PG-DIAMS

AIIMS NOVEMBER 2016 Solved Paper

1. Extraembryonic mesoderm is derived from a. Superior olivary complex
a. Secondary yolk sac b. Medial geniculate body
b. Primary yolk sac c. Superior colliculus
c. Hypoblast d. Lateral lemniscus
d. Epiblast Ans; A. superior olivary complex
Answer is (b) Primary yolk sac Ref: Scott Browns’ otorhinolaryngology head
th
Ref: Langman’s Embryology 9 Ed. Pg, 55-56
55 and Neck surgery volume II pg 3183
3183-3184,
2. The most effective for gluconeogenesis is 6. The chestt compression to respiration ratio of a lone
a. Citrated stimulation of acetyl carboxylase rescuer in CPR across all ages is:
b. Acetyl CoA stmulation of pyruvate carboxylase a. 30:1
c. Fructose 2, 6 bisphosphate stimulation of b. 30:2
phosphofrucktokinase c. 15:1
d. Citrate activating pyruvate carboxylase d. 15:2
Answer is (b) Acetyl CoA stmulation of Ans: B. 30:2
th
pyruvate carboxylase Ref: Braunwald’s Heart disease 10 ed. Pg. 845
Reference: Harper’s Illustrated Biochemistry 7. The length of the suture material required to close the
th
28 Ed. Chapter 20, pg 169 midline laparotomy incision is:
3. CG rich islands in DNA is used for a. Twice the length of incision
a. Acetylation b. 4 times
b. Methylation c. 6 times
c. tRNA synthesis d. 8 times
d. DNA replication Ans: B. 4 Times
Answer is (b) Methylation 8. Identify the instrument shown below.
Reference: Harper’s Illustrated Biochemistry
th
28 Ed. Pg 334
4. A postrenal transplant patient on routine evaluation
evaluat
had the following urine microscopy findings along with
neutrophils. The most probable diagnosis on the picture
is

a. Laparoscopic trocar
b. Peritoneal dialysis catheter
c. DPL catheter
d. Endoscopic USG
Ans: A. Laparoscopic trocar
9. In which of the following muscles the muscle fibers are
a. Tubular epithelial cells
not parallel
b. Decoy cells
a. Sartorius
c. Hyaline cast
b. Stemohyoid
d. Charcot leyden crystals
c. Rectus abdominus
Answer: (b) Hyaline cast
d. Tibialis anterior
Ref. Clinical pathology, Kawthalkar
Answer is: (d) Tibialis anterior
5. The center for stapedial reflex is: th
Ref: Gray’s Anatomy, 40 Ed, Chapter, 5
10. HCO3/H2CO3 is the best physiological buffer, because of
a. Combination of weak acid and weak bases
b. Pk is close of the physiological pH
c. The component of the combination buffer can
increase or decrease as per body’s need
d. It is a good acceptor as well as donor of H+
Answer is (c) The component of the
combination buffer can increase or decrease as
per body’s need
Reference: Harper biochemistry, Chapter 2

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11. HLA is absent in
a. RBCs
b. Thrombocyte
c. Neutrophil
d. Monocyte
Answer: (a) RBCs
Ref. Robbins pathology. pg 203
12. Which of the following given during pregnancy will
result in the below:

Ans: C. 1’0 Reverse cutting needle ethilon

16. Which is the ideal route for administration of drugs
during newborn resuscitation
a. Niacin a. Endotracheal
b. Folic acid b. Umbilical artery
c. Thiamine c. Umbilical vein
d. Retinoic acid d. Intraosseous
Ans: D. Retinoic acid Answer: C. Umbilical vein
Ref: Goodman and Gilman’s the
th Ref. Neonatal Resuscitation protocol by
pharmacological basis of therapeutics 12 ed.
Pg. 1812
American Heart Association, 2016
13. A 24 year old young person was brought unconscious to 17. What is your clinical diagnosis for the image given
the emergency department. On routine examination his below?
BP – 140/90 mm HG, RR- 10 / min, temperature 96 F
and he had pin point pupil. What of the following is the
most appropriate diagnosis/
a. Pontine hemorrhage
b. Sepsis
c. Metabolic encephalopathy
d. Opium poisoning
Ans; D. Opium poisoning
th a. Posterior hip dislocation
Ref: Harrison’s 19 ed. Pg 2593 468e -3
14. A 455 years old patient came with ongoing massive
b. Anterior hip dislocation
hematemesis. The patient is alert hemodynamically c. Central hip dislocation
stable. Which of the following is your next immediate d. Inferior hip dislocation
step in management? Answer: (a) Posterior hip dislocation
a. Send for blood transfusion Ref: Essentials of orthopaedics, J.
b. Start IV fluids Maheshwari, 6th Ed, chapter 18, Pg 111
c. Do an urgent upper GI endoscopy 18. Evaluate the below X-ray
ray and give your diagnosis
d. Put the patient in recovery position and
protect airway
Ans: D. Put the patient in recovery position and
protect airway
15. After a laparotomy, a woman presents with complete
wound dehiscence. After treating the infection, the
surgeon decides for resuturing. What is the suture
material used?

a. Osteosarcoma
b. Ewings sarcoma
c. Callus formation

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d. Chronic osteomyelitis 24. Which of the following is the demarcation for anterio
anterior
rd
19. Resolving power of light microscopy not affected
affe by 2/3 and base of tongue
a. Sample thickness a. Circumvallete papillae
b. Focal length of objective lens b. Filiform papillae
c. Wavelength of light c. Sulcus terminalis
d. Numerical aperture of lens d. Passavant ridge
Answer: (b) Focal length of objective lens Answer is (c) Sulcus terminalis
th
Ref: Gray’s Anatomy, 40 Ed, Chapter, 30
Ref. Bancroft theory and practice of histochemical 25. Calculate the pH of the solution if the solution has 5
techniques. Pg 45-47 millimoles of H+ ions
20. All are rare but life threatening side effects of a. 2.3
thionamide group of drugs except: b. 3.7
a. Agranulocytosis c. 6.6
b. Alplastic anemia d. 1.2
c. Liver toxicity Answer is (a) 2.3
d. Lung fibrosis 26. Identify the organism in the below picture
Ans: D. Lung fibrosis
Ref: Katzung, basic and clinical pharmacology,
th
13 ed. Pg 988
21. Which of the following is the reason for marbling?

a. Streptococcus pneumonia
b. Neisseria gonorrhea
a. Reduced hemoglobin c. Hemophilus influenza
b. Hemin crystals d. Staphylococcus aureus
c. Sulphaemoglobin Answer is (b) Neisseria gonorrhea
d. Methhaemoglobin Reference: Jawetz, Meinick and Adelberg’s
Answer is (c_) Sulphaemoglobin th
Medical Microbiology
obiology-27 Ed, pg 282
Reference: KSN Reddy, Essentials for Forensic 27. A 20-year-old
old patient presented with history of adnexal
rd
Medicine, 33 Ed. Pg 166 mass. On excision the gross picture of the specimen was
22. Which of the following is the common intermediate in as below. Your diagnosis is.
steroid hormone synthesis from cholesterol
olesterol
a. 7-hydroxycholesterol
b. Pregnenolone
c. Corticosterone
d. 7-dehydroxycholesterol
Answer is (b) Pregnenalone
23. What does “E" represents in the image?

a. Predominantly cystic tumor consistent with mucinous

cystadenoma
b. Solid cystic tumor consistent
stent with serous cystadenoma
c. Solid tumor with cystic spaces consistent with germ cell
tumor, dysgerminoma
d. Predominatly cystic tumour consistent with mature
cystic teratoma
a. H- band Answer: (d) Predominatly cystic tumour consistent with
b. I-band mature cystic teratoma
c. A-band
d. Z-line
Answer is (b) I-band

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28. Evaluate the below X-ray
ray and give your diagnosis? (D)Systemic desensitization is the
psychotherapy of choice

