Page 1 of 2: NIMHANS-MD-DPM –2008...recalled by nadu

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NIMHANS -MD-DPM –2008

DEAR FRIENDS,
HERE, I M POSTING NIMHANS -08-MD/DPM Psychiatry PAPER WHICH IS RECALLED BY ME & MY FRIENDS.
THE ONLY PURPOSE OF THIS RECALLED PAPER IS TO GIVE U IDEA & PATTERN OF NIMHANS EXAM.

IN 2008 EXAM,WHICH WAS HELD ON 17th FEB 2008, THERE WERE 160 QUESTIONS IN 2 HRS.
1 MARK FOR CORRECT ANSWER.
½ NEGATIVE MARK FOR WRONG ONE.
ANSWER TO BE MARKED BY HB-PENCIL ONLY.
FRIENDS WHAT WE CONCLUDED FROM GIVING THIS EXAM IS THAT A NUMBER OF QUESTIONS WERE TAKEN FROM:
1.ASHISH & MUDIT*****
2.Salgunan /PULSE**
3.BACK QUESTIONS OF GANONG*
4.TABLES OF HARRISON*****
5.TABLES OF ROBBINS***

THE QUESTIONS ON Psychiatry WERE DIRECT PICK FORM LINES OF HARRISONS-Psychiatry SECTION.PLEASE DO THAT SECTION WORD-BY-WORD AGAIN & AGAIN!

PLEASE IGNORE SPELLING MISTAKES.

SOME SHORT FORMS TO BE NOTED:;;
a/e……………all except
l/t………..lead to
d/t……….due to
a/w………associated with
TOC……..treatment of choice
IOC……..investigation of choice
DOC……drug of choice

ALSO IN SOME QUESTIONS ONLY Q. IS THERE, WE WERE UNABLE TO RECALL THE OPTIONS….BUT STILL IT WILL NOT TAKE AWAY THE TOPIC OR IDEA OR CONCEPT OF THE QUESTIONS!

FRIENDS EVEN WITH OUR BEST EFFORT WE RECALLED 158 Q. OUT OF 160….2 R STILL MISSING!

BEST OF LUCK FOR THOSE APPEARING IN JUNE EXAM & FORTHCOMING EXAMS!

SO LET’S START…

1.Following is not a respiratory complication of SLE:
a.fibrosing alveolitis
b.upper lobe fibrosis
c.vascular infarct
d.pleursy,effusion

2.pain over thyroid seen in:
a.hashimoto’s thyroiditis
b.Deqeurvain’s thyroiditis
c.simple toxic goitre
d.grave’s disease

3.Acute pancreatitis caused by a/e:
a.Azathioprine
b.methotrexate
c.thiazides
d.sodium-valproate

4.Polyuria in nephrogenic DI is treated with a/e:
a.Bendroflumethiazide
b.amiloride
c.indomethacine
d.phenylbutazone

5.Asbestosis is a/w a/e:
a.central emphysema
b.interstitial fibrosis
c.pleural effusion
d.ca-larynx

6.ATOMIC ABSORPTION INDUCTIVELY COUPLED PLASMA MASS SPECTROSCOPY(ICP-MS) is used to measure/detect :
a.Hb-derivatives
b.immunoglobulins
c.organic compounds
d.trace & metal elements

7.MC PNET tumor is:
a.neuroblastoma
b.medulloblastoma
c.ependymoblastoma
d.hemangioblastoma

8.NOT PAIN SENSITIVE:
a.choroid plexus
b.dural sinuses
c.middle meningeal artery
d.scalp

9.High specificity detects:
a.high true negative
b.low true negative
c.high false positive
d.high true positive

10.Severe malaria in a child l/t all the following complication except:
a.coma
b.convulsion
c.hypoglycemia
d.acute renal failure

11.INFLIXIMAB is C/I in:
a.crohn’s disease
b.intestinal TB
c.ankylosing spondylitis
d.rheumatoid arthritis

12.Infant of diabetic mother can have a/e:
a.hyperbilirubinemia
b.hypoglycemia
c.hyperglycemia
d.resp. distress

13.In human retina:
a.100 million rods & 5 million cones
b.5 million & 100 million cones
c.100 million rods & 100 million cones
d.5 million rods & 5 million cones

