Documentos de Académico
Documentos de Profesional
Documentos de Cultura
225.Common substrate for purine and pyrimidine synthesis are all except -
a) Glutamine
b) Glycine
c) Aspartate
d) Carbon dioxide
Ans.B
243.If 25 persons are working on a project for 30 years. There is how many person-years of
employement.
a) 75
b) 750
c) 120
d) 1200
Ans.B
245.Drug used for euvolemic hyponatremia in patient with advanced congestive heart failure is -
a) Tolvaptan
b) Nesiritide
c) Hydrocortisone
d) Metoprolol
Ans.A
246.Which of the following drugs can be used for secondary prevention of coronary artery
disease?
a) Gemfibrozil
b) Colestipol
c) Temisartan
d) Vitamin E
Ans.A
247.Drug used in treatment of peripheral vascular disease which acts by increasing flexibility of
RBC membrane and increasing micro circulation?
a) Cyclandelate
b) Xanhinol nicotinate
c) Pentoxiphylline
d) Cilostazole
Ans.C
252.Thiazides and loop diuretics both have opposite action on which of the following ions -
a) Sodium
b) Potassium
c) Calcium
d) Chloride
Ans.C
a) Rabies
b) Alzheimer's disease
c) Pick's disease
d) Viral encephalitis
Ans.B
Hirano bodies
263.Which tumor arises from organ of Zuckerkandl?
a) Paraganglioma
b) Schwannoma
c) Astrocytoma
d) Medulloblastoma
Ans.A
266. Patient has eosinophilia , Total serum IgE 1200 IU/ml . This condition is associated with?
a) Kertagener syndrome
b) Cystic fibrosis
c) Good Pasture syndrome
d) Silicosis
Ans.B
Bronchopulmonary aspergillosis
A contrast-enhanced CT of the chest shows severe bronchiectasis in the midlung zones with
grossly dilated airways and cystic changes.
267.Focal length of high power objective lens of microscope?
a) 40mm
b) 16mm
c) 20mm
d) 4mm
Ans.D
272. All of the following ossification centers are present at 7 months of intrauterine life except -
a) Talus
b) Calcaneum
c) Clavicle
d) Olecranon
Ans.D
278.Cells of the Organ of Corti which are vulnerable to noise induced damage are -
a) Inner hair cells
b) Outer hair cells
c) Deiter's cells
d) Cells of Hensen
Ans.B
281.Which of the following is the most likely diagnosis in a patient with tinnitus, loss of balance,
hearing loss and a CP angle tumor on imaging -
a) Acoustic neuroma
b) Glomus tumor
c) Cholesteatoma
d) Osteoma
Ans.A
282.A 15 year old male has nominal aphasia. There is also history of scanty, foul smelling
discharge in the past. The patient reports of some bleeding when cleaning the
ear. Which of the following is the most likely diagnosis?
a) Extradural abscess
b) Temporal lobe abscess
c) Cavernous thrombosis
d) Lateral sinus thrombophlebitis
Ans.B
285. An adult diabetic man presented with sudden right facial swelling, . Contrast enhanced
MRI is shown in Figure . Most common nerve involved in this condition is –
https://storage.ning.com/topology/rest/1.0/file/get/141256855?
profile=RESIZE_930x&width=737
a) Abducens
b) Trochlear nerve
c) Oculomotor nerve
d) Facial nerve
Ans.A
Cavernous sinus thrombosis
An adult diabetic man presented with sudden right facial swelling, proptosis and complete
ophthalmoplegia. He had undergone upper tooth extraction on same side four days
previously. Contrast enhanced MRI shows the following changes on right side:
1-Ethmoiditis.
2-Periorbital inflammation (edematous enhanced skin and subcutaneous tissues).
3-Proptosis.
4-Meningeal enhancement consistent with meningitis (White arrow on axial).
5-Enhancing pterygoid muscles consistent with masticator space infection (curved arrow on
coronal).
6-Swollen non-enhancing cavernous sinus = cavernous sinus thrombosis (open arrows).
7-Narrowed internal carotid artery (green arrows).
Cavernous sinus thrombosis most commonly results from contiguous spread of infection
from the sinuses or middle third of the face, or less commonly dental abscess or orbital
cellulitis. Staphylococcus aureus is the most common infectious microbe, found in 50% to
60% of the cases. CST is a clinical diagnosis, however MRI with contrast is the modality of
choice to confirm its presence and to differentiate it from alternatives e.g. orbital cellulitis,
which may have a similar clinical presentation.
