AIIMS Nov 2012 Questions

8/9/2019 AIIMS Nov 2012 Questions

1/12

1. Which of the following is true about testis?A. Ectodermal in originB. Gubernaculum is attached to the caudal endof testisC. Surrounded by peritoneal tunica albuginea. !each scrotum at "#th wee$s of gestation

". Which ner%e does not supply gluteal region?A. Sciatic ner%e

B. Superior gluteal ner%eC. &nferior gluteal ner%e. 'er%e to obturator internus

( a. 'er%e damaged in case of numbness oflittle and ring )nger* atrophy of hypothenarmuscelsA. +almar cutaneous branch of ulnarB. eep branch of ulnarC. ,lnar ner%e before di%ision into super)cialand deep branches. +osterior cord of branchial ple-us

( b. oss of e-tension of little ring )nger*hypothenar atrophy is seen in in/ury of A. +ost interosseous ner%eB. !adial trun$C. ,lnar 'er%e. 0edian ner%e

.!oot %alue of long thoracic ner%eA. C2(**3B. C23*4*5C. C2 5*#*621. C2"*(*

3. Ciliary muscles de%elop fromA. Surface ectodermB. 'eural crest cellC. 0esoderm. 'euroectoderm

4. Which of the following structure in thespermatic cord is not damaged during%asectomyA. 6esticular arteryB. &lioinguinal ner%eC. Autonomic ner%es

. +ampiniform ple-us

5. Sternocleidomastoid is supplied by all of thefollowing artery e-ceptA. 7ccipitalB. Superior auricular ArteryC. +osterior auricular Artery. 6hyrocer%ical trun$

#. All of the following organs de%elop in themesentery of stomach e-ceptA. i%erB. Spleen

C. 8idney. +ancreas

9. 'umber of %ertebrae is usually constant inA. Cer%icalB. 6horacicC. umbar. Sacral

1:. 6he ligaments connecting the menisci to thetibia are $nown asA. Coronary

B. ArcuateC. 6rans%erse. obli;ue

11. A person was ta$ing something o%erboo$shelf falls on his arm laterally* after whichhe is not able to e-tend his wrist* unable toma$e a strong hand grip and there is long ofsensation on dorsum of hand and )ngers. Whichof the following structure is in%ol%ed?A. Brachial ple-usB. C5 radiculopathyC. +osterior cord in/ury

. !adial ner%e in/ury

1". Epiglottis de%elops from which of thefollowing structre?A. "nd pharyngeal archB. (rd pharyngeal archC. th pharyngeal arch. 4th pharyngeal arch

1(. All are true regarding blood supply increasein muscle during e-ercise e-ceptA. ocal 0etaboliteB. Sympathetic stimulationC. Cholinergic stimulation. &nhibition of beta receptor

1. End diastolic %olume increases inA. ecrease in total blood %olumeB. &ncrease in intra pericardial pressureC. &ncrease in negati%e intra thoracic pressure. ecrease in %entricular compliance

13. !ight a-is de%iation is seen inA. ying down positionB. 6hin and tall

C. 7bese person. At the end of pea$ e-piration

14a. Clamping of the carotid arteries below

A. &ncrease in %asomotor centre acti%ityB. &ncrease in discharge of carotid sinus aerentner%esC. ecreased heart rate and blood pressure. Baroreceptor adaptation

14b. Clamping of the carotid arteries below


2/12

C. &ncrease in blood pressure and decrease inheart rate. ecrease in blood pressure and increase inheart rate15a. Self stimulation is e-perimentally donefrom which part of brain?A. 0edial forebrain bundleB. Area around a;ueduct of syl%iusC. +@ region of hypothalamus

. !adial radiotherapy

15b. Stimulation of which of the following areasof brain is e-perimentally used to controlintractable painA. +eria;uaeductal grey matterB. 0esencephalonC. Subthalamic nucleus. 0edial forebrain bundle

1#. A politician is shot in the bac$ during a rallyat le%el of 6B %ertebral immediately after theshot he loses all the sensation below le%el of

lesion. Chance of regeneration of spinal corddue to the fact that in/ured ner%e is not able toregeneration is due to reason all e-ceptA. ac$ of the endoneural tubesB. ac$ of growth factorsC. +resence 7f glial scar. lac$ of myelin inhibiting substance

19. Which of the following is true?A. opamine increase the hepatic andmesenteric blood ow at high doseB. obutamine decreases peripheral %ascularresistanceC. 'or2adrenaline increases the renal blood ow. Adrenaline causes selecti%e renal%asodilation

":. Which of the following is not a secondmessenger?A. c2A0+B. &+(C. Guanylyl cyclase. iacylglycerol


3/12

A. Bur$ittIs lymphomaB. Acute erythroleu$emiaC. Acute mega$aryocytic leu$emia. Acute myelomonocytic leu$emia

((. !eceptor on neuronal membrane that

induces de%elopment of glioma>A. C2115B. C21((C. C2((. C23

(. C 93 is a mar$er of>A. &ntrinsic pathway of apoptosisB. E-trinsic pathway of apoptosisC. 0onocyte. eucocyte

(3. ymphoma 0ar$er is>

A. S21::B. 0B23C. eu$ocyte common antigen. Cyto$eratin

(4. A patient of more then 5: years* presentedwith generalied lymphadenopathy. WBC countwas ":*:::Jmm( and blood )lm showed K5:Lmature loo$ingymphocytes. 'e-t in%estigation that should bedone >A. ' biopsyB. +eripheral &mmunophenotypingC. Bone merrow aspiration. +eripheral blood cytogenetics

(5. 0ost common )-ati%e used in electronmicroscopy>A. GlutaraldehydeB. ormalinC. +icric Acid. Absolute alcohol

(#. &n a specimen of $idney* )brinoid necrosis isseen and onion peel appearance is also present.

0ost probable pathology isA. yaline degerationB. yperplastic arteriosclerosisC. Glomerulosclerosis. ibrilliary glomerulonephritis

(9. Staining done for sebaceous cell carcinomaA. 7il !ed 7B. +ASC. 0ethamine sil%er. 87

:. 0utation in C7A3 chain the diagnosis

A. AlportIs syndromeB. Good pastureIs syndromeC. ereditary 'on2polyposis Colon Cancer. Meroderma +igmentosum

1. +erson ha%ing heteroygous sic$le cell traitisprotected from infection of A. +. falciparumB. +. %i%a-C. +neumococcus. Salmonella

". Which of the following is an ocular sideeect of AA!6 therapy?A. !etinitisB. ,%eitisC. 7ptic neuritis. Scleritis

(. !ho $inase inhibitorA. asudilB. !anolaineC. Amiloride. 'icorandil

. Best agent for premenstrual syndromemanagementA. +rogesteroneB. An-iolyticsC. SS!&. @itamin E

3. Which of the following is not a "nd generationantihistamine?A. CetriineB. CycliineC. oratidine. e-ofenadine

4. 6reatment of choice for e-tended spectrumbeta lactamase producing enterococciA. Amp-icillin N cla%alunic acidB. +iperacillin26aobactamC. Ampicillin only. Ampicillin H Sulbactam

5. &n new drug designing* problem arises inA. ecreasing interaction of drug with targetproteinsB. &ncreasing drug nteraction with non2target

proteinsC. ecreasing potency of drugs. &ncreased binding with target protein

#. ,nfa%orable interaction of drug andsubstrate in human beings are all e-ceptA. 7mepraole reduces stomach acid secretionB. 0ethotre-ate inhibiting folateC. Barbiturates decreases B1" absorption. !etinoic acid inhibits %itamin E

9. A patient with glaucoma is being treatedwith systemic beta bloc$er. All of the following

can be gi%en to the patient e-cept?A. BrimonidineB. orolamideC. e%obunolol. +rostaglandin


4/12

3:. Which of the following agent is not used inerectile dysfunction?A. +GE"B. @ardena)lC. +henylephrine. Alprostadil

31. 6rue about +enicillin GA. &t can be gi%en orallyB. &t is has broad spectrum acti%ityC. ,sed for treatment rat bite fe%er. +robenecid gi%en along with +nG decrease itsdirection of action

3". Cholinomimetic is not used forA. 7pen angle glaucomaB. BradycardiaC. Cobra bite. 0yasthenia gra%is

3(. 6he endoto-in of the following gramnegati%e bacteria doesnIt play any part in thepathogenesis of the natural disease?A. E. coliB. 8lebsiellaC. @ibrio cholera. +seudomonas

3. Aerosol spread leading to epidemics is seenin infection with>A. egionellaB. emophilusC. &nuena. 0ycoplasma

33. Which of the following features is not sharedbetween O6 cellsI and OB cellsI?A. +ositi%e selection during de%elopmentB. Class & 0C E-pressionC. Antigen Speci)c !eceptors. All of the abo%e

34. With reference to Bacteroides fragilis* all ofthe following statements are true e-ceptA. B. ragilis is the most fre;uent anaerobe

isolated from clinical samplesB. B. ragilis is not uniformly sensiti%e to0etronidaoleC. ipopopolysaccharide formed by B. fragilis isstructurally and functionally dierent from thecon%entional Endoto-in. Shoc$ and &C are common in Bacteroidesbacteremia

35. A formal from the sub2imalayan regionpresents with multiple leg ulcers. 6he mostli$ely causati%e agent isA. 6richophyton

B. CladosporiumC. Sporothri- schen$ii. Aspergillus

3#. armer presents with the features of highfe%er* painful inguinal lymphadenopathy*%omiting and diarrhea and hypotension. Whichstain will help in the diagnosis?A. 'esser stainB. WaysonIs stainC. AlbertIs stain. 0cadyeanIs stain

39. An abattoir wor$er presented with amalignant pustule on his hand that progressedto form an ulcer. Smear was ta$en from theulcer and sent to laboratory for in%estigation. 6he diagnosis isA. Cutaneous anthra-B. CarbuncleC. ,lcerating melanoma. &nfected rodent ulcer

4:. Which of following is correct about +rions?A. ong incubation periodB. estroyed by autocla%ing at 1"1P CC. 'ucleic acid present. &mmunogenic

41. &n the forensic laboratory some samples arebeing e-amined under ultra%iolet ray* thedoctor notices blue white colour of the sample.Which is the most probable content of thesamle?A. SemenB. ,rineC. +us. eucorrhoea discharge

4". A young man with $nown history of heroineaddiction is brought in the emergency inunconscious state by his friends. 7ne-amination his pupil are pin point. What will bethe treatment of choice?A. 7ral naltre-oneB. &@ nalo-oneC. 7ral diaepam. 7ral buprenorphine

4(. A woman assaulted by neighbor wasbrought to you in the emergency departmentwith fracture of middle tooth. &n/ury wase-tended medially to the mouth and there wasalso contusion to bilateral leg. What is thenature of thi in/ury?A. Grie%ous in/uryB. Simple in/uryC. angerous in/ury. Assault

4. A police oQcer brings the aborted productof conception of sie " cm and weight 1: gm.or all forensic purposes what will be the age ofthe fetus?A. " wee$s


5/12

B. wee$sC. 4 wee$s. # wee$s

43. A person $eeps a man under his power andthreatens him to assault or cause harmwithoutany intension to $ill comes under?A. Section B. Section (31

C. Section (19. Section (":

44. Cho$ing is seen in?A. !e%ol%erB. Shopping rieC. Shotgun. +istol

45. ouble based smo$eless gun powder

consists of A. 'itrocellulose plus nitroglycerineB. &ntrocellulose plus sulphurC. +otassium nitrate plus nitroglycerine. +otassium nitrate plus charcoal

4#. 6rue about 7+@ all e-ceptA. We get immune responseB. &t is a li%e %accineC. &t is used in epidemic. maternal antibody interferes with immuneresponse

49. &f the pre%alence is %ery low as compared tothe incidence for a disease. &t impliesA. isease is %ery fatal and J or easily curableB. isease is non fatalC. calculation of pre%alence and incidence iswrong. 'othing can be said as they are independent

5:. or !andomied Control 6rial

A. Strati)ed samplingB. Simple random samplingC. Cluster sampling. 0ultistage sampling

51. 6he pattern of change of disease trends ofmortality and morbidity where the pandemicsinfection are replaced by degenerati%e andmanmade disorders* the main cause ofmorbidity and the most fre;uent cause offatality is $nownasA. Cross transition

B. parado-ical transitionC. Epidemiological transition. emographic transition

5". 0ass chemoprophyla-is is not gi%en for oneof the followingA. ymphatic )lariasisB. +lagueC. @itamin A de)ciency. Scabies

5(. istrict population 1: lac* with under N 14are (:L* pre%alence of blindness is :.# J 1:::

of under N 14 population. Calculate the no. ofblind under N 14A. ":B. "::C. ":::. "::::

5. All of the following are true regardingtetanus e-cept

A. &t is transmitted from person to personB. erd immunity is not of much %alueC. 6he main reser%oir is soil and intestine ofanimals and human. &ncubation period is 4 N 1: days

53. Current percent of &ndian G+ spent onhealthA. 1."B. "C. 1:. 13

54. Which of the following is the most commoncause of neonatal mortality in &ndia?A. +rematurityB. 'eonatal infectionC. iarrheal disease. Congenital anomalies

55. &n a population of 3::: people* 3:: arealready myopic on Ranuary 1* ":11* number ofnew myopic cases till ecember (1* ":11 is 9.Calculate incidenceA. 1.# L

B. "LC. 3L. ":L

5#. 'ew cancer patients in &ndia reportedannuallyA. :3. 0illionB. 1 millionC. 3 million. 1: million

59. &n a certain population* there were :3:births in the last one year. 6here were 3: still

births* 3: infants died within 5 days. What is theneonatal mortality rate?A. 3:B. 4".3C. 1".3


6/12

. 9.

#:. Which is true about 0G?A. !educe by "J(rd the under )%e mortality byyear 199: N ":1"B. alf the pre%alence of &@ N A&S by ":13C. !educe maternal mortality by 3:L by 199: N":1". !educe hunger and po%erty by half

#1. Screening age for trachoma isA. Below 3 school child onlyB. 1 N 9 earsC. 9 N 1 ears. 3 N 13 ears

#". 6rue about '+CCS is all e-ceptA. Separate centre for stro$e* 0B. &mplementation in some 3 states o%er 1:districtC. CC has facilities for diagnosis and treatmentof C@* iabetes

. ay care facilities are a%ailable at subcentre

#(. !ashtriya Swasthya o/anaA. Applies to B+ onlyB. (:*::: per family memberC. 53L premium borne by family. &mplemented all o%er &ndia

#. &@ sentinel sur%eillance used to calculateA. etection of high ris$ groupB. +re%alenceC. 0onitoring disease trend. etection of incidence

#3. &n a population of ":: people with normaldistribution. ow many people would beincluded in 1 S?A. 1(4B. 1:C. 13:. 19:

#4. All of the following are true about !oll bac$malaria e-ceptA. &nsecticide treated bed nets

B. Strengthening health systemC. e%elop new insecticide. 6raining health wor$ers

#5. ighest mean and lowest mode indicatesA. +ositi%e s$ewingB. 'egati%e s$ewingC. 'ormal. Symmetrical

##. isability certi)cate for poor %ision if J4:* isimpairment percentage of A. 1::

B. 53C. :. (:

#9. A patient with epatitis C e-hibitshypocomplimentemia with "gm J dayproteinuria andhematuria. 6he most probable diagnosis isA. 0+G'B. CryoglobulinemiaC. 0embranous glomerulopathy. +ost2infectious glomerulonephritis

9:. All are indicated in a patient with cystinuriawith multiple renal stones e-ceptA. CysteamineB. &ncrease uid inta$eC. Al$aliniation of urine. +enicillamine

91. All of the following are true regarding!aynaudIs phenomenon e-ceptA. &t in%ol%es acral parts of )ngersB. migratory thrombophlebitis is seen only in!aynaudIs phenomenonC. rugs acting by inhibiting the beta receptors

in blood %essels also play a role. Emotional stress may also precipitate!aynaudIs phenomenon9". A patient on amphotericin B de%elopshypo$alemia of ".( mw; J 1. 8 Hsupplementation re;uiredA. : mE; o%er " hoursB. 4: mE; o%er " hoursC. #: mE; o%er " hours. 1":214: mE; o%er " hours

9(. A patient with # cm - # cm abscess in rightlobe of li%er was treated with aspiration multipletimes


7/12

A. A!+8B. A+8C. 7-alosis. AlportIs syndrome

95. +inna calci)cation is seen in all e-ceptA. GautB. 7chronosisC. rost bite

. AddisonIs disease

9#. Which of the following does not needtreatment?A. 'euroblastomaB. Bur$ittIs lymphomaC. 6 cell lumphoblastic leu$emia. A0

99. With ageing* a slight decrease in cogniti%eimpairment is seen due to increase in le%el of A. omocysteineB. taurine

C. 0ethionine. Cysteine

1::. A patient presents with pain in 0eta26arso2+halangeal /oints and is a $nown case of chronicrenal failure. 6his is due to accumulation of A. !h factorB. uric acidC. Serum urea. A B"5 typing

1:1. SA!S causati%e agentA. Corona2%irusB. +icorna2%irusC. 0y-o%irus. !etro%irus

1:". Blin$ ree- is used forA. 0id pontine lesionsB. 'euromuscular transmissionC. A-onal neuropathy

. 0otor neuron disease

1:(. Grisel syndrome all are true e-ceptA. +ost2adenoidectomyB. Conser%ation treatmentC. &nammation of cer%ical spine ligaments. 'o need for neurosurgeon

1:. All of the following are seen in cer%icalsyringomyelia e-ceptA. Burning sensation in handsB. ypertrophy of abductor pollicis bre%isC. +lantar e-tensor

. Absent biceps ree-

1:3. Which of the following is a feature oftemporal arteritis?A. Giant cell arteritisB. Granulomatous %asculitis

C. 'ecrotiing %asculitis. eucocytoclastic %asculitis

1:4. A 5: years old retired military person withgood pre%ious medical record complains ofbitemporal headache which is decreased inlying down position. e states that he gets relief by gi%ing pressure o%er bilateral temples. 6hepatient also complains of loss of appetite with

feeling fe%erish. iagnosis isA. Chronic tension headacheB. 6emporal arteritisC. 0igrane. ibromyalgia

1:5. A patient of rheumatoid arthritis de%elopssudden onset ;uadriparesis* Babins$y sign waspositi%e* increased muscle tone of limbs withe-aggerated tendon /er$s andworsening of gait with no sensory* sphincterin%ol%ement. Best initial in%estigation isA. M2ray of cer%ical area of nec$ in e-ion and

e-tensionB. 0!& brainC. E0G brain. Carotid angipgraphy

1:#. &n a patient with implanted cardiacpacema$er


8/12

on e-amination hepatosplenomegaly.emoglobin was (.#gm J dl* 0C@ 19.+eripheral smear showed schistocytes. Bonemarrow e-amination show erythroidhyperplasia. iagnosis isA. Sic$le cell anemiaB. Alpha2thalassemiaC. Beta2thalassemia


9/12

1"4. A middle aged patients presents with thecomplained of right hypochondrial pain. 7nMray* ele%ated right hemidaphragm was seen.All of the following are the possible diagnosese-cept?A. Subphrenic abscessB. Acute cholecystisC. +yogenic li%er abscess. Amoebic li%er abscess in right lobe

1"5a. 6reatment of carcinoma Cer%i- stage &&&BincludeA. WertheimIs hysterectomyB. SchuataIs hysterectomyC. Chemotherapy. Concurrent chemoradiation

1"5b. 6reatment of carcinoma cer%i- stage &&&BincludeA. Concurrent of chemoradiationB. SurgeryC. 'eoad/u%ant chemotherapy followed by

radiotherapy. 7nly radiotherapy

1"#a. A female presents with # wee$samenorrhea with pain left lower abdomen. 7n,SG* there was thic$ endometrium with mass inlateral adne-a. 0ost probable diagnosisA. Ectopic pregnancyB. 6orsion of dermoid cystC. 6ubo2o%arian mass. ydrosalpin-

1"#b. A young female with " monthamenorrhea presents with sudden abdominalpain with adne-al mass* urine pregnancy test ispositi%e. 0ost li$ely diagnosisA. 7%arianB. Ectopic pregnancyC. +el%ic tumor. 7%arian cyst

1"9. &n a study it is obser%ed that the righto%ary o%ulates more than the left* all are

possible e-planation for the cause e-ceptA. Anatomical dierence between right and leftsideB. ierence in blood supply to both sidesC. !ight handedness is more common inpopulation. Some embryological basis

1(:. A young lady presents to your oQce withcomplain of copious %aginal discharge* butthere is no cer%ical discharge on per speculume-amination. Which of the following should begi%en for the management?

A. 0etronidaole and uconaoleB. 0etronidaole and aithromycinC. 0etronidaole and do-ycycline. luconaole only

1(1. Which of the following is least seen inuterine )broid?A. yaline degenerationB. Sarcomatous changeC. !ed degeneration. fatty degeneration

1(". Which of the following is seen in pregnancyheart disease which is not seen in normal

pregnancy?A. istended nec$ %einsB. E-ertional dyspneaC. +edal edema. Supine hypotension

1((. A " years gra%id female at (4 wee$sgestation comes with %isual disturbance*headache and ele%ated B+ of 1#: J 11: mm Gand 154 J 1: mm g in two readings ta$en ":minuts apart. Which is the best management?A. Start antihypertensi%e* magnesium sulphateand terminate pregnancy

B. Admit* start antihypertensi%e and allow tocontinue the pregnancy to the termC. Gi%e antihypertensi%e and treat in 7+ basis. 7nly admit F watch the patient

1(a. 6est not useful in case of tubal pregnancyA. +el%ic e-aminationB. ,SGC. CG le%els. ysterosalpingography

1(b. Which of the following is not helpful indiagnosis of tubal mass in ectopic pregnancy?A. Beta2CG estimationB. ysterosalpingographyC. 6rans%aginal ultrasound. +el%ic e-amination

1(3. A 19 years old patient came to the outpatient department with complaints of primaryamenorrhea.She had well absence of %agina and uterus butnormal o%aries. i$ely diagnosis isA. MB. 0ullerian agenesis

C. Gonadal dysgenesis. 8linefelterIs syndrome

1(4. A (4 years old multigra%ida at ( wee$s*with pre%ious " normal %aginal deli%ery nowpresented with unstable lie. 6he most li$elydiagnosis in this case isA. 7ligohydramniosB. +lacenta pre%iaC. pel%ic tumor. ,terine anomalies

1(5a. A lady withpre%ious cesarean section

presents in labour. 6rial of normal %aginaldeli%ery is contraindicated inA. Breech presentationB. act of $nowing that pre%ious caesareansection was due to C+C. +re%ious classical cesarean section


10/12

. . 'o pre%ious %aginal deli%ery

1(5b. 6rial of normal labour is contrainendicatedinA. istory of pre%ious classical caesareansectionB. istory of pre%ious caesarean section due toC+C. 'o history of prior %aginal deli%ery

. istory of pre%ious caesarean section due tomalpresentation

1(#. A young female presents with cyclical pain*dysmenorrheal and complain of infertility. Whichof the following would be in%estigation of choicein her?A. 6@SB. iagnostic laparoscopyC. Aspirate from pouch of ouglas. ormonal Assessment

1(9. Shoc$ inde-


11/12

performance. 7n hyper%entilation hersymptoms increased and showed the followingthe following EEG )ndings. iagnosis is


12/12

93. 94. 95. A9#. A99. A1::. B1:1. A1:". A1:(.

1:. B1:3. A1:4. A1:5. A1:#. A1:9. C11:. A111. A11". C11(. C11. C113. A114. B

115. C

11#. C119. B1":a. A1":b. A1"1. C1"". C1"(. A1". B1"3. B

1"4. B1"5a. 1"5b. A1"#a. A1"#b. B1"9. C1(:. A1(1. B1(". A1((. A1(a. 1(b. B1(3. B

1(4. B

1(5a. C1(5b. B1(#. B1(9. 1:. A11. A1". C1(. B1. B

13. B14. C15. C1#. 19. A13:. C131. A13". C13(. B13. A133. 134. 135. C

AIIMS Nov 2012 Questions

Documents

Transcript of AIIMS Nov 2012 Questions