a. All are correct

b. A, B, C are correct
c. A, C, D are correct
d. B, C, D are correct

Answer: (a) A, B, C are correct

a. Osteopetrosis
b. Osteoporosis
c. Osteo poikilocytosis
d. Osteogenesis imperfecta
Answer: (a) Osteopetrosis
Ref. Fundamentals of Skeletal Radiology.
Pg 148
29. A psychiatric patient sent by magistrate for
examination. There re is a significant difference
between complains and observation during
examination. What are you dealing with
a. Factitious disorder
b. Malingering
c. Antisocial behavior
d. Dissociative fugue
Answer: (b) Malingering
Ref: A Short Textbook of Psychiatry, 7th Ed,
by Niraj Ahuja
30. A patient was anesthetized using N2O. On
discontinuation he was administered 100% oxygen.
The reasons is to prevent
a. Diffusion hypoxia
b. Second gas effect
c. Normal procedure
d. Smooth weaning
Answer: (a) Diffusion hypoxia
Ref: Millers Anesthesia, 8th Ed
31. A 23 year-old
old young lady had complaints of
washing hands and repeating activities for quite
some period. Now the frequency of it has
increased upto 8 times an hour which is interfering
with her regular activities. She was diagnosed to
have obsessive compulsive disorder.
Read the below statements carefully and answer
the below:
(A)Reaction formation and inhibition are
methods of defence mechanism
(B)SSRI are first line of drugs in her
condition
(C)Risperidone is used for treatment when
SSRI doesn’t work
Ref: A short TOB PSYCHIATRY, Seventh Ed,
Niraj Ahuja; 11th ed of Kapl
Kaplan & Sadock’s
Synopsis of Psychiatry
32. A 60 year old man came to the emergency department
with complaints in shock you are instructed to give
vasopressors at the rate of 10 g/kg/min. the patients
weighs 80 kg and you take two ampoules of drug each
containingg 200 mg and dilute it in 250 ml of normal
saline. The standard is 16drops /ml, in that case what
will be the drop rate in order to give the desired
concentration of drug
a. 8
b. 16
c. 24
d. 12
Ans; A. 8
33. A 40 year old male presented with features of fever and
productive
tive cough with postural increase. He has a
history of binge drinking X-ray
ray of the patient is shown
below.
Which of the following is the appropriate
management?
a. IV clindamycin
b. Lobectomy
c. Gemcitabine and paclitaxel
d. ATT
Ans: A. IV clindamycin
th
Ref: Harrison 19 ed. Pg 815
34. All are seen in hemolytic anemia except
a. Low reticulocyte count
b. Splenomegaly
c. Increased bilirubin
d. Increased urobilinogen
Answer: (a) Low reticulocyte count
Ref. Wintrobe hematology. Pg605
35. Below is the picture of a peripheral smea
smear in oil
immersion. Which of the following marked cells will

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increase in a worm infestation? neubauer chamber. What is your total WBCs count?

a. A a. 14500
b. B b. 600
c. C c. 700
d. D d. 2500
Answer: (b) B Answer is (b) 600
th
36. A 30-year-old
old female came with abdominal pain and Reference: Gray’s Anatomy 40 Ed. Chapter 20
adnexal mass, Her Ca 125 and LDH vyas marginally 39. Below is the pictorial representation of spaces of neck
elevated and CA 19-9 9 was nol elevated. She
S was enclosed by cervical fascia. The spaces are labelled as A,
operated and sent for histopathology. Below is the B, C, D. The danger area of the cervical fascia is marked
image of the gross and microscopic picture. Your by?
diagnosis is?

a. A
b. C
a. Dysgerminoma c. B
b. Teratoma d. D
c. Papillary serous cystadenocarcinoma Answer is (a) A
th
d. Choriocarcinoma Ref: Gray’s Anatomy, 40 Ed, pg 447
Ans: A. Dysgerminoma 40. Relations to left ureter are all except
Ref. Robbins pathology. Ch. Female
Fema genital a. Gonadal vessels
system b. Sigmoid colon
37. Which of the following acid has a net positive charge at c. Quadrates lumborum
physiological ph d. Internal iliac artery
a. Isoleucine Answer is (c) Quadrates lumborum
b. Vaine Gray’s Anatomy,, 41th Ed. Chapter, 74, pg 1251
c. Arginine 41. The marked structure in the below picture is made up
d. Aspartic acid all except?
Answer is (c) Arginine
Reference: Harper’s Illustrated Biochemistry
th
28 Ed. Chapter 3, pg 16
38. You are doing an experiment on n calculation of WBC
count and you have used a peripheral blood for the
same. Dilution factor (20 times) and you a modified

a. Gap junctions
b. Zona occludens
c. Macula adheres

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AIIMS NOVEMBER 2016 Solved Paper
d. Facia adherens below
Answer is (b) Zona occludens
th
Reference: Ross Histology, 6 Ed, page 329
42. Which of the following is not a radiological feature
of child abuse
a. Microfractures in the subepiphyseal
region
b. Bucket handle type of fractures in the
metaphysic
c. Multiple tiny rib fractures a. Dysarthria
b. Visual agnosia
d. Transverse fracture of long bones of leg
c. Speech apraxia
and arm
d. Aphasia
Answer: (a) Dysarthria
Answer: (d) Transverse fracture of long bones Ref. Hutchinson's clinical methods 23rd Ed, Pg 304,
of leg and arm Macleod's clinical Examination 13th Ed, Pg 248.
Ref: Skeletal injuries in child. Pg 396 46. For the diagnosis of hypereosinophilic syndrome, after
43. A 23-year-old
old patient came with complaints of exclusion of all parasitic disorders and in the presence
non-scarring
scarring alopecia in the temporal region. On of documented
nted end organ damage. The absolute
histopathological examination-it it shows loss of hair eosinophil count needed for diagnosis is
with hemorrhage into the follicular areas and mild a. 500
b. 1000
perinuclear lymphocytic infiltrate the diagnosis is
c. 1500
d. 2000

Answer: (c) 1500

Ref. WHO tumors of hematolymphoid systems
47. A 40-year-old
old HIV patient came with complaints of
fever, headache and neck rigidity. Patient expire
expired
despite efforts and was sent for postmortem analysis
for cause of death. The below are the findings from the
same patient. Your diagnosis is
a. Alopecia areta
b. Trichotelomania
c. Androgenic alopenia
d. Loose hair syndrome
Answer: (a) Trichotelomania
Ref: Rook’s textbook of dermatology, 9/Ed,
Pg86. 17-86.19
44. A doctor taking history on diabetic put enquiring about
joint and comorbidities. Which diagram is used to find a. Toxoplama
probabilities? b. Cryptococcus
a. Tree diagram c. Herpes
b. Histogram d. Echinococcus multilocularis
c. Pie char Answer is (b) Cryptococcus
d. Venn diagram Reference: Sternberg Sur
Surgical pathology pg 442
Ans: A. tree diagram
Ref. Introductory probability and statistics pg
39
45. Which of the following is the manifestation of the
disease of the organ whose normal histology is shown

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48. Which of the following is true regarding the insertion of
external oblique muscle?

a. I- Linea semilunaris, II- Linea alba, III-

III inguinal -6
a. 10
ligament IV- Inner lip of iliac crest V-
V b. -9
10
attachment with quadrates lumborum -12
c. 10
b. I- Linea alba, II- Arcuate
rcuate ligament, III-
III Lacunar -15
d. 10
ligament, IV- Outer lip of iliac crest V - Line -15
Ans: D. 10
semilunaris
52. Evaluate the below picture and come to a diagnosis:
c. I- Linea alba, II- Linea semilunaris, III-
III inguinal
ligament, IV- Inner lip of iliac crest V-
V posterior
free border
d. I- Linea alba, II- Linea semilunaris, III-
III inguinal
ligament IV- Outer lip of iliac crest, V-
V posterior
free border
Answer is (d) I- Linea alba, II- Linea semilunaris,
III- inguinal ligament IV- Outer lip of iliac crest,
V- posterior free border
49. Parasympathetic nervous system includes?
a. Cranial nerve 3,5, 7,9 and sacral plexus
b. Cranial nerve 3,5, 7, 9,10 and SI and S4 of
sacral plexus
c. Cranial nerve 3, 7, 9,10 and S2, S3, S4 a. Internal ophthalmoplegia
d. All cranial nerves and sacral plexus b. Left 3red nerve palsy
Answer is (c) Cranial nerve 3, 7, 9,10 and S2, c. Horizontal gaze palsy
S3, S4 d. Duane retraction syndrome
th
Ref: Barr,s Neuroanatomy, 10 Ed, pg. 360-361360 Ans: A. Internal ophthalmoplegia
50. Which of the following are signs of respiratory 53. A 9 year old presented with annular enlarging
obstruction lesion with central scarring in the gluteal region for
a. High pitched noise 9 months.
hs. Which of the following is your probable
b. Hypoxia diagnosis?
c. Stridor on inspiration a. Lupus vulgaris
d. All of the above b. Annular psoriasis
Ans: D. All of the above c. Tinea corporis
Ref: Scott brown’s otorhinolaryngology head d. Granuloma annulare
and neck surgery volume III pg. 2286-2288
2286
51. With advancement
cement in use of laser in cataract surgery in
development countries and in metropolitan cities of
Answer: (a) Lupus vulgaris
developing nation. What is the wavelength of the laser Ref: Rook’s textbook of dermatology, 9/Ed, Pg
used in the below operation: 27, 21-27.23
54. A patient who is a known a case of lung car
carcinoma
came with complaints of weakness and serum calcium
was 16.4 mg/dL. Which of the following is your next
step in management.
a. IV fluids and diuretics
b. IV phosphate
c. IV bisphosphonates
d. Subcutaneous calcitonin
Ans: A. IV fluids and diuretics
th
Ref: Harrison 19 ed. Pg 610

