Thursday, 17 April 2014

JIPMER 2014 QUESTIONS AND ANSWERS

1. Drug causing hypothyroidism - amiodarone  
2. Stratosphere sign in usg –pneumothorax 
3. Increased vocal resonance -bronchial ca 
4. Pointing index - ain injury  
5. Alendronate hip pain – invst –xray 
6. Fusion inhibitor –enfuvirtide 
7. Ketone bodies not utilised by - rbc  
8. Muscle not contain - glucose6phosphatase 
9. Most metabolised inhalational anaesthetic –halothane 
10. No cns penetration – glycopyrrolate 
11. Incresed cerebral blood flow by and ci in epilepsy- ketamine 
12. Potent la –bupivacaine 
13. Psychiatry coined by -reil 
14. Wandering acetabulm –tb hip 
15. Mallet finger – extensor tendon avulsion  
16. Fruit bite mark preserved in.........meta bisulphate 
17. Negri body not found in – 
18. Chronic mild depression for two year or more- dysthymia 
19. Magistrate inquest not in -homicide 
20. Espundia caused by - leishmania 
21. Post.cricothyroid – abductor of vocal cord 
22. Globoid bodies - krabbes disease 
23. Mansonia transmits –chickungunya 
24. Hinge fracture –skull # 
25. Drug used in monotherapy of juvenile myoclonic epilepsy in pregnancy -lamotrigine 
26. Drug which does not affect retina? – amiodarone 
27. Non motile- klebsiella  
28. Spontaneous breathing -mapelson a 
29. Hyperkalemia s/e – succinylcholine 
30. Capillary leak syndrome (cls) seen with -gmcsf 
31. Pco2 in the expired air - 32 
32. Medullary ca all are true except- it is usually familial (sporadic is more common) 
33. March fracture - second metatarsal shaft  
34. Montagia # - ulna # wit sup ru jt dislocation  
35. Ateral condyle fracture - cubitus valgus 
36. Maffuci enchondroma wit hemangioma  
37. Light bulb sign - post dislocation humerus 
38. Hill sach lesion -post sup lesion in humeral head 
39. Tom smith - septic arthritis of infancy 
40. Meralgia paresthetica- lat cut nerve of thigh 
41. Hpe of osteosarcoma- malignant cells wit osteoid formation 
42. Mdg to reduce mmr by 0.75 
43. Metazoonosis- plague  
44. International food standards- codex alimentarius  
45. Case control study -rare disease 
46. Not a test of significance - sd  
47. Point source not true - many secondry waves  
48. Killed vaccine- salk 
49. Endoscope sterilisation – glutraldehyde  
50. Waste sharps -blue/white bag 
51. Nrhm asha - community participation   
52. Childhood obesity prevention- primordial prevention 
53. Lithium stopped before surgery- 48 hrs 
54. For post puncture headache--wrong statement - stylet kept inside and needle removed 
55. Retina gas- sf6  
56. Salmonella common to all species - indole negative 
57. Painless ulcer labia majora - treponema pallidum 
58. Freis test -lgv  
59. Whiff test - bacterial vaginosis  
60. Koch’s postulates not true - antibiotics cures the disease  
61. Transmitted through pilus - conjugation  
62. Not a fungal infection -mycosis fungoides 
63. Craige tube - diff b/w motile and nonmotile 
64. Exotoxin not true - heat stable  
65. Staphylococcus not true -catalase negative 
66. Hot spot on t99m—adenolymphoma 
67. Nerve damage by sentinel node biopsy in breast ca--intercostobrachial nerve 
68. Follicular ca.--hematogenous route 
69. Mc blunt trauma injury--spleen  
70. Abdominal desmoid to screen for - colonic ca 
71. Good pasture syndrome- type four collagen 
72. Burkitt -ebv  
73. Lepra 2 rxn - type3 hs  
74. Allograft rejection - delayed hs 
75. Ig in alternate pathway - iga  
76. Rhabdomyosarcoma marker- desmin 
77. Alziemer - a beta amyloid 
78. Inflammatory mediator not from cells -kinin  
