Page 1 of 4: discussion of remaining controversial Q. from aiims nov07

kavish · Credits: 36315 My Scrapbook

i m giving a list of Q. whose ans is still notsure,v will try to get close to ans.as all of u know this are the q. which will create problem in aippg08

Q.Occlusion occurs at the 2nd part of Axillary artery, blood flow is maintained by anastomosis between:
a. Anterior and posterior circumflex humoral artery
b. Suprascapular and posterior circumflex artery
c. Deep branch of the transverse cervical artery and Subscapular artery
d. Anterior circumflex artery and subscapular artery

ans is B or C????c. Deep branch of the transverse cervical artery and Subscapular artery was definately amongst the options as i hv marked it.

Q.Gall bladder epithelium is:
a. Simple squamous
b. Simple cuboidal with stereocilia
c. Simple columnar
d. Simple columnar with brush border

ans is C or D,need ur help

Q.In emergency tracheostomy the following structures are damaged except:
a. Isthmus of the thyroid
b. Inferior thyroid artery
c. Thyroidea ima
d. Inferior thyroid vein

ans?

kavish · Credits: 36315 My Scrapbook

Q.A female come with complaints of chest pain.On examination she is found to have pericarditis with pericardial effusion. The pain is mediated by:
a. Deep cardiac plexus
b. Superficial cardiac plexus
c. Phrenic nerve
d. Subcostal nerve

A 12 year old girl presents with Acute rheumatic carditis with mitral insufficiency. She is likely to have:
a. Increased peak expiratory flow
b. Increased total lung capacity
c. Increased residual volume
d. Decreased functional residual capacity

The mechanism of action of surfactant is:
a. Breaks the structure of water in the alveoli
b. Lubricates the flow of CO2 diffusion
c. Makes the capillary surface hydrophilic
d. ..

Ureteric peristalsis is due to:
a. Sympathetic innervation
b. Parasympathetic innervation
c. Both sympathetic and parasympathetic innervation
d. Pacemaker activity of the smooth muscle cells in the renal pelvis

kavish · Credits: 36315 My Scrapbook

. When a person changes position from standing to lying down position, following occurs:
a. Heart rate increases and settles at a higher level
b. Venous return to the heart rises immediately
c. Cerebral blood flow becomes more than that in standing position and settles at a higher level
d. Decrease in blood flow to the lung apex

ans is B(not sure)

18year old male presents with pectus excavatum. He denies history of any dyspnoea or chest pain. On examination there is mild pectus excavatum and intermittent wheezing on exertion. Surgery in this patient is indicated if he has:
a. FEV1 / FVC less than 0.60
b. Limiation of maximum inspiration during exercise
c. Peak work capacity <60% of expected
d. ?

. Maternal Mortality Rate is calculated by:
a. Maternal deaths/live birth
b. Maternal deaths/1000 live births
c. Maternal deaths/100000 live births
d. Maternal deaths/100000 population

ans is B or C?

kavish · Credits: 36315 My Scrapbook

Q>Uterine relaxant with the least side effect:
a. Ritodrine
b. MgSO4
c. Nifedipine
d. Progesterone
ans???

Q.According to the new WHO criteria, all are true in a normal person except:
a. Sperm count > 20 million
b. Volume > 1 ml
c. Normal morphology in > 15 % (strict criteria)
d. Aggressive forward motility in > 25 %

The World Health Organization (7) suggests the
following for normal semen analysis values:

• Volume >2 ml
• Sperm concentration 20 million/ml or more
• Sperm motility >50% or more with forward progression, or 25% or more with rapid progression within 60 minutes of ejaculation
• Sperm morphology 15% or more normal forms
• White blood cells fewer than 1 million/ml
• Sperm mixed antiglobulin reaction (MAR) test fewer than 10% spermatozoa with adherent particles

Link to the site is:

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All regarding Mivacurium are true except:
a. Larger doses speed the onset of action
b. Bronchospasm
c. Flushing
d. Hypertension

FNAC needle gauge size is:
a. 26 – 28
b. 22 – 26
c. 18 – 22
d. 16 – 18
Ans[ ????????
119. Most common site of subependymal giant cell astrocytomas is:
a. Foramen of Monro
b. Temporal horn of the lateral ventricle
c. Trigone of the lateral ventricle
d. Fourth ventricle

Subependymal giant-cell astrocytomas most often originate from the walls of the lateral ventricles in patients with tuberous sclerosis.
Although histologically benign, SEGAs commonly arise in the lateral ventricles near the foramen of Monro and can result in obstructive hydrocephalus

kavish · Credits: 36315 My Scrapbook

What is true about linkage analysis in familial gene disorders:
a. Characteristic DNA polymorphism in a family is associated with disorders
b. Characteristic DNA polymorphism WITH A CLINICAL PHENOTYPE
C.Useful to make pedigree chart to show affected and non-affected family members
D.Used to make a pedigree chart to show non-paternity
ans is a or b??????????

The BEST agent used for fixation of Pap smear is:
a. Ethyl alcohol
b. Acetone
c. Formalin
d. Xylol

ans is A(net ref,shaw says alcohal with ether)

Extensive involvement of deep white matter with hyperintense thalamic lesion on MRI of the brain is seen in:
a. Alexander’s disease
b. Krabbe’s ds.
c. Canavan’s ds
d. Metachromatic leucodystrophy

ans.C?

Most common site of spinal cord tumour is:
a. Intradural extramedullary
b. Extradural
c. Intramedullary
d. All have equal distribution

ans A?

The best investigation is thromboembolism is:
a. D-dimer levels
b. Multidetector CT angiography
c. Colour Doppler USG
d. Catheter angiography
ansD?

Magnesium is a required cofactor for thermostable DNA polymerases, and magnesium concentration is a crucial factor that can affect the success of the amplification.
DNA polymerase requires magnesium for activity. Magnesium is usually supplied to a PCR amplification in the form of magnesium chloride

kavish · Credits: 36315 My Scrapbook

Q.After laparoscopic appendicectomy, a female patient slipped and hurt her nose on the bed. She developed swelling of the nose, injury to anterior nasal bone and had mild difficulty in breathing. What would you do next?
a. Intravenous antibiotics for 7-10 days
b. Observation in hospital
c. Surgical drainage
d. Discharge after 2 days and follow up of the patient after 8 weeks
ans is C??t/t of septal hematoma

A newborn female child, weight 3.5kg, delivered by uncomplicated delivery, developed respiratory distress immediately after birth. On chest x-ray ground glass appearance was seen. Baby put on mechanical ventilation and was give surfactant but condition of baby deteriorates and increasing hypoxemia was present. A full term female ‘sibling’ died within a week with the same complaints. ECHO is normal. Usual cultures are negative. Your diagnosis is:
a. Total anomalous pulmonary vein connection
b. Meconium aspiration syndrome
c. Neonatal pulmonary alveolar proteinosis
d. Disseminated HSV infection

sachinmaheshwari · Credits: 2329 My Scrapbook

kavish the ans 2 mmr quest is maternal deaths /100000 live births.defination given on official website of national population policy 2000

kavish · Credits: 36315 My Scrapbook

Effect of Pectus Excavatum Deformity on Cardiorespiratory Fitness in Adolescent Boys
Thomas Rowland, MD; Kevin Moriarty, MD; Gregory Banever, MD

Arch Pediatr Adolesc Med. 2005;159:1069-1073.

Objective To determine the magnitude of the effects of pectus excavatum deformity on endurance fitness and cardiorespiratory functional reserve in adolescent boys.

Design Cross-sectional comparison of cardiac and ventilatory variables at rest and during a maximal cycle exercise test.

Setting Pediatric exercise-testing laboratory.

Participants Twelve boys (mean ± SD age, 14.1 ± 1.8 years; age range, 11.8-18.0 years) with moderate-to-severe pectus excavatum deformity (mean ± SD Haller index, 3.95 ± 0.88) and 20 control boys (mean ± SD age, 12.5 ± 0.4 years; age range, 12.1-13.5 years) without musculoskeletal deformity.

Main Outcome Measures Endurance fitness (physical work capacity); respiratory rate, tidal volume, and minute ventilation; and cardiac output and stroke volume by Doppler echocardiography.

Results Patients with pectus deformity had significantly lower endurance fitness than controls (mean ± SD physical work capacity, 2.60 ± 0.28 W · kg–1 vs 3.11 ± 0.45 W · kg–1) and reduced mean ± SD values for maximal cardiac index (10.6 ± 1.6 L · min–1 vs 12.0 ± 2.2 L · min–1) and peak tidal volume (3.02 ± 0.27 mL · kg–1 · 10–2 vs 3.46 ± 0.30 mL · kg–1 · 10–2). However, considerable overlap was observed in these values between the 2 groups.

Conclusions As a group, boys with pectus excavatum deformity have lower endurance fitness than controls, and this is associated with reduced cardiac output and tidal volume responses to exercise. However, the wide variability of these measures makes it difficult to assign pectus deformity as a cause of exercise intolerance in individual patients.

kavish · Credits: 36315 My Scrapbook

Subependymal giant-cell astrocytomas most often originate from the walls of the lateral ventricles in patients with tuberous sclerosis.
Although histologically benign, SEGAs commonly arise in the lateral ventricles near the foramen of Monro and can result in obstructive hydrocephalus.

kavish · Credits: 36315 My Scrapbook

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