PG Entrance Exam Questions

INSTITUTE OF MEDICINE IOM MDMS Entrance Exam Question of 2070 MD/MS 20149(2070/71)

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1. Juvenile Rheumatoid Arthritis is associated with poor prognosis if A) Fever > 3 months B) Inflammatory mediators > 3 months C) Rheumatoid factor absent D) Oligoarticular 2. Hemoglobinopathies associated with pregnancy A) Thalassemia B) Sickle cell anemia C) Hb C D) Hb H 3. Not included in rotator cuff A) Supraspinatus B) Infraspinatus C) Teres Major D) Teres Minor 4. Conversion of pyruvate to acetyl co A is associated with how much ATP production A) 0 B) 2 C) 3 D) 4 5. While massaging oil to a neonate an abdominal mass was felt, most likely the cause is A) Neuroblastoma B) Multicystic dysplastic kidney C) Wilm’s tumor D) Polycystic disease of kidney 6. Loss of tear secretion due to lesion at A) Ciliary ganglion B) Sphenopalatine ganglion C) Submandibular ganglion D) Fljsl 7. Little’s area of nose, major contributing artery A) Sphenopalatine artery B) Anterior ethmoidal artery C) Posterior ethmoidal artery 8. A child with large VSD manifest in A) 2 days B) 2 weeks C) 2 months D) 6 months 9. Profunda femoris artery related to A) Inguinal ligament B) Apex of femoral canal C) Between pectineus & adductor canal D) Between pectineus & psoas major 10. Afferent nerve of proprioception – A) Aα B) Aβ C) Aγ D) Aδ 11. Vibration is sensed by A) Pacinian corpuscles B) Merkel disc 12. Distortion of message means A) Twisting of message B) Loss of clarity 13. Ligament of Cooper is modification of A) Fibrous tissue of breast B) Pectoral fascia 14. Purkinje cell of cerebellum synapse with A) Granule cell B) Dentate nucleus C) Red nucleus 15. Ankle jerk root value A) L3L4 B) L4L5 C) S1S2 D) L2L3 16. Isograft is A) Between monozygotic twins B) With different species 17. Umbilical cord has A) 2 arteries + 1 vein B) 1 artery + 2 veins C) 1 artery + 1 vein D) 2 arteries + 2 veins 18. Virchow node is A) Right supraclavicular lymph node B) Left supraclavicular lymph node C) Infraclavicular lymph node 19. Hyoid bone is derived of which brachial arch A) 2nd B) 2nd & 3rd C) 3rd D) 4th 20. Haemophilus influenza biotype aegyptus is also known as A) Koch’s bacillus B) Koch-weeks bacillus C) Loffler’s bacillus D) Hansen’s bacillus 21. Most infective stage of syphilis A) Primary stage B) Secondary stage C) Tertiary stage D) Congenital syphilis 22. True regarding syphilis A) Neurosyphilis seen in tertiary stage B) Spirochete is gram positive 23. Increased Ig A in A) Autoimmune hepatitis B) Alcoholic hepatitis C) Biliary cirrhosis D) Gilbert hyperbilirubinemia 24. Maximum organism can be grown on A) Blood agar B) Chocolate agar C) Muller Hilton agar D) Nutrient broth 25. Mesophilic organism best grown at pH A) 6.5 B) 7.3 C) 7.5 D) 8.5 26. Typhus is caused by A) Ricketssia 27. Hemoptysis is associated with A) P. westermani B) A. nector C) Fasciola hepatica D) Fasciola buski 28. Otomycosis is caused by A) Aspergillus niger & Candida albicans B) Aspergillus niger & Histoplasma 29. Moniliasis is caused by A) Candida albicans 30. Most common etiology of inverted papilloma A) Smoking B) Alcohol C) EBV D) HPV 31. TRUE about CMV A) CMV retinitis is most commonly seen in HIV patient B) Is RNA virus 32. Infection through intact cornea seen in A) Nesseria gonorrhoe 33. Best response regarding suchinylcholine A) Caused toxicity in muscular dystrophy due to heperkalemia in Duchene muscular dystrophy B) Can be safely used in liver disease 34. Creative ideation is A) Brain storming 35. Tract of goll & tract of Burdach ascends to form A) Medial lemniscus B) Lateral lemniscus 36. “Learned helplessness” typically seen in A) Depression B) Obsessive compulsive disorder C) Schizophrenia D) Mania 37. HSG done on A) 5 th day of menstruation B) 10th day of menstruation 38. Least affected by extreme values A) Mean deviation B) Standard deviation C) Range D) Quartile deviation 39. A skull found in which basi-occiput & basi-sphenoid not fused. Most likely the age is A) 10-12 yrs B) 12-14 yrs 40. Passing through inguinal canal & inserting in labia majora A) Round ligament 41. 55 yr old male cancer in lower third of rectum. Management A) APR B) Left hemicolectomy C) Right hemicolectomy 42. Quartile deviation is A) 2/3 B) 4/5 C) 3/2 43. Gaussian curve A) Mean=median=mode 44. Fall from height 65 yr f, presents with short limb, external rotation. Most likely A) # NOF 45. Painful & sudden loss of vision within seconds A) CRAO B) GLAUCOMA 46. Finger drop but can extend wrist, nerve injured A) Radial nerve B) Posterior interosseus nerve C) Median nerve D) Ulnar nerve 47. Compared to other NSAIDs with selective COX2 inhibitors there is increased risk of A) Hepatotoxicity B) Nephrotoxicity C) Thromboembolism 48. Ebstein’s anomaly is A) Downward displacement of tricuspid valve into right ventricle 49. Variance if all observations are same A) 0 B) 1 C) Infinity 50. Pathognomic of psoriasis in nail A) Pitting B) Oil drop sign C) Onycholysis D) Subungal hyperkeratosis 51. Hemorrhagic cystitis is caused by A) Cyclophosphamide 52. Painless hematuria. Most likely A) Ca bladder B) Renal stone 53. Less blood in menstruation A) Tubercular endometritis B) Fibroid uterus 54. Treatment of H. mole A) Dilation & curettage B) Suction evacuation 55. Treatment of Lupus nephritis A) Prednisolone + cyclophosphamide B) Prednisolone+cyclophosphamide C) Steroid+ azathioprine D) Steroid+ mycophenolate 56. HbsAg negative. Treatment started ifA) HBV DNA >2000 B) HBV DNA>1000 C) HBV DNA<2000 57. Cell wall synthesis inhibitor A) Vancomycin 58. Thype III hypersensitivity reaction by A) Imminune complex mediated 59. Female with tongue abraded, koilonychias, esophageal web, most likely A) PVS 60. 2 nd molar tooth erupts in A) 10-12 yr B) 12-14 yr 61. Extrapyramidal symptoms is side effect of which drug A) Metoclopramide B) Domperidone C) Cisapride D) Mosapride 62. Hypoxia leads to A) Pulmonary vasoconstriction 63. Not used in Juvenile Myoclonic Epilepsy A) Carbamazepine B) Valproate C) Topiramate D) Zano 64. Metabolic product from tumor cells A) VMA B) CA 125 C) PSA 65. All true in RAS except A) Decreased blood flow in Doppler B) Hyperkalemia C) Systodiastolic bruit heard in abdomen D) Usg 66. Not classic non Hodgkin’s lymphoma A) Lymphocyte predominance B) Lymphocyte rich C) Mixed cellularity D) Nodular sclerosis 67. Sodium bicarbonate is used in metabolic acidosis. True statement A) Increased in blood pH is associated with increase in CSF pH 68. Sewage treatment biologically is A) Primary sewage treatment B) Secondary sewage treatment 69. Visually appreciable cellular change A) Atypia B) Aplasia C) Hyperplasia D) Metaplasia 70. Ann Arbor classification is for A) Lymphoma 71. Not major criteria of Multiple Myeloma A) Lytic bone lesion 72. 