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55. 12 year old patient of came with complaints of fever for Reference: Textboo
Textbook of Microbiology-
th
3 days. You have a clinical suspicion of Dengue and you Anatnthana and paniker
paniker-9 Ed. Pg 415
have to investigate on him. Which of the following test 60. On urine examination of a patient, glucose by glucose
will NOT be helpful at this point of time? strip method was negative but Benedicts test for
a. Real time PCR reducing sugar was positive. Your most probable
b. NS1 antigen by ELISA diagnosis is
c. Viral culture with C6/ C3 cell culture a. Fructosemia
d. Anti IgM dengue antibody b. Galactosemia
Ans; D. Anti IgM dengue antibody c. Latent diabetis
abetis mellitus
56. A young male who is a slum dweller came with d. Hyperaldostronism
complaints of diarrhea, abdominal pain and weight loss. Answer is (b) Galactosemia
Routine hematological work up did not show
sho any 61. A newborn immediately after birth was irritable and
abnormality except for decrease in hemoglobin. The had developmental delay as it grew. During childhood
small intestinal biopsy was as shown below. Your he developed muscle weakness and started to bite and
diagnosis is chew his fingers and extremities wit
with head hanging
behavior. He died in his early 20’s due to renal failure.
Which of the following enzyme is defective
a. HGPRTase
b. Phenylalanine hydroxylase
c. Hexosaminidase A
d. Adenine deaminase
Ansewr is (a) HGPRTase
62. Damage to the structure producing the elevatio
elevation
marked leads to paralysis of which of the muscle

a. Giardia
b. Entamoeba
c. Whipple disease
d. Echinococcus multilocularis
Answer: (a) Giardia
Ref Sternberg surgical pathology. Pg 1453
57. A 25-year-old
ld patient came with anemia. Her lab
findings were RBC - 2 million/cumm, PCV-30%
PCV and Hb -
9.5 gm%. Your diagnosis is
a. Iron-deficiency anemia
b. Thalassemia
c. Folic acid deficiency anemia
d. Sideroblastic anemia
Answer: (c) Folic acid deficiency anemia
Ref. Wintrobe hematology. Pg 943 a. Risorius
58. The larval phase of Ancylostoma, Strongyloides, Ascaris b. Lateral rectus
have which of the following in common c. Superior oblique
a. Pneumonitis d. Levator papebrae superioris
b. Eosinophilia Answer is (b) Lateral rectus
c. Liver failure th
Ref: Gray’s Anatomy 40 Ed page 318
d. Migratory lesion 63. Identify the epithelium and the organ in which it is seen
Answer is (a) Pneumonitis
Reference: Textbook of Medical Parasitology –
th
S.C. Parija 4 Ed. Pg 268-279
59. Which of the following is an obligate intracellular
pathogen
a. Coxiella burnetti
b. Legionella pneumophilia
c. Klebsiella pneumonia
d. Anaplasma phagocytophilum
Answer is (d>a) Anaplasma phagocytophilum >
Coxiella burnetti

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a. Urinary bladder and obstruction in nasopharyngeal and oropharyngeal
b. Skin region. In order to stabilize his airway the following
c. Bile duct procedure was done for him. Which of the optiooptions
d. Galbladder below describes the following procedure
Answer is (a) Urinary Bladder
th
Ref: Ross Histology, 6 Ed, pge 723-724
723
64. Which of the following disease have rashes with central
distribution except
a. Typhoid
b. Measles
c. Endemic typhus
d. Secondary syphilis
Answer is (d) Secondaryy syphilis
Reference: Harrison’s principles of Internal a. Cricothyroidotomy
th
medicine 19 Ed. Pg 1051 b. Subcutaneous tracheostomy
65. A 40-year-old
old farmer living in a village with drought was c. Tracheostomy
surviving on the crops which grew in the area. He slowly d. Submental insertion of ET tube
developed weakness of his limbs and swaying gait. As Ans: A.Cricothyroidotomy
days passed he found stiffness of his limbs. On th
Ref: Bailey and Love, 26 ed. Pg. 691
examination the muscle tone was increased and ankle 70. A 42 year old person came with complaints of weakness
clonus ++, knee was brisk. The most probable cause is on the right side and loss of sensestion of left side. On
a. Lathyrus sativus examination of both upper limb and lower limb of right
b. Opium poppy side had decreased tone and right side he also had signs
c. Cannabis sativa of Horner’s syndrome. He had dysarthria and difficulty
d. Strychnine in swallowing. In addition ther
there was hemisensoary loss
Answer is (a) Lathyrussativus of touch, pain and temperature on the left side of the
Reference: VV Pillay,
lay, Modern Medical body. Which of the following is cause of the symptoms
th
Toxicology, 4 Ed. Pg 292 in this patient
66. St Antomy’s fire, headache, nausea, spasm and warm a. Right posterior inferior cerebellar artery
extremitites are seen following ingestion of occlusion
a. Ergot b. Right anterior inferior cerebellar artery
b. Opium occlusion
c. Cannabis c. Right middle cerebral artery occlusion
d. Marijuana d. Basilar artery occlusion
Answer is (a) Ergot Ans: A. Right posterior inferior cerebellar artery
rd
Reference: KSN Reddy, Essential of FM, 33 Ed, occlusion
g 53 th
Ref; Harrison’s 19 ed. Pg 2577
67. A 60-year-old
old patient came expired due to myocardial 71. In an agreement between SpO2 of two groups with and
infarction and postmortem his heart was stained with without micropore in a pediatric populati
population the values
triphenylterazolium. The color or normal heart will be spotted is as below. Which of the following is true.
a. White
b. Dark brown
c. Blue
d. Brick red
Answer is (d) Brick Red
Reference: Robbins pathology chapter Heart
68. Which of the following drug is used in
benzodiazepine toxicity
a. Acamprostate
b. Flumazenil
c. Naltrexone
d. Topiramate
Answer: (b) Flumazenil a. There is no agreement between the two
69. A construction worker met with an accident and a huge groups
block left over his face. He had severe masillofacial and b. The two group have a constant relation with a
laryngeal
eal injury. He is not able to open his mouth and variation of 3%
on evaluation he was found to have multiple fractures

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c. The is no association between the two groups lungs shows the below. Your probable diagnosis is
d. The curve shows a regression line
lin means co
relation
Ans: D. The curve shows a regression line
means co relation
Ref: Epidemiology beyond basic pg 399
72. Maximum refraction of light is by:
a. Anterior surface of cornea
b. Posterior surface of cornea
c. Anterior surface of lens
d. Posterior surface of lens
Ans; A. Anterior surface of cornea
73. You are attending your practical examination and you
are given a patient. The lab findings of the patient
shows prolonged bleeding time. You take a detailed a. Fat embolism
history and ask the patient for any intake of NSAIDs as it b. Surgical emphysema
is known to prolong the bleeding time. The patient c. Diffuse alveolar damage with pulmonary edema
categorically refuse intake of any form of NSAIDs. No d. Diffuse alveolar damage due to ventilator
other drug history was obtained. All the group of drugs Answer: (a) Fat embolism
can prolong bleeding time except: 76. A-27-year
year old female admitted with history of burning
a. Vitamin K micturition and hematuria. With a clinical diagnosis of
b. Cephalosporins UTI, urine was sent to culture. The growth of the
c. Antidepressants organism produced the following picture. The organism
d. Theophylline grown here is
Ans: A. Vitamin K
Ref: Katzung basic and clinical pharmacology,
th
13 ed. Pg 1145 and KDT, essential of medical
th
pharmacology, 7 ed, pg 227 and 614
74. Which of the following is not true for rifabutin when
compared to rifampicin
a. Rifampicin has a shorter half – life than
rifabutin
b. Rifabutin is more effective for newly diagnosed
TB.
c. Rifabutin has lesser incidence of drug
interactions
d. Rifampicin is more effective against MAC a. Proteus mirabilis
Ans: D. Rifampicin is more effective against b. E. coli
MAC c. Klebsiella pneumonia
Ref: KDT, essentials of medical pharmacology,
pharm d. Mycoplasma
th
7 ed. Pg 768 771 and 772 Answer is (a) proteus mirabilis
75. A young man had an accident and was admitted to the Reference: Textbook of Microbiology
Microbiology-
th
emergency department. His chest and abdominal Anatnthana and paniker
paniker-9 Ed. Pg 282
compression tests were negative. On examination he 77. Respiratory quotient after of heavy carbohydrate meal
was temperature was 99 C, RR -24 24 /min, BP - 110/80 is
mm Hg. He was on supportive
portive measures but a. 1.2
unfortunately expired. His postmortem examination of b. 0.8
c. 1
d. 0.7
Answer is (c) 1
th
Reference: Lippincotts Biochemistry 5 Ed. Pg
567
78. HDL has a maximum concentration of
a. Triglycerides
b. Apolipoprotein
c. Cholesterol

