A. Multipinnate muscle
B. Lifts arm above the shoulder
C. Supplied by long thoracic nerve
D. Originates from lower eight ribs
2) The treatment of choice for atticoantral variety of chronic suppurative otitis media is:
A. Mastoidectomy
B. Medical management
C. Underlay myringoplasty
D. Insertion of ventilation tube
3) All of the following are the complications in the new born of a diabetic mother except?
A. Hyperbilirubinemia
B. Hyperglycemia
C. Hypocalcemia
D. Hypomagnesemia
4) The correct line of management in child who has swallowed a coin is?
A. Fiber optic endoscopy
B. Rigid endoscopy
C. Laparotomy
D. Wait and Watch
5)Helper cells belong to?
A. T cells
B. Macrophages
C. B cells
D. Monocytes
6)Mac Ewen's triangle can be felt through the?
A. Superior conchae
B. Cymba conchae
C. Middle conchae
D. Posterior part of auricle
7)Most common strain of E.coil giving rise to traveller's diarrhoea is?
A. Entero-invasive E.coil
B. Entero-pathogenic E.coil
C. Entero-toxigenic E.coil
D. Entero-aggregative E.coil
8)With urine turning green on ferric chloride test, the diagnosis is:
A. Phenylketonuria
B. Alkaptonuria
C. Multiple carboxylase deficiency
D. Glutaric aciduria
9)For assessing the ability of protein utilisation the best index is?
A. Urea
B. Uric acid
C. Blood ammonia
D. Urinary nitrogen content
10)Screening test is not useful when?
A. Incidence of the disease
B. Incidence is low in the community
C. Early detection leads to favorable outcome
D. The disease has a lead time
11)Nerve not related to humerus is?
A. Radial
B. Median
C. Axillary
D. Musculocutaneous
12)What is the percentage of chances of hydatidiform mole to develop choriocarcinoma?
A. 5%
B. 15%
C. 50%
D. 80%
13)Vasomotor reversal of Dale is because of?
A. Block of alpha receptors
B. Block of alpha & beta receptors
C. Agonistic action on alpha receptors
D. Adrenaline only
14)Primary visual field is situated around the ______ sulcus?
A. Central
B. Calcarine
C. Superior temporal
D. Inferior occipital
15)Medical treatment for BPH includes?
A. Finesteride
B. Methyl testosterone
C. Oestrogens
D. Osmic acid
16)Anterior dislocation of shoulder causes all except?
A. Circumflex artery injury
B. Avascular necrosis head of humerous
C. Brachial plexus injury
D. Chip fracture scapula
17)HIV is a?
A. Retrovirus
B. Flavivirus
C. Oncovirus
D. Arbovirus
18)In shigella dysentery associated hemolytic uremic syndrome, the false statement is?
A. Leucocytosis
B. Neurological abnormalities
C. Hepatic failure
D. Thrombotic angiopathy
19)Dengue hemorrhagic fever is caused by?
A. Type I secrotype
B. Re-infection with the same serotype of dengue virus
C. Re-infection with the different serotype of the dengue virus
D. Re-infection in immunocompromised host
20)When the sample size is less than 30, one of the following modifications is made in the formula of standard deviation?
A. Numerator is increased
B. Denominator is decreased
C. Both numerator and denominator are changed
D. Numerator is decreased
21)Oesophagus receives blood supply from all except?
A. Inferior thyroid artery
B. Inferior phrenic artery
C. Internal mammary artery
D. Bronchial artery
22)All are pencillinase resistant except?
A. Methicillin
B. Nafcillin
C. Penicillin
D. Dicioxacillin
23)Mild hemolyti anaemia is associated with vitamin.. . Deficiency?
A. B6
B. E
C. A
D. C
24)Trimethoprim acts by?
A. Inhibiting DHFR
B. Inhibiting cell metabolism
C. Inhibiting DNA
D. Inhibiting RNA
25)Paradoxically split second heart sound signifies severe?
A. Pulmonary stenosis
B. Mitral stenosis
C. aortic stenosis
D. tricuspid stenosis
26)Riboflavin nutritional status is assessed by?
