NAMS 2012

1. Hilar Dance seen in a) ASD b) VSD c)TOF d) TGA
Ans: a
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2. Coronary circulation is regulated by a) Parasympathetic b) Sympathetic c) Myocardial oxygen demand
Ans:c
3. MC cause of osteomyelitis in neonate a)Staph aureus b) GBS c) H.influenzae d) Strepto pnemon.
Ans:b
4. 1 gm of Hg carries how much oxygen a) 1.39 b) 1.69
Ans:a
5. Chance of HIV by needle stick injury a) 0.3% b) 5% c) 0.9%
Ans:a
6. Diagnosis of VUR a) USG b) IVU c) DMSA d) Clinical Examination
Ans:a
7. Diagnosis of bladder carcinoma a) Cystoscopy b) CT c) IVU
Ans:a
8. Kalazar transmission by a) Sandfly
9. Life cycle of RBC a) 120 days
10. Lucid interval seen in a) Epidural hmrg b) subdural hmrg c) subarachnoid hmrg d) intracerebral hmrg
Ans:a
11. Macrophage is developed from a) lymphocyte b) neutrophil c) monocyte
Ans:c
12. Treatment of renal dysfunction in a patient of abdominal distention a) Fluid resuscitation b) Ureteral stunt c) mannitol d) lasix
Ans:a
13. 1ml of 2% xylocard contains how much lignocaine a) 2 mg b) 2microgrm c) 20 mg d) 2 gm
Ans:c
14. Endemic a) locally confined disease b) disease transmitted from animals
Ans:a
15. Induction of liver enzyme by a) Phenytoin
16. Localisation of placenta by a) Clinical examination b) USG c) X ray
Ans:b
17. Length of Eustachian tube a) 24mm b) 36 mm
Ans:b
18. Amsler grid test for a) Macular function b) Optic Neuritis c) Glaucoma with optic nerve involvement
Ans:a
19. P50 in O2 Hg dissociation curve a) Increase if DPG increased b) decrease if DPG decreased c) Indicates oxygen demand of body
Ans:a
20. Small protein is called a) amino acid b) ribosome c) Peptide
Ans:c
21. MC presentation of HD a) painless cervical nodes b) fever c) Lymphocytosis d) Pruritus
Ans:a
22. True in tension pneumothorax a) Increase CO b) Decrease CO c) Increase Preload d) Decrease Preload 
Ans:d
23. Cause of shifting of trachea to left a) Lt pl. Effusion b) Lt pneumothorax c) Lt diaphragmatic palsy d) Lt lower zone pneumonia
Ans:d
24. True about diaphragm a) Supplied only by phrenic nerve b) pain from c4 c5 c) cross innervations present d) Spinal injury below C5 causes diaphragmatic palsy
Ans:a
25. Triad of Zollinger Ellison syndrome a) Peptic ulcer, Achlorhydria, B cell tumor b) Peptic ulcer, gastric hypersecretion, B cell tumor
Ans:b
26. Fe is absorbed a) duodenum b) stomach c) jejunum
Ans:a
27. Function of Mg a) coagulation b) release of PTH c) excretion of Phosphate d) increased intracellular sodium
Ans:b
28. True about pain in acute intestinal obstruction a) pain after 2-4 hrs in small int. obstruction b) pain intermittent and not related to meal in large intestinal obstruction
Ans:b
29. True about Intusussception a) benign in extreme of ages b) MC site is ascending colon in adult c) ileo colic is most common type
Ans:c
30. Monophasic shock in ACLS: a) 200J b) 360 J
Ans:b
31. In ACLS, adrenaline is after how many shocks a) 1) b) 2 c) 3
Ans:b
32. Acc to ACLS, which drug should be given first after cardiac arrest a) Adrenaline b) Lignocaine c) Atropine d) MgSO4
Ans:a
33. MC hernia in female a) Inguinal b) Umbilical c) Femoral
Ans:a
34. False while monitoring BP in anaesthesia a)Allen test for Radial Artery patency b) Oscillometry c) BP cuff should be 20% more than width of arm d) Koratkoff sound is sound of systolic & mean arterial pressure
Ans:c
35. Shift of O2 Hg dissociation curve to left by a) HbF b) Volatile anaesthesia c) Increased DPG d) Acidosis
Ans:a
36. Cause of stagnant hypoxia a) CHF b) MI c) DM
Ans:a
37. MC cause of mortality in hospital a) CHF b) After MI c) DM
Ans:a
38. Confusion, ataxia, diplopia, 6th CN palsy in a) Korsakoff psychosis b) Wernickes encephalopathy
Ans:b
39. Vertical diplopia a) IO hyperactivity b) SO palsy c) MR palsy d) LR palsy
Ans:b
40. Type 4 hepersensitivity a) Contact dermatitis b) Good pasture disease c) Anaphylaxis
Ans:a
41. Increased Urine concentrating ability in a patient on antidiuretic is due to a) ECF contraction b) medullary hyperosmolarity c) Impermeability of ascending limb to water
