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AIIMS May 2015 full question paper with answers
#1
1) Muscle not inserted on greater tuberosity
a) Teres minor
b) Supraspinatus
c) Infraspinatus
d) Subscapularis

Subscapularis

2) Card test done for
a) Lumbricals
b) Palmar interossei
c) Dorsal interossei
d) Adductor pollicis

B

3) Which nerve doesn’t have a general visceral efferent
a) Olfactory
b) Facial
c) Oculomotor
d) Glossopharyngeal

A

4) Cranial nerve nucleus lying beneath the facial colliculus is
a) Facial
b) Abducent
c) Glossopharyngeal
d) Trigeminal

B

5) Mesorectal fascia doesn’t contain which of the following
a) Inferior rectal vein
b) Pararectal node
c) Superior rectal vein

A

6) Which of these is not a support of the uterus
a) Urogenital diaphragm
b) Pelvic diaphragm
c) Perineal body
d) Rectovaginal septum

D

7) Reticular framework is present in all tissues except
a) Thymus
b) Bone marrow
c) Spleen
d) Lymph node

A

8) What is the stage present in the oogonia at birth
a) Telophase I
b) Prophase I

B

9) At which stage of maturation of the spermatocyte the assortment of maternal and paternal chromosomes takes place
a) Spermatogonia to primary spermatocyte
b) Primary to secondary spermatocyte
c) Secondary spermatocyte to spermatids
d) Spermatids to spermatozoa

B

10) Not a branch of external carotid artery
a) Transverse cervical A.
b) Lingual A.
c) Superior thyroid A.
d) Ascending pharyngeal A.

A

11) All are derived from Mesonephros except
a) Glomerulus
b) Paraoopharan
c) Vas deferans
d) Epididymis

A

12) Microvilli are not present in
a) Duodenum
b) Gall bladder
c) PCT
d) Collecting duct

D

13) In the following picture, wave B represents – [PICTURE] EEG shows high amplitude, low frequency waves as compared to waves A & C and EOG & EMG are nearly flat when compared to A. In C also they are flat.
a) REM
b) NREM
c) Quiet wakefulness
d) Awake

B

14) In the following diagram left ventricular pressure is nearly equal to diastolic BP at which number [PICTURE]

a) A
b) B
c) C
d) D

Ans was at point B

15) If the interstitial hydrostatic pressure is 2 mm Hg, interstitial oncotic pressure is 7 mmHg and capillary hydrostatic pressure is 25mmHg, what should be the capillary oncotic pressure to allow a net filtration pressure of 3 mm Hg
a) 21
b) 27

B

16) Physiological changes in laparoscopy include all except
a) Increased ?PCWP
b) Increased ICP
c) Decreased FRC
d) Increased pH

D? ( i think ph should decrease coz Co2 )

17) A 50 % increase in radius of vessel will cause rise in blood flow by
a) 10 times
b) 20 times
c) 5 times
d) 100 times

C

18) The clot formed is not stable unless extensive cross linking occurs. This is done by
a) Plasmin
b) Thrombin
c) Factor XIII
d) HMWK

C

19) In a study mannitol 10g is injected iv and the concentration measured after some time is 50 mg/100ml. In this time 10% of mannitol is excreted. What is the volume of the ECF
a) 18 L
b) 42 L

A

20) ABO blood group is an example of
a) Co dominance

A

21) What is true regarding alpha and gamma neurons during voluntary movements
a) Alpha acts first
b) Gamma acts first
c) Both act together
d) gamma 1st then aphla

???? D not sure

22) Which of these is secreted by beta cells of pancreas along with insulin
a) Amylin
b) Glucagon like peptide

A

23) Brown adipose tissue is present in all except
a) Around blood vessels
b) Subcutaneous tissue
c) Adrenal cortex
d) Scapula

B ( although everyone is saying A)


24) 7 yr old boy with presents with severe abdominal pain. On examination he has xanthomas. Blood drawn for work up has milky appearance of plasma. Which lipoprotein is increased
a) Chylomicron
b) Chylomicron remnants
c) LDL
d) HDL

???

25) If in a person, Total Cholesterol= 300mg/dL, HDL= 25mg/dL and TAG=150mg/dL, find out the value of LDL.
a) 245
b) 125
c) 95
d) 55

B

26) In a person, LDL is highly elevated but the level of LDL receptors is normal. What could be the cause
a) Phosphorylation of LDL receptors
b) ApoB100 mutation
c) Lipoprotein lipase deficiency
d) Cholesterol Acyl CoA transferased deficiency

B

27) An infant at ?7months with history of vomiting and failure to thrive. Patient improved with iv glucose. After one month returns with same complaints. On evaluation found to have high glutamine and uracil. Which is the likely enzyme defect
a) CPS1
b) Ornithine transcarbamoylase
c) Arginase
d) Arginosuccinase lyase

A

28) A child was found to have hypoglycemia, hepatomegaly and accumulation of highly branched glycogen called limit dextrins. He is likely to be suffering from
a) Cori's Disease
b) Von Gierke's D.
c) Anderson’s D.
d) McArdle’s D.

A

29) A 48 yr old lady presented with … On examination of…crumpled tissue paper appearance is seen. Which is the product likely to have accumulated
a) Glucocerebroside
b) Sphingomylin
c) Sulfatide
d) Ganglioside

A

30) A child comes with coarse facial features, big tongue, hepatosplenomegaly, mucous discharge from nose. Diagnosis is
a) Hurler’s syndrome
b) Beckwith Weidemann S.
c) Hypothyroidism
d) Proteus syndrome

??????

31) Thiamine deficiency can cause lactic acidosis due to which enzyme dysfunction
a) PEPcarboxykinase
b) PDH
c) Pyruvate carboxylase

B

32) Enzyme used for both glycogenesis and glycogenolysis is
a) Glycogen synthase
b) Phosphoglucomutase
c) Glycogen transferase

B

33) In fasting states RBC use
a) Glucose
b) Alanine
c) Ketone body
d) Fatty acid

A

34) RNAi can cause the following in a gene
a) Knock in
b) Knock out
c) Knock down
d) Knock up

C


35) Specific site to which the CRE recombinase binds
a) RE site
b) LoxP site

???

36) 10yrs old boy with muscle weakness and fatigue with increased lead in blood. Which of following enzyme production in the liver is increased
a) ALA synthase
b) Ferrochetalase
c) PBG deaminase
d) porphobilinogen ????

???


37) In Granular dystrophy of cornea which stain is used
a) Masson trichome
b) Congo Red

A

38) Oil red O stain is used for

a) Frozen specimen
b) Glutaraldehyde fixed specimen
c) Alcohol fixed specimen
d) Formalin fixed specimen

A????

39) In the following karyotype what is the abnormality seen. [PICTURE] Shows 2 X-chromosomes and 1 Y-chromosome.
a) Gynecomastia with long thin limbs
b) Short stature with polydactyly
c) ?
d) ?

A

40) [PICTURE] ?Immunofluorescence study. This photo was taken by attaching the camera to the microscope. What is the requirement for such a microscope
a) Dark field condenser
b) Phase shifter
c) Dichroic mirror
d) ???

?????

41) Platelet adhesion to vessel wall is due to
a) Factor IX
b) Fibrinogen
c) vWF

C

42) A10 yr old boy with mass in the abdomen. On imaging the paraaortic LN is enlarged. On biopsy starry sky appearance is seen. What is the underlying abnormality
a) p53 gene mutation
b) RB gene mutation
c) Translocation involving BCR-ABL genes
d) Translocation involving MYC gene

D

43) A child with edema and decreased urine output. On evaluation, serum albumin is 2.5 g/dL, S.Creatinine is 0.5 mg/dL, urine protein is 3+ with no RBC casts. Pathological change expected is
a) Minimal change disease
b) Interstitial nephritis
c) IgA nephropathy

A


44) Most common nephropathy associated with malignancy
a) Membranous
b) MCD
c) IgA
d) FSGS

A

45) The phenomenon where subsequent generations are at risk of earlier and more severe disease is known as
a) Anticipation
b) ??

A???

46) In Langerhans Cell Histiocytosis, the characteristic abnormality seen is
a) Birbecks granules

A

47) A 45 yr old patient presents with fever, night sweats, weight loss. On X ray a mass in apical lobe of lung is seen. On histopathology found to have caseous necrosis. What is the underlying process
a) Enzymatic degeneration
b) Hypersensitivity reaction with modified macrophages, lymphocytes and giant cells
c) Acute decrease in blood supply ?
d) ??

???

48) Forward scatter in flow cytometry is used to assess
a) Cell death
b) Cell size
c) Cell granules
d) florecence

???


49) Collagen typical of basement membrane
a) Type I
b) Type V
c) Type IV
d) Type III

C

50) Best hypertensive drug in pulmonary hypertension
a) Bosentan
b) Amlodipine

A

51) Antihypertensive not used in pregnancy
a) Enalapril
b) Nifidipine

A

52) DoC for hypertension in pregnancy
a) Enalpril
b) Verapamil
c) Alpha Methyldopa

C

53) Hyperchromia iridis is caused by
a) Latanoprost
b) Prednisolone
c) Timolol
d) Olapatadine

A

54) Adrenergic beta receptor having lipolysis property in fat cells
a) Beta 1
b) Alpha 2
c) Beta 3
d) Alpha 1

C

55) Methacholine has main agonist action at
a) M2
b) M1
c) M4
d) M3

A

56) Diuretic which can be given in mild to moderate hypertension
a) Loop diuretic
b) Thiazide
c) Osmotic diuretic
d) Potassium sparing diuretic

