1. ANATOMY 2. Person with accident unable to abduct shoulder and flex at elbow due to

a) Shoulder dislocationb) Medial cord injuryc) Lateral cord injuryd) Upper trunk injury

3. Dermatome of little finger isa)C6b)C7c)C8d)T1

4. Nerves supply to auricle a/ea)9th nerve tympanic brb)Greater Auricularc)Lesser occipitald)Auriculotemporal

5. Sub arachnoid hemorrhage and fourth ventricle blled can be attributed to which vessela)anterior communicating arteryb)aneurysm at top of basilar arteryc)anterior inferior cerebellar arteryd)posterior inferior cerebellar artery

6. Avasular necrosis of Scaphoid occurs in the proximal fragment becausea)comminuted fractureb)Articulates with radiusc)Blood flow retrograde in Scaphoidd)Difficult to fix the proximal fragment

7. A person was incolved in RTA. After that he had inability to Abduct shoulder and inability to flex elbow. Other movements of upper limb are normal. The cause of injury isa)Shoulder dislocationb)Medial cord injuryc)Upper trunk injury ;posterior cordd)Lateral cord injury

8. Which of the following does not pass through the inquinal cancl in femalea)Inferior epigastric Arteryb)Round ligament in ovaryc)lymphatics from fundus of uterusd)Illio inguinal Nerve

9. Muscle which is NOT derived from pharyngeal archesa)Tensor tympanib)Palatine tonsilc)Levator palpebrae superiorisd)orbicularis oculi

10. PHYSIOLOGY 11. Part of Hypothalamus which is related to Sexual behaviour

a)Preopticb)Supraopticc)Lateral Hypothalamusd)posterior hypothalamus

12. Glutamate is the predominant neurotransmitter in whi h of the following part of braina)Subtantia Nigrab)putamenc)Globus pallidus internad)Globus pallidus externa

13. The carotid artery is clamped above the level of Carotid sinus. What is the possible outcome?a)Increase in BP with Bradycardiab)Increase in BP with Tachycardiac)Decrease in BP with Bradycardiad)Decrease in BP with Tachycardia

14. Pyrogenic cytokines are all EXCEPTa)IL – 6b)TNF alphac)IL- 18d)INF – alpha

15. BIOCHEMISTRY 16. Phosphorylation of all occurs except

a)arginineb)threoninec)Serined)tyrosine

17. Enzyme for both cholesterol and fatty acid synthesis isa)Hmg co a synthaseb)Hmg co a reductasec)Thiokinased)Lyase

18. Site for O – type binding of polysaccharide is seen in which of following amino acida)Asparagineb)Threoninec)Serined)Tyrosine

19. PHARMACOLOGY 20. Drug used for inflammatory bowel disorder

a)Lubiprostoneb)c)d)

21. The hypoglycemic drug causing Vitamin B12 deficiency isa)Exenatideb)rapaglinidec)sitagliptind)Metformin

22. Temozolamide is ana)Alkylating agentb)Anti tumour antibioticc)d)

23. Side effects of thalidomide-all excepta)sedation

b)constipationc)neuropathyd)myocarditis

24. Which fluoroquinolone shows the longest half-life?a) Levofloxacinb) Lomefloxacinc) Grepafloxacind) Moxifloxacin

25. Lipodystropy protease in HAART26. a)Ritonavir27. Thiazide used in t/t of a/e

a) Idiopathic hypercalceuria with nephrocalcinosisb) Hyperlipidemiac) CCF

28. Hypertriglyceridemia and Hypercholesterolemia seen in Human Immunodeficiency Virus-1-Infected Treated witha) Ritonavirb) Reltegravirc) Didanosined) Efavirenz

29. Doc for syphilis in pregnant ladya) PenicillinTemozolamide isa) Oral alkylating agentb) Antibiotic antitumorIn Japan, known as detergent suicide, a near-instant death achieved by mixing common household chemicals into a poisonous cloud of gasa) H2S

