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Key to AIIMS Nov2005 Exam Confirmed with Textbooks and Google

Author: Hitler, Posted on Thursday, November 17 @ 14:05:47 IST by RxPG  

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AIIMS

1. Which of the following signs is not suggestive of a cervical...
Ans. INCREASED RECTAL SPHINCTER TONE ( INCONTINENCE IS A FEATURE...) REF. GOOGLE

2. With regard to Ketamine, all ofthe following are true except:
Ans. Has no effect on intracranial pressure.

3. Placement of a double lumen tube for lung Surgery ...
Ans- CLINICALLY BY AUSCULTATION ( BEST IS FIBREOPTIC BRONCHOSCOPY NOT GIVEN AS CHOICE)

4. The most common cause of hypoxia...
Ans- INCREASED SHUNT FRACTION ...( GOOGLE ...)

5. A head injured patient,who opens eyes to painful stimulus,is confused....
Ans 11 ( E 2 + V 4 + M5)

6. The outcome following resuscitation of a cardiac arrest is worsened...
Ans 5% Dextrose. ( ARTICLE ON INTERNET)

7. A 5 year old child is suffering from cyanotic heart disease....
Ans Ketamine ( HELPS REDUCE SHUNT BY SYMPATHETICALLY MEDIATED VASOCONSTRICTION)

8. A 30 year old woman with coarctation of aorta is admitted to the labour room for....
Ans- GENERAL Anaesthesia (GOOGLE...)

9. Which of the following is not a cardiovascular monitoring technique..
Ans Capnography. ( NO REFERENCE..SORRY)

10.A 6 months old child is suffering form patent ductus arteriosus(PDA)......
Ans- Isoflurane ( NO IDEA ON THIS ONE TOO)

11. A 45 year old woman, presenting.......
Ans- Myasthenia gravis

12. The most sensitive and practical techinque...
Ans- Regional wall motion abnormality detected with the help of 2D transoesophagealealechhocardiography. ( CHECKED AGAIN VIA GOOGLE)

13. While introducing the Swan-ganz catheter,its placement in the pulmonary artery...
Ans- PA pressure tracing has diacrotic notch from closure of pulmonary valve. ( AGAIN GOOGLE)

14. A 63 year old man presents with a triad of angina...
Ans- Aortic stenosis.

15. In the treatment of severe bradycardia...
Ans- Diltiazem.

16. All of the following statement about the splenic artery....
Ans- Has branches that anastomose freely within the spleen .

17. All of the following statements about the vagus nerve...
Ans-Carries postagnaglionic parasympathetic fibers.

18. All of the following structure pass through the superior...
Ans- right recurrent laryngeal nerve.( DIAGRAM IN BDC VOL.1)

19. The vertebral artery traverses...
Ans-Intervertebral foramen.

20. Which of the following, among axillary lymph nodes...
Ans-Apical

21. The distribution of random BLOOD GLUCOSE measurement form 50 first year medical student...
Ans- Nothing can be said conclusively.

22. In an investigation to study the effect of smoking on renal cell cancer...
Ans- 6.0

23. A chest physician observed that the distribution of forced expiratory volume....
Ans- 150

24. If the distibution of intra-ocular pressure(IOP)seen...
Ans- 28

25. A diagnostic test for a particular disease has a sensitivity of 0.90 and.....
Ans- 50%

26. Henoch-Schonlein purpura is characterized by the deposition...
Ans- Ig A

27. Angiod streaks in the eyes...
Ans- Pseudoxanthoma elasticum.

28. 'Exclamation mark' hair is a failure...
Ans- Alopecia areata

29. Pautrier's micro-abscess is...
Ans- Mycosis fungoides.

30. 'Adenoma sebaceum' is a feature...
Ans- Tuberous sclerosis

31. A 25 year old male presented with pigmentation of nose and pinna...
Ans- Calcification of disc ( HARRISONS..ALKAPTONURIA)

32. A one year old child presented with multiple fractures seen...
Ans-Battered baby syndrome ( DO U NEED REF. ON TAT ONE)

33. A 50 year old man presented with multiple pathological fractures...
Ans- Hyperparahyroidism

34. Pain & tenderness over the lateral condyle of humerous...
Ans- Tennis Elbow

35. The pain around the hip with flexion, adduction & internal rotation of lower limb...
Ans- Posterior dislocation of hip.

36. The inheritance patern of FAMILIAL retinoblastomas is..
Ans- Autosomal dominant.

37. The lymphocytic and histiocytic variant of reed-sternberg cell is seen..
Ans- Lymphocyte predominant Hodgkin's disease.

