AIPGMEE 2010 Free Online Exam

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1. (a) Gluteus medius is supplied by





1. (b) Gluteus medius is supplied by





2. (a) Which of the following tendons passes below the sustenticulum tali





2(b) Which of the following tendons has attachments on sustenticulum tali





3. Urogenital Diaphragm is made up of the following, Except:





4. Hypogastric Sheath is a condensation of





5. Lymphatics from the spongy urethra drain into the following Lymph nodes:





6. Which of the positions best describes the location of celiac Plexus





7. In post-ductal coarctation of aorta collaterals may be formed by all of the following, except:





8. Which of the following passes through the foramen magnum





9. All of the following movements occur during abduction of shoulder except:





10. All of the following are composite muscles, except:





11. Left side superior vena cava drains into:





12. Vitamin K dependent coagulation factors include:





13. During heavy exercise the cardiac output (CO) increase upto five fold while pulmonary arterial pressure rises very little. this physiological ability of the pulmonary circulation is best explained by:





14. Venous return to heart during quiet standing is  facilitated by all of the following factors, except:





15. During cardiac imaging the phase of minimum motion of heart is:





16. All of the following statements about bronchial circulation are true, Except:





17. An important non - respiratory function of Lungs is:





18. Maximum water reabsorption in the Gastrointestinal tract occurs in.





19. The primary action of Nitric oxide (NO) in the gastrointestinal tract is:





20. Hot water bottle relieves pain of abdominal spasm by





21. Insulin secretion is inhibited by:





22. Which of the following is not seen in humans:





23. Lesions of the lateral cerebellum cause all of the following except





24. Low CSF protein may be seen in all of the following conditions, Except:





25. Basal metabolic rate depends most closely on:





26. Decreased Basal Metabolic rate is seen in:





27. Inulin like fructans are used as prebiotics as they are non digestible. Resistance to digestion in the upper GI tract results





28. Branched chain ketoacid decarboxylation is defective in





29. Sphingomyelinase Deficiency is seen in:





30. Which of the following lipoproteins does not move towards charged end in electrophoresis





31. Method of chromatography in which molecules that are negatively charged are selectively released from stationary phase into the positively charged molecules in mobile phase is termed as:





32. Rothera's test used for detection of





33. Which of the following liver enzymes is predominantly mitochondrial





34. Which of following techniques is used for detection of variations in DNA sequence and Gene expression





35. Which of following tests is not used for detection of specific aneuploidy





36. Prenatal diagnosis of Hemophilia is best done by





37. Narrow therapeutic index is seen with:





38. Which of the following is a ' Protein Pump Inhibitor'





39. (a) Mechanism of action of Theophylline in Bronchial Asthma include all of the following except:





39.(b) Mechanism of action of Theophylline in Bronchial Asthma is:





40. Methyldopa is primarily used in





41. Which of the following statements about opioid receptor antagonists is false.





42. L -Dopa is combined with carbidopa in the treatment of parkinsonism to:





43. Which of the following drugs should not be used with Rivastigmine in patients with Alzheimer's disease





44. Ethosuxamide is the drug of choice for:





45. All of the following statements about phenytoin are true, Except:





46. Fetal Hydantoin Syndrome is caused by





47. Which of the following teratogenic effects in incorrectly matched





48. All of the following drugs may cause Hirsuitism, Except





49. Most common congenital anomaly associated with Lithium





50. All of the following agents are used for prophylaxis of migraine, Except:





51. Serotonin syndrome may be precipitated by all of the following medications. Except:





52. MAO inhibitors should not be used with





53. A young male presents with meningococcal meningitis and allergy to penicillin. Which is the most suitable drug:





54. Which of the following should be monitored in patient receiving linezolid therapy





55. All of the following statements about thalidomide are true, except:





56. Pancreatitis occurs with:





57. Which of the following newer drugs has activity on both HER 1 and HER 2 neu Receptors





58. Tyrosine kinase Inhibitors are used in the treatment of





59. Which of the following agents is recommended for treatment of Gastrointestinal stromal tumors(GIST)





60. Amphoterecin B toxicity can be lowered by





61. Which of the following statements about Mycophenolate Mofetil is not true?        





62.Which of the following drugs is recommended for the treatment of Heparin induced thrombocytopenia?  





