Mudit 2002

1. All the following are derivatives of the neural crest.

2. Which of the following is true regarding gastrulation

3. All the following features are seen in neurons fromdorsal root ganglia. EXCEPT

4. Elastic cartilage is found in

5. The weight of the upper limb is transmitted to the axialkeleton by

6. The superficial external pudendal artery is a branch of

7. Diaphragmatic hernia can occur through all thefollowing, EXCEPT

8. Ureteric construction is seen at all the followingpositions, EXCEPT

9. All the following are true regarding blood supply to thekidney, EXCEPT

10. A patient with external hemorrhoids develops painwhile passing stools. The nerve mediating this pain is

11. Which of the following muscles is supplied bymandibular nerve:

12. The sensoy supply of the palate is through all of thefollowing, except

13. All of the following are features of large intestineEXCEPT

PHYSIOLOGY

15. Glucose mediated insulin release is mediated through

16. Sudden decrease in serum calcium is assaciated with

17. Ablation of the 'somatosensory area I' of the cerebralcortex leads to

18. Nonshivering thermogenesis in adults is due to

19. In metabolic acidosis, which of the following changesare seen

20. Tropomyosin

21. TRH stimulation testing is useful in diagnosis ofdisorders of following hormones

BIOCHEMISTRY

23. Enzymes mediating transfer of one molecule to another

24 In which of the following reactions is Magnesiumrequired

25. In oxidative phosphorylation, the ATP production andrespiratory chain are linked by

26. Thiamine level is best monitored by

27. Vitamin B and folic acid supplementation inmegaloblastic anemia leads to the improvement of

28.Nitric Oxide Synthase

29. Phenylalanine is the precursor of all the followingEXCEPT

30. In a well fed state, acetyl CoA obtained from dietsleast used in the synthesis of

31. Substrate level poosphorylation is seen in the Conversion of

32. Apo B48 and apo B100 are expressed as two different apo-proteins because of difference in

33. All the following can be used to detect mutation, excepc

34. Which of the following is true regarding hydroxyl ethyl Starch

35. Elasticity of the comical layer of skin is due to the presence of

36. In dividing cells, spindle is formed by

37 Entropy in a biological system does not increase because

38 Which of the following is true regarding a system which favours oscillatory responses

39. Reyarding efficacy and potency of a drug, all are true EXCEPT

40. All the following are selective beta blockers, except

41. All of the following factor the risk of amino glycosiderenal toxicity Except

42. In which of the following disorders is administration of barbiturates contraindicated in:

43. Mechanism of action Tianeptin in the brain is

44. Proton pump inhibitors are most effective when they aregiven

45. Which of the following is correctly matched:

46. Digoxin is contraindicated in

47. All the following drugs cause renal failure except

48. All of the following statements are true regardingLosartan except

49. Gemcitabine is effective in

50. All of the following drugs can cross placenta except

51. A highway truck driver has profuse rhinorrhea andsneezing. Which amongstthe following durgs would you prescribe him?

52. The mechanism of action of sodium nitroprusside is

55. All the following belong to the steroid receptorsuperfamily except

54. All of the following undergo hepatic metabolism before excretion except

55. In a patient taking oral contraceptive, the chance ofpregnancy increases after taking any of the followingdrugs except

56 The primary mechanism ofaction of fluoride on topicalapplication is

57.The epitheloid cell and multinucleated gaint cells ofGranulomatous inflammation are derived from

58. The following host tissue responses can be seen inacute infection, except

59. The following feature is common to both cytotoxicT-ceils and NK cells

60. In the intra-epithelial region of the mucosa of intestinethe predominant cell population is that of:

61. In primary tuberculosis, all of the following may beseen except:

62. A mylocardial infarct showing early granulation tissue has most likely occured

63.A 10 year old boy, Pappu, died of acute rheumatic fever All the following can be expected at autopsy except

64.All oi the following are seen in asbestosis except

65. Macrophages containing large quantities of undigestedand partial digested bacteria in intestine are seen in

66.The histological features of coeliac disease include all ofthe following, Except

67. Liver granulation may be associated with all of thefollowing except

68. In a chronic alcoholic all the following may be seen inthe liver except

69. Crescent formation is characteristic of the followingglomerular disease

70. Necrouzing pappillitis may be seen in all of thefollowing conditions except

71. Disease or infarction of neurological tissue causes it tobe replaced by

72. Bacteria may acquire characteristics by all or thefollowing except

73. Neonatal thymectomy leads to

74. Staphylococcus aureus differs from staphylococcusepidermidis by

75. Positive shick's test indicares that person is

76. In a patient with typhoid, diagnosis after 15 days ofonset of fever is best done by

77. Which of the following is transmitted by Rat urine?

78. All the following are true about Listeria except

79. Which of the following statement is true about Bactericides

80. Heat stable enterotoxin causing cod poisoning caused by all the following except

81. HIV virus contains

82. Regarding HIV which of the following is not true:

83. CMV retinitis in HIV occurs when the CD4 counts fallbelow

84. Epstein Barr virus causes all the following except

85. In a patient, comeal scraping reveals narrow angledseptate hyphae. Which of the following is the likelyetiologic agent

86. Which of the following is true regarding globi in apatient with lepromatous leprosy

87. The following diagnostic tests are useful forcorresponding purposes except

88. IL-I produces

89.What would be the race of individual if skull bonehaving following feature rounded nasal opening

90. A sample to look for uric crystal (Gouty tophus) would besubmitted to the pathology laboratory in

91. Not a feature of brain death

92. At autopsy, a body is found to have copious fineleathery froth in mouth & nosuils which increased onpressure over chest. Death was likely due to

93. In firearm injury, entery-wound blackening is due to

94. Tentative cut is a feature of

95. Gastric lavage is indicated in all cases of acute poisoningideally because of

96. All of the following method user for detecting heavymetals, except

97. 60 yrs old man presents in OPD with history of opiumaddiction for the last 20 yrs. He has given up opium from2 days. Withdrawal symptoms will include

98. The sensation of creping bugs over the body is a featureof poisoning

99. Which type of cattle poisoning occurs due to ingestionofLNSEED plant

100. Hera Lal's 10 year old child present in casualty withsnakebite since six hours. On examination no systemicsigns are found & lab investigation are normal exceptlocalized sweiling over the leg of 5 cm. Next step inmanagement would be

101. Iron and Folic acid supplementation forms

102. The most important function of sentinel surveillance is

103. Serial interval is

104. All the following are advantages of case controlstudies except

105. The association between coronary artery disease andsmoking was found to be as follows

106. In a prospective study comprising 10,000 subjects.6000 subjects were put on beta carotene and 4000 werenot. 3 out of the first 6000 developed lung cancer and 2out of the second 4000 developed lung cancer. What isthe interpretation of the above results

107. About direct standardization all are true except

108. Which vaccine is contraindicated in pregnancy?

109. Which of the following statements is true regardingpertussis?

110. Drugs A & B are both used for treating a particular skin infection. After one standard application, Drug A eradicates the infection in 95% of both adults and children. Drug B eradicates the infection in 47% of adults & 90% of children. There are otherwise no significant pharmacological differences between the two drugs, and there are no significant side effects However, the cost of Drug A is twice that of Drug B. Dr. Ram, a general practioner, always uses drug B for the first treatment, and resorts to Drug A if the infectionpersists. Dr. Yogesh, another general practitioner, always uses Drug A for adults and drug B for children. Ignoring indirect costs, which of the following statement is incorrect :

111. The infectivity of chicken pox lasts for

112. Carriers are important in all the following except

113. Acute flaccid paralysis is reported in a child aged

114. Ramu a 2 yr old boy, presented with cough, fever & difficulty in breathing. His RR 50/min. There was no chest in drawing, Auscaluation of chest reveals bilateralcrepitions. The most probable diagnosis is

115. Active and passive immunity should be given togetherin all except

116. Cereals and pulses considered complementary since

117. For a 60Kg Indian male, the minimum daily proteinrequirement has been calculated to be 40g (mean) &Standard deviation is 10. The recommended dailyallowance of protein would be

118. A population study showed a mean glucose of 86mg/dL. In a sample of 100 showing normal curve

119. The best method to show the association betweenheight and weight of children in a class is by

120. The corelation berween variables A and B in a studywas found to be L.1. This indicates

121. The biological oxygen demand indicates

122. In a surveillance centre for Hepatitis B, in a lowprevalance area, the method for testing for Hepatitis Bwas single ELISA. This policy was changed to doubletesting in series. This would result in the following 2parameters of the test being affected

123. In a study, variation in cholesterol was seen before andafter giving a drug. The test which would give itssingificance is

124. Xavier and Yogender stay in the same hostel of thesame university. Xavier develops infection with GroupB meningococcus. After a few days Yogender developsinfection due to Group C meningococcus. All thefollowing are true statements except

125. All of the following are common cause of post neonatalinfant mortality in India, Except

126. The following condition is not associated with anincreased anion-gap type of metabolic acidosis

127. Acute metabolic acidosis

128. Urinary anion gap an indication of excretion of

129 The commonest mode of inheritance of congenital heardisease is

130. Which one of the following is an Autosomal Dominantdisorder

131. Which type diabetes is HLA associated

132. All of the following are sexually transmitted. Except

133. All of the following infections may be transmitted viablood transfusion, except

134. Hypoglycemia is a recognized feature of all of thefollowing conditions, except

135. All of the following feature may be seen in thromboicthrombocytopenic purpura, except

136. The fallowing laboratory determinants is abnormallyprolonged in ITP

137. PNH is associated with all of the following conditionExcept

138. A 20 yrs adult presents with severe hypo plastic anemiaWhat is most effective treatment

139. Which of the following is not commonly seen inPolycythemia Vera ?

140. The following condition is not associated with an Antiphopholipid syndrome

141. Hypergastrinemia with hypochlorhydria is seen in

142. All of the following phases of the jugular venous pulse and their causes are correctly matched, Except

143. Which of the following is the correct statementregarding findings in JVP

144. While inseting a central venous catheter, a patientdevelops respiratory distress. The most likely cause is

145. All of the following are clinical features of myxomaexcest

146. Renal vein thrombosis is most commonly associated with

147. One of the following is a characteristic of HenochSchonlein Purpura

148. Renal osteodystropy differs from nutritional and genericforms of osesteomalacia in having:

149. Medullary cystic disease of the kidney is bestdiagnosed by

150. A patient with nephrotic syndrome on longstandingcortico-steroid therapy may develop all the followingexcept

151. A 40 year old man presented with repeated episodes orbronchospasm and hemoptysis. Chest X-ray revealedperihilar bronchiectasis. The most likely diagnosis is

152. Which of the following is characteristically not associatedwith the development of interstitial lung disease?

153. Hera lal 35 years old man was found-ve for HBsAg &HBeAg, accidentally during screening of blood

154. A 25 yrs women presents with bloody diarrhea& isdiagnosed as a case of Ulcerative colitis. Which of thefollowing condition is not associated:

155. Investigation of choice for invasive amebiasis is

156. A diabetic patient with blood glucose of 600mg/dL andNa 122 mEq/L was treated with insulin. After giving insulinthe blood glucose decreased to 100 mg/dL.What changesin blood Na level is expected?

157. A 20 year young man presents with exert ional dysp-noea, headache, and giddiness. On examination, there ishypertension and LVH. X-ray picture shows notching ofthe anterior ends of the ribs. The most like diagnosis is

158. Rheumatoid factor in rheumatoid arthritis is important because

159. Conn's syndrome is associated with all, except

160. The triad originally described by Zollinger Ellisonsyndrome is characterized by

161. All of the following are features of pheochromocytomaexcept

162. A patient suddenly experienced pain radiating along themedial border of the dorsum of foot. Which ofthe followingnerve is most likely to be accidently ligated

163. In an audlt patient with plural effusion, the mostappropriate site for plurisentesis done by inserting aneedle is in

164. Measurements of intravacular pressure by a pulmonaryartery catheter should be done

165. A 24- year old man falls onthe ground when he is struck inthe right temple by a baseball. While being driven to thehospital, he lapses into coma. He is unresponsive with thedilated right pupil when he reaches the emergencydepartment. The most important step in initial management

166. Kamli Rani 75 yrs old woman present with post myocardial.intaction after.6 weeks with mild CHF. There was past HO neck surgery for paratryroid adenoma 5 years ago. EKGshows slow artrial fibrillation. Serum Ca 13.0 mg/L andurinary Ca is 300 mg/24h. On examination their is smallmass in the Para tracheal position behind the right clavicleAppropriate management at this time is

167. Not a feature of dequervan's disease

168. A 35 year old woman has had recurrent episodes ofheadache and sweating. Her mother had renal calculiand died of thyroid cancer. Physical observationsrevealed a thyroid nodule and ipsilateral enlargedcervical lymphnodes. Before performing thyroidsurgery the woman's physian should order

