Mudit 2018

1. Which dose not pass through the aortic opening ;

2. About iliolumbar ligament which of the following statements is false:

3. All of the following statements about sibson’s fascia are true, except:

4. True regarding umbilical cord is:

5. Ureter develops from:

6. The pectoralis major is classified as a :

7. What is the function of the muscle shown in the figure:

8. All of the following mesenteries are present in an adult, except:

9. Lateral zones of the hard palate are covered by:

10. The dorsal part of the ventral mesogastrium forms:

11. Right gastric artery Is a branch of;

12. Special visceral efferent doesn’t include:

12b. which of the following nuclei of vagus receives special and general visceral afferents :

13. The peripheral nervous system develops primarily from:

14. Alpha waves are typically seen in which of the following states;

15. All of the following statements about insulin like Growth factor-1 (IGF-1) are true, except:

16. Which of the following is involved in transport of large molecules from cytoplasm to the cell nucleus :

17. All of the following statements about Renal Regulation in a patient with hypovolemic shock are true, except:

18. Which of the following statements about ventilation/perfusion ratio is true:

19. Absorption of Glucose in the intestine is by:

20. All of the following are Visual agnosias arising from a defect in the ventral or what pathway except:

21. A right –hand dominant person presents with broca’s Aphasia. This is likely to result from damage to:

22. The prime driving force for counter current multiplier system is:

23. In normal kidney’s which of the following is true of the osmolarity of renal tubular fluid that flows through the early distal tubule in the region of the macula densa?

24. All of the following statements about Myasthenia gravis are true, except;

25. Thyroid hormone receptors bind to DNA as a hetrodimer with:

26. All of the following statements about brown sequard syndrome are true, except:

27. Liddle syndrome is caused by a genetic defect in:

28. The functional Residual capacity is best defined as the sum of:

29. All of the following are excreted in cystinuria except:

30. Which of the following residues contributes to the negative charge on Fibrinopeptidine A and B:

31. Following is a disorder of X linked inheritance :

32. All of the following statements about fatty acid synthesis are true, except:

33. Increased 5 Hydroxy- Indole-acetic acid in urine is seen in:

34. Which of the following is true about vitamin K:

35. Classic Galactosemia is due to deficiency of;

36. Lesch Nyhan syndrome is due to deficiency of:

37. Which of the following group of proteins assist in the folding of other proteins?

38. Which of the following vitamins has been evaluated for the treatment of Fish odour syndrome:

39. All of the following amino acids absorb light at 280 nm, except:

40. Which of the following is the most important effector pathway for action of Nitric Oxide:

41. Deficiency of which of the following enzymes is associated with Tyrosinosis:

42. Urease breath test is used for which organism :

43. All of the following are pyrogenic cytokines except:

44. Burkholderia capacia is intrinsically resistant to:

45. Temperature used in pasteurization is:

46. All of the following statements about sabin-feldman Dye test are true, except:

47. Cutaneous larva migrans is most frequently caused by:

48. Which of the following enterovirus species causes acute Haemorrhagic Viral conjunctivitis :

49. Mycoplasma are intrinsically resistant to:

50. Tests for mycobacterium tuberculosis on whole blood is:

51. Nude mouse is able to accept Xeno- Graft because they lack:

52. A patient with fever chills, sweating myalgia and fatigue undergoes a blood smear as depicted in the figure. What is the likely diagnosis:

53. Warthin-finkeldey cells are seen in:

54. Herpes zoster or shingles represents reactivation and replication of Latent infection in:

55. Mean transformation time for HIV to AIDS is:

56. Which of the following is included in AIDS defining opportunistic illness?

57. Adult form of Echinococus is found in;

58. Lack of morphological and functional differentiation is best termed as;

59. Which of the following play the most important role in pathogenesis of Rheumatoid Arthritis :

60. Which of the following play the most important intestine which occurs in Crohn’s disease:

61. Which of the following are pathological hall mark of alzheimer’s disease:

62. Lymphohistiocytic variant of reed Sternberg cells are typically seen in which of the followgin variants of Hodgkin’s lymphoma :

63. Non –frame shift mutation of Dystrophin gene causes :

64. All of the following statements about inheritance of myotonic dystrophy are true, except:

65. All of the following statements about ataxia telangiectasia are true except:

66. A 30 year old man presents with a testicular mass. No AFP is detected on serologic testing. An orchiectomy is performed , and the surgical specimen is shown in the image. Which of the following is the most likely diagnosis?

67. A neonate presents with a well-demarcated lesion resembling a tumor just below the ear lobe(shown in the image). A biopsy shows numerous proliferating small thin walled blood filled vessels. What is the appropriate diagnosis?

68. Hysterectomy specimen form a 38 year old woman shows the following gross appearance . the most likely diagnosis is:

69. Fundoscopy of an HIV infected patient shows pizza pie appearance .an upper GI endoscopy biopsy specimen of the same patient for dysphagia shows the following . what is the likely diagnosis?