30. Drug used usually for cerebral vasospasm ?a)Nimodipineb)Nitroglycerinec)Nifidipined)

31. Slow acetylator of INH develops which type of toxicity ?a)Peripheral Neuropathyb)Hepato toxicityc)Thrombocytopeniad)

32. Forced alkaline Diuresis is done to remove which drug during intoxication?a)Phenobarbitoneb)Amphetaminec)d)

33. In a pregnant lady of 8 weeks and 4 days, VDRL was done which confirmed the presence of treponema pallidum infection. The drug of choice for treatment isa)Erythromycinb)Penicllinc)d)

34. A new drug A is being compared with an old drug B, The efficacy of this new drug in relation to the old drug can be established by which phase of drug triala)Phase 1b)Phase 2c)Phase 3d)Phase 4

35. Apixaban is aa)TNF alpha inhibitorb)Antiplateletc)Factor Xa antagonistd)Interferon alpha inhibitor

36. PATHOLOGY 37. Which of the following is not pyrogenic

a)IL 1b)IL 18c)TNF ALPHAd)INTERFERON alpha

38. Secondary amyloidosis is due to deposition ofa)Amyloid Associated Proteinb)Amyloid light Chainc)Beta 2 Microglobulind)

39. Wide Neural Foramina seen in which disordera)NFb)Tuberous Sclerosisc)Wyson Weber Syndromed)

40. The following CD marker is used to diagnose Langerhans Histiocytosisa)CD1ab)c)d)

41. Immune complex shows what protein structure?a)Primaryb)Secondaryc)Tertiaryd)Quartenary

42. A person with Blood group A will have which of the following genetic makeupa)OOb)AOc)ABd)BO

43. The type of Hypersenitivity reaction in Myaesthenia gravis isa)Type Ib)Type IIc)Type IIId)Type IV

44. MICROBIOLOGY 45. The endotoxin involved in Cholera has its action by which of the following

a)cAMP

b)cGMPc)d)

46. The Endotoxin does NOT play a role in parthenogenesis of which organisma)E.Colib)Cholerac)Klebsiellad)Pseudomonas

47. How does Ebstein Barr Virus causes autoimmunity?a)Molecular mimicryb)Exposure of sequestered antigensc)Antigenic cross reactivityd)Polyclonal B cell activation

48. Most common cause of pyogenic liver abcess isa)Traumab)Biliary tract diseasec)Appendicitisd)Diverticulitis

49. Among the following which is the most resistant to action of antisepticsa)Sporesb)VIrusesc)Prionsd)Mycobacteria

50. The disease common to mosquitos Anopheles, Aedes, Culex isa)Japanese Encephalitisb)Malariac)Filariasisd)

51. A Gram-negative marine bacterium causing ear infectiona) Vibrio cholerab) Vibrio parahemolyticusc) Vibrio alginolyticusd) Vibrio mimicus

52. pt. was infected with MRSA. All of the following can be given exceptA) CotrimoxazoleB) CeflacorD) CiprofloxacinD) Vancomycin

53. Cholera toxin acts via secondary messengera) cAMPb) cGMPc) Ca2+d) IP3

54. FORENSIC MEDICINE 55. IPC prohibits the disclosure of the identity of victims in rape under

A) Section 225AB) Section 226AC) Section 227AD) Section 228A

56. Sham rage is seen ina) Decerebrate animalsb) Decorticate animalsc) Hypothalamic lesions

57. A person is brought to casuality by police under the alleged offence of Sodomy. You being a medical officer are asked to examine the patient. Which will not be seen?a)Faecal smellb)Smegmac)Frenual teard)Penile shaft constriction

58. MEDICINE 59. Macroadenoma size…greater then

a)1 cmb)c)d)

60. Which of the following is a congenital Aplastic anemia?a)Fanconi’s anemiab)c)d)

61. An example of small vessel vasculitis isa)Giant cell vasculitisb)Takayasu arteritisc)PANd)Microscopic Polyangitis

62. Critical Metabolic failure occurs at cerebral blood flow ofa)10ml/minb)20ml/minc)30ml/mind)40ml/min

63. Type 1 renal tubular acidosis-which s not true?a)failure 2 acidify urine 2 a ph<5b)increased risk of urinary stonesc)replacement of bicarbonated)hyperkalemia

64. 40 yr.old hypertensive pt was admitted in d hospital with complaints of head ache and high BP. he died after 4 hrs./1 day. what will b d findings in his kidney?

