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… A FEW CHANGES …

  Ans.47.) TRICK 

BETA – 1 SELECTIVE BLOCKERS

NEW Nebivolol

BETA Betaxolol

BLOCKERS Bisoprolol

 ACT Acebutolol

EXTENSIVELY Esmolol

 AT Atenolol

MYO Metoprolol

CARDIUM Celiprolol

 All names starting with alphabet before ‘ N ‘ are cardioselective except carvedilol andlabetalol.

Ques.61.(a) Which of the following is least likely to cause increase in bradykinin levels?

 A) BenazeprilB) PerindoprilC) Irbesartan

D) All Ans: C : Irbesartan

Ques.61. (b) Which of the following is less likely to cause increase in coughing?

  A) BenazeprilB )PerindoprilC )IrbesartanD )All

 Ans : D : All : Martindale 34th /843The majority of reports of ACE inhibitors associated development of cough

concern Captopril & enalapril but it has also occurred in patients receiving many of theother ACE inhibitors.

Ques.72.)remove except

 Ans 76.) D ( Minimal Change Disease)

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Robbins 8th /925: MCD is associated with immune dysfunction.It is seen to beassociated With respiratory infections , prophylactic immunization , people with Hodgkins ,eczema , rhinitis…..

MPGN is both nephritic as well as nephrotic syndrome.

 Ans .134.) TRICK : The magic number ‘75’ 

Divide 75 by the higher value of the range of the Annual growth rate given in the question:

 ANNUALGROWTH RATE( AGR )

75 / Higher value of  AGR 

 Approx. no. of years todouble the population( Exact range)

< 0.5 75 / 0.5 150 ( > 139 )

0.5 – 1 75 / 1.0 75 ( 70 – 139 )1 – 1.5 75 / 1.5 50 ( 47 – 70 )

1.5 – 2 75 / 2.0 37.5 ( 35 – 47 )

2 – 2.5 75 / 2.5 30 ( 28 – 35 )

2.5 – 3 75 / 3.0 25 ( 23 – 28 )

3 – 3.5 75 / 3.5 21.4 (20 – 23 )

3.5 - 4 75 / 4.0 18.75 (18 – 20)

 Ans.141. PQLI is composed of Infant mortality , Life expectancy at 1 & Literacy.It does notinclude income

Ques.162.(b) Which of the following is a premalignant condition?

 A) Atophic rhinitisB) Rhinitis siccaC) RhinoscleromaD) Rhinitis caseosa

 Ans : None

Ques.163.(c) Which of the following conditions needs differentiation from malignancy?

E) Atophic rhinitisF) Rhinitis siccaG) RhinoscleromaH) Rhinitis caseosa

 Ans : D : Rhinitis caseosa

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 Ans .192. read from left to right :

OSAHS Narcolepsy IHS

 Ans.212.) B > D :PORCELAIN GALL BLADDER > EMPHYSEMATOUS CHOLECYSTITIS

 Ans.215. ) Ca prostate involves median lobe / peripheral zone.

 Ans. 221.) A=B ( JUVENILE POLYP = HAMARTOMATOUS POLYP IN PJ SYNDROME) :Sabiston’s 17th /1451 - 1454

 Ans.227)Mifepristone is effective till 9 weeks( 63 days)

Related ques in ans 238 : Stage of Ca cervix with involvement of parametrium , upper2/3rd vagina no free space on PR exam is 2 b

 Ans.247.) C : Hunter’s syndrome (A hunter has clear vision)In the explanation regarding Hurler’s syndrome as a trick , letter E

stands for eyes(cornea) not clear.

Ques.252 (b) Which of the following is false as regards rumination syndrome ?

 A) There is no nauseaB) There is regurgitation of meals post feedingC) Can lead to failure to thriveD) It appears between 3 – 5 years

 Ans: It appears between 3 – 5 years

Related ques in ans 226.) Medical management of ectopic pregnancy is done if gestationalsac diameter is less than 4 cm , hCG levels are less 200 & patient is stable.

 Ans.262. Genu varus : LB 25th /523

Examination of knee per se in osteoarthritis may reveal varus / valgus deformity withswelling.A varus deformity however seems to occur more frequently in osteoarthritis.