EXQUESTION PAPER OF AIIMS ENTRANCE AMINATION MAY-2001
Q1. Male with cortical cataract develops sudden blindness with shallow a.c., diagnosis is -
(a) Phacolytic uvetitis
(b) Phacomorphic gaucoma
(c) RD
(d) Phacotoxic glaucoma
Ans. a
Q2. 51 Year old man hears voices talking against him since 2 to 3 years. He also thinks that people around hime are trying to kill him. He has loss of appetite and self caring. What is the diagnosis?
(a) Anxiety neurosis
(b) Mania
(c) Schnizophrenia
(d) Depressive psychosis
Ans. c
Q3. A chronic alcoholic developed sudden disorientation, seizures and irritability with tremors. He also c/o something crawling on his body. Diagnosis is -
(a) Karsakoff's psychosis
(b) Wernike's encphalopathy
(c) Alcohol withdrawl
(d) Delirium tremens
Ans. d
Q4. Ropy discharge is seen in -
(a) Rrachoma
(b) Chalazion
(c) Vernal cataharr
(d) Dendritic ulcer
Ans. c
Q5. A person develop acute red painfull eye with watering & subconjunctival hemorrhage and many other people also have similar complaint, diagnosis is conjunctivitis by -
(a) Adeno virus
(b) Entero-70
(c) Influenza-A
(d) Herpes
Ans. b
Q6. While giving thiopentone I.V., a patient suddenly developed severe pain, treatment will be
(a) Push IV ketamine after stopping thiopentone
(b) Push IV lignocaine after stopping thiopentone
(c) Remove the IV canula
(d) Push IV propofol after stoping thiopentone
Ans. b
Q7. All test are important in a pregant lady with preeclampsia except -
(a)LET
(b)Sodium levels
(c)Platelet count
(d)Sr.uric acid levels
Ans. b
Q8. 60 Year old Vishnu operated for catract, develops sudden diminison of vision and floaters, diagnosis is -
(a)Macular degenration
(b)CME
(c)RD
(d)Viterous hemorrage
Ans. c
Q9.41 Year old man started suspection his family members and people around, that they are trying to kill him. He talks with himself, laughs and cries without any reason. He hears voices speaking against him. All these complaints are since last 15 days, diagnosis is -
(a) Acute psychosis
(b) Impulse
(c) Mania
(d) Schizophrenia
Ans. a
Q10. 6 Month old baby with B/L watering of eye and enlarged cornea, diagnosis is -
(a)Congenital glaucoma
(b) Corneomegaly
(c) Ophthalmia Neontraum
(d) Fuch's corneal dystrophy
Ans. a
Q11. Characterstic feature of spinal anasthesia is -
(a) Hypotension & tachycardia
(b) Hypertension & tachycardia
(c) Hypertension & bradycardia
(d) Hypotension & bradycardia
Ans. d
Q12. Young lady with 8 week pregnancy has acute abdominal pain & heavy vaginal bleed USG shows sac in utereus with nofetal parts in it. HCG levels are low, diagnosis is -
(a) Threatened abortion
(b) Corpus leutum bleeding
(c) H.Mole
(d) Ectopic pregnancy
Ans. a
Q13. Treatment for fundal fibriod on posterior of 12 week size uterus in a 30 year old lady is -
(a) GnRH analogues
(b) Conservative
(c) Hysterectomy
(d) Myomectomy
Ans. d
Q14. S/E of DMPA is -
(a) Amenorrhea
(b) Polymenorrahea
(c) Mentrorrhagia
(d) Metrorrhagia
Ans. d
Q15. In high rish pregnancy NST is not valid for first how many hrs. of birth -
(a) 72
(b) 96
(c) 24
(d) 48
Ans. a
Q16. Kerley 'B' lines are seen in a/e (a/e = all except) -
(a) Interstitial fibrosis
(b) Mitral stenosis
(c) Pulmonary edema
(d) Bronchoalveolar carcinoma
Ans. a
Q17. Tramtrack or gyriform calcification in brain -
(a) Down's syndrome
(b) Ataxia talengectesia
(c) Strugeweber syndrome
(d) Turner's synd
Ans. c
Q18. A pregnant lady develops tranient diabetes insipidus, likely cause is -
(a) Cereberal infarction
(b) Normal
(c) Preaclempsia
(d) HUS (hemolytic uremic syndrome)
Ans. c
Q19. Postcoital test is done to know all except -
(a) Ab to sperm
(b) Tubal block
(c) Sperm motility
(d) Cervical mucus status
Ans. b
Q20. Indirect cause of morbidity in pregnancy is -
(a) Sepsis
(b) Heart disease
(c) Preaclempsia
(d) Hemorrhage
Ans. b
Q21. Absolute growth occurs during what age group in years?
