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AIIMS MEDICAL PG MAY 2014
ANATOMY
1. All of the following are derived from ectoderm
except
A. Hair follicles
B. Erector pilae
C. Sebaceous glands
D. Mammary glands
2. Which of the following muscles is not a derivative
of mesoderm?
A. Skeletal muscles
B. Smooth muscles
C. Cardiac myocyte
D. Dilators of pupil
3. Buccopharyngeal memrane develops from!
A. Ectoderm + Mesoderm
B. Ectoderm + Endoderm
C. Mesoderm+ Endoderm
D. Ectoderm + Mesoderm+ Endoderm
4. "pithelioid cells include which of the following?
A. Islet cells of pancreas
B. Theca lutein cells
C. Cells of Brunners gland
D. Interstitial cells of !eydig
5. #enous drainage of esophagus is into the
A."#ygous and inferior thyroid $eins
B. "#ygous% inferior thyroid and left gastric $eins
C. "#ygous% inferior thyroid and right gastric
$eins
D. Superior thyroid% inferior thyroid $eins%
a#ygous and hemi&a#ygous $eins
6. The most common variant in the lood supply of
colon is
A. "bsent right colic artery
B. "bsent middle colic artery
C. "bsent left colic artery
D. "bsent superior rectal artery
7. All of the following are part of mesorectal fascia
except
A. Superior rectal $ein
B. Inferior rectal $ein
C. 'ara rectal nodes
D. Inferior mesenteric ple(us
8. Which of the following is not true aout lood
test is arrier?
A. It is formed by Sertoli cells
B. It is formed before primary spermatogenesis
C. "ny rupture of barrier can cause immune
response to germ cells
D. )erm cells are not necessary for formation of
the barrier
9. Which of the following is not true aout dura
matter?
A. It is the outermost of the cranial meninges
B. It has t*o layers&periosteal and meningeal
C. Dural $enous sinuses lie belo* the meningeal
layer
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AIIMS MEDICAL PG MAY 2014
D. It is supplied by a branch of the ner$e
10. Which of the following structures is seen in the
cavernous sinus?
A. ,st
part of ner$e
B. -ndpart of ner$e
C. IC"
D. .thner$e
11. The medulla receives its lood supply from all of
the following arteries except
A. "nterior spinal
B. 'osterior inferior cerebellar
C. ertebral
D. Superior cerebellar
12. Which of the following is not supplied y
ipsilateral nerve nucleus?
A. Superior rectus
B. Inferior rectus
C. Medial rectus
D. Inferior obli/ue
13. Trigeminal nerve supplies all of the following
muscles except
A. Stylohyoid
B. Medial pterygoid
C. !ateral pterygoid
D. Tensor $eli palatine
14. $acial nerve gives out secretomotor fires to all of
the following except
A. !acrimal gland
B. 'arotid gland
C. Submandibular gland
D. 0asal glands
%&Y'(O)O*Y
15. (n an encephale isole preparation+ the transaction
is done at!
A. 1irst cer$ical spinal segment
B. !e$el of medulla
C. Midpontine le$el
D. Midcollicular le$el
16. (f a supramaximal stimulus is applied to an
excitale tissue li,e a nerve or a muscle and it
elicits a response+ then the tissue is said to e in
A. "bsolute refractory period
B. 2elati$e refractory period
C. !atent period
D. "fter&depolari#ation
17. Nuclear ag fires are related to
A. 1orce
B. !ength
C. Tone
D. !ength and $elocity
18. True aout *olgi tendon organ is
A. Sense the dynamic length of the muscle
B. "re in$ol$ed in reciprocal inner$ations
C. "re stimulated by alpha motor neuron
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AIIMS MEDICAL PG MAY 2014
D. Sense muscle tension
19. The mechanostretch receptors in -oints and
ligaments are
A. 1ast adapting
B. Slo* adapting
C. 0on adapting
D. "dapt differentially for different stresses
20. .uring hip replacement+ loss of -oint and
ligament receptors leads to
A. 0o loss of sensation
B. !oss of all sensations
C. 3oint sensation lost in stable position
D. Decrease in mo$ements and decrease in
sensation
21. $ast fatigue fires are recruited during wal,ing
A. In the beginning
B. In the end
C. Throughout the *alking process
D. 4hen small neurons are e(cited
22. Which of the following can cause a shift of the
oxygen/ hemogloin dissociation curve to the left?