14.All shows strength of association except:
a.relative risk
b.odd’s ratio
c.incidence rate
d.coefficient of correlation

15.Risk factors for cerebral venous thrombosis are a/e:
a.dehydration
b.pregnancy
c.OCP’s
d.hypertension

16.To compare difference between two proportions:
a.Chi-square test
b.t-test
c.coefficient of correlation
d.coefficint of regeression

17.White centered haemmorrhage seen in :
a.SABE
b.leukemia
c.diabetes
d.all

18.D/D of red eye a/e:
a.photoretinits
b.acute congestive glaucoma
c.uvetis
d.keratitis

19.All involved in conductive deafness except:
a.auricle
b.8th nerve
c.middle ear
d.ext.auditary meatus

20.Following is involved in visual pathway:
a.Nucleus gracilis
b.medial geniculate body
c.lateral geniculate body
d.hypothalamus

21.Proteus infection l/t:
a.struate stones
b.uric acid stones
c.pigment stones
d.calcium/cholesterol stones

22.True about GALL-STONES except:
a.cholesterol stones are radiolucent
b.brown stones in sterile gall-bladder
c.black stones contain ca-carbonate
d.common in non-wetern population

23.True about endometriosis a/e:
a.common in 15% japenese population
b.common after menopause
c.a/w 20% cases of infertility
d.15% inheritable

24.Not a type of skull #:
a.simple linear
b.depressed
c.diffuse axonal
d.basal skull

25.Not a type of hernia:
a.obstructed
b.inflammed
c.irreuducible
d.infected

26.Trinucleotide repeat is seen in :
a.fragile X syndrome
b.Down/s syndrome
c.trisomy 13
d.tyrner’s syndrome

27.Jaris-Hexiemer’s reaction, true a/e:
a.occurs in late syphillis
b.acute febrile reaction
c.ophthalmic involvement worsens
d.prednisolone for 3 days given in treatment

28.STEVEN’S JOHNSON’S syndrome caused by:
a.sodium-valporate
b.lamotrigine
c.phenobarbitone
d.gabapentine

29.Bipolar mood disorder following are used in treatment except:
a.sodium-valporate
b.oxcarbazine
c.pregabaline
d.lamotrigine

30.Most prevalent psychiatric disorder in community is:
a.anxiety
b.depression
c.schizophrenia
d.dementia

31.Floowing drugs causes gynecomastia by directly acting on estrogenic substances except:
a.ketoconazle
b.digitalis
c.OCP’s
d.Phytoestrogens

32.Secular trends relates with:
a.age
b.religion
c.time
d.place

3.Case control study is:
a.analytical
b.descriptive
c.experimental
d.interventional

34.In alcohol dependence used are a/e:
a.disulfiram
b.acamprosate
c.bupropion
d.naltrexone

35.Used in opioid dependence a/e:
a.LAAM
b.buprenorphine
c.methadone
d.nalophine

36.Atypical antipshchotic causing prolong QT interval is :
a.risperidone
b.ziprasidone
c.quitapine
d.olanzepine

37.Following factors predicts relapse of seizers except:
a.tonic clonic type
b.myoclonis
c.age>16yrs
d.seizure starting after treatment started

38.All are risk factors for severe hypoglycemia except:
a.sleep
b.short duration of D.M
c.ACE genotype
d.strict control of blood sugar level

39.Subnormal ferritin is seen in a/e:
a.iron deficinecy anemia
c.liver disease
d.hypothyroidism

40.soluble transferrin receptor in iron def.anemia is:
a.increased
b.decreased
c.normal
d.none

41.For initiation of HAART ,following is generally evaluated:
a.CD4 count
b.viral load
c.absolute lymphocyte count
d.all

42.pathological findings of sjogren’s syndrome are a/e:
a.keratoconj.sicca
b.glomerular lesion
c.renal tubules function defect
d.salivary gland germinal center lymphocyte deficient

43.Under the” NARCOTIC DRUGS & OSYCHOTROPIC SUBSTANCES ACT” following drugs included except:
a.opium
b.hashis/heroin
c.amphetamine
d.alcohol