63. All of the following statements about Trientine are true, except:          





64. Allopurinol is used in the treatment of        





65.In equivalent concentrations, steroids are more potent in which form:      





66.(a) The characteristic feature of apoptosis on light microscopy is    





66.(b) All of the following are features of apoptosis, except          





67. Caspases are involved in:            





68. (a) Actions of Bradykinin include all of the following, except:        





68b) What is the most important role of Bradykinin in acute inflammation?          





69. Heterozygous sickle cell anemia gives protection against:        





70. (a) PNH is associated with deficiency of:            





70.b) PNH is associated with deficiency of:      





71. Burkitt’s Lymphoma is associated with:    





72. Translocation t (2:8)(p12:q24) is associated with:        





73. Plasmacytoid lymphomas may be associated with:    





74. Which of the following have most friable vegetation?            





75. Characteristic pathological finding in carcinoid heart disease is:  





76.  A female presents with history of progressive breathlessness. Histology shows heterogenous patchy fibrosis with several fibroblastic foci. The most likely diagnosis is:      





77. Chromophobe variant of renal cell carcinoma is associated with          





78.Hypercoagulation in nephritic syndrome is caused by      





79. Which of the following markers is specific for Gastro intestinal stromal tumors (GIST)?    





80.. All of the following condition are associated with granulomatous pathology, except:      





81. Electron microscopy is diagnostic in:        





82. Which of the following is the most characteristic ultrastructural feature of paraganglioma on electron microscopy?    





83.Which of the following is a marker of langerhans cell histiocytosis?  





84. Down’s syndrome is most commonly caused by:        





85. Cystic fibrosis is inherited as an autosomal recessive condition. A normal couple has one daughter affected with thedisease. They are now planning to have another child. What is the cause of her sibling being affected by the disease?          





86. Males are more commonly affected than females in:            





87.Peptide binding site on class I MHC molecules for presenting processed antigen to CD8 T cells is formed by:      





88. (a) All of the following statements about Penicillin binding proteins (PBP) are true, except:    





88.(b) All of the following statements about Penicillin Resistance are true, except:        





89.All of the following statements about staphylococcus aureus are true, except:        





90.A child presents with sepsis. Bacteria isolated showed beta hemolysis on blood agar, resistance to bacitracin, and a positive CAMP test. The most probable organism causing infection is:          





91.All of the following statements about EI-Tor Vibrios are true, except:                  





92. Isolation of Chlamydia from tissue specimen can be done by        





93. Varicella Zoster remains latent in:            





94. Most common genital lesion in HIV patient is:        





95.Which of the following may cause biliary obstruction?            





96.A young woman complains of recurrent rhinitis, nasal discharge and bilateral nasal blockage since one year. She also had history of allergy and asthma. On examination, multiple polyps with mucosal thickening and impacted secretions are seen in nasal cavities. Biopsy was taken and the material on culture showed many hyphae with dichoyomous branching typically at 45 degree. Which of the following is most likely organism responsible?            





97.A diabetic patient present with bloody nasal discharge, orbital swelling and pain. Culture of periorbital pus showed branching septate hyphae. Which of the following is the most probable organism involved?  





98.Primary impact injuries are commonly seen on:            





99.Which of the following bullets leaves a visible mark, so that a person can see it:        





100. Lightening flash can cause injury by all of the following, except:          





101.A woman died within 5 years of marriage under suspicious circumstances. Her parents complained that her in laws used to frequently demand for dowry. Under which of the following sections can a magistrate authorize autopsy of the case:    





102. A factory worker presents with excessive salivation, blue lines on gums, tremors, disturbed personality, insomnia and lose of appetite. The most likely poisoning is:          





103. Aconite poisoning causes all except:      





104. Which of the following drug is used for Narcoanalysis?        





105. Movement across socioeconomic levels is termed as:  





  106. Which of the following is associated with emotional valence and is most likely to be influenced by motivation?  





107. ASHA is posted at:          





108. “JSY” stands for:          





109.Provision of primary Health care was done by:        





110.Which of the following is not an essential component of primary health care?        





111. Which of the following is the current trend in health care?            





112.Which of the following best reflects the highest level of community participation?        





