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PGPYREXIA TEST SERIES – AIIMS MOCK –EXAM NO.1

Total number of questions: 200. Maximum score: 600

Dear Doctor,

Congratulations on completing pgpyrexia’s first AIIMS mock exam!!

Here we provide you with complete question with the answers. Before you proceed,please

note that both question and answers have been highlighted for the ease of quick review.

In case you have any doubts please discuss the same in our exam forum:

http://pgpyrexia.lefora.com/

THE NEXT MOCK EXAM (AIIMS MOCK 2) WILL BE HELD ON APRIL 30TH,MAY 1ST AND 2ND

Time limit for test in minutes: 150

Question ID: 1

Major causes of neonatal mortality include all of the following except?

Options:

(1) [x] Sudden infant death syndrome (Score = 3.0)

(2) [ ] Respiratory distress syndrome (Score = -1.0)

(3) [ ] neonatal sepsis (Score = -1.0)

(4) [ ] asphyxia (Score = -1.0)

Question ID: 2

A 30-min-old term 3.4-kg baby, born after a spontaneous vaginal

delivery, is noted to have acrocyanosis. The most important next step is?

Options:

(1) [ ] Perform a sepsis evaluation (Score = -1.0)

(2) [ ] Perform a CBC followed by a sepsis work-up if neutropenia is found (Score = -1.0)

(3) [x] Keep the infant warm (Score = 3.0)

(4) [ ] Hold oral feedings until the acrocyanosis resolves (Score = -1.0)

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Question ID: 3

Therapy of a "blue" or "tet" spell (cyanotic spell) could include all of the following Except?

Options:

(1) [x] epinephrine (Score = 3.0)

(2) [ ] phenylephrine (Score = -1.0)

(3) [ ] knee-chest position (Score = -1.0)

(4) [ ] sodium bicarbonate (Score = -1.0)

Question ID: 4

A 3-yr-old girl has fever. Urine is collected by catheterization for

culture. What is the minimum concentration of bacterial growth in the culture that

would generally be considered diagnostic of a urinary tract infection in this young

girl?

Options:

(1) [ ] 1 bacterium/mL (Score = -1.0)

(2) [ ] 10 bacteria/mL (Score = -1.0)

(3) [x] 1000 bacteria/mL (Score = 3.0)

(4) [ ] 100000 bacteria/ml (Score = -1.0)

Question ID: 5

A 14-yr-old boy and his twin sister each developed mumps. Their parents

had repeatedly declined for them to receive MMR vaccination. They ask about the

prognosis for this disease in their children, especially the possibility of infertility. Which of

the following statements most accurately describes the relationship between mumps and

infertility?

Options:

(1) [ ] Infertility occurs as a sequela of mumps only among prepubertal children (Score = -1.0)

(2) [ ] Infertility is more common among females than among males (Score = -1.0)



(3) [ ] Infertility rate among males with mumps orchitis is approximately 30- 40% (Score = -

1.0)

(4) [x] Infertility among males is rare even with bilateral orchitis (Score = 3.0)

Question ID: 6

A 5-year-old boy is brought to the psychiatrist because he has difficulty

paying attention in school. He fidgets and squirms and will not stay

seated in class. It is noted that at home he talks excessively and has difficulty

waiting for his turn. His language and motor skills are appropriate for

his age. Which of the following is the most likely diagnosis?

Options:

(1) [ ] Oppositional defiant disorder (ODD) (Score = -1.0)

(2) [x] Attention-deficit hyperactivity disorder (ADHD) (Score = 3.0)

(3) [ ] Pervasive developmental disorder (Score = -1.0)

(4) [ ] Separation anxiety disorder (Score = -1.0)

Question ID: 7

A 54-year-old man with a chronic mental illness seems to be constantly

chewing. He does not wear dentures. His tongue darts in and out of

his mouth, and he occasionally smacks his lips. He also grimaces, frowns,

and blinks excessively. Which of the following disorders is most likely in

this patient?

Options:

(1) [ ] Tourette syndrome (Score = -1.0)

(2) [ ] Akathisia (Score = -1.0)

(3) [x] Tardive dyskinesia (Score = 3.0)

(4) [ ] Parkinson disease (Score = -1.0)

Question ID: 8



A 57-year-old woman is seeing a psychiatrist for her bipolar disorder.

She is started on carbamazepine. Which of the following tests should be

done every 3 months during her second year of treatment with this drug?

Options:

(1) [ ] Platelet count (Score = -1.0)

(2) [ ] Serum electrolytes (Score = -1.0)

(3) [x] SGOT (Score = 3.0)

(4) [ ] ECG (Score = -1.0)

Question ID: 9

The theorey behind the aging process is?

Options:

(1) [ ] Abiotrophy (Score = -1.0)

(2) [ ] hormonal theory (Score = -1.0)

(3) [x] free radical theory (Score = 3.0)

(4) [ ] dysgenetic theory (Score = -1.0)

Question ID: 10

Which of the following feature of thyroid nodule on usg is not sugestive of malignancy?

Options:

(1) [x] hyperechogenecity (Score = 3.0)

(2) [ ] hypoechgenecity (Score = -1.0)

(3) [ ] non-homogenous (Score = -1.0)

(4) [ ] microcalcification (Score = -1.0)

Question ID: 11

All of the following are true about Scalaneus anterior muscle EXCEPT?

Options:

(1) [x] It is attached to the tubercle of second Rib (Score = 3.0)



(2) [ ] It is anterior to the transverse cervical artery (Score = -1.0)

(3) [ ] It is pierced by the Phrenic nerve (Score = -1.0)

(4) [ ] It separates the subclavian vein from the subclavian artery (Score = -1.0)

Question ID: 12

Magnan Symptom is seen with?

Options:

(1) [x] cocaine poisoning (Score = 3.0)

(2) [ ] organophosphate poisoning (Score = -1.0)

(3) [ ] snake bite (Score = -1.0)

(4) [ ] hanging (Score = -1.0)

Question ID: 13

The cephalic index of Indian population is between?

Options:

(1) [ ] 70-75 (Score = -1.0)

(2) [x] 75-80 (Score = 3.0)

(3) [ ] 80-85 (Score = -1.0)

(4) [ ] 85-90 (Score = -1.0)

Question ID: 14

A 25 year old person sustained injury in right eye. He developed right corneal opacity

following the injury. Left eye was already having poor vision. Corneoplasty of right eye was

done and vision was restored. Medicolegally such injury is labelled as?

Options:

(1) [ ] simple injury (Score = -1.0)

(2) [x] grievious hurt (Score = 3.0)

(3) [ ] dangerous hurt (Score = -1.0)

(4) [ ] serious injury (Score = -1.0)



Question ID: 15

'Whip-lash' injuries is caused due to?

Options:

(1) [ ] A fall from a height (Score = -1.0)

(2) [x] Acute hyperextension of the spine. (Score = 3.0)

(3) [ ] A blow on the top of head (Score = -1.0)

(4) [ ] Acute hyperflexion of the spine. (Score = -1.0)

Question ID: 16

An arrested person can request the magistrate for conduct of medical examination by a

registered medical practitioner according to provision in the code of criminal procedure?

Options:

(1) [ ] section 53 (Score = -1.0)

(2) [x] section 54 (Score = 3.0)

(3) [ ] section 56 (Score = -1.0)

(4) [ ] section 57 (Score = -1.0)

Question ID: 17

True about fabricated wound is?

Options:

(1) [x] usually incised wounds (Score = 3.0)

(2) [ ] from forwards to behind on on top of the head (Score = -1.0)

(3) [ ] they are multiple and deep (Score = -1.0)

(4) [ ] they are deep burns (Score = -1.0)

Question ID: 18

To maximize fertility potential, orchidopexy for cryptorchidism should be done before?

Options:

(1) [ ] before 5 yrs (Score = -1.0)



(2) [x] before 2 yrs (Score = 3.0)

(3) [ ] at puberty (Score = -1.0)

(4) [ ] before 20 yrs (Score = -1.0)

Question ID: 19

All of the following are associated with low complement levels except?

Options:

(1) [ ] Lupus nephritis (Score = -1.0)

(2) [ ] Mesangio capillary glomerulonephritis (Score = -1.0)

(3) [x] Diarrhea-associated HUS (Score = 3.0)

(4) [ ] Post-infectious glomerulonephritis (Score = -1.0)

Question ID: 20

"HIRANO BODIES" are seen in?

Options:

(1) [ ] Parkinson's disease (Score = -1.0)

(2) [x] Alzheimer's disease (Score = 3.0)

(3) [ ] familial myoclonus (Score = -1.0)

(4) [ ] creutzfeld Jacob disease (Score = -1.0)

Question ID: 21

Antibiotic prophylaxis is indicated in all the following for prevention of endocarditis EXCEPT?

Options:

(1) [ ] dental extraction (Score = -1.0)

(2) [ ] proctoscopy (Score = -1.0)

(3) [x] cardiac catheterisation (Score = 3.0)

(4) [ ] cystoscopy (Score = -1.0)

Question ID: 22

The advantages of cytopathologic study include all of the following EXCEPT?



Options:

(1) [ ] cost effective (Score = -1.0)

(2) [ ] can evaluate sites that cannot be biopsied (Score = -1.0)

(3) [ ] can provide immediate diagnoses (Score = -1.0)

(4) [x] sensitivity is essentially 100% (Score = 3.0)

Question ID: 23

The following is true about atherosclerosis

Options:

(1) [ ] it occurs in the retinal artery (Score = -1.0)

(2) [ ] foamy macrophages are seen in type I plaque (Score = -1.0)

(3) [ ] thinning of the intima is a feature (Score = -1.0)

(4) [x] proliferation of smooth muscle cells in the intima is typical (Score = 3.0)

Question ID: 24

A 68-year-old man has had malaise for over a year. On physical examination, there are no

abnormal findings. His Hgb is 10.5 g/dL, Hct 31.5%, MCV 88 fL, platelet count

211,000/microliter, and WBC count 6980/microliter. His total serum iron is 130 microgm/dL

total iron binding capacity (TIBC) 230 microgm/dL, and soluble serum transferrin receptor is

normal. A bone marrow biopsy is performed and microscopic examination shows that

maturation is occurring in all cell lines and there are no abnormal cells seen. Stainable iron in

the bone marrow is increased. Which of the following underlying diseases is he most likely to

have?

Options:

(1) [ ] Diverticulosis (Score = -1.0)

(2) [x] Hepatitis C infection (Score = 3.0)

(3) [ ] Systemic lupus erythematosus (Score = -1.0)

(4) [ ] Fanconi anemia (Score = -1.0)

Question ID: 25

Starting point of apoptosis for programme cell death is?



Options:

(1) [x] Activation of endonuclease (Score = 3.0)

(2) [ ] Release of enzyme (Score = -1.0)

(3) [ ] Accumulation of calcium (Score = -1.0)

(4) [ ] Destruction by macrophages (Score = -1.0)

Question ID: 26

One of the following is an apoptosis inhibitor gene?

Options:

(1) [ ] p53 (Score = -1.0)

(2) [x] BcL-2 (Score = 3.0)

(3) [ ] Bad (Score = -1.0)

(4) [ ] Rb (Score = -1.0)

Question ID: 27

A clinical study is performed with subjects who are adults found to have anemia. Their

clinical histories and laboratory findings are reviewed. It is observed that ingestion of a drug

preceded development of the anemia in some of the subjects, but not in others. Which of the

following conditions is most likely to be found in persons without a history of drug ingestion?

Options:

(1) [ ] G6PD deficiency (Score = -1.0)

(2) [x] Microcytic anemia (Score = 3.0)

(3) [ ] Macrocytic anemia (Score = -1.0)

(4) [ ] Aplastic anemia (Score = -1.0)

Question ID: 28

Piaget is best known for which of the following theories?

Options:

(1) [x] Cognitive development (Score = 3.0)

(2) [ ] Psychosexual development (Score = -1.0)



(3) [ ] Psychosocial development (Score = -1.0)

(4) [ ] Interpersonal development (Score = -1.0)

Question ID: 29

The parents of an 8-year-old boy with a normal IQ are concerned

because he is a very slow reader and does not appear to understand what

he reads. When the boy reads aloud, he misses words and changes the

sequence of the letters. They also note that he has problems with spelling,

though he is otherwise quite creative in his ability to write stories. On

examination, the child displays verbal language defects as well, though primarily

he communicates clearly. His hearing and vision are normal and he

has no trouble with motor skills. Which of the following is the most likely

diagnosis for this child?

Options:

(1) [ ] Developmental expressive writing disorder (Score = -1.0)

(2) [x] Dyslexia (Score = 3.0)

(3) [ ] Developmental articulation disorder (Score = -1.0)

(4) [ ] Pervasive developmental disorder (Score = -1.0)

Question ID: 30

A 24-year-old man with chronic schizophrenia is brought to the

emergency room after his parents found him in his bed and were unable to

communicate with him. On examination, the man is confused and disoriented.

He has severe muscle rigidity and a temperature of 39.4°C (103°F).

His blood pressure is elevated, and he has a leucocytosis. Which of the following

is the best first step in the pharmacologic treatment of this man?

Options:

(1) [ ] Haloperidol (Score = -1.0)



(2) [ ] Lorazepam (Score = -1.0)

(3) [x] Bromocriptine (Score = 3.0)

(4) [ ] Benztropine (Score = -1.0)

Question ID: 31

Delusions are seen in all the following except?

Options:

(1) [x] Obsessive compulsive disorder (Score = 3.0)

(2) [ ] Depression (Score = -1.0)

(3) [ ] Schizophrenia (Score = -1.0)

(4) [ ] Mania (Score = -1.0)

Question ID: 32

which of the following features would be indicative of a good prognosis in a patient with

schizophrenia?

Options:

(1) [ ] Young age of onset (Score = -1.0)

(2) [ ] Withdrawn behavior (Score = -1.0)

(3) [ ] Poor support system (Score = -1.0)

(4) [x] Family history of mood disorders (Score = 3.0)

Question ID: 33

A patient in psychodynamic therapy has been coming late to the last

few sessions and complaining in the sessions that he has nothing to talk

about. His therapist points out that up until several weeks ago they were

making very rapid progress into uncovering some of the difficult thoughts

and feelings the patient had about his parents. What therapeutic principle

best exemplifies the recent changes in the patient’s behavior?

Options:



(1) [ ] Countertransference (Score = -1.0)

(2) [ ] Ego strength (Score = -1.0)

(3) [ ] Abreaction (Score = -1.0)

(4) [x] Resistance (Score = 3.0)

Question ID: 34

Otoacoustic emissions arises from?

Options:

(1) [ ] Inner hair cells (Score = -1.0)

(2) [x] Outer hair cells (Score = 3.0)

(3) [ ] Organ of corti (Score = -1.0)

(4) [ ] Both outer & inner hair cells (Score = -1.0)

Question ID: 35

Why is vocal cord pale in appearance?

Options:

(1) [ ] Vocal cord is a muscle, lack of blood vessels (Score = -1.0)

(2) [ ] Absence of mucosa, no blood vessels (Score = -1.0)

(3) [x] absence of sub mucosa, no blood vessels (Score = 3.0)

(4) [ ] absence of mucosa with no nerves (Score = -1.0)

Question ID: 36

Most common site for CSF rhinorrhoea?

Options:

(1) [ ] Frontal sinus (Score = -1.0)

(2) [x] Ethmoidal sinus (Score = 3.0)

(3) [ ] Tegmen tympani (Score = -1.0)

(4) [ ] Maxillary sinus (Score = -1.0)

Question ID: 37



A case of Bell’s palsy presents on day 3.

Which of the following is the appropriate

management?

Options:

(1) [ ] Oral steroids alone (Score = -1.0)

(2) [x] Oral steroids + antiviral acyclovir (Score = 3.0)

(3) [ ] Acyclovir + amantadine (Score = -1.0)

(4) [ ] Intralabyrinthine steroids (Score = -1.0)

Question ID: 38

Columella effect is seen in?

Options:

(1) [x] Tympanoplasty (Score = 3.0)

(2) [ ] mastoidectomy (Score = -1.0)

(3) [ ] tracheostomy (Score = -1.0)

(4) [ ] rhinoplasty (Score = -1.0)

Question ID: 39

A 16-year-old boy has a 1-day history of pain in the right ear. He swims every morning. The

right ear canal is red and swollen. He has pain when the auricle is pulled or the tragus is

pushed. Which of the following is the most likely diagnosis?

Options:

(1) [ ] Acute otitis media (Score = -1.0)

(2) [x] Otitis externa (Score = 3.0)

(3) [ ] mastoiditis (Score = -1.0)

(4) [ ] CSOM (Score = -1.0)

Question ID: 40

Which is FALSE about accomodation?



Options:

(1) [x] is abolished by sympathomimetic drugs (Score = 3.0)

(2) [ ] produces an increased curvature of the anterior surface of the lens (Score = -1.0)

(3) [ ] is dependent on the elasticity of the lens capsule (Score = -1.0)

(4) [ ] is regulated with the help of chromatic aberration (Score = -1.0)

Question ID: 41

Which of the following does NOT scavenge free radicals in the lens?

Options:

(1) [x] Vit A (Score = 3.0)

(2) [ ] Vit C (Score = -1.0)

(3) [ ] Vit E (Score = -1.0)

(4) [ ] Catalase (Score = -1.0)

Question ID: 42

All are important causes of childhood blindness in India except?

Options:

(1) [ ] Glaucoma (Score = -1.0)

(2) [x] Congenital dacryocystitis (Score = 3.0)

(3) [ ] malnutrition (Score = -1.0)

(4) [ ] Ophthalmia neonatorum (Score = -1.0)

Question ID: 43

Which of the following is true about vertical nystagmus?

Options:

(1) [x] occurs in phenytoin toxicity (Score = 3.0)

(2) [ ] in an unconscious patient suggests thalamic lesion (Score = -1.0)

(3) [ ] if upbeating indicates cerebellar tonsillar ectopia (Score = -1.0)

(4) [ ] if downbeating indicates a lesion in the pons (Score = -1.0)



Question ID: 44

Kayser-Fleischer rings (KF rings ) are seen in?

Options:

(1) [ ] Pterygium (Score = -1.0)

(2) [ ] Hemochromatosis (Score = -1.0)

(3) [x] Wilson’s disease (Score = 3.0)

(4) [ ] Traumatic cataract (Score = -1.0)

Question ID: 45

Arden index is related to?

Options:

(1) [ ] ERG (Score = -1.0)

(2) [x] EOG (Score = 3.0)

(3) [ ] VER (Score = -1.0)

(4) [ ] Perimetry (Score = -1.0)

Question ID: 46

A person who has been wearing contact lenses for 1-2 months comes with a H/O of irritation

in left eye. On examination diagnosis of keratitis was made. Corneal scraping revealed

presence of pseudomonas aeruginosa which was multidrug resistant. How did it attain the

resistance?

Options:

(1) [ ] Transfer of resistance genes from normal conjunctival flora (Score = -1.0)

(2) [ ] Frequent instillation of antibiotics (Score = -1.0)

(3) [ ] Improper contact lens hygiene (Score = -1.0)

(4) [x] Biofilm formation (Score = 3.0)

Question ID: 47

Regarding corneal transplant what is true?

Options:



(1) [ ] Whole eye is preserved in tissue culture (Score = -1.0)

(2) [ ] Age >60 yrs is a contraindication (Score = -1.0)

(3) [x] Specular microscopy analysis used to count the number of corneal endothelial cell

(Score = 3.0)

(4) [ ] HLA matching is required (Score = -1.0)

Question ID: 48

Melon seed bodies in joint fluid are characteristic of?

Options:

(1) [ ] Rheumatoid arthritis (Score = -1.0)

(2) [x] Tuberculous arthritis (Score = 3.0)

(3) [ ] Septic arthritis (Score = -1.0)

(4) [ ] None (Score = -1.0)

Question ID: 49

Treatment of a severe comminuted fracture of the patella includes?

Options:

(1) [ ] physiotherapy alone (Score = -1.0)

(2) [ ] insertion of a figure-of-eight tension band (Score = -1.0)

(3) [x] patellectomy (Score = 3.0)

(4) [ ] inserting screws or wire (Score = -1.0)

Question ID: 50

Cockup splint is used in?

Options:

(1) [ ] median nerve injury (Score = -1.0)

(2) [x] radial nerve injury (Score = 3.0)

(3) [ ] ulnar nerve injury (Score = -1.0)

(4) [ ] volkmanns ischemic contracture (Score = -1.0)



Question ID: 51

PRAYERS SIGN IS OBSERVED IN PATIENTS OF?

Options:

(1) [x] diabetes mellitus (Score = 3.0)

(2) [ ] obstructive jaundice (Score = -1.0)

(3) [ ] Asthma (Score = -1.0)

(4) [ ] Mitral stenosis (Score = -1.0)

Question ID: 52

An eight year old boy presents with back pain and mild fever. His plain X Ray of the

dorsolumbar spine reveals a solitary collapsed dorsal vertebra with preserved disc spaces.

There was no associated soft tissue shadow. The most likely diagnosis is?

Options:

(1) [ ] Ewing 's sarcoma (Score = -1.0)

(2) [ ] Tuberculosis (Score = -1.0)

(3) [x] Histiocytosis (Score = 3.0)

(4) [ ] metastasis (Score = -1.0)

Question ID: 53

Kinebock's disease is due to avascular necrosis of?

Options:

(1) [ ] Femoral neck (Score = -1.0)

(2) [ ] Medial cuneiform bone (Score = -1.0)

(3) [x] Lunate bone (Score = 3.0)

(4) [ ] Scaphoid bone (Score = -1.0)

Question ID: 54

In a failed suicide gesture, a depressed student severs her radial nerve at the wrist. The

expected

disability is?



Options:

(1) [x] Loss of ability to extend the wrist (Score = 3.0)

(2) [ ] Loss of ability to flex the wrist (Score = -1.0)

(3) [ ] Wasting of the intrinsic muscles of the hand (Score = -1.0)

(4) [ ] Sensory loss over the thenar pad and the thumb web (Score = -1.0)

Question ID: 55

Injury to the common peroneal nerve at the lateral aspect of head of fibula results in all of

the following except ?

Options:

(1) [ ] weakness of ankle dorsi-flexion (Score = -1.0)

(2) [ ] foot drop (Score = -1.0)

(3) [x] loss of ankle reflex (Score = 3.0)

(4) [ ] sensory impairment on lateral aspect of leg extending to the dorsum of foot (Score = -

1.0)

Question ID: 56

About sternocleidomastoid tumor all are true except?

Options:

(1) [x] Always associated with breech (Score = 3.0)

(2) [ ] Spontaenous resolution in most cases (Score = -1.0)

(3) [ ] Two-third have palpable neck mass at birth (Score = -1.0)

(4) [ ] Uncorrected cases develops plagiocephaly (Score = -1.0)

Question ID: 57

The function of 8th cranial nerve is related to?

Options:

(1) [ ] smell (Score = -1.0)

(2) [ ] taste (Score = -1.0)



(3) [ ] touch (Score = -1.0)

(4) [x] balance (Score = 3.0)

Question ID: 58

Anterior ethmoidal nerve supplies all except?

Options:

(1) [x] Maxillary sinus (Score = 3.0)

(2) [ ] Interior of nasal cavity (Score = -1.0)

(3) [ ] Dural sheath of anterior cranial fossa (Score = -1.0)

(4) [ ] Ethmoidal air (Score = -1.0)

Question ID: 59

Which of the following conditions is most likely to follow a compression-type abdominal

injury?

Options:

(1) [ ] Renal vascular injury (Score = -1.0)

(2) [ ] Superior mesenteric thrombosis (Score = -1.0)

(3) [ ] Mesenteric vascular injury (Score = -1.0)

(4) [x] Diaphragmatic hernia (Score = 3.0)

Question ID: 60

Which of the following passes through foramen magnum?

Options:

(1) [ ] 12th nerve (Score = -1.0)

(2) [ ] Sympathetic chain (Score = -1.0)

(3) [ ] Internal carotid artery (Score = -1.0)

(4) [x] Vertebral artery (Score = 3.0)

Question ID: 61



A 25-year-old woman arrives in the emergency room following an automobile accident. She is

acutely dyspneic with a respiratory rate of 60 breaths/min. Breath sounds are markedly

diminished on the right side.The first step in managing the patient should be to?

Options:

(1) [ ] Take a chest x-ray (Score = -1.0)

(2) [ ] Administer intravenous fluids (Score = -1.0)

(3) [x] Decompress the right pleural space (Score = 3.0)

(4) [ ] Perform pericardiocentesis (Score = -1.0)

Question ID: 62

Hypogastric sheath is a condensation of?

Options:

(1) [ ] Scarpa’s fascia (Score = -1.0)

(2) [ ] Colles’ fascia (Score = -1.0)

(3) [x] Pelvic fascia (Score = 3.0)

(4) [ ] Inferior layer of urogenital diaphragm (Score = -1.0)

Question ID: 63

Lymphatics from the spongy urethra drain into the following lymph nodes:

Options:

(1) [ ] Superficial inguinal lymph nodes (Score = -1.0)

(2) [x] Deep inguinal lymph nodes (Score = 3.0)

(3) [ ] External iliac lymph nodes (Score = -1.0)

(4) [ ] Para-aortic lymph nodes (Score = -1.0)

Question ID: 64

True statement regarding Zenker’s diverticulum?

Options:

(1) [ ] Aspiration pneumonitis is unlikely (Score = -1.0)



(2) [ ] It is a congenital abnormality (Score = -1.0)

(3) [x] The most common symptom is a sensation of high obstruction on swallowing (Score =

3.0)

(4) [ ] It is a traction-type diverticulum (Score = -1.0)

Question ID: 65

True statement regarding hemobilia include which of the following?

Options:

(1) [x] The classic presentation includes biliary colic, jaundice, and gastrointestinal bleeding

(Score = 3.0)

(2) [ ] Spontaneous bleeding secondary to hematologic disorders is the major cause of this

disorder (Score = -1.0)

(3) [ ] Percutaneous transhepatic catheter placement of an absorbable gelatin sponge

(Gelfoam) is the preferred treatment in cases of significant intrahepatic bleeding (Score = -

1.0)

(4) [ ] Angiography and endoscopy have no role in the treatment of intrahepatic bleeding

(Score = -1.0)

Question ID: 66

FETO is a newer fetal therapy indicated for?

Options:

(1) [x] Congenital diaphragmatic hernia (Score = 3.0)

(2) [ ] necrotising enterocolitis (Score = -1.0)

(3) [ ] meconium aspiration syndrome (Score = -1.0)

(4) [ ] Intraventricular hemorrhage (Score = -1.0)

Question ID: 67

WHO AIDS defining illness are all except?

Options:

(1) [x] Oropharyngeal candiadisis (Score = 3.0)

(2) [ ] CMV retinitis (Score = -1.0)



(3) [ ] PCP (Score = -1.0)

(4) [ ] Primary brain lymphoma (Score = -1.0)

Question ID: 68

Autoimmune thyroiditis can be confirmed in a patient by?

Options:

(1) [x] Thyroid peroxidase antibody (TPO) (Score = 3.0)

(2) [ ] Antinuclear antibody (Score = -1.0)

(3) [ ] Thyroid uptake resin (Score = -1.0)

(4) [ ] Thyroid aspiration (Score = -1.0)

Question ID: 69

A 60-year-old woman comes to the emergency room in a coma. The

patient’s temperature is 90°F. She is bradycardic. Her thyroid gland is

enlarged. There is bilateral hyporeflexia. The next step in management is?

Options:

(1) [ ] Await results of T4, TSH (Score = -1.0)

(2) [x] Obtain T4, TSH; begin thyroid hormone and glucocorticoid (Score = 3.0)

(3) [ ] Begin rapid rewarming (Score = -1.0)

(4) [ ] Obtain CT scan of the head (Score = -1.0)

Question ID: 70

Causes of primary amenorrhea are A/E?

Options:

(1) [ ] Rokitansky syndrome (Score = -1.0)

(2) [x] Sheehan syndrome (Score = 3.0)

(3) [ ] Kallman syndrome (Score = -1.0)

(4) [ ] Turner syndrome (Score = -1.0)



Question ID: 73

Pain of ovarian carcinoma is referred to?

Options:

(1) [x] Medial surface of thigh (Score = 3.0)

(2) [ ] Anterior surface of thigh (Score = -1.0)

(3) [ ] Gluteal region (Score = -1.0)

(4) [ ] Back of thigh (Score = -1.0)

Question ID: 74

A 28-year-old G1P0 presents to your office at 18 weeks gestational age

for an unscheduled visit secondary to right-sided groin pain. She describes

the pain as sharp and occuring with movement and exercise. She denies

any change in urinary or bowel habits. She also denies any fever or chills.

The application of a heating pad helps alleviate the discomfort. As her

obstetrician, what do you tell this patient is the most likely etiology of this

pain?

Options:

(1) [x] Round ligament pain (Score = 3.0)

(2) [ ] Appendicitis (Score = -1.0)

(3) [ ] Urinary tract infection (Score = -1.0)

(4) [ ] Preterm labor (Score = -1.0)

Question ID: 75

At what gestational age should a pregnancy with cholestasis of pregnancy be terminated?

Options:

(1) [ ] 34 weeks (Score = -1.0)

(2) [ ] 36 weeks (Score = -1.0)



(3) [x] 38 weeks (Score = 3.0)

(4) [ ] 40 weeks (Score = -1.0)

Question ID: 76

True statement about the twin-to-twin transfusion syndrome include

which of the following?

Options:

(1) [ ] The donor twin develops hydramnios more often than does the recipient twin (Score =

-1.0)

(2) [x] Gross differences may be observed between donor and recipient placentas (Score =

3.0)

(3) [ ] The donor twin usually suffers from a hemolytic anemia (Score = -1.0)

(4) [ ] The donor twin often develops polycythemia (Score = -1.0)

Question ID: 77

Best test for ovarian reserve?

Options:

(1) [ ] LH (Score = -1.0)

(2) [ ] LH/FSH ratio (Score = -1.0)

(3) [x] FSH reserve (Score = 3.0)

(4) [ ] Estradiol (Score = -1.0)

Question ID: 78

Which of the following treatments for menorrhagia is not supported by evidence?

Options:

(1) [ ] Tranexemic acid (Score = -1.0)

(2) [x] Ethamsylate (Score = 3.0)

(3) [ ] Combined OCP (Score = -1.0)



(4) [ ] Progesterone (Score = -1.0)

Question ID: 79

Hypertonic dysfunctional labor generally can be expected to?

Options:

(1) [ ] Be associated with rapid cervical dilation (Score = -1.0)

(2) [ ] Cause little pain (Score = -1.0)

(3) [ ] Occur in the active phase of labor (Score = -1.0)

(4) [x] Respond to sedation (Score = 3.0)

Question ID: 80

Nuchal translucency at 14 weeks of gestation is increased in?

Options:

(1) [ ] Turner syndrome (Score = -1.0)

(2) [x] Down syndrome (Score = 3.0)

(3) [ ] Hydrocephalus (Score = -1.0)

(4) [ ] Skeletal dysplasia (Score = -1.0)

Question ID: 81

All of the following are an absolute contraindication of pregnancy except

Options:

(1) [ ] Eisenmenger’s syndrome (Score = -1.0)

(2) [x] WPW syndrome (Score = 3.0)

(3) [ ] Coarctation of aorta (Score = -1.0)

(4) [ ] Primary pulmonary HTN (Score = -1.0)

Question ID: 82

Most commonly associated with carcinoma cervix is

Options:

(1) [x] HPV 16 (Score = 3.0)



(2) [ ] HPV 18 (Score = -1.0)

(3) [ ] HPV 31 (Score = -1.0)

(4) [ ] HPV 33 (Score = -1.0)

Question ID: 83

Which of the following statements regarding the postpartum development of pulmonary

embolism (PE) is true?

Options:

(1) [x] It is a relatively uncommon phenomenon, with an incidence of about 1 in 5000 (Score =

3.0)

(2) [ ] In most cases, the classic triad of hemoptysis, pleuritic chest pain, and dyspnea

suggests the diagnosis (Score = -1.0)

(3) [ ] A mismatch in ventilation-perfusion scan is pathognomonic of P (Score = -1.0)

(4) [ ] The most common finding at physical examination is a pleuritic friction rub (Score = -

1.0)

Question ID: 84

A postpartum woman has acute puerperal mastitis. Which of the following statements is true?

Options:

(1) [ ] The initial treatment is penicillin (Score = -1.0)

(2) [ ] The source of the infection is usually the infant’s gastrointestinal (GI) tract (Score = -

1.0)

(3) [x] Frank abscesses may develop and require drainage (Score = 3.0)

(4) [ ] The most common offending organism is Escherichia coli (Score = -1.0)

Question ID: 85

A 35 yr old P3+0 is observed to have CIN grade III on colposcopic biopsy. Best treatment will

be?

Options:

(1) [ ] Cryosurgery (Score = -1.0)



(2) [x] LEEP (Score = 3.0)

(3) [ ] Conization (Score = -1.0)

(4) [ ] Hysterectomy (Score = -1.0)

Question ID: 86

You see five postmenopausal patients in the clinic. Each patient has one of the conditions

listed, and each patient wishes to begin hormone replacement therapy today. Which patient

would you start on therapy at the time of this visit?

Options:

(1) [ ] Liver disease with abnormal liver function tests (Score = -1.0)

(2) [ ] Treated stage III endometrial cancer (Score = -1.0)

(3) [x] Mild essential hypertension (Score = 3.0)

(4) [ ] Undiagnosed genital tract bleeding (Score = -1.0)

Question ID: 87

Which of the following is consistent with a diagnosis of delayed puberty?

Options:

(1) [ ] Breast budding in a 10-year-old girl (Score = -1.0)

(2) [x] Menarche delayed beyond 16 years of age (Score = 3.0)

(3) [ ] Menarche 1 year after breast budding (Score = -1.0)

(4) [ ] FSH values less than 20 mIU/mL (Score = -1.0)

Question ID: 88

A 59-year-old woman undergoes vaginal hysterectomy and anteroposterior repair for uterine

prolapse. Which of the following is a complication of this procedure that often develops

within 2 weeks of surgery?

Options:

(1) [ ] Dyspareunia (Score = -1.0)



(2) [ ] Nonfistulous fecal incontinence (Score = -1.0)

(3) [x] Stress urinary incontinence (Score = 3.0)

(4) [ ] Vaginal vault prolapse (Score = -1.0)

Question ID: 89

Ideal contraceptive for lactating mothers ?

Options:

(1) [ ] Barrier method (Score = -1.0)

(2) [ ] Combined OCP (Score = -1.0)

(3) [ ] Lactational amenorrhoea (Score = -1.0)

(4) [x] Progesterone only pills (Score = 3.0)

Question ID: 90

Which of the following factors is most important in the subsequent development of genital

prolapse?

Options:

(1) [x] Poor tissue quality (Score = 3.0)

(2) [ ] Menopause (Score = -1.0)

(3) [ ] Childbirth trauma (Score = -1.0)

(4) [ ] Multiple deliverie (Score = -1.0)

Question ID: 91

Weight gain during pregnancy depends on all except ?

Options:

(1) [ ] Socioeconomic status (Score = -1.0)

(2) [ ] Pre-gestational weight (Score = -1.0)

(3) [x] Smoking (Score = 3.0)

(4) [ ] Ethnicity (Score = -1.0)

Question ID: 92



A 54-year-old woman undergoes a laparotomy because of a pelvic mass. At exploratory

laparotomy, a unilateral ovarian neoplasm is discovered that is accompanied by a large

omental metastasis. Frozen section diagnosis confirms metastatic serous cystadenocarcinoma.

The most appropriate intraoperative course of action is?

Options:

(1) [ ] Excision of the omental metastasis and ovarian cystectomy (Score = -1.0)

(2) [ ] Omentectomy and ovarian cystectomy (Score = -1.0)

(3) [ ] Excision of the omental metastasis and unilateral oophorectomy (Score = -1.0)

(4) [x] Omentectomy, total abdominal hysterectomy, and bilateral salpingo- oophorectomy

(Score = 3.0)

Question ID: 93

A 51-year-old woman is diagnosed with invasive cervical carcinoma by cone biopsy. Pelvic

examination and rectal-vaginal examination reveal the parametrium to be free of disease, but

the upper portion of the vagina is involved with tumor. Intravenous pyelography (IVP) and

sigmoidoscopy are negative, but a computed tomography (CT) scan of the abdomen and pelvis

shows grossly enlarged pelvic and periaortic nodes. This patient is classified as stage?

Options:

(1) [x] IIa (Score = 3.0)

(2) [ ] IIb (Score = -1.0)

(3) [ ] IIIa (Score = -1.0)

(4) [ ] IIIb (Score = -1.0)

Question ID: 94

A patient is receiving external beam radiation for treatment of metastatic endometrial

cancer. The treatment field includes the entire pelvis. Which of the following tissues within

this radiation field is the most radiosensitive?

Options:

(1) [ ] Vagina (Score = -1.0)



(2) [x] Ovary (Score = 3.0)

(3) [ ] Rectovaginal septum (Score = -1.0)

(4) [ ] Bladder (Score = -1.0)

Question ID: 95

Concurrent list does not encompass?

Options:

(1) [ ] Prevention of extension of communicable diseases from one unit to another (Score = -

1.0)

(2) [ ] Prevention of adulteration of foodstuffs (Score = -1.0)

(3) [x] Regulation and development of medical profession (Score = 3.0)

(4) [ ] Vital Statistics (Score = -1.0)

Question ID: 96

About Delphi method which is/are true?

Options:

(1) [ ] Formation of a team to undertake and monitor a Delphi on a given subject. (Score = -

1.0)

(2) [ ] Selection of one or more panels to participate in the exercise. Customarily, the

panelists are experts in the area to be investigated. (Score = -1.0)

(3) [ ] Development of the first round Delphi questionnaire (Score = -1.0)

(4) [x] All are true (Score = 3.0)

Question ID: 97

Which is false regarding nutritional surveillance?