65. a)petechial haemorrhages on surfaceb)b/l small contracted granular kidneyc)small kidney with smooth surfaced)enlarged kidney

66. Episodic muscular weakness a/ea)Chanellopathyb)lambert eaton syndromec)Hypercalcemiad)Hyperphosphatemia

67. Amylin is secreted froma)Alpha cellsb)Beta cells

c)Delta cellsd)pancreatic polypeptide or Gamma

68. Criteria for brain stem deatha)doll’s eye reflexb)Fixed and dilated pupilsc)pin point pupild)positive vestibulo ocular reflex

69. treatment not administered to a patient with severe pulmonary edemaa)digoxinb)positive pressure ventillationc)frusemided)morphine

70. Glasgow coma scale- Verbal Makes inappropriate wordsa) 4b) 3c) 2d) 1

71. Rheumatoid factor isa) IgM antibody directed against IgGb) IgG antibody directed against IgM

72. treatment not administered to a patient with severe pulmonary edemaa)digoxinb)positive pressure ventillationc)frusemided)morphine

73. After 24 hours starvation what will NOT be seena)increased glycogen breakdownb)increased free fatty acidsc)increased ketone bodiesd)decreased serum proteins

74. Topical application of mitomycin-ca)Layngeotracheal stenosisb)Nasal angiofibromac)d)

75. The least occurence of infective endocarditis is due toa)Small ASDb)Mild Aortic stenosisc)Mild Mitral regurgitationd)

76. Which of the following porphyrias is NOT Autosomal Dominant?a)Congenital Erythropoietic porphyriab)Acute intermittent porphyriac)Porphyria cutanea tardad)Herditary porphyria

77. Reid index is used to measurea)Bronchiectatsisb)Chronic bronchitisc)Tuberculosisd)Emphysema

78. Yoga if considered as part of medicine, it will be considered aa)physiotherapyb)preventive medicinec)emergency medicined)

79. Least common presentation of Multiple myeolomaa)Hyperviscocityb)Bone painc)Anemiad)Infections

80. A patient on regular medication for a medical illnes is posted for abdominal surgery. Which such medication can be stopped on day of surgerya)Beta blockersb)Steroidsc)Statinsd)ACE inhibitors

81. Electromechanically Systole isa)R wave to first heart soundb)Q wave to second heart soundc)Q wave to T waved)

Here comes the older list which will not be updated anymore !!

All are included in the active management of third stage of labor except.

a.Controlled Cord Traction

b.Uterine Massage

c.Inj.Syntocinon

d.Inj.Methergine

Ans:Uterine Massage

2.Drug that causes B12 deficiency on prolonged usage

a.Metformin

Ans:Metformin

3.Langerhans Cell Histiocytosis immuno histochemistry positive for

a.CD1a

Ans:CD1a

4.In GlassgowComa Scale(GCS), scoring for inappropriate speech in verbal response is

a.2

b.3

c.4

Ans:3

5.The causative agent of recurrent ulcer in sub-himalayan region is

a.cladosporium

b.sporothrix

6.Identity of rape victim is to be maintained secret as dictated under

7.Maximum cerebral Vasodilation is caused by

a.Hypercarbia

8.Drug responsible for cyanide toxicity.

a.Sodium Nitroprusside

b.

9. An active agent in sodomy was subjected to examination. Which findings are not observed ?

a.Torn frenulum

b.fecal smell

c.smegma

d.penile reconstruction

10.A hit B after provocation with a stick to cause a bruise of 3*3 cm. What is the correct.

a.punishment for 1 yr & fine 1000

b.severe punishment for 6 mths

c.none of the above.

11.The wave lengh of laser used for refraction correction is.

12.Eye infection in a contact lens user, not responding to routine antibiotics. Cause is ?

13.A neonate shows skin erosions at sites the mother handles. What is the probable pathology behind it ?

a.Epidermolysis bullosa

b.Bullouus pempihoid

c.

14.Mitochondria is involved in all except ?

15.All arteries are involved in blood supply to auricle except ?

a.greater auricular

b.lesser auricular

c.tympanic branch.

