manipal 2002-medicalgeek

8/2/2019 Manipal 2002-medicalgeek

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Anatomy

1] Posterior boundary of foramen of Winslow is formed by:

Aorta

Inferior vena cava

Portal vein

Liver

Ans : B

2] Demarcation of duodenum from jejunum is shown by:

Ligament of Treitz

Superior mesenteric artery

Falciform ligament

Tail of pancreas

Ans : A

3] External ear is developed from:

1st brachial arch

2nd brachial cleft

1st brachial cleft

2nd brachial arch.

Ans : A

4] Joint at Knee is:
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Synarthrosis

Symphysis

Amphiarthrosis

Diarthrosis

Ans : C

5] Depression of mandible is brought about by:

Medial pterygoid

Lateral pterygoid

Masseter

Buccinator

Ans : B

6] The transfer of body weight in vertebral column is through:-

Laminae

Pedicle

Vertebral body

Neural arch

Ans : C

7] Spinal nerves are mixed because they contain:

Sensory and motor

Dorsal & ventral roots

Come through inter vertebral foramen

Constitute both craniosacral and the thoracolumbar out flow.


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Ans : A

8] Ossification centre of which bone appears with premolar tooth:

Pisiform

Olecranon process

Lateral condyle of humerus

Radial tuberosity

Ans : B

9] Lateral boundary of femoral canal is formed by:

Femoral artery

Femoral vein

Sartorius

Lacunar ligament

Ans : C

10 ] Fecal fistula at umbilicus is due to persistence of:

Vitellointestinal duct

Patent urachus

Remnant of urachus

Ligamentum arteriosum

Ans : A

11] Main supply of small gut is by:

Superior mesenteric Artery

Inferior mesenteric artery

Middle colic artery


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Celiac Axis

Ans : A

Back to top

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Physiology & Biochemistry

1] Absorption of H2O in PCT is characteristic by all except:

Vasopressin dependent

60% of water is absorbed

Depends on solutes

Vasopressin independent

Ans : A

2] Cerebellar Ataxia is characterized by all except:

Resting tremor

Dysdiadochokinesis

Ataxia

Hypotonia

Ans : A

3] Parasympathetic stimulation of tissues in walls of bronchioles causes:

Bronchoconstriction

Bronchodilation

Increased blood flow

Dilatation of alveoli.


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Ans: A

4] Absorption of vitamin D in intestine is helped by:

Calcium

Potassium

Magnesin

Iron

Ans: A

5] Function of cochlea is:

Auditory function

Nerve deafness

Basilar membrane is tuned

Equilibruin is disturbed

Ans : A

6] Avoiding response is due to:

Ispilateral frontal lobe lesions

Contra lateral frontal lobe lesions

Ipsilateral parietal lobe lesions

Contralateral parietal lobe lesions

Ans : B

7] Posterior pituitary hormones are:

ADH and Oxytocin

TRH and FSH

Vasopressin and CRH


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Oxyticin and ACTH

Ans : A

8] Action potential is:

Decremented phenomenon

Doesnt obey all or none phenomenon

K+ goes from ECF to ICF

Threshold stimulus is required

Ans : D

9] Anabolic hormones are all except:

Cortisol

Testosterone

Growth Hormone

Insulin

Ans : A

10] Competitive inhibition is characterized by:

Increased Km and V Max is same

increased Vmax and Km remains constant

increased Km and increased Vmax

Decreased Km and increased Vmax

Ans : A

11] Macrophages in the walls of arteries have receptors for:

Oxidized IDL


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Oxidized LDL

LDL

IDL

Ans: B

12] Collagen synthesis, hydroxyproline is converted to:

Prolene

Lysine

Hydroxy lysine

None of the above

Ans: A

13] Ammonium ion is released by:

Arginase

Glutamate dehydrogenises

Glutaminase

All of the above

Ans: B

14] Salivary secretion does all except:

Lubrication

Taste sensation

Digestion of carbohydrates

Digestion of proteins

Ans : D

15] Inability to understand, speak or read is:


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Dyslexia

Aphasia

Disconnection syndrome

Ataxia

Ans : A

16] Frequency of Alpha waves is:

4-6

> 13

8-13

2-4

Ans: C

17] Normal testicular development requires:

XY

XX

Y chromosome

X chromosome

Ans : A

18] PR interval is:

0.12- 0.16 seconds

0.3 - 0.4 sec.