A. pH
B. Temperature
C. -%5&B')
D. pC6-
23. (n the given circuit+ the inward flow pressure is
011 mm &g and the outward flow pressure is 01
mm &g2 "ach resistance in the circuit is of 3 mm
&g4m)4min2 5alculate the flow across the circuit
A. .7 m!
B. 89 m!
C. 5:; m!
D. ,57 m!
24. Which of the following defines the pressure in the
vascular system in the asence of lood flow?
A. 'ulse pressure
B. Critical closing pressure
C. Mean circulatory pressure
D. 'erfusion pressure
25. Which of the following defines the pressure in the
vascular system in the asence of lood flow?
A. 'ulse pressure
B. Critical closing pressure
C. Mean circulatory pressure
D. 'erfusion pressure
26. Which of the following is true aout measurement
of lood pressure?
A.The length of the bladder in the blood pressurecuff should co$er more than
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AIIMS MEDICAL PG MAY 2014
A. !eft side is high pressure system
B. !eft atrium is more compliant
C. !eft atrium is compressed posteriorly by
pulmonary $eins
D. 2ight atrial pressure is transmitted into thepulmonary circulation
28. The right atrium chronic overload is indicated y
a % wave of more than
A. -:7 mm
B. 5:7 mm
C. .:7 mm
D. 7:7 mm
29. The cells of the human ody most sensitive to
ischemia are
A. 0eurons
B. 0ephrons
C. Cardiac myocyte
D. Hepatocytes
30. The most important hormone that increases
gallladder contraction after a fatty meal is
A. )astrin
B. Secretin
C. CC>
D. )I'
31. The most serious complication of prolonged
sitting position is
A. enous air embolism
B. Dysrhythmias
C. Hypotension
D. 0er$e palsies
B(O5&"M('T8Y
32. Not an intermediate product of citric acid cycle is
A. "cyl Co"
B. Succinyl Co"
C. Citrate
D. ?& ketoglutarate
33. The en9yme common to oth glycogenolysis and
glycogenesis is
A. )lycogen phosphorylase
B. )lycogen synthase
C. )lucotransferase
D. Carbo(ykinase
34. (n the entire human genome+ coding .NA
constitutes
A. 9:9-
B. 9:,
C. 9:-7
D. 9:.
35. Methylation of cytosine leads to
A. Increased e(pression of gene
B. Decreased e(pression of gene
C. 0o effect on gene e(pression
D. Mutation
36.:+;/ B%* inds to //// sites of hemogloin and//////the affinity for oxygen
A. .% decreases
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B. ,% decreases
C. .% increases
D. ,% increases
37. The last receiver of electrons in electron transport
system is
A. Coen#yme @
B. 1"DH-
C. 6-
D. Cytochrome b
%&A8MA5O)O*Y
38. Which of the following is not converted into an
active metaolite?
A. !isinopril
B. 1luo(etine
C. Cyclophosphamide
D. Dia#epam
39. Methacholine is a
A. M,receptor agonist
B. M-receptor agonist
C. M5receptor agonist
D. M. receptor agonist
40.
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C. The primary use of methadone is relief of
chronic pain
D. The onset of analgesia is 59&;9 minutes after
parenteral administration and ,&- hours after
oral administration:
46. The site of action of the loop diuretic furosemide
is
A. Thick ascending limb of loop of Henle
B. Descending limb of loop of Henle
C. 'ro(imal tubule
D. Distal tubule
47. Which of the following pairs of drug and its
indication is matched incorrectly?
A. Carbama#epine
B. 6ctreotide& treatment of diarrhea associated
*ith $asoacti$e intestinal peptide tumours
C.Desmopressin& treatment of diabetes insipidus
D. hC)& treatment of infertility in men and
*omen
48. Time dependent ,illing and prolonged post/
antiiotic effect is seen with
A. 1luoro/uinolones
B. Beta lactam antibiotics
C. Clindamycin
D. Erythromycin
49. Non = nucleoside reverse transcriptase inhiitors
>NN8T(s include all of the following except
A. 0e$irapine
B. Dela$irdine
C. Eta$irine
D. !ami$udine
50. Which of the following antituercular drugs is
associated with hypothyroidism?