A. Xanthine oxidase levels in RBC's
B. Glutathione reductase activation in RBC's
C. Urine excretion of Riboflavin
D. Cytochrome- C-reductase levels in kidneys
27)Provision of free medical care to the people at government expense is known as?
A. State medicine
B. Social therapy
C. Social medicine
D. Social insurance programme
28)Shortest sacrocotyloid diameter causing narrowing of pelvis is a feature of which type of maternal pelvis?
A. Android
B. Gynaecoid
C. Platypelloid
D. Anthropoid
29)What is Bennett's fracture?
A. Fracture dislocation of base of first metacarpal
B. Fracture dislocation of base of first metatarsal
C. Fracture of first metatarsal
D. Fracture of first metacarpal
30)All the following techniques are helpful in the diagnosis of haemoglobinopathies, except?
A. Alkali denaturation test
B. Cellulose acetate electrophoric
C. Sickling test
D. Osmotic fragility test
31)Which of the following is not likely in patients taking amiodarone?
A. Pulmonary fibrosis
B. Hypothyroidism
C. Hyperthyroidism
D. Gynaecomastia
32)Which of the following helps in preventing colon cancer?
A. High fiber diet
B. Selenium
C. Antioxidants
D. Fatty food
33) Size of ovary, above which considered to be malignant?
A. 2 cm
B. 5 cm
C. 8 cm
D. 10 cm
34)Cadaveric spasm
A. Instant in onset
B. Confined to small group of muscles
C. Occurs only in voluntary muscles
D. All of the above
35)The radionuclide used for ventriculography is
A. Thallium
B. Technetium
C. Gallium
D. Pottasium
36)"Signet ring cells" are seen in?
A. Carcinoma cervix
B. Carcinoma endometrium
C. Krukkenberg tumour
D. Carcinoma vulva
37)Cimetidine was synthesized by?
A. Black
B. Upjohn
C. Lindsay
D. Lilly
38)Nutritional status of children between 0-4 years in a community can be assesed by all except?
A. Mortality in 0-4 years
B. Birth weight of less than 2.5 gm
C. Maternal Hb<11.5 g/dl/
D. Height and weight of all preschool children
39)Pulmonary fibrosis in Bronchogenic carcinoma of lung may follow exposure to?
A. Coal dust
B. Silica
C. Asbestos
D. Bagasse
40)Ejection fraction increases with?
A. Decrease end-systolic volume
B. Decrease end-diastolic volume
C. Decreased peripheral resistance
D. Venodilation
41)Which is NOT visualized on posterior rhinoscopy?
A. Eustachian tube
B. Inferior meatus
C. Middle turbinate
D. Posterior border of nasal septum
42)Which one of the following would cause a metabolic acidosis is with a normal anion gap?
A. Renal tubular acidosis
B. Acute renal failure
C. Diabetic ketoacidosis
D. Aspirin overdose
43)All of the following organs contain aneurysm in polyarteritis nodosa except?
A. Liver
B. Lung
C. Kidney
D. Pancreas
44)Diphtheria toxin acts by?
A. Inhibiting Acetyl Choline release
B. Inhibiting glucose transport
C. Increasing levels of Cyclic AMP
D. Inhibiting protein synthesis
45)Smokeless gun powder is composed of?
A. KMno4
B. HCN
C. Nitrocellulose
D. Sulphur
46)Cetuximab (an EGFR antagonist) can be used in?
A. Palliation in head and neck cancer
B. Anal canal carcinoma
C. Gastric cancer
D. Small cell lung carcinoma
47)The formula showing relations of pressure, thickness and radius?
A. Laplace formula
B. Ohm's law
C. Pascal's law
D. Poisseulle's formula
48)Dapsone is useful for treating all except?
A. Leprosy
B. Dermatitis Herpetiformis
C. Madura Foot
D. Lymphoma
49)The most important factor to overcome protein energy malnuntrition in children less than 3yrs is;
A. Suply of subsidized food from ration shop
B. Early supplimentation of solids in infants
C. immunization to the child
D. Treatment of anaemia and pneumonia in infant and toddlers
50)The binding of 2,3 BPG to Hemoglobin is to?
A. Carboxyterminal
B. Amino terminal
C. Sulphydryl groups
D. None of the above
51)Dissociate anaesthesia is described with which of the following?
A. Propofol
B. ketamine
C. Thipental
D. Halothane
52)In colour Doppler the colour depends upon?
A. Strength of returning echo
B. Relation of transducer to blood flow
C. Frequency of Doppler used
D. Type of Doppler machine used
53)The commonest cause of breech presentation is:
A. Prematuarity
B. Hydrocephalus
C. Placenta praevia
D. Polyhydramnios
54)Which of the following pathologic processes in an example of dysplasia?
A. Actinic keratosis
B. Chronic cystitis
C. Chronic bronchitis
D. Ulcerative colitis
55)True regarding tubercular meningitis:
A. Generally occurs as dissemination of a miliary tuberculosis
B. The cranial nerves frequently are involved
C. The most common affected leptomeninges are at the base of the brain
D. Communicating and obstructive hydrocephalus cortical abscesses, and empyemas are very uncommon complications
56)Haemostasis means?
A. Coagulation
B. Maintenance of electrolyte balance
C. Sufficient hydration
D. Arrest of bleeding
57)The average coronary blood flow in human being at rest is _ % of cardiac output ?
A. 4.5%
B. 5-10%
C. 10-15%
D. 15-20%
58)Rigor mortis first starts in?
A. Upper eyelids
B. Lower eyelids
C. Lower limbs
D. Fingers
59)Madura foot is caused by?
A. Blastomycosis
B. Nocardia
C. Candida albicans
D. Tinea versicolor
60)Population of 10000, birth rate 36 per 1000, 5 maternal deaths, the MMR is?
A. 14.5
B. 13.8
C. 20
D. 5
61)Which of the following is not in WHO surveillance?
A. Rabies
B. Influenza
C. Malaraia
D. Varicella
62)The cause of breech presentation are all except?
A. Previous caesarean section
B. Placenta previa
C. Contracted pelvis
D. Oligohydramnios
63)True about minoxidil is?
A. Increases hair growth
B. Antihypertensive
C. Both
D. None
64)Cold agglutinins are seen in?
A. Mycoplasma pneumonia
B. Psittacosis
C. Legionella pneumonia
D. TB
65)No. of negative stools mandatory to release a case from isolation in typhoid?
A. 3 samples same day
B. 2 samples on first day and 1 sample on the second day
C. 1 sample of first day and 2 samples on the second day
D. 3 samples on 3 separate days
66)The most specific feature of death due to hanging is?
A. Tardieu spots
B. Ligature mark
C. Fracture of thyroid cartilage
D. Dribbling of saliva
67)Cauliflower ear is due to?
A. Haematoma
B. Carcinoma
C. Fungal infection
D. Herpes
68)Following agents have effects on the NMJ, EXCEPT
A. Curare
B. Decamethonium
C. Succinylcholine
D. Hexamethonium
69)Entamoeba, which is not found in gut?
A. E.coli
B. E.histolytica
C. E.gingivalis
D. E.nana
70)most deaths involving placenta previa result from?
A. Infection
B. Toxemia
C. Hemorrhage
D. Thrombophlebitis
71)Tympanic plexus is formed by?
A. Tympanic branch of glossopharyngeal nerve
B. Vagus nerve
C. Facial nerve
D. mandibular nerve
72)Prolactin?
A. Facilitates
B. Prevents ovulation in lactating women
C. In responsible for formation of corpus luteum
D. Is responsible for progesterone secretion
73)Herpes zoster involves?
A. Otic ganglion
B. Gasserian ganlion
C. Geniculate
D. Celiac ganglion
74)In wolf- parkinson white syndrome, there exist a connection between atria and?
A. Bundle of His
B. Ventricles
C. A-V node
D. Purknje fibres
75)Polyhydramnios is seen in all the following except:
A. Diabetes
B. Renal agenesis
C. Esophageal atresia
D. Hydronephrosis
76)Following is the adjuvant for the treatment of nephrotic syndrome?
A. levamisole as immunomodulant
B. B.complex
C. cyclosporin
D. steroid
77)Subarachnoid Haemorrhage is diagnosed by?
