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!!!
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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!
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SUBJECTS
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 (Ganong)
/ (Why not Pressure??)
22)
Broncho Pulmonary segment- drained by 2
pulmonary veins
23)
Milk ejection reflux Oxytoxin
24)
Hearing frequency - 20 to 20000 Hz
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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 Hb
- Waynes (Reference -
Vasudevan - Contributed by
Nagaprabhu )
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 all except
Purines are not equal to
pyrimidines (Contributed by
Nagaprabhu )
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)
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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
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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
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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
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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
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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
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PAEDIATRICS
146)
Tuberous sclerosis all except ???
147)
Cholera Sicca - dehydration without diarrhea and vvomiting
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
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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
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DERMATOLOGY
163)
Psoariasis Auspitz Sign
164)
Wickham’s Striae Lichen Planus
165)
Exclamatory Mark hair Alopecia Areata
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VENEREOLOGY
166)
Antiretroviral therapy monitored by RNA PCR
167)
VDRL - Flocculation
168)
Chanchroid Inflammatory Bubo
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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)
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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 - Choriocarcinomaa
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 ???
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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 (Bailey and Love)
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 - Borreliaa 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
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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 rottation
228)
Commonest cause of vertebral compression is Extradural
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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
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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 ????
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ANAESTHESIA
245)
Anaesthesia in shock Ketamine
246)
Dissociative Anaesthesis Ketamine
247)
Ether used by Morton (Tripathi)
248)
CVP Measured in all except Supf Saphenous vein
249)
MAC - Minimal Alveolar concentration
250)
Respitatory Obstruction in Comatose patients - Falling back of
tongue
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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??)
40) Pellagra
???
34) Zinc toxicity except,1.Anemia(occurs),
2. stunted growth, 3.dermatitis, 4. pigmentation?
67) Complication in 2nd
week of AMI - Aneurym/rupture/??
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!!!)
109) Stellate wound -
Contact/15 cm/far away
112) Village level health
workers all except ?????
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 ????
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Compiled by
Tirunelveli Medical College PG Aspirants
Page designed by
Dr.J.Mariano Anto Bruno Mascarenhas