113. Which of the following regarding maternal mortality rate (MMR) is not true?      





114.Perinatal mortality rate includes:      





115. IMNCI differs from IMCI in all of the following, except:        





116.Mass chemoprophylaxis is endemic area is recommended for all of the following, except:        





117. Rural and urban difference in prevalence is seen in all of the following, except:    





118. All of the following statements about Tuberculosis annual rate of infection (ARI) are true, except:      





119.All of the following statements about scrub are true, except:        





120.All of the following factors contribute to Resurgence of malaria, except:      





121. A case of acute flaccid paralysis must be observed for how may days for residual weakness:  





122. India aims to eliminate which of the following diseases by 2015:      





123. The screening strategy for prevention of blindness from diabetic retinopathy according to the NPCB involves:          





124. Which of the following statements about confidence limits / interval is true:        





125. A standard ‘z-score’ is related to:  





126. A new test for diabetes was carried out of the 80 people who were tested positive, it was found that actually 40 had diabetes and out of 9920 people who were tested negative only 9840 did not have the disease actually. The sensitivity of this new test is:    





127.The population of a community on the 1st of June was recorded as 1,65,000. Total no. of new cases of Tuberculosis, recorded from 1st January to 31st June were 22. Total registered cases of tuberculosis in the community were recorded as 220. what is the incidence of TB in this community per 10 lakh population?    





128.All of the following about ‘Red Cross’ emblem are true, except:
     
 





129.Which of the following is not a Synthetic Pyrethyroid Compound?





130. A 16 year old young girl present with a history of fatiguability weakness and lethargy. Complete blood picture (CBC) reveals a Heamoglobin of 7.0, MCV of 70, MCH of 20 pg/cell and red cell distribution width (RDW) of 20. The most likely diagnosis is:        





131. Which of the following is a major criteria for diagnosis of poycythemia vera?        





132.All of the following statements about Fanconi’s anemia are true, except:          





133.Which of the following investigations should be done immediately to best confirm a non matched blood transfusion reaction?          





134.Bence Jones proteinuria may be seen in:  





135.. Bence Jones proteins are derived from:    





136. All of the following statements about third heart sound (S3) are true, except:        





137.A young asymptomatic female is observed to have a Midsystolic Click on routine examination. Valves are likely to show:          





138. Beck’s Triad is seen in:          





139.Accelerated Idioventricular Rhythm (AIVR) is the most common arrhythmia associated with:  





140.Streptokinase and urokinase are contraindicated in:        





141.A patient presents with following parameters pH 7.5, p CO2 30 mmHg, pO2102  mmhg and HCO3 16 meq/I. Which of the following correctly describes the compensatory mechanisms?  





142.A 29 year old anxious lady presents with a history of progressive breathlessness and exercise intolerance since four months. Her FVC is 90% and FEV 1 / FVC is 86%. Oxygen saturation after exercise was observed to drop from 92% to 86%. What is the likely diagnosis?        





143. A truck driver presented with history of fever since four weeks, and dry cough. He also gives a history of weight loss of about 10 kg. X-ray shows bilateral reticulonodular infiltrates. The most likely diagnosis is:            





144. Cavitatory lesions in lung are seen in:          





145.Which of the following statements about lung carcinoma is true:        





146. Pre-renal azotemia is characterized by all of the following except:    





147.  Plasma urea / creatinine ratio of 20:1 may be seen in:      





148. A lady presented with no progressive dysphagia only for solids. Barium study showed proximal esophageal dilatation with distal constriction. The most likely diagnosis is:        





149.An elderly patient presents with a prolonged history of weakness and lethargy. On examination he is found to be anemic and stool is positive for occult blood. Which of the following is the investigation of choice?    





150. A young girl presents with abdominal pain and a recent change in bowel habit, with passage of mucus in stool. There is no associated blood in stool and symptoms are increased with stress. The most likely diagnosis is:





151.A patient is found to be positive for HBs Ag on routine laboratory evaluation. Other serological tests for hepatitis are unremarkable. He is clinically asymptomatic and liver enzymes are within the normal range. Which of the following best describes his diagnosis?  