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 PG-DIAMS
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d. Fatty acid d. Vitamin D
Answer is (b) Apolipoprotein Answer is (c>b) Alkaline pH >Vitamin D
th
Reference: Lippincotts Biochemistry 5 Ed. Reference: Ganong’s Review of Medical
th
Chapter 18 pg 234 physiology 25 Ed. Pg 483
79. Most suitable test for Intestinal absorption is 84. The peripheral part of spiral ganglion supplies which of
a. NBT-PABA test the following
b. D-xylose test
c. Serum amylase level
d. Fecal fat estimation
Answer is (b) D-xylose test
Reference: Clinical Biochemistry : Metabolic
and linical aspects. William Marchall. Pg 222
80. All of the following are seen in cerebellar lesions except
a. Nystagmus
b. Ataxia
c. Resting tremor
d. Past pointing a. A (Outer hair cells)
s)
Answer is (c) Resting tremor b. B (Dieters cell)
th
Reference: Gray’s Anatomy, 40 Ed. Chapter c. C (Outer hair cells)
20 d. D (Inner hair cells)
81. The effect of different thyroid hormone in plasma Answer is (d) Inner hair cells
th
during starvation is shown in the following curve. Curve Ref: Gray’s Anatomy, 40 Ed. Pg 590
B indicates which of the following 85. In case of plasmodium falciparum infection the
peripheral blood smear does not demonstrate
trophozoites and schizonts. The rea
reason for this is
a. Apoptosis of RBC’s because of hemozoin
pigments
b. Lysis of RBCs with the malarial forms
c. The infested RBCs are traped in spleen
d. The infested RBCs stick to the capillaries
Answer is (d) The infested RBCs stick to the
capillaries
Reference: CDC
86. A 55-year-old
old women came with complaints chronic
fatigue in the month of December. The patient was
examined and found to have mild splenomegaly and
peripheral cyanosis in finger toes and tips of nose. The
peripheral smear is as shown below. Diagnosis is is.

a. DIT
b. rT3
c. T3
d. T4
Answer is (c) T3
th
Reference: Ganong 24 Ed. Pg 345
82. Counter current blood flow is seen in all except
a. Kidney
b. Eye
c. Testis
a. Agglutinated RBC due to cold agglutinin AIHA
d. Small intestine
b. Agglutinated RBCs due to G6PD deficiency
Answer is (b) Eye
th c. Agglutinated RBCs due to warm agglutinin AIHA
Reference: AK Jain 6 Ed. Vol-1,1, pg 547
d. Agglutination of RBCs due to hemoglobinopathies
83. Absorption of calcium in decreased by
Answer: (a) Agglutinated RBC due'to cold agglutinin
a. Protein
AIHA.
b. Phytates in food
Ref. Wintrobe atlas of clinical hematology. Pg 27
c. Alkaline pH

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87. A young female come with complaints of diminished clitoris and a normal vagina. MRI revealed gonads in the
vision. On examination she was found had decreased inguinal canal. The most probable diagnosis is:
vision is in the right eye 6/18 and normal vision in the a. Complete gonadal dysgenesis
left eye 6/6. The ophthalmologist did a fundus b. Partial gonadal dysgenesis
examination and ordered for a FFA. Below are the c. Partial androgen insensitivity syndrome
pictures of FFA and optical coherence topography of the d. Complete androgen insensitivity syndrome
patient. In which layer of the retina is the patient Ans:: C. Partial androgen insensitivity syndrome
th
supposed to have likely split. Ref; Shaw Gynaecolgy 16 ed. Pg. 146
91. A newborn was evaluated for routine screening
was found to have hypoplasia of limbs, fundal
examination suggested features suggestive of
chorioretinitis, MRI was done whic
which showed
evidence of cerebral atrophy. Which of the
following investigation will you order to know the
causative role
a. Anti HCMV antibody
b. Anti HSV antibody
c. Anti VZV antibody
d. Anti toxoplasma antibody
a. Neurosensory retina
b. Retinal pigment e epithelium Answer: Anti VZV antibody
c. Outer nuclear layer Pediatrics, 5th Ed,
Ref: IAP textbook of Pediatric
d. Inner nuclear layer Nelson’s Textbook of Pediatrics 19th Ed
Ans; B. Retinal pigment e epithelium 92. What is the ideal temperature of the newborn
88. A patient is being evaluated for jaundice and liver resuscitation room
fibrosis. His AST – 87 and ALT – 81. His details of a. 37-39oC
serological tests are as below. Which of the following is
b. 32-34oC
your next step in diagnosis
c. 28-30 oC
Anti – HB cigM Non- reactive
Anti – HbcigG Reactive
d. 25-27 oC
HBSAg Nonreactive
HbeAg Nonreactive 27 oC
Answer: (d) 25-27
Anti HCV Reactive Ref: Cloherty Manual of Neonatal care, 6th
Ed
a. HBV DNA 93. During epidural anesthesia with 10 mL oof 2%
b. Anti HBS xylocaine, the patient developed respiratory
c. HCV RNA – RT PCR depression and hypotension. Which of the
d. Liver biopsy following is the cause for the same
Ans: C. HCVRNA – RT PCR a. Anaphylaxis
Ref: Jeffery J roth and villiam B hughes, the
nd b. Drug gone into the subarachnoid space
essential burn unit handbook 2 ed. Pg. 87
c. Anaphylaxis
89. A patient who is a known case of diabetic on insulin
came with altered sensorium. His medical records show d. Systemic toxicity of the drug
that he is on treatment for atrial fibrillation with
anticoagulants. Which of the following will not be in the Answer: (b)Drug gone into the
investigation list to be done
ne in the emergency subarachnoid
barachnoid space
department. Ref: Millers Anesthesia, 8th Ed
a. Lumbar puncture 94. A 38-year-old
old lady was rescued from a 8.8 richter
b. Random blood sugar scale earthquake in a narrow margin. All her
c. Non contrast CT friends and relatives did not make it. After this
d. ECG monitoring
incident she complaints of fear, palpitation and not
Ans: A. Lumbar puncture
th able to sleep for the few days. But she was
Ref: Harrison 19 ed. 433e-1
90. A 20 year old female came with complaints of primary consoled and talked over after which she says she
amenerrhea, with normal breast development, enlarged
e was feeling better.

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Read the below statements carefully and answer b. 1 week
the below: c. 2 weeks
(A)She is experiencing acute stress reaction d. 4 weeks
(B)Projection is a form of defence mechanism for Ans: A. 1 week
Ref; Goodman and Gilman’s th the
her condition th
pharmacological basis of therapeutics 12 ed.
(C)Fluoxetine will help her condition Pg 592
(D)She doesn’t require a psychiatric consultation 98. A patient came to OPD with alleged story of consuming
a. All are correct unknown seeds. She complaints of nausea and
b. A, C are correct vomiting. In examination she was found to have
c. A, B, C are correct ascending paralysis. Which of the following is implica
implicated
d. A, C, D are correct in the above symptoms
a. Opium
Answer: (b)A, C are correct b. Dathrua
Ref: A short Extbook of Psychiatry, Seventh
Seve c. Strychinousnox vomica
d. Conium maculatum
Ed, by Niraj Ahuja; 11th Ed, of Kaplan &
Answer is (d) Conium maculatum
Sadock’s Synopsis of Psychiatry Reference: VV Pillay, Modern medical
95. In Maslows hierarchy of needs, which is the order th
Toxicology, 4 Ed. Pg 292
of increasing priority 99. During exercise the most rapid way of resynthesis of
a. Physiological, safety, love, esteem, self ATP is
actualization a. Glycolysis
b. Safey, love, esteem, self-actualisation,
actualisation, b. Glycogenolysis
physiological c. Phosphocreatine breakdown
c. Self actualization, esteem, love, safety, d. Citric acid cycle
physiological Answer is (c) Phosphocreatine breakdown
Reference: Harper’s illustrated Biochemistry
d. Love, esteem, physiological, self th
28 Ed. Chapter 11 pg. 95: Voet and voet
actualization, safety Biochemistry, chapter 27. Pg 1092
100. The decrease in sex hormone binding globulin ((SHBG)
Answer: (c) Self actualization, esteem, will have maximum effect on
love, safety, physiological a. Estrogen
Ref: Atkinson & Hilgard’s Psychology An b. Testosterone
Introduction c. DHEA
96. A 48 year old had a VATS thymectomy for myasthenia d. Progesterone
gravis. The surgeon accidently injured the right pleura Answer is (b) Testosterone
th
during surgery and did the following procedure post Reference: Ganong 24 Ed. Pg 424
surgery. Which of the following is true regarding the 101. Which of the following is the correct order of structures
removal of the same. passing through the deltopectoral groove
a. Remove after partial expansion of lungsl and <
30 ml in drain for two consecutive days
b. Remove after complete expansion of lungs and
< 50 ml in drain for two consecutive days
th
c. Remove the tube on 4 days irrespective of the
status of lung expansion and drain amount
d. Remove after full expansion ion of lung and <200
ml in drain for two consecutive days
Ans: D. Remove after full expansion of lung and
<200 ml in drain for two consecutive days
th
Ref: Bailey and Love 26 ed. Pg 46 Schwartz a. Cephalic vein, thoracoacromial
oracoacromial artery, medial
th
10 ed. Pg. 648 pectoral nerve
97. A female patient suffered from exanthematous rashes 4 b. Basilica vain, axillary artery, lateral pectoral
weeks after being started on phenytoin and valproate nerve
for epilepsy. After how many days of rechallenge rash c. Cephalic vein, thoracoacromial artery, lateral
will reappear again if drugs is started after rash pectoral nerve
subsides? d. Basilica vein, thoracoacromial artery, medial
a. 1 days pectoral nerve

