Thursday, March 10, 2011
APPG 2011 ANSWER KEY
HI frns........
THESE ARE THE ANSWERS TO QUESTIONS of APPG 2011'
PLZ CHECK FOR ANY MISTAKES
1) To do Dacryocystorhinostomy ,anaesthesia used is ?
Nasociliary block
Frontal block
Local anesth
2) Eculizumab used in paroxysmal nocturnal hemoglobinuria
3) danazol side effects all except
vaginal dryness
acne
hirsutism
gynaecomastia
4)Scottish terrier sign is best seen in
Lateral view,
PA view ,
AP View
Oblique view….ans
5) Pulse oximetry uses the princple of ?
Raman effect ,
Electro magnetic radiation
Absorption photmetry
6) aplastis crisis caused by
cmv
coxsakie
parvo b19…answer
7)menkes -copper deficiency
8) highest produced placental hormone ?????
estradiol
progesteron
hcg
hpl
8)co2 wavelength
1060
10600 …answer…
498
550
9)ICDS diseases all except
diarrhoea
respiratory infections
malaria
childhood tb
10)morbidly adherent placenta due to lack of natabuch layer …answer
11)kehr sign is
pain in left shoulder ..answer
pain in right shoulder
pain legs
12)Epulisarises from-gingiva…answer
13)mucocoele of GB-cholecyetectomy is treatment of choice
14)saints triad all ecept
renal stones….. answer
15)spleenic vein thrombosis …treatment of choice is spleenectomy
16)adequate colposcopy…visualization of squamocolumnar jn
17)lethal dose of krait venom ??????????6mg???????????
18)hbf compositionalpha2 gaama 2
19)hallwerdenspatz disease…its iron storage disorder in brain
20)apt test…detect blood in stools
Finally, the Apt test can be used after birth (postpartum hemorrhage) if the newborn has bloody vomiting, bloody stool, or active bleeding from the nasogastric tube. A positive apt test would mean that the blood is either due to gastrointestinal or pulmonary bleeding from the neonate. A negative Apt test would indicate that the blood is of maternal origin, suggesting that the neonate swallowed or aspirated maternal blood, either during delivery or during breastfeeding (e.g., from breast fissures).
21)emergency contraception mechanism all except?
1 inhibiting ovulation
2 prev of implantation
3interreference in early pregnancy
4 inhibiting fertilization…answer
22)absolute ind catn for tonsillectomy??
Don’t remember the options
• Absolute indications
o Enlarged tonsils that cause upper airway obstruction, severe dysphagia, sleep disorders, or cardiopulmonary complications
o Peritonsillar abscess that is unresponsive to medical management and drainage documented by surgeon, unless surgery is performed during acute stage
o Tonsillitis resulting in febrile convulsions
o Tonsils requiring biopsy to define tissue pathology
• Relative indications
o Three or more tonsil infections per year despite adequate medical therapy
o Persistent foul taste or breath due to chronic tonsillitis that is not responsive to medical therapy
o Chronic or recurrent tonsillitis in a streptococcal carrier not responding to beta-lactamase-resistant antibiotics
o Unilateral tonsil hypertrophy that is presumed to be neoplastic
23) Not a demyleinatindg disorder??
General paresis
Metachromatic leucodystrophy
Sspe
24)mechanism of injury in anterior dislocation of shoulder
1 internal rotation adduction
2 internal rotation in extension
3 abduction external rotation…answer
25)diagnostic test of crapal tunnel syndrome…nerve conduction velocity
26)soft lens true is??
for astigmatism
made up pmm
high water content…answer
do not tear
27)which is not a qadrant of tympanic membrane… posterior anterior… answer
28)clamydia not true ??
divides by binary fission
has DNA only
freely filterable…answer
29)min amt of blood to call melena
10
40
60mg…answer
30)NRHM ans year 2005..answer
31)ESSURA..hysterscopic micro inserts…answer
32)Not a radiological involment in sarcoidosis?
Milliary motling
Egg shell calsfn
Enlarged b/l ln
Pleural involvement
33)chlorination in of well in rainy season.......?
once daily
once weekly
twice weekly
once monthly
34)pepsin gets inactivated at ph of?
4.5 answer.
35)crypta magna seen in ?
nasopharyngeal tonsil…answer
36)large breast seen in all except ?
1large fibroadenoma
schirrous ca ..answer
filariasis breast
37)which is not safety system ?
1 pin index
2 link25 system
3Minimal mandatory airflow,,,,4,Air flow meter..answer..
38)pulmonary hypertention… BMPR2 gene answer
39)medullary thyroid carcinoma treatment of choise is..total thyroidectomy..answer
40)not a test of ovulation test ?
21 day progestron
3 day progestron
transvaginal us g
21 day estrogen…answer..
41)abacept used in rx of rheumatoid arthritis..answer
42)enfuvirtide is a fusion inhibitor..answer
43)drugs not used for menopausal flushing..SERM ..answer
44)not a br of celiac trunk-supirior mesenteric artery
45)not a part of basal ganglion..thalamus…answer.
46)miliary tuberculosis in children spread
lympho hematogenous ..answer
bronchogenic
rupture of cavity
47)rotator cuff muscles a/e
deltoid …answer…
supraspinatus
infra spinatus
teres minor
48)roll back malaria..answer all
49)true about cochlear implants…not contraindicated in cochlear malformation..answer
50)a man with monoclonal gammmopathy plasma cells 10-30 ? no symptoms ^ esr lomphoplasmacytic lymphoma?????