70 yr male, bullous lesion, burst , most likely A) Pemphigus vulgaris B) Bullous pemphigoid 73. Radiolucent stone A) Uric acid stone 74. Tympanic plexus is present on A) Promontory B) Pyramid 75. Superficial perineal fascia A) Colle’s facia B) Scarpa’s fascia C) Camper’s fascia D) Gallaudet fascia 76. Principle of vaginal ring A) Located in posterior fornix support uterosacral ligament 77. Gene related to fibrous dysplasia A) FD1 GENE B) GNAS1 GENE 78. True about fibrocystic disease of breast A) It is the most common benign disease of breast B) Is also known as fibroadenoma 79. Decreased milk production in cattle is seen due to deficiency of A) Iron B) Iodine C) Chlorine D) Zinc 80. A female with angular stomatitis, dermatitis, & recurrent bacterial infections, most likely suffering from deficiency of A) Zinc B) Iron C) Chromium D) manganese 81. Most common thyroid cancer is A) Papillary carcinoma B) Follicular carcinoma 82. Medullary cancer of thyroid originated from A) Parafollicular cell 83. Liver zone around artery A) Zone 1 B) Zone 2 C) Zone 3 D) Zone 4 84. Roth’s spot seen in A) SABE 85. In Barett’s oesophagus, squamous epithelial lining of esophagus changes to A) Columnar epithelium 86. Operation for congenital hypertrophic pyloric stenosis is A) Ramstedt’s operation 87. Pt with hyphochloremia, hypokalemia, acidosis. Most likely cause is A) Gastric outlet obstruction 88. Most common site of perforation A) Duodenum 1st part B) Duodenum 2nd part C) Pyloric antrum 89. Hypoadrenal shock treatment A) Hydrocortisone B) Dexamethasone C) Fludrocortisone D) prednisolone 90. Zn-containing β-lactamase is A) ESBL B) Oxacillinase C) MBL 91. Metallo-β-lacatamase responsible for resistance in A) Carbapenem B) Acylureidopenicillin C) Quinolone D) Fjsdljf 92. Green house effect not by A) Co2 B) CO C) Methane 93. True about sympathetic nervous system A) Essential for life B) Causes relaxation of smooth muscle C) Increases peristalsis D) Causes dilation of pupil 94. Atropine is contraindicated in A) Glaucoma 95. Hormonal regulation among insulin, glucagon & somatostatin is by A) Paracrine B) Autocrine C) Endocrine 96. Tracheal secretions is decreased by A) Salbutamol B) Ipratropium bromide C) Mast cell stabilizer 97. Steeple sign on x-ray is seen in A) Acute epiglottitis B) Acute laryngotracheobronchitis 98. Features of Down’s syndrome given, most likely to develop by 20 yrs of age A) Myocardial infarction B) Acute leukemia 99. Plasma osmolarity is primarily maintained by A) Aldosterone B) Vasopressin 100. DVT in postpartum female seen after how many days A) 2 B) 4 C) 5 D) 7-8 101. Contraindication of combined oral contraceptives is A) Nulliparity B) Multiparity C) Migraine 102. Halothane causes jaundice after A) Immediately B) 7 days C) 14 days D) 28 days 103. 10 hrs of fasting, blood glucose is maintained by A) Liver glycogenolysis B) Muscle glycogenolysis C) Gluconeogenesis 104. Knee dislocation most commonly affected structure A) Popliteal artery B) Common peroneal nerve 105. Scaphoid # true statement A) Diagnostic x-ray must be done B) Cast should be applied for 3 wks 106. Avascular necrosis is not seen inA) # NOF B) # scaphoid C) #talus D) Trochanteric # 107. All are obstructive lung diseases exceptA) Asthma B) COPD C) Cystic fibrosis D) Interstial lung disease 108. Pulsus paradoxus is seen in A) Constrictive pericarditis 109. All true in sarcoidosis exceptA) Hypercalcemia B) Erythema nodosum in 20%-30% C) Crescentic glomerulonephritis D) Non-caseating granuloma 110. Digoxin toxicity is aggravated by A) Hypokalemia B) Hyperkalemia C) Hypocalcemia D) Hypomagnesaemia 111. Smooth muscle contraction mediated by A) Calcium-calmodulin pathway B) Camp C) cGMP D) calcium binds to troponin c 112. increase of following causes hyperthyroidism except A) t3 B) t4 C) TSH D) Thyroglobulin 113. Hypertension bp 210/90, glucose 11 mmol, potassium 2, most likely cause A) Cushing’s syndrome 114. Hyperkalemia both in intracellular fluid & intracellular fluid. Cause A) Adrenal insufficiency 115. Diabetic nephropathy . true all except A) Angiotensin receptor blocker like losartan is used for treatment B) Congo red postitve C) microalbuminuria D) decreased kidney size 116. Delay in growth. Bone age is less than chronological age. Most likely A) Constitutional dwarfism 117. Most common cause of low birth weight in Nepal A) IUGR B) PREMATURITY C) TEENAGE PREGNANVY 118. Most common complication leading to death in HIVA) Pulmonary TB B) Pneumocystis carini infection C) Cryptococcal meningitis D) 119. Pulmonary embolism true statement is A) Acute right ventricular dilation 120. Lymph is A) Interstitial fluid 121. Most common cause of renal stone in children A) Recurrent uti B) Metabolic disorder 122. Left gastric artery arises from A) Coeliac trunk 123. Renal failure patient on dialysis A) Primary hyperparathyroidism B) Secondary hyperparathyroidism C) Tertiary hyperparathyroidism 124. Small cell carcinoma of lung. True statement A) Associated with ectopic hormones production B) Not associated with smoking C) Is not central 125. Parietal cell produces A) HCL + intrinsic factor 126. Skill development by A) Demonstration B) Role play 127. Behavior change A) Internalization B) Identification C) Enforcement 128. Best method of learning A) Group discussion 129. Highest ph A) Gastric acid B) Pancreatic juice C) Bile acid 130. Swelling that moves with deglutination & tongue protrusion A) Thyroglossal cyst 131. Not a complication of dialysis A) Peritonitis B) Thrombocytopenia C) Lecopenia D) Uremic lung 132. Mallory weis tear occurs at which site A) Gastroesophageal junction 133. Whipple operation is done for A) Periampullary carcinoma B) Oesophageal carcinoma 134. Polyhydramnios is seen in A) Placental insufficiency B) Dudodenal atresia C) Renal agenesis 135. Hernia repair in child A) Herniotomy 136. Extracellular enzyme A) Lipoprotein lipase 137. Ulcer crater on barium study seen in A) Ca stomach B) Duodenal ulcer C) Diverticulum 138. Facial nerve is involved in which tumour A) Parotid gland B) Thyroid gland 139. First to appear in peripheral blood A) Myeloblast B) Myelocyte C) Promyelocyte D) Band cell 140. Selective estrogen modulator A) Raloxifene 141. Denominator of maternal mortality rate is A) Live birth 142. Wearout of teeth by external material by A) Attrition B) Abrasion 143. Op poisoning antidote is A) Aspirin B) Pralidoxime 144. Disorientation is seen in A) Anxiety B) Organic psychosis 145. Schizophrenia is characterized by A) Delusion 146. Most common primary malignant CNS tumor is A) Glioma B) Meningioma C) Cranipharyngioma 147. ADH acts on which part A) Collecting duct 148. First change in iron therapy A) Reticulocytosis B) Increased ferritin C) Increased hemoglobin 149. Nerve supply of cremastric muscle A) Genital branch of genitofemoral nerve B) Femoral branch of genitofemoral nerve C) Ilioinguinal nerve 150. Dissociative anaesthesia A) Ketamine 151. IUGR is diagnosed by A) Serial monitoring of BPD, HC B) Doppler usg 152. Lagankhel ko buspark ma dead person A) Police inquest B) Magistrate inquest 153. Fr of foley’s catheter signifies A) Total length B) External circumference C) Internal circumference D) Internal diameter 154. Type 2 error is A) αerror B) βerror 155. hypertension + bradycardia seen in A) intracranial hypertension @cushing’s triad 156. related to glucose metabolism A) α1 B) α2 C) β1 D) β2 157. bronchiolitis in infant is due to A) respiratory syncytial virus 158. infection