(Paper) Sample Paper For Medical Exams : Solved Version With Few Explanations (Pg- 11)
Paper : Sample Paper For Medical Exams : Solved Version With Few Explanations
Page -11
275. Cardiac or central nervous system toxicity may result when standard lidocaine doses are administered to patients with circulatory failure. This may be due to the following reason:
1. Lidocaine concentration are initially higher in relatively well perfused
tisseues such as brain and heart.
2. Histamine receptors in brain and heart gets suddenly activated in circulatory
failure.
3. There is a sudden out-burst of release of adreneline, noradreneline and
dopamine in brain and heart.
4. Lidocaine is converted into a toxic metabolite due to its longer stay in
liver.
Ans.1
276. A post-operative cardiac surgical patient developed sudden hypotension, raised central venous pressure, pulses paradoxus at the 4th post operative hour. The most probable diagnosis is .
1.Excessive mediastinal bleeding.
2. Ventricular dysfunction.
3. Congestive cardiac failure.
4. Cardiac tamponade.
Ans.4
277. A 70 year old patient with benign prostatic hyperplasia underwent transurethral resection of prostate under spinal anaesthersia. One hour later, he developed vomiting and altered sensorium. The most probable sause is:
1. Over dosage of spinal anaesthetic agent.
2. Rupture of bladder.
3. Hyperkalemia.
4. Water intoxication
Ans. 4
278. Kinebock’s disease is due to avascular necrosis of:
1. Femoral neck.
2. Medial cuneiform bone.
3. Lunate bone.
4. Scaphoid bone.
Ans. 3
279. A 50-year old male. Working as a hotel cook, has four dependent family members. He has been diagnosed with an early stage squamous cell cancer of anal canal. He has more than 60% chances of cure. The best treatment option is:
1. Abdomino-perineal resection.
2. Combined surgery and radiotherapy.
3. Combined chemotherapy and radiotherapy.
4. Chemotherapy alone.
Ans. 3
280. Which one of the following radio-isotopes is commonly used as a source for external beam radiotherapy in the treatment of cancer patients:
1. Strontium-89.
2. Radium-226.
3. Cobalt-59.
4. Cobalt-60.
Ans.4
281. All of the following statements are correct about potassium balance, except:
1. Most of potassium is intracellular.
2. Three quarter of the total body potassium is found in skeletal muscle.
3. Intracellular potassium is released into extra-cellular space in response to
severe injury.
4. Acidosis leads to movement of potassium from extracellular to intracellular
fluid compartment.
Ans. 4
282. Hypocalcemia is characterized by all of the following features except:
1. Numbness and tingling of circumoral region.
2. Hyperactive tendon reflexes.
3. Shortening of Q-T interval in ECG.
4. Carpopedal spasm.
Ans.3
283. The best time for surgery of hypospadias is:
1. 1-4 months of age.
2. 6-10 months of age.
3. 12-18 months of age.
4. 2-4 years of age.
Ans. ?4[S Das surgery says 5-7 yrs]
284. Which of the following is not true about Berger’s disease?
1. The pathologic changes are proliferative and usually confined to
measangial cells:
2. Hematuria may be gross or microscopic.
3. On immunofluorescence deposits contain both IgA and IgG.
4. Absence of associated protyeinuria is pathognomonic.
Ans. 4
285. The organism most commonly causing genital filariasis in most parts of Bihar and Eastern U.P. is:
1. Wuchereria bancrofti.
2. Brugia malayi.
3. Onchocerca volvulus.
4. Dirofilaria.
Ans.1
286. Which one of the following statements is false with regard in Xanthogranulomatous pyelonephritis in children.
1. Often affects those younger than 8 years of age.
2. It affects the kidney focally more frequently than diffusely.
3. Boys are affected more frequently.
4. Clinical presentation in children is same as in adults.\
Ans.?