B

57) All of these drugs can cause Hearing loss except
a) Metronidazole
b) Vancomycin
c) Kanamycin
d) Quinine

A

58) Which of the following is a protease inhibitor
a) Saquinavir
b) Nevirapine
c) Abacavir
d) Enfuvirtide

A


59) What is the type of inhibition of Acetylcholinesterase caused by Organophosphates
a) Competitive
b) Non competitive
c) Uncompetitve
d) irreversible inhibitor

D

60) Which does not act by increasing insulin secretion for its action
a) Exenatide
b) Sitagliptin
c) Rosiglitozone
d) Repaglinide

C

61) Nitroglycerine is effective as sublingual medication because
a) Non Ionic, highly lipid soluble
b) Ionic, lipid soluble
c) Ionic, less lipid soluble
d) Non ionic, less lip soluble

A


62) In a child admitted with H. Influenza meningitis, Cefotaxime was started instead of ampicillin. Which of these is the likely reason for this
a) H.influenzae stains known to produce Beta lactamase
b) H.influenzae stains known to have altered pencillin binding protein
c) More easier to give
d) ??

A??

63) Reverse transcriptase is a RNA dependent DNA polymerase. Which of these use it
a) Hepatitis A virus
b) Hepatitis B virus
c) Hepatitis E virus
d) Hepatitis C virus

B

64) A vesicle on shin… microscopy on Tzank smear showed giant cells. Causative agents is
a) Vaccinia virus
b) Varicella zoster
c) Tuberculous
d) Molluscum contagiasum

B

65) Vibrio cholerae acts by disrupting which of the following
a) Hemidesmosome
b) Gap junctions
c) Anchoring junctions
d) Tight junctions


D

66) Filarial stage of adult worms responsible for diseases in all of the following except:
a) Onchocerca volvulus
b) Brugia malayi
c) Wuchereria bancrofti
d) Mansonella ozzardi

??

67) IgE receptor present on
a) Mast cell
b) NK cell
c) B cell
d) ??

A

68) Two bodies are found outside the car following an accident. The doctor conducting the autopsy was able to decide who was driver and who was passenger based on all of these features except
a) Sparrow foot mark
b) Seat belt abrasion over Left shoulder
c) Steering wheel imprint
d) Whiplash injury?

A

69) Lower two parts of the sternum fuses with its body by age
a) 12 years
b) 14 years
c) 8 years
d) 10 years

B

70) Mr.X fired his gun at Mr.Y who moved and escaped with the bullet only grazing his thigh. There was only a little bleeding and no other significant injury. Mr. X is liable for arrest under which section of IPC?
a) 302
b) 304
c) 324
d) 326

C


71) High court has the power to stay the execution of a pregnant woman according to section
a) 416 Cr. P. C.
b) 417 Cr. P. C.
c) 418 Cr. P. C.
d) 419 Cr. P. C.

A

72) A person was advised by his Orthopedician to get regular dressing of his wound done. But the patient did not give much care. The patient visited after some time at which time the Orthopedician again advised regular dressing but dint do the dressing himself as he said he was busy. Finally the wound enlarged and the underlying bone developed osteomyelitis. Which statement is true
a) Doctor not guilty under “contributory negligence”
b) Doctor guilty under “Last clear chance” doctrine
c)
d)

???

73) Rat hole tear is associated with which injury
a) Postmortem artifact
b) Firearm
c) Razor blade
d) ??

B

74) Segmented of blood in blood vessel after death is called
a) Kevorkian sign
b) Rokitansky sign
c) Tache noir
d) ??

A

75) Acrid (pear like) smell is seen in
a) Ether
b) Paraldehyde
c) Phenol
d) ??

B

76) A man fell from 35 feet height. Eyewitnesses say that he landed on his feet. Which of the following injuries is possible
a) Ring fracture of Foramen magnum + Lumbar spine injury
b) Pond fracture skull + Cervical spine injury
c) Gutter fracture skull + Cervical spine injury
d) Depressed fracture skull + Cervical spine injury

A

77) The “knot” in judicial hanging is placed at
a) The back of the neck
b) The angle of jaw
c) Below the chin
d) Choice of hangman

B/c??

78) A bomb blast took place in Delhi following which 2 persons died. All of the following are true about their injuries except
a) Injuries due to ... burns or air blast
b) Force of explosion ?
c) ??
d) Bruise, laceration ,fractures are triad of main injuries seen

D

79) After an incised wound, new collagen fibrils are seen along with growing epithelium. The age of the wound is
a) 4-5 days
b) About 1 week
c) 12-24 hours
d) 24 -72 hours

A

80) Sweating is absent in
a) Heat stroke
b) Heat syncope
c) Heat exhaustion
d) Miner’s cramps

A

81) According to the 2013 amendment the age for sexual consent is
a) 16 years
b) 18 years
c) 20 years
d) 15 years

B

82) HPV can cause all of these cancers except
a) Base of tongue carcinoma
b) Tonsillar carcinoma
c) Nasopharyngeal carcinoma
d) Ca Cervix

A

83) Kashima operation done for
a) Vocal cord
b) Recurrent Cholesteatoma
c) Atrophic rhinitis
d) ??

A

84) The main vessel involved in bleeding from JNA
a) Internal maxillary A.
b) Ascending pharyngeal A.
c) ??

A

85) Eustachian tube function is best assessed by
a) Politzer test
b) VEMP
c) Rhinomanometry
d) Tympanometry

A

86) Topical trt for recurrent respiratory papillomatosis includes
a) Acyclovir
b) Cidofovir
c) Ranitidine
d) Zinc

B

87) The MC mode of spread of retinoblastoma
a) Lymphatics
b) Optic nerve
c) Direct invasion
d) Vascular

B

88) Evisceration of eye is not done in
a) Malignancy
b) Panophthalmitis
c) Severe globe trauma
d) Expulsive Hemorrhage

A

89) Multifocal ERG is very useful because
a) Can assess rods
b) Can assess macular cones
c) Can assess function of ganglion layer
d) ??

B

90) When compared to blood, Vitreous humor has high concentration of
a) Glucose
b) Sodium
c) Potassium
d) Ascorbate

D

91) Sensory supply of cornea is by
a) Infratrochlear N.
b) Infraorbital N.
c) Naso lacrimal N
d) Supraorbital N.

A???

92) Universal marker of limbal stem cells
A. Elastin
B. Keratin
C. Collagen
D.ABCG2

D

93) High molecular wt proteins in cataractous lens seen only in humans
A. HM 1&2
B. HM 2&4
C. HM 3&4
D. HM 2&3

??

94) Right trochlear nerve palsy can lead to all except
a) Diplopia on upward gaze and adduction
b) Right head tilt
c) Exotropia
d) Hyperopia

A

95) Painful U/L dimness of vision …
a) Optic neuritis
b) Aortic arch syndrome
c) Ischemic …
d) ???

A???

96) Cherry red spot after trauma is due to
a) CRVO
b) CRAO
c) Berlin’s edema
d) ??

C

97) Cherry red spot and Hollenhurst plaque are seen in
a) CRAO
b) CRVO
c) Branch RAO
d) Branch RVO

A

98) Drugs causing amorphous whorl like corneal opacity are a/e
a) Amiodarone
b) Chloroquine
c) Indomethacin
d) Chlorpromazine

C(all are right but indomethacin is least likely)

99) True statements regarding Direct Opthalmoscopy are a/e
a) 2 disc diameter field of vision
b) Image is virtual and erect
c) Magnification is 5 times
d) Self illuminated device

C

100) In a group of 100 people, the average GFR is 85 ml/min with a standard deviation of 25. What is the range for 90% confidence interval
a) 80-90
b) 81-89
c) 75-95
d) 70 -100


B

Note: There may be some wrong answers please correct them. I posted these answers from best of my knowledge. I will also try to post explanations to the questions.

Next Reply
101) “Nikshay” is a newly launched central government software. It is used for tracking
a) TB cases
b) High risk pregnancies
c) High risk new borns
d) Cases with malaria

A

102) Sensitivity measures
a) True positive
b) True negative
c) False positive
d) False negative

A


103) In a survey the highest sample of 58 was entered by mistake as 85. This will lead to
a) Increased mean, increased median
b) Increased mean, no change in median
c) No change in mean, increased median
d) Increased mean, decreased median

B

104) Immunisation statistical data of the community can be found by
a) Sample registration system
b) District health mission
c) national health survey
d) ??

C??


105) Tuberculin test is a cheap and logistically simple test. But it leads to confusion because of
a) High percentage of immunized people
b) HIV cases are less?
c) Infection is more?
d) ??

A

106) Food safety and standards authority of India comes under which ministry
a) Rural statistics
b) Ministry of Health and Family and welfare
c) District level
d) Ministry of Agriculture

B

107) Haddon matrix is related to
a) Injury prevention

a

108) Increasing number of non communicable disease when compared to previous years is a trend called as
a) Cyclical
b) Periodical
c) Secular
d) Seasonal

c

109) In a study two groups of newborns are checked for their weights based on whether their mothers received food supplements or not. The appropriate test which is can be used for comparing the data is
a) Fischer exact test
b) Student T test
c) Paired T test
d) Chi square test

??

110) A researcher wants to do a study of ?Plasma lipids among people who jog and those who don’t. But he is now concerned that the joggers might differ from the others in their diet, etc as well. This concern is known as
a) Recall bias
b) Interviewer bias
c) selection bias
d) ???

C??

111) Human Developmental Index is a composite measure which uses
a) Life expectancy at age one, standard of living
b) Freedom, spice and all things nice icon_wink.gif
c) Life expectancy at birth, knowledge, and income
d) Life expectancy at age one, knowledge and standard of living

C

112) Window period is defined as the time taken from
a) Entry of pathogen to appearance of first clinical symptoms
b) Exposure to laboratorial detection of disease
c) ??
d) ??

C

113) Screening is not useful in which carcinoma
a) Ca Prostate
b) Ca Colon
c) Ca Breast
d) Ca Testis

d

114) A 10 yr old boy with dog bite comes to you. Appropriate action is
a) Give CCDV
b) Withhold vaccine and observe dog for 10 days
c) Kill dog and send brain for biopsy
d) ??

A


115) Tropical spastic paraparesis is caused by
a) HTLV
b) Hep B virus
c) HIV
d) ??

A

116) A person is HBsAg positive, but anti- HBc ab is negative. What should be the next step
a) Repeat test after 6 months
b) Check HBeAg, if positive start trt
c) Check HBV DNA load
d) ??

C


117) In a female who had Steroid Resistant ITP it was decided to perform splenectomy. On day 3 post laparoscopic surgery patient had fever. Which of the following scenarios is likely
a) Left lower lobe consolidation
b) Port site infection
c) Intraabdominal collection
d) Urine for pus should be sent

??


118) Which of the following is not an auto immune disorder?
a) Ulcerative colitis
b) Grave’s disease
c) Rheumatoid arthritis
d) SLE

A

119) Which of the following is false about TRALI
a) Develops within 24 hours
b) Mostly seen after sepsis and cardiac surgeries
c) It’s a cause of non cardiogenic pulmonary edema
d) Plasma is more likely to cause it than whole blood

??


120) Best product to be given in multiple clotting factor deficiency and active bleeding
a) FFP
b) Whole blood
c) Packed RBC
d) Cryoprecipitate

A


121) A girl comes with Sydenhams chorea and acute rheumatic fever is suspected. Other major criteria of Rheumatic fever (arthritis,skin rashes, subcut nodules and carditis) are absent. No evidence of sore throat?? Best investigation to prove rheumatic etiology is
a) ASL S
b) ASL O
c) Throat culture?
d) ??

B

122) Best non invasive investigation to check for viable myocardium is
a) Echocardiogram
b) FDG-18 PET CT
c) MRI
d) Thallium - 201 - ???

B

123) Which of the following statements is not true regarding H1N1
a) Pregnant woman with sore throat can be treated without diagnostic test under category B
b) People on long term steroids cant receive Oseltamivir
c) Category B concerns with …
d) ??

??

124) Hypertensive hemorrhage most commonly affects
a) Basal ganglion
b) Thalamus
c) Brain stem
d) Cerebrum

A


125) A man comes with aphasia. He is unable to name things and repetition is poor. However comprehension, fluency and? Is unaffected. He is probably suffering from
a) Anomic aphasia
b) Transcortical sensory aphasia
c) Conduction aphasia
d) Broca aphasia

c

126) A young lady with C/F of hyperthyroidism with elevated T4 and TSH= 8.5. Further examination reveals bitemporal hemianopia. Next step of management
a) Start antithyroid drugs, And do urgent MRI brain
b) ??
c) ??
d) ??

A

127) Hyperdynamic state includes all except
a) Anemia
b) Beri beri
c) Cor Pulmonale
d) AV fistula

c

128) Which of the following is not a part of Duke Criteria for infective endocarditis
a) Splenomegaly
b) Fever > ? 100.4 Celsius
c) IV drug user
d) Blood culture positive

a

129) Which of the following cannot cause reduced DLCO
a) Emphysema
b) Asthma
c) ?Pulmonary thromboembolism
d) Pneumonia

a

130) Lymphatic spread most commonly seen in which type of thyroid carcinoma
a) Papillary
b) Medullary
c) Follicular
d) Lymphoma

a

131) A young girl with a mass in lower abdomen involving umbilical and hypogastric regions. On examination it is cystic and mobile and the examiner is unable to insinuate fingers between the mass and the pelvic bone. Likely diagnosis
a) Duplication of intestine
b) Mesenteric cyst
c) Omental cyst
d) Ovarian cyst

??

132) Mallory Weiss syndrome mainly affects which vessel
a) Left gastric artery
b) Right gastric artery
c) Phrenic vein
d) Coronary vein

A

133) Incision preferred for diaphragmatic surgery
a) Circumferential
b) Radial
c) Vertical
d) Transverse

a

134) Which is not true regarding the basis of functional division of Liver
a) Based on Portal Vein & Hepatic Vein
b) Divided into 8 segments
c) Three major & Three minor fissures
d) 4 sectors

a

135) A pregnant lady was stabbed in the right side of the chest. She is yelling for help on entering the casualty. On examination she has tachycardia and BP was 90/60 mm Hg, breath sounds are decreased on the right side. What is the first consideration for her
a) Intubate her
b) Establish iv line and start saline
c) Needle decompression in 2nd intercostal space
d) oropharungeal ariway

C??

