoneither
sideofmidline

Alwaysabovethe
umbilicusoneither
sideofmidline

Odontogenic
keratocyst

Odontogenic
keratocyst

Stopsteroids

Stopsteroids

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107 comingoutofrectum.Probable
diagnosisis:
Ayoungfemalepresentswith
dysphagiaforthepast2years.She
alsocomplainsofintermittentchest
108 pain.Bariumswallowshowsdilation
oftheesophaguswithnarrowingof
distalesophagus.Thetreatmentof
choiceis:
Cancermanagementinwhichofthe
109 followingmalignancieshas
dramaticallyincreasethesurvival:
DiagnosisofBarrettsesophagusis
madebydemonstrationofcolumnar
110
mucosa,whichonhistopathology
shows:
Inapatientwithcarcinomabreast
stageT4b,asperTNMclassification,
111
isdefinedbyallofthefollowing
except:
Apersonunderwentlaparotomyfor
Crohnsdiseasewithmelena.A15
cmsegmentofileumwasfoundtobe
diseased.Segmentalresectionwith
healthymarginsandendtoend
anastomosiswasdone.On7thpost
operativeday,thepatientdeveloped
112
anastomoticleak.Hecontinuedto
have150200mlfistulaoutputforthe
next7days.Therewasnocollection
offluidintheabdomenandnow
patientisstable.Theideal
managementis:
A40yearoldmalepresentswith
historyofvomitingofblood2hours
ago.Thevolumeofvomituswas
estimatedtobe500ml.HisBPwas
113 90/58mmHgandpulsewas110/min.
Onabdominalexamination,the
spleenwaspalpable5cmbelowthe
costalmargin.Themostlikelycause
ofthebleedingis:
114

Externalhemorrhoidsbelowthe
dentatelineare:

Themostcommonearlypost
operativecomplicationofileostomyis:
Afemalepatientpresentedwithleft
iliacfossapainforthepast6months.
Oninvestigation,a3cmleftrenal
pelvicstonewasfoundwithno
116
hydroureteronephrosis,normal
functioningkidneysonbothsidesand
nodistalobstruction.Theideal
managementwouldbe:
Whichofthefollowingisusedtotreat
117
hormoneresponsivebreastcancer?
115

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Juvenilerectalpolyp

Juvenilerectalpolyp

Hellers
cardiomyotomy

Hellers
cardiomyotomy

ALLinchildren

ALLinchildren

Intestinalmetaplasia

Intestinalmetaplasia

Nippleretraction

Nippleretraction

Continueconservative
managementand
expectthefistulato
heal

Continueconservative
managementand
expectthefistulato
heal

Portalhypertension

Portalhypertension

Painful

Painful

Necrosis

Necrosis

Percutaneous
nephrolithotomy
(PCNL)

Percutaneous
nephrolithotomy
(PCNL)

Tamoxifen

Tamoxifen
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Afterdoingagraftrepairofathoraco
118 abdominalaneurysm,thepatientwas
notabletomovebothofhislower
limbs.Mostprobablecauseis:
Indecelerationaccident,whichofthe
119 followingfixedpartofaortaisnot
ruptured?

Insufficiencyofarteria
magnaradicularis

Insufficiencyofarteria
magnaradicularis

Behindtheesophagus

Behindtheesophagus

Diverticulardiseaseof
thecolon

Diverticulardiseaseof
thecolon

Nuclearpalisading

Nuclearpalisading

EpsteinBarrvirus

EpsteinBarrvirus

HepatitisAvirus

HepatitisAvirus

Oralcavity

Oralcavity

Malabsorption

Malabsorption

Inferiorvenacaval
compression

Inferiorvenacaval
compression

Apttest

Apttest

A55yearoldwomanwasfoundto
haveCacervix,FIGOstage23,
128
locallyadvanced.Whatwouldbethe
management?