Smoldering >>mgus
51)grop of peoplre 8 -10 discucssing in front of audience..panel discussion..answer..
52)acute epiglottitis …thumb sign on lateral view..answer..
53)which of the followimg not found in gearter wing
foramin ovale
formin spinosum
foramuin rotundum
optic canal…answer….
54)dacryocytes …tear drop cells,,,answer….
55)Doc in stress incontinence ..duloxetine..answer.
56)paltauffs hemorrhages …lungs…answer
57)dry drowning…laryngeal spasm..answer..
58)not seen in lateral condylar fracture??malunion..answer..???
59)Adduction type of hyoid#
manual strangulation???
ligature strangulation ???
bansdola
hanging
60)intra tubular insitu something predisposes
testicular seminoma
yolk sac tumour
endodermal tomour
embryonal cell ca…answer..
61)world wide mc cause for contact dermatitis ????????/
ni ..answer…
cr
gold
mercury
62)periungual telangiectasia not seen in??
sle
dematomyositis
scleroderma
mixed connectine tissue disorder….answer..
63)trendenlenberg sign not seen in
perthis ds
cdh
ununited # neck femer
tom smith arthritis sequele….answer or none..
b/l acral target like les erythema multiforme…answer…
64)symmetric tonic reflex…not true…its abnormal and reflects cns dysfunction…answer..
65)seligiline mechanism of action not true is??
mao b inhibitor
antioxidant property
increase dopamine secretion??
increase dopamine release.??
66) Criminal negligence..304A …answer…
67)all r used for skeletal traction except
k wire
steinmann pin
danhams pin
knowles pin…answer…it’s a intramedulary devise…
68)sudden ophthalmoplegia in thia childer eating raw fish n cooked rice-thiamine..answer..
In pregnancy cvp
rises
no change
decreases…answer..(decreases gradually thru out prednancy..9>7>4>3.8 at term)this decrease is though considered non significant. http://journals.lww.com/greenjournal/Abstract/1970/11000/Central_Venous_Pressure_in_Supine_Position_During.24.aspx
69)increased viscosity of blood causes increase in ?? clue less about this one
mean arterial press
dia of resistence vessels
dia of capacitence vessels cvp
70)adult with proptosis ..illdefined lesion extending into orbit from eye ball???
malignent melanoma
choirdal hemangioma
lymphoma
71)baciillary angiomatosis not true??
Caused by b.henslae
Can cause peliosis heaptis
Aminoglycosisdes used
Brain is involved in AIDS pt.
C or D may b the answer..
72)y shaped cataract
ant adult n infantile
ant infantile n foetal …answer..
post adult n infantil
past infantil n foetal
73)sniff test- bact vaginosis> trichomonas answer
74)perichondritis of ear
pseudomonas…answer…
75)oval window opens into
scala vestubuli…answer…
76)nobel prize for work on vascular ligature and grafting of blood vessels and organs .. Alexis Carrel …answer..
Not used in short bowel loop management
lenthening of bowel
stricturoplasty
resection of dilated bowel loop
Operative therapies for short-bowel syndrome can be divided into 2 broad categories: (1) intestinal or combined liver-intestinal transplantation, and (2) nontransplant operations. Nontransplant components of the surgical armamentarium for the treatment of short-bowel syndrome include intestinal lengthening (Bianchi) procedures, intestinal tapering for dilated dysfunctional bowel segments, strictureplasty, and creation of intestinal valves or reversed bowel segments for patients with rapid intestinal transit times.
77)mc tumor of liver…..mets…
78)baby developed signs and symtoms of cong.syphilis after two ween..supported by??
Kassowitz’s law
Profeta law
Colles law..answer..
Kassowitz law
It states that greater the duration between infection of mother and pregnancy, better is the outcome for the infant. Better outcome includes, lesser chances of still birth and of developing congenital syphilis.
Colles' law
A child born to a mother who has no signs of venereal symptoms, and presents with this disease at the age of a few weeks, will infect the healthiest nursemaid, but not its mother. The observation had been made earlier by Simon de Vellembert in 1565. This law from the time before the discovery of Spirochaeta pallida is based upon clinical observations. His conclusion was wrong, however, as Colles was ignorant of the fact that the mother already had the disease.
78)diurtic with diect vasodilatory effect..indapamide..answer..
79)drug used to delay uterine contractions in labour …salbutamol ..answer..
80)difference between vaginal cyst and cystocele…quite confusing…couldnyt recollect the options..
81) mech if camp action on git causing diarrhea??
Increased secretion of chlorides…answer..
82)Not done in pmstr
knot release
deep deltoid lig release …answer..
achillis tendon release
spring lig release.
83)not seen in hus .. coombs positive..answer..
84) hyperchlorimic acidosis seen with…uretero sigmoidostomy..answer..
85)regarding spingomylein?? Choline or amino cooh group not sure??
86)starvation – alanine or propionic acid not sure??
87)2.5cms renal stone in child- pyelolithotomy answer most prob..
The American Urological Association Stone Guidelines Panel has classified ESWL as a potential first-line treatment for ureteral and renal stones smaller than 2 cm.
88)rt pleural effusion - rt lateral decubitus best view …answer..
89)Frozen section used in diagnosis of fat..answer..
90)Mc side effect of prrizinamide is arthritis/arthalgia…answer…
91)acarbose MOA… inhibits alphaglucosidase …answer..
92)LCAT activator apo A..answer…
93)Drug causing HDL elevation…Nicotinic acid/niacin…answer..