(a) o to 1
(b) 14 to 16
(c) 5 to 6
(d) 7 to 8
Ans. b
Q22. Least common cause of infective endocarditis is -
(a) TQF
(b) Small VSD
(c) ASD
(d) PDA
Ans. c
Q23. New born infant with central cynosis and systolic murmur, Diagnosis is -
(a) PDA
(b) VSD
(c) Endocardial cushion defect
(d) TGA
Ans. d
Q24. Chronic arsenic poisoning causes -
(a) Hepatic ductal scarring
(b) EHBO
(c) Liver cirrhosis
(d) NCPF (Non-cirrhotic portal fibrosis)
Ans. d
Q25. Old blood stain in best detected by -
(a) Benzedine test
(b) Precipitin test
(c) Heam crystal test
(d) Acid illusion test
Ans. a
Q26. Charateristic feature of lichen planus is -
(a) Onychodystrophy
(b) Pterygium
(c) Mucosal sparing
(d) Pitting of nails
Ans. b
Q27. Most common presentation of IgA nerphropathy is -
(a) Proteinuria
(b) Hematuria
(c) Nephrotic syndrome
(d) Hypertension
Ans. b
Q28. Parietal lobe lesion is assoicated with a/e -
(a) Contralateral hemilegect
(b) Senory extinction
(c) Asteriognosis
(d) Idiomotor apraxia
Ans. d
Q29. Cerbellar herniation is characterized by a/e -
(a) Autonomic distrubances
(b) Ptosis & dilated pupils
(c) Unconciousness
(d) Neck stiffness
Ans. d
Q30. All predispose to nosocomial infection except -
(a) Humidied Oxygen
(b) Urine catheter
(c) CVP catheter
(d) IV catheter
Ans. a
Q31. Abdominal colic, jaundice & malena are seen in -
(a) Ac.cholangitis
(b) Hemobilia
(c) Acute choleystitis
(d) Ac.appendicitis
Ans. b
Q32. Treatment of congenital hydrocele is
(a) Plication of sac & cord
(b) Herniotomy
(c) Eversion of sac
(d) Excesion of sac
Ans. b
Q33. Features of pheochromocytoma are a/e -
(a) Weight gain
(b) Flushing & sweating
(c) Hypertension
(d) Orthostatic hypotension
Ans. a
Q34. Lung cancer common in chronic smoker -
(a) Adenoma
(b) Adenocarcinoma
(c) Squamous cell Ca.
(d) Small cell Ca.
Ans. c
Q35. Dissociate sensory loss is seen in -
(a) SACD
(b) ALS
(c) Multiple sclerosis
(d) Syringomyelia
Ans. d
Q36. Absolute indication for splenictomy are a/e -
(a) Splenic abscess
(b) Myelofibrosis
(c) Primary splenic tumor
(d) Mereditary spherocytosis
Ans. b
Q37. Thymoma is characterized by a/e -
(a) Myasthenia
(b) Hyperalbuminemia
(c) Pure red cell aplasia
(d) Hypergammaglobulinemia
Ans. b
Q38. Polycythemia rubra vera is associated with a/e -
(a) Gastrointestinal bleeding
(b) Splenomegaly
(c) Thrombocytopenia
(d) Blurring of Vision
Ans. c
Q39. False high BP can be recorded due to a/e -
(a) Calcified arteries
(b) Obesity
(c) Short cuff
(d) Auscultatory gap
Ans. d
Q40. Pyramidal signs with absent ankle jerk is seen in -
(a) SACD
(b) Lathyrism
(c) Multiple sclerosis
(d) ALS
Ans. a
Q41. All pierce clavipectoral fascia except -
(a) Lateral thoracic nerve
(b) Thoracoacromial artery
(c) Cephalic
(d) Later thoracic pectoral nerve
Ans. a
Q42. Which product of macrophasge stimulates T-lymphocytes?
(a) GmCSF
(b) Leukotrines
(c) IL1
(d) Interferon
Ans. c
Q43. True about right kidney is a/e -
(a) Right renal vein is shorter
(b) Placed lower than left kidney
(c) Related to duodenum
(d) More prefered for transplantation than left
Ans. d
Q44. All cause stomach & intestinal carcinoma except -
(a) HBV
(b) HIV
(c) H.pylori
(d) EBV
Ans. a
Q45. Nacrotizing arteriolitis in hypertension is seen in a/e -
(a) Periadrenal fat
(b) Heart
(c) Peripancreatic fat
(d) Kidney
Ans. -
Q46. Vit.-K helps in post translational-
(a) Hydroxylation
(b) Acetylation
(c) Carboxylation
(d) Methylation
Ans. c
Q47. Noncaeseating granuloma is seen in a/e -
(a) TB
(b) Metastatic adenocarcinom breast
(c) Hodgkins ds.
(d) Bysinosis
Ans. b
Q48.Thiamine is required for a/e
(a) Conversion of glucose to pentoses
(b) Conversion of citrate to glucose
(c) Neglucogenesis
(d) Conversion of lactate to glucose
Ans. d
Q49. Maximum chronicity is seen with -
(a) HCV
(b) HDV
(c) HBV
(d) Hepatitis A Virus(HAV)
Ans. a
Q50. True about Gonococcus is a/e -
(a) Can spread to epidydymis
(b) Cerftriaxone is drug of choice
(c) Gram positive diplococci
(d) Post urethritis
Ans. c
Q51. Which of the following is most pathologic in urine?
(a) Hyaline cast
(b) Calcium oxalate crystals
(c) Coarse granular cast
(d) Epithelial cells
Ans. c
Q52. Noncaseating granuloma is seen in a/e. -
(a) PAN
(b) Wegener's granulomatosis
(c) Chrugstrauss ds
(d) Giant cell arteritis
Ans. d
Q53. Which is not excreted in urine in cystinuria?