Radiotherapyplus
chemotherapy

Radiotherapyplus
chemotherapy

Apatientwithcarcinoma
endometriumhas>50%myometrial
invasionandvaginalmetastasis.
129
Pelvicandretroperitoneallymph
nodesaarenotinvolved.Peritoneal
seedingsarepositive.Thestageis:

IIIb

IIIb

A20yearoldaverageweightfemale
complainsofoligomenorrheaalong
withfacialhair.Preliminary
130 investigationsrevealraisedfree
testosteronelevels.USGPelvis:ovary
showsnormalmorphology.Whichof
thefollowingcouldbelikelyetiology?

PCOD

PCOD

120

121
122

123

124

125

126

127

A40yearoldmalepatientpresented
withmildabdominalpain,mild
constipationwithafeelingof
incompleteevacuationandmucusin
stoolsforthepast4years.On
examination,tendernessispresentin
leftiliacfossa.Themostlikely
diagnosisis:
Mostcharacteristicfeatureofbasal
cellcarcinomais:
Posttransplantlymphomaismost
commonlyassociatedwith:
Whichofthefollowingmost
significantlyincreasestheriskof
hepatocellularcarcinoma?
Secondprimarymalignancyofhead
andneckiscommonlyassociated
withwhichofthefollowing?
Whichofthefollowingisthemost
prominentfeatureof
immunoproliferativesmallintestinal
disease(IPSID)?
A26yearoldprimigravidaat32
weeksofgestationexperienced
faintnessandnauseainlyingdown
andrecoversafterturningonherside
orgettingup.Thesesymptomscanbe
attributedtowhichofthefollowing?
Testusedtodifferentiatebetween
maternalandfetalbloodinagiven
sample:

Afterafulltermnormaldelivery
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131 patientwentintoshock.Most
probablecauseis:
Afterafulltermnormaldelivery
132 patientwentintoshock.Most
probablecauseis:
Thehighestvolumeoverloadina
133 parturientduetomaximumcardiac
outputisseen:
Allofthefollowingaresideeffectsof
134 growthhormone(supplements)
therapyexcept:
Aneonateissuspectedtobesuffering
fromnecrotizingenterocolitis(NEC).
Onfurtherexaminationand
135
investigation,heisdiagnosedtobe
BellsstageINEC.Themanagement
ofchoicewouldbe:
A10yroldmalechildwaspresented
tothepaediatricianforevaluationofa
seizuredisorder.Onexaminationa
vascularplaquewasfoundalongthe
ophthalmicandmaxillarydivisionsof
136
thetrigeminalnerve.Themother
informedthepaediatricianthatthe
lesionwaspresentsincebirthand
therewasnochangesinmorphology.
themostlikelypossibilityis:

Inversionofuterus

Inversionofuterus

Inversionofuterus

Inversionofuterus

Immediatelyafter
delivery

Immediatelyafter
delivery

Hypoglycemia

Hypoglycemia

Conservative
managementwithIV
fluidsandantibiotics

Conservative
managementwithIV
fluidsandantibiotics

SturgeWeber
syndrome

SturgeWeber
syndrome

Whatisthepathologyofedemain
nephroticsyndrome?
Whichofthefollowingfindingsina
138
newbornsuggestsRDS?
Onexposuretocold,aneonate
139 showsallofthefollowing
mechanismsexcept:

Sodiumandwater
retention
Airbronchogramon
chestXray

Sodiumandwater
retention
Airbronchogramon
chestXray

Shivering

Shivering

CTEV

CTEV

Posterolateralcorner
injury

Posterolateralcorner
injury

L4L5discprolapse

L4L5discprolapse

Ewingssarcoma

Ewingssarcoma

137

Anewbornchildpresentswith
invertedfootandthedorsumofthe
140
footcannottouchtheanteriortibia.
Themostprobablediagnosisis:
ApatientmetwithRoadTraffic
Accidentwithinjurytotheleftknee.
141
Dialtestwaspositive.Whatcouldbe
thecause?
Afterliftingsomethingheavyfromthe
ground,apatientcomplainsofback
142 pain,whichisradiatingtolateralleg
andgreattoeoflowerlimb.Themost
probablediagnosis:
An8yearoldboypresentswith
swellinginmidthighregion.On
examination,femoralthickeningwas
foundwithCodmanstriangle.On
143
aspiration,greyishwhiteliquidwas
aspiratedthatshowedatypicalround
cellswithMIC2positivity.Themost
likelydiagnosisis:
A60yearoldfemalehadfalleninthe
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bathroomandsheisnotabletostand
onherfeet.Onexamination,herright
legwasinexternalrotationandwas
144 notabletomoveherleg.Therewas
tendernessinScarpastriangle.There
isnohistoryoffever.Xrayshowsno
fractureline.Whatistheneststepof
management?
145 Gallowstractionisusedforfracture:
A40yearoldmaleafterbinge
drinkingsleptonachair.Onthenext
day,hepresentedwithweaknessof
146 therightarmandwasnotableto
movehishand.Examinationshowed
ulnarnervepalsy.Whatwouldbethe
management?
Apersonisabletoabducthisarm,
internallyrotateit,placethebackof
147 handonthelumbosacraljoint,butis
notabletoliftitfromback.Whatisthe
etiology?
148
149
150

151

152

153

Cornealdystrophiesare
degenerationsthatareusually:
WeaknessofbothAdductionand
abductionisseenin:
Thetotalareaofretinaseenindirect
ophthalmoscopyis:
Gyrateatrophyisaretinal
degenerativediseaseinvolving
deficiencyofornithine
transcarbamoylaseenzyme.Such
patientsarebenefitedby:
Inpatientswithanterioruveitis,
decreaseinvisionduetoposterior
segmentinvolvementcanoccur
becauseof:
A20yearoldmalepresentswith
historyoftennisballinjurytotheright
eye.Onexamination,aredspotis
seenatthemacula.Themostlikely
diagnosisis:

A23yearoldmalepresentswith
progressiveproptosisofhisrighteye.
Theproptosisincreasesonbending
forwardandiscompressible.Nothrill
154
orbruitwaspresent.Orbital
ultrasoundrevealedanechogenic
masswithfociofechoshadows.The
mostlikelydiagnosisis:
A40yearoldmalewithdiabetes
155 presentswithvitreoushemorrhage.
Whatisthecause?

MRI

MRI

Shaftfemur

Shaftfemur

Giveaknucklebender
splint

Giveaknucklebender
splint

Subscapularistendon
tear

Subscapularistendon
tear

Primaryandbilateral

Primaryandbilateral

Duanesretraction
syndrometype3

Duanesretraction
syndrometype3

2DD

2DD

Argininefreediet

Argininefreediet

Cystoidmacular
edema

Cystoidmacular
edema

Berlinsedema

Berlinsedema

Orbitalvarix

Orbitalvarix

Neovascularizationat
disc

Neovascularizationat
disc

A32yearoldmalepresentswith
unilateraldiminishedvisioninthe
righteye.Onexamination,thereis
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156 mildiritis,vitretisandafocalnecrotic
lesionisseenatthemacula.Themost
likelydiagnosisis:

157

158
159

160

161

Afemalepresentedwith
breathlessness,arthralgiaand
blurringofvisionwithgranulomatous
anterioruveitis.Whatisthemost
probableetiology?
Acquirednasolacrimalduct
obstructionisasideeffectoftherapy
ofwhichofthefollowingmedication?
Initialscreeningtestfortheauditory
functioninneonates:
VestibularEvokedMyogenicPotential
(VEMP)hasbeenusedinassessment
of:
Whichofthefollowingistrue
regardingElectrocochleography?

A6yearoldchildpresentedwith
historyofrecurrentupperrespiratory
tractinfections,mouthbreathing,
162 nasalobstructionhearingimpairment,
withhigharchedpalate.The
managementwillbe:
Aninfanthaspapulovesicularlesions
163 onpalms,soles,faceandtrunk.The
diagnosiswouldbe:
Ayoungboyhaditchy,excoriated
papulesontheforeheadandthe
exposedpartsofthearmsandlegsfor
164 threeyears.Thediseasewasmost
severeintherainyseasonimproved
completelyinwinter.Themostlikely
diagnosisis:
A27yearoldsexuallyactivewifeofa
longdistancetruckdriverpresented
withcopiousvaginaldischargeof2
165 daysduration.Accordingtothe
syndromalmanagementofvaginal
discharge,whichofthefollowing
woulbbegiventoher?
Aladydevelopspigmentationonthe
bridgeofnoseandcheekson
166
exposuretosunlight.Themostlikely
diagnosisis:
Whichofthefollowingisa
167 characteristicfeatureofborderline
leprosy?
Multiplehypoaesthetic,
hypopigmentedmaculesonright
168
lateralforearmwithnumerousacid
fastbacilliisindicativeof:
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Oculartoxoplasmosis

