AIIMS NOV 2011

November 13, 2011

http://www.fundazone.com http://www.medicozone.com medPGmcq sms channels ( sms ON medPGmcq to 09870807070 ) 1. In acute inflammation endothelial cells retraction due to cytoskeleton re-organisation causes a. Immediate transient increase in permeability b. Delayed transient increase in permeability c. Early permanent increase in permeability d. Late permanent increase in permeability 2. Which of the following has LEAST chance of progression to multiple sclerosis a. Optic nerve involvement b. Absence of oligoclonal antibodies in CSF c. Truncal ataxia d. Pyramidal involvement 3. Which of the following therapy does not penetrate deep tissue? a. Short wave diathermy b.Microwave c. Infrared d.Ultrasound 4. A female patient was on hemodialysis developed carpel tunnel. It was found to be due to amyloidosis. What is the type of amyloid form synovial fluid? a. AA b. AL c. Beta2 microglobulin d. AL and AA 5. Which is not a feature of SIADH ? a. Increase urinary sodium excretion b. Urinary osmolality > plasma osmolality c. Hypokalemia d. Dilutional hyponatremia 6. All are true regarding SIADH excepta. Serum Na can be as low as 125 b. Serum sodium is normal or slightly low c. Vaptans are new FDA approved drugs for its treatment d. Urine sodium is normal or slightly low

7. Flaying is seen in which type of lacerated wound? a. Tear b. Shearing force c. Avulsion d. Pressure 8. Most common cause of Addisons disease in India isa. Tuberculosis b. Post partum c. Autoimmune d. HIV 9. If air is inspired forcefully maintenance of tidal volume is by? a. Bronchial stretch receptors b. J receptors c. Carotid/aortic body d. Hering breuer reflex 10. Regarding LDL receptor all are true except. a. Clathrin coated receptor on cell membrane b. Present only in extrahepatic tissues/ Only present in peripheral organs c. . LDL is taken by endocytosis d. Increased cellular chloesterol downregulates the receptors SMS ON medPGmcq to 09870807070 to activate free daily medical MCQs by sms 11. Criteria for chloroquine retinopathy are all excepta. Mild stippling or mottling in the macular pigmentation b. Seen at a dose of >250mg/d or >3mg/kg c. >480g total dose d. Not Recalled 12. Investigation of choice for meningial carcinamatosis? a. Non contrast CT b. Contrast MRI c. SPECT d. PET 13. A patient presents with recurrent sinusitis, situs inversus and dextrocardia. Most probable diagnosis is a. Kartgeners syndrome b. Horners Syndrome

c. Beckwith-Wiedemann syndrome d. Brown-Squard syndrome 14. Mean arterial pressure is a. (3DBP + SBP)/2 b. (DBP +SBP)/2 c. (SBP + PP)/3 d. (2DBP + SBP)/3 15. Investigation of choice for Zenkers diverticulum a. Barium swallow b. Oesophageal manometry c. 24hr ph monitoring. d. Endoscopy /MRI 16. During starvation gluconeogenesis is dependent on? a. Alanine b.Beta oxidation of fatty acid c.ADP d. ATP 17. Increased level of alanine in serum after fasting suggests : a. Increased muscle breakdown b. Reduced amino acid utilization from gluconeogenesis c. Break in continuity of plasma membrane so amino acids leaking out.. d. Not Recalled 18. What is the probable diagnosis in a patient with a dilated pupil not responsive to 1% pilocarpine? a. Diabetic 3rd nerve palsy b. Adies tonic pupil c. Uncal herniation d. Pharmacological block 19. Dilator pupillae is supplied by a. Post ganglionic parasympathetic edinger wesphal b. Post ganglionic sympathetic c. Occulomotor d. Trigeminal 20. Calcification around Foramen of Monro, with periventricular infiltrate, raised intracranial tension mass and below 3rd ventricle is seen in? a. Ependymoma b. Sub ependydomal-astrocytoma

c. Neuronal-cyst d. Central neurocytoma 21. All of the following occur in Herpes zoster keratitis except? a. Pseudodendritic keratitis b. Anterior endothelial keratitis c. Sclero keratitis /stromal keratitis d. Endothelitis 22. In India, syndromic management is applicable for? a. Chancroid and chancre b. Chancroid and herpes genitalis c. Chancroid, chancre, herpes genitalis d. Chancre and herpes genitalis 23. A man presents with a 6 month history of recurrent oral ulceration. He has yellowish ulcerations on his lip which are erythematous, with a central halo and nodular lesions on his shin. Diagnosis is : a. Behcet's syndrome b. Herpes labialis c. Fixed drug eruption d. Pemphigus 24. NESTROFT test is used in? a. Thalassemia b. Autoimmune hemolytic anemia C. Spherocytosis d. Sickle cell disease 25. Which of the following does not occur in a child exposed to cold climate? a. Shivering b. Flexion of body like a fetus c. Cutaneous vasoconstriction d. Production of noradrenalilne to release energy from brown adipose tissue 26. Socialised medicine all are true except a. Decreases competition among practitioners for patients b. Ensures universal coverage c. Using state funds for free medicine d. Increases utilisation of health facilities 27. Psychoitic features are due to all excepta. GABA b. Serotinin c. CCK-PZ d. Melatonin

28. A patient with radiologically confirmed Reflux nephropathy develops 3+ proteinuria. What is the most probable cause of proteinuria in this patient? a. Membranoproliferative glomerulonephritis b. Focal segmental glomerulonephritis c. Membranous glomerulonephritis d. Rapidly progressive glomerulonephritis 29. Glomerular capillary flow all are true excepta. Glomerular oncotic pressure lower than filtrate b. Oncotic pressure of filtrate is same as the systemic oncotic pressure c. Constriction of efferent arteriole leads to increase in blood pressure d. Increase in filtration lead to increase in hematocrit 30. Evidence-based medicine (EBM) all are true EXCEPTa. aims to apply the best available evidence gained from the scientific method to clinical decision making b. the research paper is investigated by the tools qouted in research paper itself to check validity c. the opinion of medical professionals n researchers have given a least importance d. Evidence is formed from weak study and poor studies 31. If a thiazide diuretic is administered, the response in excretion seen within 24 hrs area. Decreased calcium, increased sodium and potassium b. Increase sodium and potassium, increase calcium c. Decrease potassium and increase sodium and calcium d. Not Recalled 32. Which is true for octreotide a. Stimulates growth hormone b. Used in secretory diarrhoea c. Used orally d. Contraindicated in acromegaly 33. Prophylaxis with Azithromycin is given in cases of trachoma when prevalence in a community is:

a. 4% b.6% c. 8 % d. 10% 34. Chymotrypsinogen is a a. Carboxypeptidase b. Zymogen c. Transaminase d. Elastase 34. Marker of bone formation is all except a. Osteocalcin b. Alkaline phosphatase c. Procollagen residue d. Hydroxyproline 35. A pt present with sudden b/l loss of vision with loss of light perception. The loss is more on right side. Pupillary reflex, optokinetic nystagmus are normal. Pt can touch to his finger on closing his right eye but not on closing lt. What is diagnosis? a. Optic neuritis b. Anterior ischaemic optic neuropathy c. CMV retinitis d. Functional visual loss 36. Exclusively involve neurons a. Multiple cortical / system atrophy b. Spinocerebellar ataxia c. Corticobasal degeneration d. Supranuclear palsy 37. Which of the following is a marker for granulosa cell tumour? a. Alkaline phosphatase b. Inhibin c. CA 19-9 d. CA 5 38. Not true about Alzheimers diseasea. Neurofibrillary tangles correlate with the degree of dementia b. Tau proteins c. Plaques increase with age d. Not Recalled 39. Alzheimer's disease is associated with all of these except: a. Acalculia b. Aphasia

c. Apraxia d. Agnosia 40. A lady has a history of fall is unable to extend great toe. She also complains of pain in great toe, but with intact sensation. Disc prolapsed at what level? a. L4-L5 b. L1-L2 /S1-S2 c. L5-S1 d. L3-L4 41. A person had a fall from tree and has been unable to move both of his lower limbs and had no control over micturition. The dose of methylprednisolone in this condition is a. 30mg/kg within 3hrs b. 45mg/kg within 6hrs c. 60mg/kg within 9hrs d. 75mg/kg within 12hrs 42. All are seen in 3rd nerve palsy except a. Ptosis b. Diplopia c. Miosis d. Eye moves laterally 43. A patient develops delirium tremens after 4 days of abstaining from alcohol. In this state, he assaults his neighbor. Which of the following is true according to Indian Penal Code? a. He is not held responsible for the act b. He is partially responsible for the act c. He is fully responsible for the act d. Not Recalled 44. In a study in UK, it was found that there was more death due to asthma as compared to sale of drugs for asthma. This is an example of a. Ecological study b. Cohort c. Case reference d. Experimental 45. All are true regarding function of normal flora excepta. Mucin fermentation b. Epithelial proliferation c. Potassium Secretion d. Not Recalled 46. All are true regarding primary hyperaldosteronism except

a. Diastolic hypertension without edema b. Metabolic acidosis present c. Low secretion of rennin. d. High secretion of aldosterone inspite of reduced volume of fluid SMS ON medPGmcq to 09870807070 to activate free daily medical MCQs by sms

47. Same amino acid is coded by multiple codons due to following a. Degeneracy b. Frame shift mutation c. Transcription d. Mutation 48. poly (A) induced polypeptide synthesis will give rise to? a. Polylysine b. Polyglycine c. Polyalanine d. PolyGlutamine 49. Technique used to compare a new lab test with a gold standard test is known as? a. Regression analysis / Likehood test b. Correlation analysis / Bland and Altman analysis c. Baltin and Altimore method d. Kimorov and Samletor technique 50. What percentage of endothelium is destroyed in keratoplasty/ Cell loss after descements stripping in automated endothelial keratoplasty a. 0-5% b. 10-20% c. 30-40% d. 50-60% 51. An elderly man presented with fever and cough. Sputum examination revealed gram negative organisms that were grown on Buffered charcoal yeast extract agar. The organism involved is? a. H. influenzae b. Legionella pneumophila c. Burkholderia cepacia d.. Brucella 52. Not true about drug resistance mechanism? a. Most common mechanism is production of neutralizing substances

b. If resistance is plasmid mediated, it is always transferred vertically c. Alteration of target in pneumococcal resistance d. Complete removal of target is cause of resistance to vancomycin 53. Ozurdex is a. 0.7% dexamethasone b. 0.7% betamethasone c. 0.3% triamcinolone d. 0.7% triamcinolone 54. Which of the following is used to prevent HIV transmission from an HIV positive pregnant mother to child? a. Lamivudine b. Stavudine c. Nevirapine d. Didanosine 55. All of the following are required in PCR except a. Deoxyribonucleotides b. Thermostable enzyme /DNA polymerase c. Dideoxyribonucleotides d. Magnesium/ssdna /Template DNA 56. Isoenzyme have all the properties excepta. interact with the same receptor b. have same number and sub naming c. have equal affinity for target /Same quaternary structure d. Same classification/ same rate of work 57. Which among the following is an incorrect match? a. Murder IPC 300 b. Murder attempt IPC 307 c. Suicide attempt IPC 309/304-culpable homicide not amounting to murder d. 306-suicide 58. Receptor based drug design is helpful as a. It leads to very less lead compound b. Understanding the structure of receptor can enhance better target c. It is very easy and less time consuming d. Not Recalled 59. First step to produce insulin is to incorporate a. mRNA of beta pancreatic cell of humans

b. DNA of beta pancreatic cell of humans c. mRNA of beta pancreatic cell of bacteria d. DNA of beta pancreatic cell of bacteria 60. The most common gene defect in idiopathic steroid resistant Nephrotic syndrome a. NPHS 2 b.ACE /ALE c.HOX 11 d.PAX 61. The transmitters noradrenaline, adrenaline, dopamine, GABA and serotonin have a. Five pass gated Receptor /Two pass ligand receptor b. Four pass gated Receptor /One pass ligand receptor c. Seven pass Gated Receptor d. Ligand pass gated Receptor 62. Phagocytosis causes complement activation by a. C3b and Fc b. Receptor mediated endocytosis c. Not Recalled d. Not Recalled 63. Which of the following can help you to differentiate between epidermoid cyst and arachnoid cyst? a. Smooth margin b. Contrast enhancement c. CSF in FLAIR d. Not Recalled 64. In a well fed state, carnitine shuttle in outer membrane of mitochondria is inhibited by? a. Malonyl CoA b. Acetyl CoA c. Pyruvate d. Glucose 65. Which of the following is used to test the efficiency of sterilization in an autoclave? a. Clostridium tetani b. Bacillus stearothermophilus c. Bacillus pumilus d. Bacillus subtilis 66. Regular drinking of which of the following can help prevent UTI? a. Grape juice

b. Raspberry juice c. Orange juice d. Cranberry juice 67. A 6 year old boy presents with non blanching peticheal rashes all over the body. Biopsy shows perivascular neutrophillic infiltrate and IgA deposition. Which of the following is true? a. Henoch scholein purpura b .Hyper IgA syndrome c. Mucosal hypersensitivity syndrome d. Drug reaction 68. Which of the following is not a direct somatoform disorder /specific somatoform disorder? a. Somatization b. Fibromyalgia c. Chronic fatigue syndrome d. Irritable bowel syndrome 69. A 50 year old man with aortic stenosis is doing exercise for 11 minutes according to bruce protocol. Exercise had to be stopped due to fatigue. Regional pressure gradient is 60mmHg between the two sides of the aortic valve. What is the best management? a. Angiography b. Aortic valve replacement c. Balloon aortic valvuloplasty d. Medical follow up 70. 65 years old patient presented to the emergency with high grade temperature and increased respiratory rate. He complained of pain in the chest and had developed cough with expectoration. His sputum was sent to the laboratory for gram straining which showed the presence of pus cells and gram positive cocci. The culture on the blood agar medium was also positive. Which of the following laboratory tests will help to differentiate the specific pathogen from the other commensal gram positive cocci? a.Bacitracin sensitivity b.Oxidase test c.Bile solubility d.Coagulase test 71. A newborn presents with congestive heart

failure, on examination has bulging anterior fontanellae with a bruit on auscultation. Transfontanellar USG shows a hypoechoic midline mass with dilated lateral ventricles. Most likely diagnosis is a .Medulloblastoma b. Encephalocele c. Vein of Galen malformation d. Arachnoid cyst 72. A witness who changes his statement becomes hostile witness and is punishable undera. Sec 191 IPC b. Sec 161 IPC c. Sec 171 IPC d. Sec 181 IPC 73. Adverse (deleterious) effect of hypothermia are all except: a. Cardiac arrhythmia b. Decrease peripherial resistance c. Reversible coagulopathy d. Renal failure 74. Which of the following is not involved in protein synthesis? a. Ribosome b. Peptidyl transferase c. Aminoacyl tRNA d. RNA polymerase 75. If 4 nucleotide repeats code for a amino acid...what is no. of amino acid coded possible: a. 16 b. 64 c. 4 d. 256 76. According to organ transplantation act 1994 what punishment for doctor if found guilty? a. 2 yrs b. More than 5 yrs c. 1 yrs d. 2-5 yrs 77. Drug used for non infectious uveitis in LUMINATE clinical trial program a. Cyclosporin b. Voclosporin c. Steroid / Infliximab d. Methotrexate

78. Bremelanotide used for a. Erectile dysfunction b. LUTS c. Prostate Cancer d. Metastatic renal cancer 79. Mizau phenemenon a. Oguchi ds b. Fundus apunctaneus c. Fundus amaculateus d. Not Recalled 80. Stack method for age estimation from the dental pattern is used in a. Infants b. Adult c. Age 25 - 50 years d. Age more than 50 years 81. A middle aged female presents with slowly progressive weakness of lower limbs, spasticity and recent onset hesitancy of micturition. On neurological examination there is evidence of dorsal myelopathy. MRI scan of spine reveals middorsal intradural/ subdural contrast enhancing mass lesion. Diagnosis is: a.Intradural Lipoma b.Dermoid Cyst c.Meningioma d.Neuro Epithelial Cyst 82. Systemic steroids are indicated in? a. Pustular psoriasis b. Impetigo herpetiformis c. Psoriatic arthropathy d. Erythamatous Psoriasis 83. Recent direct thrombin inhibitor which can be used in stroke is a. Dabigatrin b. Ximelagatron c. Lepirudun d. Saxagliptin 84. Normal functioning ovaries are found in a.MRKH b.Sweyer syndrome c.Turner d.Mllerian agenesis 85. In a patient presenting with hematuria and

hypercalcuria, which of the following can be the associated finding a. Isomorphic RBC b. Proteinuria c. RBC cast d. Not Recalled 86. Gallow's traction done in a. Fracture Femur b. Fracture Tibia c. Fracture Humerus d. Fracture Ulna 87. Intra-epidermal IgG is associated with? a. Pemphigus b. Bullous pemphigoid c. Psoriasis d. Lichen Planus 88. A patient has the following lab test-BT=3, PT 15/14, APTT= 45/35, platelet count= 2.5 lacks, factor VIII= 60.The most probable diagnosis is a. Factor VIII deficiency b. Megakaryotic Thrombocytopenia c. Factor IX Deficiency d. Factor X Deficiency 89. For which of the following conditions giving Prostaglandins is detrimental a.Hypoplastic left heart syndrome b. Pulmonary atresia with VSD c. Obstructive TAPVC d. ASD 90. Cricket player hit his base of right thumb while catching a ball. For which of the following muscle will you investigate further? a. Abductor pollicis longus b. Flexor pollicis brevis c. Ulnar collateral ligament d. Volar plate 91. Patient complaining of pain and numbness in middle finger , index finger and thumb of right hand especially during night time. Which test is not done for evaluation of this condition? a.) Finkelstein test b.) Phalen's test c.) Tinel's sign d.) Torniquette test

92. A diabetic /Alcoholic presents with painless fixed 15 degree flexion deformity in the little finger. Management is a.) Observation b.) Percutaneous fasciotomy c.) Subtotal fasciotomy d.) Total fasciotomy 93. Ham's test positive with hemolytic anemia is seen in a.) Thalessemia b.) Sickle cell anemia c.) Defective in spectrin structure d.) PNH 94. Best treatment for kawasaki's disease is a.) Aspirin b.) I.V. immunoglobulins c.) Corticosteroids d.) Methotrexate 95. A Child presents with meningomyelocoele. Investigation to be done is a. Blood culture b. CSF culture c. Anal culture d. CBC 96. All are true about myelopathies except a. Sensory loss of facial area b. Brisk jaw jerk c. Brisk pectoral jerk d.Bladder urgency 97. Girl presents with primary amenorrhea. On examination secondary sexual characters are present but uterus and ovary are absent. What is the probable diagnosis a.MRKH b. Androgen insensitivity c. Turner's d. Gonadal dysgenesis 98. In which of the following conditions ovary is functional a.MRKH b. Androgen insensitivity c. Turners Syndrome d. Not Recalled 99. A patient with sudden bilateral acute severe vision loss more on the right eye. All other

tests are normal. What is the probable diagnosis a. Optic neuritis b. Anterior ischemic optic neuropathy c. Functional loss d. Not Recalled 100. Man with head injury, after 4 days periorbital and frontal ecchymosis , diagnosis a. Sphenoidal fracture b. Internal carotid artery aneurysm c. Cavernous sinus thrombosis d. Not Recalled 101. Most common complication after ileal pouch anal anastomosis for IBD is.. a. Small intst obstruction b. Pelvic abscess c. Perineal infection d. Pouchitis 102. ALP is increased in a.Dysgerminoma b. Malignant teratoma c.Ca Ovary d. Ca Stomach 103. Preleukemic conditions all except a. PNH b. PCH c. Aplastic anemia d. MDS 104. Which of the following if present is least likely to progress to multiple sclerosis a. Oligonucleotide bands b. Complete cord transaction c. B/L optic neuropathy/ blindness d. Not Recalled 105. Not liver capsular plate? a. Ductal plate b. Hilar plate c. Umbilical plate d. Cystic plate 106. Not a part of superficial perineal pouch: a. Posterior scrotal nerves b. Sphincter urethrae c. Ducts of bulbourethral glands d. Bulbospongiosus muscle 107. Lateral most to the femoral hernial sac:

a. femoral nerve b. femoral vein c. femoral artery d. lateral cutaneous nerve of thigh 108. Anticoagulant of choice for coagulation test? a. 3.5% sod citrate b. EDTA c. Heparin d. Sodium oxalate 109. Most common organ to be affected in Post operative ileus: a. Stomach b. Duodenum c. Ileum d. Colon 110. Palato print commonly taken from a. Anterior part of palate b. Lateral wall of palate c. Medial wall of palate d. Posterior part of palate 111. Ossification centre first appears a. End of 2nd month b. Beginning of 2nd month c. End of 3rd month d. End of 4th month 112. Type D personality were recently found to risk for a. Coronary artery disease b. Depression c. Personality disorder d. Schizophrenia 113. Eosinophilia not seen with? a. Contrast nephropathy b.Drug induced nephropathy c. Atheromatous Plague d.Erythema nodosa 114. A 20 year old female presents with Hb-9, MCV- 50, ferritin-200, TIBC-294. What is the diagnosis? a. Iron deficiency b. Anemia of chronic disease c. Thalasemia major d. Thalasemia minor 115. WHICH OF THE FOLLOWING DOES NOT

AFFECT THE HARDY WINBERG EQUATION? a. Small population b. Random mating c. Not Recalled d. Not Recalled 116. The following are components of Brown Sequard syndrome except: a. Ipsilateral extensor plantar response b. Ipsilateral pyramidal tract involvement c. Contralateral spinothalamic tract involvement d. Contralateral posterior column involvement 117. Structure passing via esophageal hiatus are all except a. Left vagus b. Right vagus c. Left phrenic d. Left gastric artery 118. Vision 2020, who which them does not form part of it a. WHO b. UNICEF c. Orbis International d. International Agency For Prevention of Blindness 119. Patient with proptosis and pain after 4 hrs of injury. Also bruise in left eye and frontal area. The diagnosis is a. Caverneous sinus thrombosis b. Internal carotid artery aneurysm c. Carotico cavernous fistula d. Sphenoid fracture 120. Downs syndrome all are true excepta. Deleted 21 b. Trisomy 21 c. 45,XX,der(14;21)(q10;q10) d. 46,XX/47,XX,+21 SMS ON medPGmcq to 09870807070 to activate free daily medical MCQs by sms 121. A child with fever shows CD 10 positive; CD 19 positive; MPO positive; CD 117 positive; CD 3 negative; CD 33 negative; TC= 6000; Hb= 4.5; Platelet count= 20000. The most probable diagnosis is a. ALL b. AML

c. Biphenotypuic d. Undifferentiated 122. Efavirenz acts a. HIVI1 PROTEASE inhibitor b. HIV1 nucleosidase inhibitor c. HIV 1 integrase inhibitor d. HIV entry into cell 123. Which retinal layer is most resistant to radiation a. RPE b. Layers of rods and cones c. Bipolar cell layer d. Ganglion cell layer 124. Lid retraction caused by? a. Bimatoprost b. Latanoprost c. Brimonidine d. Apraclonidine 125. In a patient with urethral syndrome, urine microscopy shows full of polymorph, but no bacteria. The most appropriate culture medium is? a. Mc'coy cell b. Thayer martin s c. Cooked meat d. PPLO broth 126. First chemical barrier encountered for microorganism for common exposed sites a. Lysozyme b.Acidic ph c. Skin d.Glycogen 127. Yellow sclera and jaundice not seen from birth a.PNH b.G6PD c.SLE d. Hereditory spherocytosis 128. Least significant damage would occur in case of injury to : a. Celiac axis b. Renal artery c. Superior mesenteric artery d. Inferior mesenteric artery 129. In Spondylolisthesis which of this

investigation is not useful a. CT scan b. MRI c. Lumbar region x-ray- AP view d. Lumbar region x-ray - lateral view 130. Proven case of renal papillary necrosis what investigation on urine you would not do: a. Urine acidification test b. Sickling test c. TB-PCR - urine d. Bacterial culture of urine 131. A 75 yrs with focal seizures with normal renal function, Drug of choice is ? a. Valporate b.Pregbalin c.Levitriacetam d. Carbazepam 132. A person had infection due to gram positive organism treated with methicillin and then culture sensitivity shows resistance to it. Hence all can be given in MRSA except? a. Vancomycin b. Cotrimoxazole c. Cefaclor d. Ciprofloxacin 133. Heterotrophic ossification - most important investigation you would do for management: a. Alkaline phosphatase b. K+ c. Acid phosphatase d. Calcium 134. A surgeon with less experience of laproscopic cholecystectomy while doing lap surgery founds stone in common bile duct. What should he ideally do? a. Open cholecystectomy with choledocoduodenostomy b. Lap exploration of CBD and removal c. Lap removal of stone though bile duct d. Open exploration of CBD 135. All prevent delivery of after coming head of fetus except a. Extended head b. Hydrocephalus

c. Placenta previa d. Incomplete dilation of cervix 136. A new born baby presented with blisters on skin and a shin on knee. Best investigation for diagnosis isa. VDRL B.MANOUX on blister fluid c. TPI d. TPHA 137. Which of the following is not a limb girdle myopathy a.Sarcoglycanopathy b. Dystrophinopathy c. Calpainopathy d. Not Recalled 138. Diabetes is best diagnosed by a. FBS 100 and PPBS 140 b. FBS >125 and PPBS >199 c. HbA1c = 5.5% d.FBS more than 70 139. CV malformations are all of these except: a. Rheumatoid arthritis b. Ankylosing spondylitis c. Odontogenesis d. Basilar invagination 140. Not a pre malignant among the given isa. PNH b. PCH c. Aplastic anemia d. Myelodysplastic 141. Mechanism of injury in ant shoulder dislocation a. Abduction and external rotation b. Adductio0n and internal rotation c. Abduction and internal rotation d. Adduction and external rotation 142. Counter transference is a. Patient feeling towards doctor b. Doctors feeling towards patient c. Defence mechanism d. Not Recalled 143. For confirmation of DNA from autopsy sample is taken from a. Liver b. Spleen

c. Kidney d. Brain 144. A 28 year female with infertility had been investigated with HSG reveled bilateral cornual block. Next best investigation to be done is a. Tuboplasty b. IVF c. Hydrotubation d. Laparoscopy and hyseteroscopy http://medpgthrissur.org/portal 145. Karyotyping of fetus can be done from all excepta. Chronioc villous sampling b. Cordocentesis c. Amniocentesis d. Fetal skin biopsy 146. Xenon anesthesia all are true accepta . Slow induction and emergence b. Non explosive c. Less cardiovascular side-effect d. Not Recalled 147. A patient with history of trauma attended emergency with right renal hematoma. IVP shows descerblity on right kidney and left kidney normal uptake. Next line of managementa. Exploration of kidney b. Nephrectomy c. On table RUG d. Not Recalled 148. Brinzolamide isa. competitive and reversible carbonic anhydrase inhibitor. b. non-competitive and reversible carbonic anhydrase inhibitor. c. competitive and irreversible carbonic anhydrase inhibitor. d. competitive and irreversible carbonic anhydrase inhibitor. 149. A patient had enlarged pituitary gland on MRI scan. His thyroid profile revieled increased TSH and T4 decreased. What may be the probabale cause? a. Primary hypothyroidism b. Pitutary tumor

c. Pitutory throtrophic adenoma d. Not Recalled 150. Conversion of T4 to T3 is inhibited by all excepta.Propanolol b.Propyl thiouracil c.Amiodarone d. Methiimazole 151. A 16 yrs olf female has a solid content in USG finding with normal alpha fetoprotein, normal hCG, increased alkaline phosphatase . Most probable cause may be a.Dysgerminoma b.Teratoma. c.Endodermal sinus tumor d.Mucinous cystadenoma 152. A 18 year old female presented in infertility clinic with bilateral inguinal hernia; history reverel- Primary amenorrhea, but had normal secondary sexual characteristic with absent pubic hair. Most probable diagnosis is a. AIS b. Turners c. MRKH d. Mullerian duct agenesis 153. While checking prothombin timea. Freeze to preserve clotting factor b. Rush to hospital in 2 hour c. Platelet rich plasma d. Activated by kaolin http://fundazone.com 154. Which of the following drug is used as Transcranial patch for Parkinsons disease a. Levodopa b. Rotigotine c. Selegiline d. Carbidopa 155. MRI appearance of cavernous angiomaa. Popcorn appearance b. Sun ray appearance c. Not Recalled d. Not Recalled 156. Bremelanotide used for a. Erectile dysfunction b. Ca prostate

c. LUTs d. Metastatic RCC 157. A 30 yrs old executive complains of excessive sleepiness in daytime and lack of sleep at night. Once at a party his friends noticed of his sudden fall due to sleep. He may have a. Seizures b. Night mares c. Apnoea during sleep d. Not Recalled 158. A child presented with leaking menigiomyelocoele. Which of the following would be most appropriate for diagnosis? a. Wound swab and culture b. Blood culture c. Urine culture d. CBC 159. 40 mm gap between & tropocollagen is for which molecule so as to allow deposition in bone a.Calcium b. Iron c. Manganese d. Phosphorus 160. All changes occurs in pregnancy except a. Increase in peripheral vascular resistance. b. Increase in stroke volume c. Increase in cardiac output d. Increase in blood volume 161. All are true about oxygenase except? a. Incorporates one atom of oxygen b. Incorporates both atoms of oxygen c. Hydroxylation d. Help in carboxylation reaction of steroids 162. A young male who had a road traffic accident, presented with a non pulsatile retroperitoneal hematoma. On table intravenous urogram was done. Right kidney was not visualised. Left kidney showed immediate excretion of dye. What is next step in management? a. Nephrectomy b. Explore proximal renal vessels, open Gerotas fascia and explore kidney

c. Perform on table angiography d. Retrograde pyelography 163. All are true regarding vitamin D excepta. Hydroxylation occurs in liver b. 25 hydroxylation occur in kidney c. Vit d 400-600 is required in absence of sunlight d. Wilsons syndrome 164. Preleukemic conditions are all accept? a. Paroxysmal nocturnal hemoglobinuria b. Paroxysmal cold hemoglobinuria c. Myelodysplasia d. Aplastic leukemia 165. A 25 year old lady on treatment for rheumatoid arthritis has the following lab findings. Haemoglobin 6g, MCV 60fl,RBC= 2.5 lakhs, Ferritin 200ng/ml. Transferrin 298 mg/dl. Iron -=30 What is the probable diagnosis? a. Thalassemia b. Autoimmune hemolytic anemia c. Anemia of chronic disease d. Iron deficiency anemia 166. 17 year old female presented with a history of primary amenorrhoea. She had bilateral inguinal hernias. Secondary sexual characters were present. Pubic hair was absent. Which among the following is the most probable diagnosis? a. Androgen insensitivity b. Star syndrome c. Mullerian agenesis d. Turner syndrome 167. Indications of glucose tolerance test in a pregnant woman are all except? a. Previous malformation b. Polyhydramnios c. Eclampsia d. Previous unexplained death 168. A 25 year old lady presented with fever of 1 month duration, ataxia and head ache. Brain imaging showed dilated ventricles with basal exudates. Which among the following is the most likely CSF finding? a. Lymphocytic pleocytosis, low sugar, high

protein b. Lymphocytic pleocytosis, low sugar, low protein c. Lymphocytic pleocytosis, high sugar, low protein d. Neutrophilic pleocytosis, low sugar, high protein 169. Drug not used in multiple sclerosis? a. Interferon 1 alpha b. Interferon 1 beta c. Glatiramer acetate d. Mycophenolate mofetil 170. Most Common site of cholangiosarcoma a.Intrahepatic bile duct b.Origin of cystic duct c.Common bile duct d.Extrahepatic bile duct

171. The Role of Cap in lac operon is a. Positive regulator b .Negative regulator c. Attenuation d. Constituted expression 172. All of the following regarding drug metabolism are correct EXCEPTa. Calcium channel blockers-CYP3 b. Celiprolol- CYP2D6 c. Digitoxcin p-gp d. Not Recalled 173. A new method of measuring Hb concentration was developed. The ten result of one sample are as follows-9.4, 10.4, 9.6, 10.8, 9.1, 12.1, 10.1, 9.8, 9.2 and 9.5. But the Hb level measured by standard colorimetry was 10.2. Thus this method hasa. low validity low reliability b. low validity and high reliability c. high validity and low reliability d. high validity and high reliability 174. Direct standardization is used to compare the mortality rates between two countries because of differences in: a. Cause of death b. Numerators c. Age distributions d. Denominators

175. Mothers breast milk is essential for newborn .It also contain which of the followinga. Docosahexaenoic with b. Linoleic acid c. Arachidonic acid d. Linolenic acid 176. The complete amino acid sequence of the two polypeptide chains of insulin was studied and a Noble prize was awarded toa. Frederick Sanger b. Banting and Best c. Not Recalled d. Not Recalled 177. Drug of choice of Congenital Adrenal Hyperplasia is a. Dexamethasone b. Betamethasone c. Hydrocortisone d. Predinsolone http://www.medicozone.com 178. A patient presents with LDL = 600 and TG= 140; which of the following may be present? a. Tender xanthomas b. Plantar xanthomas c. Tuberoeruptive xanthomas d. Lipemia retinalis 179. Gold standard study for clinical research is a. Randomised double blinded clinical trial b. Systemic meta-analysis c. Ecological study d. Retrepospective cohort study SMS ON medPGmcq to 09870807070 to activate free daily medical MCQs by sms 180. Depression of EEG is found witha. Ketamine b. Hypothermia c. Early hypoxia d. N2O 181. Doc in multiple sclerosis a. . IFN b. IFN c. IFN d. Infiliximab

182. A child presents with erythramatous and itching with redness of both the cheeks. There was history of sudden onset macule and papule. Mother has history of bronchial astham. Most probable diagnosis is a. Atopic dermatites b. Infections eczematoid dermatitis c. Drug eruption d. Psoriasis http://medical.fundazone.com 183. All are inaccurate regarding forceps delivery except? a. The anteroposterior diameter of head should not be more than 15 degree to the axis b. The presentation should be vertex or mentoanterior c. The presenting part should be at at zero station d. Caput succedaneum is not a contraindication 184. Which among the following is not a ultrasound feature of Congenital Hypertrophic Pyloric Stenosis? a. 95% sensitivity by ultrasound b. Thickness of pylorus > 4mm c. Canal length > 16mm d. High gastric residue 185. All are limb girdle dystrophies except? a. Sarcoglycanopathies b. Dystrophinopathies c. Dysferlinopathy d. Calpainopathy 186. If a doctor indulges in giving a false medical certificate to a patient, he is liable to be prosectuted under? a. 137 IPC b. 157 IPC c. 197 IPC d. 167 IPC 187. Universal definition of myocardial infarction includes all except? a. Sudden death can be due to MI b. New abnormal wall motion with raised cardiac biomarkers c. 3 times rise in troponin levels d. Reperfusion leads to elevation of troponin levels in 5-7% http://www.fundazone.com

188. Which is the only drug effective in EDSS in multiple sclerosis? a. Interferon gamma b. Interferon beta c. Glatiramer acetate d. Natalizumab 189. A 4 month pregant lady on treatment with valproate regularly asked for your advice regarding taking the drug during pregnancy. What is the best course of action? a. Immediately taper off valproate and start lamotrigine b. Change to carbamazapine c. Continue valproate with dose monitoring d. Give both valproate and lamotrigine 190. All are inaccurate regarding forceps delivery except? a. The anteroposterior diameter of head should not be more than 15 degree to the axis b. The presentation should be vertex or mentoanterior c. The presenting part should be at at zero station d. Caput succedaneum is not a contraindication 191. Hormone replacement therapy decreases all of the following excepta) Vaginal dryness b)Hot flushes C) Prevention of cardiovascular risk d)Prevention of osteoporosis 192. Somatic passivity is seen ina. Schizophrenia b. Hypochondriac disorder c. Body dysmorphic disorder d. Depression 193. Bipolar type 2 disorder isa. Mania and depression b. Hypomania and sub acute depression c. Hypomania and depression d. Mania and sub acute depression SMS ON medPGmcq to 09870807070 to activate free daily medical MCQs by sms 194. Rheumatoid arthritis is best diagnosed by a. Anti-ccp antibody b. Ig G antibody

c. Ig A antibody d. Ig M antibody 195. Acute pancreatitis severity associated with all except: a. Glucose b. Ca+2 c. Amylase d. Transminases 196. Suppose you are working in a remote PHC and you have to send a blood sample for estimation of blood glucose level, following agent is used a. E. D. T. A b. Potassium oxalate c. K oxalate + NaF d. K oxalate + NaI 197. A child presented with jaundice and history of passing clay colored stool. The following enzymes will be elevated except: a. 5 nucleotidase b. ALP c. -GGT d. ALA 198. You have diagnosed a patient clinically as having SLE and ordered 6 tests. Out of which 4 tests have come positive and 2 are negative. To determine the probability of SLE at this point, you need to know: a. Prior probability of SLE; sensitivity and specificity of each test b. Incidence of SLE and predictive value of each test c. Incidence and prevalence of SLE d. Relative risk of SLE in this patient 199. A patient admitted to an ICU is on central venous line for the last one week. He is on ceftazidime and amikacin. After 7 days of antibiotics he develops a spike of fever an his blood culture is positive for gram positive cocci in chains, which are catalase negative. Following this, vancomycin was started but the culture remained positive for the same organism even after 2 weeks of therapy. The most likely organism causing infection is: a. Staphylococcus aureus b. Viridans streptococci c. Enterococcus faecalis d. Coagulase negative staphylococcus

200. With reference to bacterioides fragilis the following statements are true, except: a. B. fragilis is the same frequent anaerobe isolated from clinical samples b. B. fragilis is not uniformaly sensitive to metronidazole c. The lipopolysaccharide formed by B. fragilis is structurally and functionally different from the conventional endotoxin d. Shock and disseminated intravascular coagulation are common in bacteroides bacteremia

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AIIMS NOV 2011

November 13, 2011
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