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Answer is (c) Cephalic vein, thoracoacromial
thora c. Nothing can be inferred
artery, lateral pectoral nerve d. Positive co- relation found
th
Ref: Gray’s Anatomy, 40 Ed. Chapter, 46 Ans : A. non – linear relationship
102. The following is a picture of liver biopsy with Ref: Statistical analysis of epidemiological data
hemochromatosis. What stain is used below to pg 197
demonstrate the finding? 106. All of the following are seen in
polysomnography except
a. EOG
b. EEG
c. Arterial CO2 level
d. Pulse oximetry
Answer: (c) Arterial CO2 level
Ref: A Short Textbook of Psychiatry, 7th Ed,
by Niraj Ahuja
107. Which of the following is the most common symptoms
of aorto iliac occlusive disease
a. Alizarin red
a. Impotence
b. Alcian blue
b. Gluteal claudication
c. Von kossa
c. Calf claudication
d. Prussian blue
d. Symptomless
Answer is (d) Prussian blue
Ans: B. Gluteal claudication
Reference: Schreur Liver Pathology pg. 323 th
Ref: Bailey and Love 26 ed. Pg 878
103. A well – known complication of metformin is lactic
108. Interpret the below ECG.
acidosis which is documented in 0.6 per 1000 patients.
All of the following is supposed to increased the risk of
lactic acidosis in patient
ent taking metformin except;
a. Advanced age
b. Liver dysfunction
c. Renal dysfunction
d. Smoking
Ans: D. smoking a. 2: 1 heart block
Ref:Katzung basic and clinical pharmacology, b. Complete heart block
th
13 ed. Pg 1086 c. Wenkebach phenomenon
104. Which of the following is not a criteria for blindness d. Sinus rhythm
according to NPCB Ans; A. 2: 1 heat block
a. Vision 6/60 or less with less possible spectacle 109. Threshold of measureable data can be determined by:
correction in the better eye a. ROC curve
b. Vision <4/60 in the better eye b. Frequency polygon
c. Inability of person to count fingers from c. Histogram
distance of 20 feet or 6 feet d. Scatter diagram
d. Diminution of field vision to 20 degrees. Ans; A. ROC curve
Ans; B. Vision <4/60 in the better eye Ref: Epidemiology biostatistics and preventive
105. Which of the following is correct regarding the below medicine pg 112
pic? 110. A farmer come with complaint of pain in the eye along
with watering and redness. He gives a history of injury
with a stick. Slit lamp examinatio
examination of the eye is as given
below. Which is the best possible treatment for the
patient.

a. Non – linear relationship

b. Linear relationship

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showed the following. Your diagnosis is

a. Plasmodium vivax
b. Plasmodium falciparum
a. 3.8 % fortified cephazolin with tobramysin eye c. Babesiosis
drops and send corneal scrapping for bacterial d. Plasmodium malariae
culture Answer is (b) Plasmodium falciparum
b. 5% antamycin eyedrops and send corneal Reference: CDC
scrapping for fungal culture 115. Detoxification of ammonia in brain is by formation of
c. 0.3% ofloxacin eye drops along with topical a. Glutamine
steroid b. Glutamate
d. Intracameral vancomycin to remove hypopyon c. Urea
Ans: B.5% antamycin eyedrops and send d. Alanine
corneal scrapping for fungal culture Answer is (a) Glutamine
111. One of the most important aspect of pharmacology is th
Reference: Harper Biochemistry, 28 Ed. Pg
drug advertisement. Which of the following is not 242
necessary to be mentioned in the drug advertisement 116. Below is the picture of cross section of axilla, identify
details. the marked structures
a. Most common but insignificant side of effects
b. Rare but life threatening complications
c. Expiry date of the drugs
d. References of the inferences of the drug
Ans: C. expiry date of the drug
Ref: Bikash medhi, practical manual of
experimental and clinical pharmacology pg 345
112. Digoxin has a half life of 40 hours, which helps in
prescribing to determine;
a. Regimen for smooth th discontinuation
b. Need for loading dose in order to given a. Medial cord of brach
brachial plexus, long thoracic
immediate effect nerve of bell, subscapularis
c. Regimen for maintenance dose b. Lateral cord of brachial plexus, long thoracic
d. Can be given once in 2 days nerve, serratus anterior
Ans: C. Regimen for maintenance dose c. Posterior cord of brachial plexus, nerve to
Ref: Goodman and Gilmans’ the serratus anterior, subscapularis
th
pharmacological basis of therapeutics, 12 ed. d. Lateral cord of brachial plexus, long thoracic
Pg 803 nerve,, subscapularis
113. Stain used for premalignant lesion of lip Answers is (a) Medial cord of brachial plexus,
a. Giemsa long thoracic nerve of bell, subscapularis.
b. Hematoxyline and eosin Ref. Gray's Anatomy; 40th EdEd' Chapter, 46
c. Toluidine blue 117. Which of the following is not done during
d. Crystal violet
entotracheal intubation
Answer is (c) Toluidine Blue
a. Flexion of neck
Reference: Ballenger’s Otorhinolaryngology
Head and Neck Surgery pg 1018 b. Extend the head at atlantooccipital joint
114. A young male cam with complaints of high grade fever c. Lift the
he tip of epiglottis with the straight
and malaise.
laise. On examination his peripheral smear blade of laryngoscope
d. The laryngoscope is levered over incisors
Answer: (d) The laryngoscope is levered
over incisors
Ref: Millers Anesthesia, 8th Ed

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118. A 28 year old primigravida of 38 weeks gestation came 123. Identify the following spirochete in silver stain
to the labour room with history of abdominal pain. On
examination the vitals were stable and the cervix was 2
cm with 50% effacement. Which of the following is the
next line of management?
a. Observation
b. Artificial rupture of membrane
c. Oxytocin drip
d. Sedation
Ans: A. Observation
nd
Ref: Sheila
ila balakrishnan obstetrics 2 ed. Pg.
number 115
119. If the relative risk is 1 then which of the following a. Treponema pallidum
statement is true; b. Borrelia
a. There is a positive association between the c. Leptospira
cause and effect d. Bartonella
b. If the cause is there, then it will decrease the Answer is (c) Leptospira
occurrence of the effect Reference: Textbook of Microbiology –
c. Cannot be commented upon because beca of th
Ananthanarayan and Paniker 9 Ed. Pg 371
iadequate data 124. In the following diagram, the curve “X” represents the
d. There is no increase in risk because for the normal relationship of alveolar ventilation with PaCO2,
occurrence of the effect. when PaO2 is ventilation will shift to which of the curve?
Ans: D. There is no increase in risk because for
the occurrence of the effect.
Ref: An introduction of Epidemiology pg 142
120. Endocochlear potential is;
a. +45 mV
b. – 45 mV
c. + 60 mV
d. +85mV
Ans; D. +85mV
Ref: Scott brown’s otorhinolaryngology head
and neck surgery volume III pg. 3186-3187
3186
121. The approximate weight of the rabbit it used in
pharmacological eye experiments is
a. 0.5 – 1 kg a. Curve B
b. 1.5 – 2.5 kg b. Curve C
c. 4-6 kg c. Curve D
d. 6-8 kg d. Curve E
Ans; B. 1.5 – 2.5 kg Answer is (b) Curve C
Ref; M.N. Ghosh fundamentals of experimental Reference: Guyton South Asia Ed. Pg 971
th 125. Lesion of the area marked in the brain cause
pharmacoly, 15 ed. Pg 12
122. Which of the following cannot be diagnosed on FNAC
alone?
a. Mesothelioma of peritoneal cavity
b. Follicular carcinoma of thyroid
c. Lung adenocarcinoma
d. Hepatocellular carcinoma
Answer: (b) Follicular carcinoma thyroid
Ref. Bethesda thyroid cytology reporting

a. Visual agnosia
b. Diplopia
c. Aphasia

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d. Limb palsy given below?
Answer is (c) Aphasia
Ref: Snell neuroanatomy page 292
126. Below is the picture of adrenal gland and it has been
divided in regions, which of the followingg is secreted by
the part labeled as A

a. Supracondylar fracture
b. Lateral condylar fracture
c. Medial condylar fracture
d. Posterior elbow dislocation

Answer: (a) Supracondylar fractur

fracture
Ref: Rockwood and Wilkins Fractures
in Children, 8th Ed, chapter 16, Pg 619
a. Androgen 129. A baby born to a O+ve mother was icteric on
b. Aldosterone first day of life. What will you do next
c. Corticosteroid a. Start phototherapy
d. Catecholamine b. Send blood for bilirubin, grouping, typing
Answer is (a) Aldosterone and Coombs test
th
Reference: Ganong 24 Ed. Pg 355 c. Wait and watch
127. Below is a picture of a capnogram. Interpret it d. Exchange transfusion
and give the diagnosis of the same Answer: (b) Send
end blood for bilirubin,
grouping, typing and Coombs test
Ref. IAP textbook of Pediatrics, 5th Ed,
Nelson’s Textbook of Pediatrics 19th Ed
130. Which of the following is normal OGTT curve

a.Leak in the tube

b.Bronchospasm
c.Inspiratory effect
d.Tube in the right bronchus
Answer: (d) Tube in the right bronchus
Ref: Millers Anesthesia, 8th Ed
128. Which of the following fracture has
resulted in the deformity shown in the picture

a. A
b. B
c. C
d. D
Ans: C. C.
th
Ref: William’s obstetrics 24 ed. Pg. 1138
131. In a center the number of nodes dissected during 20
modified radical mastectomy were plotted in the form
of a cure and there are three marking on the below

