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Question and Answers of TNPSC Exam for Assistant Surgeons, held on October
16th, 2005
Series A : 151 to 200
151 The following are diseases for which extended sickness benefit is payable
for 309 days under the ESI Act, except
a Hemiplegia
b Hemolytic Anaqemia
c Chronic Renal failure
d Tuberculosis
Reference Page 619,620 Park, 18th edition
152 The following are the complications of measles, except
a Orchitis
b Diarrhoea
c Pneumonia
d Otitis Media
Reference Page 126 Park, 18th edition
153 Presumptive treatment for Malaria is given to
a persons who travel to Malaria endemic area
b all fever cases
c fever cases showing typical symptoms of Malaria
d persons who are positive for
Malarial parasites
Reference Park, 18th edition Pages 208 and 258
154 Which of the following statements about the characteristics of Tardive
Dyskinesia is true ?
a It is more common in men than women
b It includes abnormal movements of Tongue
c It occurs more often in treatment using clozepin than other Antipsychotics
d
It usually occurs within 3 months of beginning of drug treatment
Reference : Harrison 15th Edition Chapter 363 and KDT, 5th edition Page 398,
155 Conventional anti-psychotics can cause
a Hyperprolactinemia
b Gynaecomastia
c Sexual dysfunction
d All of these
Reference : KDT, 5th edition Page 397,
156 All of the following may be effective in treating ADHD child, except
a Methyl phenydate hydrochlorine
b Chlorpromazine
c Phenobarbitone
d Dextroamphetamine sulphate
Reference : Nelson 15th Edition Chapter 27 and Tripathi (see the adverse effects
of Phenobarbitone)
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157 Oral rehydrating salt contains
a 15 gm/Litre of glucose
b 20 gm/Litre of glucose
c 25 gm/Litre of glucose
d 30 gm/Litre of glucose
Reference Park, 18th edition Page 179
No need for confusion. 12 gms is NOT given in any of the choices
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158 What is the commonest organism responsible for neonatal meningitis ?
a Haemophilus influezae
b E.Coli
c Meningococci
d none of these
Reference : Nelson 15th Edition Chapter 98.1
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159 Cholera is characterised by all, except
a Effortless vomitting
b Painful watery ( Rice water ) stools
c Hypotension
d Acute Renal Failure
Reference : Page 18th edition Page 178, Nelson 15th Edition Chap 185 and
Ananthanarayanan 7th Edition Page 308
* Copious
effortless vomiting
* painless
watery diarrhoea
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160 In a patient with fever for 4 days, typhoid can be confirmed by
a Positive widal
b Positive blood culture
c Leucocytosis
d Raised ESR
Reference : Ananthanarayanan 7th Edition Page 297
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161 All are true of parathion poisoning, except
a decrease in true cholinesterase level
b respiratory depression common
c pupil constricted
d opiates ideal for convulsions
Reference : Reddy 17th Edition Page 409 and KDT, 5th edition , Page 91,
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162 Complications of Mitral Stenosis include all, except
a Acute left ventricular failure
b Pulmonary apoplexy
c Pneumonia
d Infective endocarditis
Reference Page 1555, Braunwald Text Book of Cardiology
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163 In India for Rheumatic fever all are present, except
a Sydenham's chorea
b Erythema Marginatum
c Arthralgia
d Raised C reactive proteins
Reference : Harrison 15th edition Chapter 57,235 and O.P.Ghai, 5th edition Page
277,
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164 In Atrial fibrillatiion all are true, except
a Varying internsity of first heart sound
b Precipitation or Aggravation of
existing CCF
c Pulse deficit rarely
d Embolic manifestations
Reference Harrison, 15th edition Page 1295, and Braunwald Chapter 45
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165 All are features of pulmonary hypertension, except
a Early diastolic murmur
b Ejection click
c Canon vein in jugulars
d Prominent palpable pulmonary artery pulsations over
chest
Reference Page 1812, Braunwald Text Book of Cardiology and Golwalia
Chapter 8 Pages 247 and 287
Refer
Golwalia before you argue on this question
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166 Coarctation of Aorta is associated with all, except
a Hypertension in lower limbs
b Turner's syndrome
c Biscuspid aortic valves
d Polycystic kidney
Reference Harrison, 15 th edition Chapter 234
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167 All are true of methyl alcohol poisoning, except
a occurs in groups of persons
b toxic effects due to acetaldehyde
c causes blurring of vision d treatment is with ethyl alcohol
Reference : KDT, 5th edition Page 354,
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168 Streptokinase therapy is contraindicated in all, except
a Allergic reaction
b Second dose within six months
c Recent surgery
d Age above 50 years
Reference : Tripathi 5th Edition page 571 and Harrison, 15th edition Page 1392,
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169 Pulmonary hypertension occurs in ail, except
a Ostium secondum septal defect
b Patent dectus asteriosus
c Fallot's tetralogy
d Mitral incompetence
Reference : Harrison 15th Edition Chapter 234 and O.P.Ghai, 5th edition Page 310,
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170 All are true of opening snap in mitral stenosis, except
a It is absent when valve is calcified
b occurs before II sound
c heard all over precordium
d ringing quality
Reference : Golwalia 8th edition Page 283 and Harrison, 15 th edition Page 1295,
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171 Regularly irregular pulse occurs in
a Sinus arrhythmias
b II degree heart block
c Multifocal extrasystoles
d None of these
Reference : Mathew 1st edition Page 272
Note that
2nd choice cannot be ruled out
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172 Pleural effusion protein analysis less than 2 gms occurs in
a Meig's syndrome
b Pulmonary infarction
c Malignancy
d Pneumonia
Reference : No need to discuss this question. Consider this as wrong for you
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173 Beta-Blockers are contraindicated in hypertension management when associatd
with
a Congestive cardiac failure
b Renal failure
c Liver failure
d All of these
Reference : tripathi 5th Edition Page 127, 508, 516
No "hard"
evidence for other choices.