16.Hypo Echoic Lesion on USG ?

17.Pathogenesis of Vibrio Cholera involves one of the folowing second messenger system.

a.cAMP

18.Which of the following is least resistant to antibiotics and disinfectants.

a.spores

b.prions

c.

19.Drug not to be used in hypercalemia.

a.hydrochlorthiazide

b.furosemide

20.All the following are found in DIC except ?

a.Increased fibrinogen

b.

21.Interaction between Clopidogrel and PPI is due to metabolism by

22.Which of the following drug is asssociated with increased cardiac mortality ?

a.rolecoxib

b.nicrondil

c.losartan

d.metoprolol

23.Emergency management of acute pulmonary oedema treatment all except

a.morphine

b.digoxcin

c.frusemide

d.positive pressure ventillation

24.Hemochromatosis is not seen in

a.Repeated blood transfusions

b.Thalassemia

c.PNH

d.Spherocytosis

25.In Secondary Amyloidosis , the commonly deposited amyloid form is

a.Beta 2 Microglobulin

b.amyloid light chain

c.

d.

26.Primary hypothyroidism, commonly demonstrated associated with

a.

b.

c.

d.

27.An AIDS patient on HAART has hyperlipidemia. The drug causing this is

a.zidovudine

b.

c.

d.

28.A man experiences tingling sensation on the lateral aspect of leg and great toe after lifting heavy weight.The lesion responsible is

a.L4-L5 Disc Prolapse

b.L3-L4 Disc Prolapse

c.L5-S1

29.A middle aged man presents with varicocele that appeared recently. This should raise the suspicion of

a.testicular tumour

b.

c.

d.

30.Which of the following vaccination is not needed in 70 yrs elderly male

a.measles

b.tetanus

c.hepatitis

d.typhoid

31.The lowest risk of rectal prolapse recurrence is seen with.

a.Delorme Procedure

b.Rectopexy

c.

d.

32.After a subclavian vein cannulation, man presents with absent breath sounds on one side, increased resonance. m/c cause is

a.Tension Pneumothorax

b.subclavian vein air embolus

c.

d.

33.A pt presenting with hematemesis, splenomegaly m/c cause is

a.Portal Hypertension

34.Posterior perforation of duodenum, m/c involved structure is

a.IVC

b.

35.A 15 yr old presents with delayed puberty. FSH, LH done to exclude

a.

b.

c.

d.

36.Maternal drug usage m/c associated with hypospadiasis is

37.Japanese Detergent Suicide, works by

a.generating foam

b.H2S gas

c.

38.Fracture of Neck of femur not associated with.

a.malunion

b.nonunion

c.AVN

d.limb shortening

39.A pt presents with mobile gluteal mass, shortening m/c cause is

a.acetabular fracture with posterior dislocation of femur head.

b.

c.

d.

40.Newer Modified Liver Donor criteria includes all axcept

a.Age>40 yrs

b.Hepatitis B core Antigen Positive

c.acute cholestatic hepatitis

d.

41. X-ray exposure for detecting minimal pneumoperitoneum is

a.standing

b.supine

c.rt lateral decubitus,

d.lt lateral decubitus

42. Anteroposterior diameter is high is following type of skull.

a.dolicocephaly

b.brachycephaly

c.plagiacephaly

43.A child with pubertal delay , LH,FSH,Testosterone are estimated to exclude which of the following ?

a.Klinefelter Syndrome

b.

c.

d.

44.Size of Pituitary Macro Adenoma

a >1 cm.

b >1.5 cm.

c >2 cm.

d >2.5 cm.

45.What kind of study will be conducted on? group before intervention and after intervention.

a.Paired t test.

b.Unpaired t test.

c.Chi square.

d.

46.A study conducted on a group of 100 indls mean is ___ sd is _.

what is the standard mean of error.

47.which of the following is not included in “right to sight”.

a.cataract

b.

c.

d.

48.A lady presents with? , leucopenia, splenomegaly, what will be the findings on int biopsy.

a.longitudinal ulcers.

b.transverse ulcers.

49.HUS.

q 50 endotoxin