Mudit 2001

1. All are true about inguinal canal except

2. The rt gastroepiploic artery is a branch of the

3. Motor supply of the diaphragm is

4. All of the followings are true regarding the pudendal nerve, except

5. In a post polio case, ilio-tibial tract contracture is likely toresult in

6. All of the following are supplied by the facial nerveexcept

7. In the tracture of middle cranial fossa, absence of tearswould be due to lesion in:

8. Occlusion of the ant descending branch of LAD will leadto infarction of which area?

9. All of the following are true about coronary arteryexcept

10. Tidal volume is calculated by

11. Surfactant production in lungs starts at

12. Initiation of nerve impulse occurs at the axon hillockbecause

13. Albumin contributes the maximum to oncotic pressurebecause it has

14. After 5 days of fasting a man undergoes oral GTI, true is all except

l5. Metalioprore ins help in jaundice by the followingmechanism

16. Which protein prevents contraction by covering bindingsites on actin and myosin

17, Which of the following is NOT correct regardingcapillaries

18. A0.5 litre blood loss in 30 minutes witl lead to

19. Single most important factor in control of automaticcontractility of heart is:

20. Which of the following is nut mediated through negativefeed back mechanism

21. Force generating proteins are:

22. Which is true about measurement of BP withsyphgnomonmeter versus intraarterial pressure

23. Secondary hyperparathyroidism due to Vit D deficiencyshows

24. Maximum absorption of water takes place in

25. Basic amino acids are

26. Aminc acid with dissociation constant closest tophysiological pH is

27. Sources of the nitrogen in urea cycle are

28. If urine sample daikens on standing; the most likelycondition is

29. A baby presents with refusal to feed, skin lesionsseizures, ketosis organic acids in urine with normal

30. Force not acting in an enzyme substrate complex

31. Celluiar oxidation is inhibited by

32. Triple bonds are found between which base pairs:

33. Which of the following RNA has abnormal purine bases

34. False regarding gout is

35. All of the following statements are true regardinglipoproteins except:

36. A destirure woman is admitted to the hospital withaltered sensorium and dehydration; urine analysisshows mild proteinuria and no sugar; what other testwould be desirable

37. Which of these fatty acids is found exclusively in breastmilk

38. blood is not a newtonian fluid because

39.Enzyme that protects the brain from free radical injury s

40. Autoimmune haemolytic anemia is seen in

41. All of following are correct about Thromboxane Aexcept

42. Which of the following complications is likely to resultafter several units of blood have been transfused

43. The mother has sickle cell disease; Father is normal Chances of children having sickle ceil disease and sickle cell trait respectively are

44. Father has a blood group B Mother has AB ; Childrenare not likely to have the following blood group:

45. Protein involved in intercellular connections is:

46. Regarding NK cells. false statements

47. Adenosine deaminase deficiency is seen in thefollowing:

48. A beta hemolytie bacteria is resistant to vancomycinshows growth in 6.5% NaCl, is non bile sensitive: It islikely to be

49. All are true about streptococcus except

50. Toxin invoived in the streptococcal toxic shock syndrom

51. A child presents with a white patch over the tonsils; diagnosis is best made by culture in

52. A pt with 14 days of fever is suspected of havingtyphoid; what investigation should be done

53. All are true about EHEC except: "938 HPIM

54. An organism grown on agar shows green colouredcolonies; likely organism is:

55. Congenital syphilis can be best diagnosed by

56 Allare features of Ureapiasma urealyticum except

57. Reagrding HIV infection, not true is

58. A pregnant woman from bihar presents with hepaticencephalopathy

59. Virus causing hemorrhagic cystitis, diarrhea and conjunctivitis is

60. Cystine lactose enzyme deficient medium CLED ispreferred over McConkey agar in UTI because

61. In which stage of filariasis are microfilaria seen in peripheral blood

62. Pancreatic Ca is caused by

63. llot the following are true except:

64 Consumption of uncooked pork is likely to cause whichof the following helminthic disease:

63. All are reasons for reducing drug dosage in elderlyexcept

66. True statement regarding inverse agonists is

67. True statement regarding first order kinetics is

68. A diabetic female onINH and rifampicin for TB suffersDVT: She is started on warfarin; PT is not raised; next step should be:

69. Beta blocker that can be used in renal failure is all except

70. All or the following are correct about steroids except

71. All of the following statements are true except

72. All of the following statements are true except

73. Digoxin is not indicated in

74. All of the following statements are true atheophylline except:

75. Mechanism of action of tetracycline is

76. False statement about selegeline is

77. A patient on phenytoin for tt of seizures developsdepression for which he is prescribed tricyclics.He nowcomplains of lassitude and his Hb reads 8 next step inmanaging this patient should be:

78. Which of the following drugs would be removed by

79. In low doses aspirin acts on

80. All of the following statements about ticlodipine are trueexcept

81. All of the following statements about Methotrexate are true except

82. Drug containing two suifhydryl groups in a molecule

FORENSIC MEDICINE

84. Feature indicative of anti-mortem drowning is

85. A boy has 20 permanent reeth and 3 temporary teeth. His age is likely to be

86. A patient has sensation of bugs crawling all over hisbody; this may be effect of:

87. A person comes in contact with other This is caled

88. A patient of head injury, has no relatives and requiresurgent cranial decompression: Doctor should

89. A boy attempts suicide. He is brought to a private doctorand he is successfully cured. Doctor should

PREVENTIVE AND SOCIAL MEDICINE

91. Basanti a 29 yrs aged female from bihar presents withactive tuberculosis; She delivers baby; all of thefollowing are indicated except

92. Under the national TB programme, for a PHC to be calleda PHC-R, requisite is

93. A person has received complete immunization againsttetanus 10 years ago; now he presents with a cleanwound without any lacerations from an injury sustained2.5 hours ago; He should now be given

94. The rue statement regarding tetanus is

95. A certain community has I00 children out of whom 28 are immunised against measles; 2 of them acquire measles simuitaneously: Subsequently 14 get measles. Assuming the efficacy of the vaccine to be 100%, what is the secondary Attack rate?

96. A community has a population of 10,000 and a birth rateor 36 per 1000. 5 maternal deaths were reported in thecurrent year:the MMR is

97. 10 babies are bom in a hospital on same day. All weigh2.8 kg each; calculate the standard deviation:

98. Out of !!births in a hospital. 5 babies weighed over 2kg and 3 weighed less than 2.5 kg. What value does 2.5represent

99. A man weighing 68 kg, consumes 525 gm carbobydrate65 gm protein and 35 gms fat in his dier: the mostapplicable statement here is

100. A country has a population of 1000 million; birth rate is23 and death rate is 6; in which phase of the demo-graphic cycle does this country lie

101. in a population of 10.000. beta carotene was giver to6000; it was not given to the remainder. outof the first group got lung cancer while 2 out of the other 4000 also got lung cancer: the best conclusion

102. A subcentre in a hilly area caters to a population ut

103. In a communityan increase in new cases denotes

104. More false positive cases in a community signify hatedisease has

105. The same screening test is applied to po comuunies Xand Y, Y shows more false -ve cases as compared to .The possibility is

106. ELISA is performed on a population with low prevaience.What would be the result of performing doublescreening ELISA tests?

107. While testing a hypolipidemic drug, serum lipid levelswere tested both betore and after its use. Which test isbest suited for the staristical analysis of the result

108. Sampling error is classified as

109. Virulance ofa discase is indicated by

110. Which of the following diseases needs not to bescreened for, in workers to be employed in a dye industryin gujarat

111. Best test to detect iron deficiency in community is

112. Which of the following is not a complete sterilizationagent

113. False statement about type I respiratory failure is

114. A 60 year oid man presents with non productive coughfor 4 weeks: He has grade II clubbing, and a lesion in theapical lobe on xray. Most likely diagnosis here is:

115.A 60 yr old man is suspected of having bronchogenic caTB has been ruled out in this pt.What should be the nextinvestigation

116. A man presents with fever, wt loss and cough.; Mantouxreads an induration of 17 x 19 mm; Spurum cytology isnegative for AFB. Most likely diagnosis is

117. Pulm. edema associated with normal PCWP is observed,which of these is not a cause

118. An ABG analysis shows: piH 7.2, raised pco2, decreased HCO3; diagnosis is

119. ABG analysis of a patient on ventilator. shows decreasedpCO2, normal pO2, pH 7.5; diagnosis is:

120. In a pt of acute inferior wail MI best modalitiy ofrx s

121. A 26 yToid asymptomaric woman is found to have arthymiasand a systalic murmurassociated with midsystolic elicks;which investigation would you use:

122. A patient complains of intemittent claudication, dizziness and headache; ikely cardiac lesion is:

123. All of the following are true about ASD except

124. Mitral valve vegetations do not usually embolise to

125. A woman has septic abortion done; vegetation on tricuspid valve is likely to go to:

125. Kussmaui's sign is NOT seen in

127.A pt presents with engorged neck veins, BP 80/50 andpuise rate of 100 following blunt trauma to the chestDiagnosis is:

128.Best test for assessment of iron status is:

129. Wbich of the following is not seen on hemoglobinelectrophoresis in sickle cell anemia

130. False statement regarding DIC is

131. Thrombocytopenia occurs in all EXCEPT

132. A pt with an Hb of 6, WBC count of 2000, has a normalDifferent count except for having 6% blasts:plateles arereduced to 80,000; moderate splenomegaly is presentpossible diagnosis is

133. A pt. being investigated for anemia has a dry marrowtap.peripheral smear reveals tear drop cells; likelydiagnosis is

134. Tumor associated with polycythernia vera is

135. A young pt presents with jaundice.Total bilirubin is 21,direct is 9.6, alkphos is34 KA units. Diagnosis is

136. A young male with gallbladder stones shows thefollowing test results; serum bilirubin 2.5, Hb 6, urine testpositive for urobilinogen;diagnosis is:

137. An 18 yr old male presents with massive hematemesis hehas history of fever for the past 14 days for which hewas managed with drugs; moderate spleenomegaly ispresent; diagnosis is

138. Urinalysis shows RBC casts; likely source is

123. A young man develops gross hematuria 3 days after anattack of URTI; likely renal pathology is

140. A patients CSF report reads as follows: sugar of 40,protein of 150, chloride of 550; lymphocytosis

141. Lacunar infarcts are caused by

142. Dinesh, a 56 yr aged man presents with complaints ofslowness of movements, postural instability, tremors,rigidity and memory loss. Most likely diagnosis is

143. All of the following may be seen in wilson's diseaseexcept

144. An elderly man presents with features of dementia ataxia, difficulty in downward gaze and a history offrequent falls. Likely diagnosis

145. A chromosomal anomaly associated with alzheimer'sdenenda is

146. All are true about Huntington's disease except

147. A 30-year-old male complains of loss of erection; he haslow testosterone and high prolactin level in blood; Whatis the likely diagnosis

148. A patient meets with an accident with resultanttransection of the picuitary stalk,what will NOT occur:

149. A woman has bilateral headache that worsens withemotional stress; she has two children ,both doing badlyin school: diagnosis is

150. A female aged 30.presents with episodic throbbingheadache for past 4 yrs with nausea and vomiting: mostlikely diagnosis is

151.A woman complains of headache associated withparesthesias of the right upper and lower limb: likely

152. All of the foilowing are features of MEN IIa ,except:

153 A patient with cushinoid features presents withhemoptysis he shows no response to dexamethasonesupression test;most likely diagnosis here is

154. An obese patient presented in casualty in an unconcious state.His blood sugar measured 400mg%, urinetested positive for sugar and ketones,drug most useful in managements

155. Which of the following is not associated with thymoma

156. A young basketbal player with ht 188 cm and armspau 197cm has a diastolic murmur best heard in second rightintercostai space: likely cause of murmuris

157. A patient presents with arthritis.hyperpigmentation ofskin and hypogonadism: likely diagnosis is

158. In myasthenia gravis, correct statement regardinghymectomy is

159. Most common fungai infection in febrile neutropenia is

160. The following group of tests should be done to optimisegraft up take in bone marrow transplant

161. True statement about neurocysticercosis

162. All of the following are true regarding a patient with acidpeptic disease except

163. A man presents with mass at duodenojejunal flexorinvading renal papillae. Histopathology teports it as lymphoma; true statement is

164. A 45 years male presents with hypertension. He hassudden abnormal flinging movementsin right upper and lower limbs. Most likely site of haemorrahge is

165. True about Haemophilia A are all except

166. IPPV can cause

167. Characteristic finding in CT in a T3 case is

168. Vegetations on undersurface ofA.V.valves are found in

169. Triagemeans

SURGERY

171. Most common site for squamous cell ca esophagus s

172 What is true regarding congenital hypertrophic pyloricstenosis

173. Patient presents with recurrent duodenal ulcer of 2.5 cmsize: procedure of choice

174. All are features of hyperplastic tuberculosis ofgastrointestinal tract except

175. A 56 year old woman has not passed stools tor the last14 days. Xray shows no air fluid levels. Probablediagnosis is:

176. A man aged 60 yrs has h o IHD and atherosclerosis. Hepresents with abdominal pain and maroon stools: likelydiagnosis here is

177. True statement regarding Fistula in ano is

178. In a 27 yr old male most common cause of a colo-vesicalfistula would be:

179 Following trauma, a patient presents with a drop of blood at the tip of urinary mearus.He complains of inability topass urine. Next step should be

180. Chandu, a 45 yrs male shows calcification on the Rt sideof his abdomen in an AP view. In lateral view thecalcification is seen to overlie the spine. Most likelydiaghosis is

181. Ca prostate commonly metastasises to the vertebrae

182. Following sexual intercourse,a person develops pain inthe left testes that does not get relieved on elevation ofscrotum. Diagnosis is

183. A testicular tumor in a man aged 60 years is, most likelyto be

184. A patient presents with B/L proptosis, heat intolerance andpalpitations; most unlikely diagnosis here would be

185. A patient with long standing multinodular goitre developshoarseness of voice; also,the swelling undergoes sudden increase in size. Likely diagnosis is

186.A pt, presents with swelling in the neck following a thyroidectomy: what is the most likely resulting

187. A patient on the same evening following thyroidectomypresents with a swelling in the neck aud difficultbreathing. Next management would be

188. Patient presents with neck swelling and respiratory distress few hours after a thyroidectomy surgery. Nextmanagement would be:

189. A patient undergoes thyroid surgery, following which hedevelops perioral tingling. Blood Ca is 8.9 meq; Next step

190. A case of blunt trauma is brought to the emergency, in asate of shock; he is not responding to IV crystailoias;next step in his management would be

191. Babu is brought to the emergency as a case of road traffic accident He is hypotensive. Most likely rupturedorgan is

192. A pt is brought to the emergency as a case of headinjury,following a head on collision road traffic

193 Ulcer that may develop in burn tissue is

194. Anelderly man presents with h/o abdominal pain.He is found to have a fusiform dilatation of the descendingaorta. Likely cause is

195. All of the toiloing are correct reyarding AV fisru a except

196. All of the following are correct about axillary veinthrombosis except

197.A 80 year old patient presents with amidline tumor of the lower jaw, involving the alveolar margin. He isedentulous. Rx of choice is:

198. Most common cause of unilateral parotid swelling in a 27yr old male is

199. A 45 year old woman presents with a hard and mobilelump in the breast.Next investigation is

200. A 45 yrs old man presents with progressive cervical lymph nodes enlargement, since 3 mouths, mostdiagnostic investigation is

201. All of the following are true about fibrolamellarcarcinoma ofthen liver except

202. A child presents with an expansile swelling on medialside of the nose. Likely diagnosis is:

203. Rokitansky Kuster hauser syndrome is associated with

204. A patient of 47 XXY karyorype presents with featuresofhypogonadism; likely diagnosis is:

205. A girl presents with: primary amenormhea grade Vthelarche, grade lI pubarche; no axillary hair, likelydiagnosis is

206. A woman presents with amenorrhea of 6 weeks durationand lump in the right iliac fossa. Investigation of choice

207. A woman presents with amenorrhea of 2 months duration; lower abdominal pain, facial pallor fainting andshock. Diagnosis is

208. A young woman with six weeks amenorrhea presents withmass abdomen. USG shows empty uterus. Diagnosis is

209. A 30 yrs old female, presents to the emergency withcomplaint of sudden severe abdominal pain; anabdominal mass is palpable on examination: Most likelydiagnosis is

210. Basanti, a 28yrs aged female with a history of 6 weeks ofthe amenorrhea presents with pain in abdomen, USG showsfluid in pouch of doghlous. Aspiration yields dark colourblood that fails to clot. Most probable diagnosis is

211. A patient complains of post coital bleed no growth isseen, on per speculum examination; next step should be

212. A 50 yrs old woman presents with post coital bleedingvisible growth on cervix is detected on per speculumexamination. Next investigation is

213. Rekha, a 45 yrs woman has , negative pap smear with+ve endocervical curratage; Next step in managementwill be

214. A case of carcinoma cervix is found in altered sensorium and is having hiccups. likely cause is

2I5. Bilaceral ovarian cancer with capsule breached; ascitespositive for malignantcells: Stage is:

216. The true regarding adenomyosis :

217. In an infertile woman. endometrial biopsy revealsproliferative changes. Which Hormone should be

218. A pts. Semen sample reveals : I 5 million sperms. 60 %normal mortnology,60% motile, sperm volume is 2 mlno agglutination is seen; diagnosis is

219. Primury peritonitis is more common in females because

220. False statement regarding HCG is

221. All ofthe following statements are true except

222. Snow storm appearance on USG is seen in

223. All ofthe following are indications for termination ofpregnancy in APH patient except

224. A lady with 37 weeks pregnancy, presented withbleeding per vagina. Invetigation shows severe degree of placenta previa. The treatment is:

225. A pregnant woman presents with red degeneration of fibroid; Management is:

226. An ovarian cyst is detected in a pregnant woman;management is

227. Most useful investigation in the first Trimester to identify

228. A pregnant diabetic on oral selphonyl urea therapy is shifted to insulin. All of the foilowings are true regardingthis, except

229. Condition associated with lack ofa single pelvic aia is:

230. Consequence of matemal use of cocaines

231. DNA analysis of chorionic villus / amniocentesis is notlikelv to detect:

232. A woman has had 2 previous anencephalic babies, risk ofhaving a third one is:

233. A neonate presents with jaundice and clay white stools

234. A newborn has dribbling after feeds. He has respiratorydistress and froths at the mouth. Diagnosis is:

235. Ramu, a 8 yr old boy presents with upper GI bleeding. Onexamination,he is foundto have splenomegaly;there areno signs of ascites, or hepatomegaly; esophageal varicesare found on UGIE.Most likely diagnosis is

236. A 5 year old child suffering from nephrotic syndrome isresponding well to steroid therapy. What would be themost likely finding on light microscopy:

237. Most common cause of urinary obstruction in a maleinfant is:

238. A 5 yr old child presents with a calculus oi size 2 cm. inthe upper ureter. He aiso complains of haemaruria. USGshows no further obstruction in the urinary tract. TT orchoice for this patient would be

239. A patient presents with LVH. and pulmonary complications. ECG, shows left axis deviation. Most likely diagnosis

240. Potts shunt is

241. A neonate has recurrent attacks of abdominal pain, restlessirritability and diaphoresis on feeding, Cardiac auscultationreveals a nonspecific murmur.He is believed to be at riskfor M.I. Likely diagnosis here is

242. A child aged 2 years presents with nonspecific symptoms suggestive of anemia. On peripheral blood smeartarget cells are seen. He has hypochromic microcyticpicture and Hb of 6 gm%. He also has 'a positive familyhistory Next investigation of choice is

243. A child aged 2 years presents with nonspecific symptoms suggestive of anemia. On peripheral blood smeartarget cells are seen. He has hypochromic microcyticpicture and Hb of 6 gm%He also has a positive familyhistory' Next investigarion of choice is

244. Most common cause of meningitis in children between 6months to 2 years of age is

245. A child presents with seborrheic dermatitis. lytic skulllesions, ear discharge and hepatosplenomegaly; likelydiagnosis

246. Which of the following is true regarding cretinism

247. Manifestations of endemic cretinism include

243. A 10 day old male pseudohermaphrodite chiid with 46 XYkaryotype presents with BP of 110/80 mmHg. Most likelyenzyme deficiency is

249. Treatment of kawasaki disease in children is

250. A neonate delivered at 32 weeks, is put on a ventilatorX-ray shows 'white out lung' and ABG reveals PO, of 75Ventilator settings are an, FiO, of 70, and rate of 50/minute. Next step to be taken should be ?

251. Following anterior dislocation of the shoulder,a ptdevelops weakness of flexion at elbow and lack ofsensation over the lateral aspect forearm; nerve injure

252, Babloo a l 0 year old boy presents withof humerusXray reveals a lytic lesion at the upper end. Likelycondition is:

253. A patient sustained injury to the upper limb 3 yrs backhe now presents with valgus deform ity in the elbow andparesthesias over the medial border of the hand. Theinjury is likely to have been

254. A woman aged 60 yrs suffers a fail:her lower limb isextended and externally rotated; likely diagnosis is:

255. Triple arthrodesis invoives:

256. Babu a 19 yrs old male has a small circumscribedsclerotic swelling over diaphysis of femur likely

257. Most common site of osteogenic sarcoma is

258. Involvement of PIP jt, DIP jt and the carpo-mcpjt of baseof thumb with sparing the wrist is seen in

259. The pivot test is for

260. A patient has a miotic pupi, IOP-25.normal anterior chamber, hazy comea and a shallow anterior chamber infellow eye. Diagnosis is

261. A woman complains of coloured haloes around lights inthe evening, with nausea and vomiting, rOP is normal:Diagnosis is

262. Babloo a 5 yrs old child presents with large coraea,lacrimation and photophobia:Diagnosis is

263. Ocular symptom not seen in Herpes zoster is:

264. Bilateral ptosis is not seen in

265. Eye is deviated laterally and downwards; patientis unable to look up or medially; likely nerve

266. Left sided lateral gaze is affected in leasion of

267. An elderly male with heart disease presents with suddenloss of vision in one eye; examination reveals cherry redspot; diagnosis is:

268. Which of following. is not a feature in diabeticretinopathy on fundus examination

269. Vitamin B 12 deficiency is likely to cause:

270. All are true regarding optic neuritis except:

271. Chalky white optic disc on fundus examination is seen inall except

272. A 3 month old child presents with intermittent stridor.Most likely cause is

273. A patient presents with facial nerve palsy followinghead trauma with fracture of the mastoid: best

274. A case of bells palsy on steroids shows no improvementafter 2 weeks; the next step in management should be

275. Chandu a 15 year aged boy presents with unilateral nasalblockade, mass in the cheek and epistaxis: likelydiagnosis Is

276. A 40 year old diabetic presents with blackish nasaldischarge and a mass in the nose:likely diagnosis is

277. Most radiosensitive tumour of the following is:

278. A man aged 30years presents with, alopecia, boggy scalpswelling and easily pluckable hair. Next step in establishing Diagnosis would be

279. Most common organism causing tinea capitis is

280. A young nan aged 19 years develops a painless penile ulcer 9 days after sexual intercourse with a professionalsex worker;likely diagnosis is

281. An infant presents with itchy lesions over the groin andprepuce All of the following are indicated in this patient except

282. A boy aged 8 years from Tamil Nadu presents with awhite.non anesthetic.nonscaly,hypopigmented maculeon his face; likely diagnosis is

283. A. 20 yrs old, male pt, from jaipur, presents with anerythematous lesion on the cheek with central

284. A 19year aged girl presents with light brown pigmentation over the malar eminences; likely diagnosis is:

285. A girl, aged 19, presents with arthritis and a photosenstive rash on the cheek; Likely diagnosis is:

286. All of the following agents can be given for induction ofanaesthesia in children except:

287. Anaesthetic agent of choice in renal failure is

288. A man with alcoholic liver faiiure requires general anesthesiafor surgery. Anaesthetic agent of choice is:

289. All of the following are true except

290. A neonate presents with respiratory distresscontralateral mediastinal shift and multiple cystic air filledlesions in the chest. Most likely diagnosis is:

291. Ground glass appearance is not seen in

292. Drug that is radioprotective:

293. Most radiosensitive tumour of the following is:

294. A pt with pneumonia for 5 days is admitted to thehospital. He suddenly ceases to recognize the doctorand staff, thinks that he is in jail and complains ofscorpions artacking him.He is in altered sensorium,thiscondition is:

295. A person missing from home, is found wandering purposefully. He is well groomed, and denies of having anyamnesia.Most likely diagnosis is:

296. Babu, a 40 years aged male complains of sudden unsetpalpitations and apprehension. ie is sweating for thelast 10 minutes and fears of impending death. Diagnosis

297. A lady, while driving a car meets with an accident. Sheadmitted in an ICU for 6 moths. After being dischargedshe often gets up in night and feels terrified She is afraidto sit in a car again. The diagnosis i

298. A patient present with waxy flexibility, negativitism andrigidity. Diagnosis is

299. Chandu, age 32 presents with abdominal pain andvomiting. He also complains of some psychiaric symptoms and visual hallucinations. Most likely diagnosis is

300. Basanti 27 years aged , female thinks her nose is ugly;her idea is fixed and not shared by anyone elseWhenever she goes out of home, she hides her face witha cloth. She visits a Surgeon. Next step would be