38. A metastatic carcinoma in the brain ....
Ans- Lung

39. Features which are evaluated for histological grading of breast carcinoma...
Ans-Tumour necrosis

40. Internucleosomal cleavage of DNA ...
Ans- Apoptosis

41. Which of the following is not a common siter for metastatic calcification...
Ans-Parathyroid ( ROBBINS)

42. On electron microscopy, amyloid...
Ans- 7.5-10nm fibrils ( B PLEATED SHEET IS SEEN ON SPECTROPHOTOSCOPY...ON ELECTRON MICROSCOPY...7.5 NM FIBRILS...ROBBINS)

43. Which of the following is not compatible wiht a diagnosis of juvenile myelomonocytic...
Ans- Presence of bcr/abl fusion gene( GHAI)

44. A 48 year old woman was admitted with a history of weakness for two months....
Ans- Chronic lymphocytic leukemia ( REPEAT FROM LAST PAPER)

45. All of the following are examples of a round cell tumour...
Ans-Osteosarcoma

46. Which of the following surface glycorproteins is...
Ans- CD34

47 The tumor suppressor gene P53 induces cell cycle arrest...
Ans-G1-S phase

48. During which phase of the cell cycle the cellular content of DNA...
Ans- S phase

49. Acute different proliferative glomerulonephritis...
Ans- Hypoalbuminaemia

50. All of the following are mediators of acute inflammation..
Ans- Angiotensin

51. A 50 year old male feels uncomfortable in using lift...
Ans-Exposure

52. A 9 year old child disturbs other people is destructive, interferes....
Ans- Attention deficit hyperactivity disorder

53. Which of the following statement differeintiate the obsessional idea..
Ans- The idea is regarde as senseless by patient

54. Dementia of Alzheimer's type is not associated ....
Ans- Cerebral infarcts ( HARRISON ...DELUSIONS ARE ALSO A FEATURE)

55. A person who laughs one minute and cries the next ....
Ans- Labile affect ( AHUJA)

56. The most common facial abnormality seen in ....
Ans-Multiple osteomas

57. The most common retrobullar orbital mass in ....
Ans-Cavernous haemangioma (ADULTS... IN CHILDREN IT IS CAPILLARY HEMANGIOMA)

58. The typical movement of mitral valve.....
Ans- NO IDEA... SHOULD BE SIDE TO SIDE

59. The most common cause of peripheral limb ischaemia....
Ans-Burger's disease ( NOT SURE...MUST BE ATHEROSCLEROSIS)

60. Which of the following is the most common location of ....
Ans- brain parenchyma

61. The chemotherapeutic agent, most commonly administered ....
Ans-Ara-C ..KDT

62. Which of the following carcinoma most frequently ....
Ans- Small cell carcinoma lung

63. For which malignancy, intesity modulated Radiotherapy(IMRT)....
Ans-Prostate ( HARRISONS)

64. In treatment of Paplillary Carcinoma thyroid, Radioiodine destroys the....
Ans-Beta Rays ( K DT... BETA RAYS THERAPEUTIC N X RAYS DIAGNOSTIC)

