NIMHANS Paper

                                             Nimhans Entrance Exam Preparation

1. Which nerve is affected in L4L5 lateral disc prolapse?
a. L3
b. L4
c. L5
d. S1

2. Blood brain barrier is formed by
a. Endothelium
b. Astrocytes
c. Oligodendrocytes
d. Microglia

3. Which of the following is not ectodermal in origin
a. Astrocytes
b. Melanocytes
c. Microglia
d. Oligodendrocytes

4. Blood brain barrier is not present at
a. Area postrema
b. Pineal body
c. Mamillary body

5. What percentage of cardiac output goes to the brain
a. 10
b. 20
c. 30
d. 40

6. What is the volume of CSF produced everyday
a. 100 ml
b. 200 ml
c. 550 ml
d. 1000 ml

7. At what viral load of HIV is HAART started (in copies/ml)
a. 5,000
b. 10,000
c. 20,000
d. 50,000

8. PML is caused due to
a. CMV
b. HIV
c. JC virus
d. H.Influenza B

9. where is cervicodorsal sympathectomy most indicated
a. Hydradenitis Suppurativa
b. Primary Hyperhidrosis
c. Raynauds phenomena
d. Causalgia

10. Where is interferon used
a. HIV
b. HCV
c. CMV
d. JC Virus

11. Where do you find erythema migrans
a. PTB
b. Leprosy
c. Rhematic fever
d. Lymes disease

12. Acanthosis Nigricans is seen in
a. DM
b. HIV
c. PTB
d. HTN

13. Pyoderma gangrenosum is typically seen in
a. Pseudomonas aerogenosa
b. Ulcerative colitis
c. Crohn’s disease
d. IBS

14. A patient in the ICU was treated with ampicillin. Soon after which he developed diarrhea and on colonoscopy yellowish patches were seen. What is the next line of management?
a. Vancomycin
b. Amoxicillin
c. Ticarcillin
d. 5 ASA

15. A middle aged woman presents with pain in RIF and deep dyspareunia with fever and vomiting. She is suffering from
a. Appendicitis
b. Diverticulitis
c. Ovarian torsion
d. PID

16. A female patient presented proximal muscle weakness with bluish purple discolorations over her eyelids with oedema is probably suffering from
a. Polymyositis
b. Dermatomyositis
c. Inclusion body myositis
d. DMD

17. a young man come to the emergency room with an history of assault over his forehead around 15 minutes back and complains of total blindness in his left eye. O/E bilateral papillary reflexes, direct and consensual are intact. Where is the site of lesion
a. optic nerve
b. left optic tract
c. right occipital lobe
d. functional

18. what is not seen in Collesâs fracture
a. Sudek’s osteodystrophy
b. shoulder hand syndrome
c. non-union
d. dinner fork deformity

19. A patient present to you with fracture shaft of humerus. How do you confirm that his radial nerve is severed
a. paralysis of wrist flexion
b. weakness of finger flexors
c. weakness of wrist extension with Anaesthesia over anatomical stuff box
d. atrophy of hypothenar muscles

20. A patient present to you with ataxia and hemiparesis. Where is the site of lesion
a. cerebellum
b. midbrain
c. pons
d. medulla

21. what is the treatment for causalgia
a. alpha blockers
b. beta blockers
c. NSAIDS
d. Opioids

22. Astasia abasia is seen in
a. Parkinsonism
b. Wilsonâs disease
c. Hysteria
d. Alzheimer’s disease

23. Lhermittes sign is seen in
a. AD
b. DMD
c. Multiple sclerosis
d. AML

24. Herpes lesions of 7th nerve is called
a. GBS
b. Heerfordt syndrome
c. Melkerson Rosenthal syndrome
d. Ramsay Hunt syndrome

