Mudit 2016

1. All of the following structures pass through the inguinal canal in females, except:

2. Which of the following statements about valves of Houston’s is true:

3. Predominant blood supply to the supraduodenal bile duct is derived from:

4. All of the following structures cross the Right Ureter Anteriorly , except:

5. Little finger of hand corresponds to which of the following dermatomes:

6. All of the following statements regarding the spinal cord are true, except:

7. Which of the following does not give sensory supply to the point :

8. Dilator papillae iridis supplied by:

9. Whitnall’s ligament refers to:

10. All of the following muscles are derived from pharyngeal Arches except:

11. All of the following are derived from pharyngeal arches except:

12. Muscle which contributes to two triangles in the back is:

13. Which of the following is the remnant of mesonephric tubules in males:

14. Liagamentum teres is a remnant of :

15. All of the following are derivative from embryonic cartilage of the first pharyngeal arch, except:

16. Which of the following statements about sarcomere arrangements a true;

17. Which of the following statements about nerve fibers is true :

18. Repolarization of nerve action potential is due to :

19. Rapidly adapting capsulated receptors for low frequency vibration in non- hairy skin are :

20. Most blood enters the ventricle during which of the following phases of the cardiac cycle:

21. Elasticity of the heart is due to:

22. All of the following statements about Glomerular filtration are TRUE, except:

23. Which part of the renal tubule in a normal functioning kidney will reabsorb most water in a dehydrated patient with very high levels of ADH :

24. the most important stimulus for central chemoreceptors is:

25. Which of the following best describes incretin ;

26. Primary function of Auerbach’s plexuses is ;

27. All of the following statements about Hunger pangs are true, except:

28. Destruction of which of the following centers of the hypothalamus leads to anorexia and starvation ;

29. Which among the following causes an increase in serum Hepcidin :

30. Difficulty when attempting to see near objects may result from inability of contrast which of the following :

31. An immunoglobulin molecule represents the following level of organized protein structure:

32. All of the following metabolic functions occur in the mitochondria, except:

33. Which of the following events does not occur when concentration of glucose in the river decreases:

34. All of the following metabolic changes occur during prolonged fasting when compared with fasting for 12-24 hours, except:

34b. which of the following metabolic events will not occur following 12-24 hour of fasting:

35. Which of the following enzymes is common to the synthesis of cholesterol and ketone bodies;

36. Which of the following does not undergo phosphorylation by protein kinases in Eukaryotes:

37. Which of the following aminoacids in a protein commonly acts as a potential O- Glycosylation site for attachment of an liogosacharide unit:

38. Which of the following statements regarding mature cytoplasmic messenger RNA is true:

39. Which of the following represents the most charachteristic function of Type II Restriction Enzymes:

40. Which of the following methods is most suited to assess function of a gene:

41. All of the following assays are used for estimation of total serum protein except:

42. A protein solution on heating forms a precipitate at about 40 c which redissolves at higher temperature .this solution is likely to contain :

43. Keratin in skin is softer than keratin in nail because keratin in skin has:

44. Which of the following is not a phase I reaction :

45. A 12 year old child presents with mental retardation and history of self multilation. Which of the following tests will help in determing the diagnosis:

46. All of the following Leukotriencs are vasoconstrictors except:

47. Cytokine responsible for activating macrophage and converting to gaint cell is:

48. Inclusion bodies seen in Alzheimer’s Disease:

49. Deletion of one alpha globin gene on one chromosome is best defined as:

50. Heavy chain disease with kappa light chins in urine :

51. Alder-reilley bodies are seen in :

52. Dominantly inherited condition with large platelets and Dohle bodies in Neutrophils:

53. Transformation of CLL/SLL into DLBCL is called:

54. Needle shaped empty space on the histopathological slide of an atheromatous plaque represents ;

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

56. Which of the following regions of the liver is most sensitive to ischemic injury?

57. Snover’s triad in acute cellular rejection of Liver transplantation includes all of the following except:

58. Alzheimer type II astrocyte are not seen in:

59. Zellbalen pattern is seen in all of the following except:

60. which of the following is the preferred site of initial biopsy to confirm systemic amyloidosis?