79. Whorled epithelium in asthma- curschman spiral  
80. M/c benign tumor of esophagus –leiomyoma 
81. Ct for ca esophagus –cisplatin 
82. Ileostomy complication - necrosis  
83. Intussusception -submucus lipoma 
84. Secondaries neck mass grade - t0 n2a mx  
85. M/c melanoma - superficial spreading 
86. Osteoblastic metastasis -prostate  
87. Damage control surgery- minimum intervention definitive surgery later 
88. Not a complication of tpn -neutrohil dysfunction  
89. Marker for contrast nephropathy -creatinine  
90. Symptomatic spinal injury wit normal radiology –children 
91. Agent for tinea capitis - t.violaceum 
92. Contact dermatitis most effective treatment -moist compress 
93. Thiazide diuretic in rf-metolazone  
94. Betablocker with antioxidant property - carvidilol  
95. Membrane stabilising agent maximum -propanolol  
96. Azole -ergosteron synthesis inhibitor 
97. Not used in chf – clopidogrel 
98. Not a prodrug –ticagrelor 
99. 8 yrs familial hyper cholestrelemia trt - pravastatin  
100. Iodine not true- ci in hypothyroidism 
101. Not a cell adhesion molecule......spectrin 
102. Fetal and maternal blood diff by - apt test 
103. Apt test uses – naoh 
104. Active management of third stage oxytocin =10 u im  
105. Cin2 in pap smear next step- colposcopy  
106. Dysmenorrhea wit uniformly enlarged uterus 14 wks –adenomyosis 
107. Most accurate method of dignosis of pregnancy at 6 wks - usg fetal cardiac activity  
108. Asymptomatic bacteriuria- trt not needed in pregnancy  
109. Hrt not given for- cad prevention 
110. Secretory phase – progesterone 
111. 11 wks method of termination- suction evacuation 
112. M/c progestrone metabolite in urine – pregnanediol 
113. Not a stimuli for insulin- hypokalemia  
114. Mmse for.......dementia  
115. Increased anion gap acidosis a/e -diarrhea  
116. Hyerkalemia a/e - u wave  
117. Bmr decreased in hypothyroidism  
118. Not a feature of thyrotoxicosis hair loss  
119. Alkaline diuresis – phenobarbitone 
120. Mi first marker- myoglobin 
121. Peanut eating tongue swelling -angioneurotic edema 
122. Takayasu mc involved -subclavian artery 
123. Acute pancreatitis not seen -hypoglycemia  
124. Obst sleep apnea next step - wt reduction 
125. Edema in nephritic syndrome due to - reduced oncotic pressure  
126. Alert not responding – stupor 
127. Least sensitive to muscle relaxant- diaphragm 
128. Celiac plexus block- diarrhea and hypotension 
129. Ci for epidural and spinal all except - hyper tension  
130. Red velvetty mucosa - arsenic  
131. Lead poisoning-sideroblasts  
132. Rta - secondary injury  
133. Viper resembles- abrus  
134. Last organ to putrify- prostate  
135. Vision not affected in – papilledema 
136. Visualise angle - gonioscope  
137. Rosette- traumatic cataract 
138. Not seen in vitreous hemorrhage - metamorphopsia  
139. Horner syndrome- miosis  
140. Vertically oval pupil – angle congestive glaucoma 
141. Soft contact lens - hema  
142. Iridotomy -yag laser 
143. Not a part of ethmoid – inferior turbinate  
144. Claudius cells- organ of corti  
145. Mucormycosis - amphotericin  
146. Sinus at birth - maxillary and ethmoid 
147. Ca larynx wit vocal cord fixation- t3  
148. Auditary tube - ant wall of middle ear 
149. Otosclerosis – as curve 
150. Reverse transcriptase - telomerase  
151. Subs level phosphorylation not seen in -pfk 
152. Heparin releases – lpl 
153. Lyase -aldolase b  
154. Insulin dependent glucose transport not in – liver 
155. Low km - high affinity 