44.Biochemical markers of chronic alcoholism a/e:
a.MCV
b.uric acid
c.sr.creat
d.carbohydrate deficient transferrin

45.”SETTING SUN” sign seen in :
a.hydrocephalus
b.meningitis
c.brain abcess
d.cns-tumor

46.Craniotabes seen in :
a.rickets
b.ostegenesis imperfecta
c.hydrocephalus
d.all

47.Cell wall demontration is by a/e:
a.plasmolysis
b.microdissection
c.quellung reaction
d.antigen-antibody reaction

48.NOVOBIOCIN test differentiates:
a.s.saprophyticus & s.epidermidis
b.s.saprophyticus & s.aureus
c.s,aureus & s.epidermidis
d.

49.All are s/e of atypical antipsychotics except:
a.TypeII DM
b.wt-gain
c.hyperlipidemia
d.tardive dyskinesia

50.Homonymous hemianopia with macular sparing is d/t lesion of :
a.parietal lobe
b.occipital lobe
c.dominant temporal lobe
d.non-dominant temporal lobe

51.Correctly paired is:
a.cage:frontal lobe
b.broca: hypothalamus
c.moniz:ct scan
d.kreplin:ECT

52.Accidently discovered antidepressant is :
a.amitryptilline
b.imipramine
c.INH
d.alprazolam

53.Most active drug in leprosy :
a.rifampicine
b.dapsone
c.clofazamine
d.steroids

54.Growth stimulators & inhibitors are produced by:
a.eosinophil
b.RBC
c.macrophages
d.platelets

55.Most effective treatment of severe depression:
a.antidepressants
b.ECT
c.behavior therapy
d.psychotherapy

56.Classic tetrad of narcolapsy a/e:
a.hypnogogic hallucination
b.sleep attacks
c.sleep paralysis
d.catalepsy

57.Increase PTH is seen in a/e:
a.primary & sec.hyperparathyroidism
b.lithium indused hyperparathyroidism
c.thyrotoxicosis
d.familial hypocalciuric hypocalcemia

58.D/D of catatonia a/e:
a.wernick’s disease
b.hepatic encephalopathy
c.CNS neoplasm
d.Neuroleptic adverse effects

59.Fluent speech, impaired comprehension, but good repetition ,lesion is at:
a.Wernick’s aphasia
b.Broca’s aphasia
c.sensory subcortical aphasia
d.motor subcortical aphasia

60.Carpopedal spasmwith normal sr.ionic calcium is d/t:
a.hypomagnesemia
b.hyponatremia
c.hypokalemia
d.acidosis

61.Circulatory collapse occurs after what % of burns of total body surface area:
a.5%
b.1%
c.10%
d.15%

62.MC congenital heart disease :
a.ASD
b.VSD
c.PDA
d.TOF

63.Least effective drug in Obsessive compulsive disorder is :
a.clomipramine
b.fluoxamine
c.fluoxetine
d.robexetine

64.Grahm’s steel murmur seen in :
a.aortic regurgiotation
b.pulmonary regurgitation
c.tricuspid incompetance
d.AS

65.Persistent belief of medical illness despite adequate investigation is :
a.hypochondriosis
b.delutional disorder
c.factitious disorder
d.conversion disorder

66.Correctly matched:
a.borderline personality=odd & eccentric
b.avoidant personality=fear & anxiety
c.narcissitive personality=aloofness
d.schizophrenia personality=emotional

67.True about WILLIAM’S syndrome a/e:
a.auto.domiannt
b.supravalvular aortic stenosis
c.hypocalcemia
d.mental retardation

68.True about IDIOPATHIC HIORSUITISM:
a.normal ovulatory/menstrual cycle
b.amenorrhoea
c.increased testerone
d.hyperinsulinemia

69.CA-19-9 seen in a/e:
a.braest ca
b.ovarian ca
c.colonic ca
d.pancreatic ca

70.True about hypertrophic cardiomyopathy is a/e:
a.dilated ventricle
b.Increased muscle mass
c.LV outflow obstruction
d.diastolic failure

71.Major criteria of Framhington’s for cong.heart failure are a/e:
a.rales
b.positive hepatojugular reflex
c.cardiomegally
d.pleural effusion