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curve. Based on the distribution type of curve which of Ans: D. milnacipran
the following is correct: Ref;Katzung basic and clinical pharmacology,
th
13 ed. Pg 762,1111, 1113 and 1119
135. The growth of cartilage following fracture will
be increased by which of the following?
a. Intramedullary nail
b. K-wire fixation
c. Strict immobilization
d. Repeated tiny movements at the fracture
site
a. Mean > median> mode Answer:
swer: (d)Repeated tiny movements at
b. Mode > median > mean the fracture site
c. Median > mode > mean Ref: Mercer’s textbook of Orthopaedics
d. Mode > mean > median and trauma, 10th Ed, Chapter 19, Pg 270
Ans: A. Mean > median> mode 136. Diagnosis on the below X X-ray.
132. Below is a list of first line and second line management
m
for seizures, which of the following is not correct:
Seizure type First line Second line
Partial Valproate Phenytoin
seizures with carbamazepine topiramate
or without lamotrigine
GTCS
GTCS Valproate Phenytoin
lamotrigine topiramate
Absent Lamotrigine Ethosuximide
seizures carbamazepine valproate
a. Scaphoid fracture
Myoclonic Valproate Lamotrigine
jerks b. Colles fracture
c. Rickets
a. 1 d. Osteoporosis
b. 2 Answer: (c) Rickets
c. 3 Ref: Turek’s Orthopaedics: Principles and
d. 4 their applications, 7th Ed, volume 1, Pg 257
Ans: C. 3 137. Which of the following is the function of Hyperpolarsing
Ref: Harissons principles of internal medicine, Cyclic nucleotide (HCN) channel
th
18 ed, pg 3262 a. Conduction of impulse
133. Which of the following is true regarding iron b. Generation of sinus rhythm
replacement therapy in iron deficiency anemia c. To maintain the cytoplasmic hyperpolarisation
a. Parenteral iron to be given till the haematocrit d. To maintain mitochondrial membrane
normalizes and should be discontinued potential
afterwards because of gastric side effects Answer is (b) Generation of sinus rhythm
b. Before giving parenteral iron dilute the dose Reference: Ganong’s Review of Medical
th
and given to check for anaphylaxis physiology 25 Ed. Pg 521
c. 50% of the iron given is absorbed in 325 mg of 138. A police officer found a dead male child in the streets,
ferrous sulphate tablets brought the child to the forensic department. The
d. Because of side effects of oral iron always give findings of the child were as below “Baby weights
parenteral iron for treatment. 1000g, foot length 8 ck, thick nails, eyelids open
Ans: B. Before giving parenteral iron dilute the papillary membrane disappeare
disappeared, testis in external
dose and given
en to check for anaphylaxis inguinal ring, crown rump length 23 cm” based on the
Ref; Katzung, basis and clinical pharmacology, above findings the age of the baby is
th
13 ed. Pg 845 a. 5 months
134. Drugs used in osteoporosis all except: b. 6 months
a. PTH c. 7 months
b. Strontium d. 8 months
c. Denosumab Answer is (c) 7 months
d. Milnacipran

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Reference: KSN Reddy, Essential of Forensic done and the carrier status were calculated and
rd
Medicine 33 Ed. Pg 83 compared. The type of study is:
139. Which of the following is the cause for the disease
dis a. Field trial
shown in the below picture. b. Cross sectional study
c. Cohort study
d. Case –control
control study
Ans; A. Field trial
Ref: Kenneth J Rothman modern epide
epidemiology
pg. 242
143. An unresponsive patient came to the casualty with no
proper history. What is your next step?
a. Check for responsiveness
b. Secure airway
c. Shock : 300J
d. Check for carotid pulse
Ans: D. Check for carotid pulse
Ref: Harrison 19 ed pg 1768 , Braunwald’s
th
Heart disease 10 ed. Pg 844-845.
a. Hpv6.11
144. A 26 year old young male met with a road traffic
b. HPV 11,16
accident and came to the ER. On examination his BP –
c. HPV 2, 4, 8
90/ 56 mm Hg, pulse – 140/min, spO2 86%, GCS -8. On
d. HPV 31,33
examination positive in all four quadrants. He was
Answer: (a) HPV 6, 11
operated and the post –op op pictures shown b
below. Your
Ref: WHO lesion of skin and adnexa, Pg32
correct match to describe the following are:
140. Which of the following is the drug of choice for
precocious puberty?
a. Danazol
b. Cyproterone acetate
c. GnRH analogue
d. Medroxy progesterone acetate
Ans: C. GnRH analogue
Ref: Goodman and nd Gilman’s the
th
pharmacological basis of therapeutics, 12 ed.
Pg 1122. a. Abdomino – thoraco surgery, closure of
141. Which of the following statements is correct regarding abdomen
the graph given? b. Abdominal laparotomy, mesh closure of
abdomen
c. Damage control surgery ,mesh closure of
abdomen
d. Abdominoplasty primary closure of abdomen
Ans: C. Damage
age control surgery, mesh closure
of abdomen
th
Ref: Bailey and love 26 ed. Pg. 362
145. The maximum volume allowed in the Bakri ballon
a. Drugs in graph A is epinephrine tamponade for postpartum hemorrhage is:
b. The effect on HR in Graph A can be overcome a. 100 mL
by anti – muscarinic b. 200 mL
c. Drug acting in graph C is nor epinephrine c. 500 mL
d. Drug acting on graph B is isoproterenol d. 800 mL
Ans: B. The effect on HR in Graph A can be Ans: C. 500 mL
th
overcome by anti – muscarinic Ref: William’s Obstetrics 24 ed. Pg 786
Ref: Goodman and gilman’s the 146. Continuous murmur is seen in all the following
th
pharmacological basis of therapeutics 12 ed. conditions except
Pg 277. a. Patentt ductus arteriosus
142. In a study conducted on typhoid carrier in three villages b. Coronary AV fistula
with three
ree different water sources. Investigations were c. Pulmonary AV fistula
d. VSD with aortic regurgitation