by same organism after elimination of the organism is A) Re-infection B) Relapse 159. Herniation of part of brain through foramen magnum. Most likely A) IIIrd nerve palsy B) Respiratory arrest 160. Cannot be measured by spirometry A) Inspiratory reserve volume B) Vital capacity C) Tidal volume D) Total lung capacity 161. Inferior epigastric artery is involved in- A) Epigastric hernia B) Lumbar hernia C) Meningomyelocele D) Umbilical hernia 162. Features of Increased ICT in child A) Papilloedema B) Crackpot sign in < 4 yr 163. Which can cause testicular tumor A) Cryptorchidism B) Trauma 164. Valsalva maneuver true statement A) Decrease in blood pressure B) Increase in heart rate C) Right side decreased systolic pressure D) Left side increased systolic pressure 165. Crowning means A) In the inlet B) In the perineum C) In the perineum without recession D) At the level of ischial spine 166. Lateral view of chest x-ray done to see A) Interlobar fissure B) Mediastinum C) Trachea 167. Dermoid cyst is mostly associated with A) Infection B) Hemorrhage C) Twisting around pedicle 168. Peripheral conversion of t4 to t3 is inhibited by A) Propylthiouracil B) Carbemazole C) Methimazole D) Lugol’s iodine 169. Neural tube formation induced by A) Notochord 170. Blood pressure regulated by A) Arterioles 171. Not involved in stretch reflex A) αmotor neuron B) γmotor neuron C) pyramidal neuron 172. most common medical disorder in pregnancy A) gestational diabetes mellitus B) heart dz in preg 173. Lichen planus is characterized histologically by A) Hyperkeratosis B) Keratin pearl C) microabscess 174. Urea disproportionately higher than creatinine in A) Gi bleed B) Crush injury C) Hepatorenal syndrome 175. Vertical transmission of HIV is maximum in A) Intrapartum B) Peripartum C) Breast feeding 176. False positive is A) Undiseased patient detected as positive due to weak test 177. Mitochondrial disorder A) Laber hereditary optic neuropathy B) Freidrich ataxia 178. Not seen in father to son A) X-linked disease B) Autosomal dominant C) Autosomal recessive 179. Passive immunity A) Immunoglobulin 180. Coin toss 3 times which variable? A) Discrete variable 181. Normal level of HbA1c is A) 0-3% B) 3-6% C) 6-9% 182. Carpel tunnel syndrome is due to compression of A) Median nerve NEET MDS 20210 Exam Pattern 183. Pica is A) Non-edible non-food items 184. Not degraded by αamylase A) Cellulose B) Dextrin C) Starch 185. Best modality of filarial control A) Mosquito control 186. Ovulation coincides with A) LH surge B) Estrogen surge C) Progesterone surge 187. Total intake of iron during pregnancy A) 10 mg B) 100 mg C) 1000mg D) 1500mg 188. One question regarding epidemiological study. Most likely it is case control study. 189. Diarrhea , dermatitis & dementia seen in A) Zinc deficiency 190. Not seen in intestinal obstruction A) Pain B) Distension C) Vomiting D) Fever 191. Wavelength of uv rays used for sterilization A) 250-260 B) 290-300 192. Newborn at birth has which eye defect A) Hypermetropia B) Myopia 193. Odds ratio >1 when A) Exposure & outcome are positively associated B) Exposure & outcome are negatively associated C) Exposure & outcome are not associated D) Exposure is protective factor for specific outcome 194. Disulfiram reaction is due to inhibition ofA) Alcohol dehydrogenase B) Aldehyde dehydrogenase 195. Treatment of morphine dependentA) Methadone B) Naloxone C) Naltrexone 196. Fatty acid release from adipose tissue by all exceptA) Growth hormone B) Epinephrine C) T3 D) Insulin  

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