152. A male patient is observed to be HBs Ag antigen positive HBe Ag antigen negative and anti-HBe antibody positive. HBV DNA copies are observed to be 100,000/ml while SGOT and SGPT are elevated to 6 times the upper limit of normal value. What is the likely diagnosis?        





153. a)  A patient presents with unconjugated hyperbilirubinemia and presence of urobilinogen in urine. Which amongst the following is the least likely diagnosis?            





153. (b) A patient presents with unconjugated hyperbilirubinemia and elevated urobilinogen levels in urine. The most diagnosis is:            





154. Which of the following statements about Wilson’s disease is true:        





155. Gout is a disorder of:        





156. All of the following statements about primary Gout Arthritis are true, except:    





157.  Antiphospholipid Antibody (APLA) syndrome is associated with all of the following except:    





158. All of the following statements about Antiphospholipid antibody syndrome (APLAb) are true except:      





159.  Which of the following is recommended in a woman with antiphospholipid antibodies and history of prior abortions / still birth?            





160.  All of the following may be associated with Thymoma, except:      





161.  Plasmapharesis is used in all of the following except:        





162. Low calcium and high phosphate is seen in:      





163. All of the following statements about Pseudohypoparathyroidism are true, except:        





164.  A patient presents with symptoms of Hypoglycemia. Investigations reveal decreased blood glucose and increased insulin levels. C-peptide assay is done which shows normal level of C-peptide. The most likely diagnosis is:        





165. (a) All of the following are associated with hypergonadotrophic hypogonadism in males, except:      





165. (b) Which of the following is the most common cause of hypogonadotrophic hypogonadism in males?            





166. Which of the following is associated with peripheral artery disease, coronary heart disease and stroke?        





167.  All of the following statements about hyponatremia are true, except:          





168.  A patient presents with ataxia, urinary incontinence and dementia. The likely diagnosis is:          





169. A patient known to have mitral stenosis and atrial fibrillation, presents with acute onset of weakness in the left upper limb which recovered completely in two weeks. The most likely diagnosis is:





170. A 25 year old person presents with acute onset of fever and focal seizures. MRI scans shows hyperintensity in the temporal lobe and frontal lobe with enhancement. The most likely diagnosis is:  





171.  IN a patient with head injury damage in the brain is aggravated by        





172. Which of the following represents the site of the lesion in Motor Neuron disease?  





173. All of the following are true about Guillain Barre Syndrome (GBS), except:        





174. Kayer – Fleischer rings (KF rings) are seen in:          





175.  Lord’s placation is done for:    





176. Which of the following stones is hard to break by ESWL?        





177. A 50 year old female is admitted with abdominal pain and anuria. Radiological studies revealed bilateral impacted ureteric stones with hydronephrosis. Urine analysis showed RBCs with pus cells in urine. Serum creatinine level was 16 mg/dl and urea level was 200 mmol/l which of the following should be the immediate treatment?            





178. What complication should be one except when PCNL is done through 11th intercostals space?            





179. Which of the following is the most common renal vascular anomaly?      





180. First autologous renal transplantation was done by:  





181. Most common site of urethral carcinoma in men is:      





182.  Best time for surgery of undescended testis is:    





183.  The Grayhack shunt is established between





184. An adult presented with hemetemesis and upper abdominal pain. Endoscopy revealed a growth at the pyloric antrum of the stomach. Ct scan showed growth involving the pyloric antrum without infiltration or invasion into surrounding structures and no evidence of distant metastasis. At laparotomy neoplastic growth was observed to involve the posterior wall of stomach and the pancreas extending 6 cm up to tail of pancreas. What will be the most appropriate surgical management?          





186.  A young male patient presents with complete rectal prolapse. The surgery of choice is:      





187. Treatment of choice for annular pancreas is:    





188. A lady presented with recurrent attacks of giddiness and abdominal pain since three months. Endoscopy was normal. Her fasting blood glucose was 40 mg % and insulin levels were elevated. CT abdomen showed a well defined 8 mm enhancing lesion in the head of pancreas, with no other abnormal findings. What should be the treatment plan for this patient?      