136) 3yr old child comes with hydrocoele of the hernia sac. Management will include
a) Herniotomy
b) Herniorrhapy
c)
d) ??

A

137) In a pt with thrombocytopenia, what is the target platelet count after platelet transfusion to perform an invasive procedure?
a) 40,000
b) 50,000
c) 30,000
d) 60,000

b/d??


138) In the case of esophageal cancer prognosis is best determined by
a) Age of patient
b) Cellular differentiation
c) Length of involvement
d) T stage

D

139) MC and acceptable method of bariatric surgery is
a) Biliopancreatic division
b) Biliopancreatic division with ?ileostomy
c) Laparoscopic gastric banding
d) Roux –en- Y procedure

??c

140) A 60 yr old lady with family history of breast cancer comes with blood stained discharge from nipple. Next best step
a) Ductoscopy
b) Nipple discharge cytology
c) Sono - mammogram
d) MRI

D

141) A lady who is 9 weeks pregnant comes with a 2.5cm mass in the upper and outer quadrant of left breast. Ultrasound failed to show any abnormality. The ideal management will be to
a) Finger guided core biopsy
b) Aspirate the cyst and reassure
c) Work up after pregnancy completed
d) ?? Mri

??


142) Most common shunt for hydrocephalus is
a) Ventriculoperitoneal
b) Ventriculopericardial
c) Ventriculopleural
d) Lumboperitoneal

a

143) Oncotype dx test is done to check the usefulness of the following in breast cancer
A. Chemotherapy in ER -ve
B. Hormone therapy in ER +ve
C. Herceptin in HER2 +ve
D. ???

??


144) During laparoscopic inguinal hernia repair a tacker was place below and lateral to the iliopubic tract. Postoperatively the patient complained of pain. This is due to the involvement of
a) Lateral cutaneous N. of thigh
b) Ilioinguinal N.
c) Genitofemoral N.
d) Obturator N.

A

145) A middle aged man comes with RTA and bleeding from the scalp. He is unconscious. A card in his pocket reveals that he is a known diabetic on ?Glimipiride + Metformin 2 tablets twice daily. What should be the next step
a) Send blood for tests, start iv glucose and send to CT
b) Start normal saline and send to CT
c) Send blood for tests, wait for report and then start iv glucose
d) ??

??

146) According to the 2010 WHO criteria what are the characteristics of normal semen analysis
a) Volume 1.5ml, count 15 million, morphology 4% progressive motility 32%
b) Volume 2.0ml, count 20 million, morphology 4% progressive motility 32%
c) Volume 1.5ml, count 20 million, morphology 4% progressive motility 32%
d) Volume 2.0ml, count 15 million, morphology 40% progressive motility 32%

A

147) What is the level of proteinuria to diagnose the lady to have severe preeclampsia
a) 20mg
b) 200mg
c) 300mg
d) 2000 mg

d


148) Carbetocin dosage during labour is
a) Single 100 microgram dose over 1 minute
149) Dose of dexamethasone to prevent RDS in newborn is
a) 12 mg 12 hrly 2 doses
b) 12 mg 24 hrly 2 doses
c) 6 mg 24 hrly 4 doses
d) 6 mg 12 hrly 4 doses

b/d ( both correct)
150) A 32 yr old P2L2 lady comes 5 days after unprotected sexual intercourse. Best management for contraception is
a) Levonorgestrol 0.75mg
b) Copper IUCD
c) 2 tablets of high dose OCP, repeated after 24 hrs
d) Laparoscopic tubectomy

B

151) A G6+0+0 lady with h/o recurrent missed abortions at 14-16wks comes to you with abortion. Which of the following tests is not warranted
a) Lupus anticoagulant
b) Anticardiolipin ab
c) VDRL for wife and husband
d) Fetal karyotype