Ans:a
42. Water in plasma is a) ECF b) ICF c) Interstitial fluid
Ans:a
43. First sign of tb spine a) reduction of IV space b) Pedicle destruction c) Intervertebral collapse
Ans:a
44. Anchovy sauce seen in a) Amoebic liver abscess
45. Aschoff bodies seen in a) Rhematic carditis
46. Gram negative bacillus a) Enterobactericiae b) Neisseria
Ans:a
47. MHC 1 is present in a) APC b) Macrophage c) In all cells d) none
Ans:d
48. True about Hemoglobin a) seen at 14 days of gestation in fetal blood b) 10-12gm% at birth c) Increased synthesis after birth d) MC site of synthesis is liver at birth
Ans:a
49. True about typhoid in children a) Urine culture b) Mild splenomegaly 
Ans:b
50. Intense pruritus & yellowish frothy thick discharge a) Candida b)Gardenella c) Trichomoniasis 
Ans:c
51. True about naloxone a) t1/2 is more than that of morphin b) causes decrease in BP after opioid receptor blockade
Ans:b
52. True about pharmacokinetics a) t1/2 signifies duration of action b)Volume of distribution is less than total body water
Ans:a
53. Diagnosis of leprosy a) biopsy b) lepromin test c) clinical examination
Ans:c
54. Cerebral perfusion pressure a) Autoregulation at 50-150 mmhg b) Linear relation with cardiac oxygen demand c) Hypoxia increases cerebral blood flow
Ans:a
55. Cerebral circulation a) posterior communicating artery joins middle cerebral artery & posterior cerebral artery b) posterior cerebral artery is a branch of basilar artery
Ans:b
56. Cause of dyspnea after 2 days in a patient of femoral fracture a) Fat embolism
57. Cause of headache in post dural puncture a) Leakage of blood in epidural space b) Bifrontal or occipital c) After 4 hrs d) more on supine
58. True about CSF is a) production at 4ml/min b) absorption by choroid c) absorption by arachnoid
Ans: c
CSF is produced at a rate of 500 ml/day. Since the subarachnoid space around the brain and spinal cord can contain only 135 to 150 ml, large amounts are drained primarily into the blood through arachnoid granulations in the superior sagittal sinus. Thus the CSF turns over about 3.7 times a day.
59. MC cause of obstructive hydrocephalus in child a) Meningitis b) Aqueduct stenosis c) Arnold chiari malformation d) Mass lesion
Ans:a
60. Treatment of flail chest a) PEEV b)IPPV c) Tracheostomy d) Open thoracotomy
Ans:b
61. MC cause of epiglottitis a) H. influenza
62. Modifiable risk factor for cardiac disease a) HTN b) Fanily history c) Male 
Ans:a
63. Treatment of Jarsh Hexheimer reaction a) Adrenaline b) Atropine c) Steroid d) Antihistamines
Ans:d
64. MOA of penicillins a) inhibit Cell Wall synthesis
65. The person without heart rate, without respiration & without permanent brain damage a) clinical death b) biological death c) no dead at all
Ans:a
66. DOC of PSVT a) Adenosine
67. DOC in Narrow QRS tachycardia a) Adenosine
68. Loosening of association a) Schneider first rank symptom b) Thought disorder
Ans:b
69. Hysteria differs from hypochondria a) personality disorder b) chronic course c) No physiological/pathological cause d)intensity of symptoms present without organic cause
Ans:c
70. Live vaccine a) Rubella b) hepatitis
Ans:a
71. Delay fertility after s) OCP b) Depot c) IUCD d) Norplant
Ans:b
72. Oedema in malnutrition is due to a) decreased plasma oncotic pressure
73. HTN, Haematuria, Proteinuria, oedema, azotaemia a) Nephritic syndrome b) IgA nephropathy c) Wegeners granumatous
Ans:a
74. Site of lesion in Myasthenia gravis a) motor end plate b) Myoneural junction
Ans:b
75. False about Ach release a) preganglionic parasympathetic b) Preganglionic sympathetic c) post ganglionic sympathetic d) post ganglionoc sympathetic in sweat gland
Ans:c
76. Leucocoria is seen in a) Retinoblastoma
77. MC site of oral carcinoma a) Lip b) gum c) tongue d0 cheek
Ans:c
78. Fluid loss from lungs, skin a) 200-400 ml b) 600-900ml c) 150 ml Ans:b
79. The absorption of ointment is more from mucus membrane than skin ,it us due to a) absent of keratin b) Absence of stratum corneum c) Absence of pilosebaceous glands d) lipid soluble
Ans: ?
80. Normal audible voice a) 30 dB b) 45dB c) 60 dB
Ans:c
81. Which is not the chemical mediator of inflammation a) adenosine b) C3a c) kallikrein d) PgE2
Ans:a
82. Claw hand is due to injury at a) Ulnar nerve b) median nerve c) Post. Interosseus nerve
Ans:a
83. Middle rectal artery is a branch of a) int. iliac artery
84. Bone is developed from a) mesoderm
85. Blood flow to kidney a) 1200ml/min
86. Surfectant is synthesized by a) Type 2 pneumocytes
87. Aortic valve opens a) after isovolumetric contaction b) before systole
Ans:a
88. Antibody present in O blood group a) Anti A and Anti B
89. The first feature of increased ICT after heads injury in RTA a) C/L pupil dilatation b) I/L pupil dilatation c) decrease level of consciousness
Ans:c
90. Small pneumothorax is detected by a) CT scan b) X ray c) Auscultation
Ans:a
91. Bone within bone a) osteopetrosis b) Osteonecrosis
Ans:a
92. Difference between acute & chronic malnutrition a) albumin b) globin c) ALT
Ans:a
93. True about single umbilical artery in placenta a) 5% of newborns have such findings b) Normal & with no significance c) Associated with congenital anomaly
Ans:c
94. Triad of anaesthsia doesn’t include a) Amnesia b) Analgesia c) Muscle relaxation d) Unconsciousness
Ans:a
95. Meig’s syndrome doesn’t include a) Ovarian fibroma b) Rt pleural effusion c) Ascites d) Pericardial effusion
Ans:d
96. Which drug doesn’t pass through placenta a) Warfarin b) Heparin 
Ans:b
97. True about bupivacaine a) Less cardiotoxic than ropivacaine b) metabolized by plasma cholinesterase c) Converts Hg to methemoglobin
98. Thickness of posterior capsule of lens a) 4 micromrt
99. 99% of newborns pass urine before a) 12 hr b) 24 hrs c) 48 hrs
Ans:c
100. Function of DNA a) ribosome synthesis b) genetics
Ans:b
101. HIV is a) single stranded RNA b) Double stranded RNA c) circular
Ans:a
102. Albumin is produced from a) Liver
103. 1st permanent teeth to erupt a) molar b) Premolar c) canine
Ans:a
104. MC symptom of bronchogenic carcinoma a) wheeze b) Dyspnea c) Haemoptysis d) cough
Ans:d
105. Blood supply of bone in early stage a)centripetal b) centrifugal c) transverse
Ans:a
106. True about CO a) tight bonding with Hg
107. Oxygen carrying capacity of blood a) amount of O2 in 100 ml of blood
108. The cells of liver, pancreas , kidney are a) stable cells b) permanent c) labile d) none
Ans:a
109. Pupillary response is affected in a) Neuritis
110. Fertilization takes place at a) FT b)Ovary
Ans:a
111. Capnography a) End CO2 in expiration
112. CPR sequence a) 30:2 compression
113. True about intestinal obstruction a) 50%-60% is due to adhesions
114. Macrophage is developed from a) lymphocyte b) neutrophil c) monocyte
Ans:c
115. True about Hemoglobin a) seen at 14 days of gestation in fetal blood b) 10-12gm% at birth c) Increased synthesis after birth d) MC site of synthesis is liver at birth

Ans:a

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