94)normal distribution curve what is correct . .mean=median…answer
95)vortex keratopathy NOT seen in…copper excess..answer..
96)pregnancy by ELISA first detected on….first day of missed cycle of 28 day duration..answer…
97)not used in heroine detoxification….disulfiram answer..
hemochromotosis gene- HFE gene…answer…
[snip])conjunctival pemphigoid not true ??
occurs in young females
leads to cicatrical synblepharon
tear drops used
distribution differs with race…mostly the answer..
99)once a week pill…centchroman…answer..
100)preichonditis of pinna mc caused by pseudomonas…answer..
101)wegeners differs from other small vsl vasculitis by…invlmnt of nasal septum..answer..
_________________
102) sepsis treatment : Not sure of answer..
activated protien c used in early stages
high dose of anti inflammaotory injurious
antibiotics
methyl prednisolone
103)In systemic inflammatory response all are seen except:
white cell count 10000microns/l ….answer…
resp rate >24
bodytemp>38
hr >90/min
§ Body temperature less than 36°C or greater than 38°C
§ Heart rate greater than 90 beats per minute
§ Tachypnea (high respiratory rate), with greater than 20 breaths per minute; or, an arterial partial pressure of carbon dioxide less than 4.3 kPa (32 mmHg)
§ White blood cell count less than 4000 cells/mm³ (4 x 109 cells/L) or greater than 12,000 cells/mm³ (12 x 109 cells/L); or the presence of greater than 10% immature neutrophils (band forms)
SIRS can be diagnosed when two or more of these criteria are present.
104)Epeleys maneuver used in rx of BPPV…answer..
105)Cidex is gltaraldehyde…answer..
106)tall slender young woman with disproportionate armspan length
what systems to check....opthalmic and cardiovascular systems…answer…
107)mcc of rectal bleed in 5 yr old…rectal polyp..answer most prob...
108)in pheochromocytoma all are given before surgery except:
aplhablocker
beta blocker
steroids
volume loading.
Surgical resection of the tumor is the treatment of choice and usually results in cure of the hypertension. Careful treatment with alpha and beta blockers is required preoperatively to control blood pressure and prevent intraoperative hypertensive crises.15
• Start alpha blockade with phenoxybenzamine 7-10 days preoperatively to allow for expansion of blood volume.
• The patient should undergo volume expansion with isotonic sodium chloride solution. Encourage liberal salt intake.
• Initiate a beta blocker only after adequate alpha blockade. If beta blockade is started prematurely, unopposed alpha stimulation could precipitate a hypertensive crisis.
• Administer the last doses of oral alpha and beta blockers on the morning of surgery.
109)G-csf/ Gm-csf….recombinant human cytokine ….answer….
110)Tinea capitis caused by …microsporum sps…answer…
111)Pt on risperidone case…neurolept malignant synd…answer..
112)Lesion with clear fluid of .5cm…vesicle …answer…>.5 is bulla
113)c reactive protein------- acute phase reactan…answer…
114)pt.with diabetic keto acidosis and coma….high potassium levels…answer…
115)not true about SSPE…fever and headache…answer,..
1160pyrimidine inhibitor with dihydro orotate hehydrogenase inhibitor action…leuflunamide…answer..
117)hapatic blood flow and oxygenation anesthetic?
sevoflurane
desflurane ??
isoflurane??
enflurane
118)ASd with left axis deviation…ostium primum defect..
119)Mc cause of prolonged rocuronium action…decreased elimination…answer..
120)Rays produced by nuclear decay/disingration…gamma rays…answer…
121)Quadrivalent Human Papillomavirus against..Types 6,11,16, 18….answer…
122) Pulse oximetry uses the princple of? Not sure of answer…
Raman effect
, Electro magnetic radiation
, Absorption photometry
123)Endoscopic Dacryocystorhinostomy ,anaesthesia used is??????????
124)True regarding PCOD….raised LH levels …answer…
125)Not a s/e of danazol?? vaginal dryness or gynaecomastia …not sure..
126)Highest level of placental harmone in pregnancy…hcg or progesterone??
127)Placental harmone with highest carbohydrate content …hcg???
128)MBA Psych case…neologism…. Answer….
129)Co2 laser…10600…answer..
130)NOT included in ICDS…childhood tb…answer?
131)NOT true in ankylosis spondy…UL mc involved than lower limb…answer…
132)best position in percutaneous nephrolithotomy operation left kidney …supine…?????
133)spider cell.. Cardiac rhabdomyoma…answer…
134)best test for for fetal rh iso immunisation ?????????????
cord blood
nst
usg placenta
135)ccf which is not true....echo is diagnostic…answer…
136)rx of pseudo pancreaticcyst.... surgical internal drainage…answer..
137)post radiation hodgkins case….hypothyroidsm due to?????
138)glaucome visual fileds defects best detected by…humphry automated….answer…
139)dangerous placenta is type 2 B that is placenta posterior previa….answer,….
140)Cresentic glomerulo nephritis…RPGN..answer…
141)IODENE disinfection mech of action???
142)Large fibre neuropthy cause????
143)Ovarian tumour…stge A2…answer…
144)Herpes definitive diagnosis…virus cultre …answer…
145)Late expanding stage…death rate declines more than birth rate…answer…..
146)stage 4 in AIDS doesnt include oral candidiasis…answer…
147)h.pylori cause g.carcinoma due to???
148)Mc site of peptic ulcer perforation….anterior duodenal ulcer…answer…
149)leukemia associated syndrome- down syndrome…answer….