169. All of the following are associated with Thyroid storm,Except:

170. Needle biopsy of solitory thyroid nodule in a youngwoman with palpable cervical lymph nodes on the samesides demonstrates amyloid in stroma of lesion. Likelydiagnosis is

171. A 26 year woman presents with a palpable thyroidnodule, and needle biopsy demonstrates amyloid in thestroma of the lesion. A cervical lymph node is palpableon the same side as the lesion. the preferred treatmentshould be

172. The most common tumor of the salivary gland is

173. The pre-malignant condition with the highest probability of progression to malignancy is

174. An old man who is edentulous developed squamous cell Ca in buccal mucosa that has infiltrated to thealveolus. Following is not indicated in treatment

175. Corkscrew esophagus is seen in which of the followingconditions?

176. Treatment for achlasia associated with high rate ofrecurrence

177. Barrett's oesophagus is:

178. The adenocarcinoma of esophagus-developed in

179. The lowest recurrence of peptic ulcer is associated with

180. Risk factor for development of gastric Ca

181. In a case of hypertrophic pyloric stenosis, themetabolic disturbance is

182. Ali the following indicates early gastric cancer except

183. In gastric outlet obstruction in a peptic ulcer patientthe site of obstruction is most likely

184. Ramesh met an accident with a car and has been in 'deepcoma' for the last 15 days. The most suitable route for theadministration of protein and calories is by

185. A İ0month old infants present with acute intestinalobstruction. Contrast enema X-ray shows the intussusceptions. Likely cause is

186. .Ater undergoing surgery, for Carcinoma of colon apatient developed single liver metastatis of 2Cm. Whatyou do next

187. Ten days after a splenectomy for blunt abdominal trauma, a 23-year-old man complains of upper abdominaland lower chest pain exacerbated by deep breathing. Heis anorectic but ambulatory and otherwise makingsatistactory progress. On physical examination, histemperature is 38.2°C(108 C)rectally, and he has decreased breath sounds at the left lung base. Hisabdominal wound appears to be healing wel, bowelsound are active and there are no peritoneal signsRectal examination is negative. The W.B.C. count is12,500 mm3with a shift to left. Chest X-rays showplatelike atelectasis of the left lung field. AbdominalX-rays show a nonspecific gas pattern in the bowel andan air-fluid level in the left upper quadrant. Serunmamylase is 150 Somogyiunits d (normal 60 to 30). Themost likely diagnosis is

188. Sentinel lymph node biopsy is an important part of themanagement of which of the foilowing conditions?

189 A man who weighs 70kg ( 154 pounds) is transferred to aburn center 4 weeks after sustaining a second andthird-degree burn injury to 45% of his total body surfacearea. Prior to accident, the patients weight was 90kg (198pounds). The patient has not been given anything bymouth since the injury except for actacids because ofprevious ulcer history. On physical examination, thepatients burm wounds are clean. but only minimalhealing is evident and thick adherent Escher is presentThe patient's abdomen is sot and nondistended, andactive bowel sounds are heard. His stcols are tracepositive for blood, and he has a right inguinal hemia.which appears to be easily reducible. He has poor range of motion of all involved joints and has developed earlyaxillary and popliteal fossae flexion contracrures. In

190. A 14 year old girl sustains a steam burn measuring 6 by7 inches over the ulnar aspect of her right forearm.Blisters deveiop over the entire area of the burn woundand by the time the patient is seen 6 hour after theinjury, some of the blisters have rupturedspontaneously. In addition to debridement of thenecrotic epithelium, all the following therapeution regiments might be considered appropriate for thispatient EXCEPT

191. All of the following are the clinical feature of thromboangitis obliterence except

192. Sukhia rani, a 16-year old girl who has non-pittingedema of recent onset affecting her right leg but noher symptoms is referred for evaluation. True statements about this patient include

193. Kamla, a 59-year-old woman, has a left femoral venousthrombosis during a pregnancy 30 year ago. The leftgreater saphenous vein had been stripped at age 21.She now presents with a large non healing ulcerationover the medial left calf, which has continuouslyprogressed despite bedrest, elevation, and use of a support stocking. Descending phlebography of the leftleg demonstrates a patent deep venous system, withfree flow of dye from the groin to foot. The first pro-funda femoris valve is competent. Appropriate management might include which of the following