156. Immediate change after lying down -increased venous return  
157. Proprioception - a alpha 
158. Electrical synapse- gap junction 
159. Neuropraxia - physiological interruption  
160. Diastolic murmur - pathologic  
161. Mr child wit flank mass and liver swellings -tuberous sclerosis  
162. Adrenaline dose in a neonate- 0,01 mg/kg or .1 mg /kg of 1 /10000  
163. Imp sign in resp disease - retraction  
164. Widened epiphysis wit bow legs – rickets 
165. Erythema of cheek -pure red cell aplasia   
166. Blood nerve barrier formed by perineurium  
167. Collecting duct is derived from metanephros 
168. Null cells or nk cells 5 -10% 
169. Retropharyngeal space extend frm skull base to the level of diaphragm 
170. Hypocalcemia not seen in turniquet application 
171. Best treatment to prolong life in copd- oxygen 
172. Not a sign of increased pulmonary blood flow -kerley b lines 
173. Hypothermia during anaesthesia... Warm saline prevention 
174. Loading dose - to attain the target concentrationrapidly .. 
175. All are associated with sudden death in hocm except?  - mr 
176. Avg.threshold of hearing at 500,1000,1500 is 45db then % of hearing loss is?  30 
177. Icd 10 for psychiatric illnesses : 
178. Atypical lymphocytes in infectious mononucleosis cd8t cells 
179. Aseptic meningitis- intrathecal methotrexate 
180. Not a pleotropic effect of statins - ldl lowering 
181. Plasma osmolality 285-295 
182. Efficacy of phototherapy not depend on level of bilirubin 
183. Osteogenesis imperfecta type 1collagen 
184. Disease transmitted by virus mumps and rabies  
185. Field h2 of forel =lenticular fasciculus 
186. Receptors not true???? Meissner in hairy skin  
187. Receptors not true???? Meissner in hairy skin  
188. In which pneumoconiosis there is snow-storm appearance on c-xr –silicosis 
189. 14 yr old child with abnormal movements with hyperintensity and inv of thalamus pons striatum ? Wilson's disease 
190. Radiation in cervical ca  80-85 -85-90 at point a 
191. Amt of iron req by lactating women-38mg 
192. L:s ratio for - fetal lung maturity  
193. Photoelectric effect -low energy photon nd inner shell electron  
194. Abundant element –flourine 
195. Lung neuroendocrine cells - carcinoids  
196. Urinary catheterised individual no need of any rx  
197. Spider leg -polycystic kidney 
198. Multiple myeloma.....m spike..35% blast  
199. It is not possible to apply koch's postulates to leprosy 
200. M/c mucocele in pns?  Frontal 
201. Regarding trigeminal nerve, false option is arises from midbrain  
202. Melanoma marker s100 
203. %percentage of burn in child wid burn in buttocks ,thigh , head n neck ? 37 
204. Mc form of vaginitis –senile 
205. A patients relative gives a h/o tattoo however it wasnt found on autopsy,wht should b dissected to prove ? Ans = lymph node  
206. Vaginal adenosis precedes  clear cell ca vagina 
207. Eye muscle not supplied by occulomotor? Ans= so 
208. Tonsillectomy? Grisler syndrome is not common 
209. Hepatitis after blood transfusion is c  
210. Anastomosis in arteries except ans = uterine and ovarian artery 
211. Extensor hallucis palsy: l5 palsy 
212. Inferior tympanic artery is is branch of ascending pharyngeal artey 
213. Content of mesorectum except?? - inf rectal arterty 
214. Aortic opening--t12  
215. Lenalidomide and dexamethasone increased risk of thrombo embolism  
216. Earliest serum marker in downs- pappa 
217. The difference between hus & ttp is--fever(not found in hus) 

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