293. Which of the following is not an absolute contraindication for thrombolytic therapy in
acute ST segment elevation myocardial infarction?
a) Significant closed head injury
b) Symptoms suggestive of aortic dissection
c) Presence of metastatic intracranial malignancy
d) Pregnancy
Ans.D
294.Which of the following complications is not seen in the condition shown in 2D Echo
below ?
https://www.ahajournals.org/cms/attachment/f3695f57-fcb0-4ec8-8e5d-
e6dfe5c10e5e/263fig01.jpeg
a) Stroke
b) Infective endocarditis
c) Mitral stenosis
d) Ventricular arrhythmia
Ans.C
mitral valve prolapse
295.Which of the following included in revised jones criteria of rheumatic fever but not in the
original jones criteria?
a) Carditis
b) Polyarthritis
c) Erythema marginatum
d) C reactive protein
Ans.D
298.Features of superior vena cava syndrome are all except which of the following?
a) Facial swelling
b) Hoarseness
c) Aggravation of symptoms in sitting position
d) Syncope
Ans.C
299. A 25 year old man presented with Stroke and DSA is shown in Figure. Which of the
following is a characteristic feature of this condition?
https://encrypted-tbn0.gstatic.com/images?
q=tbn:ANd9GcS__uQJfImWTndggDpoYLfbxABDGj5BsV4bnrVuC5fXfxJhUIA
a) Involvement of proximal internal carotid artery
b) Absence of vascular inflammation
c) Patients can be given anticoagulants without any additional risk
d) Surgical bypass from internal carotid artery to middle meningeal artery can be a treatment.
Ans.B
Moyamoya disease
http://scmag-
digi.strokeassociation.org/strokeconnection/2014winter/data/articles/img/Pc0100200.jpg
https://image.slidesharecdn.com/moyamoyadisease-130610120219-phpapp01/95/moyamoya-
disease-12-638.jpg?cb=1370865890
52. Which of the following is not an evidenced based recommended therapy for the management
of acute respiratory distress syndrome
a) Low tidal volume mechanical ventilation
b) Inhaled nitric oxide
c) Minimize left atrial filling pressures
d) Prone positioning
Ans.B
56. Routine use of recombinant erythropoietin in patients of chronic kidney disease obviates the
chances of -
a) Regular blood transfusions
b) Iron supplementation
c) Dialysis
d) Hyperkalemia
Ans.A
57. MDRD (Modification of Diet in Renal Disease) formula for estimation of GFR does not
include which of following?
a) Age
b) Sex
c) Race
d) Body weight
Ans.D
58. Arterial blood gas analysis of a patient reveals - pH 7.2, HCO3 36 mmol/L pCO2 70 mmHg.
The abnormality is -
a) Respiratory acidosis with metabolic alkalosis
b) Respiratory acidosis
c) Respiratory alkalosis with metabolic acidosis
d) Respiratory acidosis with metabolic acidosis
Ans.A
59.pH 7-49, pCO2 38 mmHg, pO2 92 mmHg, HCO3 35, SaO2 97%. Which of the following
should not be used in the management of this patient?
a) Hyperventilation
b) Correction of serum potassium levels
c) Correction of extracellular fluid volume contraction
d) Use of dilute hydrochloric acid
Ans.A
64. Adverse effects of excess potassium intake can be seen in which of the following
individuals?
a) Patients with adrenal insufficiency
b) Patients with diabetes mellitus
c) Patients taking angiotensin receptor blockers
d) All the above
Ans.D
65. 28 years old male presents with fever, anorexia, nausea, vomiting, headache, photophobia
and arthralgias. Liver is enlarged and tender and associated with right
upper quadrant discomfort. Which of the following is the most probable diagnosis?
a) Acute viral hepatitis
b) Sickle cell disease
c) Thalasemia
d) Acute lymphocytic lymphoma
Ans.A
67. Which antibodies are associated with autoimmune hepatitis type IIA -
a) ANA antibody
b) p ANCA
c) Anti histone antibody
d) Anti LKM antibody
Ans.D
68. A patient undergoes a lipid profile screening. On withdrawing the blood, it appears white in
colour. Which of the following is the most probable elevated lipoprotein?
a) Chylomicrons
b) HDL
c) LDL
d) Cholesterol
Ans.A
71. During testing for lower motor neuron lesion involving nucleus ambiguous; uvula -
a) Is deviated to the affected side
b) Is deviated to the normal side
c) Remains in midline
d) Is not used in testing
Ans.B