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PGMEE TEsT sEriEs for neet & aiims

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45-EXCEPTIONS

ANAESTHESIA1)interscalene brachial plex block does not affect-ulnar n

ANATOMY1)nasal turbinate not part of ethmoid bone-inf(separate bone)2)cardiac v not drain in coronary sinus-ant card v, venae cordae minimi, Thebasianv(RA)3)part of colon not having Appendices epiploicae(CAR)-Caecum, Appendix, Rectum4)part of colon not having taenia coli-distal sigmoid, rectum5)part of GIT not having serosa-esoph6)part of kidn not enclosed by Gerota fascia-inferior7)peristaltic organ not have inner circular&outer longitudinal m-ureter(innerlongitud&outer circular m)8)shoulder girdle m not inserted on free UL-pectoralis min9)UL lig not transmit wt-coracoacromial lig(prevents upward dislocation)10)GI a occlusion not cause irrevers ischemia-IMA11)CN regenerate-II12)bone not ossify earlier in fem-skull(suture obliterate earlier in mal)13)ICS not have the order VAN-1st(NAV)14)a not form collateral in postduct COA-vert a15)m not develop fr mesoderm-erector pilli, iris m(neuroepith), ciliary body m(neuralcrest), myoepith cell16)part of clavicle not ossifies in memb-med end17)part of shoulder jt capsule not attach to Sx neck humerus-med18)ant cutaneous branch not present in-1st IC n19)IVD not present b/n vert-C1-C220)SCM not supplied by-post cervical a21)structure not piercing buccinator-buccalbr CNV322)a not supply duramater-basilar a23)anal canal not supplied by-middle rectal a24)not part of carotid sheath-ECA25)hyaline cart with no perichondrium-articular cart26)part of colon with no mesentery-ascending colon27)larynx m not paired-transv/interarytenoid28)sensory organ with effer n supply-organ of Corti29)part of RS not lined by pseudocolumnar stratified epith-vocal cord(stratifiedsquamous epith)30)space of Disse not contain-Kupffer cell31)m of hand not supply by deep ulnar n-palmaris brevis32)circle of Willis not include-MCA33)goblet cell not present in-stom34)penis not supply by-pampiniform plexus

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35)part if GIT not fixed-appendix, transv colon, sigmoid colon

BIOCHEMISTRY→1)AA not generate ketoacid-His(generates-FIGLU αKG)

2)phospholipid not derived fr phosphatidic acid-plasmalogen(derived fr DHAP)3)AA with no optical activity, no chiral/asymm C-Gly4)AA not favour sec struct-Pro&Gly5)AA not give blue color with Ninhydrin-PrO(yellOw)6)AA make both cis&trans peptide bond-Pro7)enzyme class not req coenzym-III&IV8)DH of glycolysis, TCA cycle not req vit B3-succinateDH(req vitB2)9)body struct not containing prot>lipid-myelin(prot<lipid)10)AA not show degeneracy-Met,Try11)genome have diff AA-mitochondria12)method not use for recognising mutation-denaturing gradient gel electrophoresis13)porphyria not AD-Cong erythropoietic(AReC)14)sporadic porphyria-porphyria cutanea tarda15)steroid receptor not have attachm site-transcription repressor16)organ not use ketone body-RBC&liver17)heme synth not occur in-RBC18)GI enz with no precursor-aminopeptidase19)urea cycle enzyme def not AR-hyperammonemia II(XR)20)glycogen storage ds not AR-type VIII(phosphorylase kinase)21)enzyme not act in fru metab-aldolaseA22)Hb does not tpt-SO223)ALP not present in-RBC24)urea not synth in-spleen25)glutathione not present in-neuron26)gene transmitted but not translated-histone27)genetic code does not contain-T28)vit not req by puruvateDH&αKGDH-vitB729)enzyme not involved in synth of Ser fr glu-pyruvate kinase30)phospholipid does not include-ceramide

ENT1)not subjective cause of tinnitus-AV malform, palatal myoclonus, carotid aaneurysm, glomus tm(objective)2)pinna calcification does not occur in-gout3)not pneumatisation pattern sphenoid-post sphenoid4)microtubule associated prot in outer hair cell organ Corti-MAP25)not site of paraganglioma-geniculate ganglion

FMT1)not present in typical embalming soln-ethanol2)part not showing typical colour changes in bruise-conjunctiva3)not sexual perversion-transvestism↑4) body temperature after death not occur-burn

5)poison not cause uterine contract-As6)OP compound not arylP-malathion(alkylP)7)saturated salt soln not used in-vegetable origin poisoni