Options:

(1) [ ] It is a Diagnostic Method (Score = -1.0)

(2) [ ] Precise weight reading required (Score = -1.0)

(3) [x] Done in all children less than 5 years (Score = 3.0)

(4) [ ] Done by a trained worker (Score = -1.0)



Question ID: 98

Most common occupational cancer in India is?

Options:

(1) [x] skin cancer (Score = 3.0)

(2) [ ] lung cancer (Score = -1.0)

(3) [ ] bladder cancer (Score = -1.0)

(4) [ ] breast cancer (Score = -1.0)

Question ID: 99

Soft tick transmits?

Options:

(1) [x] Relapsing Fever (Score = 3.0)

(2) [ ] KFD (Score = -1.0)

(3) [ ] Tick typhus (Score = -1.0)

(4) [ ] Tularemia (Score = -1.0)

Question ID: 100

The WHO Definition of Low Vision?

Options:

(1) [ ] Visual acuity 6/60 to 3/60 in the better eye with best correction. (Score = -1.0)

(2) [x] Visual acuity 6/60 to 6/18 in the better eye with best correction. (Score = 3.0)

(3) [ ] Visual acuity 6/18 to 3/60 in the better eye with best correction. (Score = -1.0)

(4) [ ] Visual acuity <3/60 in the better eye with available correction (Score = -1.0)

Question ID: 101

Which of the following is not a criteria for judging causality in non communicable diseases?

Options:

(1) [ ] Strength of Association (Score = -1.0)

(2) [ ] Dose Response Relationship (Score = -1.0)



(3) [ ] Specificity of the association (Score = -1.0)

(4) [x] Lack of Temporal Association (Score = 3.0)

Question ID: 102

The major purpose of randomization in a clinical trails is to?

Options:

(1) [ ] Facilitate double blinding (Score = -1.0)

(2) [ ] Help ensure the study subjects are representative of general population (Score = -1.0)

(3) [ ] Ensure the groups are comparable on base line characteristics (Score = -1.0)

(4) [x] Reduce selection bias in allocation to treatment (Score = 3.0)

Question ID: 103

Vaccine contraindicated in pregnancy is?

Options:

(1) [x] MMR (Score = 3.0)

(2) [ ] Rabies (Score = -1.0)

(3) [ ] Hepatitis B (Score = -1.0)

(4) [ ] None (Score = -1.0)

Question ID: 104

All of the following statements are true for Herd immunity except?

Options:

(1) [x] Herd structure is constant (Score = 3.0)

(2) [ ] It is mostly due to subclinical infection (Score = -1.0)

(3) [ ] Can be acquired by immunisation (Score = -1.0)

(4) [ ] Spread of epidemic is influenced by it (Score = -1.0)

Question ID: 105

A study was conducted to test if use of herbal tea played any role in prevention of common

cold. Data was collected on the number of people who developed cold and those who did not



develop cold and this data was tabulated in relation to whether they consumed Herbal tea or

not. The analytical test of choice to test this study is?

Options:

(1) [ ] Student- t test (unpaired) (Score = -1.0)

(2) [ ] Student- t test (paired) (Score = -1.0)

(3) [x] Chi square test (Score = 3.0)

(4) [ ] 'Z' test (Score = -1.0)

Question ID: 106

IMNCI defers from IMCI by all except?

Options:

(1) [ ] Malaria & anemia are included (Score = -1.0)

(2) [ ] 0-7 days neonates are included (Score = -1.0)

(3) [x] Sick neonates are preferred over sick older child (Score = 3.0)

(4) [ ] Treatment is aimed at more than 1 disease at a time (Score = -1.0)

Question ID: 107

Mass prophylaxis in endemic area is done in all except ?

Options:

(1) [ ] Yaws (Score = -1.0)

(2) [x] Leprosy (Score = 3.0)

(3) [ ] Trachoma (Score = -1.0)

(4) [ ] Filariasiss (Score = -1.0)

Question ID: 108

A data is arranged as satisfied, very satisfied, dissatisfied. This is an example of?

Options:

(1) [ ] Normal data (Score = -1.0)

(2) [x] Ordinal data (Score = 3.0)



(3) [ ] Interval data (Score = -1.0)

(4) [ ] Ratio data (Score = -1.0)

Question ID: 109

NPCB strategy for screening of diabetic retinopathy is an example of?

Options:

(1) [ ] Opportunistic screening (Score = -1.0)

(2) [x] High risk screening (Score = 3.0)

(3) [ ] Eye examination by PHC MO (Score = -1.0)

(4) [ ] Mass screening (Score = -1.0)

Question ID: 110

Direct standardization is used to compare the mortality rates between two countries. This is

done because of the difference in?

Options:

(1) [ ] Causes of death (Score = -1.0)

(2) [ ] Numerators (Score = -1.0)

(3) [x] Age distributions (Score = 3.0)

(4) [ ] Denominators (Score = -1.0)

Question ID: 111

Under national programme for prevention of nutritional blindness , a child in the age group of

6-11 months is given a mega dose of vitamin A equal to ?

Options:

(1) [ ] 50000 IU (Score = -1.0)

(2) [x] 1 lakh IU (Score = 3.0)

(3) [ ] 1.5 lakh IU (Score = -1.0)

(4) [ ] 2 lakh IU (Score = -1.0)

Question ID: 112



several studies show that 85 % of cases of lung cancer are due to cigarette smoking . it is a

measure of ?

Options:

(1) [ ] incidence rate (Score = -1.0)

(2) [ ] relative risk (Score = -1.0)

(3) [x] attributable risk (Score = 3.0)

(4) [ ] absolute risk (Score = -1.0)

Question ID: 113

Not true about breast milk is?

Options:

(1) [x] Maximum output is seen at 12 month (Score = 3.0)

(2) [ ] Breast milk protein is a reference protein (Score = -1.0)

(3) [ ] Calcium utilization from breast milk is more than cows milk (Score = -1.0)

(4) [ ] Coefficient of absorption of iron is 70% (Score = -1.0)

Question ID: 114

Mercury is disposed by?

Options:

(1) [ ] Controlled combustion (Score = -1.0)

(2) [ ] Deep burial (Score = -1.0)

(3) [x] Safely collect & re-use (Score = 3.0)

(4) [ ] Chemical treatment (Score = -1.0)

Question ID: 115

The highest percentages of poly unsaturated fatty acids are present in?

Options:

(1) [ ] Ground nut oil (Score = -1.0)

(2) [ ] Palm oil (Score = -1.0)



(3) [ ] margarine (Score = -1.0)

(4) [x] soya bean oil (Score = 3.0)

Question ID: 116

A more sensitive test is required if following are seen except?

Options:

(1) [ ] Confirmatory test is expensive (Score = -1.0)

(2) [ ] resources are limited (Score = -1.0)

(3) [x] false positive cases result in isolation of healthy individuals (Score = 3.0)

(4) [ ] Individuals truly diseased are to be identified (Score = -1.0)

Question ID: 117

The correlation between variables A and B in a study was found to be 1.1. This indicates

Options:

(1) [ ] Very strong correlation (Score = -1.0)

(2) [ ] Moderately strong correlation (Score = -1.0)

(3) [ ] Weak correlation (Score = -1.0)

(4) [x] Computational mistake in calculating correlation (Score = 3.0)

Question ID: 118

Cereals and proteins are considered complementary since?

Options:

(1) [ ] Cereals are deficient in methionine (Score = -1.0)

(2) [ ] Cereals are deficient in methionine and pulses are deficient in lysine (Score = -1.0)

(3) [x] Cereals are deficient in lysine and pulses are deficient in methionine (Score = 3.0)

(4) [ ] Both cereals and pulses contain threonine (Score = -1.0)

Question ID: 119

The biological oxygen demand indicates?

Options:



(1) [x] Organic matter (Score = 3.0)

(2) [ ] Bacterial content (Score = -1.0)

(3) [ ] Anaerobic bacteria (Score = -1.0)

(4) [ ] Chemicals (Score = -1.0)

Question ID: 120

A population study showed a mean glucose of 86 mg/ dL. In a sample of 100 showing normal

curve distribution, what percentage of people have glucose above 86%?

Options:

(1) [ ] 65 (Score = -1.0)

(2) [x] 50 (Score = 3.0)

(3) [ ] 75 (Score = -1.0)

(4) [ ] 100 (Score = -1.0)

Question ID: 121

The infectivity of chicken pox lasts for?

Options:

(1) [ ] Till the last scab falls off (Score = -1.0)

(2) [x] 6 days after onset of rash (Score = 3.0)

(3) [ ] 3 days after onset of rash (Score = -1.0)

(4) [ ] Till the fever subside (Score = -1.0)

Question ID: 122

A screening test applied to detect diabetes in a population over 40 yrs of age should satisfy

the following criteria except?

Options:

(1) [ ] validity (Score = -1.0)

(2) [ ] reproducibility (Score = -1.0)

(3) [ ] feasibility (Score = -1.0)



(4) [x] Ingenity (Score = 3.0)

Question ID: 123

Homes where children are placed under the care of doctors and psychiatrists are called?

Options:

(1) [ ] Foster homes (Score = -1.0)

(2) [x] Borstals (Score = 3.0)

(3) [ ] Remand homes (Score = -1.0)

(4) [ ] Child guidance clinics (Score = -1.0)

Question ID: 124

Frozen DPT vaccine should be?

Options:

(1) [ ] Shaken thoroughly before use (Score = -1.0)

(2) [ ] Allowed to melt before use (Score = -1.0)

(3) [ ] Brought to room temperature (Score = -1.0)

(4) [x] Discarded (Score = 3.0)

Question ID: 125

Consider the following statement regarding

drinking water samples :

1. No sample should be containts coliform organisms

2. No sample should containts E.coli

3. No two successive samples should contain

coliform organisms

4. No two successive samples should contain E.coli

Which of the above criterion /criteria is /are

included in the standards prescribed by WHO for

drinking water?