(a) Ornithine
(b) Lysine
(c) Histidine
(d) Cystiene
Ans. c
Q54. Painless ulcer over prepuce of penis in 24 yr. old man with induratd margins indicate -
(a) LGV
(b) Granuloma Inguinale
(c) Syphilis
(d) Chanchroid
Ans. c
Q55. Best indicator of acute liver failure is -
(a) Sr.Bilirubin
(b) Sr.AST levels
(c) Factor-V
(d) Sr. albumin
Ans. b
Q56. True about peripheral nuropathy in leprosy is a/e -
(a) Mutilation
(b) Thickened nerves
(c) Absent ankle jerk
(d) Multilation
Ans. c
Q57. Binding of protein to specific receptor is required for -
(a) Paper chromatography
(b) Affinity chromatography
(c) Reverse chromatography
(d) Simple chromatorgraphy
Ans. b
Q58. Which of the following carries dietry triglycerides away from intestine?
(a) LDL
(b) VLDL
(c) Chylomicrons
(d) HDL
Ans. c
Q59. Left ventricular thickening in hypertension occurs due to -
(a) Hyperplasia of cardic muscle fibers
(b) Increased mitochondria in cells
(c) Increased fat deposition
(d) Hypertrophy of cardic muscle fibers
Ans. a
Q60. Diarrhea and vomiting 3-5 hrs. after food intake, organism responsible is -
(a) Salmonella enteritidis
(b) B.cereus
(c) Vibrio parahemolyticus
(d) Staph. aureus
Ans. d
Q61.All are involved during erection of penis except -
(a) Parasympathetic nerve
(b) Nervi eregintes
(c) Pudendal nerve
(d) Hypogastric nerve
Ans. d
Q62.Postive feed back is shown by a/e -
(a) LH surge & ovulation
(b) Thrombin in coagulatin cascade
(c) Histamine & gastrin releasing HCL in stomach
(d) Calcuim dependent calcuim levels
Ans. a
Q63. Which of the following is required for transport of chemicals across the cell -
(a) Channal protein
(b) Carrier protein
(c) Histone protein
(d) G.Protein
Ans.b
Q64.Transfer of molecule from stationary phase to active phase in chromatography is by -
(a) Electrophoresis
(b) Active transport
(c) Diffussion
(d) Osmosis
Ans. c
Q65.Amber codon is -
(a) Codon termination protein chain elongation
(b) Required for protein synthesis
(c) Mutator codon
(d) Codon promoting protein chain elongation
Ans. a
2 Q66. Which component of TCA cycle is required for formationof ammonia in brain -
(a) Malonate
(b) Isocitrate
(c) Citrate
(d) Alpha-ketoglutarate
Ans. d
Q67.Lymphocytes forming single antibody against single antigen involves -
(a) Clonal proliferation
(b) Complement formation
(c) Opsonization
(d) Allelic exclusion
Ans.-
Q68.Burkits lymphoma shows which of the following -
(a) t (14, 18)
(b) t (8, 14)
(c) del q13
(d) del q1
Ans.b
Q69.Diarrhea and vomiting 3-5 hrs. after food intake, organism responsible is -
(a) Salmonella enteritidis
(b) Vibrio parahemolyticus
(c) Staph. aureus
(d) B.cereus
Ans.c
Q70. 50 hrs.after eating chicken salad in a party, Rahul developed vomiting & diarrhea, others who accompanied him also developed the same syptoms. Organism responsible is -
(a) Staph aureus
(b) B.cereus
(c) Vibrio
(d) Salmonella typhimurium
Ans. d
Q71. A AIDS patient has ulcerative lesion over laterat aspect of tongue of tongue which on sabourad's media shows hyphae at 27 c & budding yeasts at 40 c, likely cause is -
(a) Candida
(b) Blastomycosis
(c) Coccidiodomitis
(d) Histoplasma
Ans. a
Q72. While swiming in sea water, Ramesh got a wound, which became infected & cellulitis developed afterwards, likely organism responsible for this is -
(a) Vibrio Vulnificus
(b) Marino
(c) E.coli
(d) Staph.auerus
Ans. a
Q73.Electrolyte imbalance in gastric outlet syndrome is -
(a) Hypochloremic hypokalemic alkalosis with paradoxical aciduria
(b) Hyperchloremic hypokalemic alkalosis with paradoxical aciduria
(c) Hypochloremic hyperkalemic alkalosis with paradoxical aciduria
(d) Hypochloremic hypokalemic acidosis with
Ans. a
Q74. True about Beta-thalasemia major is -
(a) Absent B-chain & alpha-chain, both
(b) Absent Beta-chains & increased alpha-chain
(c) Beta-chain & alpha-chain both increased
(d) Beta-chain & alpha-chain decresed
Ans. b
Q75.All are features of systemic juvenile rheumatoid artheritis (JRA) except -
(a) Hepatosplenomegaly
(b) Evanscent rash
(c) Uveitis
(d) High grade fever
Ans. b
Q76. A patient of AIDS develops seizures, confusion & hemiparesis. Organism responsible is -
(a) Crypto sporidium
(b) Toxoplasma
(c) Isospora belli
(d) Cyclospora
Ans. b
Q77. True about TB in AIDS a/e -
(a) Cavitatory lesions are uncommon
(b) Extrapulmonary TB is more common than pulmonary TB
(c) Tuberculin test is false negative
