Submitted By Bruno
TN PG Medical Entrance Examination 2003
The following questions are compiled from the memory by the PG Aspirants of Tirunelveli Medical College who attended the Tamil Nadu PG Medical Entrance 2003 on 27th April 2003 at Chennai. The questions are not framed fully because, in many cases, it is not needed and in few cases we were not able to recollect. The same can be said of choices. There are a few controversies and as with any Objective question compilation, here too, we don’t claim that this is an error proof work and contributions and corrections are welcome.
We have done this collection following a conclusion after contemplation, consideration and consultation and you can always mail in your correction, contribution, botheration and suggestion about any clarification, commission and omission about this examination compilation!!!
It is understood that those who are reading this are knowledgeable enough to comprehend that these questions and answers are in no way related to the Official Question Bank and the Official key that may be used for valuation. The aim of this work primarily for the benefit of the future exams and not to brood over one or two questions!!! The questions are written from the memory of the examinees and hence there is a chance that this is not 100 percent accurate! We would like to distance ourselves from any confusion arising out of these Questions (and Answers) and in the unforeseen instance of a controversy arising out of these Questions (and Answers), we are not responsible for it. If, however, you find a slip of the finger (mistake) please post in your views in the message board, so that it is corrected. Another aim of posting is to inculcate a habit of healthy discussion………
ANATOMY
1) All are branches of Femoral Artery except Accessory Obturator Artery
2) Length of male urethera is 20 cm
3) Arch of Aorta is in the Superior Mediastinum
4) Ureter crosses all except Inferior Mesenteric Artery
5) Hilum of Right Kidney is related to all except Adrenal
6) Lesser omentum contains all except IVC
7) Tributaries of Portal veins are all except Hepatic veins
8) Inversion and Eversion occurs at Subtalar joint
9) About Trigone of Bladder, all are true except - supplied by Somatic nerves
10) Deep inguinal ring is a defect in Transversalis Fascia
11) Smallest bone is Stapes
12) Foetal membranes are all except Decidua basalis (?? Yolk Sac)
PHYSIOLOGY
13) Bernoulli’s Theory - Sum of Kinetic Energy and Pressure is a constant
14) Diffusability is inverselye proportional to the Mol Wt - Graham’s Law
15) Laminar Flow - Closing Volume
16) Equilibrium potential - Nerst Equation
17) Pneumotaxic center is situated in Pons
18) alpha chain absent in Hb-Gowers
19) Surfactant secreted by Lung
20) Pain mediated by Bradykinin (Is there any one who says Histamine!!!)
21) Pacinian corpuscle - Touch / (Why not Pressure??)
22) Broncho Pulmonary segment- drained by 2 pulmonary veins
23) Milk ejection reflux Oxytoxin
24) Hearing frequency - 20 to 20000 Hz
BIOCHEMISTRY & BIOPHYSICS
25) McArdle’s disease - Muscle Phosphorylase
26) Biotin Carnboxylation all except Glutamate
27) Aldolase is a lyase
28) Hyperlipaedimea Type I - Lipoprotein lipase deficiency
29) Acute Intermediate Porphyria is due to deficiency of Uroporphyrinogen I Synthase
30) Degeneracy of Codon - one amino acid has many codons
31) Milk Sugar - lactose
32) Galactosemia diet - restrict milk
33) Alkaptonuria - Homogentisic Acid Oxidase
34) Zinc Overdose all except Hyperpigmentation ???
35) Hyponatremia occurs in Addisons disease
36) Example for frame shift mutation ???? (Not HbS and Constant Spring )
37) Carbomoyl Phosphate - Choice b !!!!
38) Cushing’s Syndrome Excess cortisol
39) Quartenary Structure - all except Albumin
40) Pellagra ???
41) Heme containing enzyme all except Urease
42) DNA ????