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Answer: D. VSD with aortic regurgitation
Ref: Nelson’s Textbook of Pediatrics 19th
Ed, Clinical Pediatrics by Kulkarni, 2nd Ed
147. Ponderal index is
a. Chest to abdominal
inal circumference ratio
b. Intecerebellar to abdominal circumference
ratio
c. Femur length to abdominal circumference
ratio
d. Weight in grams divided by length in cms
cube multiplied by 100
Answer: D. Weight in grams divided by
length in cms cube multiplied by 100
1 pericardium
Ref. IAP textbook of Pediatrics, 5th Ed,
Nelson’s Textbook of Pediatrics 19th Ed/
Cloherty Manual of Neonatal care, 6th Ed.
148. Which of the following is the treatment for the
following (patella fracture)?
a. Tension band wiring
b. Intramedullary nail
c. K wire fixation
d. Internal fixation
Answer: (a)Tension band wiring
Ref: Rockwood and Green’s Fractures in
Adults, 8th Ed, chapter
hapter 54, Pg 2277
149. Which of the following is true regarding medical
termination of pregnancy?
a. Medical method can be carried out till 72 days
from LMP
b. USG must be done in all cases of medial
termination of pregnancy.
c. If the patients has CuT inserted it’s not must to
remove the CuT before medical termination.
d. Only a person certified under MTP act can
perform medical termination of pregnancy
Ans: D. Only a person certified under MTP act
can perform medical termination of pregnancy
th
Ref: Show Gynaecology 16 ed. Chap. 20
150. Which of the following is used for wound infection
grading system
a. ASA classification
b. Glassgow scale
c. Southampton grading
d. APGAR score
Ans: C. Southampton grading
th
Ref: Bailey and Love 26 ed. Pg. 54
151. A young male met with a road traffic accident and came
to the emergency department he was evaluated found
to have BP – 130/80 mm Hg, pulse rate -88/min,
88/min, RR –
22/min. on auscultation
scultation there was decreased air entry
on one side with absent breath sounds. X-ray
X chest is
given below. Your most probable diagnosis is:
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a. Tension pneumothorax
b. Rupture of esophagus and compressing the
c. Flail chest due to fracture of ribs 55,6,7,8 ribs
d. Normal CXR
Ans: B. Rupture of esophagus and compressing
the pericardium
152. If CA 125 levels are increased in 60/100 and not in
20/100 cases of ovarian cancer confirmed by
histopathology. Calculate the positive predictive value
of the test?
a. 66
b. 80
c. 75
d. 90
Ans: C. 75
Ref: Textbook of statistics – Mahajan gupta
153. In case of PAP smear being a screening test for
carcinoma cervix which of the following statement
regarding it is not true?
a. Visual inspection of cervix is good enough in
patient > 65 years old and regular PAP
screening is not needed
b. In case of HPV testing negative the test can be
repeated once in 5 years
c. If PAP smear did not show any abnormality the
test can be repeated in 3 years
d. The screening can be intense between 25 and
40 years as it the most needed time.
Ans; D. The screening can be intense between
25 and d 40 years as it the most needed time.
Ref; WHO pap screening
154. Which of the DMARD requires repeated hepatic
function?
a. Methotrexate
b. Infliximab
c. Abatacept
d. Cyclophosphamide
Ans; A. Methotrexate
155. An 82 year old lady with diabetes , hypertension and
constipation is agitate at times and does irrelevant
talking. Her relatives brought her for check up. Heart
 PG-DIAMS
AIIMS NOVEMBER 2016 Solved Paper
rate ws 55/min, BP was found 150/100 around on
supine position and 122/90 upon standing. Her intestine
was loaded with hard stools and complained of severe
abdominal pain. Which is most appropriate for her is
she was on beta blockers, imipramine, haloperidol and
isabgol.
a. Changeange beta blockers to ace inhibitors as she
has resting bradycardia and add bisacodyl
b. Change imipramine and haloperidol to
fluoxetine + risperidone as she they are causing
postural hypotension. And add biascodyl
c. Continue same treatment with bisacodyl
d. Stop op all drugs and manual removal of impacted
stool and start bisacodyl
Ans; D. Stop all drugs and manual removal of
impacted stool and start bisacodyl
Ref: KDT essentials of Medical pharmacology
th
7 ed, pg 459
156. A drug is supposed to be more absorbed through skin.
In case if a person comes in contact with the drug which
is the order of penetration of the drug resulting in
maximum systemic concentration
a. Postauricular > serotum > scalp> Sosrsum of
Arm > planter area
b. Scalp > scrotum > post ost auricular > Dorsum of
arm > plantar area
c. Plantar area > dorsum of arm> scalp > Scrotum
> post auricular
d. Scrotum > Scalp > post auricular > dorsum of
arm> planar area
Ans: A. Postauricular > serotum > scalp>
Sosrsum of Arm > planter area
Ref: Goodman and Gilman’s the
th
pharmacological basis of Therapeutics. 12 ed.
Pg 112
157. Drugs used safely in renal failure without change in dose
a. Linagliptin
b. Sitagliptin
c. Vildagliptin
d. Saxagliptin
Ans: A. linagliptin
Ref: Katzung, basic and Clinical pharmacology
13 ed.pg 1090 and 1091.
158. A newborn born to a mother infected with
CMV did not have any symptoms or signs of
infection. IgM Anti HCMV antibodyy was positive.
Which of the following is not a long term
complication in this child?
a. Hearing loss
b. Seizures
c. Mental retardation
d. Liver failure
Answer: (d) Liver failure
Ref. IAP textbook of Pediatrics, 5th Ed,
Nelson’s Textbook of Pediatrics 19th Ed, Pg.
542
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159. All of the following are true regarding partogram
except:
a. Right side of alert line indicate
indicates immediate
referral to FRU
b. There is a four hour difference between alert
and active phase
c. Each square in partogram is equal to half an
hour
d. Partograph is plotted once the cervical
dilatation reaches 4 cm
Ans: C. Each square in partogram is equal to
half an hour
nd
Ref: Sheila Balakrishnan 2 ed. Pg 121
160. A 55 year old male came with complaints to bleeding
per rectum, diagnosed to be carcinoma colon
underwent right hemicolectomy. Identify the
instrument in the given picture
picture:
a. Hyfrecator
b. Ligasure vessel ligator
c. Harmonic scalpel
d. Monopolar cautery
Ans; D. Monopolar cautery
th
Ref; Bailey and Love, 26 ed. Pg 47
161. Which of the following is not true regarding TRALI
a. Mortality rate is <10%
b. Usefulness of steroids is not well established
c. Resolves in 2 -33 weeks
d. Supportive care is the main stay of treatment
Ans: C. Resolves in 22- 3 weeks
Ref: Bethesa Handbook of clinical hematology
rd
3 ed. Pg 306.
162. All of the following according to the recent guidelines
should be tested
ted for respiratory tuberculosis except:
a. HIV +ve patient with persistent cough
b. Diabetic persons with persistent cough
c. A known case of exptrapulmonary TB with
persistent cough
d. Contact with a sputum positive tuberculosis
with persistent cough
Ans: C. A known case of exptrapulmonary TB
with persistent cough
Ref: Technical and operational Guidelines for
TB Control in India 2016
163. The intraocular pressure (IOP) was measmeasured in a
population of 400 people above the age of 65. The
mean IOP was 25 and standard deviation was 10. What
 PG-DIAMS
AIIMS NOVEMBER 2016 Solved Paper
is the range that wound contain the IOP of 95% of the Reference: Declaration of Helsinki
population. _international code of Medical Ehtics
a. 23-27 167. All of the following happens in the mitochondria except
b. 21-29 a. Protein synthesis
c. 24-26 b. Fatty acid synthesis
d. 22-28 c. Beta oxidation of fatty acids
Ans: C. 24- 26 d. DNA synthesis
Ref: Textbook of statistics – Mahajan
Mah gupta Answer is (b) Fatty acid synthesis
164. Which of the following statement is correct regarding Reference: Harper’s Illustrated Biochemistry
th
the given DRCs? 28 Ed. Pg 665
168. Which of the following
ing vitamin is synthesized de
de-novo in
the body by metabolism
a. Niacin
b. Pantothenic acid
c. Cynocobalamin
d. Folic acid
Answer is (a) Niacin
169. The potential generateded due to freely duffusible ion
across a membrane is called
a. Nernst equation
b. Gibbs donnan equilibrium
c. Goldman-katzkatz equation
a. A and B are full agonists d. Goleman equation
b. C is noncompetitive antagonist Answer is (a) Nernst equation
th
c. B more potent than A Reference: Ganong 24 Ed. Pg 9
d. A more efficacious than B 170. Partogram evaluation of a labour is depicted below.
Ans; A. A and B are full agonist What does the curve marked as C represent?
Ref: KDT, essentials of medical
cal pharmacology
th
7 ed. Pg 54 58 to 60
165. Rapidly progressive glomerulonephritis is a clinical term
used for rapid advanced
anced renal parameters. What exactly
is the finding in microscopy
a. Membrane thickening
b. Crescents
c. Segmental sclerosis
d. Mesangial expansion
Answer: (b) Crescents
Ref. Heptinstall renal pathology. Ch. 3. Primers
of renal pathology a. Normal labour
166. Which of the following is not a correct match b. Primary dystocia during labor
c. Second arrest of cervical dilatation
d. Prolonged latent phase of labor
Sl. Declaration Purpose
Ans: C. Second arrest of cervical dil
dilatation
No rd
Ref; Arulkumaran management of labour – 3
1. Declaration of Hippocratic oath
ed. Pg. 39
Geneva
171. Which of the following is done for first trimester in
2. Declaration of Olso Therapeutic
down syndrome
abortion
a. MS AFP +PaPP
3. Declaration of Torture and
b. Inhibin + PaPP
Tokyo medicine
c. Estradiol + PaPP
4. Declaration of International code d. Beta hCG + PaPp
Helenski of ethics
Ans: D. Beta hCG + PaPp
a. 1 Ref: Sheila Balakrishnan textbook of obstetric
b. 2 nd
2 ed. Pg.
c. 3
172. A one month old infant was brought to the
d. 4
casualty with complaints of lethargy and mild
Answer is (d) 4
increase in temperature and poor feeding
feeding. There

22 | P a g e
 PG-DIAMS
AIIMS NOVEMBER 2016 Solved Paper
is no history of cough cold or loose stools. On 176. Below is a common instrument used in ophthalmology.
examination the infant had sunken eyes and skin In order to view the entire rretina what is the power of
pinch was not immediate, temperature was 99 C. o lens you would like to attach to the instrument?
What is your most probable diagnosis
a. Dehydration fever
b. Sepsis
c. Normal phenomenon
d. Post immunization reaction
Answer: (b) Sepsis
Ref: IAP textbook of Pediatrics, 5th Ed, Pg
66
173. Which of the following region in the below picture
constitutions to grade 4 retroperitoneal hemorrhage a. 90 D
b. 78D
c. 58 D
d. 20 D
Ans; D. 20 D
177. Palivizumab, a monoclonal antibody is used in the
prophylaxis of
a. Human metapneumovirus
b. Respiratory syncytial virus
c. Parainflunza type 2 4 virus
d. Influenza virus
Ans: B. Respiratory syncytial virus
Ref: Katzung basic and clinical pharmacology,
th
13 ed. Pg 1266
178. A patient presented with bullae all over the body and
a. A mucosa membrane also. With a clinical diagnosis of
b. B bullous disorder
order the biopsy was done. Histopathology
c. C and D showed a suprabasal separation of epidermis with row
d. E of tombstone appearance in the base of bullae. Below is
Ans: A. A. the picture of direct immunofluorescence of the same
Ref:
ef: essential of Vascular surgery for General patient. Your most probable diagnosis based on the DIF
Surgeons below is
174. Postherpetic neuralgia occurs after
a. 1 week
b. 2 weeks
c. 3 weeks
d. 4 weeks
Ans: D. 4 weeks
nd
Ref; CDT Neurology 2 ed. Pg 458
175. Which of the following is true regarding Sjogren
syndrome except:
a. Saliva has increased concentration of IgA
b. Saliva has increased concentration of sodium
c. Saliva has increased concentration of
phosphate a. Pemphigus vulgaris
d. The maximum amount of saliva secretion is < b. Bulous pemphigoid
0.5ml/min c. IgA pemphigus
Ans: A. Saliva has increased concentration of d. Epidermolysis bullosa
IgA Answer: (a) Pemphigus vulgaris
th
Ref: oxford textbook of Rheumatology 4 ed. Ref: Lever dermatopathology. Vesiculobullous
Pg 1049 disorders
rd
Oxford
ford handbook of Rheumatoogy 3 ed. Pg 179. Stain used for tattooing
attooing are all except
362 a. Indian ink
b. Vermillon