194. On her third day of hospitalization, a 70 yrs old womanwho is being rreated with antibiotics for acute cholecystitis develops increased pain and tenderness in the rightupper quadrant with a palpable mass. Her temperaturerises to 40 °C (104°F) her blood pressure falls to 80/60mmHg. Hematemesis, and melena ensue and petechiaeare noted. Laboratory studies reveal thrombocytopeniaprolonged prothrombin time, and a decreased fibrinogenlevel. The most important step in the correction of this

195. A 64-years-old previously healthy man is admitted to a hospital because of a closed head injury and rupturedspleen Following a road side accident following anautomobile accident. During the first 4 days of ospitalization, following laparotomy and splenectomyhe receives 5% dextrose 0.5% normal saline solution arate of 125 mL/h. Recorded daily fluid ourputs include450 to 600 mL of nasogastric drainage and 700 to 10mL of urine. The patient is somnolent but easily arouseduntil the morning of the 5th hospital day, when henoted to be in deep coma. By the after-noon, he begins

196. All of the following statements about acute adrenalinsufficiency are true EXCEPT

197. All of the following are correct statements aboutradiological evaluation of a patient with Cushing's

198. The following signs would warrant further evaluation of developmental status in a healthy 12 weeks old infant

199. Kallu 2 yrs child weighing 6.7 Kg presents in the casualty 2with history of vomiting & diarrohea for last 2 days. Onexamination skin pinch over the ant. abdominal wall goquickly to its original position. Interpretation of skin-pinchtest in this child will be

200. An infant presents with history of seizures & skin rashes.Investigations show metabolic acidosis increased blood ketone levels. This child is likely to be suffering from:

201. With reference to RDS, all of the following statementsare true, EXCEPT

202. Which of the following is not a common manifestation ofcongenital Rubeila

203. An 3 year old bov presented with fever and bilateral cervicallymphadenopathy vith prior history of sore throat. Therewas no hepatomegaly. The peripheral blood smear shows20% lympho-plasmacyteoid cells. The most likelydiagnosis is

204. The most common genetic cause of liver disease inchildren is

205. Which of the following childhood rumors most frequentlymetastasizes to the bone

206. A six months old girl is having recurrent UTI. Ultrasoundabdomen shows bilaterai hydronephrosis. MCU (Micaurating cysto urethrogram) shows bilaterai Grad IV vesico-ureteral reflux. The treatment of choice is

207. The most common cause of ambiguous genical is in anewborn is

208. In nomal pregnancy charatcter of vagina is

209. Which is associated with tod risk of Thrombo-embolism ina normal pregnancy

210. Cephalo-haemtoma

211. A pregnant woman developed idiopathic cholestaticjaundice. The following condition is not associated

212. Kalli, 35yrs old female presents with Bilateral deep veinthrombosis in legs. There is past history of recurrentfoeral loss and one attack of pulmonary emoolism.Screening tests of coagulation reveal a prolonged APPTLikely diagnosis is

213. Kamla rani, a 20 yrs old female having mitral stenosisclass II and Rheumatic heart disease becomes pregnant. Which is not indicated in her management during labor

214. One of the following is an absolute contraindication fortreatment of Thyrotoxicosis in pregnancy o

215. All of the following are associated with breech presentationat normal full term pregnancy, EXCEPT

216. Which of the following is seen in the infant of adiabetic mother

217. The following is aiways an indication of Caesarean sectionEXCEPT

218. All of the following statements are tnue for episictomiesexcept:

219. In instrumental vaginal delivery

320. Kamlesh, a 2 years old girl. has Down's syndrome. Herkaryorype is 21/21 tanslocation. What is the risk ofrccurrence in subsequent pregnancies if the father isabalanced translocation carrier

221. The short retroviral rezime administration in the periparturmperiod decreases the isk of vertical transmission by

222. Complete tailure of mullerian duct fusion will result in:

223. Commonest cause at female pseudo hermaphroditism is

224. Basanti devi 45 yrs old women present with hot flush afterstopping of mensruaion. 'Hor Flush' car be relieved byadministration of following agents

225. Contraceptive LNG-IUD (levonorgesterol intra-uterinedevice) has the curnuiarive pregnancy rate atyrs of:

226. A 25 year old iniertile male underwent semen analysis Results show: sperm count 15 million/ml; pH 7.5volurme -2 ml no agglutination is seen. Morphology shows60% normal & 60% motile spermsMost likely diagnosis is