D

152) In Galactorrhea - amenorrhea syndromes, which is the investigation you should advise (apart from serum prolactin)
a) TSH
b) LH
c) Urinary ketosteroids
d) HCG

d


153) Drug not given in PCOD
a) Tamoxifen
b) Clomiphene
c) Oral contraceptive
d) ?Metformin

a

154) A lady underwent vaginal hysterectomy for ? Ca cervix. Following the surgery after her urethral catheter was removed, she complained of urinary incontinence. On examination she had normal voiding as well as continuous incontinence. Methylene blue dye was instilled in her bladder through her urethra and she was given oral Phenazopyridine. After some time her pad was checked and it showed yellow staining at the top portion, but not the middle or bottom portions. She is likely to have
a) Ureterovaginal fistula
b) Vesicovaginal fistula
c) Urethrovaginal fistula
d) Vesicouterine fistula

a

155) A 16 yr old girl was brought with primary amenorrhoea. Her mother mentioned that she started developing breast at the age of 12. She was prescribed OCPs 2 yrs back by a doctor with no effect. She was having normal stature and was a football player. On examination breast was well developed(Tanner’s stage 5) and pubic hair was minimal (Tanner’s stage 1). What is the diagnosis
a) Premature ovarian failure
b) Turner’s syndrome
c) Total androgen resistance
d) Mullerian ageness

c

156) A young lady with 6 weeks amenorrhea had nausea and vomiting with severe abdominal pain. Her BP was100/80 mmHg. Examination revealed a 5 x 5cm adnexal mass. What is the plan of management?
a) Plan for immediate laparoscopic surgery
b)
c) give methotrexate
d) Give IV fluids, keep NPO and observe for 4-5 days

C?? ( dx ectopic pregnency )
157) A lady with abdominal mass was investigated. She was found to have b/l ovarian masses with smooth surface. On microscopy they revealed clear cells with signet ring shapes. Diagnosis
a) Dysgerminoma
b) Krukenberg tumour
c) Primary Adenocarcinoma of the ovaries
d) ?

B

158) What are the cut off values in 2 hr OGTT for FBS, PP1 hr and PP 2 hrs respectively
a) 92 , 182, 155
b) 90, 180, 153
c) 95, 180, 155
d) 92, 180, 153

c ( latest is d most probably)

159) In a child surgery was done for EHBO with ?hepatojejunal anastomosis. Post operative bilirubin level after 2 weeks was 6 mg/dl from a pre operative level 12mg/dl. The reason for this could be
a) Normal lowering of bilirubin takes time
b) Delta bilirubin
c) Anastomotic stricture
d) ??

B


160) Fluid of choice in diarrhea in an infant
a) ORS
b) Salt water
c) Sugar water
d) Dextrose

a


161) A mother comes with history of neural tube defect in first child. What is the amount of folic acid you will prescribe during preconceptional counselling (In micrograms / day)
a) 4
b) 40
c) 400
d) 4000

d


162) Regarding Japanese encephalitis vaccine, what is not true
a) Not given for infants less than 6 months
b) 2 primary doses given to children in the 1-3 yr age group
c) Booster doses are given after 1 yr and repeated every 3 yrs
d) ??

??

163) A 1month old child with conjugated bilirubinemia and intrahepatic cholestasis. On Liver biopsy and staining with PAS red coloured granules were seen inside the hepatocytes. Probable diagnosis is
a) Alpha1 Antitrypsin deficiency
b) Congenital hepatic fibrosis
c) ?
d) ??
??


164) [PICTURE] Acne rosacea


165) 26 yr old man from Bihar comes with juicy looking papules over face and back of neck [PICTURE] which were hypopigmented and normoaesthetic with no nerve thickening. History of prolonged fever in childhood was present. Diagnosis
a) Tuberculoid leprosy
b) Post Kala Azar dermal leishmaniasis
c) Lepromatous leprosy
d) ?

B

166) A lady came with unilateral white skin lesions with leukotrichia. [PICTURE] Shows 2 white spots 1 x 1cm each over left side of chin and neck. Diagnosis
a) Segmental vitiligo
b) Piebaldism
c) ?
d) ??

B

167) A lady came with complaints of a bluish lesion over left side of forehead and left eye. [PICTURE] Shows Irregular bluish lesion in Left superior conjunctive and ? forehead. Diagnosis
a) Nevus of Ota
b) Nevus of Ito
c) Becker’s nevus
d) Mongolian spot

A

168) The patient came with h/o bullae involving >30 % body surface area and erosions of the lips for the past 7 days. [PICTURE] Shows ?Forearm with extensive reddish bullae. What is probable regarding the etiology
a) Drugs
b) Bacterial infection
c) Viral infection
d) ?

A

169) A pt came with h/o itchy tense blisters whose roof settled as above. [PICTURE] Shows big blisters on ?forearm which have subsided with the roof sticking to the floor without much damage. Diagnosis
a) Bullous pemphigoid
b) Pemphigus vulgaris

a

170) A child came with similar lesions over elbows, shaft of penis and… [PICTURE] Shows ?Pinhead papules over right elbow. Diagnosis
a) Lichen nitidus
b) Lichen planus
c) Scabies
d) ??

A

171) A man with Leprosy came with the following lesion. [PICTURE] Shows a single target lesion of about 7cm diameter over ? forearm. Diagnosis
a) LL
b) BL
c) BT
d) BB

b??

172) A 7 month pregnant lady comes with the following lesions all over the body. [PICTURE] Shows multiple small ?pustules over skin. Which of these drugs is the appropriate treatment
a) Cyclosporine
b) Azathioprime
c) Methotrexate
d) Retinoids

B

173) Which anesthetic agent can cause pain on IV administration
a) Thiopentone
b) Propofol
c) Ketamine
d) Midazolam

B

174) Which of the following combinations can be used for day care surgery
a) Remifentanyl, Midazolam, Propofol
b) Fentanyl, Midazolam, Thiopentone sodium
c) Morphine, Midazolam, Propofol
d) Morphine, …

a

175) Muscle relaxant that can be used in a pt with high S. Bilirubin (value?) and S.Creatinine of 4.5mg/dL
a) Vecuronium
b) Atracurium
c) Pancuronium
d) ??

B

176) In a patient with coronary artery disease with pulse rate of 48/min and low BP. Which of these anesthetic agent is contraindicated
a) Ketamine
b) Dexmedetomidine
c) Etomidate
d) ??

?

177) “Judet” view of X-ray is for
a) Pelvis
b) Calcaneum
c) Scaphoid
d) Shoulder

A

178) Shenton line is seen in X ray of
a) Knee
b) Shoulder
c) Elbow
d) Hip

D

179) IOC for acute appendicitis in children
a) USG
b) MRI
c) CECT
d) X ray

a

180) Investigation of choice in stress fracture
a) MRI
b) CT
c) Bone scan
d) X ray

A

181) Investigation of choice for biliary atresia in a 2 month old is
a) Hepatic scintigraphy
b) ERCP
c) USG
d) ??

A

182) Patient with h/o tachyarrhythmias is on Implantable cardioverter defibrillator. He develops shock. Best method to know the integrity of ICD is to do
a) Contrast CT
b) MRI
c) USG
d) Plain Radiograph

d

183) Expansion of the ?space is seen in
a) Intramedullary tumor
b) Extramedullary intradural tumor
c) Intradural tumor
d) Extradural tumor

b

184) Earliest diagnosis of pregnancy can be established by
a) USG of fetal cardiac activity
b) Fetal cardiac Doppler study
c) HCG levels
d) ?

C

185) A smoker is worried about the side – effects of smoking. But he doesn’t stop smoking thinking that he smokes less and takes a good diet. This thinking is called as
a) Self exemption …
b) ?
c) ??
d) ???

??

186) A woman comes to the psychiatrist with history of spending a lot of time in washing her hands. She is distressed about it but says that she cannot stop the practice and spends a lot of time on it. This has started affecting her social life as well. What is the best mode of treatment in her
a) Cognitive behavioural therapy
b) Exposure and response prevention
c) Systematic desensitization
d) ?

A

187) Which of these is not a part of catatonia
a) Akathesia
b) Ambivalence
c) Ambitendency
d) Akinesia

a

188) Key symptom for alcohol withdrawal syndrome is
a) Visual hallucinations
b) Sleep disturbance
c) Tremors
d) ?

A

189) A person with histrionic, shy, avoidant personality comes under which cluster
a) A
b) B
c) C
d) D

b

190) Uncertainty and excessive sense of responsibility seen in
a) Generalized anxiety disorder
b) OCD
c) Depression
d) Personality disorder

??

191) A person was diagnosed to have Schizophrenia and for that was receiving antipsychotic medications. Following this he developed rigidity and inability to move his eyes. But he was able to respond to… Which of the following drugs should be given iv for this condition
a) Promethazine
b) Haloperidol
c) Risperidone
d) Diazepam

A

192) A man comes with history of abnormal excessive blinking and grunting. He says he has no control over his symptoms which have risen in frequency of late. This has started affecting his social life making him depressed. Which of the following medications should be used in him
a) Carbamazepine
b) SSRIs
c) Risperidone
d) ?

A??

193) Jersey finger is caused by rupture of
a) Flexor digitorum profundus
b) Extensor digiti minimi
c) Flexor digitorum superficialis
d) Extensor indicis

C

194) Most metabolically active part in the bone is
a) Periosteum
b) Endosteum
c) Cancellous
d) Cortical

c

195) Removal of vertebral disc is by all these methods except
a) Laminotomy
b) Laminectomy
c) Laminoplasty
d) Hemilaminectomy

C

196) In Osteoporosis which of these is seen
a) Normal calcium, Decreased ALP
b) Decreased calcium, Increased ALP
c) Normal calcium, Normal ALP
d) Decreased calcium, Decreased ALP


C?

197) Traction not used in lower limb
a) Gallows
b) Bryant
c) Dunlop
d) Perkin

C

198) A 42 yr old man is diagnosed to have irreparable tear of the rotator cuff. Treatment of choice will be
a) Tendon transfer
b) Total Shoul replacement
C) reverse shoulder replacement
d) acromioplasty

a
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