70. A patient underwent lung transplantation. The gross image of the resected lung is shown here. What is the likely diagnosis:

71. Histopathology picture from a lymph node biopsy from a patient with lymphadenitis is shown. the differential diagnosis includes all of the following except:

72. A 45 year old man presents with swelling in the anterior portion of his neck. Physical examination reveals an enlarged thyorid. Thyroid function tests are within normal limits. CT image and biopsy findings are below: the most likely diagnosis is:

73. Most common site for extra- mammary paget’s disease is:

74. Which of the following statements about transplant Rejection is false:

75. Which of the following associated with PAS positive macrophages:

76. Which of the following haematologicla conditions on giemsa stain is depicted in the figure :

77. All of the following are opsonins, except:

78. Colonoscopy performed on a 25 year old woman with chronic laxative use revealed dark brown or black pigmentary deposits in the colon . histopathology from the lesion revealed lipofuscin laden macrophages. Which of the following laxatives is the most likely cause for the patient’s condition:

79. All of the following antifungal agents act by altering cell membrane permeability except:

80. Triad of plummer Vinson syndrome includes all of the following except:

81. Maximum rise in prolactin levels is seen with:

82. Which of the following is recommended as a dual-active drug targeting both HBV and HIV:

83. Which of the following statements about tigecycline is false:

84. Which of the following represents an orally available fixed Beta-lactamase inhibitor and antibiotic combination:

85. Anti-CD25 Humanized monoclonal antibody used for immunosuppresssion in organ transplant patients is:

86. Which of the following best describes the mechanism of action of Colchicine in acute Gout :

87. A drug that binds to a receptor at a site distinct from the active site and reduces the affinity of the receptor for the endogenous ligand is a :

88. A drug that binds to the receptor at the same site as the agonist and produces an intrinsic effect opposite to the agonist is termed as:

89. Which of the following anticoagulants does not require routine laboratory coagulant profile monitoring :

90. Which of the following antihypertensive is Not used in the management of pregnancy induced hypertension in the first trimester:

91. Testing of HLA-B57:01 is recommended prior to the initiation of which of the following anti-retroviral agents:

92. Which of the following antiplatelet drugs is a P2Y12 receptor blocker not affected by CYP2C19 polymorphism :

93. Which of the following is a Thrombin Receptor anatagonist;

94. Which of the following best describes the drug phenomenon at pKa=pH

95. Which of the following best describes the mechanism of action of d- Tubocurarine:

96. Which of the following is a Neprilysin inhibitor :

97. Use of phosphodiesterase inhibitors for Erectile dysfunction is contraindicated in:

98. Aldosterone secretion is stimulated by which of the following :

99. Which of the following describes the mechanism of action of Fluconazole:

100. the most serious drug interaction with Tadalafil occurs with:

101. which of the following inhibitors of protein synthesis is primary bactericidal;

102. all of the following are Glucocorticoid synthesis inhibitors except:

103. apixaban is classified as;

104. basiliximab is an:

105. Which of the following is the most likely indication for the use of pirenzepine :

106. Consumption of which of the following poison reveals bluish discoloration of stomach during postmortem examination :

107. Which of the following is true about a posthumous child:

108. The smell or odour encountered when performing autopsy on a body that has undergone established adiopocere formation is:

109. Multiple pregnancy resulting from fertilization of two ova discharged from ovary at different periods of ovulation is best termed as:

110. Locard’s principle is concerned with :

111. MC naughten’s Rule is embodied in :

112. Saturnine gout is due to:

113. Which of the following articles in the Indian constitution are concerned with child rights, except :

114. All of the following articles in the Indian constitution are concerned with child Rights, except:

115. To achieve a Net Reproduction Rate (NRR) of 1, the couple protection Rate(CPR) should be:

116. Relative risk formula:

117. 100 women surveyed for use of contraceptive pill for 24 months out of which 10 became pregnant. What is the pearl index:

118. All of the following vaccine preventable diseases are covered in ‘mission indradhanush’ except:

119. Which of the following represents a ‘web based programme’ for monitoring tuberculosis:

120. All of the following statements about Hardness of water are true, except:

121. Disinfecting action of chlorine in chlorination of water is mainly due to:

122. Which of the following statements about employment of young persons under the factories Act 1948 is true :

123. The unit of Ecological study is:

124. Prevalence is calculated by formula:

125. WHO global target for prevention and control of non-communicable diseases is to decrease the prevalence of hypertension by what percentage :

126. WHO Recommended Daily dose of Iodine supplementation for lactating women is:

127. Under the RNTCP structure, the most peripheral unit of Tuberculosis is;

128. The body man index (BMI) Is starvation associated with risk of death in males is:

129. Cytotoxic and expired drugs are disposed by which of the following methods:

130. Kala Azar is endemic in all of the following areas, except:

131. One child of a family with 2 adults and 3 children develops measles. Soon another child also develops measles while one child is spared . if both parents are immune to developing measles, what is the secondary attack rate of measles in the family?

132. All of the following are parametric test except:

133. The following tests are used to check the efficiency of pasteurization of milk except:

134. All of the following are used as proxy measures for incubation period except

135. All of the following are official global public health days according to WHO except:

136. After applying a statistical test and investigator gets the p value 0.4 means:

137. Flipped LDH indicating myocardial infarction is represented by:

138. Pseudo-P-pulmonale is typically seen in:

138b. which of the following represents the earliest ECG change in a patient with Hypokalemia:

139. All of the following are associated with Atrioventricular block, except:

140. Alternative drug for cardiac arrest in place of epinephrine that has been removed from the AHA/ ACLS Cardiac Arrest Algorithm :

141. Which of the following arrhythmias is most frequent in Holiday heart syndrome :

142. All of the following are true about right ventricular infarcts except:

143. ‘C’ waves in Jugular venous pulse (JVP) waveform is due to:

144. Reversible Myocardial stunning with ECG changes of Acute myocardial infarction is seen in:

145. All of the following are selective indications for the use of Hypotonic solutions except:

146. All of the following are Light’s criteria for exudative pleural effusion:

147. All of the following are true about Factor V leiden mutation except:

148. Which of the following is the gold standard test to identity PNH:

149. All of the following statements about bernardvsoulier syndrome are true, except:

150. All of the following statements about hemophilia are true, except: