Sharad Medicine

1. In tumor lysis syndrome” all the following are seen except:

2. Hypercalcemia is seen in all except:

3. Not seen in tumor lysis syndrome:

4. Drug not used in prevention of rejection after transplantation :

5. Not a clinical feature of normal pressure hydrocephalus:

6. Triad of normal pressure hydrocephalus is:

7. Which of the following is not used in acute asthma:

8. Acute lung injury not include which of the following:

9. Pseudofractures are seen in:

10. A 25 year old girl presents with fever and weakness. There is splenomegaly of 3 cm below the costal margin. Hemoglobin is 8 mg/dl, TLC is 3000/mm, platelet count is 80,000/mm. least likely diagnosis is:

11. In a young patient with aplastic anemia, the treatment of choice is:

12. Investigation of choice for invasive amebiasis of:

13. Acute breathlessness is an important feature of :

14. Most common symptom of pulmonary embolism is:

15. Most common sign of pulmonary embolism is:

16. Dose of digoxin is not altered in:

17. False regarding digitalis is:

18. Dose of digoxin is not reduced in which of the following condition:

19. ECG finding in hypercalcemia is:

20. QT interval is shortened in:

21. Shortest QT interval is seen in:

22. False regarding Reye’s syndrome is:

23. Not a myeloproliferative disease:

24. Not an important feature of polycythemia vera:

25. In polycythemia vera all the following are seen except:

26. Not seen in polycythemia vera:

27. Not seen in polycythemia rubra vera:

28. Paradoxicla pulse is seen in:

29. Pulsus paradoxus is seen in:

30. Pulsus paradoxus is found in all except:

31. Pulsus paradoxus is not seen in:

32. Pulses bisferiencs can occur in:

33. Not seen in acute severe asthma is:

34. Bilateral facial nerve palsy is not seen in:

35. Bilateral facial paralysis is not seen in:

36. Melkersson-rosenthal syndrome consists of all except:

37. Bilateral LMN facial palsy is not seen in:

38. Not a common cause of carpal tunnel syndrome:

39. In which of the following, highly “selective” proteinuria is seen:

40. Triad of glomerulonephritis , pulmonary hemorrhage and antibody to basement membrane is seen in:

a. Diabetic nephropathy b. mixed connective tissue disease c. systemic necrotizing vasculitis d. Goodpasture’s syndrome

41. Tic douloureux is synonymous with:

42. Trigeminal neuralgia is treated with;

43. Increased serum iron and normal total iron binding capacity are seen in:

44. Metal causing sideroblastic anemia is:

45. Intraceelular iron level is not decreased in:

46. Microcytic hypochromic anemia is not seen in:

47. Propranolol is contraindicated in:

48. Drug used in angina that can cause CCF is:

49. Preoperative propranolol is not indicated in:

50. All are seen in subacute thyroiditis except:

51. All are true about de quervain’s thyroiditis except:

52. Nephrotic syndrome, which is not cured after eradicating malaria, is caused by;

53. Which of the following is a feature of falciparum malaria:

54. All are the features of cerebral malaria except:

55. Which species commonly causes cerebral malaria:

56. Genetically transmitted diseases which protect against malaria are all except:

57. Radical cure of plasmodium vivax is by;

58. Primaquine has no role in infection with:

59. Malaria affects the following organs except:

60. Types of malaria not seen in india:

61. In cerebral malaria the drug of choice is:

62. Nephroclacinosis is common in:

63. Hyperkalemia is characteristic of which type of RTA:

64. Pseudotumor cerebri is not caused by:

65. Not a feature of psudotumor cerebri:

66. In syringomyelia thesensation that is lost is:

67. Painless burn of hand is seen in;

68. Dissociated sensory loss is seen with:

69. Dissociated anesthesia is seen in:

70. Dissociated sensory loss and balaclava helmet sensory loss is seen in:

71. Systemic lupus erythematousus is not caused by which of the following drug:

72. Subarachnoid space ends at:

73. Indiabetes joint commonly involved is:

74. Charcot’s joint in diabetes affects:

75. Not seen in botulism :

76. Not a clinical feature Of botulism:

77. Not a clinical manifestation of botulism:

78. Southern blot method is for analysis of:

79. RNA fragments are sequenced by:

80. Pin point pupils, loss of consciousness and hyperpyrexia is seen in:

81. A patient pupils, loss of consciousness and hyperpyrexia is seen in:

82. Important role of rennin is in:

83. Horner’s syndrome manifests as:

84. Not a characteristic feature of Horner’s syndrome:

85. False regarding hemolytic anemia is:

86. Not a clinical feature of hemolytic anemia:

87. False regarding hemolytic anemia is:

88. Not seen in hemolytic anemia:

89. Painless effusion in joints of congenital syphilis is known as:

90. Beriberi disease is due to deficiency of:

91. Palmar erythema is seen in :

92. The treatment of choice for chronic partial and tonic clonic seizures is:

93. Drug not used in maintenance therapy of epilepsy is:

94. Drug useful in both absence seizures (petit Mal) and generalized , tonic –clonic seizures (Grand mal) is:

95. Which antiepileptic drug acts by potentiating the action of GABA:

96. Meningitis is caused by:

97. Secondary hyperparathyroidism is caused by:

98. Basal Ganglion tremors are:

99. Cannon waves are seen in ;

100. Cannon ‘a’ waves are seen in:

101. All are seen with hyperkalemia except;

102. First change in ECG seen in hyperkalemia is:

103. ‘Sinewave’ [attern in ECG is seen in:

104. In Hyperkalemia , ECG change shows:

105. Following are causes of pseudohyperkalemia except:

106. Not a treatment of hyperkalemia:

107. Risus sardonicus is seen in:

108. An intelligent dwarf child with square fingers and palms and backache has:

109. Achondroplasia is inherited as:

110. A 6 months old infant has multiple fractures with trivial trauma. The diagnosis is:

111. Multiple fractures in children with joint laxity and deafness are seen in:

112. Not a feature of osteogenensis imperfect:

113. Oculocutaneous albinism is:

114. MEdiastinal shift occurs in:

115. Streptokinase therapy in myocardial infarction is most effective when given within:

116. Drug of choice for pain in myocardial infarction is:

117. Not used in treatment of MI:

118. Duchenne pseudomuscular dystrophy is inherited as:

120. Most characteristic feature of Duchenne muscular dystrophy is:

121. Creatine phosphokinase (CPK) is increased in:

122. Muscle not involved in Duchenne muscular dystrophy:

123. Hypercalcemia is not seen in:

124. Not a feature of primary hyperldosteronism:

125. In conn’s syndrome, all the following are seen except:

126. False regarding conn’s syndrome:

127. Excess aldosterone is not associated with:

128. A 25 year old man presents with hypertension. His serum sodium is 145mEq/L , potassium is 1.3 mEq/L and serum creatinine is 1.2 mg. Most likely diagnosis is:

129. Cushing’s syndrome is commonly caused by:

130. Pernicious anemia is due to deficiency of:

131. False regarding pernicious anemia:

132. In which of the following condition increased gastrin levels with decreased HCI level is seen:

133. Decreased protein content in pleural effusion is seen in:

134. In which of the following conditions does hyperglycemia occur:

135. In antiphospholipid antibody syndrome all the following are seen except:

136. A young lady with spontaneous abortions has a history of joint pains and fever. She currently presents with thrombosis of her leg vein. Her aPTT is prolonged. The diagnosis is most likely to be:

137. Medullary cystic disease of the kidney is best diagnosed by:

138. A patient presents with hypertension and dizziness. The X-ray shows anterior rib nothcing. The diagnosis is most likely to be:

139. Renal vein thrombosis ismost likely in which of the following conditions:

140. Renal osteodystrophy differs from nutritional and metabolic rickets due to the presence of:

141. A 10 years old child presents with anemia and recurrent fractures. The X-ray shows diffuse hyperdensity of bone. The diagnosis is most likely to be:

142. While inserting a central venous catheter, a patient develops respiratory distress. The most likely cause is:

143. While undergoing central venous catheterization through internal jugular vein, the patient suddenly developed respiratory distress and hypoxemia. Most likely cause is:

144. The systeme international d’ unites (SI) unit for blood pressure is:

145. Which of the following is not seen in atrial myxoma:

146. Lentigines and blue nevus are associated with which of the following cardiac lesion :

148. False regarding atrial myxoma is:

149. True regarding cardiac myxoma is:

150. which is not true of sporadic myxoma:

151. Left atrial myxoma is best diagnosed by:

152. The most common intracavitary benign cardiac tumor is:

153. A patient with nephrotic syndrome with longstanding corticosteroid therapy may develop all of the following except:

154. Roth’s spots are seen in the :

155. Roth’s spots are seen in:

156. not a clinical feature of SABE :

157. osler’s nodes are seen in:

158. Isolated hematuria is not seen in:

159. In a patient with raised IgA levels the most common finding is:

160.Not commonly seen in hemochrmatosis:

162. Macula ceruleae is seen in:

163. Organ least involved in primary hemochromatosis is:

164. Most common type of lung carcinoma is:

165. Decreased serum iron and total iron binding capacity is seen in:

166. A 7 years old anemic child has decreased serum iron level and low serum iron binding capacity. The anemia is:

167. best treatment for hairy cell leukemia is:

168. Treatment of choice in hairy cell leukemia is:

169. not used in the treatment of hairy cell leukemia:

170. Not present in cardiac tamponade:

171. Finding in cardiac tamponade is:

172. Long Q interval is not seen in:

173. Hypokalemia causes:

174. Not seen in hypokalemia:

175. Blue-green pus is seen in infection of:

176. Which of the following is true regarding human plague:

177. Incubation period of plague is… days:

178. Conjugated hyperbilirubinemia is seen in :

179. not seen in scurvy in adults:

180. Not a clinical manifestation of scurvy in children:

181. Clubbing and hemoptysis is seen in:

182. False regarding Zollinger –Ellison syndrome is:

183. Not seen in asthma:

184. Definite diagnosis of bronchial asthama is made by:

185. Most common presentation of unilateral renal artery stenosis is:

186. In tension pneumothorax, drainage tube is inserted through:

187. Recurrent hematuria in a deaf-mute is seen in:

188. True regarding classic Alport’s syndrome is:

189. Initial sign of Alport’s syndrome is:

190.Characteristic initial manifestation of Alport’s syndrome is:

191. best investigation for hyperthyroidism is:

192. Most diagnostic test for primary hypothyroidism is:

193. In hypothyroidism, treatment response is monitored by:

194. In subclavian steal syndrome the blood flow in vertebral artery is:

195. Polyuria with low fixed specific gravity is seen in:

196. Bone marrow leukocytosis is not seen in:

197. In a case of kala azar aldehyde test becomes positive after positive after:

198. Most common cause of intracerebral bleeding is:

199. the most common site of cerebral hemorrhage in hypertension is:

200. Specific diagnostic investigation in DIC is:

201. Diagnosis of disseminated intravascular coagulation is best confirmed by:

202. Not a laboratory findings of DIC:

203. not a feature of DIC:

204.False regarding DIC:

205. Disseminated intravascular coagulation is not seen in:

206. Not included in the treatment of disseminated intravascular coagulation :

207. Fanconi syndrome Is associated with:

208. Regarding Fanconi syndrome all are correct except:

209. Drug not used in thyrotoxic crisis is:

210. Most important drug used in acute MI with multiple ectopic:

211. Most of the death in myocardial infarction results in the… day:

212. ATT used in patients of renal failure is:

213. In acute respiratory failure, most frequent abnormality seen in ECG is:

214.Psychiatric manifestations are common in:

215. Not a feature of acute intermittent porphyria:

216.Not a clinical feature of SLE:

217. Bronchiectasis, eosinophilia and asthma are seen in:

218. In which of the following condition, allergic bronchopulmonary aspergilosis is seen:

219. False regarding allergic aspergillosis is :

220. False regarding allergic bronchopulmonary aspergillisis is:

222. In pre-excitation syndrome ECG shows:

223. Drug of choice in WPW syndrome with atrial fibrillation is:

224. The best treatment for Wolf-parkinson white syndrome is;

225.Paroxysmal nocturnal hemoglobinuria is due to:

226. Troglitazone is the drug used in the treatment of:

227.Not an important feature of paroxysmal nocturnal hemoglobinuria:

228. not a feature of paroxysmal nocturnal hemoglobinuria is;

