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AIIMS 2010 Exam Paper

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Tags : AIIMS, AIIMS 2012 Paper, AIIMS 2012 Question Paper, AIIMS 2012 Solution, AIIMS 2012 Paper with solutions, AIIMS 2012 Paper Solved, AIIMS 2012 Paper Online, AIIMS 2012 Important Questions, AIIMS 2012 Extrance Paper, Medical 2012 Exam Paper, AIIMS 2012 Extrance Paper Solved, AIIMS 2012 Previous Year Paper, AIIMS 2012 Paper Solved AIIMS 2010 Solved Question Paper Middle superior alveolar nerve is a branch of A. Mandibular division of trigeminal nerve B. Palatine division of maxillary nerve C. Anterior nasal division of maxillary nerve D. Inferior alveolar nerve All the following muscles retracts the scapula EXCEPT A. Trapezius B. Rhomboid major C. Rhomboid minor D. Levator scapulae Cranial nerve NOT carrying parasympathetic fibres A. 4th B. 7th C. 3rd D. 9th Prostatic urethra – True are A/E A. Trapezoid in cross section B. Elevated round swelling called verumontanum C. Opening of prostatic ducts D. Posterior part has urethral crest Morgagni hernia presents most commonly on A. Left posterior B. Right anteriorC. Right posterior D. Left anterior Meralgia parasthetica is due to involvement of A. Sural nerve B. Medial cutaneous nerve of thigh C. Lateral cutaneous nerve of thigh D. Peroneal nerve Celiac plexus is located A. Anterolateral & around the aorta B. Posterolateral & around the aorta C. Anteromedial to lumbar sympathetic chain D. Posterolateral to lumbar sympathetic chain Paneth cells – True is A. Rich in rough endoplasmic reticulum B. High zinc content C. Foamy cytoplasm D. Numerous lysozyme granules About sternocleidomastoid tumor all are true except A. Always associated with breech B. Spontaenous resolution in most cases C. Two-third have palpable neck mass at birth D. Uncorrected cases develops plagiocephaly The function of 8th cranial nerve is related to A. SmellB. Taste C. Touch D. Balance Anterior ethmoidal nerve supplies all except? A. Maxillary sinus B. Interior of nasal cavity C. Dural sheath of anterior cranial fossa D. Ethmoidal air cells A healthy young athlete is sitting at the edge of the table with knee at 90 degree flexion. He fully extends it. What will happen? A. Movement of tibial tuberosity towards lateral border of patella B. Movement of tibial tuberosity towards medial border of patella C. Movement of tibial tuberosity towards centre of patella D. No change in position Pain insensitive structure in brain is A. Falx cerebri B. Dural sheath surrounding vascular sinuses C. Choroid plexus D. Middle meningeal artery Appendices epiploiceae present in A. Appendix B. Cecum C. Rectum D. Sigmoid colon Pelvic splanchnic nerve supplies A/EA. Appendix B. Rectum C. Uterus D. Urinary bladder Appetite is stimulated by A/E A. Agouti related peptide B. Melanocyte concentrating hormone C. Melanocyte stimulating hormone D. Neuropeptide Y Capacitation occurs in A. Uterus B. Seminal vesicle C. Epididymis D. Vas deferens The main cause of increased blood flow to exercising muscles A. Raised blood pressure B. Vasodilatation due to local metabolites C. Increased sympathetic discharge to peripheral vessels D. Increased heart rate Intrinsic factor of Castle is secreted by A. Chief cells B. Parietal cells C. Mucus cells D. B cells Somatomedin mediatesA. Deposition of chondroitin sulphate B. Lipolysis C. Gluconeogenesis D. Decreased rate of glucose uptake by cells Hyperaldosteronism associated with all except A. Hypernatremia B. Hypokalemia C. Hypertension D. Metabolic acidosis Spinocerebellar tract – Function is A. Equilibrium B. Vision C. Initiation & planning of movements D. Smoothens & co-ordinates mvt hemotaxis – Main feature is A. Unidirectional locomotion of neutrophils B. Increase in phagocytosis C. Increased random motion of neutrophils D. Increased adhesiveness to intima Splicing activity seen in A. mRNA B. snRNA C. tRNA D. rRNA After digestion by restriction endonucleases DNA strands can be joined again byA. DNA polymerase B. DNA ligase C. DNA topoisomerase D. DNA gyrase Acetyl coA can be directly converted to all except A. Glucose B. Fatty acids C. Cholesterol D. Ketone bodies After overnite fasing,levels of glucose tranporters reduced in A. Brain B. Muscle C. Adipocytes D. Hepatocyte Insulin stimulates A/E A. Glycolysis B. Glycogenesis C. Lipogenesis D. Ketogenesis Eukaryotic cell membrane contains A/E A. Cholesterol B. Triglycerides C. Carbohydrates D. Lecithin All of the following are true about sickle cell trait exceptA. Single nucleotide change leads to a change from glutamate to valine B. A single base pair change leads to RFLP C. Deoxygenated Hb leads to the exposure of sticky end due to replacement of non polar residue by polar residue D. Offers protection to malaria in heterozygotes Hepatomegaly is the essential feature for all of the following except A. Hepatic porphyria B. Niemann Pick disease C. Von Gierke’s disease D. Hurler syndrome A 40 yr old woman presents with progressive palmoplantar pigmentation. X-ray spine shows calcification of intervertebral discs. On adding Benedict’s reagent to urine, it gives greenish brown precipitate and blue black supernatant fluid. What is the diagnosis? A. Phenylketonuria B. Alkaptonuria C. Tyrosinemia type 2 D. Argininosuccinic aciduria Incised wounds on genitals are usually A. Homicidal B. Self-inflicted C. Post-mortem artefact D. Accidental Heat rupture characterised by A. Irregular margin B. Clotted blood C. Regular margin D. Clotted blood vesselsMotorcyclist fracture – True is A. Ring fracture B. Sutural separation C. Comminuted fracture of vault of skull D. Fracture base of skull into anterior & posterior halves Commonest organ injured in blast injury A. Lung B. Liver C. Spleen D. Pancreas Damage produced by a bullet is related to its A. Mass B. Velocity C. Shape D. Size A child brought with suspected ingestion presenting with dry mouth, dilated pupil, difficulty in swallowing, delirium, dry & warm skin. The substance is A. Anti-cholinergic B. Sympathetic C. Cholinergic D. Alpha blocker Global warming true is A. CO2 is the major greenhouse gas B. Stratosphere ozone layer is harmful C. CFC increases stratosphere ozone layerD. Kyoto protocol called for 20% reduction in greenhouse effect Vaccine with maximum efficacy A. OPV B. Measles C. BCG D. TT NOT an indicator of fecal contamination A. Staphylococcus B. Streptococcus C. E.coli D. Clostridium perfringens True about cow’s milk are all except A. Cow’s milk contains 80% whey protein and not casein B. Has more protein than breast milk C. Has more K+ and Na+ than infant D. Has less carbohydrates than mothers milk Which of the following about lepromin test is not true? A. It is negative in most children in first six months B. It is a diagnostic test C. It is an important aid to classify type of leprosy disease D. BCG vaccination may convert lepra reaction from negative to positive Not spread by louse A. Epidemic typhus B. Q feverC. Relapsing fever D. Trench fever Which of the following diseases is not included in “Vision 2020 – Right to Sight†immediate goals? A. Cataract B. Epidemic conjunctivitis C. Onchocerciasis D. Trachoma Direct standardisation is used to compare the mortality rates between two countries.this is done because of differences in A. Causes of death B. Numerators C. Age distribution D. Denominators A test has high false positive rate in a community. True is A. High prevalence B. High prevalence C. High sensitivity D. High specificity Weight of Indian reference man A. 60 B. 55 C. 50 D. 45 Aedes-True are A/EA. Recurrent biters B. Eggs can’t survive >1 wk in water C. Transmits Dengue D. It takes 7-8 days to develop the parasite & transmit the disease Chlorine demand estimated by A. Horrock’s apparatus B. Berkefield filter C. Chlorometer D. Double pot method STEPS done for A. Surveillance of risk factors of non-communicable disease B. Surveillance of risk factors of non-communicable disease C. Surveillance of evaluation of treatment of non-communicable disease D. Surveillance of mortality from non-communicable disease Vitamin A prophylaxis to a child is A. Health promotion B. Specific protection C. Primordial prevention D. Secondary prevention Incidence can be calculated in A. Case-control study B. Prospective study C. Retrospective study D. Cross-sectional study A doctor order 6 tests for SLE . Which of the following is needed for inference?A. Prior probability of SLE, sensitivity and specificity of test B. Incidence of SLE and predictivity of each test C. Incidence and prevalence of SLE D. Relative risk of SLE in the patient Mercury is disposed by A. Controlled combustion B. Deep burial C. Safely collect & re-use D. Chemical treatment Which of the following is used to denote a continuous variable? A. Simple bar B. Histogram C. Line diagram D. Multiple bar Crude birth rate – NOT true is A. It is a measure of fertility B. It is actually a ratio not a rate C. it is independent of age of population D. Numerator does not include still births Savlon contains A. Cetrimide + chlorhexidine B. Cetrimide + chlorhexidine + butyl alcohol C. Cetrimide + butyl alcohol D. Cetrimide + Cetavlon All of the following statements about purification of water are true exceptA. Presence of Clostridial spores indicates recent contamination of water B. Coliforms must not be detectable in any 100 ml sample of drinking water C. Sodium thiosulphate is used to neutralize certain contaminants D. Coliforms may be detected by multiple tube method & indole production Leprosy involves A/E A. Uterus B. Ovary C. Nerve D. Eye A pregnant female in first trimester came with sputum positive TB. Treatment of choice A. Start Cat I treatment immediately B. Start Cat II treatment immediately C. Start Cat III treatment immediately D. Delay treatment till 2nd trimester In a study following interpretation are obtained: Satisfied,Very satisfied, Dissatisfied. Which type of scale is this? A. Nominal B. Ordinal C. Interval D. Ratio Chikungunya is transmitted by A. Aedes B. Culex C. Mansonoides D. AnophelesWhich is NOT an alkylating agent? A. 5-FU B. Chlorambucil C. Melphalan D. Cyclophosphamide Which one of the following drugs cause hypomagnesemia by increased excretion? A. Frusemide therapy B. Cisplatin C. Digitalis D. Aminoglycosides Which is NOT used in treatment of heroin dependence? A. Disulfiram B. Buprenorphine C. Clonidine D. Lofexidine Dose limiting toxicity of chemotherapeutic agents A. Bone marrow toxicity B. GI toxicity C. Neurotoxicity D. Respiratory problems Opioid agonist are A/E A. Morphine B. Codeine C. Ketamine D. MethadoneDrug NOT used in pulmonary hypertension A. CCB B. Endothelin receptor antagonist C. Alpha blocker D. Prostacyclin Thalidomide is used in all except A. HIV induced peripheral neuropathy B. HIV induced mouth ulcer C. Behcet’s syndrome D. Erythema nodosum leprosum Oligospermia caused by A. Methotrexate B. Hydroxychloroquine C. Leflunomide D. D-Penicillamine Which of the following drugs is both anti resoptive and bone formative? A. Strontium ranelate B. Calcitonin C. Ibadronate D. Teriperatide Drug of choice for Zollinger-Ellison syndrome A. Antihistaminics B. Proton pump inhibitors C. Dopamine agonists D. AntacidsPharmacovigilance is done for monitoring A. Drug price B. Unethical practices C. Drug safety D. Pharmacology students All of the following drug is CYP3A inhibitor except A. Erythromycin B. Itraconazole C. Ritonavir D. Saquinavir Most sensitive test for Treponema A. VDRL B. RPR C. FTA-ABS D. Kahn A male patient presented with granulomatous penile ulcer. On Wright geimsa stain tiny organisms of 2 microns within macrophages seen. What is the causative organism? A. LGV B. Calymmatobacterium granulomatis C. Neisseria D. Staph aureus Maltese cross seen on polarizing microscopy in A. Cryptococcus neoformans B. Penicillium marneffi C. BlastomycesD. Candida albicans Diagnostic of Rabies A. Guaneri bodies B. Negri bodies C. Cowdry A body D. Cowdry B body HIV pt with malabsotion, fever, chronic diarrohea, with acid fast positive organism. What is the causative agent? A. Giardia B. Microsporidia C. Isospora D. E.histolytica Congenital toxoplasmosis – Not true A. Diagnosed by detection of IgM in cord blood B. IgA is more sensitive than IgM for detection C. Dye test is gold standard for IgG D. Avidity testing must be done to differentiate between IgA & IgM Malabsorption caused by A/E A. Giardia B. Ascaris C. Strongyloides D. Capillaria philipensis Irradiation can be used to sterilize A/E A. Bone graft B. SutureC. Artificial tissue graft D. Bronchoscope Arbovirus – True is A. Yellow fever is endemic in India B. Dengue has only one serotype C. KFD was first identified in West Bengal D. Chikungunya is transmitted by Aedes Lymes disease all are true except A. Borellia burgdorferi replicates locally and invades locally B. Infection progresses inspite of good humoral immunity C. Polmorphonuclear lymphocytosis in CSF suggest meningeal involvement D. IgA intrathecally confirms meningitis Streptococcus all are true except A. Streptodornase cleaves dna B. Streptolysin O is active in reduced state C. Streptokinase is produced from serotype strep. A,C,K D. Pyrotoxin A is plasmid mediated Not used in leptospirosis A. Microscopic agglutination test B. Dark field illumination C. Macroscopic agglutination test D. Weil felix reaction Superantigens true is A. Directtly attached to variable region of MHCB. Needs to proccessed and presented to cleft of MHC C. Not recalled D. Not recalled CD4+ is not important for which of the following A. Antibody production B. Cytotoxicity of T cells C. Memory B cells D. Opsonisation Antigen antibody precipitation is maximally seen in which of the following? A. Excess of antibody B. Excess of antigen C. Equivalence of antibody and antigen D. Antigen-Hapten Interaction Coagulative necrosis seen in A. TB B. Sarcoidosis C. Cryptococcal infection D. Gangrene Characteristic feature of acute inflammation A. Vasoconstriction B. Vascular stasis C. Vasodilatation and increased vascular permeability D. Margination of leucocytes Berry aneurysm – Defect lies inA. Degeneration of internal elastic lamina B. Degeneration of media / muscle cell layer C. Deposition of mucoid material in media D. Low grade inflammation of vessel wall Which of the following is associated with aging A. Reduced cross linkages in collagen B. Increased free radical injury C. Somatic mutations in DNA D. Increased superoxide dismutase levels Caspases are associated with A. Organogenesis B. Hydropic degeneration C. Collagen hyalinization D. Not recalled Smoking is a causative factor for all the carcinomas except A. Esophageal carcinoma B. Laryngeal carcinoma C. Nasopharyngeal carcinoma D. Urinary bladder carcinoma Barrett’s esophagus shoes A. Intestinal dysplasia B. Intestinal metaplasia C. Squamous cell metaplasia D. Columnar cell metaplasia Hypersensitivity vasculitis affectsA. Post-capillary venules B. Arterioles C. Veins D. Medium-sized arteries Psammoma bodies seen in A/E A. Follicular CA of thyroid B. Papillary CA of thyroid C. Serous cystadenocarcinoma of ovary D. Meningioma Central organ in apoptosis A. Mitochondria B. Nucleus C. ER D. Golgi body CD marker specific for myeloid series A. CD34 B. CD45 C. CD99 D. CD117 Two siblings with osteogenesis imperfecta, but their parents are normal. Mechanism of inheritance is A. Anticipation B. Genomic imprinting C. Germ line mosaicism D. New mutationNot true about xanthogranulomatous inflammation A. Associated with TB B. Yellow granuloma C. Giant cells seen D. Foam cells seen All of the following genes are implicated in Carcinogenesis of colon except A. APC B. k-ras C. Beta catenin D. Mismatch repair Wilm’s tumor associated with A/E A. Hemihypertrophy B. Aniridia C. Hypertension D. Bilateral polycystic kidney Which of the following is NOT true about FAP? A. AR inheritance B. Screening done by sigmoidoscopy C. Polyps develop in late adulthood D. Epidermal cysts & osteomas may occur Hyperextensibility with normal elastic recoil is a feature of A. Ehlers Danlos syndrome B. Pseudoxanthoma elasticum C. Cutis laxa D. SclerodermaWhich of the following about atherosclerosis is true? A. Intake of PUFA associated with decreased risk B. Thoracic aorta involvement is more severe than abdominal aorta involvement C. Extent of lesion in veins is same as that in arteries D. Hypercholesterolemia does not always increase the risk of atherosclerosis per se Not a cardiovascular complication of HIV/AIDS A. Cardiac tamponade B. Recurrent arterial embolism C. CHF D. Aortic aneurysm A girl presented with severe hyperkalemia and peaked T waves on ECG. Fastest way of shifting potassium intracellularly is A. Calcium gluconate IV B. Oral resins C. Insulin + glucose D. Sodium bicarbonate Features of hypocalcemia are A/E A. Numbness & tingling B. Circumoral paresthesia C. Depressed tendon reflexes D. Skin irritability & sensitivity A young man back from leisure trip has swollen knee joints & foriegn body sensation in eyes. Llikely cause is A. Reiter’s syndrome B. Sarcoidosis C. Behcet’s diseaseD. SLE Cause of vasodilatation in spider nevi A. Estrogen B. Testosterone C. Hepatotoxins D. FSH A patient presented with arthritis and purpura. Laboratory examination showed monoclonal and polyclonal cryoglobulins. Histopathology showed deposits of cryoglobulins around the vessels. The patient should be tested for which of the following? A. HBV B. HCV C. EBV D. Parvovirus Rapid infusion of insulin causes A. Hyperkalemia B. Hypokalemia C. Hypernatremia D. Hyponatremia Digitalis toxicity enhanced by A/E A. Renal failure B. Hyperkalemia C. Hypercalcemia D. Hypomagnesemia True about hemochromatosisA. Is genetically heterogenous B. Cannot be treated by phlebotomy C. Completely penetrant D. More common in female than male Strawberry gingivitis seen in A. Myelocytic infiltration B. Phenytoin toxicity C. Wegener granulomatosis D. Klippel Trenaunay syndrome A child presented with arthritis and purpura. Laboratory examination showed monoclonal and polyclonal cryoglobulins. Histopathology showed deposits of cryoglobulins around the vessels. The patient should be tested for which of the following? A. C3 B. C5a C. C1 esterase inhibitor D. C9 Test for assessment of absorptive function of colon A. D-xylose test B. NBT-PABA test C. Fecal fat estimation D. Schilling test All are true about temporal arteritis except A. Can lead to sudden bilateral blindness B. More common in females C. Worsens on exposure to heat D. Mostly affects elderlyA pt presents with acute rheumatic carditis with fever. True statement is A. Increased troponin T B. Reduced myocardial contractility C. Signs of inflammation and necrosis D. Valve replacement will ameliorate CCF All are signs of impending Eisenmenger except A. Increased flow murmur across tricuspid & pulmonary valve B. Single S2 C. Loud P2 D. Graham Steele murmur Eisenmenger syndrome – True are A/E A. Pulmonary veins are not distended B. RV & LV walls come back to normal size C. Dilatation of central pulmonary artery D. Peripheral pruning of pulmonary arteries Chang staging is used for A. Retinoblastoma B. Medulloblastoma C. Ewing’s sarcoma D. Rhabdomyosarcoma Which is the M/C childhood CNS tumor to metastasize outside the brain? A. Glioblastoma multiforme B. Medulloblastoma C. Ependymoma D. Choroid plexus tumorWhich of the following is a component of Pentalogy of Fallot A. ASD B. PDA C. Coarctation of aorta D. LVH A newborn has been brought with seizures refractory to treatment and a continuous bruit through the anterior fontanelle. CT shows midline lesion with hypoechogenesity and dilated lateral ventricles. Diagnosis is A. Vein of Galen malformation B. Arachnoid cyst C. Teratoma D. Encephalocele 6 weeks old female baby found unconscious suddenly in the crib. She was previously healthy. Normal blood pressure, hyperpigmentation of genitals, blood glucose 30 mg/dl. Diagnosis is A. CAH due to 21-alpha hydroxylase deficiency B. Familial glucocorticoid deficiency C. Cushing’s syndrome D. Insulinoma Best indicator of growth monitoring in children A. Weight B. Mid-arm circumference C. Rate of increase of height & weight D. Head circumference A child presents with failure to thrive with frequent vomiting, diarrhoea, hepatosplenomegaly & abdominal distension. CT shows adrenal calcification. Which of the following is the diagnosis?A. Adrenal hemorrhage B. Wolman’s disease C. Pheochromocytoma D. Addison’s disease Most sensitive indicator of intravascular volume depletion in infant A. Stroke volume B. Heart rate C. Cardiac output D. Blood pressure An alert 6 month old child is brought with vomiting & diarrhea. RR-45/min, HR180/min, SBP-85 mm of Hg. Extremities are cold & mottled. Capillary refilling time is 4 secs. Diagnosis is A. Early compensated shock due to hypovolemia B. Early compensated shock due to SVT C. Late decompensated shock due to hypovolemia D. Late decompensated shock due to SVT Most sensitive screening procedure for CA Prostate A. DRE B. PSA C. DRE + PSA D. Endorectal coil MRI withimagesOrchiopexy for undescended testes is done ideally at what age? A. Neonate B. 1-2 yrs C. 5 yrs D. PubertyPolyp not associated with risk of malignancy A. Juvenile polyp B. FAP C. Peutz Jeghers syndrome D. Juvenile polyposis syndrome Peutz Jeghers polyps present in A. Rectum B. Colon C. Esophagus D. Jejunum Renal calculi associated with Proteus infection A. Uric acid B. Triple phosphate C. Calcium oxalate D. Xanthine Congenital hypertrophic pyloric stenosis associated with A. Hypokalemic acidosis B. Hypokalemic alkalosis C. Hyperkalemic acidosis D. Hyperkalemic alkalosis A man with blunt abdominal trauma with h/o pelvic fracture has presented to ER. He has passed only few drops of blood per meatus and no urine in the past 8 hrs. His bladder is palpable per abdomen. Which of the following is correct? A. Anuria due to hemorrhagic shock B. Urethral injury C. Ureteral rupture leading to extravasation of urine in retroperitoneumD. Bladder rupture Sister Mary Joseph nodule associated with A. Pancreatic ca B. Gastric ca C. Colonic ca D. Ovarian ca In order to expose the celiac axis, left renal artery, superior mesenteric artery & abdominal aorta in a case of trauma, which of the following is required? A. Left medial visceral rotation B. Right medial visceral rotation C. Cranial visceral rotation D. Caudal visceral rotation Best prognostic factor for head injury A. Age B. Mode of injury C. Glasgow coma scale D. CT finding Most immediate complication of ileostomy in the post-operative period A. Obstruction B. Necrosis C. Diarrhea D. Prolapse Follicular carcinoma differs from follicular adenoma by A. Vascular invasion B. Increased mitotic figuresC. Hurthle cell change D. Lining of columnar & cuboidal cells Hashimoto’s thyroiditis – True are A/E A. Follicular destruction B. Increase in lymphocytes C. Oncocytic metaplasia D. Orphan Annie eye nuclei Most reliable investigation for Amyloidosis A. Rectal biopsy B. Sigmoidoscopy C. Colonoscopy D. Gingival biopsy A 60 yr old chronic smoker presents with painless gross hematuria of 1 day duration. Investigation of choice to know the cause of hematuria A. USG B. X-ray KUB C. Urine routine microscopy D. Urine cytology for malignant cells In blunt trauma abdomen what should be the approach for doing laparotomy? A. Depends on organ injured B. Always midline C. Always transverse D. Depends upon type of injury Which of the following is true about branchial anomalies? A. Mostly arises from 2nd branchial archB. All patients present with stridor at birth C. Branchial cyst is more common than sinus D. All branchial sinuses need to be excised A 68 yr old man came with pain and swelling of right knee. Ahlbeck grade 2 osteoarthritic changes were found on investigation. What is the further management? A. Conservative B. Arthroscopic washout C. High tibial osteotomy D. Total knee replacement Which of the following is a pulsatile tumor? A. Osteosarcoma B. Chondrosarcoma C. Osteoclastoma D. Ewing’s sarcoma Posterior glenohumeral instability is tested by A. Jerk test B. Crank test C. Sulcus test D. Fulcrum test Mineral of the bone is A. Calcite B. Hydroxyapatite C. Calcium oxide D. Calcium carbonate65 yrs old man with H/o of back pain since 3 months. ESR is raised. Marked stiffness on examination. Mild restriction of chest movements. On X-ray, syndesmophytes are present. Diagnosis is A. Ankylosing spondylitis B. Degenerative osteoarthritis of spine C. Ankylosing hyperostosis D. Lumbar canal stenosis A lady presents with right knee swelling.Aspiration was done in which CPPD crystals were obtained. Next best investigation is A. ANA B. RF C. CPK D. TSH Synovial fluid – True statements are A/E A. Secreted by Type A cells B. Follows Non-Newtonian fluid kinetics C. Contains hyaluronic acid D. Viscosity is variable Pain of ovarian carcinoma is referred to A. Back of thigh B. Gluteal region C. Anterior surface of thigh D. Medial surface of thigh A woman with primary infertility with CA- 125 level 90 iu. She has bilateral palpable mass. USG shows mass in pelvis. Diagnosis may be A. Ovarian CAB. TB C. Endometrioma D. Borderline ovarian tumor Causes of primary amenorrhea are A/E A. Rokitansky syndrome B. Sheehan syndrome C. Kallman syndrome D. Turner syndrome Test for ovarian reserve A. LH B. LH/FSH ratio C. FSH D. Estradiol Clomiphene citrate – True statement is A. Euclomiphene is antiestrogenic B. Pregnancy rate is 3 times as compared to placebo C. Incidence of twins is 5-6% D. It has been shown to increase fertility in oligospermic males At what gestational age should a pregnancy with cholestasis of pregnancy be terminated? A. 34 weeks B. 36 weeks C. 38 weeks D. 40 weeks A lady with placenta previa delivered a baby. She had excessive bleeding. After resuscitation most likely complication isA. Galactorrhoea B. Diabetes insipidus C. Loss of menstruation D. Cushing’s syndrome Which of the following treatments for menorrhagia is not supported by evidence? A. Tranexemic acid B. Ethamsylate C. Combined OCP D. Progesterone Vaginal delivery can be allowed in A/E A. Monochorionic monoamniotic twins B. Mento-anterior C. Extended breech D. Dichorionic twins – First vertex, second breech A 35 yr old will beis observed to have CIN grade III on colposcopic biopsy. Best treatmentA. Cryosurgery B. Conization C. LEEP D. Hysterectomy Lady undergoes total radical hysterectomy for Stage Ib2 Ca Cervix. It is found that Ca extends to lower part of body of uterus and upper part of cervix. Next step of management A. Chemotherapy B. Radiotherapy C. Chemoradiotherapy D. Follow-upAll are seen in gestational diabetes except A. Previous macrosomic baby B. Obesity C. Malformations D. Polyhydramnios A pregnant female at 35 wks of pregnancy is diagnosed with SLE. Drugs that can be used to treat are A/EA. Corticosteroids B. Sulphasalazine C. Methotrexate D. Hydroxychloroquine Ideal contraceptive for lactating mothers A. Barrier method B. Combined OCP C. Lactational amenorrhoea D. Progesterone only pills The presence of increased levels of which of the following in amniotic fluid is an indicator of open neural tube defect in the fetus? A. Phosphatidylesterase B. Acetylcholinesterase C. Pseudocholinesterase D. Butyrylcholinesterase A pregnant lady had no complaints but mild cervical lymphadenopathy in 1st trimester. She was prescribed spiramycin but she was non compliant. Baby was born with hydrocephalus & intracerebral calcification. Which of these is likely cause A. ToxoplasmosisB. CMV C. Cryptococcus D. Rubella Which of the following does NOT scavenge free radicals in the lens? A. Vit A B. Vit C C. Vit E D. Catalase Highest refractive index A. Cornea B. Anterior surface of lens C. Posterior surface of lens D. Centre of lens Mucopolysaccharide hyaluronic acid is present in A. Aqueous humor B. Vitreous humor C. Lens D. Cornea All are important causes of childhood blindness in India