287. The Hunterian Ligature operation is performed for:
1. Varicose veins.
2. Arteriovenous fistulae.
3. Aneurysm.
4. Acute ischemiz.
Ans.3
288. Pseudoclaudication is due to the compression of:
1. Femoral artery.
2. Femoral nerve.
3. Cauda Equina.
4. Popliteal artery.
Ans. 3
289. Sympathectomy is indicated in all the following conditions except:
1. Ischaemic ulcers.
2. Intermittent claudication.
3. Anhidrosis.
4. Acrocyanosis.
Ans. 3
290. Which one of the following statements is false with regard to pyaria in children?
1. Presence of more than 5 WBC/hpf (high power field) for girls and more than
3 WBC/hpf for boys.
2. Infection can occur without pyuria.
3. Pyuria may be present without Urinary tract infection.
4. Isolated pyuria is neither confirmatory nor diagnostic for Urinary tract
infection.
Ans.2
291. Which one of the folloing is the most common cause of abdominal mass in neonates?
1. Neuroblastomas.
2. Wilms’ tumour.
3. Distended bladder.
4. Multicystic dysplastic kidneys.
Ans. 4 [ In neonate Abdominal mass is due to renal causes 55% of cases: Hydronephrosis in 25 % and Multicystic kidneys in 15 % of (TOTAL) cases. Non renal retroperitoneal causes including Neuroblastoma, adrenal hemorrhage, and teratoma account together for 10 % of cases. GIT & Genital causes in 15 % each] [ IN CHILDREN: Neuroblastoma most common mass then Wilms tumour and hydronephrosis] Ref Stephen Chapman & Richard Nakielny Radiology Diffrential Diagnosis page 200/1 3rd ed, Ghai page 362] [ Dr Bhuvnesh Kansara]
292. All of the following are risk factors for deep vein thrombosis (DVT) except:
1. Duration of Surgery more than thirty minutes.
2. Obesity.
3. Age less than forty years.
4. Use of the oestrogen-projesterone contraceptive pills.
Ans. 3?
293. A labourer involved with repair-work of sewers was admitted with fever, jaundice and renal failure. The most appropriate test to diagnose the infection in this patient is:
1. Weil Felix test.
2. Paul Bunnel test.
3. Microscopic agglutination test.
4. Micro immunofluorescence test.
Ans.3
294. A chest physician performs bronchoscopy in the procedure room of the out patient department. To make the instrument safe for use in the next patient waiting outside. The most appropriate method to disinfect the endoscope is by:
1. 70% alcohol for 5 min.
2. 2% gluteraldelyde for 20 min.
3. 2% formaldehyde for 10 min.
4. 1% sodium hypochlorite for 15 min.
Ans.2
295. Which of the following statements is true about rabies virun:
1. It is a double stranded RNA virus.
2. Contains a DNA dependant RNA polymerase.
3. RNA has a negative polarity.
4. Affects motor neurons
Ans. 3 [Harrison : Rabies affects sensory nerve endings pg 1149 15th]
296. Which of the following statements is true about endemic typhus.
1. Is caused by R. rickettsii.
2. Is transmitted by the bite of fleas.
3. Has no mammalian reservoir.
4. Can be cultured in chemical defined culture medium.
Ans. 2
297. A 45 year old female is having bilatertal ovarian mass, ascites and omental caking on CT scan, There is high possibility that patient is having .
1. Benign ovarian tumor.
2.Malignant epithelial ovarian tumor.
3. Dysgerminoma of ovary.
4. Lymphoma of ovary.
Ans. 2
298. The commonest cause of an obliterative stricture of the membranous urethra is:
1. Fall-astride injury.
2. Road-traffic accident with fracture pelvis and rupture urethra.
3. Prolonged catheterization
4. Gonococcal infection.
Ans.2 [Bailey 1359]
299. Which of the following is an absolute indication for surgery in cases of benign prostatic hyperplasia:
1. Bilateral hydroureteronephrosis.
2. Nocturnal frequency.
3. Recurrent urinary tract infection.
4. Voiding bladder pressures> 50 cm of water.
Ans.1
300. A 27 year old man presents with a left testicular tumor with a 10 cm retroperitoneal lymph node mass. The treatment of choice is
1. Radiotherapy .
2. Immunotherapy with interferon and interleukins.
3. Left high inguinal orchiectomy plus chemotherapy.
4. Chemotherapy alone.
Ans. 3
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