A. Lumbar puncture
B. CT scan
C. MRI
D. X-ray skull
78)Disturbances of affect include all except?
A. Panic
B. Apathy
C. Phobia
D. Obsession
79)Deep transverse arrest is seen in?
A. Occipito-posterior position
B. Occipito-anterior position
C. Breech delivery
D. Face presentation
80)Kallu, a 25 yr male pt.presented with a red eye and complains of pain, photophobia ,watering and blurred vision. He gives a history of trauma to his eye with a vegetable matter. Corneal examination shows a dendritic ulcer. A corneal scraping was taken and
A. Herpes simplex
B. Acanthambea
C. Candida
D. Aeno virus
81)Glass vessels and syringes are best sterilised by
A. Hot air oven
B. Autoclaving
C. Irradiation
D. Ethylene oxide
82)Management of extradural hemorrhage is:
A. Immediate evacuation
B. Evacuation after 24 hrs
C. Antibiotics
D. Observation
83)A Post- Thyroidectomy patient develops signs and symptoms of Tetany. The management is?
A. I.v.Calcium gluconate
B. Bicarbonate
C. Calcitonin
D. Vitamin D
84)The most effective treatment in the early stages of trachoma is?
A. Penicillin locally
B. Choromycetin systemically
C. Sulphonamides systemically
D. Soframycin locally
85)Ideal treatment of Tinosporidiosis is:
A. Rifamipicin
B. Excision with cautery at base
C. Dapsone
D. Laser
86)Epithelium of cornea is?
A. Pseudostratified
B. Transitional
C. Stratified squamous keratinized
D. Stratified squamous non-keratinised
87)Bagasosis can be prevented by spraying Bagasse with?
A. 10% acetic acid
B. 5% acetic acid
C. 1% propionic acid
D. 2% propionic acid
88)Mc Ardles disease is due to the deficiency of?
A. Glu 1 phosphatase
B. Gluc1, 6 diphosphatase
C. Gluc 6 phosphatase
D. Myophosphorylase
89) Satiety center in hypothalamus is regulated by?
A. Gastric dilatation
B. Blood glucose levels
C. Blood insulin levels
D. All of the above
90)Coagulative necrosis is seen in all except?
A. Myocardial infarction
B. Burns
C. Tuberculosis
D. Zenker's degeneration
91)The relationship between incidence and prevalence can be expressed as the?
A. Product of incidence and mean duration of disease
B. Divident of incidence and mean duration of disease
C. Sum of incidence and mean duration of disease
D. Difference of incidence and mean duration of disease
92)In twin pregnancy, treatment of choice when first baby is in transverse lie is:
A. Home delivery
B. Cesarean section
C. High forceps
D. Low forceps after external rotation
93)Coose among the following the most important lab finding in nephrotic syndrome?
A. B-J protine
B. hyperkalemia
C. hypoalbuminemia
D. hypertension
94)Which statement is not true regarding Cryptic military Tuberculosis?
A. X-ray diagnsis is possible
B. It is seen in PEM Children
C. Mntoux test is negative
D. Leucocytosis is seen
95)Commonest histology of carcinoma of endometrium is?
A. Squamous cell
B. Clear cell
C. Adeno carcinoma
D. Anaplastic carcinoma
96)True regarding Felty's syndrome is all EXCEPT
A. Splenomegaly
B. Rheumatoid arthritis
C. Neutropenia
D. Nephropathy
97)The true statement about Zenker's diverticulum is;
A. It is outpouching of ant.pharyngeal wall above the cricopharyngeus muscle
B. Barium swallow lateral view for diagnosis is the best investigation
C. it is a true diverticulum
D. it is congenital
98)Which of the following statements about aging is true?
A. Zoo animals have shorter lifespans than animals in their normal habitat
B. All animal species have approximately the same lifespan
C. Men are programmed to live longer than women.
D. Identical twins have a natural lifespan of approximately similar duration
99)Characteristic features of kwashiorkor include following EXEPT?
A. Anorexia
B. Flaky paint dematosis
C. Hepatomegaly
D. Splenomegaly
100)Most common site of obstruction in gallstone ileus is?
A. Colon
B. Illeum
C. Jejunum
D. Duodenum
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