Key to AIIMS Nov2005 Exam Confirmed with Textbooks and Google Date: Thursday, November 17 @ 14:05:47 IST Topic: AIIMS Print this page 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 Originally posted at http://www.rxpgonline.com/postt35926.html This article comes from RxPG http://www.rxpgonline.com The Largest Community Website for Medical Students and Doctors The URL for this story is: http://www.rxpgonline.com/article1538.html