DNB CET DEC 2008

DNB CET DEC 2008


Anatomy
1. Location of quadrilateral cartilage in nasal septum – Anterior or Anterosuperior
2. Lateral border of foot is supplied by S1
3. Stylomastoid canal transmits – facial Nerve.
4. Artery does not supply middle ear - deep auricular artery.
5. Chorda tympani carries – special i.e. taste sensations - from anterior 2/3rd of the tongue.
6. Lower limit of hypo-pharynx – lower border of cricoid cartilage.
7. Right border of heart is not formed by- Arch of aorta
8. Elevation in a fully adducted eye is by – Interior constrictor
9. Brunner's glands are present in- Duodenum
10. Popliteal nerve does not supply – Inferior tibiofibular ligament
11. Hesselbach's triangle is not formed by – Medial border of pyramidalis
12. Inferior mesenteric artery does not supply – Right of flexure of transverse colon.
13. True for cilia - Adopted for movement of luminal contents
14. Immobile cilia due to defect in – microtubules
15. Not on avascular structure – Dermis
16. Movement of mucous in nose – mucociliary action.
17. Stain for Nucleus – Haematoxylin
18. Renal fascia – Gerota fascia
19. Extra fingers or toes – polydactyly.
20. Lesser cornu of hyoid bone develops from – second arch
21. Down's syndrome is due to – Non dysjunction during meiosis.
22. Pharyngeal muscle not supplied by- hypoglossal nerve
23. Gobles cells are not present in -stomach
24. vertebral level at which renal artery originates – L2
25. Not true for inferior turbinate part of ethmoid bone ( Inferior turbinate is an independent bone)
26. caudate lobe of liver is - segment I
27. Narrowest part in infant's respiratory tract- subglottis.
28. Location of Bartholin’s gland – posterior & inferior of vagina.



Physiology


1. Morphine does not cause – Diarrhoea
2. Tolerance does not develop to which action of morphine – miosis.
3. Maximum concentration of potassium – colonic secretions
4. Duration of cardiac cycle if heart rate is 100 – 0.6 sec
5. Detumescence of penis after ejaculation – activation of alfa receptors
6. Why tetany not seen in cardiac muscle – cardiac muscle has longer refractory period.
7. Secretion of testosterone – Interstitial cells of testis
8. Substance having increased clearance than GFR – glomerular Filtration +Tubular Secretion
9. Basic postural reflex – stretch reflex
10. Sinus disease is a disease of – SA node
11. Most abundant ion in ECF – Na ions
12. Inherent rhythm for respiration is located in- medulla
13. Surfactant decreases surface tension
14. For 1st heart sound closure of AV valves
15. Storage form of iron – serum ferritin
16. Movement of muscles in nose – mucociliary action
17. Which goes to all body compartment - Normal saline


Biochem

1. Bilirubin is attached to – albumin
2. Action of vitamin E -Anti oxidant
3. Generation of ATP in mitochondria – proton gradient across inner membrane
4. Genes active away from the site of transcription – hormone elements
5. Slow moving component of serum LDH is increased in – liver disease


FMT

1. Poisonous acid present i spinach tomato – oxalic acid
2. Acrodynia occurs in mercury poisoning
3. not true syrup of ipecabab is most commonly used emetic
4. Pralidoxime is not useful in carbaryl poisoning
5. Sommer's movement –the development of rigor mortis could produce significant movement of the body was postulated movement become known as sommer's movement
6. Chilotic line - Anthropometric line extending / from the post aspect of the iliopectineal eminence to the closest point on the anterior auricular margin and then to the iliac rest. Useful in identity of sex of human