189. According to the Bismuth / Strasberg classification ‘cystic blow out’ is classified is:  





190. In orthotropic liver transplantation, which is the best way to get bile drainage in donor liver?          





191. Most common cysts of the spleen are:      





192. A patient presents with fever for 3 weeks. On examination he is observed to have splenomegaly. Ultrasonography reveals a hypoechoic shadow in spleen nar the hilum. Gram negative bacilli aare isolated on blood culture. Which of the following is the most likely causative organism?    





193. A patient with ITP has a platelet count of 50,000 and is being planned for splenectomy. What is the best time for platelet infusion in this patient?                





194.  Most common cause of abdominal Aortic aneurysm is:        





195. All of the following are primary restrictive operations for morbid obesity, except:      





196. Trauma and injury severity score (TRISSI includes    





197. (a) A 27 year old patient presented with left sided abdominal pain to the emergency room; 6 hours after an RTA. He was hemodynamically stable and FAST positive. Contrast enhanced CT (CECT) scan showed grade III splenic laceration. What will be the most appropriate treatment?  





197. b) A 27 year old patient presented with left sided abdominal pain to the emergency room; 6 hours after an RTA. He was hemodynamically stable and FAST positive. A CECT scan shows a contrast blush along with a grade III laceration. What will be the most appropriate management?                                                                                      





198. A lady presented in the emergency department with a stab injury to the left side of the abdomen. She was hemodynamically stable and a contrast enhanced CT scan revealed a laceration in spleen. Laparoscopy was planned however the patient’s pO2 suddenly dropped as soon as the pneumoperitoneum was created. What is the most likely cause?        





199. Which of the following grading methods is used to evaluate the prognosis / outcome after subarachnoid hemorrhage?      





200. Health status of a child under 5 years of age will be adversely affected by all of the following, except:          





201. A neonate presented with fever, lethargy, abdominal distension, vomiting and constipation. Clinically he was diagnosed as volvulus neonatarum with suspected perforation. Best investigation would be:              





202. A ten year old boy presents to the pediatric emergency unit with seizures. Blood pressure in the upper extremity measured as 200/140 mm Hg. Femoral pulses were not palpable. The most likely diagnosis amongst the following is:        





203. A seven year old asymptomatic girl is found to have persistant hypertension. There is no significant history and urine examination is normal. Which of the following is the most likely cause?      





204. A child presented with intermittent episodes of left sided flank pain. Ultrasonography reveals a large hydronephrosis with dilated renal pelvis and cortical thinning with a normal ureter. Kidney differential function was observed to be 19% which of the following is the bet management:        





205. A child presents with hepatomegaly and hypoglycemia. There is no improvement in blood sugar even after administration of epinephrine. What is the likely diagnosis?  





206.  All of the following factors are associated with a substantially greater risk of developing epilepsy after febrile seizures, except:          





207. A child presents with short episodes of vacant stare several times a day. The vacant episode begins abruptly and the child remains unresponsive during the episode. There is no associated history of aura or postictal confusion and the child is otherwise normal. The likely diagnosis is:        





208. Which of the following drugs is not used in Juvenile Myoclonic epilepsy (JME)?    





209. A child presents to the clinic with history of seizures and mental retardation. Clinical examination reveals multiple hypopigmentated macules. What is the likely diagnosis?          





210.  Which of the following is the most common cause of meningoencephalitis in children?      





211. Which of the following agents is most commonly associated with recurrent meningitis due to CSF leaks?        





212. A two year old child with a long history of purulent nasal discharge & fever now presents with conjunction congestion and edema. His fever is 102 /103 F and WBC count 12,000. The culture of eye discharge was negative. X-rays show opacification of ethmoid sinus. Which of the following should be next step in evaluating this patient?            





213. A boy presented with weakness in lower limbs, calf hypertrophy, positive Gower’s sign and an elevated CPK value of 10,000. The most likely diagnosis is:      





214. Primary metabolic bone disorder in scurvy is:          





215. Which of the following methods for assessment of female fertility during a menstrual cycle can best predict the timing of ovulation?    





216. a) Primary Amenorrhea with absent uterus, normal breasts and scant pubic hair is seen in:          





216. (b) Primary amenorrhea with normal ovaries normal external genitalia and normal breasts is seen in:          





217. Which of the following condition present with absence of both Mullerian and Wolffian duct structures?        





218.  A lady presented with secondary amenorrhea 6 months after having an abortion. Her FSH levels were measured as 6 mIU/ml what is the most probable diagnosis:    





219. Which of the following agents is most commonly associated with carcinoma cervix?  





220. Sentinel lymph node biopsy is most useful for which of the following gynecological malignancies  





221. A 40 year old woman presents with abnormal cervical cytology on PAP smear suggestive of CIN III (HSIL). The next, best step in management is:  





222. (a) A 52 year old lady presents with constant leakage of urine and dysuria two weeks after a complicated total abdominal hysterectomy. A diagnosis is Vesicovaginal fistula is suspected. the most important test for the diagnosis is:  





222. (b)  A 52 years old lady  with  vesicovaginal fistula after abdominal hysterectomy  is not  responding to concervative management.  The most important next investigation is:    





223. Which of the following statments about partial mole is false:





224. (a) Conversion of a complete hydatiform mole into choriocarcinoma is indicated by all, except





224. (b) Conversion of a complete hydaliform mole into invasive mole is indicated by all of the following except:





225. All of the following are associated with polycystic ovarian syndrome, Except





226. Which of the following is the most specific marker for Neural Tube Defects  





227. AFP is raised in





228. Increased Nuchal Translucency at 14 weeks gestation is seen in:





229. Non Immune Hydrops Fetails is caused by:





230. Weight gain in pregnancy depends on all of the following factors, Except:





231. Which of the following statements about ' Multiple Pregnancies' is true:





232. Treatment of choice for Intrahepatic Cholestasis in Pregnancy is:





233. All of the following are cardiac contraindications to pregnancy, Except  





234. (a) The drugs of choice to treat chlamydia infection in pregnancy is:





234 (b) The drug of choice to treat chlamydia infection in pregnancy is





235. Which of the following conditions is associated with polyhydramnios





236. A lady presented with features of threatened abortion at 32 weeks of pregnancy. Which of the following statements with regard to antibiotic usage is not correct





237. A woman presents with leakage of fluid per vaginum and meconium stained liquor at 34 weeks of gestation. The most likely organism causing infection would be:





238. (a) Which of the following interventions is not recommended in active management of third stage of Labour.





238.b) Active Management of Third Stage of Labour includes all of the following, Except:






239. All of the following maneuvers are used in shoulder dystocia, except





240. All of the following interventions are recommended to prevent mother to child transmission of HIV, Except





241. Endophthalmitis involves inflammation of all of the following, Except





242. A person with prolonged usage of contact lenses presented with irritation of left eye. After examination a diagnosis of keratitis was made and corneal scrapings revealed growth of pseudomonas aeroginosa. The bacteria were observed to be multidrug resistant. Which of the following best explains the mechanism of antimicrobial resistance in these isolated pseudomonas aeroginosa strains.





243. Which of the following is the least common corneal dystrophy





244. Which of the following statement regarding corneal transplantation is true





245. Cherry red spot is seen in all expect






246. Relative afferent pupillary defect (RAPD) is characteristically seen in damage to





247. A patient with ptosis presents with retraction of the ptotic eye lid on chewing. This represents





248. A patient with known mutation in the 'Rb gene' is 'disease free' from Retinoblastoma. The patient is at highest risk of developing which of the following malignancies





249. Arden Index is related to





250. All of the following statements about sodium in otosclerosis are true, Except





251. Vestibular schwannoma arises most frequently from:





252. Otoacoustic emissions arises from





253. All of the following statements about Nasopharyngeal carcinoma are true, Except





254. All of the following statemets about CSF leak are true, Except





255. All of the following are Extrinsic Laryngeal Membranes/Ligaments,Except





256. Which of the following structures is not seen on bronchoscopy





257. A child presents with stridor, barking cough and diffculty in breathing since 2-3 days. He has fever and elevated leukocyte count. All of the following statements about his condition are true, Except





258. Drugs of choice in Laryngeal stenosis is





259. Which of the following lasers is most commonly used in Laryngeal surgery





260. Lift off test is done to assess the function of :





261. Which of the following statements about ' Menisci' is not true:





262. Median nerve lesion at the wrist causes all of the following, Except.





263. Which of the following statements about changes in articular cartilage with aging is not true





264. Metal on Metal articulation should be avoided in





265. A patient developed breath lessness and chest pain, on second postoperative day after a total hip replacement. Echo - cardiography showed right ventricular dilation and tricuspid regurgitation. What is the most likely diagnosis:





266. The characteristic triad of klippel - Feil syndrome includes all of the following Except





267. Progression of congenital scoliosis is least likely in which of the following vertebra anomalies





268. A patient involved in a road traffic accident presents with quadriparesis, sphincter disturbance, sensory level up to the upper border of sternum and a respiratory rate of 35/minute. The likely level of lesion is:





269. All of the following statements about synovial cell sarcoma, are true, Except





270. Hyperglycemia is associated with:






271. Brown Tumor is seen in  





272. A young lady presents with white lacy lesions in oral cavity and her proximal nail fold has extended onto the nail bed. what is the likely diagnosis.





273. An otherwise healthy male presents with a creamy curd like white patch on the tongue. The probable diagnosis is:





274. a 17 year old girl with acne has been taking a drug for the last two years. she now presents with blue black pigmentation of nails.The likely medication causing the above pigmentation is





275. Treatments of erythematous skin rash with multiple pus lakes in a pregnant woman is:





276. which of the following stains is used to study fungal morphology in tissue sections





277. A patient with bilirubin value of 8 mg/dl and serum creatinine of 1.9 mg/dl is planned for surgery. What is the muscle relaxant of choice in this patient?      





278. All of the following statements about neuromuscular blockage produced by succinylcholine are true, except:        





279. A 25 year old overweight female was given fentanyl-pancuronium anesthesia for surgery. After surgery and extubation she was observed to have limited movement of the upper body and chest wall in the recovery room. She was conscious and alert but voluntary respiratory effort was limited. Her blood pressure and heart rate were normal. The likely diagnosis is:        





280. A 27 year old female was brought to emergency department for acute abdominal pain following which she was shifted to the operation theatre for laparotomy. A speedy intubation was performed but after the intubation, breath sounds were observed to be decreased on the left side and a high end trial CO2 was recorded. The likely diagnosis is:            





281. Walls of the CT scanner room are coated with





282. The major difference between X -Rays and Light is:





283. Which of the following is the most ionizing radiations





284. Which of the following statements best describes 'Background Radiation;





285. Which of the following best estimates the amount of radiation delivered to an organ in the radiation field





286. Which of the following statements about ' Stochastic effects' of radiation is true





287. 'Egg on Side' Appearance is seen in





288. All of the following statements about CT scan features of adrenal adenoma are true, Except





289. A patient presents with acute renal failure and anuria. The USG is normal. Which of the following investigation will give best information regarding renal function.





290. A dense  renogram is obtained by





291. Autistic disorder is characterized by all of the following,  Except





292. Which of the following is not a cognitive error/dysfunction:





293. All of the following are done in behavior therapy to increase a behavior except





294. A 60 years man had undergone cardiac bypass surgery 2 days back. Now he started forgetting things and was not able to recall names and phone numbers of his relatives. What  is the probable diagnosis?





295. All of the following are parts of cognitive behavior change technique except





296. Alcoholic paranoia is associated with:





297. A 60 year male is brought by his wife. He thinks that he had committed sins all through his life. He is very much depressed and has considered committing suicide but has not through hot do go about it. He had also attached sessions with a spiritual guru. He is not convinced by his wife that he has lead a pious life. He does not want to hear anything on the contrary. How will you treat him





298. A 30 year old man since 2 months suspects that his wife is having an affair with his boss. He thinks his friend is also involved from abroad and is providing technology support. He thinks people talk ill about him. His friends tried to convince him but he is not convinced at all. Otherwise he is normal, he doesn't have any thought disorder or any other inappropriate behavior. The most likely diagnosis is:





299. A 25 years old lady presented with sadness, Palpitation, loss of appetite and insomnia. There is no complaint of hopelessness, Suicidal thoughts and there is no past history  of any precipitating event. She is remarkably well in other areas of life. She is doing her office job normally and her social life is also normal. What is the probable diagnosis in this case?





300. A patient presents to the emergency department with self harm and indicates suicidal intent. which of the following conditions does not warrant and immediate specialist assessment







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