150)Not a sign of ileocaecal tb….competent ileo caecal valve…answer..string sign is seen in ileo caecal tb,chrons,hyp.pyloric stenosis…othe two options are definitely seen in ileo caecal tb..
151)hirsch prung not true...small intestine not involved???????????????
152)Whats the answer for mindblowing shigella question???
153) 8mm gall stone in bile duct t/t …endoscopic removal..answer most prob…
154)motor unit is nerve endin and muscle fibre…answer….
155)action potential in cochlear cells arise from inner hair cells …answer…(outer hair cells produce otoacoustic emissions)
156)normal conversation in quiet room…50-60db
157)azygous lobe…don’t remember the options
azygos lobe is a rare congenital variation of the upper lobe of the right lung. Embryologically, it arises from an anomalous lateralcourse of the azygos vein [1] [2] in a pleural septum within the upper lobe. As it has no bronchi, veins and arteries of its own, it is not a true, or even accessory, pulmonary lobe, but rather an anatomically separated part of the upper lobe. It is usually an incidental finding on chest x-ray or computed tomography and is as such not associated with any morbidity but can cause technical problems in thoracoscopic procedure
158)carcinoid false is…not sure of the options…????????????
1) circumcribed lesion in mucosa
2)muticentric
3)coliky abdominal pain
4)massive retroperitonial fibrosis
159)Mc cause of post renal arf?
160)Pyogenic liver abscess ...most common route of spread…assecending infection via biliary trac…anwer..>>hematogenous.
161)gilbert syndrome false is ……….conjugated elevated …answer…
162)blunt trauma to pancreas false....usually isolated is false…..answer…..
163)oseophageal perforation false…..penetratin most common cause of injury(iatrogenic trauma mc cause)>>>barium swallow..
164)false about mvp…both echoi and auscultatiry findings required for diagnosis..?????
165)gut endometriosis all except ???????????????
rectal bleeding
involves mucosa
surgery t/t of choice
mucosa n other layers involved??
166)iucd should not be inserted during???
167)specific pattern of cataract not seen in… leprosy….answer…
168)albumin to globulin near term.... 1:1…0.9 to b specific at term…answer…
169)All are prophylactic for Atonic PPH except ????????????????????????????????????
1. 125 microgram Carboprost IM at delivery of anterior shoulder
2. Methergine IV at delivery of anterior shoulder
3. Controlled cord traction at delivery of placenta
4. 10 units Oxytocin within 10 mins after delivery
170)Clotting factors icreased in pregnancy except??
2
7
10
11….answer…..
170)age estimation...first trimester..... Crl…answer……….
171)skeletal defect mc in idm..... Spina bifida….answer…
172)what were the options for old age question?????????
173)In rx of amoebiasis NOT true???
A.METRO for invasive
b.paromomycim for noninvasive
c.p+m better (???Combination toxic??) not sure of the answer…
d.treat ment different foe invasive and non invasive.
177)increased ict causes a/e …tachycardia…answer…
newborn- frothing mouth - unable to pass ng tube - gasless abdomen - ans> oesophagial atresia with NO FISTULA…answer…
178)NOT a absolute contra for organ donation ????????????????????
a.>70yrs
b.hiv
c.malignancy
d..15min cvs death
179)ocpills not contraindicated in ?
a.cvs severe
b.obesity ..answer…
c.htn
d.thromboembolic
180)metastatic calcification…hyperparathyroidism…answer…
181)menkes disease - copper transport….answer…
182)acid fast organism.... nocardia…answer….
183)Femoral vein catheterization….????????????????
184)Maximum dark adaptation time- ans 20 min
for light adaptation-5 min
185} intrinsic minus hand a/e – adduction of thumb
186} Surgery Not used in short bowel loop management
lenthening of bowel
stricturoplasty
resection of dilated bowel loop
ANS ??
Operative therapies for short-bowel syndrome can be divided into 2 broad categories: (1) intestinal or combined liver-intestinal transplantation, and (2) nontransplant operations. Nontransplant components of the surgical armamentarium for the treatment of short-bowel syndrome include intestinal lengthening (Bianchi) procedures, intestinal tapering for dilated dysfunctional bowel segments, stricturoplasty, and creation of intestinal valves or reversed bowel segments for patients with rapid intestinal transit times.
187} newborn- frothing mouth - unable to pass ng tube - gasless abdomen - ans> oesophagial atresia with NO FISTULA…answer…
190)Blood stored for 21 days at 2-6 degrees true all except?? .platelets remains viable....answer....
191) Lytic lesions not seen in?
oseoid osteoma...answer
192).Antigen binding site of anti body -- Isotype/Idiotype
193)Abnormal row of cilia – Distichiasis???
194} m/c site of TB spine involvement??
*anterior spine
*posterior spine
*paradiscal
*vertebral body
ans C Para discal
TB Spine most common site: Paradiscal because the blood supply is common for adjacent 2 vertebras paradiscal areas, together with intervening disc, as it develops from same sclerotome.
195}. a infant fed , start vomiting , mild hepatomegaly on examination what may be the defect àgalactose metabolism
196} in a country where there is poor registration of birth & death best indicator of fertility is
1 nrr
2 gfr
3 child-women ratio
4
ans children-women ratio
197}. budd chiari syndrome as it is not associated with following one a leukemia b sickle cell disease c polycythemia d congestive heart failure ......answer is d
198).anti diabetic drugs to decrease glucose levels in sepsis leads to good prognosis
THESE ARE THE ANSWERS TO QUESTIONS of APPG 2011'
PLZ CHECK FOR ANY MISTAKES
1) To do Dacryocystorhinostomy ,anaesthesia used is ?
Nasociliary block
Frontal block
Local anesth
2) Eculizumab used in paroxysmal nocturnal hemoglobinuria
3) danazol side effects all except
vaginal dryness
acne
hirsutism
gynaecomastia
4)Scottish terrier sign is best seen in
Lateral view,
PA view ,
AP View
Oblique view….ans
5) Pulse oximetry uses the princple of ?
Raman effect ,
Electro magnetic radiation
Absorption photmetry
6) aplastis crisis caused by
cmv
coxsakie
parvo b19…answer
7)menkes -copper deficiency
8) highest produced placental hormone ?????
estradiol
progesteron
hcg
hpl
8)co2 wavelength
1060
10600 …answer…
498
550
9)ICDS diseases all except
diarrhoea
respiratory infections
malaria
childhood tb
10)morbidly adherent placenta due to lack of natabuch layer …answer
11)kehr sign is
pain in left shoulder ..answer
pain in right shoulder
pain legs
12)Epulisarises from-gingiva…answer
13)mucocoele of GB-cholecyetectomy is treatment of choice
14)saints triad all ecept
renal stones….. answer
15)spleenic vein thrombosis …treatment of choice is spleenectomy
16)adequate colposcopy…visualization of squamocolumnar jn
17)lethal dose of krait venom ??????????6mg???????????
18)hbf compositionalpha2 gaama 2
19)hallwerdenspatz disease…its iron storage disorder in brain
20)apt test…detect blood in stools
Finally, the Apt test can be used after birth (postpartum hemorrhage) if the newborn has bloody vomiting, bloody stool, or active bleeding from the nasogastric tube. A positive apt test would mean that the blood is either due to gastrointestinal or pulmonary bleeding from the neonate. A negative Apt test would indicate that the blood is of maternal origin, suggesting that the neonate swallowed or aspirated maternal blood, either during delivery or during breastfeeding (e.g., from breast fissures).
21)emergency contraception mechanism all except?
1 inhibiting ovulation
2 prev of implantation
3interreference in early pregnancy
4 inhibiting fertilization…answer
22)absolute ind catn for tonsillectomy??
Don’t remember the options
• Absolute indications
o Enlarged tonsils that cause upper airway obstruction, severe dysphagia, sleep disorders, or cardiopulmonary complications
o Peritonsillar abscess that is unresponsive to medical management and drainage documented by surgeon, unless surgery is performed during acute stage
o Tonsillitis resulting in febrile convulsions
o Tonsils requiring biopsy to define tissue pathology
• Relative indications
o Three or more tonsil infections per year despite adequate medical therapy
o Persistent foul taste or breath due to chronic tonsillitis that is not responsive to medical therapy
o Chronic or recurrent tonsillitis in a streptococcal carrier not responding to beta-lactamase-resistant antibiotics
o Unilateral tonsil hypertrophy that is presumed to be neoplastic
23) Not a demyleinatindg disorder??
General paresis
Metachromatic leucodystrophy
Sspe
24)mechanism of injury in anterior dislocation of shoulder
1 internal rotation adduction
2 internal rotation in extension
3 abduction external rotation…answer
25)diagnostic test of crapal tunnel syndrome…nerve conduction velocity
26)soft lens true is??
for astigmatism
made up pmm
high water content…answer
do not tear
27)which is not a qadrant of tympanic membrane… posterior anterior… answer
28)clamydia not true ??
divides by binary fission
has DNA only
freely filterable…answer
29)min amt of blood to call melena
10
40
60mg…answer
30)NRHM ans year 2005..answer
31)ESSURA..hysterscopic micro inserts…answer
32)Not a radiological involment in sarcoidosis?
Milliary motling
Egg shell calsfn
Enlarged b/l ln
Pleural involvement
33)chlorination in of well in rainy season.......?
once daily
once weekly
twice weekly
once monthly
34)pepsin gets inactivated at ph of?
4.5 answer.
35)crypta magna seen in ?
nasopharyngeal tonsil…answer
36)large breast seen in all except ?
1large fibroadenoma
schirrous ca ..answer
filariasis breast
37)which is not safety system ?
1 pin index
2 link25 system
3Minimal mandatory airflow,,,,4,Air flow meter..answer..
38)pulmonary hypertention… BMPR2 gene answer
39)medullary thyroid carcinoma treatment of choise is..total thyroidectomy..answer
40)not a test of ovulation test ?
21 day progestron
3 day progestron
transvaginal us g
21 day estrogen…answer..
41)abacept used in rx of rheumatoid arthritis..answer
42)enfuvirtide is a fusion inhibitor..answer
43)drugs not used for menopausal flushing..SERM ..answer
44)not a br of celiac trunk-supirior mesenteric artery
45)not a part of basal ganglion..thalamus…answer.
46)miliary tuberculosis in children spread
lympho hematogenous ..answer
bronchogenic
rupture of cavity
47)rotator cuff muscles a/e
deltoid …answer…
supraspinatus
infra spinatus
teres minor
48)roll back malaria..answer all
49)true about cochlear implants…not contraindicated in cochlear malformation..answer
50)a man with monoclonal gammmopathy plasma cells 10-30 ? no symptoms ^ esr lomphoplasmacytic lymphoma?????