72.Which of following is not sensitive to chemotherapy in advaced stage:
a.pancreatic ca
b.ewing’s ca
c.wilm’s tomor
d.ovarian cancer

73.Most sensitive of cardiac injury:
a.LDH
b.myoglobin
c.CPK-MB
d.Troponin

74.Acute viral hepatitis A & E is diagnosed by:
a.IgM A & IgM E
b.IgG A & IgG E
c.liver biosy
d.virus in stool

75.Carcinoid tumor is MC in :
a.foregut
b.mid-gut
c.hind-gut
d.all

76.Correctly matched except:
a.REED-STERNBERG CELLS: hodgkins
b.HAIRY CELLS:peripheral T cell leukemia
c.RUSSEL BODIES: plasmocutic lymphoma
d.FLAME CELLS:multiple myeloma

77.True about mania:
a.defect in content of thought
b.expansion of mood
c.delusion of granduer
d.increased psychomotor activity

78.MENDELIAN’S GENETIC laws helps to describe:
a.single gene disorder
b.gene to environment disorder
c.multiple gene disorder
d.all

79.Least common complication of peptic ulcer:
a.bleeding
b.epigastic distress
c.gastric-outlet obstruction
d.perforation

80Hypertensive haemorrhage typically occurs in:
a.cerebellum
b.pons
c.basal ganglia
d.all

81.For vibration sense ,tuning fork used is of frequency of:
a.128 Hrz
b.512 Hrz
c.256 Hrz
d.1024 Hrz

82.All are motile except:
a.s.typhi
b.s.typhimurium
c.s.enteridis
d.s.gallinarum pullorum

83.Shrinking lung disease with diaphragmatic involvement is d/t:
a.Dermatomyositis/polymyositis
b.SLE
c.Systemic sclerosis
d.sjogren’s syndrome

84.Goitre a/w high altitude is an eg. of :
a.indirect association
b.spurious association
c.direct association
d.temporal association

85.True about ALPORT’S syndrome a/e:
a.renal agenesis
b.sensorineural deafness
c.anterior lenticonus
d.hematuria

86.Mucosal candidiasis is caused by:
a.candida albicans
b.candida tropicalis
c.candida guilliermondi
d.candida krusei

87.Pseudodementia is seen in :
a.alcoholism
b.depression
c.schizophrenia
d.mania

88.% of monozygotic twins with schizophrenia:
a.45-50%
b.70%
c.10%
d.20%

89.SINGLE GENE NUCLEOTIDE POLYMORPHISM constitute what % of genetic code:
a.<1%
b.5%
c.15%
d.20%

90.MIYAGAVA’S CORPUSCLES seen in :
a.Psittacosis
b.LGV
c.trachoma
d.donovonosis

91.Asteroid bodies seen in :
a.sporotrichiosis
b.rhinocerebrosis
c.mucormycosis
d.cryptocosis

92.HERPANGINA is caused by:
a.cox-sackie virus A
b.echovirus 18
c.echovirus16
d.poliovirus

93.MC cause of community acquired meningitis in adult:
a.listeris
b.s.pnemococci
c.h-influnza
d.e-coli

94.All are supplied by oculomotor N. except:
a.sup.oblique
b.sup.rectus
c.inf.oblique
d.levator palpebra superioris

95.Definite C/I of thiopentone:
a.diabetic pt.
b.ECT
c.sarcoidosis
d.acute intermittant porphyria

96.Decreased ability to smell is :
a.anosmia
b.hyposmia
c.phantosmia
d.hyperosmia

97.Absense of taste sensation is termed as:
a.hypogeusia
b.ageusia
c.dusgeusia
d.partial ageusia

[snip].True about SEROTONIN SYNDROME a/e:
a.hyperthermia
b.bradycardia
c.hypertension
d.myoclonus

99.RAT BITE FEVER is cause by:
a.streptobacillus moniliformis
b.
c.
d.

100.Umbilical cord has:
a.2 artery & 2 vain
b.1 artery & 2 vain
c.2 artery & 1 vain
d.1 artery & 1 vain

101.VINCENT’S ngina is a/k/a:
a.trench mouth
b.
c.
d.