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MEDICINE1)cong HD with LVH-tricuspid atresia2)not a/w JRA-Raynaud ds3)sympt NOt seen in Alz ds-agNOsia4)asterixis not seen in-tongue5)Kussmaul sign not seen in-cardiac tamponade6)sweating not present in-heat stroke7)not seen in cystinosis-kidn stone8)electrolyte disorder not producing AFP- hyperphosphatemia9)condition not improve on dialysis in uremia-myopathy10)basal ganglia calcification seen in-hyperthyroid, Wilson ds11)not criteria for inf endocarditis-ESR12)part of brain not affected by HIV-ant cingulate gyrus13)a/c LBBB not seen-hypokalemia14)not use for malabsorption assay-13C triclosan assay15)hepatomegaly not seen-hep porphyria16)plasmapheresis not done-ACh crisis17)not seen in fat embolism-hypercalcemia(hypocalcemia)18)PGA synd II not a/w-celiac ds19)organ not have Fe deposit in hemochromatosis-testis20)c/f not seen in scurvy-hypoglycemia

MICROBIOLOGY1)bact conjugate without fimbriae-Enterococcus2)capsulated bact without polysaccharide capsule-Banthracis[polypeptide(D-glutamic acid) capsule, stain with polychrome methylene blue]3)motile bact not inh by solid media(1- 2%agar)-Proteus, Cl tetany, B cereus4)only C2a>C2b5)Ig not activating complement-D, G46)preformed toxin with incubation period>6h-Cl botulinum(18-36h)7)IgG not cross placenta-28)Gram +ve bact not producing exotoxin-Listeria monocytogenes(endotoxin)9)Clostridia not have peritrichous flagella-Cl tetany VI, Cl perfringens10)organism showing both hemolysis(α-αtoxin, β-θtoxin) simultaneously-Clperfringens11)exotoxin of Cl botulinum not neurotoxic- C2(enterotoxin)12)Shigella not catalase+ve-Shigella dysenteriae I13)lac–ve enterobacteriace with acidic rxn-Vibrio14)non-motile Salmonella-S pullorum, S gallinarum15)egg trematode<100μ-Opisthorchis viverini16)Gram+ve proteus-P zenkeri17)lung inf not cause cavity-Chlamydia, viral, H influenzae18)vegetations in Libmann Sacks endocarditiis on both sides, not only on lowpressure side

↓ ↑19)organic compound do not efficacy of disinfectant-phenol( )20)intest parasite not cause malabsorption-Ascaris21)bact flora GI remain same throughout life except-Porphyromonas gingivalis(adult)22)mtx toxicity not prevent by leucovorin(folinic acid)-neurotoxicity

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23)bact with LPS not struct&fn similar to conventional endotoxin-B fragilis24)Shigella not mannitol fermentor-dysenteriae25)N gonorrhoea not involve-testis26)Proteus genus not urease +ve-Providencia27)genus of Proteus with no swarMing-Morganella Morganii28)Proteus sp not resistant to ampicillin&cephalosporin-Pr mirabilis29)Bacillus not have peritrichous flagella-B anthracis30)virus not cause hepatitis-rhinovirus31)Clostridia not have subterminal spore-Cl tetani, Cl tertium(terminal)32)ds where simultaneous active&passive immunity not use-measles33)vibrio not halophilic-V cholerae, V mimicus34)rash not cause by-Shigella35)fungi cant be cultivated-Rhinosporidium seeberi, Pneumocystis jiroveci36)Cl not cause gas gangrene-difficle37)virus not cause hemagglutination-HPV38)bact not causing a/c neonat meningitis-Str agalactiae

OBSTETRICS1)condition not obstructing aftercoming head breech-placenta previa2)karyotype fetus not done fr-monocyte3)contraception not inh ovulation-IUCD(inh fertilization>inh implantation), saheli(inhimplantation), POP(alter cx mucus)

↑4)organ of large for date baby with no size-brain

OPHTHALMOLOGY1)uveal effusion synd not a/w-myopia2)virus not cause conjunctivitis-CMV3)enlarged cornea not seen-HSV keratitis

ORTHOPAEDICS1)ds not sparing IVD-TB2)RA isotope not use bone palliation-Ca473)m ds not limb girdle dystrophy-dystroglycanopathy4)craniovert jn not affected in-ankylosing spondylitis5)limb salvage not done in-vasc inj6)struct not seen on knee arthroscopy-collateral lig(outside knee jt)