Smoldering >>mgus
51)grop of peoplre 8 -10 discucssing in front of audience..panel discussion..answer..
52)acute epiglottitis …thumb sign on lateral view..answer..
53)which of the followimg not found in gearter wing
foramin ovale
formin spinosum
foramuin rotundum
optic canal…answer….
54)dacryocytes …tear drop cells,,,answer….
55)Doc in stress incontinence ..duloxetine..answer.
56)paltauffs hemorrhages …lungs…answer
57)dry drowning…laryngeal spasm..answer..
58)not seen in lateral condylar fracture??malunion..answer..???
59)Adduction type of hyoid#
manual strangulation???
ligature strangulation ???
bansdola
hanging
60)intra tubular insitu something predisposes
testicular seminoma
yolk sac tumour
endodermal tomour
embryonal cell ca…answer..
61)world wide mc cause for contact dermatitis ????????/
ni ..answer…
cr
gold
mercury
62)periungual telangiectasia not seen in??
sle
dematomyositis
scleroderma
mixed connectine tissue disorder….answer..
63)trendenlenberg sign not seen in
perthis ds
cdh
ununited # neck femer
tom smith arthritis sequele….answer or none..
b/l acral target like les erythema multiforme…answer…
64)symmetric tonic reflex…not true…its abnormal and reflects cns dysfunction…answer..
65)seligiline mechanism of action not true is??
mao b inhibitor
antioxidant property
increase dopamine secretion??
increase dopamine release.??
66) Criminal negligence..304A …answer…
67)all r used for skeletal traction except
k wire
steinmann pin
danhams pin
knowles pin…answer…it’s a intramedulary devise…
68)sudden ophthalmoplegia in thia childer eating raw fish n cooked rice-thiamine..answer..
In pregnancy cvp
rises
no change
decreases…answer..(decreases gradually thru out prednancy..9>7>4>3.8 at term)this decrease is though considered non significant. http://journals.lww.com/greenjournal/Abstract/1970/11000/Central_Venous_Pressure_in_Supine_Position_During.24.aspx
69)increased viscosity of blood causes increase in ?? clue less about this one
mean arterial press
dia of resistence vessels
dia of capacitence vessels cvp
70)adult with proptosis ..illdefined lesion extending into orbit from eye ball???
malignent melanoma
choirdal hemangioma
lymphoma
71)baciillary angiomatosis not true??
Caused by b.henslae
Can cause peliosis heaptis
Aminoglycosisdes used
Brain is involved in AIDS pt.
C or D may b the answer..
72)y shaped cataract
ant adult n infantile
ant infantile n foetal …answer..
post adult n infantil
past infantil n foetal
73)sniff test- bact vaginosis> trichomonas answer
74)perichondritis of ear
pseudomonas…answer…
75)oval window opens into
scala vestubuli…answer…
76)nobel prize for work on vascular ligature and grafting of blood vessels and organs .. Alexis Carrel …answer..
Not used in short bowel loop management
lenthening of bowel
stricturoplasty
resection of dilated bowel loop
Operative therapies for short-bowel syndrome can be divided into 2 broad categories: (1) intestinal or combined liver-intestinal transplantation, and (2) nontransplant operations. Nontransplant components of the surgical armamentarium for the treatment of short-bowel syndrome include intestinal lengthening (Bianchi) procedures, intestinal tapering for dilated dysfunctional bowel segments, strictureplasty, and creation of intestinal valves or reversed bowel segments for patients with rapid intestinal transit times.
77)mc tumor of liver…..mets…
78)baby developed signs and symtoms of cong.syphilis after two ween..supported by??
Kassowitz’s law
Profeta law
Colles law..answer..
Kassowitz law
It states that greater the duration between infection of mother and pregnancy, better is the outcome for the infant. Better outcome includes, lesser chances of still birth and of developing congenital syphilis.
Colles' law
A child born to a mother who has no signs of venereal symptoms, and presents with this disease at the age of a few weeks, will infect the healthiest nursemaid, but not its mother. The observation had been made earlier by Simon de Vellembert in 1565. This law from the time before the discovery of Spirochaeta pallida is based upon clinical observations. His conclusion was wrong, however, as Colles was ignorant of the fact that the mother already had the disease.
78)diurtic with diect vasodilatory effect..indapamide..answer..
79)drug used to delay uterine contractions in labour …salbutamol ..answer..
80)difference between vaginal cyst and cystocele…quite confusing…couldnyt recollect the options..
81) mech if camp action on git causing diarrhea??
Increased secretion of chlorides…answer..
82)Not done in pmstr
knot release
deep deltoid lig release …answer..
achillis tendon release
spring lig release.
83)not seen in hus .. coombs positive..answer..
84) hyperchlorimic acidosis seen with…uretero sigmoidostomy..answer..
85)regarding spingomylein?? Choline or amino cooh group not sure??
86)starvation – alanine or propionic acid not sure??
87)2.5cms renal stone in child- pyelolithotomy answer most prob..
The American Urological Association Stone Guidelines Panel has classified ESWL as a potential first-line treatment for ureteral and renal stones smaller than 2 cm.
88)rt pleural effusion - rt lateral decubitus best view …answer..
89)Frozen section used in diagnosis of fat..answer..
90)Mc side effect of prrizinamide is arthritis/arthalgia…answer…
91)acarbose MOA… inhibits alphaglucosidase …answer..
92)LCAT activator apo A..answer…
93)Drug causing HDL elevation…Nicotinic acid/niacin…answer..
94)normal distribution curve what is correct . .mean=median…answer
95)vortex keratopathy NOT seen in…copper excess..answer..
96)pregnancy by ELISA first detected on….first day of missed cycle of 28 day duration..answer…
97)not used in heroine detoxification….disulfiram answer..
hemochromotosis gene- HFE gene…answer…
[snip])conjunctival pemphigoid not true ??
occurs in young females
leads to cicatrical synblepharon
tear drops used
distribution differs with race…mostly the answer..
99)once a week pill…centchroman…answer..
100)preichonditis of pinna mc caused by pseudomonas…answer..
101)wegeners differs from other small vsl vasculitis by…invlmnt of nasal septum..answer..
_________________
102) sepsis treatment : Not sure of answer..
activated protien c used in early stages
high dose of anti inflammaotory injurious
antibiotics
methyl prednisolone
103)In systemic inflammatory response all are seen except:
white cell count 10000microns/l ….answer…
resp rate >24
bodytemp>38
hr >90/min
§ Body temperature less than 36°C or greater than 38°C
§ Heart rate greater than 90 beats per minute
§ Tachypnea (high respiratory rate), with greater than 20 breaths per minute; or, an arterial partial pressure of carbon dioxide less than 4.3 kPa (32 mmHg)
§ White blood cell count less than 4000 cells/mm³ (4 x 109 cells/L) or greater than 12,000 cells/mm³ (12 x 109 cells/L); or the presence of greater than 10% immature neutrophils (band forms)
SIRS can be diagnosed when two or more of these criteria are present.
104)Epeleys maneuver used in rx of BPPV…answer..
105)Cidex is gltaraldehyde…answer..
106)tall slender young woman with disproportionate armspan length
what systems to check....opthalmic and cardiovascular systems…answer…
107)mcc of rectal bleed in 5 yr old…rectal polyp..answer most prob...
108)in pheochromocytoma all are given before surgery except:
aplhablocker
beta blocker
steroids
volume loading.
Surgical resection of the tumor is the treatment of choice and usually results in cure of the hypertension. Careful treatment with alpha and beta blockers is required preoperatively to control blood pressure and prevent intraoperative hypertensive crises.15
• Start alpha blockade with phenoxybenzamine 7-10 days preoperatively to allow for expansion of blood volume.
• The patient should undergo volume expansion with isotonic sodium chloride solution. Encourage liberal salt intake.
• Initiate a beta blocker only after adequate alpha blockade. If beta blockade is started prematurely, unopposed alpha stimulation could precipitate a hypertensive crisis.
• Administer the last doses of oral alpha and beta blockers on the morning of surgery.
109)G-csf/ Gm-csf….recombinant human cytokine ….answer….
110)Tinea capitis caused by …microsporum sps…answer…
111)Pt on risperidone case…neurolept malignant synd…answer..
112)Lesion with clear fluid of .5cm…vesicle …answer…>.5 is bulla
113)c reactive protein------- acute phase reactan…answer…
114)pt.with diabetic keto acidosis and coma….high potassium levels…answer…
115)not true about SSPE…fever and headache…answer,..
1160pyrimidine inhibitor with dihydro orotate hehydrogenase inhibitor action…leuflunamide…answer..
117)hapatic blood flow and oxygenation anesthetic?
sevoflurane
desflurane ??
isoflurane??
enflurane
118)ASd with left axis deviation…ostium primum defect..
119)Mc cause of prolonged rocuronium action…decreased elimination…answer..
120)Rays produced by nuclear decay/disingration…gamma rays…answer…
121)Quadrivalent Human Papillomavirus against..Types 6,11,16, 18….answer…
122) Pulse oximetry uses the princple of? Not sure of answer…
Raman effect
, Electro magnetic radiation
, Absorption photometry
123)Endoscopic Dacryocystorhinostomy ,anaesthesia used is??????????
124)True regarding PCOD….raised LH levels …answer…
125)Not a s/e of danazol?? vaginal dryness or gynaecomastia …not sure..
126)Highest level of placental harmone in pregnancy…hcg or progesterone??
127)Placental harmone with highest carbohydrate content …hcg???
128)MBA Psych case…neologism…. Answer….
129)Co2 laser…10600…answer..
130)NOT included in ICDS…childhood tb…answer?
131)NOT true in ankylosis spondy…UL mc involved than lower limb…answer…
132)best position in percutaneous nephrolithotomy operation left kidney …supine…?????
133)spider cell.. Cardiac rhabdomyoma…answer…
134)best test for for fetal rh iso immunisation ?????????????
cord blood
nst
usg placenta
135)ccf which is not true....echo is diagnostic…answer…
136)rx of pseudo pancreaticcyst.... surgical internal drainage…answer..
137)post radiation hodgkins case….hypothyroidsm due to?????
138)glaucome visual fileds defects best detected by…humphry automated….answer…
139)dangerous placenta is type 2 B that is placenta posterior previa….answer,….
140)Cresentic glomerulo nephritis…RPGN..answer…
141)IODENE disinfection mech of action???
142)Large fibre neuropthy cause????
143)Ovarian tumour…stge A2…answer…
144)Herpes definitive diagnosis…virus cultre …answer…
145)Late expanding stage…death rate declines more than birth rate…answer…..
146)stage 4 in AIDS doesnt include oral candidiasis…answer…
147)h.pylori cause g.carcinoma due to???
148)Mc site of peptic ulcer perforation….anterior duodenal ulcer…answer…
149)leukemia associated syndrome- down syndrome…answer….