Adverse
effects and Contraindications of Propanolol.
-
Accentuates
myocardial insufficiency
-
Bradycardia
-
COPD -
worsened
-
Prinzmetal's angina exacerabated
-
Carbohydrate tolerance impaired in Prediabetics
-
Altered
plasma lipid profile
-
Upon Abrupt
withdrawal - rebound hypertension
-
Partial and
Complete heart block
-
Tiredness
and reduced capacity
-
Cold hands
and feet
Contraindications of beta blockers.
-
LVF
-
Bradycardia,
Conduction defects
-
Asthma, PVD
-
Diabetic or
Borderline Glucose intolerance
-
Abnormal
lipid profile
-
Requirement
of optimum physical and mental activity
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174 Palmar Erythema is associated with
a Thyrotoxicosis
b Pregnancy
c Liver disorders
d All of them
Reference : Golwalia 8th edition page 181
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175 All are true of impotence, except
a In India psychogenic causes are rare
b Diabetes impotence is common
c It occurs as the side effect of drug therpy of hypertension
d Papaverine
improves the condition in some
Reference Page 133, 137, Ahuja, 5th edition
Psychogenic impotence is exploited by the "lodge doctors"
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176 The initial treatment for pre-eclampsia consists of
a Modified bed rest
b Salt restricted diet
c Antihypertensive drugs
d Sedatives
Reference Page 242, Dutta, 5th edition
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177 Which of the following factors is most important in stimulating fetal growth
?
a Insulin
b Growth hormone
c Cortisol
d Human placental lactogen
Reference : Dutta Obs 4th Edition Page 303
Please
refer to 2003 Paper in TargetPG TNPSC Book
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178 Wound infections observed within the first 2 days after Caesarean delivery
are usually caused by
a Streptococci
b Clostridia
c Staphylococci
d Bacteroides
Answer : a Streptococci
Reference :
Williams 21st Edition, page 673, 674, 678
Clostridia
cause late infection (Williams)
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179 Maternal convulsions have been associated with which of the following fetal
heart rate patterns ?