PATHOLOGY1)extent of tm not most imp in progn of-CNS tm, soft ts sarcoma2)intratubular germ cell neoplasia is not seen adjacent to GCT-spermatocyticseminoma, epidermoid cyst, dermoid cyst, teratoma, yolk sac tm3)CKD without small kidn-DM nephropathy,HIV nephropathy, infiltrative ds4)apoptosis does not occur by norm caspase pathway-neuron5)met calcification does not occur-fundal gld intest6)IL not secrete by Tcell-127)bond not involved in AgAb rxn-covalent8)ABO Ag absent-CSF9)synd not a/w AML-Turner synd10)ca not a/w DIC-RCC11)H pylori does not cause-GIST

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12)oncocyte not seen-thymus13)integrin does not bind to-PDGF14)organ transplant not causing GVH ds-kidn15)micronodular cirrhosis not seen in-Wilson ds

PEDIATRICS1)c/f not seen in cerebral palsy-microcephaly2)measles rash not involve-palm,sole3)gene not a/w cong steroid resistant nephrotic synd-WT24)hypotonia not seen in-trisomy185)heart lesion not seen in-ASD6)c/f not seen in Down synd-SNHL(conDuctive hearing loss)

PHARMACOLOGY1)h of AA not act on cell surface-thy h(nucleus)2)antimetabolite with immunosuppression action but no anticanceraction-azathioprine3)ACEI not prodrug-captopril, lisinopril4)aldosterone antag not causing gynecomastia-eplerenone5)direct thrombin inh not excret renal-argatroban6)abtc anticancer cell cycle specific-bleomycin(G2)7)anticancer drug with no myelosuppression-vincristine, bleomycin, l-asparaginase8)alkylating agent not act on DNA-dacarbazine(RNA)9)polypeptide abtc not act on cell memb- bacitracin(cell wall)10)cephalosporin II cross BBB-cefuroxime11)βlactam abtc not excreted by kidn-cefoperazone(III), ceftriaxone(III), cefpiramide12)ACEI not excreted by kidn-fosinopril, moexipril13)SMR not used in preg-gallamine14)BDZ not metab in liver(LOT)-Lorazepam, Oxazepam, Temazepam15)carbapenem given Orally-farOpenem16)βlactam abtc given in Allergy to βlactam-Aztreonam17)NsRTI not excreted by kidn-abacavir18)protease inh not causing lipodystrophy-atazanavir19)orally given immunosuppressant-fingolimod20)sm m not responding to NO3-ureteric21)CCB in HTN emergency-clevidipine, nicardipine22)α2adr agonist not produce HTN on withdrawal-moxonidine, rilmonidine23)tolerance not develop to morphine-miosis, constipat, convulsion24)H1 antag not producing active metab-mizolastine, cetrizine25)5HT receptor not GPCR-5HT3(ligand)26)SSRI with no ADR on abrupt withdrawal-fluoxetine

→27)antithy drug not inh T4 T3 conversion-methimazole28)antiHTN drug not continuous during Sx-ACEI, ARB29)drug not causing eosinoph pneum-NSAID30)drug not causing SIADH-ActinomycinD31)rituximab not use in-PNH32)NE not act on-β2adr receptor33)TNFα antag not used in-SLE34)drug not used dandruff-azelaic acid35)drug not induce pemph-furosemide

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36)drug not cause porphyria-aspirin37)nicotine preparation not available as-tablet38)ATT not cause hepatotoxicity-ethambutol39)insulin never mix with other insulin-glargine40)oral antidiabetic not cause hyperglycemia-metformin41)drug not use in pityriasis versicolor-griseofulvin42)drug not cause fixed drug eruption-mepacrine43)fenfluramine not cause-dizziness44)mannitol not use in-pulm edema45)ATT not use in HIV-rifampicin46)drug not use in paralytic ileus-naloxone47)antipsychotic with no D2 antag action-aripiprazole(D2 agonist)48)SSRI with antiACh action-fluoxetine49)prot synth inh abtc not bacteriostatic-aminoglycoside, streptogramin50)drug not used in cat IV DOTS-PAS51)antipsychotic not cause wt gain-molindone(wt loss)52)both antihelminth&antiprotozoal drug-nitazoxanide53)typical antipsychotic with no extrapyramidal sympt-thioridazine54)atypical antipsychotic with D2 antag action-risperidone55)antifungal not given IV-terbinafine(oral)56)drug not use in endometriosis-misoprostol57)agent not used for anesth child-morphine58)LA not used topical-bupivacaine59)abtc not glycopeptide-daptomycin60)antifungal drug not used in Candida albicans fungemia-terbinafine61)barbiturate not enzyme inducer-secobarbital(enz inh)62)NSAID use IV-ketorolac63)drug withdrawal not req Rx-LSD>cannabis64)tetracycline absorption not impaired by food-doxycycline, minocycline65)tetracycline not c/i in ren failure-doxycycline