25. Where is Ach is principally involved
a. Locus ceruleus
b. Substantia nigra
c. Raphe nucleus
d. Nucleus of Meyenert

26. Weight gain is not a side effect of
a. Topiramate
b. Valproate
c. Phenytoin
d. Clobazam

27. Seizures occurring during every menstrual cycle is called
a. Petit mal
b. Grand mal
c. Catamenial epilepsy
d. Kindling

28. Which is the most common hallucination in schizophrenia
a. Auditory
b. Visual
c. Olfactory
d. Gustatory

29. ECT is most useful in
a. P.schizophrenia
b. hebephrenic schizophrenia
c. catatonic schizophrenia
d. simple schizophrenia

30. A female presents with bilateral breast tenderness during every menstrual cycle. She is suffering from
a. fibro adenoma
b. duct cell papilloma
c. fibrocystic disease
d. conversion disorder

31. where is unilateral tremours not seen
a. intentional
b. resting
c. essential
d. Parkinson’s

32. Diaphysis is involved in
a. giant cell tumour
b. osteosarcoma
c. Ewing’s sarcoma
d. osteoma

33. metaphyseal tumours are
a. giant cell tumour
b. osteosarcoma
c. Ewing’s sarcoma
d. osteoma

34. A 21 year old male presents with a benign bone tumour. Tumour is
a. giant cell tumour
b. osteosarcoma
c. osteochondroma
d. multiple myeloma

35. the most common bladder carcinoma
a. SCC
b. Adeno Ca
c. TCC
d. Leiomyoma

36. RBC casts are a feature of
a. Glomerular nephritis
b. Tubular disease
c. Interstitial nephritis
d. Collecting duct necrosis

37. Which drug causes granulomatous lesion
a. CPZ
b. Clozpine
c. Olanzapine
d. Risperidone

38. What is specific for DLE
a. Anti smith
b. Anti DNA
c. Anti Rho
d. Anti-histone

39. Side effect of hydralazine are a/e
a. Headache
b. Bradycardia
c. Angina pectoris
d. DLE

40. When do you suspect breast Ca o/e
a. Skin oedema with dimpling
b. Serous discharge per nipple
c. Mouse in the breast
d. Nipple retraction

41. Mammography is most useful in
a. Differentiation in benign and malignant tumours
b. Screening of breast Ca
c. Prognosis of breast Ca
d. Confirmatory test for Ca

42. A patient has the following test reports
HIV Elisa negative
Western Blot-positive
How will you confirm that he has got HIV infection?
a. Northern blot
b. Southern blot
c. PCR
d. Eastern blot

43. Carnitine is involved in
a. Beta oxidation of FA
b. Synthesis of FA
c. Protein metabolism
d. Carbohydrate metabolism

44. Earliest manifestation of tuberous sclerosis in a 2 year old child
a. Adenoma sebaceum
b. Ash leaf spots
c. Shagreen patches
d. Heliotrope rash

45. M/c childhood tumour
a. brain tumours
b. ALL
c. Wilm’s tumour
d. Neuroblastoma

46. Which enzyme is involved in Tay-Sachâs disease
a. Sphingomyelinase
b. Hexosaminidase
c. Glucosidase
d. Galactocerebrosidase

47. 2 year old child presents with hepato-splenomegaly, mental retardation, seizures and foam cells in bone marrow, diagnosis is lysosomal storage disorder and the enzyme involved is
a. Glycosyl cerebrosidase
b. Ceremidase
c. Beta-galactosidase
d. Sphingomyelinase

48. A patient presents with severe headache, vomiting, sudden blindness and o/e her right eye is reddish and your next line of management is
a. CT scan
b. MRI
c. x-ray skull
d. tonometry

49. Which is the investigation of choice in SAH
a. CT scan
b. MRI
c. x-ray skull
d. radio nucleotide scan

50. 2 villages A and B is reported to have cholera epidemic. You are posted as a epidemiologist to study about it. You are supposed to pick people at random from both the villages and study. This type of study is called
a. Case history
b. Cohort study
c. Cross sectional study
d. Case control study