Mudit 2010

1. Gluteus medius is supplied by

1b. Gluteusmedius is supplied by

2. Which of the following tendons passes below the sustenticulumtali

2b. Which of the following tendons has attachments on sustenticulumTali

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 sided superior vena cava drains into:

12. Vitamin K dependent coagulation factors include:

13. During heavy exercise the cardiac output (CO) increases up to five fold while pulmonary arterial

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 cercbellum cause all of the following. Except

24. Low CSF protein may be seen in all of the follow 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 prebioties as they are non digestible. Resistance to digestion in the upper GI tract results from

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

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. Mechanism of action of Theophylline in Bronchial Asthma include all of the following Except

39b. 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 inincorrectly matched

48. All of the following drugs may cause Hirsutism.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 bc 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 I 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 (GIS

60. Ampholcrecin B loxicity can be lowered by

61. Which of the following statements about MycophenolateMofetil is not true

62. Which of the following drugs is recommended for 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. 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. Actions of Bradykinin include all of the following,except

68b. What is the most important role of Bradykinin inacute inflammation:

69. Heterozygous sickle cell anemia gives protectionagainst

70. PNH is associated with a deficiency of

70. (b)PNH is associated with deficiency of

71. Burkitt's Lymphoma is associated with:

72. Translocation (2:8)(p12:224) is associated with:

73. Plasmacytoid Lymphomas may be associated with:

74. Which of the following have most friable vegetation:

75. Charachteristic pathological finding in carcinoid heart disease is

76. A female presents with history of progressive hreathlessness. 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 Nephrotic 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 market for 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 the disease. They are now planning to have another child. What is the chance 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 antigens to CD8 T cells is

88. All of the following statements about Penicillin Binding Proteins (PBT) are truc, 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 El-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 will dichotomous 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

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 outopsy of the case:

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

103. Aconite poisoning causes all except:

104. Which of the following drugs 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 Material 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 lyphus are true, Except

120. All of the following factors contribute to Resurgend of malaria, Except:

121. A case of Acute Flaccid paralysis must be observa for how many 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 80people who were tested positive (+ve), it was foundthat actually 40 had diabetes and out of 9920 peoplewho were tested negative (-ve) only 9840 did nothave the disease actually. The sensitivity of this newTest is:

127. The population of a community on the 1" of June wasrecorded as 1,65,000. Total no. of new cases ofTuberculosis, recorded from 1s January to 31 Junewere 22. Total Registered cases of tuberculosis in thecommunity were recorded as 220. What is theincidence of TB in this community per 10 lakhpopulation.

128. All of the following about 'Red Cross' emblem aretrue, Except

129. Which of the following is not a Synthetic PyrethyroidCompound

130. A 16 year old young girl presents with a history of fatigability weakness and lethargy. Complete Blood picture (CBC) reveals Haemoglobin 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 poycythemiavera

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 IdioventricularRhyllum (AIVR) is the most common arrhythmia associated with:

140. Streptokinase and Urokinase arc contraindicated in

141. A patient presents with following parameters pH 7.5, PCO, 30 mmHg, po, 102 mmHg and HCO, 16 meq/1. Which of the following correctly describes the compensatory mechanism:

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 FEV1/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 / crcatinine ratio of 20-1 may be seen in

148. A lady presented with non progressive dysphagia only for solids, Barium study showed proximal csophageal dilatation with distal constriction. The most likely diagnosis is.

149. 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.

150. 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 investigationchoice:

151. A patient is found to be positive for TIBs 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-HBc antibody positive. HBV DNA copies are observed to be 100.000/ml while SGOT and SGPT are clevated to 6 times the upper limit of normal value. What is the likely diagnosis:

153. 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 likely 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 Gouty 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 calciun and high phosphate is seen in:

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

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

165. All of the following are associated with hypergonadotrophichypogonadism in males, Except

165b. Which of the following is the most common cause of hypergonadotrophichypogonadism in males:

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 acule onset of weakness in the left upper limb which recovered completely in Iwo weeks. The most likely diagnosis is:

170. A 25 year old person presents with acute onset of fever and focal seizures. MRI scan 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 lesion in Motor Neuron disease

173. All of the following are true about GuillainBarre Syndrome (GBS), Except:

174. Kayser-Fleischer rings (KF rings) are seen in:

175. Lord's Plication is done for

176. Which of the following stones is hard to break by ES WL

177. A 50 year old female is admitted with abdominal pa and anuria Radiological studies revealed bilateral impacted ureteric stones with hydronephrosis. Uring analysis showed RBCs with pus cells in urine. Seru creatinine level was 16 mg/dl and urea level was 20 mmol/l which of the following should be the immediate treatment