a Early decelerations
b Variable decelerations
c Prolonged decelerations
d Accelerations
Reference : Williams 21st Edition Page 345
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180 The Marshall-Marchetti Krantz operation is a procedure done to correct
a chronic retention of urine
b stress incontinence
c urge incontinence
d vesicovaginal fistula
Reference Page 362, Dutta (Gynaec), 2nd edition
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181 At the time of curettage for suspected endometrial carcinoma, the uterus is
perforated with a sound. The treatment would be
a Conservative
b Immediate laparotomy and hysterectomy
c Laparoscopy and closure of perforation
d Immediatye chemotherapy
Reference : Jeffcoat 5th Edition pages 248 and 249 and Gynaec Dutta 2nd Edition
Page 517
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182 Hysterosalpingogram is useful in the diagnosis of all the following
conditions, except
a Cervical incompetence
b Tuberculous endometritis
c Asherman's syndrome
d Scar integrity in previous LSLC
Answer : b Tuberculous endometritis
Reference Page 518, Dutta (Gynaec), 2nd edition, Pg : 350, Dutta (OBS), 5th
edition and Shaw 11th Edition Page 548
Indications of HSG (Hysterosalphingography)
-
To test the
patency of tubes in infertility
-
To test the
patency of tubes following tuboplasty and to evalutate the result of tuboplasty
post operatively
-
To confirm
diagnosis of secondary abdominal pregnancy
-
To diagnose
cervical incompetence
-
To detect
uterine malformation in recurrent midtrimester abortion
-
To identify
translocated IUCD - whether intrauterine or extrauterine
-
To detect
uterine abnormality such as fibroid polyps in menorrhagia septate and bicornuate
uterus in habitual abortion, and in
Asherman's Syndrome
-
To study
the internal os in habitual abortion
Contraindications of HSG (Hysterosalphingography)
-
Presence of
Pelvic Infection
-
Suspected
Genital Tract Tuberculosis
-
Suspected
Pregnancy
-
Post-ovulatory
phase of menstruation
-
Iodine
sensitivity
Note :
We have changed the answer from (d) to (b)
However we
are still not sure how HSG will be useful in Condition (d)
Though HSG "should not be done for a suspected case" of Genital TB, but HSG "is
useful in the diagnosis"... This statement is similar to " Crepitus should not
be elicited in cases of fracture, but crepitus is useful in the diagnosis of
fracture"
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183 The LH surge precedes ovulation by
a 12 hours
b 24 - 36 hours
c 48 hours
d 60 - 72 hours
Reference Page 20, Dutta, 5th edition
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184 Post-Caesarean pregnancy should be
a delivered by repeat Caesarean section
b should have a vaginal delivery
c an instituitional delivery
d none of these
Reference Page 351, Dutta, 5th edition
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185 Primi gravida is seen in the first trimester with primary pulmonary
hypertension. You will advise
a Medical termiantion of pregnancy
b Hospitalization
c Outpatient treatment
d Angiography
Reference Page 298, Dutta, 5th edition and Williams 21st Edition Page 1194.
First
Hospitalise and evaluate. Then you can go for Outpatient treatment or MTP
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186 In a twin pregnancy Caesarean section is indicated in
a Abruptio plaacentae
b Acute polyhydramnios
c When first fetus presents as transverse lie
d All of these
Reference Still : Dutta Obs 4th Edition Page 225
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187 If a woman c/o bleeding per vaginum with history of two months amenorrhoea,
one should think of
a Threatened abortion
b Ectopic pregnancy
c Metropathia haemorrhagica
d All of these
Reference : Obs Dutta 4th Edition Page 197
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188 Red degeneration of fibroid is associated with
a Pregnancy
b Aseptic infarction
c Thrombosis
d Leukocytosis
Reference : Gyn Dutta 4th Edition Page 252
No
Arguments please !!
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189 Which of the following is not an indication for classical Caesarean ?
a Carcinoma cervix
b Cervical fibroid
c Vestcovaginal fistula repaired previously
d classical Caesarean previously
Reference : Wiliams 21st Edition Pages 551 and 552
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190 Dananol is not useful in
a Amenorrhoea
b Infertility
c Endometriosis
d Fibroadenoma breast
Reference Tripathi 5th Edition Page 271
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191
Couvelatre uterus is seen in
a Placenta Previa
b Vasa Previa
c Abruptio placentae
d All of these
Reference Dutta, 5th edition Page 269,
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192 Maternal syphilis is associated with abortion at
a Early first trimester
b Second trimester
c IUD
d None of these
Reference Dutta, 5th edition Page 310,
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193 Physiological oedema of pregnancy is best treated with the following :
a Crepe bandage
b Diuretics
c Rest
d Salt restricted diet
Reference Dutta, 4th edition Page 54
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194 Aminocentesis is indicated in all, except
a alpha Foetoprotein study
b Breech
c Chromosomal study
d Foetal maturity
Reference Dutta, 4th edition Page 117
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195 Neutrophil examination can indicate sex from
a number of lobes
b presence of drumstick
c nature of granules
d size of cell
Reference : Shaw 11th Edition Page 94
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196 Commonest cause for decubitus ulcer in prolapse uterus is
a Infection
b Injury
c Conjestion
d Malignancy
Reference : Gyn Dutta 2nd Edition Page 193
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197 Myomectomy is done in a patient to conserve
a Reproductive function
b Menstrual function
c Feminity
d none of these
Reference : Dutta (Gynaec), 2nd edition Page 258,
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198 Condom is used in the following, except
a Following vasectomy
b Treatment of STD
c Immunological infertility
d Asherman's syndrome`
Reference : Gyn Dutta 2nd Edition Page 420
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199 Ovulation inducing drugs include the following, except
a Clomiphene citrate
b Human menopausal gonadotrophin
c follicle stimulating hormone
d Progesterone
Reference Dutta (Gynaec), 2nd edition , Page 225,
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200 Diagnosis of vesicular mole can be made confidently by
a Clinical examination
b X-ray
c HCG levels
d Ultrasound
Reference : Dutta Obs 4th Edition Page 209
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