except? A. Glaucoma B. Congenital dacryocystitis C. Malnutrition D. Ophthalmia neonatorum A young male presents with h/o unilateral progressive proptosis for many years. Swelling is increased on bending forward and compressible,USG shows retrobulbar echogenicity. What is the diagnosis?A. Neurofibromatosis B. Orbital varix C. Orbital A-V fistula D. Orbital encephalocele Which of the following ocular conditions is autosomal dominant in inheritance? A. Best disease B. Gyrate atrophy C. Lawrence-Moon-Biedel syndrome D. Bassen Kornzweig disease Most common site for CSF rhinorrhoea A. Frontal sinus B. Ethmoidal sinus C. Tegmen tympani D. Maxillary sinus A case of Bell’s palsy presents on day 3. Which of the following is the appropriate management? A. Oral steroids alone B. Oral steroids + antiviral acyclovir C. Acyclovir + amantadine D. Intralabyrinthine steroids Endolymph in inner ear produced by A. Phalangeal cells B. Stria vascularis C. Lamina spiralis ossea D. Basilar membraneExtrinsic membranes of larynx are A/E A. Cricothyroid B. Thyrohyoid C. Hyoepiglottic D. Cricotracheal Infection of CNS spreads in inner ear through A. Cochlear aqueduct B. Endolymphatic sac C. Vestibular aqueduct D. Hyrtle fissure Which of the following is NOT a primary skin disease? A. Reiter’s syndrome B. Bowen’s disease C. Psoriasis D. Lichen planus 25 yr old male having fever & malaise since 2 weeks, arthritis of ankle joint and tender erythematous nodules over the shin. Diagnosis is A. Erythema nodosum B. Hensen’s disease C. Weber-Christian disease D. Urticarial vasculitis The volatility of an anesthetic agent is directly proportional to lowering the flow in the portal vein. Portal flow is maximally reduced by A. Ether B. Halothane C. IsofluraneD. Enflurane A young boy has sickle cell trait. which of the following anaesthesia is contraindicated? A. IV regional anaesthesia B. Brachial plexus block by suraclavicular approach C. Brachial plexus block by infraclavicular approach D. Brachial plexus block by axillary approach Methemoglobinemia caused by A. Procaine B. Prilocaine C. Bupivacaine D. Lignocaine A 48 yr old woman comes with b/l progressive weakness of both lower limbs, spasticity & mild impairment of respiratory movements. MRI shows an intradural mid-dorsal midline enhancing lesion. What is the diagnosis? A. Intradural lipoma B. Meningioma C. Neuroenteric cyst D. Dermoid cyst A patient brought in unconscious state with external injuries. CT is normal with no midline shift and ventricles are normal. Multiple small hemorhages are seen at the base of the brain. Diagnosis is A. Subarachnoid hemorrhage B. Diffuse axonal injuries C. Concussion D. Contusion Investigation of choice for a lesion of temporal boneA. CT B. MRI C. USG D. Plain X-ray Which of the following feature of thyroid nodule on USG is not sugestive of malignancy? A. Hyperechogenesity B. Hypoechogenesity C. Non-homogenous D. Microcalcification Radiological features of left ventricular failure are all except A. Oligemic lung fields B. Increased flow in upper lobe veins C. Cardiomegaly D. Kerley B-lines Characteristic radiological feature of fibrous dysplasia A. Thickened bone matrix B. Cortical erosion C. Ground glass appearance D. Bone enlargement Naltrexone is used in opioid dependence to A. Prevent respiratory depression B. Treat withdrawl symptoms C. Prevent relapse D. Detoxification of opioid overdose Drug of choice in OCDA. Fluoxetine B. Imipramine C. Alprazolam D. Chlorpromazine 3 yr old girl has delayed devolpmental milestone, delayed speech, difficulty in concentrating on studies, plays with herself & does not make friends. Diagnosis is A. Autism B. ADHD C. Specific learning disorder D. Mental retardation Most common substance abuse in India A. Tobacco B. Cannabis C. Alcohol D. Opium A young lady presents with repeated episodes of excessive eating followed by purging by use of laxatives. What is the diagnosis? A. Binge eating B. Bulimia nervosa C. Schizophrenia D. Anorexia nervosa