227, A 28 yrs old lady, Rani, is suspected to have polycystic 2ovarian disease. Sample for testing LH & FSH are besttaken on the following days or Menstrual cycle

228. Kali Rani, a 20 yrs old young girl. presents with history ofrapidly developing hirsutism and Amenarrhea with changein voice. To establish a diagnosis you would like to proceedwith which of the following tests in blood

229. A 35 years old mother of two children is suffering fromamenorrhea for last 12 months. She has history of failureof lactation following 2nd delivery but remainedasymptomatic thereafter. Skull X-ray shows Empty sella"Most likely diagnosis is

230. A 35 year old female patient, Radha, having children aged 5 and 6 years has history of amenorrhea andgalactorrhea. Blood examination reveals increasedprolactin. The CT of the head is likely to reveal

231. Raja Devi 45 yrs old women present with history of polymenorrhea for last six months. The first line ofmanagement is

232. Which of the following is not indicated in menorrhagia:

253. Most common genital prolapse is

234. Kamla, a 30 yrs old lady examined for infertility by hysterosalpingography, reveals Bead-like fallopian tube& clubbing of ampuila. Most likely cause is:

235. A 25 year old patient, Bindu, presents with vaginadischarge. Examination of the discharge,reveals thepresence of Chamydial infection. The treatment of choice

236. All of the following may predispose to Endometrial CaEXCEPT

237. Carpel tunnel syndrome is due to compression of

238. Most common nerve involved in the racture of surgicalneck of humerus is

239. All of the following are associated with supracondylarfracture ofhumerus, EXCEPT

240. Ramesh Singh, a 40 yrs old man, was admitted with fractureshaft femur following a road traffic accident. On 2nd day hebecame disoriented. He was found to be tachypnoeicand had conjunctival petechiaeMost likely diagnosis is

241. Kumar, a 3I yrs old motorcyclist sustained injury over hisRight hip joini. X-ray revealed a posterior dislocation ofthe Right hip joint. The clinical attitude of the affectedlower limb will be

242. Pappu, 7 yrs oid young boy, had fracture of lateral condyleof femur. He developed malunion as the fracture was notreduced anatomicaily. Malunion will produce

243. Pareilar tendon bearing POP cast is indicated in thefollowing fracture

244. Inversion injury at the ankle can cause all of thefallowing EXCEPT

245. A previously healthy 45 yrs old laborer suddenly develops acute lower back pain with right-leg pain & weakness of dorsiflexion of the right great toe. Which of the following is true:

246 Acute Osteomylitis is most commonly caused by

247. A 45 yrs male presented with an expansile lesion in the center of femoral metaphysis. The lesion shows Endosteaiscalloping & punctuate calcifications. Most likelydiagnosis is

248. Raju, a 10 yrs old child, presents with predisposition tores, anemia, hepatospienomegaly and a diffuselyincreased radiographic density of bones. The most likelydiagnosis is

249. Hari Verdhman, 9 yrs old child. presents with scoliosishairy tuft n the skin of back and neurological deficit. PlainX-rays reveal multiple vertebral anomalies & a vertical bonyspur overlying lumbar spine on AP view. The most probable diagnosis is

250. In a Pt. with head injury, unexplained hypotension warrantsevaluation of

251. Complete transaction of the spinal cord at the C. levelproduces all of the following effects except

252. In the normal human sight eye, the peripheral field of visionis usually least:

253. Tonography heips you to determine

254. Any spectral colour can be matched by a mixture of three monochiomatie lights (red, green, blue) in differentproportions. If a person needs more of one of the colourfor matching than a normal person, then he has a colouranomaly. More red colour is needed in the case of

255 The colours best appreciated by the cencral cones of our 23.Afoveo-macular area are

256. Epiphora is

257. A 35 years old hypermetrope is using 1.50 D sphere botheyes. Whenever his glasses slip downward on his nosehe will feel that his near vision:

258. Occulomoter nerve palsy affects all of the following muscles, EXCEPT

259. Kusumlata presents with acute painfull red eye and milddilated vertically oval pupil. Most likely diagnosis is

260. You have been referred a middle-aged patient to rule out open angie giaucoma. Which or the following findingswill help in the diagnosis

261. In a case of hypertensive uveitis, most useful drug toreduce intraocular pressure is

262. A patient having glaucoma developsbiepharoconjunctivitis after instilling someanti- glaucoma drug. Which of the following drug canme responsible for it

263. A 12 year old child complains ofheadache anddecreased vision. On examination he has a visual acuityof 6 36 in the right eye and 6/6 in the iett eye. OnRetinoscopy at 66cms, the left eye showed correctionof I 5D and the right eye of s D. The anterior chamberand fundus of eye were normal, What may be the causeof decreased vision in the right eye

261. Werick's hemianopic papillary response is seen in lesions

265. Weber test is best elected by

266. On otological examination ail of the following will havepositive fistula test EXCEPT

267. Acure otitis media in children is most commonly due to

268. All of the following are true for Ramsay Hunt syndromeexcept

269. Rajesh, a 7 month old child, presents with failure of gainingweight & noisy breathing which becomes worse when thechild cries. Laryngoscopy shows a reddish mass insubglottis. Treatment modality may include all, except

270. A 50 year old male chronic smoker complains ofhoarsenessfor the past 4 months. Microlaryngoscopic biopsy showsit to be keratosis of the larynx. All are suggested treatment

271. The treatment of choice ofa T1N0M0 glottic carcinoma is:

272. Multiple eryhtematous annular lesions with peripheralcollorete of scales arranged predominantly over trunkare seen in:

273. All of the following are given for the treatment ofPityriasis versicolor, EXCEPT

274. A patient with psoriasis was started on systemicsteroids. After stopping treatment, the patient

275. Wickihem's stria are seen in:

276. Griesofulvinis given for the treatment of fungal infection in finger nail dermatophytosis for

277After 3 days of fever patient developed maculoerythematous rash that lasted for 48 hrs. The most likelydiagnosis is

278. Exfoliative dermatitis can be due to all the followingdiseases, EXCEPT

279. Genital elephantiasis is caused by

280. The gas which produces systemic toxicity withoutcausing local irritation is

281. In a patient with fixed respiratory obstruction Helium isused along with Oxygen instead of plain oxygenbecause

282. Upper respiratory tract infection is a common problemin children. All the following anestheric complicationscan occur in children with respiratory infections,except

283. Which of he following has mot penetrating power?

284. What contrast is needed for proper radiographic image is a heavy bony built person?

285. Pappu, a 2 yrs old boy, is brought with sudden onsetstridor and respiratory difficulty. The chest examination reveals decreased breath sounds & wheeze in the rigside. The chest X-Ray showed an opaque right hemithoraWhich of the following is the most likely diagnosis

286. A child with acute respiratory distress showhyperintlation of unilateral lung in chest X-ray. Most likecause for above presentation is

287. Abdominal Ultra-sonography in a 3 year old boy showa solid well circumscribed hypo-echnoic renal mass.Most likely diagnosis is

288. A newborn presenting with intestinal obstruction &constipation showed, on abdominal Xray, multiple airfluid levels. The diagnosis is not likely to be

289. Which one of the following statement is false aboutocuiated pleural effusion

290. Radiographic appearance of Pindborg's tumor is

291. Craniospinal irradiation is employed in the treatmentof

292. Prophylactic cranial irradiation is indicated in the treatmentof all of the following, except

293. All ofthe following are features of hallucinations, EXCEPT

294. The following is suggestive of an organic cause of the behavioral symptoms

295. Delusion is not present in

296, An alcoholic is brought to the casualty, 3 days after hequit alcohol, with the complaint of irrelevant talking. Onexamination, he is found to be dis-oriented to time, placeand person. He also has visual illusions and hallucinationsThere is no history of head injury. The most probablediagnosis is

297. Ram Lal, a 45 yrs old male came to the psychiatric OPD complaining of continuous, dull, non-progressive headachefor the last 8 years. The patient has seen numerousneurologists in teh belief that he has a brain tumor eventhough all his investigations have been normal. The patientinsisted that he had a brain tumor and requested yetanother workup. Psychiatric evaluation reveals disease

298. A patient presented with short lasting episodic behavioral changes which include agitation & dream like state withthrashing movements of his limbs. He does not recallthese episodes & has no apparant precipitating factor.The most likely diagnosis is-

299. A young lady presented with repeated episodes ofovereating followed by purging after use of laxatives. Sheis probably suffering from

300. An 11 years old boy is all the time so restless that the restof the class is unable to concentrate. .He is hardly ever inhis seat and roams around the hall. He has difficulty inplaying quietly.