Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
2004
MAHE, 2004 (28th March, 2004)
1. A patient with Chromosome 11 defect with aniridia, mental retardation, and mass per abdomen is suffering from which of the following: a. Nephroblastoma b. Retinoblastoma c. Hepatoblastoma d. Neuroblastoma Rosette shaped cataract is seen in which of the following: a. Steroid therapy b. Myotonic dystrophy c. Wilsons disease d. Blunt injury RU486 is a. Estrogen agonist b. Estrogen antagonist c. Progesterone agonist d. Progesterone antagonist Drug of choice for toxoplasmosis is: a. Sulfa drugs b. Cepholaxin c. Tinidazole d. Cefataxime The drug used for prophylaxis for unimmunized contact with exposure to a patient with whooping cough is: a. Erythromycin b. Rifampicin c. Penicillin d. Sulfonamides Which of the following is atypical in a patient suffering from multiple sclerosis: a. Lancinating pain b. Aphasia c. Visual loss d. Ataxia Seat belt injury can cause which of the following: a. Head injury b. Duodenal injury c. Windscreen injury with head going through d. Chest injury In revised scoring for trauma all of the following are used except: a. Pulse rate b. Respiratory rate c. Systolic BP d. Glasgow coma score 9.
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17. Distorted cone of flight is seen in which of the following: a. Early retraction b. Anterior inferior perforation c. Acute otitis media d. Bullous myringitis 18. False negative Rinnes test in a clinical examination strongly suggests: a. Profound conductive deafness b. Normal ear. c. Profound sensory neural deafness d. Mixed hearing loss. 19. CD3 surface marker is present on: a. T-cell b. B-cell c. Macrophagus d. Neutrophils 20. Regarding HLA all of the following are true except: a. HLA I is present on all cells. b. HLA II is present on B cells monocytes and activated T-cells c. HLA I is coded from chromosome 6 region d. They are surface glycoproteins. 21. Which of the following is true about golgi tendon organ: a. It is stimulated by muscle stretching b. Impulses from it are transmitted through 1a fibers c. It is responsible for myotatic reflex. d. Responsible for inverse myotatic reflex. 22. Which of the following is true about withdrawal reflex a. It is a monosynaptic reflex b. Impulses gets transmitted from sensory directly to motor c. It is tested using noxious stimuli d. It is one of the slow voluntary reflexes. 23. Rapid large amount of blood transfusion is associated with all of the following except: a. Hypothermia b Hypokalemia c. Acidosis d. DIC 24. Normal anion gap with hyperkalemia is seen in a. Type 1 RTA b. Type 2 RTA c. Type 4 RTA d. Ammonium chloride ingestion
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33. Disadvantages of epidural analgesia include: a. Hypertension b. Muscle relaxation is poor c. Retention requiring catheterization d. Higher thoracic and lumbar incision cannot be used 34. A child presented with generalized edema with urine showing presence of protein and normal specific gravity, he showed marked improvement with steroids, diagnosis is: a. Acute tubular necrosis b. Protein energy malnutrition c. Minimal change disease d. Acute Glomerulonephritis 35. A woman was found to have a 4 cm nodule over the uterus, which over 4 years doubled in size. She is otherwise normal. The nodule is a. Malignant tumor b. Benign tumor c. Infective lesion d. Degenerative lesion 36. In term pregnancy normal uterine blood flow is: a. 1000 ml/minute b. 600 ml/minute c. 300 ml/minute d. 150 ml/minute 37. In normal pregnancy: a. Both heart rate and BP increased. b. BP increases and heart rate decreases c. BP decreases and heart rate increases d. Both BP and heart rate decreases 38. Drug of choice to treat endometriosis in a symptomatic young female is: a. RU486 b. Clomiphene Citrate c. Estradiol d. Danazol 39. Substances secreted from seretoli cells includes all of the following except: a. Inhibin b. Estradiol c. Androgen binding protein d. Androgen 40. Internal carotid nerve is a branch of: a. Glossopharyngeal nerve b. Vagus nerve c. Superior cervical ganglion d. Sympathetic ganglion 41. Southern blot is used in the diagnosis of: a. Gross DNA rearrangements b. Point mutations in DNA c. RNA deletions. d. Chromosomal abnormalilties.