102.Rickettia prawazaki causes:
a.epidemic typus
b.endemic typhus
c.scub typhus
d.trench fever

103.WEIL’S disease is
a.leptospirosis
b.endemic syphillis
c.
d.

104.Lyme disease caused by:
a.borrelia burgdorferi
b.borrelia recurrantis
c.borrelia vincentis]
d.leptospira

105.Oroya fever is caused by:
a.bartonella henslae
b.bartonella quintana
c.bartonella bacilliformis
d.none

106.PLEOTROPISM is :
a.single mutant gene laeding to many end effects
b.mutataion at several genetic loci may produce

107.All are auto. Dominant except:
a.Friedrich’s ataxia
b.Huntington’s disease
c.myotonic dystrophy
d.tuberous sclerosis

108.An individual inherit the mutant auto. Dominant gene but phenotypically normal,it is an eg. of:
a.Variable expressivity
b.reduced penetrance
c.Pseudodominance
d.

109.MC inherited bleeding disorder:
a.Von-willebrand’s disease
b.haemophilia-A
c.Glanzman’s thrombasthenia
d.haemophilia-B

110.In GLYCINURIA, glycine excreated is:
a.
b.
c.
d.

111.Inducing dose of propofol in adults:
a.
b.
c.
d.

112.Schwann cells are supporting cells of:
a.CNS
b.PNS
c.ANS
d.all

113.SALTATORY CONDUCTION IS:
a.Action potential thr’ myelin sheath
b.
c.
d.

114.Blockade of central retinal artery l/t temporory blindness is a/k/a:
a.Amaurosis fugox
b.
c.
d.

115.B12 def. L/t accumulation of:
a.methyl malonyl
b.
c.
d.

116.True about AIR-EMBOLISM a/e:
a.decreased end tidal CO2
b.decreased end tidal N2
c.
d.

117.Enzyme defect in PORPHYRIA CUTANEA TARDA:
a.
b.
c.
d.

118.True about ALZHIEMER’S disease a/e:
a.Donepezile & rivastigmine are used in treatment
b.2 times more common in men than women
c.
d.

119.Increased deposition of fat in liver in pt with alcoholism is d/t a/e:
a.Increased catabolism of fat peripherily
b.Increased F.A oxidation
c.
d.

120.Prophylaxis of migrain is a/e:
a.verapamil
b.propranolol
c.sumatriptan
d.

121.Prolactine is decreased by:
a.Dopamine
b.metoclopromide
c.
d.

122.Following is true:
a.Psychogenic seizure=increased prolactine
b.Organic siezure=normal prolactine
c.
d.

123.5HT3 antagonist is:
a.Ondansetron
b.Metoclopromide
c.domperidone
d.

124.Bradykinesia with resistance to passive extension of arm by examiner is d/t lesion at:
a.basal ganglia
b.internal capsule
c.mypneural junction
d.

125.Ketamine acts on:
a.NMDA receptor
b.Glycine receptor
c.GABAa receptor
d.Ach receptor

126.MC ovarian cause of increased androgenic state is:
a.PCOD
b.Premature adrenarch
c.Androgen secreting tumor
d.

127.Chorea with schizophrenic symptoms, diagnosis is:
a.C.Jacb disease
b.lewy body disease
c.parkinson’s
d.huntington’s

128.Single episode of depression shud be treated for:
a.7 days
b.2-3 wks
c.6-9 months
d.2 yrs

129.Investigation of choice for acute stroke:
a. CT scan
b. B.MRI angiography
c. C.Functional MRI
d.

130.In treatment of stroke, use of rTPa is true a/e:
a.Aspirin shud be witheld for 24 hrs
b.Better results/outcome with heparin used along with rtPa
c.best results when rtPa given within 3 hrs
d.

131.Correctly matched:
a.Schindler=first rank symptoms
b.
c.
d.

132.Lesion of fornix l/t disruption of connection between:
a.amygdyla & hippocampus
b.mammilary body & thalamus
c.
d.

133.All are seen in primary adrenocortical deficiency except:
aHyperpigmentation
b.Hypertension
c.Hyperkalemia
d.

134.TOC of SLEEP APONEA SYNDROME is:.
a.continous positive pressure ventilation
b.sedative
c.antidepressant
d.