65. Which of the following chemotherapeutic drugs....
Ans-Mitomycin C( CONFIRMED FROM SOUMYA SHUKLA..RADIO)

66. The paraneoplastic syndrome associated with .....
Ans-Cerebellryl degenerative disease ( HARRISONS)

67. Platelets can be stored at.....
Ans-20-24 C for 5 days ( GOOGLE AGAIN)

68. Which of the following radioactive isotopes is not....
Ans-Iodine -131....CONFIRMED

69. All of the following soft tissue sarcomas have a propensity .....
Ans- Neurofibrosarcoma

70. The expression of the following oncegene is.....
Ans-Ret proto Oncogene

71. A 30 year old patient with histrory of recurrent headache....
Ans-Hypertensive retinopathy

72. A 55 year old female come to the eye casualty.....
Ans-I.V. Mannitol

73. A 55 year old patient complains of decreased distance vision.....
Ans- Nuclear Sclerosis

74. Which of the following drugs is contraindicated.....
Ans- Acetazolamide ( A SULFONAMIDE DDERIVATIVE)

75. A patient has right homonymous hemianopia ......
Ans- OCCIPITAL LOBE FOR SURE

76. A young, tall,thin male with archnodactyly has ectopia.....
Ans- Marfan's Syndrome

77. The most common systemic association of scleritis is.....
Ans- Rheumatiod arthritis (KHURANA)

78. The following is not a method of isolation of chlamydia.....
Ans-Enzyme immunoassay (ANANTH NARAYAN)

79. According to WHO, blindness is defined as.....
Ans-3/60 ( PARK PSM )

80. A female presented with loss of vision in both eyes and on examination.....
Ans-Cortical blindness

81. All the following can be used to predict severe acute pancreatitis.....
Ans- CRP50% decrease) o Anemia (>20% decrease) o ESR >71 mm/h o Fat macroglobulemia Diagnosis: none are specific -Labs above -Fat globules: non-specific and insensitive -CXR: “snow storm appearance” (middle and upper lobe) -Lipase and phospholipase A2 -PA catheter: rise in PA pressures or sampling for fat – poor sensitivity-BAL: macrophages with fat – poor sensitivity-Head CT: usually negative; edema and nonspecific infarcts -TEE: embolic showers intra-operatively Predisposing conditions – incidence -Trauma / orthopedic Surgery – lower limb and pelvic fractures, closed fractures -Mechanical disruption of adipocytes: soft tissue injury, liposuction, hepatic failure -Mechanical disruption of bone marrow: harvest or transplant -Exogenous fat: TPN, propofol, lymphography-Miscellaneous: sickle cell crisis, burns, pancreatitis, altitude sickness, extra-corporeal circulation -Incidence up to 20% with long bone fractures, but unclear gold standard, based on case series, and need to distinguish fat embolism from clinical syndrome Treatment – mortality estimated 5-15% - supportive care -Heparin: no clear role; theoretically clears lipemic serum by stimulating lipase; data contradictoryin patients with high risk of bleed from underlying trauma-Prophylactic steroids: data not clear -Prevention: external surgical fixation, certain tools, prevention of hypovolemia

97. which of the following statements is true regarding subclavian.....
Ans-Reversal of blood flow in the ipsilateral vertebral artery

98. In patients with breast cancer,.....
Ans: Pectoralis Major (STAGING EXPLAINS TAT)

99. A 45 year old male presents with4x4 cm, mobile.....
Ans: Cold nodule on thyroid scan is diagnostic of maligancy

100. A 16 year old boy presents wih acute onset pain in the left testis....
Ans: The patient should be prescribed antibiotics and asked to come after a week

101. Xeroderma Pigmentosum is caused due to a group.....
Ans: Nucleotide excision repair

102. To synthesize insulin on a large scale basis, the most suitable starting.....
Ans:cDNA of insulin

103. By which of the following anticoagulants used in estimating BLOOD GLUCOSE ....
Ans: Sodium Fluoride

104. Apart from occuring in nucleic acids, pyrimidines.....
Ans: Thiamine (HARPER..REST ARE PURINES)

105. Vitamin A is stored mainly as....
Ans: liver

106. Which of the following is a component of the visual pigment....
Ans: Retinal

107. Idiopathic nyctalopia is due to ....
Ans: Absence of Rod function

108. The following disease have defect in DNA repair....
Ans: Huntington's disease

109. The most potent stimulator of native T cells is .....
Ans: Mature dendritic cells ( ROBBINS)

110. Substitution of which one of the following amino acids in place of alanine....
Ans: Tryptophan

111. Which of the following situtions will lead to increased viscosity of the blood....
Ans: Multiple myeloma

112. If cellular protiens do not fold into a specific conformation...
Ans:Faminal fatal insomnia

113. Side effects of a drug arise due to the interactions of the drug to molecules....
Ans: Specificity

114. Secretory proteins are synthesized in: ....
Ans: ENDOPLASMIC RETICULUM( ROUGH ENDOPLASMIC RETICULUM...HARPER)

115. Tetracycline inhibits protein synthesis by .....
Ans: Binding to 30 s subunit and inhibits binding of aminoacyl tRNA

116. At physiological pH, the carboxy-terminal of a peptide is....
Ans: Negatively charged

117. Which of the followig drugs has covalent interaction....
Ans: Aspirin

118. Which of the following property of drug will enable it to used in low concentrations?.....
Ans: High affinity

119. Several studies have shown that 85% of cases of Lung Cancer are due......
Ans: Attributable risk

120. It is probable that physicians have a higher index os suspicion for tuberculosis....
Ans: Interviewer Bias

121. When an intervention is applied to community to evaluate.....
Ans: Effectiveness ( NO IDEA)

122. the drug of choice for treating cholera in pregnant women is.....
Ans: Furazolidone (PARK PSM )

123. The most common cause of blindness in India.....
Ans: Cataract

124. In a study 400 smokers and 600 non-smokers were followed up over.....
Ans: 6.0

125. In the WHO recommended EPI Cluster sampling....
Ans: 12-23 months

126. Of the different epidemiological study designs available.....
Ans: Cohort Study

127. If the objective of the investigator is to assess the incidence of tuberculosis.....
Ans: Identify new converters to Tuberculin test

