AIPGMEE January 2012 Questions & Answers RECALL

Dr.Srinivas says:

Commentors pls help me compile this into questions:

1)lipodystrophy – protease inhibitor ritonavir
2) gynaecomastia not due to – prolactinoma
3) prolactinoma size- > 1 cm
4) diabetic elderly male with lesion in ext ear – malignant otitis externa
5) auricle supplied by a/e – tympanic branch of glossopharyngeal
6) not developed from pharyngeal arches- levator palpebrae superioris
7) inguinal canal content a/e – inferior epigastric artery
8) anterior relation of ureter a/e – genitofemoral nerve
9) active mgmt of third stage of labour a/e – massage of uterus
10) test for bone scan – dexa
11) irritable bowel disease (constipating) t/t – lubiprostone
12) myasthenia gravis – type 2 hs
13) alkalinisation of urine done in- phenobarbitone poisoning
14) nocardia – brain abscess
15) radio protector – amifostine
16) pregnant woman with syphilis t/t – penicillin
17) genotype of blood group A – AO
18) redissolve on heating – bence jones proteins
19) congenital aplastic anaemia – fanconi anaemia
20) pt on ketoconazole should not be given – cisapride
21) mrsa t/t a/e- cefaclor
22) corneal ulcer with feathery margins, satellite lesions, h/o trauma with vegetative material – fusarium
23) rheumatoid factor – IgM against fc fragment of IgG
24) pt of sle with malar rash ab seen are- anti ds dna
25) pt with rashes(eczema), thrombocytopenia – wiscott aldrich syndrome
26) used in cerebral vasospasm – nimodipine
27) drug causing osteomalacia – phenytoin
28) flower petal appearance on FA – cystoid macular edema
29) secondary amyloid associated with – amyloid associated protein (AA)
30) pt of bronchiectasis presents with renal findings – amyloidosis
31) tracheal stenosis – mitomycin c
32) mc complication of tpn – catheter related
33) chalazion – sebaceous cell ca
34) does not take place in mitochondria – fatty acid synthesis
35) gcs inappropriate words verbal score – 3
36) marker for carcinoma – cytokeratin
37) electomechanical systole – Q wave to second heart sound
38) not a germ cell tumour- granulosa cell tumour
39) collerette of scales, trunk involved – pityriasis rosea
40) pt with splenomegaly with bloody vomitus – portal hypertension
41) conductive deafness not seen in – endolymphatic hydrops
42) ioc for renal scars – DMSA scan
43) iucd which does not requires to be changed at 3-5 yrs – cu 380 A
44) before and after alcohol, test to be done – paired t test
45) all species of mosquito transmit – filariasis
46) ar a/e – congenital erythropoitic porphyria
47) standard deviation is 1, population is 100, standard error of mean is – 0.1
48) standard deviation is 10, 95% people will be between – 85-125
49) series of ulcers on a sub himalayan resident – sporothrix
50) grp A beta hemolytic test done is – bacitracin sensitivity
51) abxipan is – factor Xa inhibitor
52) anticancer drug temozolomide is – alkylating agent
53) dilator pupillae supplied by – post ganglionic symapathetic from cervical plexus
54) hypogonadotrophic hypogonadism seen in a/e – klinefelters syndrome
55) transcranial magnetic stimulation has been approved in t/t of – depression
56) decreased vision in a pt, finding is suprasellar calcification – craniopharyngioma
57) diagnostic investigation of choice for hirschsprung’s – rectal biopsy
58) linear IgA deposits in basement membrane zone – chronic bullous disease of chilhood
59) hyperthyroidism following administration of iodine – jod basedow’s effect
60) neonate presents with eroded skin whereever handled – epidermolysis bullosa
61) cyanide toxicity caused by – sodium nitroprusside
62) mobius syndrome – misoprostol
63) extra axial dural based enhancing lesion – meningioma
64) child in unhygeinic place develops pink nodule on conjunctiva with lymphadenopathy – phlyctenuler conjunctivitis
65) in MTP consent required from – only female
66) maximum cerebral vasodilation caused by – hypercarbia
67) elderly male with rapidly developing left varicocoele – lt renal malignancy
68) not a phase one reaction – conjugation
69) small vessel vasculitis – microscopic polyangitis
70) bizzare perception of objects – illusion
71) identity of rape victim disclosed – ipc 228A
72) langerhans cell histiocytosis – cd 1a
73) which is false regarding drug resistance – resistance by plasmids can be transferred only vertically
74) difference between cohort and case control – in cohort case and controls depend on exposure(exposed to risk factor or not) and in case control whether they have disease or not
75) infection from middle ear spreads through a/e – lymphatic
76) drug not to be used in hypercalcemia – hydrochlorthiazide
77) drug with cardiovascular risk is – rofecoxib
78) side effects of thalidomide a/e – myocarditis
79) oral hypoglycemic causing vit b 12 def – metformin
80) japanese suicide detergent causes death by – a poisonous cloud of gases
81) cotact lens user presents with symptoms of conjunctiviis – acanthamoeba
82) splenomegaly not associated with – essential thrombocythemia
83) man with dysphagia, foul breath, anaemia, crepts – zenkers diverticulum
84) pt presents with external squint, ptosis, diplopia – occulomotor nerve involved
85) bacteriocidal a/e – tiegecycline
86) sac in meningmyelocoele is covered by – normal saline (answer given by dr aayush ms surgery in other post)
87)minimal pneumoperitoneum diagnosed by – xray erect view (by dr aayush)
88) girl looks at her hand, does not interacts – autism
89) common enzyme in cholestrol and ketone bodies synthesis – HMG coA synthase
90) moniter depth of anaesthesia – bispectral index
91) seen in aids related complex – lymphadenopathy
92) drug not given in renal failure – pethidine
93) pt of sle diagnosed, probabiity of disease can be known by – prior probability of sle; sensitivity and specificity of each test
94) vision 2020 in india a/e – vitamin a deficiency
95) for hymen examination – glaister keen rod
96) not a complication of fracture neck femur – malunion
97) female with abdominal distension, ascites, raised CA-125 – ca ovary
[snip]) retinobalstoma metastasize by – optic nerve
99) CRAO seen in – diabetes
100) laryngomalacia true is a/e – tracheostomy needed
101) not a pyrogen – IL 18
102) autosomal recessive – ataxia telengiectasia
103) not a cause of secondary hemochromatosis – PNH
104) reid’s index – chronic bronchitis
105) lung infection with recurrent bulky stools – cystic fibrosis
106) amylin secreted by – beta cells of pancreas
107) csf findings in pneumococcal meningitis – increased protein, markedly decreased sugar
108) longest acting quinolone – moxifloxacin
109) most common cause of bone disease in india – nutritional deficiency
110) most common cause of pyogenic liver abscess – biliary tract disease
111) no role of endotoxin in disease – vibrio cholerae
112) bacterial endocarditis least common in – small asd
113) increased in pradar willi – ghrelin
114) vaccine works by – immunological memory
115) therapeutic monitoring of plasma levels done in a/e – warfarin
116) child with self mutilating behaviour, chek level of – uric acid
117) amino acid involved in o- glycosylation – serine
118) arms can not be abducted and forearm not flexed – upper trunk injury
119) false about period of pathogenesis is – screening has no role
120) adult ards shows – diffuse alveolar damage
121) most commonly diagnosed fetal tumer – sacrococcygeal teratoma
122) arises from olfactory epithelium – esthesioneuroblastoma
123) for releiving right sided pain spinal cordotomy is done to cut – left lateral spinothalamic tract
124) about spinal cord true is a/e – central canal is present in white matter
125) gfr in pre ecclampsia – decreased
126) diff b/w nail and skin keratin – disulfide bond
127) stick injury when provoked – none of the above
128) false about DIC -one with low PT
129) slow acetylators are more prone to – peripheral neuropathy by INH
130) thiopentone is cerebroprotective as – decreases cerebral metabolism
131) associated with decreased cognition in old age – homocysteine
132) MRI gud for a/e – detecting calcification
133) sex ratio 0-6 yrs 2011 – 914
134) not a larvicidal – malathion as all options are larvicidal ( abate, pyrethrum, copper acetoarsenite also known as paris green and malathion) but resistance has developed to malathion now.
135) least associated with lymphomas – lynch 2
136) not in elderly – measles vaccine
137) mchc normal, mcv increased – cobalamin deficiency
138) baroreceptor inhibits – rostral ventrolateral medulla
139) dermatome of little finger – C8
140) avn in scaphoid fracture due to – retrograde blood supply
141) true about cardiac output – decreases on lying down
142) false about clozapine – prominent d1 blockade, more than d2
143) just after cannulation ,dyspnoea, tachycardia, decreased breath sounds, hyper resonant on percussion – tension pneumothorax
144) wilm’s tumer stage 1 t/t – surgery
145) hypospadias caused by – diethylstilbestrol
146) hypertensive nephropathy kidney – petechial hemorrhages
147) coronary artery blocked response will be – hypotension and bradycardia
148) athlete with chest pain,marker used is – troponin t
149) training of ASHA – AWW and ANM
150) true about fibromyalgia – eeg findings during sleep
151) coagulation is normally prevented by – anti thrombin in blood
152) seen in VHL – craniospinal hemangioblastoma
153) criteria of drug dependence a/e – attempts to quit drug
154) delusions not seen in – conversion disorder
155) sees music etc (synanaesthesia) – LSD (it surely does it, other options dont remember)
156) pt with quadriplegia, ataxia, extensor planter – friedrich’s ataxia
157) LH surge is due to – rise in estrogen
158) lithargic baby with hypoglcemia, mother diabetic – iv dextrose
159) grape like clusters and dilated pancreatic duct – ductectatic mucinous neoplasm pancreas
160) hill sach lesion in posterior dislocation is seen in – anteromedial
161) true about of restriction endonuclease – cut at pallindromic sites
162) treatment of neuroma after amputation – ultrasound therapy
163) true about mRNA – translated from DNA (yes it should be transcribed but other options were wrong)
164) eosinophil count varies due to – diurnal variation of cortisol
165) old blood stain – UV rays
166) ewings sarcoma – (22-12q)
167) excimer laser – 193
168) not used in pulmonary oedema – digoxin
169) pt with scapula involvement, quadriparesis – fascioscapulohumeral muscular dystrophy
170) adaption syndrome – stress
171) false about SACH – solid ankle comfortable heel
172) drug that inhibits ferredoxin pyruvate oxidoreductase is used in t/t of – cryptosporidiosis
173) immune complex is – quaternary structure
174) pain on injection- rocuronium
175) glutamate released from- subthalamic nucleus
176) critical cerebral blood flow – 20ml/100gm/min
177) least in pregnancy – decreased sbp
178) NDPS act true is – provides for rehabilitation and treatment of addicts rather than punishment
179) sham rage – decortication (sham rage is absent in the absence of hypothalamus)
180) golden crescent in eye – subluxation of lens
181)all are derived from stem cell except—>myoblast/endothelial cell
182)function of gene detected by—–>knock out/knock in
183)during thoracotomy incision made laterally to prevent injury —->internal thoracic artery
184)recurrent brain tumor —->pet/spect
185)least recurrence after—->sigmoidocolectomy
186)bp 210/100 with intracranial bleed and paraplegia —–>??????????
187)bleedind in ventricle with severe headache——->basalis/ant communicating art
188)short ap dameter—->brachycephaly(i checked in nelson)
189)small fiber affected in—–>hiv(harrissons tables)
190)short bowel syndrome—–>vit b12 deficiency
191)mcv increase mch normal—->vit b12 def
192)wide neural foramen——>nf(nelson)
193)spontaneous csf leak least in—->increase icp(repeat)
194)episodic weakness least in—->hyperphosphate(repeat)
195)median not good for—–>bp
196)designed sampling—–>stratified
197)electrophysiological conduvt decreased——>??????
198)electron beam rx——>mycosis fungoids
199)tb bone—–>multibacillary haematogenous
200)most resistant—>priones
201)age adjusted——>tfr
202)yoga—>??????????
203)brain dead—->fixed dilated nonreactive pupil
204)ct scan for cardiac risk assesment—->calcification of atheroma
205)drug efficacy—->phase 2(twisted repeat)
206)some q——>holoendemic
207)migrain drug with cvs s/e—–>ergotamine
208)not a serotonine dopamine enhancer—–>amisulphuride
209)valve of housten—–>?????????????
210)typhoid—–>longitudinal ulcer(aa surgery text)
211)aseptate hyphae in dm —>one option ends with mucor
212)fasting for 12 to 14 hrs not seen—->ketone bodies(occurs only after 2 days)
213)sexual function—>preseptal nucleus(usmle step1 first aid)
214)disc prolapse with pain radiating to great toe and lateral part of leg—->L4-L5(twisted repeat)
215)mediastinal mass—->t cell lymphoma(thymus plays role in t cell maturation)
216)kegel exercise—->immediatly after labour
217)jet black pupil—->aphakia
218)recurrant inf with polysachcapsular organism—->iga and igg2(nelson)
219)ambiguos genitalia q—–>simple cah
220)hep c abs with protinuria——->mpgn(repeat no ulcers in history to tell it is mixed cryoglobulinemia)
221)DTA—–>not ass with hyperkalemia(not sure about question)
222)child dont speak with any one ,plays itself——->autism(repeat)
223)O2 content—–>??????????????
224)obs labour question cervicogram——>immediate intervention needed(usmle step2 first aid)
225)endotoxin of which is not pathogenic—->vibrio
226)least correct about HUS—->NO GI BLEEDING
227) scholastic performance impeded by all except —->a.pica.b.adhd.c.anxiety.d.autism.e.scd
228)Ppi decreases efficacy of clopidogrel… a cyt 2b b cyt 2c c cyt 2d
229) eosinophil count diurnal variation reason?cortisol
230) presence of smegma is the answer for sodomy
231) not.a.method.of.protein.estimation?….biuret,bradford’s,lowry’s,bromocresol.green
232) ‎20 yr old with night blindness and tunnel vision.- pigmentary retinal dystrophy
233) white pupillary reflex, retina totally normal. Which condition ? Primary optic neuritis….chalky white optic disc
234)pathogenesis of disease- screening no use, tertiary prevention possible, entry of agent, including sub clinical cases
235)Perforation of duodenum wil most likely involve?-gastrodudenal
236)A child came with a lymph node and fine needle confirmed it to be a papillary carcinoma thyroid. He subsequently underwent total thyroidectomy and functional neck dissection, what should be the next step in the management?
Administer I131 /////Supressive doses of thyroxine
237) girl having pain when severe she exposes to cold ??? Sausage digit ///Hardening of finger///Something lyk pale pulp finger///STIFF HAND
238)TRUE—->BREAST MILK JAUNDICE IN 1ST WEEK OF LIFE
239)CHILD DEVELOPMENT QUESTION——>18//15 MONTHS
240) assay has a sensitivity of 0.004 mcIU/mL and meets all criteria as a 3rd Generation TSH assay”
241)Analysis of the IFN-gamma responses of whole blood cells from BCG-vaccinated or non-BCG-vaccinated donors or patients with tuberculosis, stimulated with PPD, ESAT-6 or CFP-10 antigens, and evaluation of the specificity and sensitivity of the test
ifn y assay in tb is – A) 1st gen using esat B) 2nd gen using esat n cfp10…c) can’t diff b/w mycobacteria nd other atypical
242) during anesthesia which is least affected- visual evoked response?? Brainstem ///BERA
243) All are true about Ca Lung except? geftinib A EGFR receptor antagonist can be used for Asian women with adenocarcinoma(CHEMOTHERAPY FOR SMALL CELL CA NOT ADENOCA)
244) scaly truncal lesions,perineal area,oral lesions in a lady?? SECONDARY SYPHILIS
245)FALSE ABOUT RADIOTHERAPY——>BEHAVIOURAL PSYCHIATRIC S/E ARE INDEPENDENT OF RADIATION THERAPY
246)true about cytosolic rna —–>molecular wt is more than heterogenous rna
247)‎45 yr male, with both upper limbs paralysed in childhood, now develops pain, fatigue in both lower limbs. diagnosis—–> post polio synd
248)Not a feature shared by T n B lymhocytes? natural selection b cells me hota hai
249) When a nerve impulse arrives at NMJ, wat happens?—–>Release of calcium from sarcoplasmis reticulum
250)TSEB- total skin electron beam radition therapy s —–>used for myc fung
251)CBT T/t for OCD —-> exposure AND DESENSITIZATION(100%CORRECT SEARCHED IN NEERAJ AHUJA)
252)ONE QUESTION WITH HEMOLYSIS AND DECREASE PLATELET A/E—–>ANS IS HELLP(EVANS SYND = AIHA+ITP)
253) complicatoin related to first and second twin ——->2nd twin mor chance of hyaline membrane///Polycythemia ///asphyxia in 1st twin ///increased mortality in first twin
254)Angioneuritic edema (twisted repeat)——>
255) After successful phacoemulsification and IOL placement, after few days, vision deteriorates with aqueos flare and posterior synechiae. Cause —>Post operative pan ophthalmitis……
256)Carcinoid,true is —->Commonest tumor of small intestine
257)Daly,true is —->Premature death with life adjusted for diseas
258) there was some q related to F wave in eeg—->Gb syndrome
259) Extended criteria for liver donation a/e—–>Age>70 yr//Hbs Ag anti-HBc ab //mild Steatosis //non-pumping heart
260)Negative pressure in pleural space is due to?—–>Ans: Elastic recoil
261) some question abt anesthetic machine? halothane vapourises at 39? /// O2 meter attached to inspiratory limb? ///rotameter //desflurane
262)difference between 20% and 10% lipid solution of lipids all except?—-> Less hyper triglyceridemia// Less hpyer cholesterolemia//less energy supplied
263)rheumatoid factor is igM antibody directed against igG.