150)Not a sign of ileocaecal tb….competent ileo caecal valve…answer..string sign is seen in ileo caecal tb,chrons,hyp.pyloric stenosis…othe two options are definitely seen in ileo caecal tb..
151)hirsch prung not true...small intestine not involved???????????????
152)Whats the answer for mindblowing shigella question???
153) 8mm gall stone in bile duct t/t …endoscopic removal..answer most prob…
154)motor unit is nerve endin and muscle fibre…answer….
155)action potential in cochlear cells arise from inner hair cells …answer…(outer hair cells produce otoacoustic emissions)
156)normal conversation in quiet room…50-60db
157)azygous lobe…don’t remember the options
azygos lobe is a rare congenital variation of the upper lobe of the right lung. Embryologically, it arises from an anomalous lateralcourse of the azygos vein [1] [2] in a pleural septum within the upper lobe. As it has no bronchi, veins and arteries of its own, it is not a true, or even accessory, pulmonary lobe, but rather an anatomically separated part of the upper lobe. It is usually an incidental finding on chest x-ray or computed tomography and is as such not associated with any morbidity but can cause technical problems in thoracoscopic procedure
158)carcinoid false is…not sure of the options…????????????
1) circumcribed lesion in mucosa
2)muticentric
3)coliky abdominal pain
4)massive retroperitonial fibrosis
159)Mc cause of post renal arf?
160)Pyogenic liver abscess ...most common route of spread…assecending infection via biliary trac…anwer..>>hematogenous.
161)gilbert syndrome false is ……….conjugated elevated …answer…
162)blunt trauma to pancreas false....usually isolated is false…..answer…..
163)oseophageal perforation false…..penetratin most common cause of injury(iatrogenic trauma mc cause)>>>barium swallow..
164)false about mvp…both echoi and auscultatiry findings required for diagnosis..?????
165)gut endometriosis all except ???????????????
rectal bleeding
involves mucosa
surgery t/t of choice
mucosa n other layers involved??
166)iucd should not be inserted during???
167)specific pattern of cataract not seen in… leprosy….answer…
168)albumin to globulin near term.... 1:1…0.9 to b specific at term…answer…
169)All are prophylactic for Atonic PPH except ????????????????????????????????????
1. 125 microgram Carboprost IM at delivery of anterior shoulder
2. Methergine IV at delivery of anterior shoulder
3. Controlled cord traction at delivery of placenta
4. 10 units Oxytocin within 10 mins after delivery
170)Clotting factors icreased in pregnancy except??
2
7
10
11….answer…..
170)age estimation...first trimester..... Crl…answer……….
171)skeletal defect mc in idm..... Spina bifida….answer…
172)what were the options for old age question?????????
173)In rx of amoebiasis NOT true???
A.METRO for invasive
b.paromomycim for noninvasive
c.p+m better (???Combination toxic??) not sure of the answer…
d.treat ment different foe invasive and non invasive.
177)increased ict causes a/e …tachycardia…answer…
newborn- frothing mouth - unable to pass ng tube - gasless abdomen - ans> oesophagial atresia with NO FISTULA…answer…
178)NOT a absolute contra for organ donation ????????????????????
a.>70yrs
b.hiv
c.malignancy
d..15min cvs death
179)ocpills not contraindicated in ?
a.cvs severe
b.obesity ..answer…
c.htn
d.thromboembolic
180)metastatic calcification…hyperparathyroidism…answer…
181)menkes disease - copper transport….answer…
182)acid fast organism.... nocardia…answer….
183)Femoral vein catheterization….????????????????
184)Maximum dark adaptation time- ans 20 min
for light adaptation-5 min
185} intrinsic minus hand a/e – adduction of thumb
186} Surgery Not used in short bowel loop management
lenthening of bowel
stricturoplasty
resection of dilated bowel loop
ANS ??
Operative therapies for short-bowel syndrome can be divided into 2 broad categories: (1) intestinal or combined liver-intestinal transplantation, and (2) nontransplant operations. Nontransplant components of the surgical armamentarium for the treatment of short-bowel syndrome include intestinal lengthening (Bianchi) procedures, intestinal tapering for dilated dysfunctional bowel segments, stricturoplasty, and creation of intestinal valves or reversed bowel segments for patients with rapid intestinal transit times.
187} newborn- frothing mouth - unable to pass ng tube - gasless abdomen - ans> oesophagial atresia with NO FISTULA…answer…
190)Blood stored for 21 days at 2-6 degrees true all except?? .platelets remains viable....answer....
191) Lytic lesions not seen in?
oseoid osteoma...answer
192).Antigen binding site of anti body -- Isotype/Idiotype
193)Abnormal row of cilia – Distichiasis???
194} m/c site of TB spine involvement??
*anterior spine
*posterior spine
*paradiscal
*vertebral body
ans C Para discal
TB Spine most common site: Paradiscal because the blood supply is common for adjacent 2 vertebras paradiscal areas, together with intervening disc, as it develops from same sclerotome.
195}. a infant fed , start vomiting , mild hepatomegaly on examination what may be the defect àgalactose metabolism
196} in a country where there is poor registration of birth & death best indicator of fertility is
1 nrr
2 gfr
3 child-women ratio
4
ans children-women ratio
197}. budd chiari syndrome as it is not associated with following one a leukemia b sickle cell disease c polycythemia d congestive heart failure ......answer is d
198).anti diabetic drugs to decrease glucose levels in sepsis leads to good prognosis
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