Microbiology

1. Classification of Immunoglobulins is based on – Heavy chains
2. definitive diagnosis in measles -fever + rash + Koplik’s spots
3. SSPE is a rare complication of measles.
4. Predilection for temporal lobe – Herpes simplex virus
5. Which stage of malaria is not seen in blood – Schizonts of P. Falciparum
6. Attachment of P. Vivax to RBCs – puffy antigen
7. PK – reaction demonstrate – IgE antibodies
8. Casoni's test- Hydatid cyst.
9. Organism usually sensitive to penicillin – streptococcus pyogenes.
10. Mucous & blood diarrhoea is not cause by – Giardia
11. Secretory diarrhoea – v .Cholera.
12. Sterilization of rubber gloves – Autoclave
13. Sterilization of surgical blade – Hot air oven.
14. True of atypical mycobacteria – usually drug resistant.
15. False about rota virus -Detection of antibodies against rotavirus in stools.
16. Live attenuated bacterial vaccine – BCG
17. Strain of BCG vaccine – live attenuated strain of M. Bovis.
18. Diluent used for BCG- normal saline
19. Tuberculin test – Type IV hypersensitivity.
20. Prophylaxis of allergic pulmonary aspergillosis – steroids.
21. Most common cause of fungal meningitis is AIDS – Cryptococcus
22. true about histoplasma – Dimorphic fungi
23. Athlete's foot is caused by Dermophytes ( Tinea pedis)
24. H. pylori – gastric Malt lymphoma
25. Aflatoxin produced by Aspergillus flavus
26. Clostridium – Gram +ve spare bearing
27. Ascaris is Nematode
28. Cyclo-propagative- malaria ( Development + multiplication of parasite in the vector)
29. Lyme's disease – borrelia Burgdorferi
30. Malaria antigen test detects – Histidine residue.
31. Coating of pathogen by Ig & complement - Opsonization
32. Prion – Proteinaceous particle
33. Heterophile antibodies test – Infectious mononucleosis
34. Immunoglobulin secreted in body secretion – IgA
35. Sterilization of infected soiled cotton- Incineration
36. In typhoid carries, typhoid bacilli are seen in -Gall Bladder.
37. Fulminant giardiasis is seen in severe- IgA deficiency.
38. Diagnosis of post streptococcal glomerulonephritis – Anti DNAase antibodies.
39. Pneumatocele is caused by staphylococcus aureus.
40. Shigella causing antritis – S .Flexneri


Pathology

1. Psammoma bodies not seen in – medullary ca of thyroid.
2. Mycosis fungoides – Cutaneous lymphoma ( T-cell)
3. Female with mantle radiation will suffer from breast of
4. Pure red aplasia is due to thymoma
5. collection of sample for blood coagulation profile – citrate bulb
6. Diagnosis of DIC – D Dimer.
7. Polyarteritis nodosa does not affect – pulmonary vessels
8. stain for amyloidosis – Congo red
9. Not a premalignant lesion of ski – lupus vulgaris.
10. Not a premalignant lesion of penis – condyloma acuminatum
11. Most common liver disease in alcoholics – fatty liver
12. CEA ( carcinoembryonic antigen ) is not used as marker in Ca thyroid, (Medullary)
13. Buerger's disease does not affect- lymphatic
14. Transudate is due to increased -Hydrostatic pressure.
15. Malignant Hypertension shows- fibrinoid necrosis
16. Coeliac disease sensitivity to-Gluten
17. Dermatitis Herpetiformis associated a coeliac disease
18. Eosinopenia occurs in steroid – treatment
19. Antibodies in SLE – Specific Ab -Anti double stranded DNB antibodies (other anti smith, histone antibodies)


Pharmocology

1. Drug to prevent staphylococcus colonization of nose in patient of recurrent staphylococcus pyoderma – Rifampin
2. Not a use of Dapsone – lymphoma
3. Anti-neoplastic which is not an antibiotic – azathioprine
4. Amiodarone does not cause – CCF
5. Lactation should be withheld in mother taking- chloramphenicol
6. Following drug combination should not be administered in treatment of glaucoma – timolol + Butoxalol – (Both are B blocker )
7. Mechanism of action of lovastatin competitive inhibition of rate limiting step in cholesterol synthesis.
8. Contraindicated in pregnancy ACE inhibitors
9. Spina bifida is due to valproate
10. Drug not preferred in pregnancy – Enalapril
11. Prodrug – Drug which is converted in active metabolite in body
12. Not useful in motion sickness – domperidone
13. Which drug has a relief of symptoms and cure rate of reflux esophagitis – omeprazole
14. Drug not metabolized acetylation – Salicylates
15. Gynaecomastia is not caused by- levodopa
16. Not true for cyclosporine – Non selective inhibitor of T lymphocytes
17. Sclerotherapy for varices – sodium tetradecyl
18. Not true for noradrenaline- 1 sec duration of action potential
19. D2 receptor increases renal flow when given in low dose
20. True for beta receptor – present on heart.
21. ACE inhibitor cause – Hyperkalemia
22. Digitalis action – Inhibition of Na -k pump
23. Buprenorphine opiate with partial agonist & antagonist action
24. Earliest symptom of lithium toxicity – coarse tremors
25. Insulin storage & crystallization- Zinc
26. Aspirin sensitivity is associated with - nasal polyposis.
27. ACE inhibitor causing cough – MOA – Bradykinin
28.

ENT

1. Forceps used to set the fracture of nasal bone – Walshems's forceps
2. Not true about Grommet insertion myringotomy is not required ( without myringotomy grommet can not be inserted )
3. Myringotomy is not done in -Tuberculosis.
4. Site of emergency needle tracheostomy -cricothyroid membrane.
5. Secondary haemorrhage after tonsillectomy- pt not taking antibiotics ( It leads to infection and secondary haemorrhage)
6. True for antrochoanal polyp-pedunculated. Single causing obstruction.
7. Maggots in the nose – Nasal Myiasis.
8. Not true for prism use in squint – prism can be divided between two eyes.
9.

Ophthalmology

1. Appearance of central serous retinopathy on angiography – smoke stack
2. Most common site for globe rupture after trauma – upper nasal quadrant (weakest point is in the vicinity of canal of Schlemm concentric to the limbus. The superio-nasal limbus is most common site.
3. Most common site of retinal detachment upper temporal quadrant.
4. Wernicke’s papillitis occurs in – Optic tract.
5. Injury at optic chiasma – bitemporal Hemianopia.
6. Protonopes – Red colour blindness.
7. Pie in sky defect – Temporal lobe lesion ( Visual field defect -superior quadrant loss )
8. Krukenberg's spindle seen in- pigment Glaucoma
9. Not true for prism use in squint – prism can be divided between two eyes.
10. Not true for keratoplasty – topical use of steroids
11. Ectopia lentis not seen in – tuberous sclerosis (other options Homocystinuria Marfan's syndrome and Marchesani Weil syndrome associated with- ectopic lentis
12. Phacomatosis – all except neuroblastoma ( Other options retinoblastoma tuberous sclerosis and retinopathy of immaturity )
13.

PSM

1. Use of [ ( 2 HRZE ) + 4 HR ) ] regimen in which case of TB – category I
2. Calorie requirement in adult woman- 2200 kcal
3. Mid-day meal programmed by- ministry of education.
4. bias is minimized in- randomised control trails
5. AASHA servers -1000 population.
6. True for incidence rate – not related to duration of disease.
7. Denominator of general fertility rate – female in reproduction age group.
8. Strength of sewage – biological oxygen demand.
9. 4th phase in demography – low stationary
10. Red cross was founded by – Henry durant ( Jean Henry Durant )
11. ORS does not contain – Magnesium chloride
12. specificity – true negative
13. Employer’s contribution in ESIs – 4.75%
14. Vitamin absent in Human breast milk -Niacin
15. World tobacco day – 31 May
16. Test for three different data – ANOVA analysis of variance.
17. Socrates method – Dialectical method.
18. Body mass index = ( Wt (kg)) / Height 2 (m 2 )
19. Minimum space for each worker 500 sq. Feet.
20. Minimum no. Of people in group discussion – 6
21. Stratified sampling method is used when data is heterogeneous.
22. Change in occurrence of disease over a long period – secular trend
23. Critical path is longest time.



PAEDIATRICS
1. Management of new born of HBsAg positive mother – HBV immunoglobulin + HBV -vaccine.
2. Most common cause of 1st day jaundice in newborn -Erythroblastosis foetalis
3. Most common cause of diarrhea in infant-Rota virus
4. Most common cause of diarrhaea in children- E.coli
5. Most common cause of constipation in children – Habitual
6. most common cause of upper GI bleed in children – acute gastritis
7. Most common cause age group for bronchiolitis – less than 2 yrs
8. Dose of Betamethasone for lung maturity 2 doses of 12 mg Betamethasone give 2 hrs apart at 24-4 wks of gestation




OBS/GYN
1. External transversion of foetus – 37 wk
2. Max cardia output during pregnancy - 32nd wk ( second trimester)
3. management of active herpes infection in pregnancy – LSCS
4. Post-operative dribbling of urine + able to pass urine voluntarily – Uretero vaginal fistula
5. Further course of action c H/O 42 wks of pregnancy without labor pains ( foetal distress - confirmation of menstrual history
6. Absolute indication of LSCS – type iv placenta previa
7. IUGR on Doppler is indicated by All
1. Presence of reverse flow in the ductus venous
2. Pulsality index Reversal of end diastolic flow.
3. Brain sparing effect
4. Presence of umbilical vein pulsations
8. Third degree utero vagina prolapse in woman who wants to have a child in future – shirodkar’s is- modified sling of operation.
9. Maximum level of HCG during pregnancy is 2nd trimester
10. Lower uterine segment is formed by -body of uterus
11. Hormone increased in females after menopause - FSH
12. True for PAP smear – Hormonal changes in cervix.
13. Galactorrhea does not occurs in PCOD
14. Warthin’s jelly of umbilical cord is divided from mesoderm
15. Detection of foetal heart activity by transvaginal USG - 5th to 6th week
16. Krukenberg tumour seen in – ovary
17. Drug for asymptomatic bacteriuria in pregnancy – ampicillin
18. Heart disease c worst prognosis in pregnancy – pulmonary hypertension
19. Ovulation- LH Surge
20. Diagnosis of Biseptate uterus – hysteroscopy.
21. Rx of ruptured ectopic pregnancy 1st resuscitation following by immediate surgery
22. Most common cause of 1st trimester abortion – trisomy -21
23. Last to occur during female puberty – Menarche
24. Diagnosis of down on USG -Increased Nuchal thickness.
25. Oligohydramnios is due to – All of the above ( renal agenesis, posterior urethral dysplasia, small for age foetus )
26. Parameter not used to estimate foetal age – somites
27. serum fe level are minimum in -2nd half of pregnancy
28. Spielberg's criteria used in - Ectopic pregnancy.




Surgery
1. Bilateral parotid enlargement is seen in Sjögren’s syndrome
2. Rx of pleomorphic adenoma of parotic superficial parotidectomy.
3. Frie's syndrome occurs after – excision of parotid gland.
4. 90% of carcinoma of bladder – transitional cell carcinoma.
5. False about lobular breast – poor prognosis.
6. Pain at the tip of shoulder is not due to – Esophagitis.
7. Most common cause of entero-cutaneous fistula – post operative.
8. Dercrum’s disease -Tender deposition of fat nodules is skin
9. Dukes stage A of rectal CA is managed by surgery - LAR Low anterior resection
10. Treatment of congenital hydrocele -watching for any change ( by age 2yr it generally goes away )
11. 1st to recover from post operative ileus small bowel peristalsis ( 6- 8 hrs)
12. Peud de orange appearance- obstruction of lymphatics of skin
13. Management of lymph nodes after surgery for testicular teratoma – chemotherapy.
14. Type of orchidectomy in ca prostate – Subcapsular.
15. True for haemorrhoids internal piles bleed profusely and do not pain.
16. Curling ulcer – Burns.
17. Rx of fail chest - IPPV (Intermittent positive pressure ventilation).
18. Translucent swelling in neck – Cystic hygroma.
Cock's peculiar tumor – sebaceous cyst



Medicine
1. Not on indication of urgent surgery in Bacterial endocarditis Native valve endocarditis.
2. Autosomal dominant transmission is seen in – Familial hyper cholesterolemia
3. Hypercalcemia is not seen in- CRF.
4. Basal exudates on CT-scan – tuberculosis
5. Respirator emergency – Epiglottitis
6. Tibial myxoedema is seen in thyrotoxicosis, (pretibial myxoedema is characteristic of thyrotoxicosis and not myxoedema).
7. Mimics space occupying lesion in brain - Cerebral abscess
8. Not a feature of cerebellar disease – tremors at rest (other options – Past pointing /involuntary movements / pendular knee jerk, In cerebellar disease the tremors are intentional and not at rest.
9. Thrombolytic therapy after acute MI 6hrs ( Harrison – useful within 3- 6 hrs)
10. Not a part of metabolic syndrome – High HDL
11. Not true of smoking – capacity to carry oxygen ( there is increase in RBCs and Hb to compensate the decrease capacity of oxygen carriage.
12. Location of obstruction causing wheezing – small airways
13. Most common cause of acute tubular necrosis – Hypovolemia
14. Uncompensated metabolic alkalosis – increased PH , Increased HCO3,normal CO2
15. Orthostatic proteinuria – Benign condition
16. Most common cause of sudden death in MI – ventricular- fibrillation
17. Rx of subdural empyema – Immediate drainage and iv antibiotics.
18. Heart failure cell are seen in- lung
19. Rx for allergic aspergillosis – steroids
20. Salt and papper appearance of skin – systemic sclerosis


Orthopaedics
1. Epiphyseal bone tumour – chondroblastoma
2. Disc prolapse at L4 L5 level compresses nerve root- L5
3. Which metastasis are contained within the bones – prostate
4. Pain in hip + limp after prolonged high dose of steroids for bronchial asthma – Avascular or necrosis of femur head ( Osteonecrosis)
5. Not involved in carpel tunnel syndrome – ulnar nerve
6. Tardy ulnar palsy -fracture of lateral condyle.
7. Hill sach’s lesion – dislocation of shoulder
8. Bony ankylosis – septic arthritis
9. Punched out lesions in skull bones – multiple myeloma
10. Historically Thomas splint was used in- knee joint.


Radiology
1. Diagnosis of renal vein and IVC thrombosis - colour Doppler
2. Not used in radiotherapy – linear accelerator
3. Not mutagenic USG
4. Most sensitive to radiation – bone marrow
5. X- ray of closed pneumothorax with full expiration





Skin
1. Darrie's sign- urticaria pigmentosa
2. Wavelength of UVV – 280 +- 2mm
3. Circinate balanitis is caused by – reactive arthritis
4. Characteristic angioedema- oedema of subcutaneous tissue
5. Erythroderma does not occur in- leprosy
6. Most common cause of allergy in ear ring – Nickel



Anaesthesia
1. Height of intradural spinal anesthesia does not depend on – CSF Circulation
2. Pseudocholinesterase degrades- Mivacuroneum





Psychiatry
1. Not a feature of panic attach anticipatory anxiety Panic attack is differentiated by sudden onset of symptoms of severe anxiety (like out of the blue) and without apparent precipitating factor lasting for few minutes.
2. Example of dissociative personality – multiple personalities
3. Rx of resistant schizophrenia – clozapine
4. Not true about Hallucinations – pt is aware of the falsehood.