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51. Streptococci is known to cause all of the following except: a. Erysepelas b. Carbuncle c. Pustule d. Psoriasis 52. The following diseases are amenable to eradication except a. Measles b. Polio c. Leprosy d. Tetanus 53. Posterior staphyloma is associate with: a. Corneal ulcer b. Iridocyclitis c. Pathological myopia d. Choroiditis 54. Hypertensive iridocyclitis is due to: a. Hypertension causing iridocyclitis b. It is glaucoma secondary to iridocyclitis c. Rubeosis iridis d. Iridocyclitis in hypertensives 55. Pathological feature in myopia include: a. Thickened lens fiber. b. Irregular cornea c. Failure of accommodation reflex d. Increased anteroposterior diameter 56. What is the percentage of hemoglobin less than to diagnose anemia of pregnancy a. 9 mg/dL b.8 mg/dL c..10 mg/dL d.11 mg/dL 57. Passage of decidual cast is seen in: a. Threatened abortion b. Inevitable abortion c. Tubal pregnancy d. Habitual abortion 58. All of the following are true about treatment in congestive cardiac failure except: a. Inotropics like cardiac glycosides can be used. b. Amiadarone is used c. ACE inhibitors are used d. Diuretics can be used 59. Pseudobubo is seen in: a. granuloma venerum b. lymphogranuloma venerum c. chancroid d. syphilis 60. All of the following drugs are mydiatrics except: a. Cyclopentolate b. Tropicamide c. Homatropine d. Timolol maleate
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69. Glucose synthesis from the fatty acids does not occur due to the irreversible enzymes involving: a. Conversion of pyruvate to acetyl coa b. Conversion of pyruvate to oxaloacetate c. Conversion of PEP to pyruvate d. Conversion of oxaloacetate to PEP 70. True about gene therapy is: a. It is tried in cystic fibrosis b. Gene is a drug c. Nucleic acid is used to cause change in genetic repertoire d. Genetic engineering refers to cloning and expression of human genes. 71. Deep dermal burns refer to: a. White skin or charred skin b. All dermal regions being affected c. Partial dermis is destroyed d. Destruction of dermis with preservation of appendages 72. True about Haldane effect is: a. Oxygen dissociation with fall of pH b. Carbondioxide release with decreased PaO2 c. _Carbondioxide release at increased PaO2 d. Oxygen release with increased PaCo2 73. True about G-protein coupled receptors is: a. They are bidirectional receptors causing stimulation of adenilyl cyclase b. Classified separately from serpentine receptors c. On stimulation cause intracellular receptor activation due to lipid soluble drugs. d. They are same as gamma amino butyric acid receptors 74. All of the following are true about anemia in chronic disorders except: a. Increased transferring level b. Decreased serum iron c. Microcytic hypochomic anemia d.
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83. Which of the following immunogobulins can cross placenta a. Ig G b. Ig M c. Ig A d. Ig D 84. What is the incubation period of vaccine strain of measles virus a. 7days b. 10days c. 14days d. 18days 85. Most common site of ganglion is: a. Phalanges b. Palm c. Dorsal aspect of wrist d. Volar aspect of wrist
86. Superior radioulnar joint is a type of: a. Condylar joint b. Hinge joint c. Ellipsoid joint d. Pivot joint 87. Which of the following is rare in tetralogy of fallot: a. Bacterial endocarditis b. Polycythemia c. Congestive cardiac failure d. Cerebral thrombosis 88. Each of the follwing pathogens are obligatory intracellular except a. Mycoplasma b. Chlamydia c. Rickettsia d. Viruses 89. Angular conjunctivitis is caused due to: a. Pneumococci b. Moraxella c. Gonococci d. Adeno virus 90. Falciparum malaria is known to cause severe complications due to: a. Cytoadherence b. Immune reaction c. Affects young erythrocytes and reticulocytes d. All of the above.