43) Mesothelioma is casused by Asbestos
44) Lipotrophic factrors all except Arginine
45) Acrodermatitis Enterophatica Zinc
46) PAH - Renal Plasma Flow
47) Calitriol is 1,25 dihydroxy cholecalciferol
48) Last stage of respiratory failure - Hyperkalemia (In respiratory failure there is acidosis)
PHARMACOLOGY
49) Contraindicated in Myocardial Infarction - Pentozacine
50) Increased Oral : Parenteral Ratio Methadone
51) Heparin Antagonist Protamine Sulphate
52) Steroid in transplant - reduces rejection
53) Tolerance not developed for Miosis
54) Halogenated compounds all except Propofol
55) Translation in Protein synthesis affected by Tetracycline(Reference Awaited)
56) Mifepristone - Progesteorne antagonist
57) Mineralocorticoid antagonist - Spirinolactone
58) INH and Pyridoxine given together to prevent peripheral neuritis
59) Gum Hypertrophy Phenytoin
60) Bull’s Eye Maculopathy Chloroquine
PATHOLOGY
61) DIC seen in M3
62) Hemophilia is due to deficiency of factor VIII
63) MEN Type II b all except Pituitary adenoma
64) Rheumatic fever Aschoff body
65) Natural Carcionogens all except Benzidine
66) Aging pigment Lipofushin
67) Complication in 2nd week of AMI - Aneurym/rupture/??
68) Brown induration Lung
69) Call mediated Reaction Tuberculin
70) Sarcoidosis Non caseating granuloma
71) Best method of diagnosis - Biopsy
72) Calcitonin is increased in medullary ca thyroid
73) Cystic Fibrosis 7q
74) Barrets Esophagus Lower one third
75) SABE - Streptococcus viridans
76) Wilson’s disease all except Serum copper always decreased
77) The focus of Attack in Rheumatoid Arthritis is at Synovium
78) Metachromatic dystrophy ????
79) Prenatal diagnosis possible through all except Peripheral lymphocytes
80) Non neural Rabies vaccine - Human Diploid cell
MICROBIOLOGY
81) Hydatid Cyst Vital Layer - Germinal Epithelium
82) No Cystic stage - Trichomonas Vaginalis/Diantamoeba Fragilis
83) Tropical Splenomegaly - Proguanil
84) Virulence of Pneumococci - Capsular Polysacchride
85) Chronic Granulomatous disease - defect in Phagocytosis
86) Measles - natural active immunity
87) Gas Gangrene - Clostridioum perfinges
88) Food poisoning all except Proteus
89) Cluster of hyphae - Mycelium
90) Erythema Chronicum Migrans - Lyme
91) Cat - Toxoplamosis
92) Dimorphic Fungi - Histoplasma
93) H.Pyloric Carcinogenic due to Nitrosamines
94) Infectious Mononucleosis caused by EBV
95) Paul Bunnel Test - IMV
96) Local Immunity IgA
97) Negri Bodies Rabies
98) Neonatal Meningitis Grouip B Streptococcus
99) Bull’s neck Diphtheria
100) Adjuvants - Increase immunity
FORENSIC MEDICINE
101) Professional misconduct
102) Professional death sentence is by State Medical Council
103) McEvan’s Sign - Alcoholic Coma
104) Rigor mortis first appears in Heart (Eye/Hand also given in other books!!!)
105) Algor mortis Cooling of body
106) Abortificant causing partial deafness - Quinine
107) Bertillon System Identification
108) Gustafson’s method Age
109) Stellate wound - Contact/15 cm/far away
110) Sterility - Loss of both testicles
COMMUNITY MEDICINE
111) Maximum Flouride level 1.5
112) Village level health workers all except ?????
113) ICDS components all except Iodine deficiency precaution
114) Requirement of Iodine 150 microgram
115) Water stored for 5 to 7 days 90 % drop in bacterial count
116) Vit D Requirement for children 200 IU
117) Transmission of Malaria Ronald Ross
118) Notifiable diseases all except Paralytic Polio
119) Incubation period of Filariasis 8 to 16 months
120) Highly infective plaque - Pneumonic plaque
121) Patients are to be isolated in all diseases except AIDS
122) IMR Goal for 2000 - 60
123) Pearl Index - Effectiveness of contraceptives
124) The single most method of TB detection in mass screening is Sputum microscopy
125) Monday Fever Byssinosis
MEDICINE
126) Psoriasis characteristically involves DIP Joint
127) Hepatitis Seroconversion starts with IgM Anti HBc
128) Addison’s disease all except Hypertension
129) Trousseua - Tetany
130) Reduced oral intake of Ca - all except decreased renal absorption
131) Metastatic calcification all except decreased calcium level in blood
132) Secondary hyperthyroidism results in increased ionized calcium
133) Hemolysis in G6PD Deficiency
134) Rheumatoid factor - Fc Fragment of IgM
135) Oppurtunistic disease in AIDS all except Diphtheria
136) Acute corpulmonal - Pulm Embolism
137) Anaemia sensitive indicator MCHC
138) Lesion of Optic tract - Left homonymous hemianopia
139) CREST Syndrome all except Syndactyly
140) Adrenaline route of administration in Cardiac Arrest iv/intracardiac ( No arguments please)
141) Mitral Valvuloplasty indicated in Isolated MS
142) Decreased PR interval with Delta Wave is WPW Syndrome
143) Myasthenia all except UMN lesion
144) Intrapleural pressure is equal to atmospheric pressure in Open Pneumothorax
145) Vocal resonance is increased in Pneumonic consolidation
PAEDIATRICS
146) Tuberous sclerosis all except ???