61. Shock lung is characterized by which of the following ?

62. What is the characteristic histological finding of chronic radiation pneumonitis:

63. Michaellis gutmann bodies are seen in:

64. The term ragged red fibers is applied to describe the skeletal muscle fibers in:

65. Langerhans cell histiocytosis is characterized by presence of:

66. Rokitansky protuberance is associated with which of the following condition?

67. Which of the following is diagnostic of mixed connective tissue disease?

68. Keartoderma Blennorrhagica is typically seen in:

69. Lupus pernio is seen in:

70. The highest level of acid phosphatase in serum in found in carcinoma of which organ?

71. Which of the following is most resistant to antiseptics;

72. A five year old child presents with pustular lesions on the lower legs. The culture from the lesion showed hemolytic gram positive coccii. Provisional diagnosis of Group A streptococcal pyoderma can be done by:

73. Endotoxin of which gram negative bacteria have no part in pathogenesis of disease:

74. Cholera toxin effects are mediated by stimulation of which of the following second messengers?

75. Which of following Vibrios is most commonly associated with ear infections :

76. Infective dose of salmonella typhi is:

77. A characteristic a characteristic infection of Nocardia Asteroides is:

78. Gram stained periorbital exudates in severe panophthalmitis with cellulitis in an elderly diabetic shows irregular branching aseptate and broad hyphae. Which of the following is the most likely diagnosis:

79. A former from the sub- Himalayan region presents with multiple leg ulcers. The most likely causative agent is:

80. Which of the following feature is not shared between T cells and B cells

81. Epstein Barr virus causes autoimmunity by :

82. A child presents with recurrent episodes of sinopulmonary infection by bacteria with polysaccharide rich capsules. Dificiency Which of the following immunoglobulin subclasses should be specifically investigated;

83. With reference to antibiotic resistance all of the following statements are true, except:

84. Vaccination is based on the principle of:

85. Which of the following statements regarding gamma-release assays for diagnosis of tuberculosis is true:

86. All of the following are Heterophile Agglutination tests, except:

87. Standard agar recommended for susceptibility tests using antibiotic sensitivity disks:

88. Bile esculine Agar is used for identification of:

89. Which of the following statements about Orphan Drugs is true:

89b. which of the following is true about orphan receptors:

90. Bioavailability of an orally administered drug is best defined as;

91. Logarithmic graded dose Response Curve is :

92. chose the correct Agonist-Antagonist match amongst the following adrenergic drugs:

93. following is the effect of adrenaline when administered after alpha-receptors blockade:

94. all of the following are side effects of nitrates except:

95. Which of the following correctly describes the mechanism of action of Levosimenden :

96. Cholesteryl ester transfer protein (CETP) inhibitor for treatment of Dyslipidemia:

97. First line drugs for the management of hypertension in patients with no other comorbidities include all of the following except:

98. Which of the following drugs when combined with thiazide diuretics is least effective in further reducing blood pressure:

99. Peakless insulin is;

100. All of the following statements about pethidine/meperidine are true except:

101. Pill induced Esophagitis is most commonly associated with:

102. Which of the following carbapenems is not recommended for treatment for nosocomial infections:

102b. ertapenem is not effective against:

103. Aminoglycoside with more cochlear toxicity than vestibular toxicity is:

104. Gramicidin S is a :

105. Which of the following anti-tubercular drugs has the highest sterilizing action:

105b. which of the following antitubercular drugs has highest ability to prevent emergence of Resistance to isoniazid :

106. Treatment of choice of Tuberculosis in pregnancy:

107. A patient is on the treatment with rifampicin . which of the following agents is not preferred agent in first line HAART regimen for rifampicin based tuberculosis treatment :

108. All of the following statements about oseltamivir are true, except;

109. Anteroposterior diameter of skull is minimum in:

110. Which of the following methods is used for demonstrating old washed up blood –stains .

111. A person X hits another person Y with a wooden stick on provocation. This leads to formation of a bruise 3 cm * 3 cm on the forearm. No other injuries are noted. Which of the following is true, regarding his punishment.