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b. Maccule c. Semicircular canals d. Organ of corti 100.True about alkaline phosphatase are all of the following except: a. Low level in infants b. Normal level in healing fractures c. Normal level is 413 KA units d. Increased in hepatobiliary disorders 101.True about clearance is: a. Biologically that amount of fluid free from drug reflecting elimination. b. Poor index of elimination c. Equal to the amount consumed d. Is equal to amount of drug distribution 102.All of the following are true about TB spine except: a. Distruction of intervertebral disc with damage to adjacents vertebra b. Heals with fibrous ankylosis c. Paraspinal abscess are usual d. Anterior collapse of vertebra causes kyphosis. 103. Which of the following has slowest conduction a. A alpha b. A gamma c. B fibres d. C fibres 104. Steady state is said to be achieved when: a. Elimination is zero. b. Availability of drug equals elimination c. After 10 half lives d. After all the drug is absorbed from GIT
105. Nasal swabs are collected in which of the following deaths: a. Cocaine overdose b. Drowning c. Asphyxia d. Strangulation
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a. b. c. arthritis Renal cell carcinoma 114. In which of the following causes of polycythemia is the serum erthropoeitin extremely low a. Dehydration b. Renal cell carcinoma c. Polycythemia Vera d. High altitude 115. True about passive immunity is: a. Maternal antibodies transferred through placenta b. Infusion of antibodies. c. Lymphocyte transfusion d. All of the above. 116. A screening test defers from diagnostic test by: a. Lesser physician involvement b. Inexpensive c. Wide applicability d. All the above 117. Wernicke Korsakoff's syndrome is due to the deficiency of which of the following a. Pyridoxine b. Thiamine c. Vitamin B12 d. Riboflavin 118. In autoclaving the bacilli used to check for effectiveness of temperature is: a. Cl.tetani b. Cl.Welchi c. Bacillus anthracis d. Bacillus stearothermophilus 119. All the following are seen in hypothyroidism in children except: a. Constipation b. Dull appearance c. Cold intolerance d. Alertness 120. Adult hypothyroidism can manifest clinically as: a. Anxiety b. Diarrhea c. Absent ankle jerks d. Carpal tunnel syndrome 121. Case control studies are evaluated by using which of the following: a. Sensitivity b. Specificity d. 122. The maintenance dose of digoxin is (mcg=micrograms) a. 0.25 mcg/day b. 250 mcg/day c. 25 mcg/day d. 2.5 mcg/day 123. Filiarisis is spread by all except: a. Culex fatigans b. Aedes Egypticus c. Mansoniodes d. Musca Domestica 124. Mantoux test should be read based on: a. Erythema b. Induration c. Both d. None 125. Immune response in tuberculosis is mainly: a. Humoral b. Cellular c. Alternate pathway d. Common pathway of compliment 126. The ATT drug acting on persisters is: a. INH b. Rifampicin c. Pyrazinomide d. Ethanbutol 127. True about Kochs postulates is: a. Hypothesis that TB is autoimmune disease b. First theory on infection c. Theory that suggests that TB is caused by tubercle bacilli d. Explains disease mechanism of gram negative bacilli only 128. All of the following are true about tuberculosis except: a. Discovered by Theodore Kocher b. Grows well at 370 centigrade c. No pigment production d. Stains with ZN stain. 129. TB bacilli was discovered by: a. Luvenhook b. Luis Pasteur c. Robert Koch d. Thomas Harvey 130. One of the first physicians in ancient India who lived during 800 B.C. is Hypertension Sarcoidosis Rheumatoid c. d.
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a. b. c. d. Susrutha Vagabhata Athreya Charaka
131. A patient with lung abscess requires all the following sputum examinations except: a. Culture on aerobic media b. Culture in anaerobic media c. ZN stain d. Gram stain 132. Retinal detachment occurs with separation of: a. Retina from choroids b. Pigment clear from neurosensory retinal layer c. Inner plexiform layer from limiting membrane d. Ganglion layer from plexiform layer 133. One of the first signs seen in Volkmanns ischemic contracture is: a. Pulselessness b. Palor c. Pain d. Paralysis 134. Right testicular vein drains into: a. Right renal vein b. Internal iliac vein c. Inferior vena cava d. Left renal vein 135. Endoscopic surgery has shown good results in which of the following: a. Transnasal surgeries b. Chronic sinusitis c. Nasopharyngeal carcinoma d. Angiofibroma 136. The artery of epistaxis is: a. Septal branch of labial artery b. Sphenopalatine artery c. Ethmoidal branch d. Septal branch of palatine artery 137. What is the diameter of engagement in face presentation a. Mentovertical b. Submentobregmatic
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b. Glutamine c. Valine d. Glycine 145. Which of the following is true a. Labetolol is a both a Alpha and Beta adrenergic blocker b. Nodalol is known for its short duration of action c. Atenolol is preferred in bronchoconstriction d. Sotalol is Beta 2 antagonist 146. True about sympathomimetics is a. Phenylephrine is a mydriatic and a good nasal decongestant b. Dopamine and dobutamine have a role in cardiac shock c. Isoprenaline is used in cardiac arrest d. Norepinephrine causes raised BP 147. Which of the following is a method for refuse disposal and also soil conserver a. Drainage b. Composting c. Trench d. River outflow 148. Commonest skin manifestation in HIV infected patients is: a) Kaposis Sarcoma b) Sebhorriec dermatitis c) Pyoderma gangrenosum d) Atopic dermatitis 149. In autosomal dominant inheritance which of the following reasons explains the patient developing a disorder with unaffected parent a. Environmental influence b. New Mutations c. Decreased penetration in one of the diseased parents d. All of the above 150. In X linked dominant inheritance which of the following is true a. 50 % of the offspring may be affected b. Only females are affected c. Females are more affected then males d. All of the above
157. PQLI would include all of the following except a. IMR b. MMR c. Life expectancy at 1 year d. Literacy rate 158. Most labile vaccine is a. OPV b. Measles c. BCG d. DPT 159. Accole forms are seen in a. P. vivax b. P. falciparam c. P. malraie d. P. ovale 160. Genital tuberculosis affects predominantly a. Uterus
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b. Ovary c. Fallopian tubes d. Cervix 161. Osmotic fragility is decreased in: a) Hereditary spherocytosis b) Thallesemia c) Autoimmune heamolytic anemia d) Ovalocytosis 162. Only abductor of vocal cords is a. Posterior cricoarytenoid b. Inter arytenoid c. Lateral crico arytenoid d. Cricothyroid 163. All the follwing cause a right shift of oxyhemoglobin curve except a. Increased 2,3 DPG b. Chronic anemia c. Fever d. CO poisoning 164. The femoral canal is lined medially by which of the following ligaments a. Pectineal b. Lacunar c. Inguinal d. Femoral 165. Wernickes encephalopathy occurs in which of the following conditions a. Preeclampsia b. Hyperemesis gravidarum c. Hypertension d. All of the above 166.In a lady presenting with preeclampsia all of the following drugs can be used in treatment except a. Labetalol b. Methyl dopa c. Enalapril d. Hydralizine 167. In revised scoring for trauma all of the following can be seen except: a. Pulse rate b. Respiratory rate c. Systolic BP d. Glasgow coma score 168. Rapid large amount of blood transfusion is associated with all of the following except: a. Hypothermia b Hypokalemia c. Acidosis d. DIC 169. True about Warthins tumor is: a. It shows cold spot on Tc99 b. It is a solid tumor c. Commonly effects submandibular gland d.
176. All of the following are caused by viruses except a. Measles b. Pertusis c. Mumps d. Polio 177. Which of the following organism is capsulated a. Histoplasma capsulatum b. Cryptococcus neoformans c. Candida albicans d. Epidermophyton 178. which of the following has worst prognoses in carcinoma lung a) Squamous cell carcinoma b) large cell carcinoma c) small cell carcinoma d) Adenocarcinoma
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179. In term pregnancy normal uterine blood flow is: a. 600 ml/minute b. 300 ml/minute c. 150 ml/minute d. 1000 ml/minute 180. In normal pregnancy: a. Both heart rate and BP increased. b. BP increases and heart rate decreases c. BP decreases and heart rate increases d. Both BP and heart rate decreases
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