0.6 - 0.8 sec.

0.12 -4 sec.


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Ans : A

Pharmacology

1] Friedrich type V hyperlipidemia is due to excess of:

HDL

LDL

IDL

Chylomicrons

Ans : D

2] Benzathine penicillin is given in:

primary syphilisAcute gonorrhea

Bacterial endocarditis

meningococcal infection

Ans: A

3] Epinephrine is not used is:

Chronic bronchial asthma

Local homeostasis

Anaphylaxis

All of the above

Ans : A

4] Aspirin should not be used in:

Dysmenorrhea

Viral infection

Ischemic heart disease

Inflammation

Ans : B

5] Mechanism of action of Amiodarone is:

Prolongs APD

Blocks inactivated Na+ channel

Inhibits myocardial Ca++ channel

All of the above

Ans : D

6] Famotidine and cimetidine are different in their action in:


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Oral absorption

Duration of action

Mechanism of action

Anti androgenic action

Ans : B

7] About succinyl choline all are true except:

Neostigmine reversal

Persistent depolarization

Short acting

metabolized by pseudo cholinesterase

Ans : B

8] Nephrogenic diabetes insipidus is treated by:

Thiazides

Carbamazepine

Vasopressin

Cyclophosphamide

Ans : A

9] Prolactin inhibition is caused by:

Dopamine

Bromocriptine antagonist

CRH

Acetylcholine

Ans : A

10] Calcium channel blockers and beta blockers have common indications in all except:

variant angina

Migraine

Hypertension

None of the above

Ans : A

11] Mebendazole is not given in:

Intestinal amoebiasis

Ascariasis

Ancylostoma duodenaleTrichurea trichuris


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Ans: A

12] Most common side effect of zidovudine is:

Hemolytic Anemia

Myopathy

Bone marrow depression

Hepatotoxicity

Ans: C

13] Chlamydial infection in treated by:

tetracycline

chloramphenicol

AmoxicillinPenicillin

Ans : A

14] Mechanism of action of INH include all except:

Kills intracellular bacilli

Kills dormant bacilli

Most dangerous complication is peripheral neuritis

It penetrates all body tissues

Ans: B

15] Clavulanic acid acts by:

B-lactamase inhibitor

Non progressive inhibitor

Extended spectrum penicillin

None of the above

Ans : A

16] Which is not true about meperidine:

Drug dependence

Houring short half life than morphine

More spasmogenic than morphine

Action is antagonize by Naloxone

Ans : C

17] Mechanism of action of biphosphonates is:

Increased urinary excretion of calcium


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Osteoclastmediated re absorption inhibition

Decreased absorption of calcium from gut.

Increased absorption of calcium from gut

Ans :B

18] B1 action of epinephrine is seen in all except:

Angina pectoris

Ventricular arrhythmias

Slow arrhythmias

Intestinal relaxation

Ans : D

19] Atropine is used for all except:

Corneal ulcer

Children with myopia

Iridocyclitis

narrow angle glaucoma

Ans : D

20] Plasma half life of drugs:

Maximum effective dose of drug

max. lethal effect

potency of drug

Dose frequency interval

Ans : D

21] Photosensitivity is caused by:

Digoxin

Amiodarone

Phenytoin

Carbamazepine

Ans : B

Pathology

1] In AML Chromosomal anomaly is:

9 & 22

21 & 9


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20 & 10

8 & 14

Ans : D

2] Highly selective proteinuria contains:

fibrinogen and albumin

transferin

transferrin and fibrinogen

fibrinogen

Ans : A

3] Edward syndrome is due to:

Chromosome 18 anomaly



Chromosome & anomaly

Ans : A

4] Turners syndrome is:

XO

XXY

XXX

XXO

Ans : A

5] Ulcerative colitis is characterized by all except:

Crypt abscess


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Sub mucosal inflammation

Pseudo polyps seen

Fistula formation

Ans : D

6] M4 stage of AML is called as:

Acute myelomonoblastic leukemia

Acute monoblastic leukemia

Myelomonocytic leukemia

Monocytic leukemia

Ans : A

7] About neutrophils all are incorrect except:-

10-20% of all leucocytes.

Phagocytosis

Antibody formation

Increase in chronic infections

Ans : B

8] In leprosy nerve involved is:

Ulnar Nerve

Median

Radial

Axillary

Ans : A


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9] Hypertrophic pulmonary osteoarthropathy is due to:

oat cell carcinoma

squamous cell carinoma

Adenocarcinoma

adenosqumous

Ans : C

10] DIC is caused by all except:

IUD

septic abortion

extramniotic instillation of ethacridine lactate

Ammiotic fluid embolism

Ans : C

11] Giant cell tumour source of cells is :

Osteoclast

Osteoblasts

Osteoid

Unknown

Ans : D

12] Cells in M4 AML are:

Monoblasts & myeloblasts

Myeloblasts only

Monocytes & myelocytes

erythroid cells


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Ans : A

13] Most common tumor of appendix is:

Carcinoid

Squamous cell

Adenocarcinoma

Argentaffin type

Ans : A

14] Stricture of gut is caused by:

Typhoid

tuberculosis

Crohns disease

Ulcerative colitis

Ans : B

15] Lipooxygenase mediated chemotaxis is by:

B4

C4

D4

E4

Ans : A

16] Exchange of genetic material takes place in:

ProphaseI

Prophase II


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Metaphase

Telophase

Ans : C

17] Thromboxane A2 causes:

Vasodilatation

Platelet inhibition

None of the above

Both of above

Ans : C

Microbiology

1] Appendicitis like syndrome is caused by:

Brucella abortis

Yersinia tuberculosis

Pasturella multocida

Yersenia pestis

Ans : C

2] Hep B infection, window period is characterized by:

Anti HBS antibody

HBS antigen

Anti HBE

HBE

Ans : A

3] Visceral larva migrans is caused by:

Toxocara canis

Toxoplasma

Toxocora cutis

Ascariasis

Ans : A

4] In immuno-compromised person, fungal viral, protozoal infection are due to deficiency of:


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T lymphocytes

B lymphocytes

Macrophages

Neutrophils

Ans : A

5] Fungi affecting retroculo-endothelial cells are:

Cryptcoccus

Histoplasmosis

Sporothrix

Cryptosporidium

Ans : B

6] Antigenic drift in influenza virus infections is due to:

Small mutation in neuraminidase and hem agglutinin.

Large mutations in hem agglutinin only

Step mutations in viral genome

None of the above

Ans : A

7] Long lasting immunity in hepatitis infection is due to:

IgA

IgG

IgM

IgE

Ans : A

Forensic

1] Basophilic stippling is seen in:

RBC

WBC

Neutrophils

Basophiles

Ans : A

2] Sentence of death is passed in which judicial court:

High courtSupreme court


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session court

Assistant session court

Ans : A

P&SM

1] Savlon contains:

Chlorhexidine and chlorxylenol

Cetavlon and chlorhexidine

Cetavlon and habitane

Hibitane and chlorxylenol

Ans : B

2] Sullivan index indications:

Life free of disability

Hook worm eggs/gm of stool

standard of living

Pregnancy rate per HWY

Ans : A

3] Global eradication of small pox was done on:

26th Oct 1977

8th May 1980

17th March 1980

17th April 1977

Ans : B

4] Limiting Amino acids in wheat are:

Methionine and Lysine

Lysine and threonine

Threonine and methionine

Arginine and lysine

Ans : B

5] Path of longest duration is:

Limiting path

critical path

cumulative path

None of the aboveAns : B


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6] Level of proteins in human milk is:

0.8ng/dl

0.9ng/dl

1ng/dl

2ng/dl

Ans : B

7] Fluoride content in drinking H2O normally safe is:

0.5-0.8 mg/dl

0.8-0.1 ng/dl

0.2-0.8ng/dl

0.2-0.5mg/dlAns : A

8] Point of control in tuberculosis:

Prevalence is < 1 in 0-14 group of children

> 1% is all childrens


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True positive / T.P + false negatives

True negatives / true positive + false negatives

Ans : B

12] Lathyrism is caused by:

Sanguinarine

BOAA

Pyruvic Acid

Mustard oil

Ans : B

13] Incubation period of mumps is:

18 days

10 days

7 days

17 days

Ans : A

14] API is :

Annual parasitic index

Average parasitic index

animal parasite interval

None of the above

Ans : A

15] World health day is on:

7th April

10th October


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21st May

23rd June

Ans : A

16] Odds ratio is:

Incidence among non exposed x incidence among exposed

Risk factors & outcome

Prevalence of disease

None

Ans : B

17] Iodine in salt is:

15 & 30ppm

15 & 40 ppm

20 & 40 ppm

10 & 20 ppm.

Ans : A

ENT

1] Dysphagia Lusoria is due to:

Arch of aorta pressing over larynx

Abnormal Origin of right subclavian artery pressing on larynx

Abnormal right mammary artery

Esophagus

Ans : B

2] Post cricoid malignancy is due to:

Plummer vision syndromeAlcohol


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smoking

None of the above

Ans: A

3] Thornwaldt disease in inflammation of:

Pharyngeal bursa

Subhyoid bursa

Crypta Magna

Perform fossa

Ans : A

4] Chronic pharyngeal abscess is due to:

Caries in spinetuberculosis of lungs

Cancer of larynx

chronic streptococcal infection

Ans: A

5] Tullio phenomenon is:

Better hearing in Noisy surroundings

Increased sensitivity

Impedance

vertigo in noisy surroundings

Ans: A

6] Noise level which can be tolerated by ears is:

85 dB

70 dB

120 dB

100 dB

Ans : A

7] Dangerous area of Nose is:

Littles area

Woodruffs area

Orfactory area

Posterior wall

Ans : A

8] Rhinitis sicca is due to drying of:


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Anterior wall

Post. Wall

Septum

Roof of Nose

Ans : C

9] Fibrous layer is absent inst:

Pars tensa

Pars flaccida

umbo

Annulus

Ans : B

Ophthalmology

1] WHO defines blindness if visual acuity is:

Less than 3/60 vision

Less than 5/60

Less than 6/6

Less than 2/60

Ans : A

2] Cobble stone appearance is seen in:

Vernal conjunctivitis

Epidemic keratoconjunctivitis

Phlyctenular conjunctivitis

Angular conjunctivitis

Ans : A

3] All are features of Horners syndrome except:

Anhydrosis

Ptosis

Proptosis

Miosis

Ans : C


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4] Cherry Red spot is seen in:

CRAO

CRVO

Diabetes

Hypertension

Ans : A

5] Complicated cataract is not seen in:

Diabetes mellitus

Retinitis pigmentosa

Malignant myopia

Iridocyclitis

Ans : B

6] Enucleation is done in all except:

Total anterior staphyloma

Absolute glaucoma

Panopthalmitis

Pthisis bulb

Ans : A

7] Angle of anterior chamber is visualized by:

Gonioscope

Retinoscope

Ophthalmoscope

Optic wave chamber

Ans :A

8] Cherry red spot is seen in:

Tay sachs disease

Gauchers disease

Gangliosidosis

CRVO

Ans : A

9] Hardeolum internum is due to:

Chronic granulomatous inflammation of meibomian glands

Acute suppuration of Meibomian glandsAcute granulomatous inflammation of meiboiman glands


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Chronic suppuration of sebaceous glands

Ans : A

10] In myopia glasses used are:

Convex

Concave

Cylindrical

Elliptical

Ans : B

11] Visual evoked potential in retro bulbar neuritis is:

P100

P300Wave I

P450

Ans : D

12] Right homomymous hemianopia is due to defect at:

Optic chiasma

Left optic tract

Right optic radiation

Right optic nerve

Ans : C

13] True about Acute congestive glaucoma are all except:

Deep anterior chamber

Oval dilated pupil

Edematous cornea

Edematous optic disc

Ans : A

Surgery

1] D/D for rectal prolapse in children is:

Rectal polyp

Intussusceptions

Both of above


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None of above

Ans : B

2] Most physiological treatment of duodenal ulcer is:

Highly selective vagotomy

antrectomy

Vagotomy & gastrojejunostomy

Gastrojejunostomy

Ans : A

3] Injury to any abdominal organ due to injury is seen in cases of:

Rupture spleen

Fat embolism

Acute dilatation of stomach

Liver injury

Ans : A

4] Most common cause of acute pancreatitis is:

Gall stone

Alcohol

Trauma

Cyst

Ans: A

5] Ligation of which small artery of abdomen leads to immediate death of the patient:

Superior mesenteric artery

Inferior mesenteric artery


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Inferior vena cava

Coronary artery

Ans: A

6] After appendectomy, fecal fistula is due to:

Crohns disease

ulcerative colitis

TB

Amebic colitis

Ans : B

7] Treatment of duodenal ulcer which has least recurrence is:

Vagotomy with antrectomy

Highly selective vagotomy

Vagotomy with gastrojejunostomy

Gastrojejnostomy

Ans : A

8] Incontinence in urinary tract infection is:

False

True

stress

Urge

Ans : D

9] Reverse intussusceptions is seen in :


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Ileocaecal

Ileocolic

Colocolic

caecocolic

Ans : B

10] Most common surgical complication of typhoid is:

Perforation of ulcer

Cholecystitis

Hernia

Peritonitis

Ans : A

11] Rupture of urethra is commonest in which part:

Membranous

Bulbar

Prostatic

Penval

Ans : B

12] Littres hernia includes:

Meckels diverticulum

Intestinal margins

Umblicus

Omentum

Ans: A


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OBG

1] Type of pelvis in which deep transverse arrest occurs is:

Android

Anthropoid

Gynecoid

Platy pelloid

Ans : A

2] All occurs in abruptio placentae except:

Coagulation failure

Renal failure

Uterine inversion

Intrauterine death

Ans : C

3] All are benign Neoplasm's of ovary except:

Follicular cyst

Theca lutein cyst

Dermoid cyst

Corpus luteal cyst

Ans : C

4] Hyperemesis gravidarum is seen in all except:-

Vesicular mole

Primigravida

Pre-eclampsia

Multiple pregnancy


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Ans : C

5] Failure of anterior rotation in occipito posterior is due to:

Insufficient uterine contractions

Average fetal size

Gynecoid pelvis

Station of Head is +1

Ans: A

6] Main indication for in vitro fertilization is

Complete blockage of tubes

Myoma in uterus

Azoospermia

Cervical fibroid

Ans: A

7] Drug used in last stage of endometrial carcinoma is:

Danazol

O.C. Pills

Cisplatin

Levonorgestrol

Ans : C

8] All are interceptive contraception except:

O.C. pills

Centchromin

Levonorgestrol


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Mifepristone

Ans : B

9] Normal sperm count is:

60-100 lakh/mm3

4-5 million/mm3

60-120 lakh/mm3

60-120 million/ml

Ans

10] Latest investigation used for diagnosis of tubal patency are all except:

Air insufflation test

Laparoscopic chromotubation

Hysterosalphingograph

Sonosalphingography

Ans : A

11] Decubitus ulcer is produced due to:

Congestion

Inflammation

Malignancy

Dilatation

Ans : A

12] Gestational diabetes is not associated with:

Hydramnios


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Neural tube defects

Dimorphic anemia

Family history

Ans : C

13] Color of lochia alba is due to:

Decidual cells

WBC

RBC

Pus cells

Ans :A

14] Stress incontinence in corrected by all except:

Shirodkars sling

Alridge sling

Kellys stitch

Morshall marchetti krantz

Ans: A

15] Ectopic pregnancy is managed conservatively by all except:

Methotrexate

Salphingostomy

Salphingectomy

Segmental resection

Ans : C

16] Ponderal index is:


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EFW/(FL)3 ,

FL/(AC)3 ,

WT / (ht)2,

HC/AC x100

Ans: A

17] Metropathia hemorehagica is characterized by all except

Metrorrhagia

Common at Menopause

Swiss cheese pattern of endometrium

Anovulation

Ans : B

18] Treatment of Endometriosis is all exception:

O.C. Pills

Danazol

Ganadotropin releasing horamor

GnRH against

Ans: B

19] Partogram is used for:

Normal delivery which requires assistance later

Normal delivery with fetal distress

Normal delivery which does not require any assistance

Mother and baby surveillance


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Ans: A

20] HPV associated with carcinoma cervix is:

16

11

14

8

Ans: A

Pediatrics

1] Kernicterus is due to:

Albumin bound bilirubin

Bilirubin diglucuroinde

Bilirubin monoglucuronide

Free bilirubin

Ans : D

2] Congenital strider is caused by:

Laryngomalacia

Laryngeal slenosis

Ca Larynx

Foreign body

Ans : A

3] Child care virus is:

Adenovirus

Para influenza

Herpes D

Chicken pox virus


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Ans : A

Orthopedics

1] The muscle pair which rotates radius without flexion and extension at arm is:

Pronator quadratus and pronator teres

Supinator and Anconeus

Bachioradialis and brachialis

Triceps and Biceps brachii

Ans : B

2] Osteomyelitis is common in:

Frontal sinus

Ethmoid sinus

sphenoid sinus

maxillary sinus

Ans : A

3] Diastomatomyelia is due to:

Gap in the spinal cord

Spur in the spinal cord

Both of the above

None of the above

Ans : A

4] Cubitus varus is most commonly due to:

Supracondylar fracture of humerus

Olecranon fracture

Congenital


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None of the above

Ans : A

5] Lunate bone osteoarthritis is called as:

Kohlers

Keinbock

Freeburg

Perthes

Ans : A

6] KANAVELS sign is:

Acute tenosynovitis

Acute appendicitis

Rupture of spleen

Acute pancreatitis

Ans : A

7] The amount of fluid in knee joint is:

0.4ml 0.7 ml

0.7ml 2 ml

7-11 ml

11-12 ml

Ans : B

Dermatology

1] In peutz jeghers syndrome skin lesion seen is:

Freckles


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Lentigines

Caf au lait spots

Shagreen patch

Ans : B

2] Wichams striae is seen in:

Lichen planus

Psoriasis

Pityriasis versicolor

Pemphigus vulgaris

Ans : A

3] Maculopapular rash in seen in:

Chicken pox

Typhoid

Measles

Dengue

Ans: C

4] Erythema nodosum is seen in:

Sulphonamides

Phenylbutazone

Digoxin

Ciprofloxacin.

Ans: A

5] Surgical wound infection is due to

Staphylococcus aureus


39/39

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S. epidermidis

Streptococcus

Hemophilus influenzae

Ans : B

Psychiatry

1] Nacrolepsy is:

Sudden episodes of sleep

Night sleep

Narcolepsy due to epilepsyNacrolepsy due to sleep

Ans: A

manipal 2002-medicalgeek

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