Oculartoxoplasmosis

Ocularsarcoidosis

Ocularsarcoidosis

Timolol

Timolol

OtoacousticEmissions
(OAE)

OtoacousticEmissions
(OAE)

Inferiorvestibular
nervefunction

Inferiorvestibular
nervefunction

Outerhaircellsare
mainlyresponsiblefor
cochlearmicrophonics
andsummation
potential

Outerhaircellsare
mainlyresponsiblefor
cochlearmicrophonics
andsummation
potential

Adenoidectomywith
grommetinsertion

Adenoidectomywith
grommetinsertion

Scabies

Scabies

Insectbite
hypersensitivity

Insectbite
hypersensitivity

Metronidazole+
Fluconazole

Metronidazole+
Fluconazole

Chloasma

Chloasma

Invertedsaucer
shapedlesions

Invertedsaucer
shapedlesions

Borderlineleprosy

Borderlineleprosy

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A60yearoldmalepresentedwith
discoloration,thickeningand
169
tunnelingof2fingernailsandonetoe
nail.Whichofthefollowingwillclinch
thediagnosisattheearliest?
A24yearsoldmalehadmultiple,
smallhypopigmentedmaculesonthe
upperchestandbackforlastthree
months.Themaculeswerecircular,
arrangedaroundfolliclesandmany
hadcoalescedtoformlargesheets.
170
Thesurfaceofthemaculesshowed
finescaling.Hehadsimilarlesions
oneyearagowhichsubsidedwith
treatment.Themostappropriate
investigationtoconfirmthediagnosis:

KOHmount

KOHmount

KOHpreparation

KOHpreparation

Actinickeratosis

Actinickeratosis

Corpuscallosum
lipoma

Corpuscallosum
lipoma

Arterialthrombectomy

Arterialthrombectomy

Miliarytuberculosis

Miliarytuberculosis

Diatrozoate

Diatrozoate

MRI

MRI

PPDskintest

PPDskintest

178 Amifostineisa:

Radiomodifier

Radiomodifier

Thediagnosticfeaturethat
differentiatesPTSDfromother
179
disordersthatoccurfollowinga
stressfulincidentis:

Reexperiencingand
avoidanceoftrauma

Reexperiencingand
avoidanceoftrauma

Derailment

Derailment

Whichofthefollowingisassociated
withsunexposure?
BracketcalcificationonskullXrayis
172
seenin:
A8yearoldchildwasinjected
contrastinhandforCECTchest.
Immediatelyhedevelopedswellingin
thearmwhichgraduallyincreased.
173
After4hours,therewasnumbness
andpain,andhewasnotallowingthe
doctortoflexthehand.Pulseis
present.Whatshouldbedone?
171

174 Stereotacticradiotherapyisusedin:
WhichofthefollowingisanonIodine
containingcontrast?
Maximumradiationexposureoccurs
176
in:
175

177

Mostreliabletestforspinal
tuberculosis:

Whichofthefollowingisnota
disorderofformofthought?
Whichofthefollowingantipsychotics
181
isavailableinadepotinjection?
180

Trifluperazine

Whichofthefollowingantipsychotics
182 isavailableinadepotinjection?
Followingdiagramindicateswhat
typeofinheritance?
Followingdiagramindicateswhat
184
typeofinheritance?
Followingdiagramindicateswhat
185
typeofinheritance?
183

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Trifluperazine
Mitochondrial

Mitochondrial

Mitochondrial

Mitochondrial

Mitochondrial

Mitochondrial

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