Options:

(1) [ ] 1 only (Score = -1.0)

(2) [ ] 1 and 2 (Score = -1.0)

(3) [x] 2 and 3 (Score = 3.0)

(4) [ ] 1 and 4 (Score = -1.0)

Question ID: 126

Which one of the following diseases has the shortest incubation period ?

Options:

(1) [ ] Salmonella food poisoning (Score = -1.0)

(2) [x] Staphylococcus food poisoning (Score = 3.0)

(3) [ ] Cholera (Score = -1.0)

(4) [ ] Diphtheria (Score = -1.0)

Question ID: 127

Appetite is stimulated by all except?

Options:

(1) [ ] Agouti related peptide (Score = -1.0)

(2) [ ] Melanocyte concentrating hormone (Score = -1.0)

(3) [x] Melanocyte stimulating hormone (Score = 3.0)

(4) [ ] Neuropeptide Y (Score = -1.0)

Question ID: 128

Capacitation occurs in?

Options:

(1) [x] Uterus (Score = 3.0)

(2) [ ] Seminal vesicle (Score = -1.0)

(3) [ ] Epididymis (Score = -1.0)



(4) [ ] Vas deferens (Score = -1.0)

Question ID: 129

An 82-year-old woman is brought to the emergency room complaining of nausea, vomiting,

muscle cramps, and generalized weakness. Laboratory analysis reveals significant

hyperkalemia. Elevations of extracellular potassium ion concentration will have which of the

following effects on

nerve membranes?

Options:

(1) [ ] The membrane potential will become more negative (Score = -1.0)

(2) [ ] The sodium conductance will increase (Score = -1.0)

(3) [x] The potassium conductance will increase (Score = 3.0)

(4) [ ] The Na+-K+ pump will become inactivated (Score = -1.0)

Question ID: 130

A 44-year-old female with a history of excessive menstrual bleeding and menstrual cycles that

generally last over 7 days, complains of increasing fatigue and cold extremities. Lab results

reveal a hemoglobin (Hb) concentration of 6 g/dL. In this patient with anemia, which of the

following

would be reduced?

Options:

(1) [ ] Arterial PO2 (Score = -1.0)

(2) [x] Total arterial oxygen content (Score = 3.0)

(3) [ ] Percent O2 saturation in the arterial blood (Score = -1.0)

(4) [ ] Oxygen extraction (Score = -1.0)

Question ID: 131

Action of NO on smooth muscle cells in intestine?

Options:



(1) [ ] Vasodilatation (Score = -1.0)

(2) [x] Inhibition of smooth muscle motility (Score = 3.0)

(3) [ ] Act through cGMP (Score = -1.0)

(4) [ ] Vasoconstriction (Score = -1.0)

Question ID: 132

A patient complaining of an irregular heart beat is referred for a cardiac electrophysiological

(EP) study. Propagation of the action potential through the heart is fastest in which of the

following?

Options:

(1) [ ] SA node (Score = -1.0)

(2) [ ] Atrial muscle (Score = -1.0)

(3) [x] Purkinje fibers (Score = 3.0)

(4) [ ] Ventricular muscle (Score = -1.0)

Question ID: 133

A 42-year-old male develops a gastric carcinoma affecting the proximal third of his stomach.

He is scheduled for a partial gastrectomy of the affected region, which will primarily affect

which of the following processes?

Options:

(1) [x] Accommodation (Score = 3.0)

(2) [ ] Peristalsis (Score = -1.0)

(3) [ ] Retropulsion (Score = -1.0)

(4) [ ] Segmentation (Score = -1.0)

Question ID: 134

A 57-year-old man undergoes resection of the distal 100 cm of the terminal ileum as part of

treatment for Crohn’s disease. The patient likely will develop malabsorption of which of the

following?

Options:



(1) [ ] Iron (Score = -1.0)

(2) [ ] Folate (Score = -1.0)

(3) [ ] Lactose (Score = -1.0)

(4) [x] Bile salt (Score = 3.0)

Question ID: 135

Which of the following vitamins is both synthesized by intestinal bacteria and absorbed in

significant quantities?

Options:

(1) [ ] Vitamin B6 (Score = -1.0)

(2) [ ] Vitamin K (Score = -1.0)

(3) [ ] Thiamine (Score = -1.0)

(4) [x] Folic acid (Score = 3.0)

Question ID: 136

In standing position , venous return is affected by all except?

Options:

(1) [ ] Calf muscle (Score = -1.0)

(2) [x] Arterial pressure (Score = 3.0)

(3) [ ] Fascial planes (Score = -1.0)

(4) [ ] Competent valves of perforators (Score = -1.0)

Question ID: 137

In the graph below showing plasma hormone levels as a function of time, ovulation takes

place at which of the lettered points on the time axis?



Options:

(1) [ ] A (Score = -1.0)

(2) [ ] B (Score = -1.0)

(3) [x] C (Score = 3.0)

(4) [ ] D (Score = -1.0)

Question ID: 138

Splicing activity seen in?

Options:

(1) [ ] mRNA (Score = -1.0)

(2) [x] snRNA (Score = 3.0)

(3) [ ] tRNA (Score = -1.0)

(4) [ ] rRNA (Score = -1.0)

Question ID: 139

All amino acids are optically active except?

Options:

(1) [x] Glycine (Score = 3.0)

(2) [ ] Serine (Score = -1.0)

(3) [ ] Threonine (Score = -1.0)

(4) [ ] Tryptophan (Score = -1.0)

Question ID: 141

The major end product of protein nitrogen metabolism in man is?

Options:

(1) [ ] Glycine (Score = -1.0)

(2) [ ] Uric acid (Score = -1.0)

(3) [x] Urea (Score = 3.0)



(4) [ ] NH3 (Score = -1.0)

Question ID: 142

In electrophoresis which lipoprotein moves the least?

Options:

(1) [ ] LDL (Score = -1.0)

(2) [ ] HDL (Score = -1.0)

(3) [ ] VLDL (Score = -1.0)

(4) [x] Chylomicron (Score = 3.0)

Question ID: 143

Method used to differentiate the genetic expression of tumor cell vs. normal cells is?

Options:

(1) [ ] Northern blot (Score = -1.0)

(2) [ ] Southern blot (Score = -1.0)

(3) [ ] Western blot (Score = -1.0)

(4) [x] Microarray (Score = 3.0)

Question ID: 144

The egg injury factor in raw egg white is?

Options:

(1) [ ] Biotin (Score = -1.0)

(2) [x] Avidin (Score = 3.0)

(3) [ ] Albumin (Score = -1.0)

(4) [ ] Calcium salts (Score = -1.0)

Question ID: 145

Corrinoid coenzymes are coenzymes of?

Options:

(1) [ ] Vitamin B6 (Score = -1.0)



(2) [x] Vitamin B12 (Score = 3.0)

(3) [ ] Vitamin B2 (Score = -1.0)

(4) [ ] Vitamin B (Score = -1.0)

Question ID: 146

The base sequence of the strand of DNA used as thetemplate for transcription has the base

sequenceGATCTAC. What is the base sequence of the RNAproduct? (All sequences are written

according to stan-dard convention.)

Options:

(1) [ ] CTAGATG (Score = -1.0)

(2) [ ] GTAGATC (Score = -1.0)

(3) [ ] GTAGATC. (Score = -1.0)

(4) [x] GUAGAUC. (Score = 3.0)

Question ID: 147

Which one of the following is elevated in plasma during the absorptive period (compared with

thepostabsorptive state)?

Options:

(1) [ ] Glucagon (Score = -1.0)

(2) [ ] Acetoacetate (Score = -1.0)

(3) [x] Chylomicrons (Score = 3.0)

(4) [ ] Free fatty acids (Score = -1.0)

Question ID: 148

Methemoglobinemia caused by?

Options:

(1) [ ] Procaine (Score = -1.0)

(2) [x] Prilocaine (Score = 3.0)

(3) [ ] Bupivacaine (Score = -1.0)

(4) [ ] lignocaine (Score = -1.0)



Question ID: 149

Which one of the following is most likely to require administration of a muscle relaxant?

Options:

(1) [ ] Ethyl ether (Score = -1.0)

(2) [ ] Halothane (Score = -1.0)

(3) [ ] Benzodiazepines (Score = -1.0)

(4) [x] Nitrous oxide (Score = 3.0)

Question ID: 150

Halogenated anesthetics may produce malignant hyperthermia in?

Options:

(1) [ ] Patients with poor renal function (Score = -1.0)

(2) [ ] Pregnant women (Score = -1.0)

(3) [x] Patients with a genetic defect in muscle calcium regulation (Score = 3.0)

(4) [ ] Alcoholics (Score = -1.0)

Question ID: 151

Children with asthma undergoing a surgical procedure are frequently anesthetized with

sevoflurane, because it?

Options:

(1) [ ] Is rapidly taken up (Score = -1.0)

(2) [x] Does not irritate the airway (Score = 3.0)

(3) [ ] Has a low nephrotoxic potential (Score = -1.0)

(4) [ ] Does not undergo metabolism (Score = -1.0)

Question ID: 152

Treatment of erythematous skin rash with multiple pus lakes in a pregnant woman is ?

Options:

(1) [x] Corticosteroids (Score = 3.0)



(2) [ ] Isotretinoin (Score = -1.0)

(3) [ ] Methotrexate (Score = -1.0)

(4) [ ] Psoralen with PUVA (Score = -1.0)

Question ID: 153

Black-dot ring worm is caused by?