23 | P a g e
 PG-DIAMS
AIIMS NOVEMBER 2016 Solved Paper
c. Osmium dye d. Start the baby on ORS and keep on
d. Prussian blue monitor for one day
Answer is (c) Osmin blue Answer: (c) Consider severe dehydration
rd
Reference: KSN Reddy, Essntials of FM, 33 Ed. start IV fluids, IV antibiotics and refer to
Pg 92
higher centre
180. Below is the picture of intestinal trematode. Which of
the following is correct regarding the same
Ref. IAP textbook of Pediatrics, 5th Ed and
IMNCI Guidelines
183. According to WHO the dosage of misoprostol used for
prophylaxis of PPH is:
a. 400
b. 600
c. 800
d. 1000
Ans: B. 600
th
Ref: Williams’ Obstetrics 24 ed. Pg 548
rd
Arulkumaran management of labour 3 ed. Pg
309
184. Non visualization of gallbladder in hepatic scintigraphy
is seen in
a. Common bile duct stones
b. Carcinoma gallbladder
a. The eggs laid are infective for 10 days c. Acute cholecystitis
b. The adult worm grows to 1-2 2 m length d. Chronic cholecystitis
c. The site of attachment of adult worm is small Ans; C. Acute cholecystitis
th
intestine – jejunum and ileum Ref: Sabiston 20 ed. Pg. 1488
d. Triclabendazole is the treatment of choice 185. Identify the casue
Answer is (d) Triclabendazole is the treatment
of choice
Reference: Parasitology –K.D
K.D Chatterjee –
13the Ed. Pg 205
181. Duration of migratory motor complex is
a. 90 min
b. 120 min
c. 150 min
d. 70 min
Answer is (a) 90 min
th
Reference: Ganong 24 Ed. Pg 9 a. Muscular dystrophy
182. A newborn with weight 3,200 g was doing well. b. Congenital myopathy
At one month of age the mother brought the c. Myasthenia gravis
infant to the casualty with complaints of not d. Inclusion body myositis
Ans: A. Muscular dystrophy
feeding properly for 12 hours, loos stools but
bu no rd
Ref; Hutchioson’s clinical methods 23 ed. Pg
blood in stools, no urine output for 12 hours and
302
she complaints of decreased breast milk 186. All are sight of insulin administration except:
production. The infants weighed 2850 g now, he a. Dorsum of hands
was irritable with sunken eyes. Skin pinch test – b. Anterior thigh
the skin retracted within two seconds but not c. Lateral thigh
immediately. He also had>10 pustules all over the d. Around umbilicus
body. What is the line of management at a PHC Ans: A. Dorsum of hands
level Ref: Goodman and Gilman’s the
th
a. Administer the first dose of IV antibiotic pharmacological basis of therapeutics, 12 ed.
Pg. 1252
and immediately refer to higher centre
187. A patient came with history of burns in household. She
b. Give oral fluids and ask the mother to
was admitted to the ER was conscious and admitted in
continue the same and visit again next day the ICU, even after efficient management, she
c. Consider
der severe dehydration start IV fluids, succumbed within 6 hours. Clinical features suggestive if
IV antibiotics and refer to higher centre inhalational injury are all except

24 | P a g e
 PG-DIAMS
AIIMS NOVEMBER 2016 Solved Paper
a. Hoarsness of voice and sridor a. Seller stain for negri bodies
b. Soot in the laryngeal space b. Indirect immunofluorescence
c. Singeing of hairs over face and eyebrow c. Real time PCR
d. Yellow sputum d. Viral culture
Answer is (d) Yellow sputum Ans: D. Viral culture
Reference: Jaffery J Roth and William B Ref: Mandell douglas and Bennertt’s Principles
nd th
Hughes, The Essential Burn Unit HandbookL 2 and practice of infectious disease 8 ed. Pg.
Ed, pg 87 1989
188. A resisdent doctor used the same needle for two Ref: WHO guidelines for diagnosis,
patients while having antibiotics. Following which of the management, control and prevention of
patient
atient became HIV +. This act of gross medical dengue
negligence is punishable under 193. A 40 year old gentleman came with complaints for
a. 166B IPC vomiting since three days. His blood gas analysis shows
b. 202 IPC the following findings pH – 7.22 HCO3 – 9pCO2 -21.
c. 269 IPC Your inference is;
d. 203 IPC a. Mixed metabolic aci acidosis and respiratory
Answer is (c) 269 IPC alkalosis
rd
Reference: KSN Reddy, Essentials of FM, 33 b. Metabolic acidosis
Ed. Pg 55 c. Respiratory alkalosis
189. A 32-year-old
old met with road traffic accident and was d. Mixed respiratory acidosis and metabolic
brought to the casualty unconscious. On evaluation has alkalosis
GCS-3, BP -80/64 mm Hg, pulse- 110/ min, Ans: B. Metabolic acidosis
th
temperature– 99c. neurosurgeon ordered for a CT scan Ref: Harrison’s 19 ed. Pg 317
which showed an expanding extradural hemorrhage 194. A 75 kg gentleman with a diagnosis of acidbase
which needs to be evacuated urgently. He was not in a imbalance with pH -6.5,.5, pCO2 -30 mm hg, pO2-90mm
position to give a consent
onsent nor there were relatives who hg. HCO3 – 6 mEq. Calculate the HCO3 deficit in the
can give consent for the surgery. On what basis the individual.
surgeon can go ahead and do the surgery a. 500 mEq
a. 89 IPC b. 400 mEq
b. 90 IPC c. 300 mEq
c. 91 IPC d. 200 mEq
d. 82 IPC Ans: B. 400 mEq
Answer is (c) 92 IPC Ref: comprehensive clinical nephrology –
rd th
Reference: KSN Reddy, Essential of FM, 33 Ed. feehally 5 ed. Pg 842 handbook of fluid,
rd
Pg. 53 electrolytes and acid base balance 3 ed. Pg
190. All of the following drug causes pigmentation of nail 50.
plate except: 195. Which of the following is muscle splitting incision
a. Chloroquine a. Lanz incision
b. Cyclophosphamide b. Rutherford Morrison incision
c. Chlorpromazine c. Pfannesteil incision
d. Amiodarone d. Kochers
Ans: D. Amiodarone Ans: A. Lanz incision
Ref;Katzung basic and clinical pharmacology, 196. A patient comes to o you with S. bilirubin levels > 40 mg
th
13 ed. Pg 372 /dl and obstructive jaundice indicates
191. Which of the following belongs to profound hearing loss a. Carcinoma of gallbladder
according to WHO: b. Concomitant renal failure
a. > 71dB in the better ear c. Acute cholecystitis
b. >101 dB in the better ear d. Complete obstruction of the common bile duct.
c. >81 dB in the better ear Ans: B. Concomitant renal failure
d. >91 dB in the better ear Ref; Zakim and Boyer’
Boyer’s textbook of Hepatology
th
Ans; D. >81 dB in the better ear 6 ed. Pg 206
Ref: Scott brown’s otorhinolaryngology head 197. Which of the following is not seen in MEN1
and neck surgery volume III pg. 3548-3555
3548 a. Posterior pituitary tumors
192. You have a patient with suspected
uspected rabies encephalitis b. Foregut carcinoids
and you want to diagnosed the condition. You have c. Parathyroid hyperplasia
taken corneal scrappings from the patient and which of d. Pancreatic neuroendocrine tumors
the following tests will you do to confirm you diagnosis Ans; A. Posterior pituitary tumors

25 | P a g e
 PG-DIAMS
AIIMS NOVEMBER 2016 Solved Paper
rd
Ref: Oxford handfook of Endocrinology 3 ed.
Pg 587
198. A 28-year-old
old man consumed an unknown substance,
and was brought to the emergency department. He was
unconsicious and kerosene odor was coming from his
mouth. His pulse rate was 50/min, BP was 80/60mm Hg.
Which of the following you will not do in emergency
management in the emergency room
a. Gastric lavage
b. Atropine
c. Vasopressors
d. Maintain airway
Answer is (c) Vesopressors
Reference: VV Pilay, modern Medical
th
Toxicology, 4 Ed, pg 391
199. Which of the following is true diverticulum in esophagus
a. Peribronchial diverticulum
b. Meckel diverticulum
c. Epiphrenic diverticulum
d. Zenker diverticulum
Ans: A. Peribbronchial diverticulum
th
Ref: 1020 sabiston 20 ed.
200. Which of the following instruction are not given
gi if a
second puff is required?
a. Shake again
b. Wash your mouth between puffs
c. Wait for one minute before second puffs
d. Keep the mouth piece dry
Ans: B. Wash your mouth between puffs
Ref: GINA guidelines –Asthma
Asthma prevention and
management (2016 update) BTS guidelines for
the management of bronchial Asthma in
adults.

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