135.Correctly matched is :
a.Phencyclidine=sedation
b.Venlafazine=hypotension
c.
d.

136.Treatment of enuresis:
a.desmopressin
b.imipramine
c.
d.

137.Posive symptoms of schizophrenia a/e:
a.Anhedonia
b.Hallucination
c.Delusion
d.Thought broadcast

138.NEGATIVE symptoms of schizophrenia is :
a.disorganised thought
b.thought block
c.
d.

139.In pregnancy all increased except:
a.blood volume
b.GFR
c.renal plasma flow
d.

140Ture about microalbuminuria a/e:
a.Predictor/indicator of renal failure in type-I DM
b.less reliable predictor in type II DM
c.indicates macrovascular complication
d.

141.Vertical diplopia with lateral deviation of head & double vision on looking down to opposite site of lesion is d/t:
a.3 CN lesion
b.4 CN lesion
c.6 CN lesion
d.all

142.MC presentation MULTIPLE SCLEROSIS :
a.optic neurosis
b.internuclear ophthalmoplegia
c.transverse myelitis
d.

143.AGRANULOCYTOSIS is a classical s/e:
a.clozapine
b.
c.
d.

144.Gait apraxia is seen in :
a.cerebellar disease
b.post.column lesion
c.descending corticopinal tract
d.

145.CORRECTLY MATCHED:
a.circumduction gait=UMN
b.waddling gait=proximal muscle weakness
c.foot drop/stepping gait=LMN
d.

146.Following is caused by ARBOVIRUS:
a.Dengue
b.Measles
c.HIV
d.

147.True about pseudobulbar palsy a/e:
a.arise from UMN
b.wasted tongue with fasciculation
c.slow movements of tongue

148.Disability assesment in INDIA is done by:
a.INDIAN DISABILITY ASSESMENT SCALE
b.INDIAN GLOBAL DISABILITY SCALE
c.
d.

149.Renal biopsy is indicated in a/e:
a.CRF with normal size kidney
b.size<60%
c.glomerular disease in adults
d.

150.Rare exclusive infection of diabetes mellitus are a/e:
a.Mucormycosis
b.Atypical mycobacterial infextion
c.Emphysematous appendicitis
d.

151.Type II resp.failure is seen in a/e:
a.narcotic use
b.pulmonary embolism
c.M.gravis
d.

152.MC disorder a/w PANIC ATTACK:
a.OCD
b.Post0traumatic stress disorder
c.depression
d.

153.True about PHOBIA a/e:
a.generalised anxiety
b.avoiding particular situation
c.fear & anxiety of specific thing
d.

154.In mood disorder,rapid cyclers are defined as:
a.4-5 episodes/yr
b.Mania occuring during summer
c.Mania consistent during lunar yr
d.

155.True about ALZHIEMER’S a/e:
a.Down’s syndrome association is protective
b.neural plaque seen
c.hippocampus is severely affected
d.

156.True about neurolept.malignant syndrome a/e:
a.Decreased CPK
b.myoclonus
c.hyperthermia
d.

157.Not used in liver cirrhosis :
a.NSAIDS
b.INH
c.
d.all

158.Short bowel syndrome seen after :
a.H-pylori infection
b.After surgery for crohn’s
c.Peptic ulcer
d.all

nadu · Credits: 17500 My Scrapbook

appreciation by rxpg team & other members will be most welcomed!!!

life123 · Credits: 4848 My Scrapbook

very good frnds....keep the work going...gr8 job..

rohini_kool · Credits: 1218 My Scrapbook

thanku so much nadu.....

deepnadig · Credits: 156 My Scrapbook

gr8 job

liv2serv · Credits: 567 My Scrapbook

great work man...

bksnitin · Credits: 789 My Scrapbook

great job.....

vinaybadri · Credits: 385 My Scrapbook

It wud hv bn stil btr if u also gv us the ans keys. If u hv time plz do so

vinaybadri · Credits: 385 My Scrapbook

It wud hv bn stil btr if u also gv us the ans keys. If u hv time plz do so

vinaybadri · Credits: 385 My Scrapbook

It wud hv bn stil btr if u also gv us the ans keys. If u hv time plz do so

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