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Nimhans PG Paper
1. Increased perinatal morbidity is due to
a. Birth trauma
b. Congenital birth defects
c. Infections
d. HIV
2. DNA double during which stage of cell cycle.
a. G1
b. G2
c. M
d. S
3. Which is the antagonist for diazepam
a. Flumazenil
b. Flupenthixol
c. Fluperazine
d. Fluoxetine
4. A female housewife washes her hands ritualistically five times so that she wont be infected by HIV before every meal. She has
a. OCD
b. p. schizophrenia
c. lack of knowledge of transmission of HIV
d. histrionic personality disorder
5. which cell identifies self from non-self antigens
a. t-cell
b. b-cell
c. macrophage
d. eosinophils
6. what is not a feature in Brown sequard syndrome
a. contra lateral pain and temperature loss below the lesion
b. ipsilateral pain and temperature loss below the lesion
c. anesthesia in the dermatome at the site of the lesion
d. ipsilateral joint and vibration sensory loss below the lesion
7. m/c association with Arnold Chiari malformation
a. cauda equina syndrome
b. Brown Sequard syndrome
c. AMLS
d. Syringomyelia
8. Proptosis is seen in
a. Downs syndrome
b. Turners syndrome
c. Crouzon syndrome
d. Kline Levine syndrome
9. m/c vertebra involved in rheumatoid arthritis
a. sacral
b. lumbar
c. thoracic
d. cervical
10. m/c site for cerebral embolism from atherosclerosis
a. ECA
b. At the origin of ICA from common carotid artery
c. Subclavian artery
d. Inomminate artery
11. A patient after a motorcycle accident is breathless with pulse rate 120/min, muffled heart sounds and feeble pulse. The diagnosis is
a. Cardiac tamponade
b. Pulmonary embolism
c. Tension pnumothorax
d. Pericarditis
12. Water bottle heart is seen in x-ray of
a. Truncus arteriosus
b. TOF
c. TGA
d. Pericardial effusion
13. Firm warty vegetations along the lines of closure of valves is characteristic in
a. Infective endocarditis
b. Libman sachs endocarditis
c. Fungal endocarditis
d. SABE
14. m/c pancreatic Ca is
a. VIPoma
b. Glucogonoma
c. Metastasis
d. Ductal adenocarcinoma
15. Acute pancreatitis is caused by
a. Hyperthyroidism
b. Hypothyroidism
c. Hyperparathyroidism
d. Hypoparathyroidism
16. Which structure is not cut in grid iron incision
a. Skin
b. External oblique muscle
c. Transversalis fascia
d. Rectus abdominis
17. Laparoscopy is absolutely contraindicated in
a. Mild to moderate dyspnoea
b. Pregnancy
c. Appendicitis
d. Infected gall bladder
18. Bacteremia is seen in infection of
a. E coli
b. Shigella
c. Klebsiella
d. Salmonella
19. Large anion gap is not seen in
a. Lactic acidosis
b. Diabetic ketoacidosis
c. Distal RTA
d. Ethanol poisoning
20. Which nerve is a direct branch of roots forming the brachial plexus
a. Nerve to rhomboideus
b. Long thoracic nerve
c. Subscapular nerve
d. Radial nerve
21. Late manifestation of congenital toxoplasmosis are a/e
a. Choreoretinitis
b. Mental retardation
c. Hydrocephalus
d. Hepato spleno megaly
22. Consecutive optic atrophy occurs in
a. Optic neuritis
b. Methanol poisoning
c. Retinitis pigmentosa
d. Leberâs optic neuritis
23. 5HT3 agonist is
a. Ondansetron
b. Cisapride
c. Metoclopramide
d. Clozapine
24. Which is the most common complication seen in patients with bladder catheterization during the second week
a. Infection
b. Stone formation
c. Rupture of urethra
d. Hematuria
25. Casals necklace is characteristic in
a. Vit D
b. Vit A
c. Vit B6
d. Pellagra
26. DM is aggravated due to
a. Niacin
b. Thiamine
c. Riboflavine
d. Biotin
27. HMG Co-A reductase inhibitor is given in
a. Type II DM at 60 years
b. Hypertension
c. Pancreatitis
d. Insulinoma
28. Which is the agent used for prevention of ischaemic stroke
a. Aspirin alone
b. Ticlopidine
c. Clopidogrel
d. Aspirin and clopidogrel
29. A patient presents with dilated tortuous veins of the lower limb and on venous Doppler there is back flow of blood. All are advised expect
a. Glove stocking
b. Aspirin
c. Mesh in IVC
d. Surgical intervention
30. all are used as criteria to determine in brain dead individual except
a. corneal reflex
b. light reflex
c. cessation of breathing
d. deep tendon reflex
31. which enzyme is diagnostic of alcoholic liver disease
a. ALP
b. GGT
c. LDH
d. SGOT
32. Which is the gold standard for diagnosis of GERD
a. Barium swallow
b. Oesophagoscopy
c. 24 hr pH monitoring
d. CT abdomen
33. All are precancerous conditions except
a. Villous adenoma
b. Tubular adenoma
c. Familial polyposis
d. Ulcerative colitis
34. Which enzyme is increased in lead poisoning?
a. Delta ALA
b. Coproporphyrinogen 3
c. Heme
d. Protoporphyrin
35. Which is a atypical antipsychotic
a. Loxapine
b. CPZ
c. Zuclopenthixol
d. Risperidone
36. Pramipexole is
a. D2 agonist
b. D2 antagonist
c. Ach agoist
d. Anti choline esterase
37. Which is the definitive host for tinea solium
a. Dog
b. Sheep
c. Pig
d. Man
38. AFP levels increased upto 500 iu/ml in
a. Hepatocellular carcinoma
b. Testicular cancer
c. Cholangio carcinoma
d. Pancreatic cancer
39. Which is not a protein peptide or a.a
a. Substance p
b. Endorphins
c. Dynorphins
d. Serotonin
40. Unconjugated bilirubinimea is seen in a/e
a. Criggler najjar syndrome
b. Gilberts syndrome
c. Dubin johnsonâs syndrome
d. Budd chiari syndrome
41. 0.45% NaCl is used in
a. Cerebral salt wasting
b. Hyperkelemia
c. Hyponatremnia
d. Adipsic hypernatremia
42. Impaired naming, intact comprehension and repetition is seen in
a. Wernickes aphasia
b. Transcortical sensory aphasia
c. Transcortical motor aphasia
d. Brocas aphasia
43. Site of action of loop diuretics
a. PCT
b. DCT
c. Ascending Loop of Henle
d. Loop of Henle
44. Not a NRTI
a. Zidovudine
b. Nevirapine
c. Stauvidine
d. Lamivudine
45. m/c fungal infection is seen in aids
a. candida
b. blastomycosis
c. Cryptococcus
d. Mucormycosis
46. Delta waves in ECG is seen in
a. Hypothermia
b. Wpw syndrome
c. Hypokelemia
d. Dysarrhythmia
47. Acute changes in ECG in hyperkelemia
a. U waves
b. Prolongation of QT interval
c. QRS widening
d. ST segment elevation
48. Which of the following is a exotoxin
a. E coli toxin
b. Proteus
c. Pseudomonas
d. Tetanus toxin
49. Which is the m/c cause of stroke
a. DM
b. Myocardial infarction
c. Rhd
d. Non rheumatic atrial fibrillation
50. Urinary stones which are hexagonal in shape
a. Cysteine
b. Urate
c. Calcium oxalate
d. Triple phosphate