Options:

(1) [ ] microsporum (Score = -1.0)

(2) [ ] epidermophyton (Score = -1.0)

(3) [ ] candida (Score = -1.0)

(4) [x] trichophyton (Score = 3.0)

Question ID: 154

which clinical condition is associated with latex allergy?

Options:

(1) [ ] bronchial asthma (Score = -1.0)

(2) [ ] fibrosiong alveolitis (Score = -1.0)

(3) [ ] diabetes mellitus (Score = -1.0)

(4) [x] spina bifida (Score = 3.0)

Question ID: 155

Which of the following is NOT a primary skin disease?

Options:

(1) [ ] Psoriasis (Score = -1.0)

(2) [ ] Lichen planus (Score = -1.0)

(3) [x] Reiter’s syndrome (Score = 3.0)

(4) [ ] Bowen’s disease (Score = -1.0)

Question ID: 156

genital ulcer is seen in all , except?



Options:

(1) [ ] granuloma inguinale (Score = -1.0)

(2) [x] LGV (Score = 3.0)

(3) [ ] donovanosis (Score = -1.0)

(4) [ ] syphilis (Score = -1.0)

Question ID: 157

Investigation of choice for a lesion of temporal bone?

Options:

(1) [x] CT (Score = 3.0)

(2) [ ] MRI (Score = -1.0)

(3) [ ] USG (Score = -1.0)

(4) [ ] X-ray (Score = -1.0)

Question ID: 158

Which one of the following imaging technique gives maximum radiation exposure to the

patient?

Options:

(1) [ ] chest X-ray (Score = -1.0)

(2) [ ] MRI (Score = -1.0)

(3) [x] ct- scan (Score = 3.0)

(4) [ ] Bone scan (Score = -1.0)

Question ID: 159

"ground glass appearance" on chest x-ray is not seen in?

Options:

(1) [ ] hyaline membrane disease (Score = -1.0)

(2) [ ] pneumonia (Score = -1.0)

(3) [x] left to right shunt (Score = 3.0)



(4) [ ] obstructive TAPVC (Score = -1.0)

Question ID: 160

Regarding MRI of the brain: Which IS FALSE?

Options:

(1) [x] Cerebrospinal fluid has high signal on T1-weighted images (Score = 3.0)

(2) [ ] Cerebrospinal fluid has high signal on T2-weighted images (Score = -1.0)

(3) [ ] In a proton density MRI sequence, grey matter is hyperintense to white matter (Score =

-1.0)

(4) [ ] In CT of the brain the white matter is darker than grey matter (Score = -1.0)

Question ID: 161

which of the following is the first investigation of choice in cases of obstructive jaundice?

Options:

(1) [ ] cholecystography (Score = -1.0)

(2) [x] USG (Score = 3.0)

(3) [ ] CT (Score = -1.0)

(4) [ ] MRI (Score = -1.0)

Question ID: 162

mammographic feature suggesting malignancy are all, except?

Options:

(1) [ ] high density mass (Score = -1.0)

(2) [ ] spiculated mass (Score = -1.0)

(3) [ ] architectural distorsion (Score = -1.0)

(4) [x] halo sign (Score = 3.0)

Question ID: 163

Mucopolysaccharide hyaluronic acid is present in ?



Options:

(1) [ ] Aqueous humor (Score = -1.0)

(2) [x] Vitreous humor (Score = 3.0)

(3) [ ] Lens (Score = -1.0)

(4) [ ] cornea (Score = -1.0)

Question ID: 164

Which of the following is pathognomonic of open angle glaucoma ?

Options:

(1) [ ] Roenne's nasal step (Score = -1.0)

(2) [ ] Isolated scotomas in Bjerrum's area (Score = -1.0)

(3) [x] Arcuate sign (Score = 3.0)

(4) [ ] Siedel sign (Score = -1.0)

Question ID: 165

As regards to intraocular retinoblastoma, which one of the following statements is false ?

Options:

(1) [ ] 94% of cases are sporadic (Score = -1.0)

(2) [x] Patients with sporadic retinoblastoma do not pass their genes to their offsprings (Score

= 3.0)

(3) [ ] Calcification in the tumor can be detected on ultrasound scan (Score = -1.0)

(4) [ ] Presence of extraocular extension (Score = -1.0)

Question ID: 166

Which of the following ocular conditions is autosomal dominant in inheritance?

Options:

(1) [x] Best disease (Score = 3.0)

(2) [ ] Gyrate atrophy (Score = -1.0)

(3) [ ] Lawrence-Moon-Biedel syndrome (Score = -1.0)



(4) [ ] Bassen Kornzweig disease (Score = -1.0)

Question ID: 167

The applanation tonometer is based on?

Options:

(1) [ ] lincoffs law (Score = -1.0)

(2) [ ] stokes law (Score = -1.0)

(3) [x] imbert-ficks law (Score = 3.0)

(4) [ ] boyles law (Score = -1.0)

Question ID: 168

Endoophthalmitis include all except?

Options:

(1) [ ] Vitreous (Score = -1.0)

(2) [x] Sclera (Score = 3.0)

(3) [ ] Uvea (Score = -1.0)

(4) [ ] Retina (Score = -1.0)

Question ID: 169

Pancreatitis occurs with?

Options:

(1) [ ] Abacavir (Score = -1.0)

(2) [ ] Zidovudine (Score = -1.0)

(3) [ ] Lamivudine (Score = -1.0)

(4) [x] Didanosine (Score = 3.0)

Question ID: 170

sulfonylureas produce hypoglycemia by all of the following except?

Options:

(1) [ ] increase release of insulin from islet tissue (Score = -1.0)



(2) [x] increase biosynthesis of insulin in islet tissue (Score = 3.0)

(3) [ ] increase no of insulin receptors (Score = -1.0)

(4) [ ] sensitization of cells of islet to glucose (Score = -1.0)

Question ID: 171

palifermin is used in?

Options:

(1) [ ] cancer induced nausea and vomiting (Score = -1.0)

(2) [ ] cancer induced alopecia (Score = -1.0)

(3) [x] cancer induced mucositis (Score = 3.0)

(4) [ ] cancer induced diarrhoea (Score = -1.0)

Question ID: 172

Ethosuximide is the drug of choice for?

Options:

(1) [ ] GTCS (Score = -1.0)

(2) [ ] CPS (Score = -1.0)

(3) [x] Absence seizures (Score = 3.0)

(4) [ ] Myoclonic seizures (Score = -1.0)

Question ID: 173

Isoniazid is eliminated rapidly in some people but slower in others because?

Options:

(1) [ ] Of hereditary variation in the rate of isoniazid excretion by the kidneys (Score = -1.0)

(2) [x] Of a variable capacity of the hepatic enzyme acetyltransferase to metabolise isoniazid

(Score = 3.0)

(3) [ ] Pseudocholinesterase enzymes exhibit a form of polymorphism (Score = -1.0)

(4) [ ] The enzyme glucose-6-phosphate dehydrogenase exists in at least two polymorphic

forms (Score = -1.0)



Question ID: 174

Proton pump inhibitor is ?

Options:

(1) [ ] Ranitidine (Score = -1.0)

(2) [ ] Misoprostol (Score = -1.0)

(3) [x] Omeprazole (Score = 3.0)

(4) [ ] Loxatidine (Score = -1.0)

Question ID: 175

AGGREGATES OF CURRENT CLINICAL TRIALS SUGGEST THAT BETABLOCKER IS NOT TOLERATED

IN WHICH OF THE FOLLOWING GROUP OF PATIENTS WITH HEART FAILURE

Options:

(1) [ ] diabetes (Score = -1.0)

(2) [ ] COPD (Score = -1.0)

(3) [ ] peripheral vascular disease (Score = -1.0)

(4) [x] worsening fluid retention (Score = 3.0)

Question ID: 176

All are adverse effects of INH except?

Options:

(1) [ ] peripheral neuritis (Score = -1.0)

(2) [ ] hepatitis (Score = -1.0)

(3) [x] flu like syndrome (Score = 3.0)

(4) [ ] allergic reactions (Score = -1.0)

Question ID: 177

only bisphosphonate currently approved for intravenous use in pagets disease?

Options:

(1) [ ] etidronate (Score = -1.0)



(2) [x] pamidronate (Score = 3.0)

(3) [ ] alendronate (Score = -1.0)

(4) [ ] risedronate (Score = -1.0)

Question ID: 178

which route of administration is most likely to subject a drug to a first pass effect?

Options:

(1) [ ] intravenous (Score = -1.0)

(2) [ ] inhalational (Score = -1.0)

(3) [x] oral (Score = 3.0)

(4) [ ] sublingual (Score = -1.0)

Question ID: 179

Which one of the following drugs cause hypomagnesemia by increased excretion?

Options:

(1) [x] Frusemide (Score = 3.0)

(2) [ ] cisplatin (Score = -1.0)

(3) [ ] Digitalis (Score = -1.0)

(4) [ ] aminoglycosides (Score = -1.0)

Question ID: 180

All of the following drugs reduce the plasma renin activity;, except?

Options:

(1) [ ] beta blockers (Score = -1.0)

(2) [ ] clonidine (Score = -1.0)

(3) [x] hydralazine (Score = 3.0)

(4) [ ] alpha methyldopa (Score = -1.0)

Question ID: 181



A 64-year-old man presents to his doctor with aching, burning pain after meals. He had been

self-medicating for several months with antacids, but he found this to be increasingly

ineffective. His physician decides to take him off the antacids and instead places him on a

combination of ranitidine and sucralfate. Why is this combination a bad idea?