264)hbsag vaccine——————-within 12HRS ?????????????????????????
265)with refrence to antibiotic resistance all true except: if plasmid mediated always transmit vertically. rpeat
266)there was a queation on iv regional anesthesia…not sure abt options—–>malignant hyperthermia associated with propofol ///cause decrease in brain metabolism ///somthing abt pulmonary vessels,vasoconstriction
267)clozapine——>acts on d2 receptors
268)coagulation normally prevented by.. ——>interaction of thrombin and antithrombin 3
269)difference between 20% and 10% lipid solution of lipids all except—-> Less hyper triglyceridemia// Less hpyer cholesterolemia ///less energy supplied
270)which of the following is a cause of psychosis on a cocaine user —-> tolarence // Withdrawl // regular intake///reverse tolerance
271) thipentone protects the brain by which mechanism? ans. prevents cerebral metabolism
271)Patient had a renal mass diagnosed by exfoliative cytology. Which is the possibility?—->Adenocarcinoma
273) ‎40wks old baby of diabetic mother with blood glucose levels 35 mg per 100ml. what should be the line of treatment——-> 10%dextrose i.v.
274)Buphthalmos ——> Corneal Diameter > 13mm
275)not an antilarval——> malathion or pyretherum??
276)Regular Reporting of Heath Statistics Given For(
Trends of the Disease,
To Appreciate ppls efforts, …
277)one ques was bt d contact lens wearers…… acamtameoba
278)cochlear implant ——>improves learning n reading remarkably
279)A man on provocation hit another man with a stick leading to formation of a bruise 4 * 4 cm on his arm. Which of the following is correct for his punishment?—> simple imprionsment 1 yr with 1000 rs fine.
280)supraduodenal bile duct receives blood supply from—–>
281) least common presentation in multiple myeloma —-> infections
282)pathogenesis of disease——> screening no use//tertiary prevention possible//entry of agent//including sub clinical cases
283) All causes tachychardia except?—–>amphetamine r nifidipine r theophylline?
284) Q2. middle aged male comes wiyth shortening of leg by 7 cms, Hip in Flexion and External Rotation, clinically hard mass palpable in lateral gluteus region, whats the most probable Diagnosis?
a Post Dislocation.
b, Central Dislocation.
c. Grade 4 Dislocation.
d. Fracture of acetabulum with dislocation of Hip joint.
285)HYPOECOIC ON USG? a) colon b) ovary c) bladder d) mucinous adenocarcinoma
286)Salmonella typhi – dose needed to infect human – 10^2 – 10^5 bacilli
287)20yrs man with Comet tail sign With asbestos exposure involvement of lower lobe—–>mesothelioma
289)The appearance of cortical cataracts show up as “spokes of a wheel”. ——>lamellar cataract(iams notes)
290) Vibrio alginolyticus is a Gram-negative marine bacterium. It is medically important since it causes otitis and wound infection
291) person with accident unable to abduct shoulder and flex at elbow due to
shoulder dislocatn
medial cord injry
lat cord injry
upper trunk injury