147) Cholera Sicca - dehydration without diarrhea and vomiting
148) Hereditary telengectasis - Osler Weber Rendu
149) Primary Pulmonary hypertension Drugs used are all except - ??? Note that NaHCO3 is used (Nelson)
150) Congenital hypothyroidism all except large baby(birthweight more)
151) Meconium aspiration syndrome all except Respiratory distress always (Nelson)
152) Maximum growth spurt in boys 10 cm (Nelson)
153) Transient tachypnoesa of newborn - all are true except - Rhonchi are present (Nelson)
154) 15 month old baby - all except 4 cubes
155) Projectile vomiting - Hypertrophic Pyloric Stenosis
PSYCHIATRY
156) All are treatable causes of dementia except Pick’s
157) Hallucination is a disorder of perception
158) Schizophrenia is a disorder of thought
159) Problem associated with hypothyroidism Depression
160) Dhat Syndrome Semen
161) Neurosios and Psychosis differentiated by Insight
162) Side effect of Clozapine Agranulocytosis
DERMATOLOGY
163) Psoariasis Auspitz Sign
164) Wickham’s Striae Liuchen Planus
165) Exclamatory Mark hair Alopecia Areata
VENEREOLOGY
166) Antiretroviral therapy monitored by RNA PCR
167) VDRL - Flocculation
168) Chanchroid Inflammatory Bubo
RADIODIAGNOSIS & RADIOTHERAPHY
169) Spider Leg Polycystic kidney
170) All are Echogenic except air
171) Curved Cassatte - Mandible
172) Contrast in Barium Swallow - Barium Sulphate
173) Myelography Dye Used Myodil
174) ERCP to differentiate medical and surgical jaundice
175) Sonosalphingography - Tubes
176) Isotope used in treatmentof thyroid cancer I 131
177) Asbestosis is associated with Mesothelioma
178)
OBSTETRIC AND GYNAECOLOGY
179) Abruptio placenta all except conservation management
180) Causes of APH all except Atony of Uterus
181) Complication of 3rd stage of labour all except Obstructed labour
182) Most common adolescent tumour of ovary - Dysgerminoma
183) Loss of Villi - Choriocarcinoma
184) Obstetric conjugate is calculated from Diagonal Conjugate
185) Internal ballotment 16 to 28 weeks
186) Pap Smear Ca Cx
187) Most common presentation at term Vertex
188) Ca Cervix HPV
189) Third Degree perineal tear - Repaired by experienced person
190) Hob Nail cells - Clear cell ca
191) Length of cervical canal 2.5 cm
192) Isthumus all are true except 20 mm
193) Hyperstimulation Is maximum with FSH/LH
194) Age group of menopause 45 to 55
195) High cornification index Late proliferative stage
196) Pregnancy all except decreased creatinine clearance
197) Fothergill’s operation all except Roungd ligament placation
198) Uterine Resting pressure ???