229. Folic acid deficiency in megaloblastic anemia is due to:

230. not a clinical feature of Henoch-Schonlenin purpura:

231. False regarding Henoch-Schonlenin purpura:

232. not a feature of Henoch-Schonlenin purpura:

233. Not a characteristic feature of Henoch-Schonlein purpura:

234. Important feature of Henoch-Schonlein purpura is:

235. Thrombocytopenia is seen in all except:

237. Single drug used in prophylaxis of tuberculosis is:

238. not a cause of hypokalemia:

239. all the following are features of Bartler’s syndrome except:

240. Sensory involvement is not seen in:

241.All are seen in Wilson’s disease except:

242.Not a feature of Wilson’s disease :

243. Not a feature of Wilson’s disease:

244. All of the following are true about Wilson’s disease except:

245.Wilson’s disease is due to deposition of:

246. not seen in Wilson’s disease :

247. All are the features of Wilson’s disease except:

248. not a recognized feature of Wilson’s disease:

249. Characteristics of wilson’s disease include:

250. The term “crossed aphasia” means:

251.Glucagonoma is characterized by which of the following skin disorders:

252. hypophosphatemia is not caused by:

253.REticulocyte count is not increased in which of the following :

254. True regarding anton syndrome is:

255. In giardiasis, malabsorption is due to:

256. All of the following are effective in giardiasis except:

257. All are seen in hepatorenal syndrome except:

258.Most common congenital heart disease (CHD) is:

259. A patent ductus is necessary for survival for all the following conditions except:

260. All are false regarding VSD except:

261.Cardiac manifestation of Williams’ syndrome is:

262. False regarding thymoma:

263. In thymoma, all are seen except:

264. not associated with thymoma:

265. Thymoma is not associated with:

266. Thymoma is associated with:

267.Thymoma is not associated with:

268. not a clinical feature of tabes dorsalis is:

269. False regarding tabes dorsalis is:

270. False regarding tabes dorsalis is:

271. Not a clinical feature of hypertrophic cardiomyopathy:

272. False regarding hypertrophic cardiomyopathy is :

273. False regarding hypertrophic obstructive cardiomyopathy:

274. False regarding hypertrophic cardiomyopathy is:

275.False regarding renal tubular acidosis is:

276. False regarding renal tubular acidosis is:

277. False regarding renal tubular acidosis:

278.Anion gap is not increased in:

279. Widened anion gap is not seen in:

280. normal anion gap in humans is (in mmol/L):

281. The major contribution to anion gap is from:

282. Raised anion gap in blood is seen in all the following except:

283. Antifreeze poisoning results in:

284. A patient has drunken antifreeze of car. Metabolic finding will be:

285. CSF finding in aseptic meningitis is:

286. not aCSF finding in tubercular meningitis:

287.Not a characteristic CSF change in acute pyogenic meningitis:

288. In pyogenic meningitis the CSF finding is:

289. The most common cause of Addison’s disease is:

290. Feature of Addison’ s disease is:

291. Characteristic feature of Addison’s disease is:

292. most common presentation of primary hyperparathyroidism is:

293. False regarding menetrier’s disease is:

294. Not a presenting feature of Menentrier’s disease :

295. Fatal familial insomnia is associated with:

296. Creutzfeldt-Jakob disease is caused by:

297. Kuru is caused by:

298. Most common malignancy seen in AIDS patients is:

299. All are HIV associated malignancies except:

300. s Drug of choice in acute migraine is:

301. Drug not used in migraine :

302. Drug of choice for acute attack of migraine is:

303. Drug of choice is acute migraine not responding to aspirin is:

304.Severe migraine is treated with:

305.Most common site of pyogenic liver abscess is:

306.s X-linked recessive disorder is:

307. G6PD deficiency is genetically :

308. Not an X-linked disease:

309.s Drug of choice for tropical pulmonary eosinophilia is:

311. Ranson criterion isused in:

312. Not included in the Ranson criteria for the prognosis of acute pancreatitis:

313.Not a prognostic marker is acute pancreatitis:

314. Acute pancreatitis cannot occur in:

315. Not a cause of acute pancreatitis:

316. Causes of pancreatitis are all the following except:

317.Organism which causes pancreatitis:

318. All are false regarding Klinefelter’s syndrome except:

319. Not a clinical feature of Klinefelter’s syndrome:

320. In klinefelter’s syndomre , the chromosomal pattern is:

321. Translocation from 8 to 14 is seen in:

322. Neisseria infection is characteristic of deficiency of;

323. Severe cyanosis with left axis deviation is seen in:

324. Cyanosis with left ventricular hypertrophy is caused by:

325. ‘possibility’ of right axis deviation is found in all except:

326. False regarding tricuspid atresia is:

327. Major criteria for AIDS does not includes:

328. Diameter of normal mitral valve orifice is:

329. Left ventricular dysfunction is seen in:

330.Left ventricular hypertrophy is not seen in:

331.s Lung carcinoma with worst prognosis is:

332.False regarding Gaucher’s disease is:

333. False regarding Kawassaki’s disease is:

334. Not a characteristic feature of Kawasaki’s disease :

335. Not a feature of Kawasaki’s disease:

336. Kawasaki’s disease is treated with:

337.Sudden pain in thyroid nodule indicates:

338.Kussmaul’s breathing is due to presence of:

339.Kussmaul’s breathing is seen in:

340. Initial treatment of shy-drager syndrome is:

341. Cardiomyopathy is seen in;

342. Most common cardiac anomaly in Friedreich’s ataxia is:

343. Bilateral absent ankle jerk with extensor planter reflex is seen in:

344.Tutubation is characteristic of lesion in:

345.Hallmark of polymorphic ventricular tachycardia is:

346. Torsades de pointes are seen in:

347. In Torsades de points are seen in:

348. Not a blood borne disease:

349. False regarding hepatitis E is:

350.Most common route of spread in hepatitis E is:

351. Most dangerous hepatitis in pregnancy is:

352.True regarding hepatitis E is:

353. Dane particle pertains to:

354. Best means of giving hepatitis B vaccine is:

355. Incubation period of hepatitis B is:

356. Korsakoff’s psychosis is due to involvement of:

357. Unconjugated hyperbilirubinemia is seen in all the following except:

358. Most severe hyperbilirubinemia occurs in:

359. Autosomal dominant inheritance is seen in:

360. Disorder genetically transmitted by single autosomal dominant gene is:

361. Chvostek’s sign and Trousseau’s sign is seen in:

362.HLA matching is not necessary in which of the following organ transplantation:

363. Lyme disease is caused by:

364. All the following diseases are transmitted by flea bites except:

365. In temporal lobe epilepsy treatment is:

366.Chronic Inflammatory bowel disease is associated with which of the following:

367. Ulcerative colitis is not accompanied by:

368. In diabetes mellitus ‘hypoglycemia unawareness’ is due to :

369. hypoglycemia unawareness in diabetes mellitus is because of:

370. Insulin resistance is due to:

372.Not a characteristic feature of Turner’s syndrome :

373. 45, Chromosomal anomaly, short stature and genital infantilism are seen in:

374.HbA 1 is :

375. Significance of glycosylated hemoglobin is:

376. Glycosylated hemoglobin which indicates good control of diabetes is:

377. Increased cardiac silhouette is not seen in:

378. Boot shaped heart with pulmonary oligemia is seen in:

379. Drug essential in sheehan’s syndrome is:

380.Poor prognostic factor in scleroderma is:

381. Virus implicated in hepatocellular carcinoma is:

382.Most common predisposing factor for hepatocellular carcinoma in india is:

383. Small intestine biopsy is diagnostic in:

384. Electrical alternans in ECG Is seen in:

385. Electrical alternans is seen in:

386. Most common age of presentation of gastric ulcer is:

387. Most common cardiac manifestation of sarcoidosis is:

388.Romberg’s sign indicates dysfunction of:

389. HLA B-27 is not associated with:

390. HLA B -27 is not associated with:

391. Ankylosing spondyltis is associated with:

392. Rheumatoid arthritis is associated with:

393. Palatal myoclonus is seen in:

394. Progressive multifocal leukoencephalopthy is caused by:

395.Malarial relapse is due to:

396. Not seen in Dressler’s syndrome:

397. Herpes –Zoster most commonly affects:

398. Zoster recurrence occurs after infection with:

399. Sezary syndrome is:

400. Mallory-Weiss syndrome is:

401. In phenothiazines induced dystonia the drug of choice is:

403. Toxoplasmosis in pregnancy Is treated with:

404. Drug of choice for ocular toxoplasmosis is:

405. In what percentage of patients with anorexia nervosa, amenorrhea is present:

406. Not a feature of anorexia nervosa:

407. Drug of choice in anorexia nervosa is:

408. Sturge-Weber syndrome is associated with:

409. False regarding Sturge-Weber syndrome is:

410. All of the following are anterior mediastinal masses except:

411. Most common anterior mediastinum tumor is:

412. Not an anterior mediastinal tumor:

413. Not a middle mediastinal mass:

414. Most common lesion of middle mediastinum is:

415. Most common tumor of posterior mediastinum:

416. Most common tumor of posterior mediastinum is:

417.Inherited disorder of metabolism is:

418. not associated with microcytic hypochromic anemia:

419. Most common cause of death in acute poliomyelitis is:

420. Most common presentation of craniopharyngioma is:

421. Most common clinical feature of craniopharyngioma is:

422. Not a clinical feature of Eaton-Lambert syndrome:

423. Nephrocalcinosis is seen in all except:

424. False regarding hemolytic uremic syndrome is:

425. Not seen in hemolytic uremic syndrome

426.Not a feature of hemolytic uremic syndrome:

427. Not a feature of hemolytic uremic syndrome:

428. Characteristic finding in peripheral blood smear of a patient of hemolytic uremic syndrome is:

429. Minimum Pericardial fluid is best detected by:

430. Most common site for amebiasis is :

431. Most common cause of Cushing’s syndrome is:

432.Fasciculations are seen in:

433. Motor neuron disease is characterized by:

434. all are paraneoplastic syndrome except:

435. In cryptococcal meningitis the drug of choice is:

436.Whihc of the following is not a feature of digitalis toxicity :

437. Not used in treatment of digitalis toxicity:

438.Treatment of digoxin overdose does not include:

439. Lignocaine is not used in:

440. Not a disease modifying antirheumatoid drug (DMARD):

441. Gold salt can be used in:

442.Not a disease modifying antirheumatic drug:

443. In rheumatoid arthritis gold and penicillamine are used because:

444. A patient has polyostotic fibrous dysplasia, precocious puberty and pigmentation, most likely

445.A patient has seizures with mental retardation and sebaceous adenoma. Most likely diagnosis is:

446. Not seen in tuberous sclerosis:

447. Aspirin sensitive asthma is associated with:

448. In prinzmetal’s angina, the drug of choice is:

449. drug not much useful in prinzmetal’s angina is:

450.s Hyperparathyroidism is most commonly caused by:

451.Most common cause of hyperparathyroidism, :

452. Most common cause of primary hyperparathyroidism is:

453. Retinopathy in diabetes mellitus depends upon:

454. Tumor metastasis spread through CSF is:

455. Brain tumor associated with CSF invasion is:

456. Craniospinal irradiation is useful in which of the following conditions:

457. Sickle cell anemia Is due to:

458. Most common cause of osteomyelitis in sickle cell anemia is;

459. most common tumor to metastasize in heart is:

460. In SABE diagnosis is made by:

461. In anemia of chronic disease there is:

463. Bromocriptine is used to treat:

464.Bromocriptine is not useful in:

465. Osteitis fibrosa cystica is seen in:

466. Acute aortic regurgitation is not seen in:

467.s A 25 year old basket ball player has height of 188cm and arm span 197 am weight 76kg and blood pressure 140/60mmHg . Auscultation revels long diastolic murmurs at 3rd ICS. Most likely diagnosis is:

468. Aortic regurgitation is not seen in:

469. Aortic regurgitation is not seen in:

470. A 60 year old man presented with soft tissue tumor, vertebral collapse, bony pain and rib erosion. Most likely diagnosis is:

471. In multiple myeloma best indicator of prognosis is:

472. best marker for prognosis of multiple myeloma is:

473. Serum alkaline phosphate is not raised in:

474. False regarding multiple myeloma is:

475. In which of the following condition Ý glutamyl transpeeptidase is elevated:

476. Specific enzyme elevated in alcoholism is:

478. Angina pectoris and syncope are most likely to be associated with:

479. Recurrent chest pain and syncope is commonly seen in:

480. Sudden death is common in:

481.Not a feature of Behchet’s syndrome:

482. In Behcet’s syndrome:

483. which of the following is a feature o behcet’s syndrome:

484. Hemiplegia is commonly associated with infarction of area of distribution in… artery:

485. Normal portal venous pressure is:

486. Characteristic feature of frontal lobe tumor is:

487. Frontal lobe lesion causes:

488. most common manifestation of osteoporosis is:

489. In thyrotoxicosis β blockers do not control:

490. Marker of acute hepatitis B is:

491. Acute infection of hepatitis B virus is characterized by:

492. A donor for blood transfusion is screned for hepatitis B. All are safe except:

493.Hepatitis B infectivity is indicated by:

494. ‘a’ wave inJVP is absent in:

495. not a feature of Marfan’s syndrome:

496.not a clinical feature of Marfan’s syndrome:

497. Gas gangrene is most commonly due to:

498.Food poisoning is caused by all except:

499. Food poisoning with incubation period of less than 6 hours and which is not fatal is:

500. dose of mercaptopurine requires reduction with:

501. Most common enzyme deficiency is:

502.Hemophilia is associated with all except:

503. Not a feature of hemophilia :

504. Not a characteristic feature of hemophilia A:

505. Least likely cause of a prolonged bleeding time is:

506.s A patient presented with ecchymoses and petechiae all over body with increased bleeding time and normal clotting time. All of the following points to the diagnosis except:

507. Acute bronchiotitis is most commonly caused by:

508. For diagnosis of acute rheumatic fever, the essential feature is;

509. Most common cause of mediastinitis is:

510. Not a malignant tumor:

511. Coarctation of aorta is not associated with:

512. Not a feature of coarctation of aorta:

513. In mitral stenosis:

514. Bilateral hilar lymphadenopathy and noncaseating granuloma is seen in:

515. Spinal segment in knee jerk is:

516. Adult polycystic kidney is:

517. In adult polycystic kidney, all are true except:

518.Not a manifestation of polycystic kidney:

519. False regarding clozapine is:

520. Most common cause of amebic lung abscess is:

521. Warm autoimmune hemolytic anemia is not seen in:

522. Cold antibodies are seen in all except:

523.Donath-Landsteiner antibody is seen in which of the following conditions:

524. Hyperprolactinemia is caused by all except:

525. Budd-Chiari syndrome is due to:

526. Most common cause of Budd-Chiari syndrome is:

527. Budd- chiari syndrome is not caused by:

528. False regarding Budd-Chiari syndrome:

529. Drug not used in anthrax is:

530. Drug of choice for anthrax is:

531. Cysticercosis in brain is caused by:

532. Graham steel murmur is heard in:

533. Austin flint murmur is seen in:

534. Murmur in Eisenmenger’s complex is:

535. Not included in treatment of Helicobacter pylori:

537. Which of the following drug is not used to eradicate Helicobacter pylori:

538.s Not used for diagonosing Helocobacter pylori is:

539. Correct statement regarding regarding Helicobacter pylori is:

540. Regimen used for eradication of Helicobacter pylori gastritis is:

541.Not caused by Helicobacter pylori:

542. Drug not used in management of acute attack of asthma is:

543.All of the following are useful for treating acute bronchial asthma in children except:

544. Smoking is not associated with malignancies of:

545. Smoking predisposes to all except:

546. Upper motor neuron lesion cause:

547. Myotonic dystrophy gene iscoded at chromosome:

548. Not seen in Laurence-Moon-Biedl syndrome:

549.s Dethylcarbamazine citrate acts on:

550. Hand-foot and mouth disease is caused by:

552. Not a bactericidal drug:

553.IgA induced vasculitis is seen in:

554. Digitalis is contraindicated in cardiac failure caused by following:

555. True regarding right ventricular infarction:

556.s Acute right ventricular infarct is treated with:

557. Ascarbose used in diabetes mellitus acts by:

558. Prosopagnosia is:

559. Hepatic encephalopathy is not precipitated by:

560. Acute hepatocellular feature is most likely to be precipitated by:

561. most common cause of subarachnoid hemorrhage is:

562. A 25 year old man develops sudden headache with loss of consciousness. CSF is blood stained most likely diagnosis is:

563. Subarachnoid hemorrhage is caused by:

564. LVH is seen in:

565. Primaquine causes hemolysis in:

567. In PSVT the drug of choice is:

568. Hypoglycemia is seen in:

569. False regarding chronic bronchitis is:

570. nasal allergy is most often due to:

571. loud s3 is a feature of :

572. Most common cause of organic amnestic syndrome is:

573. Chemical transmitter in REM sleep is:

574. Leigonnaires’ disease causes:

575. Pontiac fever is caused by:

576.A 28 year old lady presented with diarrhea, confusion and high grade fever and headache with bilateral pneumonitis. The causative agent is:

577.In hepatic encephalopathy the antibiotic which retards NH3 formation and absorption is:

578. Drug not used in hepatic encephalopathy is:

579.A patient presents with hyperpigmented lesion on mucosa of lip and oral cavity. She has melena and her elder sister also has similar complains. Most likely diagnosis is:

580. A female patient presents with pigmentation of the lips and oral mucosa and colonic polyps. Her sister also has the same history. The diagnosis is:

582.s Drug not used in prophylaxis of meningococcal meningitis:

583.Palpable purpura is seen in all except:

584. Palpable purpura is seen in all except:

585. Non pappable purpura is seen in:

586. A 35 year old man has carcinoma bronchus with decreased pulmonary functions. Which of the following drug shoud not be given to him:

587. Hepatitis C is associated with :

588. Autosomal dominant inheritance is seen in:

589. A 28 year old male comes with history of exposure 3 weeks back, having cervical lymphadenopathy. Hepatsplenomegaly. The early diagnosis of HIV is done bby:

590. A 65 year old female meena gives the history of severe unilateral headache on the right side and complains of blindness since 2 days. On examination there Is a thick cord like structure on the lateral side of the head. The ESR is 80 mm/hr in the first hour. The most likely diagnosis is:

591. False regarding temporal arteritis is:

592.A HIV positive patient has intractable seizures and cerebral calcification. Most likely organism is:

593.An 8 year old child suffering fro recurrent attacks of polyuria since childhood presents to the pediatric OPD. On examination , the child has short stature, vitals and BP is normal . serum creatinine is 6 mg% HCO3-- 16mEq. Na+ 134, K+ 4.2 on USG bilateral small kidneys are seen. The most likely diagnosis is:

594. Right sided infective endocarditis cannot occur in:

595. Infective endocarditis is least likely to occur in:

596. Mycosis fungoides is best treated by:

597. Dopamine is preferred in shock because:

598. The most frequent cause of peripheral cyanosis is:

599. Cyanosis is not seen in patient with severe anemia because:

600. Cyanosis is not caused by:

601. About central cyanosis true is:

602. A 20 year old girl with UTI on treatment develops blue lips and nails with normal vitals:

603.All of the following are true about primary CNS lymphoma except:

604. Drug of choice for acute gout is:

605. The treatment of choice for intestinal and extraintestinal amebiasis is:

606. All the following are used in the treatment of hypertension emergencies except:

607. The histological finding in acute rheumatic fever which would best aid in diagnosis is:

608. All the following are seen in nephrotic syndrome except:

609. Which of the following is/are true about nephrotic syndrome:

610. Nephrotic syndrome is not associated with:

611. A 2-year old boy developed generalized pitting edema in 7 days and significant decreased in urinary output. His blood pressure is 104/70 mmHg , urine examination shows hyaline cast +; proteinuria +++; no WBC and RBC. Most likely diagnosis is:

612. not seen in nephrotic syndrome:

613. In nephrotic syndrome, levels of all serum proteins decrease except:

614. A young child had nephrotic syndrome and was started on steroids. He was responding to steroid

615. In nephrotic syndrome due to minimal change disease, the pathology is:

616.Neurotransmitter involved in nigrostriatal pathway is:

617.The pathology in parkinsonism lies in:

618. Which of the following complication of diabetes cannot be prevented by strict control of blood sugar:

619. False regarding CRF:

620. Not common in alcoholism:

621.False regarding cholera is:

622. Diagnostic of thiamine deficiency is:

623. Not seen in Brown-Sequard’s syndrome :

624. Not used in treatment of hypercalcemia :

625. Not used in the treatment of hypercalcemia:

626. Not a treatment of hypercalcemia :

627. Not a feature of magnesium deficiency :

628. Dawn phenomenon is:

629. Colchicine is not used in;

630. Shrinking lung syndrome is seen in:

631. lesion of caudate nucleus is produces:

632. Semi-Purposive movements in a boy are generally seen in:

633. Hypersensitive pneumonitis is associated with which of the following:

634.s Site of action of blocking immunoglobulin in myasthenia gravis is:

635. Not a characteristic feature of myasthenia gravis:

636. Not an indication for thymectomy in myasthenia gravis:

637.Characteristic feature of idiopathic hypoparathyroidism is:

638. Myasthenia gravis is diagnosed by using:

639. Best diagnostic acid to myasthenia gravis is:

640. In pneumocystis carinii pneumonia the treatment of choice is:

641. In severe pneumocystis cell carinii pneumonia , the drug of choice is:

642. In hypokalemia the ECG finding is:

643. HBsAg carrier status is associated with all except:

644. Most common complication of prosthetic valve is:

645. In drug addicts endocarditis is common due to:

646. Prosthetic valve endocarditis is most commonly caused by:

647.In IV drug users, most common heart valve involved is:

648. Bronchial asthma is associated with raised levels of:

649. Asymmetrical radial pulse is seen in which of the following:

650. Vaccine not recommended in symptomatic patient of HIV is:

651. In HIV patient the most common form of tuberculosis is seen in:

652. PUO in a farmer dealing with goat’s milk is likely due to:

653. Not seen in CRF:

654. Which of the following changes of chronic renal failure is not improved by dialysis:

655. Bleeding time is prolonged in:

656.False regarding von Willebrand’s disease :

657. Most common mode of inheritance of von Willebrand’s disease is:

658. Murmur of idiopathic hypertrophic cardiomyopathy is increased by all except;

659. Murmur of HOCM is decreased in:

660.100% HLA association is seen with:

661. Histocompatibility complex associated with narcolepsy is:

662. In immunocompromised patients the intestinal parasitic disease is:

663. Anterior uveitis is seen in:

664. Kussmaul’s sign is not seen in:

665.Not included in the triad of Huntington’s disease:

666. a 40 year old patient has 2 episodes of headache daily for last 2-3 weeks, and no previous history of similar disease. Headache wakes him from sleep and remains for one hours associated with lacrimation, and nasal abnormality. Most likely diagnosis is:

668. A young patient presents with jaundice, his bilirubin is 21mg%; direct is 9.6 mg% , alkaline phosphate is 84 KA units . most likely diagnosis is:

669.A young male with gallbladder stone, has serum bilirubin 2.5, hemoglobin 6 gm% urine shows urobilinogen positive . most likely diagnosis is:

670.s not seen in steele-Richardson –Olszewski syndrome:

671.A 45 year old man has history of dementia, ataxia, and difficulty in downward gaze. Most likely diagnosis is:

672. A 60 year old man has repeated fall and develops rigidity and ophthalmoplegia. Most likely diagnosis is:

673.Chromosomal anomaly associated with Alzheimer’s dementia is:

674. Alzheimer’s disease typically affects:

675. A 48 year old obese patient with random blood sugar 400mg% , urine sugar and ketones positive. Most appropriate drug in this scenario is:

676. Not seen in hemoglobin electrophoresis in sickle cell anemia:

677. a 50 year old chronic smoker presented with history of hemoptysis. He was having truncal obesity and hypertension , an elevated ACTH level which was not suppressible with high dose dexamethasone. Most likely diagnosis is:

678. hypercalcemia is common in:

679. Hypercalcemia occurs in which type of lung cancer:

681. Most common type of ASD is:

682. False regarding ASD is:

683. Not a clinical feature of ostium secundum type ASD;

684. Wide splitting of S2 is seen in:

685. Reversed splitting of S2 is seen in all except:

686. Most common fungal infection seen in febrile neutropenic patient is:

687.Treatment of choice of a patient of CLL with systemic symptoms is:

688. Leukemia associated with autoimmune hemolytic anemia is:

689. Amylase is increased in pleural effusion in following condition:

690. which of the following is false regarding neurocysticerosis:

691. neurocysticercosis is diagnosed by:

692. True regarding neurocysticerosis is:

693.Not used in the treatment of cysticercosis:

694. Not caused by hypervitaminosis A:

695.Mononeuritis multiplex is seen in:

696. Mononeuritis multiplex is a feature of:

697.Episodic muscle weakness does not occur in:

698. Episodic generalized weakness is not caused by:

699. Flapping tremors are seen in all except:

700.Asterixis (Flapping tremor) is seen in:

701. Flapping tremor is not seen in:

702. In hyperprolactinemia the investigation of choice is:

703. Best diagnostic test for bronchiectasis is:

704. Hyperkalemia does not occur in:

705.Rhinocerebral mucormycosis canoccur in all except:

706.which of the following does not change with age:

707. Idiopathic orthostatic hypotension is also known as:

708. which of the following is true about maladie de Roger:

709. white patch in the throat may be due to:

710. Turner’s sign is seen in:

711.Hemoptysis is seen in:

712. Reticulocytosis is not seen in:

713. Which of the following drugs cause diarrhea:

714. In methemoglobinemia:

715. Isolated 3rd nerve palsy is seen in:

716. which carcinoma of lung responds best to chemotherapy:

717. Mee’s lines in the nails are characteristic of which poisoning:

718. Myocardial rupture as a result of myocardial infarction occurs usually during the:

719. A patient of inferior wall infarction develops shock on 3rd day. Most common cause is:

720.s Chemoprophylaxis is used in all except:

721. hypersegmented neutrophils are seen in:

722. Not a feature of rheumatic heart disease in our country:

723. In rheumatic fever, earliest valvular lesion is:

724.Themost common heart valve abnormality in acute MI is:

725. Routine screening for Down syndrome is done If maternal age is above:

726. True regarding Barrett’s esophague is:

727. Adenocarcinoma is commonly found in:

728. Barrett’s esophagus may lead to:

729. In nonsmokers the most common type of bronchogenic carcinoma is:

730. Recovery of myocardium after myocardial infarction occurs in about ….. weeks:

731. Hyperbaric oxygen is used in:

732. not associated with EBV:

733.In Noonan’s syndrome the cardiac anomaly is:

734. False regarding fibrolamellar carcinoma of liver is:

735. False regarding fibrolamellar carcinoma of liver:

736. Best prognosis is of:

737. True regarding rabies is:

738. The characteristic feature of rabies is:

739. Human bite infection is commonly caused by:

740. False regarding thoracic outlet syndrome:

741. Zenker’s diverticulum presents with:

742. macrocytic anemia is seen in all except:

743. False regarding hepatocellular carcinoma is:

744. Aflatoxin may cause:

745. In rheumatoid arthritis (RA) characteristic joint involvement is:

746. In rheumatoid arthritis, part of spine involved is:

747. All are caused by lupus anticoagulant except:

748. leukocyte alkaline phosphatase is not increased in:

749. Not a manifestation of insulinoma :

750. Not a characteristic feature of insulinoma:

751. In acute myocardial infarction, earliest finding of ECG is:

752. Most common cause of lactic acidosis during the treatment of diabetes is:

753. piecemeal necrosis on liver biopsy is seen in:

754. Most common malignant change seen in renal transplant is:

755. In ulcerative colitis the drug of choice is:

756. heberden’s nodes are seen in:

757. Paradoxical breathing is characteristic of:

758. False regarding diaphragmatic paralysis :

759. In which of the following condition, paradoxical respiration is seen:

760. Hirsutism is caused by all of the following drugs except:

761. brain tumor associated with CNS invasion is:

762. Not a cause of osteoporosis:

763. osteoporosis is not seen in:

764. Osteoporosis is not seen in:

765. osteoporosis is not seen in :

766. osteoporosis is not seen in:

767. Not a cause of osteoporosis:

768. Familial hypercholesterolemia is because of :

a. Familial lipothomas lipase deficiency b. Familial hypertriglyceridemia

770.Zinc deficiency causes:

771.Not a manifestation of Zinc deficiency:

772. Blood culture is indicated in all except:

773.Not seen in hyponatremia:

774. Earliest indicator of sodium loss is:

775. In rheumatoid arthritis, common type of anemia is:

776. Not a complication of rheumatoid arthritis:

777. Most common site of iatrogenic rupture of esophagus is:

778.Spontaneous rupture of spleen is seen in:

779. Not a characteristic feature of plummer-Vinson syndroma:

780. Inappropriate ADH secretion (SIADH) is not seen in:

781. SIADH is associated with which of the following :

782. SIADH occurs in all except:

784. Not a feature of Wallenberg’s syndrome:

785. Not a characteristic feature of lateral medullary syndrome:

786. not a feature of lateral medullary syndrome:

787. Tumor common in AIDS is:

788. In patients of AIDS least common tumor is:

789. In which of the following condition, concentric hypertrophy of left ventricle is seen:

790. the following conditions predispose to leukemia:

791. AML is seen with increased frequency in all except :

792. Galactorrhea is not seen with the use of:

793. Disorder of language of cerebral origin is;

794. lesion in inferior frontal gyrus causes:

795. Most common type of aphasia in AD is seen in:

796.Recurrent giardiasis is common in:

797. Viral meningitis is most commonly caused by:

798.s Sjogren’s syndrome is not associated with:

799. Alkaline phosphatase is not increased in:

800. Alkaline phosphatase is raised in:

801.s Pure motor neuropathy does not occur in:

802. In primary idiopathic polymyositis, which of the following group of muscles are never involved :

803. In polymyositis which of the following muscle is not involved:

804. In polymyositis, which of the following muscle is not involved:

805. 4th heart sound is heard in all except:

806. In 1998, Noble prize for research in medicine was given for:

807.Not associated with hypercoagulable state:

808. A patient of AIDS with pneumocystis carinii infection is treated with aerosol pentamidine. He may develop all of the following except:

809. An HIV patient with perihilar infiltrates and without pleural effusion in the X-ray is most likely to have:

810. Non –synchronized DC shock is given in:

811. Vaccine prescribed to a child with nephrotic syndrome is:

812. Pneumococcal vaccine is not indicated in:

814. A 50 year old asymptomatic man on routine investigation was found to have 3 times increased alkaline phosphatase with normal serum calcium and phosphorus. Most likely diagnosis is:

815.Interferon is not used in:

816. Interferon is not used in:

817. Insulin resistance is not seen in:

818. Gonadectomy is done in:

819. Complication of sickle cell anemia is:

820. Clubbing is not seen in:

821. Clubbing is not seen in:

822. Garderner’s syndrome has all of the following except :

823. False regarding Gardener’s syndrome is:

824. Not a cause of CNS vasculitis:

825. Which of the following is the single recessive gene inherited disease:

826. Bronchial adenoma commonly presents as:

827. most common trosomy among the following is:

828. In cerebral aneurysm rupture which of the following nerve is involved:

829. All of the following metastatic tumors compress spinal cord except:

830. Nosocomial pneumonia is caused by which of the following organism:

831. Not apredisposing factor of Alzheimer’s disease:

832. False regarding subacute combined degeneration:

833. Pyramidal tract involvement with absent ankle jerk is seen in:

834. blood of patient is anti HBsAg (HBsAb) positive but all other tests are negative. This may be due to:

835. Most important prognostic factor in an infarct case is:

836. Not associated with carpal tunnel syndrome:

837. not a cause of tunnel syndrome:

838. A 60 year old man, who is a known case of liver cirrhosis, presents with increased levels of AFP, hepatomegaly 3cm below costal margin. USG showed lesions involving the right lobe of liver. Most likely diagnosis is:

839. Which among the following resembles calcivirus:

840. A patient with a bee-sting developed itching and subcutaneous edema, which progressed to involve the face. There was laryngeal edema with difficulty in breathing . the immune mechanism implicated in the causation of these manifestations is:

841. joint least commonly involved inankylosing spondylitis is:

842. Eosinophilia is seen in all except:

843. eosinophilia is not caused by:

844. bilateral parotid gland enlargement is not seen in:

845.To qualify as a solitary pulmonary nodule in chest X-ray size should not exceed:

846. The investigation of choice for a solitary pulmonary nodule is:

847. Risk of transmission of HIV following single needle stick injury is:

848. A doctor, while drawing blood for an HIV positive patient felt a needle stick injury. The prophylaxis

849. About medullary sponge kidney false is:

850. Left sided pleural effusion is seen in:

851. hypocomplementemia is found in:

852. Rubella in fetus is diagnosed by:

853. A pregnant lady is detected to be HBsAg positive at 22 weeks of pregnancy . the treatment of the baby includes:

854. Danazol s given in the treatment of:

855. A newborn baby is affected from encephalitis with skin lesion. The agent is likely to be:

857.Apart from heredity spherocytosis, spherocytes are seen in:

858. Rheumatoid factor is:

859. Rheumatoid factor in rheumatoid arthritis is important because:

860. Not a cause of cor pulmonale:

861. In herpes simplex encephalitis the CT and EEG findings are confined to which of the following lobe:

862. Most common cause of spontaneous pneumothorax is:

863. Spontaneous pneumothorax is not common in:

864.Primary spontaneous pneumothorax is often associated with:

865. Spontaneous pneumothorax is not seen in:

866. Pneumothorax is not a feature of:

867. Following infection associated with AIDS can cause retinal involvement except

868.Fase regarding hypokalemic periodic paralysis is:

869. Thrombin time is prolonged in which of the following :

871. Example of single gene disorder is:

872. Dominant trait express in:

873. Waddling gait is most frequently seen in:

874. Decreased melanin pigmentation is seen in:

875. Fait in parkinsonism is:

876.The defect in thrombasthenia is In :

877. Edema is a feature of:

878. Not included in the differential diagnosis of chylous ascites:

879. pleural calcification is commonly seen in:

880. Investigation of choice to diagnose epilepsy is:

881. Not an indication for bone marrow transplant:

882. Bone marrow transplant is the indicated in:

883. Senile plaques in brain are a feature of:

884. Downbeat nystagmus is characteristic of:

885.Caplan’s syndrome is seen in:

887.Generalized lymphadenopathy is seen in all except :

888. Oral anti-diabetic drug of choice in renal failure is:

889. Mode of action of atrial natriuretic peptide is:

890. Atrial natriuretic peptide acts by:

891. Absolute indication for hemodialysis is:

892. Uncinate fits are seen in tumors of…. Lobe:

893.best treatment modality for CML is:

894. Blast crisis in CML is not indicated by:

895. In CML the drug of choice is:

896. Increased C peptide is seen in:

897. Anterior uveitis and parotid enlargement is seen in:

898.Pellagra like dermatitis is seen in:

899.Part of heart most commonly affected in carcinoid syndrome is:

900. not a recognized feature of carcinoid syndrome :

902. Myoclonic jerk is typically seen in:

903. Not seen in histiocytosis X:

904. The histologic hallmark of langerhans cels granulomatosis is:

905. Macrocytic anemia is seen in all except:

906. Carey-Coombs murmur s found in:

907. Most common cause of death in adults due to PDA is:

908. Most common cause of chronic recurrent diarrhea in HIV patient is:

909. Not used to treat raised ICT:

910.Msot common cause of dementia in people more than 65 years of age is:

911. Holiday heart syndrome is commonly associated with:

912. which is not true regarding alcoholic cardiomyopathy:

913.Extradural hemorrhage is due to rupture of which of the following artery:

914. In hemoptysis, blood usually comes from:

915. Not seen in emphysema:

917. diabetes mellitus is not seen in:

918. Lasegue’s sign is seen in:

919.Neuropathic joint is not seen in:

920. Neuropathic joints are not seen in:

921. True regarding Korsakoff’s psychosis is:

922. Botulinum toxin is used in the treatment of:

923. Pneumocytosis carinii pneumonia is:

924.Not seen in diphtheria:

925. Wenckebach’s phenomenon is defined as:

926. False regarding klebsiella pneumonia:

927. which of the following is false regarding Klebsiella pneumonia:

928. Bulging fissure sign in X-ray is seen in infection with:

929. which of the following drug causes diarrhea:

930. True regarding sickle cell anemia is:

931. Not a good risk factor in multiple myeloma:

932. Pigment gallstones are not seen in:

933. In congenital erythropoietic porphyria the enzyme deficient is:

934. False regarding congenitall erythropoietic porphyria:

935. Differential cyanosis is seen in:

936. Pituitary tumor which is most responsive to medical therapy is:

937. HTLV-I is associated with:

938. SLE like syndrome is not caused by:

939.SLE like syndrome may be caused by:

940. Not seen in Waldenstrom’s macroglobulinemia:

941. Erythema chronicum migrane is seen in:

942. All of the following drugs precipitate hypertensive crisis in pheochromocytoma except:

943.Drug of choice for very high circulatory catecholamine in pheochromocytoma is:

944. Drug not used alone in pheochromocytoma is:

945. Lupus pernio is characteristic of:

946.Not a characteristic lab finding of Wegener’s granulomatosis:

947. Extraparenchymal restrictive lung disease does not occur in:

948.hand-foot syndrome is seen with the use of:

949. Human liver transplant was pioneered by;

950.Gottron’s papule is seen in:

951. penicillamine is not used in…… poisoning:

952.D-penicillamine is useful in all except :

953. D-penicillamine is used in treating:

954.Wrist drop, punctuate basophilia and encephalopathy occur in:

955. A boy presents with ascending paralysis followed by increasing respiratory muscle involvement . CSF examination shows albuminocytologic dissociation. Which of the following is the best treatment:

956.Not used in the treatment of Guillain-Barre syndrome:

957. lesion of the Meyer’s loop of the optic radiation causes:

958. Wernicke’s encephalopathy is due to deficiency of:

959. Not a feature of Wernicke’s encephalopathy:

961.ABG of a patient reveals PH 7.2 HCO3_36 mmol/L; pcO2 mmHg. Most likely diagnosis is:

962. Blood examination of a patient with head injury reveals PH 7.2 PaCO2 65 mmHg and bicarbonate 30. He has:

963. Respiratory alkalosis is seen in:

964. Respiratory acidosis is caused by:

965. Cataract, mental retardation and short 4th metacarpal are the feature of:

966.C-reactive protein is raised in:

967.C-reactive Protein is significantly increased in all the following except:

968. Most common mendelian disorder among the following is:

969. Which of the following is the most common cause of female pseudohermaphroditism:

970. Which of the following is the scale used in comparing the grade of pain:

971. ST depression is seen in all the following except:

972. The shape of RBC is maintained by:

973. Vitamin E deficiency is associated with:

974. Acute leukemia phase is seen in all except :

975. Antihypertensive drug which should not be given to a truck driver is:

976. not seen in SIADH:

977. Reactive arthritis is commonly caused by:

978. Virus most commonly causing aplastic crisis in hemolytic anemia is:

979.s Dementia in a patient of CRF with chronic hemodialysis is due to:

980. Calcification of basal ganglion is least likely in:

981. In morphine poisoning , type of respiration is:

982. Kala azar is transmitted by:

983. not a clinical manifestation of kala azar:

984. If kala azar is not responding to the primary treatment , then which of the following should be used:

985. Drug not used in treatment of kala azar:

986. A continuous machinery murmur is heard in:

987. Curschmann’s spirals in sputum are seen in:

988.Enzyme deficient in diabetes mellitus is:

989. Which of the following enzyme is deficient in MODY type 2:

990. Which antitubercular drug is used in a patient of renal failure:

992. Deposition in alkaptonuria is not seen in:

993.Drug not causing cholestatic liver injury is:

994. Drug very effective in renal involvement in scleroderma is:

995. Treatment of choice of pseudomembranous colitis is:

996. Not used in the treatment of pseudomembranous colitis:

997.Idiopathic ulcerative colitis most commonly involves:

998. Heparin’ s major mode of action is;

999. Efficiency of anticoagulant heparin is best monitored by:

1000. Late systolic murmur is seen in which of the following condition:

1001. Most common cause of osteomyelitis in drug addicts is:

1002.True regarding Lesch-Nyhan syndrome is:

1003. Most specific for systemic lupus erythematosus is:

1004. Most common cause of hemobilia except:

1005. All of the following suggest hemobilia except:

1007. Not a recognized tumor marker:

1008. Acanthosis is not associated with:

1009. Water bottle configuration of the heart on chest X-ray is seen in:

1010. Radiation nephritis is characterized by all except:

1011. Carbamazepine toxicity is precipitated by:

1012. Monday chest tightness is a symptom classifically seen in:

1013. normal mean Reid index is:

1014. Which of the following is not a feature of Addison’s disease:

1015.Drugs causing metabolic acidosis are all except:

1016. Digoxin toxicity is not accentuated by;

1017. Which of the following is not a feature of Felty’s syndrome :

1018. In aortic regurgitation, the left ventricle is:

1019. The human parathormone:

1020. True about Huntington’s disease is:

1021. Broad cast in the urine are typically seen in:

1022. RBC casts in urine are seen in:

1023. Prophylactic dose of tetanus immune globulin is:

1024.The treatment of acute cardiac tamponade is:

1025. Amyl nitrate is used in the poisoning of:

1026. Zieve’s syndrome is seen in:

1027.Relatively specific test for pheochromocytoma is:

1028.Bloody mucoid diarrhea is not seen in infection with:

1029. ASO titers are useful in the diagnosis of:

1030.In the jones criteria for rheumatic heart disease the major criteria are all except :

1031. The major criteria for rheumatic fever are the following except :

1032.Migrating polyarthritis is characteristically seen in:

1033. Which of the following is false regarding rheumatic nodules:

1034. which of the following is not a feature of classical migraine:

1035. Differential diagnosis of mitral stenosis includes:

1036.Differential diagnosis of aortic stenosis includes all except :

1037. Convulsions are commonly precipitated in chronic renal failure by:

1038. In adults jaundice in clinically detachtable in the sclera when the serum bilirubin concentration exceeds:

1039. Hamman-Rich syndrome is treated with:

1040.Which of the following is the best diagnostic method of confirming tuberculous peritonitis:

1041. Important toxicity of ethambutol is:

1042. Optic neuritis is a side effect of:

1043. Metyrapone inhibits:

1044. Which of the following drugs commonly cause aplastic anemia:

1045.Renal papillary necrosis can be caused by;

1046. Which of the following is a form of dyskinesia:

1047. Determination of FLGLU in urine demonstrates deficiency of:

1048. niacin deficiency causes:

1049. Normal TIBC is….. microgram/dl:

1050. Iron is transported by:

1051. In a patient with internuclear opthlmoplegia, the lesion is most likely to be at the level of the :

1053. True regarding adult polygenic kidney disease I and II respectively is;

1054. Anosmia is seen in:

1055.Kartagener’s syndrome all are seen except;

1056. In kartagener’s syndrome all are seen except:

1057. ultrastructural abnormalities reported in immotile cilia syndrome are:

1058.Which of the following is seen in ITP:

1059. Treatment of acute gout includes all except:

1060. postural tremors are seen in all except :

1061.Which of the following is not a feature of hypothyroidism:

1062. Pulsus paradoxus is not seen in:

1063. Chronicity is least common in:

1064. Wermer’s syndrome 9 multiple endocrine neoplasia type) is characterized by all of the following except:

1066. Which of the following is not a feature of mumps:

1067. Most common complication of mumps in adults is;

1068. Which is true regarding von Willebrand’s disease:

1069.Carbamazepine is the drug of choice in:

1070. When carbamazepine is administered one should avoid:

1071.Which of the following is a highly emetic drug:

1072. Which of the following is seen in infectious mononucleosis:

1073. pernicious anemia is due to:

1074.Which of the following drug causes acute pancreatitis:

1075.Staphylococcus aureus commonly inhabits:

1076.Daily requirement of Vitamin K in adult male is:

1077.Antidote of choice in methyl alcohol poisoning is:

1078. Thyroid dysfunction is caused by:

1079. Fungal meningitis is caused by:

1080.In a patient of fever, nausea and mild pain in right hypochondrium, the most probable diagnosis is:

1081. Treatment of choice for typhoid carriers;

1082. hypomagnesemia is caused by which of the following :

1083. which is false regarding Eaton-Lambert syndrome:

1084. True about Ludwig’s angina is:

1085. The treatment of eosinophilic myositis is:

1086. Which is the diagnostic test in pancreatic insulfficiency:

1087.HLA linkage is seen in:

1088. Trace element not needed is:

1089. Risk of development of atherosclerosis is inversely proportional to:

1090. Which of the following decreases the risk of atherosclerosis:

1091.s Sinus bradycardia is seen in:

1092.Hallucination of obnoxious smell occurs in lesion of… lobe:

1093. The highest frequency wave in EEG is…. Wave:

1094. External cardiac massage is usually done in the :

1095. Features of rheumatic carditis are all except:

1097.Air embolism is diagnosed by:

1098.Hepatic granulomas are caused by:

1099. Progressive dementia without focal motor signs is seen is:

1100. Tubercular nephritis is characterized by:

1101.Which of the following combination is not synergistic :

1102. Which of the following is not a feature of bartter’s syndrome :

1103. Pericarditis in rheumatoid arthritis is:

1104. leonine facies is seen in which disease:

1105. Chloroma is associated with:

1106.black urine is seen in:

1107. The treatment of geographic tongue is:

1108. Angular oral fissures are treated with:

1109. Temperature regulation is mostly controlled by:

1110. Progressive dysphagia is seen in :

1111. Hutchinson’s pupil is:

1112. Echolalia is a disorder of:

1113. Factor deficiency in Christmas disease is:

1114. Christmas disease is treated by:

1115. Sweaty feet syndrome is associated with:

1116. Dementia is seen in:

1117. Recurrent painful orogenital ulcerations with arthritis are seen in:

1118. Volume of air taken into the lungs in normal respiration is known as:

1119. The drug not used in donovanosis is:

1120. Drug not used in herpes infection:

1121.The features of Weber’s syndrome include:

1122. Ipsilateral 3rd nerve palsy with contralateral hemiplegia with tremors is known as:

1123.AIDS is caused by…. Virus:

1124. Which of the following is not predisposed to by contraceptive therapy:

1125. Most common presenting feature of bladder carcinoma is:

1126. Which of the following disease increase the risk of active tuberculosis:

1127. the normal respiratory quotient of fat is:

1128. HLA associated with hemochromatosis:

1129. Bence jones proteins are excreted in the urine in:

1130. parasites causing lung injury include:

1131. Mad as a hatter refers to…. Poisoning:

1132.CLonidine is indicated in all except:

1133. ABO hemolytic disease of newborn occurs when the blood group of mother is:

1134.Heel pad thickness is useful in:

1135. Acromegaly is characterized by all except :

1136. Diabetes insipidus is treated with:

1137.Testosterone is secreated by:

1138. Raised platelet count may be found in:

1139. Visceral have migrans is caused by:

1140. Drug induced neutrophilia is not seen in:

1141.Clot solubility in 5M urea is a test of:

1142. Patients with lymphedema are prone to recurrent cellulitis with :

1143. Nonoliguric renal failure is commonly seen in:

1144. Acute myeloblastic leukemia (AML) is characterized by:

1145. Digitalis given to atrial flutter often produces :

1146. a patient with spontaneous pheumothorax involving more than 50% of hemithorax is best treated with:

1147. In a patient with liver cirrhosis factors pointing towards an alcoholic etiology include:

1148. Xylose absorption tests are good screening test for:

1149.The contraindications of amantadine include all except:

1150. which of the following is not an adverse effect of phenytoin:

1151. myasthenia gravis is characterized by all of the following except:

1152. Myasthenia gravis is usually associated with:

1153.Myasthenia gravis is associated with:

1154. Aggravation of myasthenia is a feature of all of the following drugs except :

1155. lipofuscin, the golden yellow pigment is seen in heart muscle:

1156. Mode of action of streptokinase:

1157. Hyperglycemia is caused by all except:

1159. Grey baby syndrome is caused by:

1160.Kluver-Bucy syndrome is characterized by:

1161. Angiotensinogen is synthesized in the :

1162. Deletion of chromosome 22 occurs in 90% of:

1163.The antihypertensive which causes gingival hyperplasia is:

1164. Deficiency of which vitamin is associated with hyposmia:

1165. Deficiency of which metal is associated with hyposmia:

1166. Malabsorption of amino acids is seen in:

1167. Calcium channel blocker with maximum peripheral actions:

1168. Intestinal parasitic disease in immunocompromised patient is:

1169. Dysgeusia is seen with the use of:

1170.Treatmetn of traveler’s diarrhea ( watery diarrhea, no blood in stool or fever, 1-2 unformed stools per day with distressing enteric symptoms) is:

1171. there is no correlation between X-ray appearance and clinical state of the patient in… pneumonia:

1172. Hepatic enzyme inducers are all except :

1173. mechanism of action of quinidine is:

1174. The following is true of tetralogy of Fallot except :

1175. pickwickian syndrome consists of:

1176. Mode of action of viegabatrin is:

1177. All predispose to ARDS except:

1178.Ampicillin is used in all except:

1179. which of the following steroid can be administered by inhalation :

1180. side effect of steroid inhalation is:

1181. prognosis is related to incubation period in:

1182. Drug of choice in chloramphenicol resistant typhoid fever is:

1183. hereditary hypoparathyroidism is characterized by:

1184. Ipratropium bromide is an:

1185. Simvastatin acts by:

1186. melphalan is the drug of choice of:

1187. Hypersensitive cholestatic jaundice is caused by:

1188.sThe drug of choice in guinea worm infestation is:

1190. Drug of choice in heart block is:

1191.100% Oxygen improves cyanosis in all except:

1192. Bronchopneumonia after measles occurs due to:

1193. Cells seen in M-5 type of leukemia:

1194. Diuretic used in hypokalemic state is:

1195. neutropenia can be the feature of all except:

1196. Antibiotic which is safe in renal failure :

1197. Russell bodies are found in:

1198. Nickel exposure is associated with which cancer:

1199. Eclampsia differs from pre-eclampsia by the presence of:

1200. all are seen in 3rd nerve palsy except:

1201. Which test is used in the diagnosis of anthrax :

1202. Test used in the diagnosis of infectious mononucleosis:

1203. Steroids are used along with anti-tuberculous therapy in the following :

1204. Salt losing nephropathy is a feature of :

1206. Fenfluramine is used to treat :

1207. Fanconi’s syndrome is inherited as:

1208. The following are interstitial lung diseases except:

1209.The amount o factor VIII required to raise the plasma factor VIII concentration by 100% is:

1210. Allergic bronchopulmonary asperggillosis is seen in:

1211.Pleurisy is common in which of the following connective tissue disease;

1212.All are features of hypereosinophilic syndrome except:

1213. Pleural effusion with low glucose content is characteristic:

1214. Raised glucose in pleural effusion is not seen in:

1215.Which one of the following is an immunostimulant:

1216. busulfan causes:

1217.Amantadine an anti-flu is useful in:

1218.Myocardial isoenzyme of CK which is specific for myocardial infarction is:

1219. What is morbilli:

1220. Opportunistic lung infection in AIDS is due to:

1222. Todd’s paralysis is seen in:

1223. Gaze nystagmus is seen in:

1224.In pericardial effusion all are seen except:

1225. Which of the following is not used to treat acute pulmonary edema:

1226. The most common neutrophil defect is:

1227. Transmural myocardial infarction in ECG is characterized by:

1228. The following are contraindications of heart transplantation except :

1229. The normal AV ratio in fundoscopy is:

1230. Dancing carotids(a sign in aortic regurgitation ) is also known as:

1231. In ataxia-telangiectasia which is seen:

1232.Liver biopsy is done by using……. Needle:

1233. The half life of choloroquine is:

1234. leukemoid reaction is seen in:

1235.In a patient with brain abscess which investigation is contraindicated:

1236. The pathogenesis of cholera is by:

1238. Carcinoembryonic antigen is seen in:

1239. The normal fecal fat excretion is:

1240.Enzyme appearing early in myocardial infraction:

1241. Recurrent chest pain and syncope is commonly seen in:

1242. Maximum specificity in VDRL test is case of:

1243.Niclosamide is not effective for treatment of:

1244. A person cannot identify familiar object when placed in the palm when he is blindfolded this condition is called:

1245. Obesity predisposes to all except:

1246. The treatment of choice in symptomatic sinus node dysfunction is:

1247.S4 us caused by:

1248. The most sensitive and reliable indicator of rejection following renal transplant is:

1249.Most common arrhythmia encountered in digitalis toxicity:

1250.The outstanding symptom of acute pancreatitis is:

1251`. Mitral valve relapse is characterized by:

1252. Characteristic signs of vitamin A deficiency include:

1254. Peripheral stigmata of laennec’s cirrhosis include all except:

1255. which of the following is not associated with tetany:

1256. Adrenal ‘reserve’ is best tested by means of infusion with:

1257. plucked chicken skin appearance is pathognomic of:

1258. Idoxuridine is the drug of choice in:

1259. Pink frothy expectoration is seen in:

1260. Fungal infection commonly seen in diabetes is:

1261.Hypothermia is characterized by all except:

1262.The characteristic ECG change in hypothermia is:

1263. Chickenpox rash:

1264. Features of megaloblastic anemia include:

1265. Which one of the following is AIDS defining illness:

1266. Cutting of the pituitary stalk decreases all of the following hormones except:

1267. A middle aged patient was brought to the hospital in stuporous conditions with loss of power in all four limbs. Waxy flexibility of muscle tone in the limbs was detected. The most likely diagnosis is:

1268. which one of the following drugs causes hyperlactinemia:

1269.An Indian adult who has never traveled abroad comes with a history of high fever, headache, jaundice, marked oliguria and shock with TLC of 16,000/cumm. The most likely diagnosis is:

1270.Causes of hypersensitivity pneumonitis are all except:

1271. Cisapride is contraindicated in all except:

1272. The causes of pericarditis include all except:

1273. Cerebral edema is characteristically seen in poisoning by:

1274.Cavernous breathing is seen in:

1275. The principal cause of chyluria is:

1276. Third heart sound when heard is:

1277. Nitroblue tetrazolium test (NBT) is a test of:

1278. The critical narrowing of coronary vessels to cause angina is:

1279. Serum angiotensin converting enzyme levels are raised in:

1280.Drug of choice in carotid sinus syncope is:

1281. alpha coma is characterized by the following except:

1282. Dohle bodies are inclusions seen in:

1283. Spur cell anemia is feature of:

1284. Keshan disease is due to deficiency of:

1285.All of the following are true of MVP except:

1286. parkinsonism may occur because of chronic exposure to:

1287. Photodermatitis and corneal microdeposits are side effects of:

1288. Rhabdomyoma of the heart is seen in association with:

1289. All of the following are endocrine manifestation of renal cell carcinoma except:

1290. the normal cardiac index is:

1291. General paralysis of insane (GPI) usually follows primary infection after:

1292.The total daily loss of iron amounts to about:

1293. Dementia is not a feature of:

1294. which is not an ionotropic agent:

1295. AIDS was first diagnosed inpatients suffering from:

1296. HELLP includes all except :

1297. Hormones secreted by small cell carcinoma lungs all except:

1299. Visual cortex is supplied by:

1300. ‘punch drunk’ state is associated with:

1301.Drug of choice for cytomegalovirus:

1302. Granulomatous hepatitis is caused by:

1303. S Hamman’s crunch s seen in:

1304. Wilm’s tumor is characterized by which chromosomal aberration:

1305.One of the following statements about tetanus is true:

1306. Lev’s disease is:

1307. The exanthema of Rocky Mountain spotted fever (RMSF) usually appears 1st on the :

1308. Keratoderma blenorrhagica is pathognomic of:

1309. Alveolar hypoventilation is observed in:

1310. Malignant hypertension is diagnosed when:

1311. The sick cell is characterized by:

1312.Dysdiadochokinesia is a sign of:

1314. Vitamin B6 deficiency is caused by all except:

1315. Fever is caused by:

1316. Primary atypical pneumonia is caused by:

1317.Calcitonia is secreted from :

1318. which of the following drugs may precipitate gout:

1319.s The formation of 25 hydroxy cholecalciferol takes place in the:

1320. Water hammer pulse is seen in:

1321. Atherosclerosis in the coronary circulation most commonly affects:

1322. Dressing apraxia is seen in lesion of which lobe:

1323.Palmomental reflex is present in lesions of:

1324. Frequency of rest tremor in parkinson’s disease is:

1325. Desferrioxamine is used in treatment of poisoning with:

1326. Stokes adam syndrome is associated with:

1327. How long can be blood be stored with CPDA:

1328. Negri bodies are most often found in:

1329. Skin pigmentation in ‘bronze’ diabetes is due to:

1330. Most common presentation of unilateral renal stenosis is:

1331.Vitamin k is required for:

1332.not a feature of hereditary spherocytosis:

1333. Congenital 17 hydroxylase deficiency leads to:

1334. Overloads of LSD is most likely to be associated with:

1335. What percent of gouty individuals havenephrolithiasis:

1336. mode of action of actinomycin D is to prevent:

1337. Treatment of Vincent’s angina is:

1338. Meralgia paresthetica involves:

1339. In which of the following condition, tissue and blood eosinophilia is seen:

1340. the enzyme avidin inactivates….. in the egg:

1341. ‘p’ wave in the ECG disappears in:

1342. Treatment of choice in ventricular fibrillation is:

1343.Ebstein’s anomaly is associated with:

1344. Sustained heaving cardiac impulse indicates:

1345.PH of the gastric juice is:

1346. Drug of choice in herpes simplex encephalitis is:

1347. Bancroftian filariasis is transmitted by:

1348. Drug of choice to treat metabolic acidosis in cardiac arrest is:

1349. Cotton dust is associated with:

1350.Extrapyramidal symptoms are best treated with:

1351. Juveline Huntigon’s disease is marked by:

1352. paroxysmal hypotension is seen in:

1353. Drug of choice for treating schistosoma hematobium is:

1354.Lardaceous spleen is seen in:

1355. Synkinesia is seen in:

1356. Milk alkali syndrome consists of all of the following except:

1357. monckeberg’s sclerosis involves:

1358. postural hypotension and failure of ejaculation is most commonly seen in treatment with:

1359. rheumatic activity involves mostly…… valves:

1360. Somatostatin inhibits secretion of all except:

1361.Clinical features of CRF appear when renal function is reduced to:

1362. In chronic renal failure all are seen except:

1363. Followign are CNS complication ofAIDS:

1364. which is false about adrenal adenoma :

1365. which of the following is not a differential diagnosis to botulism:

1366. Which of the following is a 17-Ketosteroid:

1367. One of the following is not a chromosomal breakage syndrome:

1368. M spike on serum electrophoresis is seen in:

1369. All can cause acute tubular necrosis except:

1370.Most common presentation of primary biliary cirrhosis:

1371. ‘Hung up’ knee jerk is seen in:

1372. All of the following reduce gastric acid secretion except:

1373. Continuous murmur is seen in:

1374. Risus sardonicus is associated with:

1375. As an emetic, morphine acts at:

1376. which of the following is true of psoriatic arthritis:

1377. Membranous glomerulonephritis can be caused by:

1378.Immunogobulin administration is indicated in:

1379. First generation cephalosporins are not effective against:

1380. Initial site of cryptococcal infection is:

1381. Which of the following is false about Tamm-Horsfall mucoprotein:

1382. Systolic murmur conduced from apex to axilla occurs in:

1383. Quick reduction of blood pressure is done in:

1384. Nephrotic syndrome can be caused by al except:

1385. Systemic diseases which cause nephrotic syndrome are all except:

1386. Bence jones proteins in the urine are characteristic of:

1387. Chronic lymphatic leukemia occurs usually in the…. Decade of life:

1388. Incubation period of mumps is:

1389. Down syndrome is due to:

1390. Edward’s syndrome is:

1391. Patau syndrome is due to:

1392. vitamin D resistant rickets is inherited as:

1393.Alpha fetoproteine levels of greater than… is suggestive of primary hepatomas:

1394. Syphilis causes all except:

1395. The following does not occur with asbestosis:

1396. Cirrhosis of liver portal hypertension occurs in all except :

1397. Cardiac manifestations of Graves’ disease would include all of the following except:

1398. All of the following conditions produce restrictive cardiomyopathy except :

1399.Japanese encephalitis is caused by:

1400. Hurler’s syndrome is associated with:

1401.Nerve involved in intracranial aneurysm is:

1402. Which is not a feature of sarcoidosis:

1403.Bullous lesion occurs in:

1404. Papillary necrosis is most commonly seen in:

1405. All secondaries produce a hot spot on bone scan except:

1406. All of the following are chromosomal anomalies except:

1408. pseudodementia is a feature of:

1409. Enzyme marker of malignant hyperthermia is:

1410. The most effective treatment of atrial flutter is:

1411. Initial dose of heparin in deep vein thrombosis is:

1412. Ocular muscle most commonly involved in thyrotoxic myopathy is:

1413. Hematuria, RBC casts and proteinuria are suggestive of:

1414. birefringent crystals in urine are seen with:

1415. Function of the thalamus is:

1416. In tuberculosis in an AIDS patient the chest X-ray looks like:

1417. Ectopic ACTH syndrome is seen most commonly with :

1418. Cyclosporine A inhibits:

1419. The following are the toxicity of cyclosporine except:

1420. Constrictive pericarditis is not caused by:

1421. All are true about idiopathic hypertrophic aortic stenosis except:

1422. Causes of atrial fibrillation include:

1424.Treatment of hypertensive emergency is:

1425. All are the features of sickle cell anemia except:

1426. Not a feature of sickle cell anemia:

1427. Selective protein loss occurs in:

1428. Cause of secondary hyperparathyroidism is:

1429. All are ECG manifestations in Wolf Parkinson white syndrome except:

1430. Microscopic appearance of pneumocystis carinii shows:

1431.Neurofibrillary tangles and plaques are seen in the brain in:

1432. Ebstein’s anomaly is caused by:

1433.Meconium ileus is a manifestation of:

1434. Pheochromocytoma is associated with:

1435. In nontropical sprue there is deficiency of all except:

1436. Patients with sickle cell anemia are prone to infections with:

1437. in an AIDS patient presenting with fever, cough a diagnosis of pneuomocystis carinii pneumonia is best established by:

1439.α interferon 3-5 million units thrice in a week for 3-6 months is useful in the treatment of:

1440. Cirrhosis of liver in adult population is commonly due to all of the following except:

1441. Cerebellar ataxia is a rare complication of:

1442. Generalized edema can be produced by deficiency of:

1443.Weil’s syndrome usually present as:

1444. External cardiac massage is given at least at the rate of:

1445. True about coarctation of aorta is:

1446. Lymphocytic chorimeningitis is caused by:

1447.Regarding Dandy Walker syndrome, all are seen, except:

1448. Bilateral anterior uveitis, skin depigmentation is seen in;

1449. Xanthelasma is:

1450. An overdose of morphine is treated with:

1451. Vunyl chloride has been implicated in:

1452. Casal necklace is seen in:

1453. Ormond’s disease is:

1454. Sensory neuropathy is not seen in:

1455.Onion skin spleen is seen in:

1456. Metastatic tumor causing spinal cord compression are all except:

1457. Hypochromic microcytic anemia is seen in all except:

1458. False regarding chronic iron deficiency anemia is:

1459. magnetic gait is seen in:

1460. In children not a common presentation of AIDS:

1461. Dapsone is not used in:

1462.Hemiballism is caused by lesions of:

1463. Diagnostic features of allergic bronchopulmonary aspergillosis (ABPA) include all of the following except :

1464.Whihc of the following is the best indicator of iron deficiency?

1465. A patient with recent onset primary ‘generalized’ epilepsy develops drug reaction and skin rash due to phenytoin sodium. The most appropriate course of action is:

1466.Which of the following is true about pericarditis?

1467.Hemorrahge pericarditis occurs in all of the following conditions except:

1468. Chylous ascites is caused by all of the following except:

1469.In a patient with cirrhosis the causative organism for spontaneous bacterial peritonitis is:

1470. sleep apnea is defined as a temporary pause in breathing during sleep lasting for at least:

1471. Most common cause of papillary necrosis is:

1472. Most common presentation of neurocysticercosis is:

1473. A 55 year old man who has been on bed rest for the past 10 days complains of breathlessness and chest pain. The chest X-ray is normal. The next investigation should be:

1474. The most common cause of tricuspid regurgitation is secondary to:

1475. Absence seizures are characterized on EEG by:

1476.Normal anion gap metabolic acidosis is caused by:

1477. Normal anion gap is seen in:

1478. normal anion gap acidosis is seen in:

1479. All of the following cause high-anion-gap metabolic acidosis except:

1480. Metabolic abnormality of ureterosigmoidostomy is:

1481. Best method to diagnose bronchiectasis is:

1482. In the diagnosis of pheochromocytoma, 1 of the following radionuclide scans is useful:

1483. ‘H’ shaped vertebra seen in:

1484. The morphology of RBC in disseminated intravascular coagulation is:

1485. progressive multifocal leukoencephalopathy (PML) is characterized by all of the following except:

1486. Wimberger’s ring is present in:

1487. All of the following are advantages of using isoniazid in antitubercular treatment except:

1488.The only drug available for treatment of nephrogenic diabetes insipidus is:

1489. Narcolepsy is:

1490. Narcolepsy is characterized by all of the following except:

1491.Regardign Barrett’s esophagus, which of the following statements is incorrect:

1492. the normal PR interval is in seconds:

1493.Cardiac output is decreased by:

1494.The most common cause of pseudohermaphroditism is:

1495. All of the following are true about congenital heart disease except:

1496. Tetralogy of Fallot cosntitudes all of the following except:

1497. All of the following are seen in tetralogy of Fallot except :

1498. Inmost patients with multiple sclerosis, CSF proteins are:

1499. Which of the following is the treatment of choice for cryptococcal meningititis?

1500.A male child of 15 years , with a mental age of 9 years has an IQ of:

1501. During cardiopulmonary resuscitation intravenous calcium gluconate is indicated under all of the following circumstances except:

1502. Diagnosis of rotavirus diarrhea is confirmed by:

1503. The most specific investigation for rotavirus infection is:

1504. The ECG changes seen in hyperkalemia are all of the following except :

1505.Polymyositis involves all of the following muscles except:

1506. The drug of choice in the treatment of PSVT is:

1507. The patent ductus arteriosus connects aorta and:

1508. Neurological complications of meningitis include all of the following except :

1509. Following cranial nerve is most commonly involved in patients with sarcoidosis:

1511. All of the following murmurs may be heard in patients with aortic regurgitation except:

1512. The most recent advance in non-invasive cardiac output monitoring is use of:

1513. ASD is seen in all except:

1514. Selective media for TB bacilli is:

1515. Drug of choice in anaphylaxia:

1516. A 70 year old man was administered penicillin intravenously. Within 5 minutes, he developed generalized urticaria, swelling of lips, hypotension and bronchospasm. The first choice of treatment is to administer:

1517. A 30 year old man presented with nausea, fever and jaundice of5-days duration. The biochemical tests revealed a bilirubinof 6.7 mg/dl( conjugated 5.0 mg/dl) with SGOT/SGPT (AST /ALT) of 123/900 IU/ml. the secrological tests showed presence of HBsAG, IgM anti-HBc and HBeAg. The most likely diagnosis is;

1518. The drug of choice for chemoprophylaxis in contacts of patients of pneumonic plague is:

1519. All of the following statements regarding the ECG in acute pericarditis are true except :

1520. Troponin T is preferable to CPK-MB in the diagnosis of acute MI in all of the following situations except:

1521. A 60 year old man is diagnosed to be suffering from legionnaire’s disease after he returns home from attending convention. He could have acquired it:

1522. The following are true regarding lyme disease, except :

1523. A 30 year old HIV positive patient presents with fever, dyspnea and non-productive cough. Patient is cyanosed. His chest X-ray revelas bilateral, symmetrical interstitial infiltrates. The most likely diagnosis is:

1524. True regarding methemoglobinemia is:

1525. Reye’s syndrome is caused by:

1526.All of the following are X-linked transmissions except :

1527. All of the following autosomal recessive except :

1528. Turner’s syndrome karyotype is:

1529. A 19 year old female with short stature wide spread nipples and primary amenorrhea most likely has a karyotype of:

1530. Which endocrine disorder is associated with epiphyseal dysgenesis?

1531.Normal value in blood analysis is:

1532. In a diabetic it was found that he was suffering from orbital mucormycosis. The treatment to be given to him would include:

1533. Which of the following is an acquired stem cell defect as a cause of anemia:

1534. First abnormality of ALport’s syndrome is:

1535. Men II syndrome is associated with all of the following except :

1536. True about sydenham’s chorea is all of the following except:

1537. Most common cause of sporadic encephalitis is:

1538.All of the following are associated with SLE except:

1539. all of the following parameters indicate prerenal azotemia except:

1540. All of the following changes are seen in hemolytic anemia except :

1541. The primary defect which leads to sickle cell anemia is:

1542. de Quervain’s thyroiditis is characterized by all except :

1543. Metabolic acidosis occurs in all except:

1544. Recent studies show that relapses of P. vivax is due to:

1545.Erysipelas is caused by:

1546.Broca’s are is situated at:

1547. Mesna is used to treat :

1548. Sodium -2-mercapto ethane sulfonte(Mensa) is used as a protective agent in:

1549. True about acute intermittent porphyria (AIP) are all except :

1550. Resistance against anti-TB drug primarily starts from:

1551. Cause of candidiasis all except :

1552. Organism causing dental caries:

1553. Streptococci cause toxic shock syndrome due to:

1554. Which of the following is false regarding Wiskott-aldrich syndrome?

1555. All of the following are associated with increased bone age except:

1556.A 62 year old man with carcinoma of lung presented to emergency department with respiratory distress His EKG showed electrical alternans. The most likely diagnosis is:

1557.Atrial fibrillation may occur in all of the following conditions except:

1558.The occurrence of hyperthyroidism following administration of supplemental iodine to subjects with endemic iodine deficiency goiter is known as:

1559. Which of the following imaging modalities is ‘most sensitive’ for evaluation of extra-adrenal pheochromocytoma:

1560. All are correct about potassium balance except :

1562. dystrophin-gene mutation leads to:

1563. hypocalcemia is characterized by all except :

1564. The level of alpha-fetoprotein is raised in all of the following except :

1565. Which of the following conditions is associated with coombs positive hemolytic anemia:

1566.The severity of mitral stenosis is clinically best decided by:

1567. The risk of developing infective endocarditis is least in a patient with:

1568.Kenny packs were used in the treatment of:

1569.In a patient with polyuria and polydipsia with passage of dilutes urine is suffering from abnormality involving:

1570. the immunological response giving protection to hepatitis A for long periods:

1571.Loss of speech with inability to read, understand in a patient is referred to as:

1572. The blocking antibodies in pernicious anemia are:

1573. Hypertrophic pulmonary osteoarthropathy is seen more commonly with which of the following lung carcinomas:

1574. “pathyergy” test is specific for:

1576. All the following are characteristic of “right ventricular infarction” except:

1577. A young female presents with history of dyspnea on exertion . on examination, she has a wide, fixed split of S2 with ejection systolic murmur (III/IV) in left second intercostals space. Her EKG shows left axis deviation. The most probable diagnosis is:

1578. Which of the following is not seen in cerebral malaria?

1579. Most common primary immunodeficiency is:

1580. Subdural effusion is a complication of which of the following parasite?

1581. Congenital long QT syndrome can lead to:

1582. most common organism causing septicemia in splenectomized patient is:

1583. Phlegmasia cerulean dolens in deep vein thrombosis denotes:

1584. All of the following are implicate in the causation of hepatocellular carcinoma except:

1585.All of the following are useful intravenous therapy for hypertensive emergencies except:

1586. Father –to –so inheritance is never seen in case of:

1587. A young man with tuberculosis presents with massive recurrent hemoptysis. For angiographic treatment which vascular structure should be evaluated first:

1588. The syndrome management of urethral discharge includes treatment of:

1589. A 60 year old hypertensive patient on angiotensin II receptor antagonists (losartan ) is posted for hernia repair surgery. The antihypertensive drug should be:

1590. Which of the following is not an oncologic emergency:

1591. Which of the following markers in the blood is the most reliable indicator of recent hepatitis B infection :

1592. Development of testes is dependent upon which of the following:

1593. Hypocalcemia is characterized by all of the following features except:

1594. All of the following are poor prognostic factors for acute myeloid leukemia, except:

1595. All of the following are the electrocardiographic features of severe hyperkalemia except:

1596. A laborer involved with repair-work of sewers was admitted with fever, jaundice and renal failure. The most appropriate test to diagnose the infection in this patient is:

1597. Following are the features of corticospinal involvement except:

1598. Dressing apraxia is due to lesion of:

1599. A lesion of ventrolateral part of spinal cord will lead to loss( below the level of lesion ) of:

1600. All of the following are true regarding cerebellar lesion except:

1601. Past pointing, intension tremor, slurred speech and drunken gait are seen in the lesions of?

1602. All of the following are seen in cerebellar lesions except:

1603. which of the following is not a usual feature of right middle cerebral artery territory infarct:

1604. Lesion in left inferior frontal gyrus leads to:

1605. Inhibition of 5-lipoxygenase is useful in:

1606. A 56 year old man has painful rashes over his right upper eyelid and forehead for the last 48 hours. He underwent chemotherapy for non-Hodkin’s lymphoma one year ago. His temperature is 98 F, blood pressure s 138/76 mmHg and pulse rate is 80 per minute. Examination shows no other

1607.A 25 year old female presented with mild pallor and moderate hepatosplenomegaly. Her hemoglobin was 9.2 gram per liter and fetal hemoglobin level was 65%. She has not received any blood transfusion till date. She is most likely to be suffering from:

1608.A 41 year old patient presented with chronic diarrhea for 3 months. A D-xylose absorption test was

1609. Which of the following statements is true regarding drug used in parkinsonism?

1610. All of the following are used in the treatment of parkinsonism except :

1611. Which of the following is the most common tumor associated with type-I neurofibromatosis:

1612. A patient undergoing surgery suddenly develops hypotension. The monitor shows that the end-tidal CO2 has decreased abruptly by 15 mmHg. What is the probable diagnosis:

1613.The most common cause of death in a patient with primary amyloidosis is:

1614. The most common infectious agent associated with chronic pyelonephritis is:

1615. Iv bicarbonate is given in:

1616. Chlamydia is best treated by:

1617. A 23 year old woman has experience episode of myalgias effusion, pericarditis and arthralgias without joint deformity over course of several years. The best laboratory screening test ot diagnose her disease would be:

1618. A postoperative cardiac surgical patient developed sudden hypotension, raised central venous pressure, pulses paradoxus at the 4th postoperative hour. The most probable diagnosis is:

1619. The diffusion capacity of lung (DLco) id decreased in all of the following conditions except :

1620. prolactin secretion is inhibited by:

1621. prolactin secretion will be inhibited by:

1622. Epidemics of poliomyelitis are most commonly caused by:

1623.Which of the following Is associated with primary hemochromatosis?

1624. A 6 year old child is brought with history of hemophilia, and swollen and painful right knee joint, factor VIII serum level is 10% . which of the following is the preferred treatment ?

1625. Most common cause of acute cor pulmonale is?

1626.Which of the following is the best indicator of chronic renal failure?

1627. HLA B-27 is associated with all except:

1628. Albendazle is effective against infection with all of the following except:

1629. CD10 is a marker in:

1630. Takayasu’s arteritis most commonly involves:

1631.Which one of the following conditions may lead to exudative pleural effusion ?

1632. A high amylse level in pleural fluid suggests a diagnosis of:

1633. All of the following are causes of decreased glucose in pleural effusion except:

1634. Decreased pleural fluid glucose is seen in all of the following except :

1635. all of the following are true statements regarding acid base balance except:

1636. Which test is performed to detect reversible myocardial ischemia:

1637. the relevance of fibrin degradation products is in:

1638. Familial amloidotic polyneuropathy is due to amyloidosis of nerves caused by deposition of:

1639. The severity of mitral regurgitation is decided by all of the following clinical findings except :

1640.All of the following type of lymphoma are commonly seen in the orbit except:

1641. The nephrotic syndrome with best prognosis is seen in which of the following nephropathies:

1642. Congenital transmission is seen in all of the following except:

1643. Congenital transmission is seen in all of the following except:

1644. All of the following heart sounds occur shortly after S2 except:

1645.A patient with a mid-diastiolic murmur with loud S1 and S2 at the apex is most likely suffering from:

1646. In a patient presenting with episodic jaundice and conjugated hyperbilirubinemia had normal liver biopsy. The most likely diagnosis is:

1647. True regarding multiple respiratory papillomatosis is all of the following except:

1648. a patient with CRF is having normocytic anemia. Which of the following drugs is most likely to correct it:

1649.All of the following are associated with increased pigmentation except:

1650. All of the following are true statements regarding diabetic ketoacidosis except:

1651.True regarding primary hypothyroidism is:

1652. the best drug in treatment of motion sickness among the following is;

1653. lyme disease caused by:

1654. A patient presents with respiratory symptoms I.e. cough, hemoptysis and glomerulonephritis. His c-ANCA level in serum is raised. The most likely diagnosis is:

1655. The pathogenesis of hypochromic anemia in lead poisoning is due to:

1656. Dystrophic calcification is seen in:

1658. In type II respiratory failure, there is:

1659. Which of the following imaging modality is most sensitive to detect early renal tuberculosis:

1660. Microangiopathic hemolytic anemia is seen in all except:

1661. ‘c’ wave in JVP corresponds to:

1662.s False about pyloric stenosis:

1663. which of the following symbol represent adopted individuals:

1664.Choose the false statement regarding hepatitis G virus:

1666. A 15 year old boy presents to you with history of fever, altered sensorium and purpuric rash for two days. On examination , the patient is found stuporous. He ahs a BP of 90/60 mmHg and extensive palpable purpura over the legs . which of the following would be the most appropriate initial choice of antibiotic?

1667. A 55 year old man a chronic smoker is brought to emergency with history of polyuria, polydipsia, nausea and altered sensorium for last two days. He had been diagnosed as having squamous cell carcinoma of lung two months prior to this. On examination , he was lethargic and confused . an ECG was normal except for a narrowed QT interval. Which one of the following is the most likely metabolic abnormality?

1668. Tumor lysis syndrome is associated with all of the following laboratory features, except:

1669. All of the following drugs are useful in the treatment of a patient with acute bronchial asthma except :

1670. A normal anion gap metabolic acidosis occurs in patients with:

1671. A 41 year old male patient presented with recurrent episodes of bloody diarrhea for 5 years. Despite regular treatment with adequate doses of sulfasalazine, he has had several exarcerbations of his disease and required several weeks of steroids for the control of flares. What should be the next line of treatment for him:

1672. a 55 year old male patient was diagnosed to have chronic hepatitis C. he responded to treatment with interferon , however, after one year of follow up he showed a relapse of disease. Which of the following would be the next most appropriated choice?

1673. In malignant hyperthermia the increased heat production is due to:

1674. Which of the following management procedures of acute upper gastrointestinal bleed should possible be avoided:

1675.Early diagnosis of acute hepatitis B infection is made by:

1676. Duchenne muscular dystrophy is disease of:

1677. Which of the following is the drug of first choice for non-gonococcal urethritis?

1678. Ataxia telangiectasia is characterized by all of the following except:

1679.Hemoglobin A 1c level in blood explains:

1680.The first investigation of choice in patient with suspected subarachnoid hemorrhage should be:

1681. Elevated serum ferritin, serum iron and percent transferriin saturation are most consistent diagnosis of:

1682. Estimation of the following hormones is useful while investigating a case of gynecomastia except :

1683. Estimation of the following hormones is useful while investigating a case of gynecomastia, except:

1684. Which of the following is the treatment of choice for Kawasaki disease?

1685. Which one of the following is not a feature of multiple myeloma?

1686. Which one of the following diseases is an autosomal dominant disorder?

1687. Which one of the following lymphomas is associated with HTLV-I virus infection ?

1689. The most appropriate drug for the treatment of bulimia nervosa is:

1690.Carcinoid syndrome produces valvular disease primarily involving :

1691. all of the following conditions are observed in marasmus, except:

1692. Bart’s hydrops fetalis is tethal because:

1693. Which of the following is a cause of reversible dementia :

1694.Vitamin B12 deficiency can give rise to all of the following except :

1695. Which one of the following is used in therapy of toxoplasmosis?

1696. Which of the following drugs is useful in prophylaxis of migraine ?

1697. Antipsychotic drug-induced parkinsonuism is treated by:

1698. Which of the following infestation leads to malabsorption ?

1699. All of the following can cause osteoporosis except:

1700. Hypercalcemia associated with malignancy is most often mediated by:

1701. All of the following are the causes of ‘relative’ polycythemia, except:

1702. 5’ –nucleotidase activity is increased by:

1703. Normal CSF glucose level in a normoglycemic adult is:

1704. All of the following may cause ST segment elevation on ECG , except:

1705. The most sensitive test for the diagnosis of myasthenia gravis is:

1706. Not a neurologic channelopathy:

1707. all of the following are neurological channelopathies , except:

1708.All of the following are calcium channelopathies except :

1709.At what value of one hour glucose challenge test will you recommend a standard glucose tolerance test?

1710. A 50 year old man alcoholic and a smoker presents with a 3-hour history of severe retrosternal chest pain and increasing shortness of breath. He started having this pain while eating, which was constant and radiated to the back and intercapular region. He was a known hypertensive. On examination, he was cold and clammy with a heart rate of 130 /min , and a BP of 80/40 mm Hg. JVP was normal . all peripheral pulses were present and equal. Breath sounds were decreased at the left lung base and chest X-ray showed left pleural effusion. Which one of the following is the most likely diagnosis?

1711. A 30 year old male patient presents with complaints of weakness in right upper and both lower limbs for last 4 months. He developed digital infarcts involving 2nd and 3rd fingers side and 5th finger in left side. On examinations, BP was 160/140 mm Hg, all peripheral pulses were palpable and there was asymmetrical neuropathy. Investigations showed Hb-12 gm, TLC -12000 CU mm, platelets-4,30,000, ESR- 49 mm. urine examination showed proteinuria and RBC 10-15 per HPF with no casts. Which of the following is the most likely diagnosis?

1712. All of the following conditions are known to cause diabetes insipidus, except:

1713. Increased susceptibility to breast cancer is likely to be associated with a mutation in the following gene:

1714. The most common pathogens responsible for nosocomial pneumonias in the ICU are:

1715. Ropinirole’s is most useful for treatment of:

1716.In which of the following arthritis erosions are not seen?

1717. Flapping tremors are seen in the following conditions except:

1718. All of the following are true regarding tetralogy of fallot, except:

1719. Which one of the following is not a feature of irritable bowel syndrome:

1720. In which of the following conditions of malabsorption, an intestinal biopsy is diagnostic?

1721. Hemolytic anemia may be characterized by all of the following except:

1722. Recurrent facial/oropharyngeal/ laryngeal edema in a patient having low C4 , normal C3 and normal factor B. The pathogenesis is most likely due to:

1723. There is mutation of gene coding for the ryanodine receptors in malignant hyperthermia. Which of the following statements best explains the increased heat production in malignant hyperthermia?

1724. All of the following conditions are observed in gout, except:

1725. which of the following statement is false regarding Wilson’s disease?

1726. False regarding creutzfeldt-jakob disease:

1727.Which of the following is not a feature of juvenile myoclonic epilepsy?

1728. A 20 year old female presents with history of dyspnea on exertion. On examination she has wide fixed split of S2 with ejection systolic murmur (III/Iv) in left second intercostals space. Her EKG shows left axis deviation. The most probable diagnosis is:

1729. The only thrombolytic agent approved for the treatment of acute ischemic stroke is:

1730. The most common cause of sporadic viral encephalitis is:

1731. A 27 year old man is noted to have blood pressure of 170/100 mm Hg. He has prominent aortic ejection click and murmurs heard over the ribs on both sides anteriorly and over the back posteriorly. In addition , the pulses in the lower extremities are feeble and he complains of mild claudication with exertion . the most likely diagnosis is:

1732. A 62 year old diabetic female patient presented with history of progressive right sided weakness of one-month duration . the patient was also having speech difficulty. Fundus examination showed papilledema. Two months ago, she also had a fall in her bathroom and struck her head against a wall. The most likely clinical diagnosis is:

1733. All of the following can cause hyeprcalcemia , except:

1734. Humoral immunodeficiency is suspected in a patient and he is under investigation. Which of the following infections would not be consistent with the diagnosis?

1735. In a ptient with listeria meningitis who is allergic to penicillin , the antimicrobial of choice is:

1736. Migratory thrombophlebitis is associated with the following malignancies except:

1738. Which of the following is generally not seen in ITP?

1739. Which of the following arbovirus diseases has not been reported in India?