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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. Crohnââ¬â¢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. Sudekââ¬â¢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. Alzheimerââ¬â¢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. Parkinsonââ¬â¢s
32. Diaphysis is involved in
a. giant cell tumour
b. osteosarcoma
c. Ewingââ¬â¢s sarcoma
d. osteoma
33. metaphyseal tumours are
a. giant cell tumour
b. osteosarcoma
c. Ewingââ¬â¢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. Wilmââ¬â¢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