112. Disclosure of identity of Rape Victim is protected under which of the following sections of IPC:

113. Which of the following is used in rape victim to determine of rupture of hymen and whether rupture is recent or old:

114. An accused in a case of sodomy Is brought for medical examination . on detailed questioning he reveals that he is an active agent and is a regular participant. Which of the following will not be seen during examination of the accused:

115. For medical termination of pregnancy (MTP) consent is required from:

116. The Japanese detergent suicide technique involves mixing of common household chemical to produce:

117. Which of the following statements about the narcotic drugs and psychotropic substances ACT is true:

118. Forced diuretics with acidification or alkalinization of urine is a common method for elimination of certain poisons/drugs from the body. The elimination of which of the following drugs is commonly enhanced by alkaline dieresis

119. Educating children for promoting healthy lifestyle is:

120. All of the following statements about case control study are true except:

121. All of the following are selection bias in case control studies except:

122. All of the following are true about propagated epidemics except:

123. A boarding house is inhabited by 100 children out of which 15 are immunized against measles. During an outbreak of measles 10 cases occurred on the first of the month while 35 cases occurred on the eleventh of the month. What is the secondary attack rate of measles

124. Association of two variables explained by a common third factor is known as:

125. Sampling of two variables explained by a common third factor is known as:

126. RNTCP defines a pulmonary TB suspect as all of the following except:

127. Under the national AIDS control programme all of the following pre-packed kits are available for the management of Genital Ulcer disease, except :

128. In National water supply and sanitation programme a problem village Is defined as all except:

129. National family Health survey (NFHS) 2015 -2016 represents which of the following National surveys:

130. All of the following are dimension for gender Empowerment measures, except:

131. UJJAWALA scheme is an initiative to deal with :

132. Recommended BMI cut –off for ‘normal’ amongst Indian population is:

133. Classification which does not consider height as a parameter:

134. What is definition of blindness as per WHO:

135. How would you classify the water if the level of Hardness has a value between 5-150 mg/L

136. All of the following are true abut anopheles mosquito except?

136b. which of the following is known as the tiger mosquito?

137. Incineration is a method of sterilization used for :

138. Which of the following Is LIVE vaccine:

139. According to the vaccine Vial Monitor, a Vaccine is usable if:

140. Quadrivalent vaccine for HPV contains which of the following strains:

141. Asymptomatic contacts of cholera patient should be quarantined for a period of:

142. Which of the following is not related to Durkheim :

143. World health day is celebrated on :

144. Which of the following types of anemia is associated with a Raised MCV and Normal MCHC:

145. Which of the following causes of anemia is associated with a Hypoplastic marrow:

146. Massive splenomegaly is least likely to be associated with which of the following mycloproliferative disorders:

147. All of the following are associated with secondary Hemochromatosis except:

148. Which of the following is the least common feature of Multiple myeloma:

149. The following is the finding seen in DIVC:

150. A 25 year old pregnant lady presents with thrombocytopenia (platelet count<50,000) and fragmented RBC’s in peripheral smear, which of the following is the least likely differential diagnosis?

151. Which of the following is the preferred marker for detecting acute STEMI in Atheletes:

152. All of the following are used in the initial management of acute life threatening cardiogenic pulmonary edema, except:

153. Which of the following is least likely to be associated with infective endocarditis?

154. Which of the following drugs has been linked with increased cardiac mortality:

155. A patient presents with sudden onset of breathlessness after a subclavin vein cannulation . on examination breath sounds are absent while the chest is hyper-resonant on percussion on one side. Most likely cause is:

156. All of the following statements about Non small cell carcinoma of Lung (NSCCL) are true, except:

157. A 30 year old man presents with generalized edema and hypertension. Urine examination shows subnephrotic proteinuria (>2gm) and microscopic hematuria . serum complement levels are decreased and he is positive for anti- hepatitis C antibodies. The most likely diagnosis is:

157b. a 60 year old woman presents with generalized edema, skin ulceration and hypertension. Urine examination shows subnephrotic proteinuria (<2gm) and microscopic haematuria. Serum complement levels are decreased and she is positive for anti- hepatitis C antibodies. The likely diagnose is:

158. Which of the statements about Renal Tubular Acidosis type I (type I RTA) is not true:

159. A patient who has been diagnosed with bronchiectasis 5 years ago presents with edema on legs and proteinuria. The most likely findings in his kidney will be: