| Special TNPSC 30 Dec 2007 |
| ... for regularising 153 Contract Medical Officers and 1352 Contract Medical Consultants
|
| Books for TNPSC |
TargetPG TNPSC 1995 - 2003 Book
TargetPG TNPSC Interview Buster
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| TNPSC 2007 General |
|
TNPSC 2007 to be conducted for selecting 290 Assistant Surgeons
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| TNPSC 2005 |
|
TNPSC 2005 conducted on 16 Oct 2005
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| TNPSC 2003 |
| TNPSC 2003 conducted on 10 Oct 2003
|
Question and Answers of TNPSC Exam for Assistant Surgeons, held on October
16th, 2005.
Series A : 1 to 50
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01 Which one of the following muscles emerges through the two slips of flexor
retinaculum ?
a Flexor carpi radialis
b Flexor
pollicis longus
c Abductor pollicis longus
d Flexor
carpi ulnaris
Answer : Flexor Carpi Radialis
Reference :
1. Gray 38th Edition Page 852 and Moni, VOl 1, Page 84
This
question has been repeated from Question 10 of RxPG AIPG 2005 Book
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02 The sensory nerve given off by the axillary nerve is
a Upper lateral cutaneous nerve of arm
b Lower
lateral cutaneous nerve of arm
c Posterior cutaneous nerve of arm
d Posterior
cutaneous nerve of forearm
Answer : a. Upper Lateral Cutaneous Nerve of Arm
Reference :
Gray 38th Edition and A.S.Moni Vol 1 Page 41
The
posterior branch pierces the deep fascia low on the posterior border of the
deltoid, continuing as the upper lateral cutaneous nerve of the arm and
supplying the skin over the lower part of the deltoid and the upper part of the
long head of triceps
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03 Unlocking of the knee joint to permit flexion is caused by which muscle ?
a Vastus medialis
b Biceps
femoris
c Popliteus
d
Gastrocnemius
Answer : c Popliteus
Reference : Gray 38th Edition Page 887
At the
beginning of flexion from full extension (with the foot fixed) lateral femoral
rotation occurs, 'unlocking' the joint. While joint surfaces and many ligaments
are again similarly involved, electromyographic evidence shows that contraction
of popliteus is important, pulling down and backwards on the lateral femoral
condyle, lateral to the axis of femoral rotation. Through its attachment to the
lateral meniscus, it also retracts its posterior horn during lateral rotation
and continuing flexion, preventing traumatic compression
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04 The nerve that supplies the skin over the adjacent sides of big toe and
second toe is
a Sural
b Saphenous
c Deep peroneal
d
Superficial peroneal
Answer :
Deep Peroneal
Reference : Gray 38th Edition Page 1280 Fig 8.379
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05 The following is a branch of the fourth part of the vertebral artery :
a Anterior inferior cerebellar artery
b
Posterior inferior cerebellar artery
c Pontine branches
d Basilar
artery
Answer : Vertebral Artery
Reference :
A.S.Moni 3rd Vol Page 110
Four
parts of Vertebral Artery
1. First
Part - Found within vertebral triangle - Gives no branches
2.
Second Part - Found within Foramen tranversorium of C1 to C6 - Gives spinal
branches for spinal cord
3. Third
Part - Found within sub occipital Triangle - Gives Muscular branches
4.
Fourth Part - Found within Cranial Cavity - Gives 5 branches namely (i)
Meningeal Branches (ii) Posterior Spinal Artery (iii) Anterior Spinal Artery
(iv) Posterior Inferior Cerebellar Artery and (v) Medullary branches
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06 Palatine tonsil is developed from
a First pharyngeal pouch
b Second
pharyngeal pouch
c Tubnotympanic recess
d Third
pharyngeal pouch
Answer :
Second Pharyngeal pouch
Reference : Dhingra 3rd Edition Paged 310
The
second pouch is much reduced in dimensions compared to the first and its ventral
part is the focus of lymphoid development as the palatine tonsil. A generalized
ring of lymphoid tissue develops in the primitive foregut at this region,
resulting in the median pharyngeal tonsil (adenoid), the bilateral tubal tonsils
and the lingual tonsil on the posterior part of the tongue.
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07 One of the following muscles is not a muscle of mastication :
a Temporalis
b Masseter
c Buccinator
d Lateral
pterygoid
Answer : Buccinator
Reference :
A.S.Moni Vol 3 Page 79
Masticatory Muscles are the muscles most immediately concerned with the
movements of the mandible in mastication (and speech) and they are masseter,
temporalis and the pterygoid muscles.
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08 Impulse flow towards a nerve cell occurs through
a Dendrite
b Axon
c Neuroglia
d None of
these
Answer : Dendrite
Reference :
Datta Neuroanatomy Page 6
Dendrites convey the impulse from the periphery to the cell body. In the cortex
of hippocampus, new dentritic spines may be formed or deleted, a significant
feature in laying down of memory traces
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09 Broca's area is localized in`
a Superior temporal gyrus
b Parietal
lobe
c Inferior frontal gyrus
d Para
central lobule
Reference : Harrison 15th Edition Chapter 25 and Dutta Neuroanatomy Plate 25 and
Clinical Medicine, K.V. Krishna Das, page 631
Brocas Area : Spoken Speech : ® Posterior part of left inferior frontal gyrus
Motor Centre for writing : ® anterior and superior to Broca’s area
Auditory Comprehension : Wernicke’s Area : ® Posterior End of Left Superior
temporal Gyrus
Reading : Visual Comprehension : ® Medial aspect of left occipital lobe and
splenium of corpos callosum
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10 The following structures cross in front of the vertebral column, except
a Thoracic duct
b Accessory
Hemiazygos vein
c Hemiazygos vein
d Left
superior intercostal vein
Answer : Left Superior Intercostal Vein
Reference :
A.S.Moni, Vol 2, Pages 45 and 50
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11 Great
cardiac vein lies in
a Anterior interventricular groove
b Posterior
intervent5ricular groove
c Anterior atrio-ventricular groove
d Posterior
atrio-ventricular groove
Answer : Anterior Interventricular Groove
Reference :
Gray Page 1576
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12 The attachments of structure at the superior surface of Anterior
intercondylar area of tibia from before backwards are
a Anterior horn of medial meniscus, Anterior cruciate ligament, Anterior horn of
lateral meniscus
b Anterior
horn of lateral meniscus, Anterior cruciate ligament, Anterior horn of medial
meniscus
c Anterior cruciate ligament, Anterior horn of medial meniscus, Anterior horn of
lateral meniscus
d Anterior
cruciate ligament, Anterior horn of lateral meniscus, Anterior horn of medial
meniscus
Answer :
Anterior horn of medial meniscus, Anterior cruciate ligament, Anterior horn of
lateral meniscus
Reference :
Gray 38th Edition Page 694 Figure 6.301C
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13 All of the following structures pass d eep to the flexor retinaculum of hand,
except
a Tendons of flexor digitorum superficialis
b Tendons
of flexor digitorum profundus
c Tendon of flexor pollicis longus
d Tendon of
the flexor carpi ulnaris
Answer : Tendon of
the flexor carpi ulnaris
Reference : Gray 38th Edition Page 852
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14 Rotator cuff is formed by the tendons of
a Supraspinatus - Rhomboideus minor - Subscapularis - Infraspinatus
b
Supraspinatus - Infraspinatus - Teres major - Teres minor
c Supraspinatus - Infraspinatus - Teres minor - Subscapularis
d
Infraspinatus - Subscapularis - teres minor - Pectoralis minor
Answer :Supraspinatus - Infraspinatus - Teres minor - Subscapularis
Reference :
Gray 38th Edition Page 852
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15 Wrist drop is the result of injury to
a median nerve
b ulnar
nerve
c musculocutaneous nerve
d radial
nerve
Answer : radial
nerve
Reference :
Harrison 15th Edition Table 377.1
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16 Both dermal and epidermal Melanoblasts are formed from
a General body ectoderm
b
Ectodermal placodes
c Neural plate
d Neural
crest
Answer : Neural
crest
Reference : Gray 38th Edition Page 388
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17 Which one of the following diseases is not X-linked recessive ?
a Duchenne muscular dystrophy
b Christmas
disease
c Haemophilia
d Marfan's
syndrome
Answer : Marfan's
syndrome
Reference : Harrison 15th Edition Chapter 351 and Page 154, Robbins, 7th edition
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18 The trigone of the urinary bladder is developed from
a Vesicourethral canal
b
Mesonephric duct
c Paramesonephric duct
d Allantoic
diverticulum
Answer : Mesonephric duct
Reference : Datta Embryology Page 224
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19 Which of the following is correctly matched ?
a Duodenum - Large intestine
b Jejunum -
Valve of Kerkring
c Illeum - Brunner's gland
d Appendix
- Peyer's patch
Answer : Jejunum -
Valve of Kerkring (This is the better choice as per Gray)
Reference : Gray 38th Edition Page 1765
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20 The structure that lies anterior to the rectus abdominis above the costal
margin is
a Costal cartillages
b Internal
oblique aponeurosis
c Transverse abdominis aponeurosis
d External
oblique aponeurosis
Answer : External
oblique aponeurosis
Reference : A.S.Moni Vol 2 Page 72
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21
Hypochromic microcytic RBCs are a feature of Anaemia due to
a Iron deficiency
b B12
defiency
c Folate deficiency
d All of
these
Answer : Iron deficiency
Reference Page 645, Robbins, 7th edition
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22 Myelofibrosis is diagnosed by
a Bone marrow aspiration
b
Peripheral smear
c Trephine biopsy
d Bone
marrow imprint
Answer : Trephine biopsy
Reference :
Harrison 15th Edition Chapter 110 and Robbins 7th edition Page 702
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23 The commonest type of leukaemia encountered in children is
a A.L.L 1 Type
b O.L.L.
c C.M.L. Juvenile type
d C.M.M.L
Answer : A.L.L 1 Type
Reference
Nelson 15th Edition Chapter 132.1
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24 Neutrophilia is a common manifestation in the following conditions, except
a Pyogenic infection
b
Typhoid fever
c Myocardial infarction
d diabetic
ketoacidosis
Answer :
Typhoid fever
Reference : Harrison 15th Edition Chapter 156
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25 Among the following, the condition which presents with diminished
reticulocyte count is
a Aplastic Anaemia
b Bloodless
anaemia
c Haemolytic anaemia
d
Leukoerythroblastic reaction
Answer : Aplastic Anaemia
Reference :
Harrison 15th Edition Chapter 109 and Robbins, 7th edition Page 648,
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26 Pigments derived from haemoglobin are all, except
a Bilirubin
b Hematin
c Lipofuchsin
d
Hemosiderin
Answer : Lipofuchsin
Reference Chatterjee, 6th edition, Page 135 and Robbins 7th Edition Page
39
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27 The presence and rapid multiplilcation of pathogenic bacteria in blood is
called
a Septicaemia
b Toxaemia
c Bacterimia
d All of
these
Answer : Septicaemia
Reference :
Stedman
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28 The following are sites of metastatic calcification, except
a alveoli
b blood
vessels
c lymph nodes
d renal
tubules
Reference Page 42, Robbins, 7th edition
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29 Which of the following transmits the HIV most efficiently ?
a Semen
b Blood
c Saliva
d Breast
milk
Reference : Harrison 15th Edition Chapter 309
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30 The aetiologic agent implicated in the production of Nasopharyngeal carcinoma
is
a Ebstein-Barr virus
b Oral
candidiasis
c Herpes simplex Type II
d
Rhinosporidium seeberi
Reference : Harrison 15th Edition Chapter 184
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31 Longest
telomeres are found in which cells
a Nerve cell
b Retinal cell
c Sperms
d Skeletal
muscle cell
Reference Harrisons, 15th edition , Chapter 9
Long
telomers are seen in cells that are actively dividing
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32 Conjugated hyperbilirubinemia is found in the following conditions, except
a Dubin-johnson syndrome
b
Criggler-Najjar syndrome
c Rotor syndrome
d Gilbert
syndrome
Reference Page 479, Textbook of Bio-chemistry, chatterjee, 6th edition.
Please
avoid controversies and confusion. Assume that you have got this question wrong
while calculating your marks
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33 Virchow's node is located in the
a Axilla
b
Mediastinum
c Left Supraclavicular region
d
Submandibular region
Reference : Harrison 15th Editrion Chapter 63 and Robbins 7th edition Page
825,
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34 Carcinoma prostate is characterised by the following, except
a androgen receptors
b
osteolytic secondaries
c perineural invasion
d single
layer of cells
Reference : Robbins 7th Edition Page 1051
Osteoblastic secondaries are usually seen
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35 AIDS virus belongs to
a Lassavirus
b
Lentivirus
c Poxvirus
d Myxovirus
Reference : Harrison 15th Edition Chapter 309
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36 The commonest site of tuberculosis in the GIT is
a Stomach
b Jejunum
c Ileocoecal region
d Colon
Reference : Harrison 15th Edition Chapter 169
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37 The Histological type of Bronchogenic Carcinoma in smokers is
a Squamous cell carcinoma
b Small
cell carcinoma
c Adenocarcinoma
d
Undifferentiated carcinoma
Reference Robbins, 7th edition Page 760,
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38 Which one of the following is correctly matched ?
a Urothelial carconoma - Transitional cells
b Renal
cell carcinoma - Blastemal cells
c Nephroblastoma - Eosinophilic cells
d
Oncocytoma - Clear cells
Reference : Harrison 15th Edition Chapter 94 and Robbins, 7th edition, Page
1028,
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39 Which one of the following is correctly matched ?
a X-linked recessive disorder - Glycogen storage disease
b Autosomal
dominant disorder - Hemophilia A
c Autosomal recessive disorder - Sickle Cell Anaemia
d Metabolic
disorder - Hereditary spherocytosis
Reference : Harrison 15th Edition Chapter 106 Robbins, 7th edition Page 151,
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40 The sequence of events in carcinogenesis is
a Mutation in the genome, DNA damage, Malignant neoplasm, Expression of altered
gene products
b Mutation
in the Genome, DNA damage, Expression of altered gene products, Malignant
neoplasm
c DNA damage, Expression of Altered gene products, Mutation in the genome,
Malignant neoplasm
d DNA
damage, Mutation in the genome, Expression of altered gene products, Malignant
nelplasm
Reference : Robbins, 7th edition Pages 290, 323
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41 The main
type of lipids found in tissues in starving individual in the end of first week
of fasting is
a Phospholipids
b
Triacylglycerol
c Cholesterol
d
Cholesteroal esters
Reference : Chaterjee 6th Edition Pages 373,466
Controversy due to : Concept not
clear in many books
Opinion
:
No need for confusion.
This question is different from the question that reads "Energy during 2nd week
of fasting is given by"
Please note
the question which asks about the the main type of lipids
found in tissue. This
question is different from the next question which deals about the lipids found
in circulation (blood or plasma). Phospholipids are integral components of
tissue (notably the bilayer of cell membranes). Let us see what Harper says in
24th Edition, Page 286. "As glucose utilisation diminishes in adipose tissue and
the inhibitory effect of insulin on lipolysis becomes less, fat is mobilised as
free fatty acid and glycerol." This means that TAG (Tri acyl glycerol) is split
into Glycerol and Free Fatty Acid (FFA). So TAG will be dimishing in Starvation.
"The free fatty acids are transported to the tissues, where they are either
oxidised or esterified". Thus it is clear that we have a cycle where TAG is
transformed into FFA, of which a part of FFA is oxidised and other part is again
esterified. Thus gradually TAG reserves diminish
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42 Which of the following lipoproteins would contribute to a measurement of
plasma cholesterol in a normal individual following a 12 hour fast ?
a Chylomicrons
b VLDL
c both VLDL & LDL
d LDL
Reference : Chaterjee 6th Edition Page 384
This
question is different from the question that reads "Energy during 2nd week of
fasting is given by"
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43 Ketosis is ascribed in part to
a a slowdown in fat metabolism
b an
over-production of acetyl CoA
c an under-production of acetyl CoA
d an
over-utilization of glucose
Reference : Chaterjee 6th Edition Page 362
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44 Respiratory distress syndrome in premature infants is due to the absence of
.......................... in the lung
a Dipalmitoyl lecithin
b Cephalin
c Phosphatidyl triositol
d
Phosphatidyl ethanolamine
Reference : Ganong 22nd Edtion Page 655
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45 The free fatty acids of blood are
a metabolically inery
b mainly
bound to beta lipoprotein
c stored in the fat depots
d mainly
bound to serum albumin
Reference : Ganong 22nd Edtion Page 305
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46 The normal route of calcium excretion is
a kidney and liver
b kidney
and intestine
c kidney, intestine and pancreas`
d kidney,
liver and pancreas
Reference : Chaterjee 6th Edition Page 538 and Nelson 15th Edition Chapter 50
The better
answer will be Kidney, Intestine and Bile
—————————————————————————————————————————————————————————
47 A rise in blood calcium may indicate
a Paget's disease
b Vitamin D
deficiency
c Cushing's disease
d
Hypervitaminosis D
Reference : Chaterjee 6th Edition Page 539
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48 Hypermagnesemia is seen in
a Hyperthyroidism
b Renal
failure
c Chronic alcoholism
d
malabsorption
Reference : Chaterjee 6th Edition Page 549
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49 Specific gravity of the normal urine is
a 1.010 - 1.100
b 1.040 -
1.100
c 1.150 - 1.250
d 1.010 -
1.025
Reference Chatterjee, 6th edition, Page 647,
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50 Prothrombin time in obstructive jaundice
a is normal
b decreases
c becomes normal after vitamin K injection
d increases
after Vitamin K injection
Reference : Chaterjee 6th Edition Page 537 and Page 1714, Harrison, 15th edition
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