SURGERY
199) Ca breast flap TRAM
200) Sebaceous cyst is retention cyst
201) Murphy’s and Boas Sign Acute Chlecystitis
202) Malignant melanoma never before puberty
203) Third space Tissue and Hollow Visceral space ( Clarification needed)
204) Ca Prostate Estrogen
205) Hypocalcemia is in total thyroidectomy
206) Bushke Lowenstein Tumour - Giant condylomata Acuminata
207) Thyroglossal cyst moves due to attachment to Foramen Caecum
208) Ulcer - loss of epithelium
209) Tropical ulcer - Borrelia vinceti
210) Matted Enlarged Node - Tuberculosis
211) Most Common extra nodal site of Non Hodgkins Lymphoma - Stomach
212) Hemolytic Jaundice all except increased bilirubin in urine
213) DVT - Embolise (Clarification needed)
214) Carcinoid most common in Appendix
215) Ca stomach risk factor all except decreased salt intake
216) Pre patellar bursits - house maid’s knee
217) Common cause of death in burns shock (why not electrolye loss or water loss which leads to shock)
218) Placental alkaline Phosphatase Seminoma
ORTHOPAEDICS
219) Bennet’s fracture - Base of I metacarpal with subluxation
220) Gallow’s Traction Femer
221) # Patella - Tension band wiring
222) Wrist drop Radial nerve
223) Thomas test - fixed flexion deformity
224) Codman’s triangle - Osteosarcoma
225) Dinner fork deformity - Colle’s fracture
226) Hallux Valgus - Great toe
227) Stage of Synovitis - Flexion Abduction and external rotation
228) Commonest cause of vertebral compression is Extradural
OPTHALMOLOGY
229) Second Sight - Presbyopia/nuclear Sclerosis (Please clarify)
230) Corneal necrosis without inflammation - Keratomalacia
231) Membranes occur in Palpabral conjuctiva
232) Folliculkar conjunctivitis - Epidemic Keratoconjuctivitis
233) Astigmatism - Cylindrical Lens
234) Anterior chamber shallow in all except Steroid Induced Glaucoma
235) Congenital Glaucoma - Photophobia
236) Central loss of vision Optic neuritis
ENT
237) Nerve supply to Auricle all except Auditory nerve
238) Otosclerosis affects stapes
239) Receptor of hearing Organ of corti
240) Choana - Posterior Nasal aperture
241) Thidicum speculum - Nose
242) Suprameatal Triangle - mastoid Antrum
243) Griesinger’s Sign - Lateral Sinus Thrombosis
244) Facial Recess - all except ????
ANAESTHESIA
245) Anaesthesia in shock Ketamine
246) Dissociative Anaesthesis Ketamine
247) Ether used by Morton
248) CVP Measured in all except Supf Saphenous vein
249) MAC - Minimal Alveolar concentration
250) Respitatory Obstruction in Comatose patients - Falling back of tongue
CONTROVERSIAL QUESTIONS
12) Foetal membranes are all except Decidua basalis (?? Yolk Sac)
20) Pain mediated by Bradykinin (Is there any one who says Histamine!!!)
21) Pacinian corpuscle - Touch (Ganong) / (Why not Pressure?? - Pacinian corpuscles are rapidly adapting touch receptors which are primarily intended for pressure which also transmits touch, pressure is nothing but deep touch, here pressure should be the answer. Ref Chaudhuri Physiology which states clearly that it also transmits touch. - Dr.Rajendran Sambandam)
40) Pellagra ???
34) Zinc toxicity except,1.Anemia(occurs), 2. stunted growth, 3.dermatitis, 4. pigmentation?
67) Complication in 2nd week of AMI - Rupture (because aneurysm develops only in 3rd or 4th week - Dr.Rajendran Sambandam)
71) Most releiable test is biopsy or frozen section?
78) Metachromatic dystrophy ????
82) No cyst stage in trichomonas vaginalis or dientamoeba fragilis? both given in book chatterjee
104) Rigor mortis first appears in Heart (Eye/Hand also given in other books!!! - Heart among Involuntary muscles and Eye among Voluntary Muscles - Dr.Rajendran Sambandam)
109) Stellate wound - Contact/15 cm/far away
112) Village level health workers all except Gram sevak (because he is not primarily concerned with health, he is working for revenue dept - Dr.Rajendran Sambandam)
122) IMR 2000 target 50 or 60? according to Who 50 in india its 60 but i dony remember whether india was mentioned in the question paper?
140) In cardiac arrest adrenaline given in which route. intracardiac or intravenous?
146) Tuberous sclerosis all except ???
149) Primary Pulmonary hypertension Drugs used are all except - ??? Note that NaHCO3 is used (Nelson)
170) All are Echogenic except air/bile/bone
173) Myelography Dye Used Myodil/Iohexol
198) Uterine Resting pressure ??(In pregnancy, it is 2 to 3 mm Hg(Dutta) but is it normal otherwise also)?
200) Sebaceous cyst is retention cyst or epidermoid cyst.
203) Third space Tissue and Hollow Visceral space ( Clarification needed)
213) Deep venous thrombosis true is. embolise or most common presentation is pain and swelling in leg?
217) Common cause of death in burns shock (why not electrolye loss or water loss which leads to shock)
229) Second Sight - Presbyopia/nuclear Sclerosis (Please clarify)
244) Facial Recess - all except head of malleus. The other choices were chorda tympani, facial nerve and fossa incudis (- Dr.Rajendran Sambandam)
Compiled by Tirunelveli Medical College PG Aspirants
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