PHYSIOLOGY1)Na not absorb-thin descending loop Henle2)brush border present in-PCT3)righting reflex not integrated in midbrain-visual righting reflex(cortex)4)clotting fact not synth by liver-IV,VIII(synth by endothelium,PLT)5)sensation not relayed in VPL nucleus thalamus-olfactory

→6)contraction not seen in colon-MMC(body stom distal ileum)7)contraction not seen in SI-massive active contraction(colon)8)hypoxia not produce vasodilatation-lung(d/t O2 sensitive K ch)

↑ ↓9)NT not req Ca intracellular-PTH( Ca)10)glu entry into cell is not by facilitated diffusion in-GIT, kidn(sec active tpt)11)endothelin receptor not vasoconstrictor-ET2B(vasodilatation)12)adenosine is not vasodilator-kidn(vasoconstrictor)13)peptide h prot bound-IGF(6 IGFBP)14)hyoxia not stimulating chemoreceptor-anemic15)intest peptide not secreted by bombesin-secretin16)h with no change during MC-activin17)Sertoli cell do not secrete-androgen18)hypoxemia not dep on-Hb level

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PSYCHIATRY1)panic disord not a/w-glutamate

PSM1)not part of vision2020-UNICEF2)not larvicide-DDT3)not notifiable ds-TB4)lab service not available at PHC-leprosy5)mortality indicator not –ve-life expectancy6)not seen in asbestosis-atelectasis

RADIOLOGY1)organ shadow not seen CXR-pancr2)RA isotope not used as permanent implant-Cs137

SKIN1)collodion memb not seen in-ichthyosis vulgaris2)variation in skin colour not d/t-variat in no. of melanocyte3)not involved in erythema marginatum-face4)vesicobullous disorder with no bullous involved-pemph foliaceous5)pruritis not seen in-pityriasis versicolor6)exfoliative dermatitis not seen in-pityriasis rosea7)not photosensitive-lichen planus8)tm not caused by PUVA-cutan Tcell lymphoma9)onycholysis not seen in-nephrotic synd10)nail not involved in-DLE

SURGERY1)gynecomastia not bn-Klinefelter synd2)struct not involved in cancrum oris-mandible3)struct not removed in radical neck dissection-phrenic n, CNX4)lucid interval not seen in-SAH5)head&neck ca with no met to cervical LN-hard palate6)bilioenteric fistula not caused by-gastric ulcer7)struct not damaged in submandibular gld excision-inf alveolar n, CNIX8)not cause a/c pancreatitis-hypotension9)not complication of a/c pancreatitis-hyperkalemia10)ca colon not a/w-Polland synd

Abbreviations a-artery, AA-amino acid, abtc-antibiotic, AI-autoimmune bef-before, bel-below, b/l-bilateral, bld-blood, b/n-between, bn-benign, br-branch, Bx-biopsy ca-carcinoma, carb-carbohydrate, c/i-contraindication, c/l-contralateral, conc-concentration, cong-congenital, Cx-cervix d-day, def-deficient, ds-disease, d/t-due to, Dx-diagnosis E-estrogen fem-female, fr-from gld-gland, glu-glucose

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h-hormone idiop-idiopathic, i/l-ipsilateral, inf-infection, inj-injury lig-ligament, LL-lower limb, l/t-leading to m-muscle, maj-major, mal-male, MC-most common, met-metastasis, min-minor, mtx-methotrexate, Mx-management n-nerve, norm-normal P-progesterone, pl-plasma, prot-protein, pt-patient Rx-treatment SCC-squamous cell carcinoma, sr-serum, Sx-surgery, sz-seizure tm-tumour, ts-tissue UL-upper limb, u/l-unilateral vag-vagina, VC-vocal cord, vel-velocity, vert-vertebra, vit-vitamin, vol-volume w-week, wt-weight Xr-X ray y-year #-fracture °-degree

THESE NOTES ARE ONLY FOR THE PURPOSE OF GUIDANCE AND HELP TO PG ASPIRANTS, NOT FOR COMMERCIAL OR OTHER PURPOSE. REFERENCE HAS BEEN TAKEN FROM VARIOUS STANDARD TEXTBOOKS.

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