(d) More sputum positive cases seen
Ans. b
Q78.23 Year old Jankey has nodular leisons over illiac crest and subconjunctival hemorrage. Which of the following filliarial species is likely to cause it -
(a) Brugia
(b) Wurcheria
(c) Loa loa
(d) Onchocercus volvulus
Ans. d
Q79.5 Yr. child, HIV positive, developed fever, pneumonia & reticular pattern on X-ray chest. Treatment is -
(a) Gancylovir
(b) IV acylovir
(c) Intranasal ribaverin
(d) Cotrimaxazole
Ans. d
Q80.A patient on phenothiazines developed hyperthermia, tachycardia, flushin, rigidity & Metabolic acidosis -
(a) Lactic acidosis
(b) Malignant catatonia
(c) Neruroleptic malignant syndrome
(d) Malignant hyperthermia
Ans. d
Q101. Chronic alcoholic patient developed right hepatic mass with no raised AFP levels. Diagnosis is -
(a) Secondaries from colon
(b) Hepatic adenoma
(c) Focal nodular hyperplasia
(d) Hepatoma
Ans. d
Q102. 68 Yr. old man undergoing TURP, developed confusion, drowsiness and obtundation. Diagnosis is -
(a) Metabolic acidosis
(b) Hypovolumia
(c) Hyponatremia
(d) Hypokalemia
Ans. c
Q103. Most common site of carcinoma prostate is -
(a) Peripheral zone
(b) Central zone
(c) Transitional zone
(d) None
Ans. a
Q104. Indications for orchidectomy are a/e -
(a) Filarial orchitis
(b) Prostatic carcinoma
(c) Sertoli cell tumor
(d) Male breast Ca.
Ans. a
Q105.Treatment of testicular tumor is a/e -
(a) Transcrotal biopsy
(b) X-ray chest
(c) Inguinal approach
(d) CT scan abdomen
Ans. a
Q106. Roadside accident(R.S.A) with dyspnea, flial chest treatment is -
(a) Endotracheal intubation with I.P.P.V.
(b) Underwater se 126. After
(c) Strapping
(d) E.T.I. only
Ans. a
Q107. True about peptic ulcer is a/e -
(a) H.pylori is know cause
(b) incidence is increasing
(c) Can turn into malignancy
(d) Surgery is the treatment of choice
Ans. d
Q108. Cystoenterostomy is not prefered for choledochal cyst treatment because of the risk of -
(a) Malignant change
(b) Recurrence
(c) Recurrent pancreatitis
(d) Recurrent cholangitis
Ans.c
Q109. 67 Yr. old male with rectal growth 3 cm above the anal verge, treatment is -
(a) Pelvic extenteration
(b) Anterior resection
(c) Distal sigmoidostomy
(d) APR
Ans. b
Q110. Patient of chronic atrial fibrillation developed heart rate of 60/min, most likely cause is -
(a) Digitalis toxicity
(b) Sinus node dysfunction
(c) WPW
(d) PAT
Ans. b
Q111. Most common cause of subarachnoid hemorrage -
(a) Hypertension
(b) A-V malformation
(c) Berry aneurysms
(d) Basilar artery stroke
Ans. c
Q112. Most common late CNS manifestation fo AIDS -
(a) Intractable epilepsy
(b) Lymphoma
(c) Cerebellar
(d) Dementia
Ans. d
Q113.`Hypoglycemia is caused by -
(a) Hypopitutarism
(b) Hypothyroidsm
(c) Cushing's ds.
(d) Acromegaly
Ans. a
Q114. Which of the following will be affected the most due to block in left anteior descending(LAD)aretery?
(a) Lateral wall
(b) Posteior wall
(c) Inferior
(d) Anteroseptal wall
Ans. d
Q115. Left sided portal hypertension is best treated by -
(a) Splenectomy
(b) Linorenal shunt
(c) Distal splenorenal shunt
(d) Portocaval shunt
Ans. c
Q116. 22 Yr. old man presents with fatigue & anemia with P.S. showing decreased cells of all the 3 hematological linage, what is the diagnosis?
(a) Hairy cell leukemia
(b) Diamond blackfan syndrome
(c) CLL
(d) PNH
Ans. d
Q117. Differentiating point between thyroid crises & malignant hyperthermia is -
(a) Increased CPK levels
(b) Tachycardia
(c) CCF
(d) Rigidity
Ans. a
Q118. 48 Yr. old patient of esophageal carcinoma is started on cisplatin. Which is the known side effect of it?
(a) Paralytic
(b) Acute tubular necrosis
(c) Hemorrhagic cystitis
(d) Myopathy
Ans. b
Q119. Crossed 3rd cranial nerver paisy is caused by damage to which artery?
(a) Posterior cerebral
(b) Superior cerebellar
(c) Middle cerebellar
(d) Anterior cerebral
Ans. d
Q120. 2 Yr. old child developed fever with typical sealbar caugh with stridor, treatment will be a/e -
(a) Antibiotics
(b) Morphine
(c) O2 Supplimentation
(d) Steroids
Ans. b
Q121. Drug to be avioded in patient with DM with hypertension with bilateral renal artery stenosis is -
(a) Beta-blocker
(b) Enalapril
(c) Nifidipine
(d) Clonidine
Ans. b
Q122. Which of the following antitubercular drugh should be avoided in a patient taking OC pills -
(a) PZM
(b) Rmp
(c) Ethambutol
(d) INH
Ans. b
Q123. Which of the following uterine relaxant can cause pulmonary edema?
(a) Nifidipine
(b) Salbutamol
(c) Asotibane
(d) Ritodrine
Ans. d
Q124. A patient on cisapride for GERD, develops rhinitis for which he takes erythromycin. Which of the following intratction is important between cisapride and erythromycin?
(a) Ventricular arrythmias may occur
(b) Metabolism of cisapride is induced
(c) Effect of cisapride will be potentiated
(d) Absorption of cisapride will be inihibited
Ans. a
Q125. Female with 12 weeks pregnancy is diagnosed to have DM with fasting blood sugar of 190 mg/dl, treatment -
(a) Glibenclamide
(b) Metformin + Glibenclamide
(c) Metformin
(d) Insulin
Ans. d
Q126. A 10 yr. old patient who has received complete vaccination and a booster of TT, has lacerated wound which is hightly infected, treatment include a/e -
(a) Antibiotics
(b) Anti-tetanus serum (c) T.T.
(d) Wound debridement & cleaning
Ans. b
Q127. While bathing the baby mother noticed easy friction injury to the baby in the from of desquamation and bullous lesions, likely diagnosis is -
(a) Psoriasis
(b) TEN
(c) Epidermolysis bullosa
(d) Neonatal pempigus
Ans. c
Q128. 14 Yr. old Ashok working in field presented in caualty with high fever, drymouth, bradycardia & dialted pupils
(a) Nux vomica
(b) Strichynine
(c) Dhatura berries
(d) Organophosphorous poisoning
Ans. c
Q129. True about hyperpigmentation in addisions ds is a/e -
(a) Mucosal sparing
(b) Mucosal involvement is classical
(c) Involves creases of palms & soles
(d) Increased pigmentantion of scars
Ans. a
Q130. 10 Yr. old boy developed erthematous blistering & fragility of skin. The symptoms typiclly decreased in winter. Exposure to sunlight execerbates the disease. The diagnosis is -
(a) Airborne contact dermatitis
(b) Seborrhic dermatitis
(c) PCT(Porphyria cutanea tarda)
(d) Atopic dermatitis
Ans. c
Q131. 35 Yr. boy developed multiple small white scally macules over the chest, back & neck. Diagnosis is -
(a) Vitiligo
(b) Psoriasis
(c) Pitryasis versicolor
(d) Pitryasis rosea
Ans. c
Q132. 10 Yr. old female complains of polyuria since birth. She has no hypertension, her urine exam is normal. However, her both kidneys are small on USG. Diagnosis is -
(a) Nephronopthesis
(b) Medullary sponge kidney
(c) PCKD
(d) Reflux nephropathy
Ans. a
Q133. 9 Yr. old male developed plaque like lesion with central scarring over the buttok. Diagnosis is -
(a) Tenia pubis
(b) Tenia corporis
(c) Plaque psoriasis
(d) Lupus vulgaris
Ans. b
Q134. 69 yr. old male with rectal growth 3 cm above the anal verge, treatment is -
(a) Pelvic exenteration
(b) Distal sigmoidostomy
(c) APR
(d) Anterior resection
Ans. d
Q135. While canulating radial artery discoloration of distal part developed, treatment is -
(a) Stellate gangllion block
(b) Radial neve block
(c) IV lignocaine
(d) Local xylocaine gelly
Ans. a
Q136. 39 Yr.old chronic smoer & diabetic man develops ulcer of foot with intermittent claudication and rest pain also, treatment include all except -
(a) Femoro-popiteal shunt
(b) Conservative amputation
(c) Lumar symapthectomy
(d) Omentopexy
Ans. b
Q137. 38 Yr. old executive presented to casuralty with sudden on set profuse (approx 2ltr.) hematemesis with no other significant history. Diagnosis is -
(a) Doudenal resection & anastmosis
(b) Duodenal catheter with jejunal tube feeding & peritonel lavage
(c) Laprotomy & deodnojejunostomy
(d) Parential antibiotics & TPN
Ans. a
Q138. Most pathognomonic s/o diaphragmatic hernia is -
(a) Mediastinal shift with maintained cardiac axis
(b) Absent gastric bubble
(c) Peristalsis in chest
(d) Cystic shadow behind right atrium
Ans. c
Q139.Difference between neuroblastoma & willms tumor are a/e -
(a) Renal tissue is the likely site of willms tumor
(b) Calcification pattern
(c) Intraspinal extension
(d) Sex difference
Ans. d
Q140. Test for recurrent shoulder dislocation is -
(a) Genslen's test
(b) Relocation test
(c) Shober's test
(d) Apprehension test
Ans. b
Q141. True about standerd normal curve is
(a) Mean = standard deviation (S.D) -
(b) Median = S.D.
(c) Mean = median
(d) Mode = Mean
Ans. a
Q142. A patient of T.B. took proper treatment for 5 months, but stoped taking treatment after 5 months when noimprovement occured during the treatment, Diagnosis -
(a) Treatment deafaulter
(b) Treatment failure
(c) Resistant
(d) Patient improved
Ans. b
Q143. 19 Yr. lady with signs of depression and history of suicidal attempts - should be treated with
(a) Amytriptyline
(b) Fluxetine
(c) Lithum
(d) ECT (electro convulsive therapy)
Ans. d
Q144. 59 yr. male has hypermature cataract with deep A.C. with congestion ofeye and waterin, diagnosis is -
(a) Phacomorphic glaucoma
(b) Phacolytic glucoma
(c) Phacotoxic glaucoma
(d) O.A.G.
Ans. a
Q145. Treatment of choice for a 5 Yr. old girl with multiple laryngeal papillomatosis?
(a) Ribavarin
(b) Steroid
(c) Microlaryngoscopic surgery
(d) Surgery
Ans. c
Q146. A patient has a very diminished vision is both eye i.e. 3/18 which does not improve on correction, diagnosis is -
(a) Anisometric amblyopia
(b) Ametropic amblyopia
(c) Emetropic amblyopia
(d) Organic amb.
Ans. c
Q147. A lady was treated for infertility and now she c/o abdominal pain menstural disturbances, bleeding p/v and ascites, diagnosis is -
(a) Ruptured ectopic pregnancy
(b) Endometriosis
(c) Ovarian hyperstimulation
(d) Adenomyosis
Ans. c
Q148. 19 Yr. lady child fell from height with pain in ankle, X-ray ankle was normal. After fewdays child presented with equinovalgus deformity. Diagnosis is -
(a) Peutz-Jegher syndrome
(b) Turcot syndrome
(c) Gardner"s synd
(d) Familial polyposis coli
Ans. a
Q149. Serum values of potassium are not the real correct values reflecting its entire body level because -
(a) Only 2% of potassium is intracellular
(b) Only 2 % of potassium is extracellular
(c) Contineous exchange of potassium occurs across the cell
(d) 98% of potasium is extracellar
Ans. b
Q150. While disposing waste material, a plastic bag containing cadmium should not be used as it produces toxic fumes on incenration. What is the color of such plastic bag to avoided?
(a) Red
(b) Yellow
(c) Secondary
(d) Black
Ans. d
Q151. 21 year old Anita has incresed sexual desire, elated mood, and history of spending excessive amount of money since last 15 days, What is the diagnosis?
(a) Acute psychosis
(b) Obsessive compulsive
(c) Impulse control disorder (OCD)
(d) Psychosexual developmental disorder
Ans. c
Q152. A patient of tuberculoid leprosy was treated for 6 Month properly . He hassignificant improvement but steel some lesions are persisting. What should be the further treatment according to WHO leprosy control programme?
(a) Continue paucibacillary therapy fornext 6 month
(b) Start fresh treatment
(c) Start surgical treatment
(d) Wait, observe and watch
Ans. d
Q153. 49 year lady from Assam , chronic tobacco chewer developed stiffening of of oral mucosa, o/e oral mucosa is dry and pale upto the post, pharynx and she is als not able to open her mouth properly, diagnosis is -
(a) Lichen planus
(b) Oral submucosal fibrosis
(c) Tonsiltis
(d) Xerosis
Ans. b
Q154. 39 yr. old female with eye pain, photophobia, watering and small constricted pupil with A.C. normal on other side, diagnosis is -
(a) Glaucoma
(b) Uveitis (anterior)
(c) RD
(d) Scleritis
Ans. b
Q155. 9 Yr. old boy has eye pain & headache with vision 6/5 in same eye. On correction vision did not improve but pain lessened, diagnosis is -
(a) Myopia
(b) Pseudomyopia
(c) Emetropia
(d) Hyperopia
Ans. b
Q156. Dental extraction of second molar was done in 39 yr. old male . After 2-3 days he developed high grade fever and swelling on later aspect of neck in mid of sternomastoid with medial pushing of tonsills. Diagnosis is -
(a) Parapharyangeal abscess
(b) Retropharyngeal abscess
(c) Tonsialr abscess
(d) Ludwing's angina
Ans. a
Q157. A lady with 8 weeks pregnancy developed abdominal pain & mild vaginal bleed , her BP is 80/70 mm Hg and HR is 120/mn, uterine size more than that of gestational -
(a) Accidental hemorage
(b) Ectopic pregnancy
(c) Placenta previa
(d) H. mole
Ans. a
Q158. Under baby friendly hospital true is a/e -
(a) Motter & baby to be kept together for 24 hrs.
(b) Breast feeding to be started within 1 to 14 hrs. of birth
(c) Only breast milk for first 4 months of life
(d) Breast feeding on demand
Ans. b
Q159. True about fracture healing is a/e -
(a) Bone formation occurs on tension side
(b) Bone formation occurs on compression side
(c) Osteoblast get deposited in bone as osteocyte
(d) Osteolytic & osteoblastic activitiy occur side by side
Ans. -
Q160. Nutritional status in community can be best assessed by a/e -
(a) 1 to 4 year mortality rate
(b) Weight to height ratio
(c) Hb levels <11.5 gm % in pregnancy
(d) Babies < 2.5
Ans. c
161. 48 yr old man was started on treatment for depression, following which he developed retention of urine, tachycardia and constipation, cause is -
a. Amyitryptaline
b. Fluxentine
c. Trazondone
d. Fluxamine
Ans. a
162. Which of following should be done in a patent on longterm aspirin therapy is posted for a eletive surgery -
a. Stop aspirin for 7 days & then operate
b. Operate without stoping aspirin
c. Reduce the dose & operate stat
d. Operate with starting heparin
Ans. a
163. 4 yr. old child developed high grade fever with seizures which lasted for few min. He has history of similar complaints with fever in past. Which of the following would be the best for prophylaxis?
a. Paracetamol 6 hrly
b. Paracetamol 6 hrly + diazepam once orally 12 hrly.
c. Paractemol & diazepam once daily
d. I.V. diazepam
Ans. b
164. 49 yr. old lady has undergone hysterectomy a year back. Now she consults her physician for hormonal replacement therapy(HRT). She has no cardiac complaint, no hypertenision, her lipid profile is normal & LFT is also normal. Osteporosis is seen on X-ray bones. Which of the following treatment is best for her?
a. No requirement of HRT
b. Contineous estrogen replacement
c. Contineous estrogen & progestin therepy
d. Estrogen & progestin for 12 days/month
Ans. b
165. Peripheral (P.S.) of a patient of malaria shows all stages of Plasmodium including schizonts, 14-18 merozoites and yellow brown pigment. Which of the following is the likely cause?
a. P. falciparum
b. P. Vivax
c. P. Ovale
d. p.malare
Ans. b
166. A person living in nonendemic zone of malaria goes to endemic zone where there is low dose chloroquine resistance, best drug for the patient's prophylaxis shall be -
a. Chloroquine
b. Progunail + chloroquine
c. Pyrimethamine sulfadoxine
d. Artimether
Ans. c
167. Which typhoid vaccine best suited for developing countries?
a. Parentral heat-phenol inactivated vaccine
b. Parentral capsular polysaccaride containing ag.
c. Oral live-attenuate Ty21a vaccine
d. Parentral capsular polysaccaride containing salmonela typhi A & + paratyphi ag
Ans. c
168. 59 yr. old Ram presented with temporal headache, myalgia , has cord like structure felt over temporal aspect of skull ESR 75 mm & gradual dimnision of Vision. Diagnosis is -
a. Migraine
b. Temporal arteitis
c. Hypertension
d. PAN
Ans. b
169. 5 month old child developed severe dehydration after acute diarrhea. All veins were collapsed and no perpheral vein was accessible for I.V. cannulation & fluid therapy. Best further step for giving fluid therapy in this case will be -
a. Intraosseous route
b. Central venous route
C. Repeat peripheral vein cannulation
d. Intrarterial fluid therapy
Ans. a.
170. A diabitic delivered baby by L.S.C.S., develop dyspnea soon, likely cause is -
a. Hyaline membearne disease (HMD)
b. Transient tachypnoea of newborn (TTN)
c. Contential adenomatoid lung disease (CALD)
d. Congenital heart disease (CHD)
Ans. c
171. 39 yr. old lady presented with lump in breast which on histology was found to be intraductal carcinoma of breast, treatment is -
a. Preoperative radiotherapy & lump excision
b. Total mastectomy with axillary sampling
c. Quadrentectomy radiotherapy
d. Chemotherapy & radiotherapy
Ans. b
172. 40.Yr. old executive presented to casualty with sudden on set profuse (approx. 2 Itr) heamatemesis with no other signifcant history. Dagnosis is -
a. Bleeding duodenal ulcer
b. Esophageal varices
c. Ca. stomach
d. Divertculosis
Ans. b
173. Treatment of choice for carcinoma stomach at upper 1/3rd with parasplenic & celiac lymph node involvement in la 65 yr. old man is -
a. Total gastrectomy
b. Paliative distal gastrectomy
C. Proximal gstrectomy with anterior gastroJejunostomyv d. Chemotherapy
Ans. a.
174. 9 yr. old girl presented with severe abdominal pain after swimming. She has abdominal tenderness & gaurding & liver dullness was not absent. Diagnosis is -
a. Enteric perforation
b. Primary peritonitis
c. Gas grenous intussuception
d. Appenditis
Ans. b
175. 70 Yr. old man developed confusion, headache, irritability, drowsiness & obtundation after 24 to 48 hrs. of TURP (Transuretheral resection of prostate) Diagnosis is -
a. Complication of spinal anesthesia
b. Hypovolumia
c. Water initoxication
d. Hypokalemia
Ans. c
176. 44 Yr. old male patient of renal cell Ca. with IVC and renal vein involvement, true is a/e -
a. Preperative biopsy
b. Preoperative radiotherapy necessary
c. IVC & renal vein involvement suggest inoperability
d. Surgery is the main treatment
Ans. b
177. Lady of 49 yr. age presented with acute biliary colic, on USG she was found to have multiple stones in gall bladder. What shall be the next investigation for her further work up?
a. Percutaneous cholangiography
b. OCG
C. HIDA Scan
d. ERCP
Ans. d
178. Acute pain in back with serum amylase of 1000 Amu. All favour pancreatitis except -
a. Low serum lipase
b. Acid base imbalance
c. Sr.LDH increased
d. Leukocytosis
Ans. a
179. Test for recurrent shoulder dislocation is -
a. Genslen's test
b. Relocation test
c. Shober's test
d. Apprehension test
Ans. b
180. True about fracture healing is a/e -
a. Bone formation occurs on tension side
b. Bone formation occurs on compression side
c. Osteoblast get deposited in bone as osteocyte
d. Osteolytic & osteoblastic activity occur side by side
Ans. -
181. In type IV esophageal varices, barium swallow will show -
a. Straight mucosal folds upto lower half of esophagus
b. Straight mucosal fods upto upper half of esophagus
c. Tortuous mucosal folds upto lower half of esophagus
d. Tortuous mucosal folds above the carina
Ans. d
182. 41 yr. old lady with parotid swelling with bulging of tonsils, diagnosis of deep pleomorphic adenoma is made, treatment for this is -
a. Conservative
b. Superficial parotidectomy
c. Total parotidectomy
d. Educleaton
Ans. c
183. 11 yr. old boy developed pain in the right knee. On X-ray osteolytic lesion with surrounding sclerosis was revealed in the upper end of tibia at metaphysis, diagnosis is -
a. Brodie's abscess
b. Ewing's sarcoma
c. Aneuryismal bone cyst
d. Osteoclastoma
Ans. a
184. Advantage of general fertlity rate over birth rate as a parameter of fertility is -
a. Denominator include married females
b. Birth rate is direct measure of fertility
c. Numarator is well defined
d. Denominator include all females in reproducetive age
Ans. d
185. In 11 babies born in a hospital 5 are below 2.5 kg, & 5 are 2.5 kg. The value 2.5 kg is -
a. Average mean
b. Aryithematc mean
c. Geomatric mean
d. Median average
Ans. d
186. A lady has given birth to baby with down's syndrome and now she comes at 14 week of gestation to check if for this baby. Investigation of choice for this would be -
a. CVS
b. HCG
c. USG
d. Amniocentesis
Ans. d
187. 49 Yr. old man after a fall with impact on hip developed adduction, internal rotation & extenssion at hip -
a. # neck femur
b. # intertrochantric femur
c. Posterior hip dislocation
d. Knee dislocation
Ans. c
188. Berksonian bias is -
a. Bias due to systemic differences in char. between case & control
b. Bias due to different rate of admission in hospital for the people with different disease
c. Bias due to knowing both hypothesis and knowing who the cases are
d. Cases are more likely to recall existence of certain events than controls who are more healthy
Ans. b
189. Standard deviation of 1.2 means the birth weight of boys is what if their avg. weight is 14kg.,this means -
a. 95% of values of weight should be between 12.8 to 15.2
b. 5% of values of weight should be between 12.8 to 15.2
C. with 5% certainity weight should be between 12.8 to 15.2
d. with 95% certainity weight should to be between 12.8 to 15.2
Ans. a
190. While givng OC pills to women in a village health worker should ask about a/e -
a. Headache
b. Number of living children
c. Convulsions
d. Calf tenderness
Ans. b
191. Colon was distended with air for colonoscopy. What will be effect on peristalsis?
a. Entire G I peristalsis will affected
b. Only small intestinal peristalsis will be affected
c. Proximal colon peristalsis present, proximally lost
d. Distal colon peristalsis present, proximally lost
Ans. c
192. 4 Months child with severe dehydration has Na++=125meq/L, K+=3.5meq/L, treatment is -
a. Normal saline
b. Ringer lactate
c. N/3 saline + 5% dextrose
d. N/2 saline + 10% dextrose
Ans. a
193. A man was suddenly taken to cold environment, which of the following change will be most physiologic -
a. RBC's shift from shell to core
b. Tachycardia
C. Increased SBP
d. No acclimatization
Ans. b
194. A football player while playing suddenly stoped & turned back when he got sudden pain in the knee. After 10 mins. he resumed to play back But on the next day he came with pain and swelling in knee. Injury is to the -
a. Medial collateral ligament
b. Meniscus
c. Ant. cruciate
d. Post cruciate ligament
Ans. b
195. 50 Yr. old kamala developed incontinence in urine 8 days after being operated of total hysterctomy. She can although urinate on pressure on bladder, diagnosis is -
a. VVF
b. Uretero-vaginal fistula
c. Urge incontinence
d. Stress
Ans. b
196. Calculate alveolar ventilation if tidal volume is 500 ml, dead space = 150ml and TLC=5000 ml at RR =14/min
(Key : Alveolar vent -{Tidal vol, - Dead SP} X RR) -
a. 5200
b. 4900
c. 4200
d. 6000
Ans. b
197. Child with diarhea due to gastroenteritis with serum Na+ =135 meq./L,k+ = 5 meq/L Ca++ = 9, Mg++ = 2, HCo3- = 15, Cl- = 110 meq/L. Calculate anion -gap
(Nelson-210, A.G.=Na+ +K+-HCO3-Cl) -
a. 10
b. 13
C. 15
d. 24
Ans. c
198. Calculate API if 50 village with 1,00,000 population & 20,000 slides taken for survlience, out of which 500 are positive
Key: API=No. of confirmed positive cases/Population under survilience x1000 -
a. 5
b. 25
c. 30
d. 50
Ans. b
199. Calculate positive predictive value (in % ) if the ELISA test has sensitivity of 90% & prevalance of HIV in community is 5%
Key : PPV=Prevalance x Sensitivity/ (prev. x Sensi) + (1-Prev.)1-Sen) -
a. 30
b. 75
c. 90
d. 99
Ans. d
DRS