128. All of the following statements are true about the childhood......
Ans: Neonatal mortality is higher among female children as compared to males ( PARK PSM )

129. Which of the following statements is true about epidemiological determinants....
Ans: MEASLES HAS LOWER SAR THAN RUBELLA( FOR RUBELLA ITS ALMOST 100%)

130. Study the following table carefully and answer the question.....
Ans: 80

131. The usual incubation period for pertussis is....
Ans: 7-14 days

132. Risk of the damage of fetus by maternal rubella....
Ans: 6-12weeks of pregnancy

133. Deficit in weight forheight in a 3 year old child indicates.....
Ans: Acute malnutrition

134. Under National Programme for Prevention of Nutritional Blindness, a child....
Ans: 1 Lakh IU

135. According to a joint study "Healthcare In India : The Road Ahead " done by CII and.....
Ans: ITS 1:1500..ON INTERNET IN DEC2002...WHICH ONE TO TAKE??

136. Vagitus uterinus is.....
Ans: A cry of unborn baby from uterus

137. Gunshot residue on hands can be detected by .....
Ans: Dermal nitrate test

138. La facies sympathique is a condition seen in cases of.....
Ans:Hanging

139. A dead body is found to have marks like branching of a tree on front of chest.....
Ans: Lightening injury

140. A person has been brought in casualty with history of road accident....
Ans: Extra dural

141. Pulmonary function abnormalities in interstitial lung.....
Ans: Reduced FEV1/FVC ratio

142. Which of the following antihypertensives is not safe in pregnancy....
Ans: ACE inhibitors

143. Which of the following drugs is known to cause granuloma in the liver ....
Ans: Allopurinol

144. Following liver transplantation, recurrence of primary disease in the liver most likely occurs in....
Ans: Primary biliary cirrhosis ( HARRISONS SAYS NO RECURRENCE IN REST 3 CHOICES)

145. A patient presented to emergency ward with massive upper gastrointestinal...
Ans: Intravenous somatostatin( HARRISON)

146. All of the following are modalities of theraphy for hepatocellular....
Ans: ND..YAG LASER ( SURE CHECKED HARRISON AND ACETIC ACID ON GOOGLE)

147. Which of the following is the established biologiacl theraphy.....
Ans: Anti TNF alfa antibody

148. Which of thefollowing is the drug of choice for treatment of inappropriate.....
Ans: Demeclocycline

149. Nephrotoxicity is a side effect of one of the following immuno-suppressives....
Ans: TACROLIMUS ( HARRISONS)

150.Minimal change glomerulopathy may be seen in association with all....
Ans: Hepatitis B

151. All of the following poisions are dialyzable...
Ans: Copper Sulphate

152. All of the following drugs may cause hyperkalemia except....
Ans: Amphotericin ( CAUSES HYPOKALEMIA)

153. Acalculous cholecystitis cab be seeb in all the following....
Ans: NO IDEA.. MY BET IS DENGUE HEMORRHAGIC FEVER( DOBT IS B/W MALARIA N DENGUE..ON NET MALARIA IS ASSOCIATED.. BUT DENGUE FEVER N NOT DENGUE HEMORRHAGIC FEVER WITH ACALCULOUS cholecystitis )

154. A 30 year old lady presents with feature of malabsorption and iron deficiency.....
Ans: Antiendomysial antibodies

155. A 25 year old woman presents with recurrent abdominal pain and anemia....
Ans :Lead Poisoning

156. A patient presents with lower gastrointestinal bleed.....
Ans: Intravenous metronidazole

157. A 25 year old farmer presented with the history of high grade fever for 7 days.....
Ans: Weil's disease

158. A 50 year old lady presented with the history of pain upper abdomen, nausea.....
Ans: Acute viral hepatitus ( SGOT N SGPT MASSIVELY ELEVATED N LESS THAN 3 TIMES ALKALINE PHOSPHATASE..SO ITS VIRAL HEPATITIS)

159. A 70 year old male patient presented to the emergency department with pain in epigastrium....
Ans: An ECG ( NOT SURE)

160. A 30 year old lady delivered a healthy baby at 37 week of gestation....
Ans: Both active and Passive immunization soon after birth.

161. The blood culture from a patient of febrile neutropenia has grown Psuedomonas....
Ans: IMIPENEM PLUS AMIKACIN...HARRISON N KDT

162. A known HIV positive patient is admitted in an isolation ward after....
Ans: Pour 1% hypochlorite on the dressing material and send it for incineration in a appropriate bag.

163. A 45 year old female complains of lower abdominal pain and vaginal discharge....
Ans: Culture on McCoy cells ( ANANTH NARAYAN)

164. The sputum specimen of a 70 year old male was cultured on a 5% sheep blood agar...
Ans: Gram positive cocci in pairs, catalase negative and bile soluble

165. A major step in the pathogenesis of listeriosis is.....
Ans: The survival and multiplication of L. monocytogenes within mononuclear phagocytes and host epihthelial cells

166. In HIV infected individual Gram stain of lung aspirate shows yeast....
Ans: Aspergillus ZAWITZ

167. A patient of Acute Lymphocytic leukemia with fever.....
Ans: Clostridium difficile

168. The following statements are true with reference to Mycoplasama....
Ans: They are obligate intracellular organisms

169. Which of the following strategy has been recommended to reduce the.....
Ans: OCPS IS MY BET...SCREENING DOES NOT REDUCE INCIDENCE)

170. The corneal transparency is maintained by....
Ans: Endothelium

171. The most important indication for surgical repair of Bicornuate Uterus is....
Ans: Habitual abortion

172. The one measurement of fetal maturity that is not affected by a blood tap during.....
Ans: Phosphatidyl glycerol

173. Which of the following test is the most sensitive for detection of iron ......
Ans: Serum Ferritin

174. At what gestation does the switchover from fetal to adult haemoglobin....
Ans: 30 weeks

175. In which of the following conditions would maternal serum a fetoprotein....
Ans: Omphalocele / GASTROSCHISIS/ SPINA BIFIDA OCCULTA

176. The drug of choice is treatment of typhoid....
Ans: CEFTRIAXONE...GOOGLE

177. Which of the following is the commonest tumour....
Ans: Papillary carcinoma

178. The treatment of choice for Anaplastic carcinoma......
Ans: Palliative/ Symptomatic treatment

179. A 10 year old boy developed hoarseness of voice following an attack of diphtheria....
Ans: Wait for spontaneous recovery of vocal cord GOOGLE..INTERNET

180. The current treatment of choice for a large Antro- choanal....
Ans: E.S.S (Endoscopic Sinus Surgery )

181. A 2 year old boy presents with fever for 3 days which responded to adminstration....
Ans: ETHYLENE GLYCOL POISONING..HARRISON

182. What is the drug of choice to control supraventricular.....
Ans: Andenosine

183. A child presents with diarrhea and peripheral circulatory failure....
Ans: Bolus of Ringers lactate

184. A 5 year old child is rushed to casualty reported electrocuted while playing.....
Ans: CHECK PULSES( REPEAT FROM LAST YEAR

185. Arterial blood gas of a 5 year old child done at sea level gives the following results....
Ans: 420.4 mm Hg. ( FORMULA IN HARRISON)

186. Recurrent respiratory tract infection may occur....
Ans:Tetrology of Fallot

187. A 6 month old boy weighing 3,.2 kg presents with recurrent vomiting....
Ans: ABNORMAL CALCIUM SENSING RECEPTOR( ITS FAMILIAL HYPOCALCIURIC HYPERCALCEMIA FOR SURE) CHECKED ON INTERNET..DECREASED CALCIUM EXCRETION IS THE CATCH)

188. a female child has recently learned to eat with spoon without spilling....
Ans: 2 and 3 years

189. Which of the following antiepileptic agents acts on the GABAergic....
Ans: TIAGABINE...KETZUNG

190. The Mu receptor of the opioids is responsible....
Ans: Diuresis

191. Which of the following drugs does not produce central anticholinergic....
Ans: Glycopyrrolate

192. Heparin is the commonly used anticoagulant in cardiac....
Ans: Weakest acid found in living things ( ITS THE SRONGEST ACID)
KDT
193. The new agent permetrexed, useful in breast cancer, belongs.....
Ans: Antimetabolite

194. Bradycardia is common after injection of....
Ans: Succinyl choline

195. According to the myogenic hypothesis of renal autoregulation....
Ans: Opening of Ca2+ channels

196. All of the following transport processess follow saturation kinetics except....
Ans: Simple Diffusion

197. An anterolateral corodotomy relieving pain in right leg....
Ans: Left lateral spinothalmic tract

198. Fetal haemoglobin has all the following....
Ans: Strong affinity for 2, 3-DPG

199.Beta waveforms in electroencephalogram designate....
Ans: Awake/ alert state

200. A 24 years old primigravida wt. = 57 kg , Hb 11.0 gm% visits an....
Ans: Additional intake of 300 Kcal


Note: Originally posted at http://www.rxpgonline.com/postt35926.html



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