178. What complication should one expect when PCNL is done through 11"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. Surgery for undescended testis is best performed before what age

183. The Grayhack shunt is established between

184. An adult presented with hemelemesis 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 6cm up to tail of pancreas, What will be the most appropriate surgical management

185. All of the following about Gastrointestinal Carcinoid tumors are true, Except

186. A young male patient presents with complete rectal prolapse. The surgery of choice is: A. Abdominal Rectopexy B. Delerome's procedure

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 clevated. 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 as:

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 near the hilum. Gram negative bacilli are 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 primarily restrictive operations for morbid obesity, Except

196. Trauma and Injury Severity Score (TRISS) includes

197. 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 is hemodynamically stable and FAST positive, A CECT (contrast enhanced CT) scan shows a contrast blush along with a grade III laceration. What will be the most appropriate management?

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

200. Health status of a child under 5 years of age will be udversely affected by all of the following, Except

201. Anconate presented with fever, lothargy, abdominal distension, vomiting and constipation. Clinically he was diagnosed as volvulus nconatarum 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 len sided flank pain Ultrasonography reveals a large hydronephrosis with dilated renal pelvis and cortical thinning with a normal urcler. Kidney differential function was observed to be 19% which of the following is the best management;

205. A Child presents with hepatomegaly and hypoglycemia. There is no improvement in blood sugar even after administration of cpinephrine. 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 vacani 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 Juvenilo Myoclonic Epilepsy (ME)

209. A child presents to the clinic with history of seizures and mental retardation. Clinical examination reveals multiple hypopigmented 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 conjunctival 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 cthmoid.sinus. Which of the following should be the next step in cvaluating 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. A. Decreased mincralization B. Decreased osteoid matrix fomnation C. Increased bone resorption D. Decreased bone mass with normal mineralization and osteoid formation

215. Which of the following methods for assessment of female fertility during a menstrual cycle can best predict the timing of ovulation A Basal Body Temperature (BBT) B. Fem Test C. Spinnbarkeit phenomenon D. Hormonal study

216. Primary Amenorrhea with absent uterus, normal breasts and scant pubic hair is seen in A. Mayer RokitanskiKuster Hauser syndrome B Turner's syndrome C. Androgen Insensitivity Syndrome D. Noonan syndroine

216b. Primary Amenorrhea with normal ovaries normal extemal 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 mlU/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 managements:

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

222. (b) A 52 year old lady with a vesicovaginal fistula after abdominal hysterectomy is not responding to conservative management Most useful important next investigation is:

223. Which of the following statements about partial mole is false;

224. 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 HydropsFetalis is caused by:

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

231. Which of the following statements about Multilepregnancies is true

232. Treatment of choice for Intrahepatio Cholestasis in Pregnancy is

233. All of the following are cardia contraindications to propancy, Execpt

234. The drug of choice to treat Chlamydia infection pregnancy is

234 (b) The drug of choice to treat Chlamydia infotion in pregnancy is

235. Which of the following conditions is associated with polyhydramnios

236. A lady presented with features of threatened abortion 211 32 weeks of pregnancy, Which of the following statements with regard to antibiotic usage is not correct

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

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

238. (b) Active Management of Third Stage of Labor 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 acroginosa. The bacteria were observed to be multidrug resistant Which of the following best explains the mechanism of antimicrobial resistance in these isolated pseudomonas acroginosa strains

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

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

245. Cherry red spot is seen in all except

246. Relative Afferent Pupillary defect (RAPD) is characteristically seen in damage to

247. A patient with plosis presents with retraction of the plotic eye lid on chewing This represents

248. A patient with known mulation in the 'Rbgenc' is 'disense 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 Schwannom arises most frequently from:

252. Otoacousticcroissions arise from

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

254. All of the following statements about CSF Ieak are true, Except

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

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

257. A child presents with stridor, barking cough and difficulty 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. Drug 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 wrisi 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 breathlessness and chest pain, on second postoperative day after a total hip replacement. Echo-cardiography showed right ventricular dilatation 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. Treatment of crythematous 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 8mg/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 butvoluntary respiratory tot was lima te bled pressure and heart rate were normal the likes diagnosis

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 perfomed but after the intubation, breath sounds were observed to be decreased on the left side and a high end tidal 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 radiation

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 eflects' 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. All of the following are parts of cognitive behavior change technique except:

295. A 60 year 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?

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 year 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 an immediate specialist assessment A. Formal thought disorder