Options:

(1) [ ] Ranitidine increases the toxicity of sucralfate (Score = -1.0)

(2) [x] Ranitidine inhibits the action of sucralfate (Score = 3.0)

(3) [ ] Sucralfate increases the toxicity of ranitidine (Score = -1.0)

(4) [ ] Sucralfate inhibits the action of ranitidine (Score = -1.0)

Question ID: 182

Daclizumab and Basiliximab are?

Options:

(1) [ ] calcineurin inhibitors (Score = -1.0)

(2) [x] interleukin 2 inhibitors (Score = 3.0)

(3) [ ] anti t cell antibodies (Score = -1.0)

(4) [ ] anticoagulants (Score = -1.0)

Question ID: 183

Eculizumab is directed against?

Options:

(1) [ ] cd4 cells (Score = -1.0)

(2) [x] c5 protein (Score = 3.0)

(3) [ ] cd8 cells (Score = -1.0)

(4) [ ] c3 b protein (Score = -1.0)

Question ID: 184

Lymes disease all are true except ?

Options:

(1) [ ] Borellia burgdorferi replicates locally and invades locally (Score = -1.0)



(2) [ ] Infection progresses inspite of good humoral immunity (Score = -1.0)

(3) [ ] Polmorphonuclear lymphocytosis in CSF suggest meningeal involvement (Score = -1.0)

(4) [x] IgA intrathecally confirms meningitis (Score = 3.0)

Question ID: 185

A 46-year-old male with HIV and severe penicillin allergy receiving zidovudine, indinavir, and

stavudine presents with fever, nonproductive cough, and severe hypoxia. Chest x-ray reveals

diffuse increased interstitial markings and a possible lobar consolidation in the left lower

lobe. After

appropriate evaluation, the patient receives levofloxacin, trimethoprim-sulfamethoxazole,

and acyclovir. Initial serum creatinine is 1.6 mg/dL. On day 4, it has risen to 3.8 mg/dL and a

normal serum potassium has risen to 7.1 mg/dL. Urinalysis reveals no casts, 10 to 20

WBC/HPF, and rare RBCs.

Which drug is the most likely cause of renal failure?

Options:

(1) [ ] Levofloxacin (Score = -1.0)

(2) [x] Trimethoprim-sulfamethoxazole (Score = 3.0)

(3) [ ] Acyclovir (Score = -1.0)

(4) [ ] Indinavir (Score = -1.0)

Question ID: 186

Which of the following forces is not involved in Antigen antibody reaction ?

Options:

(1) [ ] Hydrogen bond (Score = -1.0)

(2) [ ] Electrostatic bond (Score = -1.0)

(3) [x] Covalent bond (Score = 3.0)

(4) [ ] Vander Wall's forces (Score = -1.0)

Question ID: 187

Most sensitive test for Treponema?



Options:

(1) [ ] VDRL (Score = -1.0)

(2) [ ] RPR (Score = -1.0)

(3) [x] FTA-ABS (Score = 3.0)

(4) [ ] Kahn tes (Score = -1.0)

Question ID: 188

All of the following diseases may be caused by staphylococcus except ?

Options:

(1) [ ] Ecthyma (Score = -1.0)

(2) [x] Erysipelas (Score = 3.0)

(3) [ ] Impetigo (Score = -1.0)

(4) [ ] Scalded Skin Syndrome (Score = -1.0)

Question ID: 189

A 50-year-old woman complains of pain and swelling in her proximal interphalangeal joints,

both wrists, and both knees. She complains of morning stiffness. She had a hysterectomy 10

years ago. Physical exam shows swelling and thickening of the PIP joints. Hemoglobin is 10.3

g/dL,

MCV is 80 fL, serum iron is 8 µmol/L, iron-binding capacity is 200 µg/dL(normal is 250 to 370

µg/dL), and saturation is 10%. The most likely explanation for this woman’s anemia is?

Options:

(1) [ ] Occult blood loss (Score = -1.0)

(2) [ ] Vitamin deficiency (Score = -1.0)

(3) [x] Anemia of chronic disease (Score = 3.0)

(4) [ ] Sideroblastic anemia (Score = -1.0)

Question ID: 190

The definitive diagnosis of multiple myeloma is best made by?



Options:

(1) [ ] 24-h urine protein (Score = -1.0)

(2) [x] Greater than 10% plasma cells in bone marrow (Score = 3.0)

(3) [ ] Renal biopsy (Score = -1.0)

(4) [ ] Rouleaux formation on blood smear (Score = -1.0)

Question ID: 191

A 60-year-old asymptomatic man is found to have a leukocytosis when a routine CBC is

obtained. Physical exam shows no abnormalities.The spleen is of normal size. Lab data

includes:

Hgb: 9 g/dL (normal 14 to 18)

Leukocytes: 40,000/µL (normal 4,300 to 10,800)

Peripheral blood smear shows a differential that includes 97% small lymphocytes. The most

likely diagnosis is

Options:

(1) [ ] Acute monocytic leukemia (Score = -1.0)

(2) [ ] Chronic myelogenous leukemia (Score = -1.0)

(3) [x] Chronic lymphocytic leukemia (Score = 3.0)

(4) [ ] Tuberculosis (Score = -1.0)

Question ID: 192

Savlon contains?

Options:

(1) [ ] Chlorhexidine and chlorxylenol (Score = -1.0)

(2) [ ] Hibitane and chlorxylenol (Score = -1.0)

(3) [ ] Cetavlon and habitane (Score = -1.0)

(4) [x] Cetavlon and chlorhexidine (Score = 3.0)

Question ID: 193



Which of the following represents the currently recommended goal for blood pressure control

in a diabetic?

Options:

(1) [ ] Less than 160/90 (Score = -1.0)

(2) [ ] Less than 140/90 (Score = -1.0)

(3) [x] Less than 130/85 (Score = 3.0)

(4) [ ] Less than 120/80 (Score = -1.0)

Question ID: 194

A 32-year-old diabetic female who takes an estrogen-containing oral contraceptive and drinks

three beers per day is found to have a triglyceride level greater than 1000 mg/dL. She is at

risk for which of the following complications?

Options:

(1) [x] Acute pancreatitis (Score = 3.0)

(2) [ ] Sudden cardiac death (Score = -1.0)

(3) [ ] Acute peripheral arterial occlusion (Score = -1.0)

(4) [ ] Acute renal insufficiency (Score = -1.0)

Question ID: 195

most common malignancy in AIDS patients?

Options:

(1) [ ] non hodgkins lymphoma (Score = -1.0)

(2) [x] kaposi sarcoma (Score = 3.0)

(3) [ ] melanoma (Score = -1.0)

(4) [ ] leiomyoma (Score = -1.0)

Question ID: 196

A 60-year-old white female presents with epigastric pain, nausea and



vomiting, heart rate of 50, and pronounced first-degree AV block on ER

cardiac monitor. Blood pressure is 130/80. The coronary artery most likely

to be involved in this process is the?

Options:

(1) [x] Right coronary (Score = 3.0)

(2) [ ] Left main (Score = -1.0)

(3) [ ] Left anterior descending (Score = -1.0)

(4) [ ] Circumflex (Score = -1.0)

Question ID: 197

A 40-year-old alcoholic develops cough and fever. Chest x-ray shows an air-fluid level in the

superior segment of the right lower lobe. The most likely etiologic agent is?

Options:

(1) [ ] Streptococcus pneumoniae (Score = -1.0)

(2) [ ] Haemophilus influenzae (Score = -1.0)

(3) [ ] Legionella (Score = -1.0)

(4) [x] Anaerobes (Score = 3.0)

Question ID: 198

A 35-year-old previously healthy woman complains of a severe,excruciating headache and

then has a transient loss of consciousness.There are no focal neurologic findings. The next

step in evaluation is?

Options:

(1) [x] CT scan without contrast (Score = 3.0)

(2) [ ] CT scan with contras (Score = -1.0)

(3) [ ] Carotid angiogram (Score = -1.0)

(4) [ ] Holter monito (Score = -1.0)



Question ID: 199

Mechanism of action of pertussis toxin?

Options:

(1) [x] ADP ribosylation (Score = 3.0)

(2) [ ] Adenyl cyclase inactivation (Score = -1.0)

(3) [ ] Open calcium channels (Score = -1.0)

(4) [ ] decreased affinity of G proteins (Score = -1.0)

Question ID: 200

A 60-year-old female complains of dry mouth and a gritty sensation in her eyes. She states it

is sometimes difficult to speak for more than a few minutes. There is no history of diabetes

mellitus or neurologic disease. The patient is on no medications. On exam, the buccal mucosa

appears dry and

the salivary glands are enlarged bilaterally. The next step in evaluation is?

Options:

(1) [ ] Lip biopsy (Score = -1.0)

(2) [x] Schirmer test and measurement of autoantibodies (Score = 3.0)

(3) [ ] IgG antibody to mumps virus (Score = -1.0)

(4) [ ] Use of corticosteroids (Score = -1.0)

Question ID: 201

Koch's postulate is strictly not followed by ?

Options:

(1) [ ] Mycobacterium avium intercellulare (Score = -1.0)

(2) [x] Mycobacterium leprae (Score = 3.0)

(3) [ ] Mycobacterium tuberculosis (Score = -1.0)

(4) [ ] Bacillus anthracis (Score = -1.0)

Question ID: 202

Hepatitis B virus is included in which Biosafety level ?



Options:

(1) [ ] level 1 (Score = -1.0)

(2) [x] level 2 (Score = 3.0)

(3) [ ] level 3 (Score = -1.0)

(4) [ ] level 4 (Score = -1.0)

Question ID: 203

Max. serum concentration of IgG subclass?

Options:

(1) [x] G1 (Score = 3.0)

(2) [ ] G2 (Score = -1.0)

(3) [ ] G3 (Score = -1.0)

(4) [ ] G4 (Score = -1.0)

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