A. 2ifampicin
B. '"
C. Etionamide
D. Streptomycin
51. The most common side effect of cancer
chemotherapy is nausea with or without vomiting2
The anticancer drugs vary in their aility to cause
nausea and vomiting2 Which of the following anti/
cancer drugs is least li,ely to cause nausea and
vomiting?
A. Chlorambucil
B. Cisplatin
C. Do(orubicin
D. Daunorubicin
52. Which of the following medications is essential
for ameliorating the toxicity of pemetrexed?
A. 1olinic acid and $itamin B;
B. 1olic acid and $itamin B,-
C. itamin B; and $itamin B,-
D. 1olic acid and de(amethasone
53. Which of the following drugs is useful for the
treatment of advanced prostate cancer?
A. )anireli(
B. Cetroreli(
C. "bareli(
D. )oserelin
%AT&O)O*Y
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54. A 31/year old patient presents with wea,ness and
leeding episodes2 &is hemogloin was 0123 g4d)2
&is leu,ocyte count was @01C cells4) and platelet
count was 3101C cells4)2 There was dysplasia of
neutrophilia with a differential count showing
DEF neutrophils+ F last cells+ 0:F myelocytes
and metamyelocytes and @F other cells2 Bone
marrow examination showed 0@F lasts2
5ytogenetics showed t>+:02 The most li,ely
diagnosis is
A. "cute myeloid leukemia
B. Chronic myeloid leukemia
C. Chronic lymphoid leukemia
D. Myelodysplastic syndrome
55. Which of the following regarding cellular events
in acute inflammation is not correct?
A. 'EC"MCD5, is responsible for neutrophil
acti$ation
B. Components of complement can assist in
chemota(is
C. 0eutrophil margination is assisted by selectins
D. IC"M&,C"M&, is responsible for neutrophil
adhesion
56. Which of the following factors in morphogenic as
well as mitogenic?
A. 1ibroblast gro*th factor
B. 'latelet deri$ed gro*th factor
C. Bone morphogenetic protein
D. Insulin&like gro*th factor
57. Which of the following is not an example of a
syndrome caused y uniparental disomy?
A. 'rader&4illi syndrome
B. "ngelman syndrome
C. 2ussell&Sil$er syndrome
D. Bloom syndrome
58. Anti/neutrophil cytoplasmic antiodies >AN5A
is seen in
A. 4egeners granulomatosis
B. Diabetes mellitus
C. 2heumatoid arthritis
59. A8.' is due to a defect in
A. Type , pneumocytes
B. Type - pneumocytes
C. Clara cells
D. Endothelial cells
60. A 31/ year old male presents with large owel
type diarrhea and rectal leeding2 On
sigmoidoscopy+ a cauliflower li,e growth is seen
in the rectum2 5olectomy specimen on
histopathology shows adenocarcinoma2 Which of
the following prognostic investigations is not
reGuired?
A. Microsatellite instability
B. c&myc mutations
C. E)12 mutations
D. k&2"S mutations
61. #erocay odies are seen in
A. Meningioma
B. Hemangioma
C. )lioma
D. Sch*annoma
62. &istopathologically+ rosettes are not seen in
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AIIMS MEDICAL PG MAY 2014
A. 2etinoblastoma
B. 0eurocysticercosis
C. '0ET
D. Medulloblastoma
M(58OB(O)O*Y
63. Which of the following is correct regarding
staining of microes?
A. )ram positi$e bacteria stain black
B. )ram negati$e bacteria stain red
C. )omorris methenamine sil$er stains fungi
green
D. Calcoflour *hite stains acanthamoeba red
64. Both .NA and 8NA are present in
A. Bacteria
B. 'rions
C. irioids
D. 'lasmid
65. Which of the following is not true regarding (g"
antiodies
A. It mediates release of histamine and other
chemical mediators
B.It is the primary antibody in$ol$ed in allergicreactions
C. It is in$ol$ed in anti¶sitic immune
responses
D. May cross the placenta and fi( complement
66. A 01/ year old child presented with severe sore
throat and a grey pseudomemrane over pharynx
and tonsils2 The organism causing this infection is
most li,ely
A. " gram positi$e bacillus
B. " gram negati$e bacillus
C. " catalase&positi$e gram positi$e coccus that
gro*s in clusters
D. " single&stranded positi$e sense 20" $irus
67. The hematoxylin and eosin staining of a lung
section during autopsy of a patient suffering from
A(.' shows desGuamation of type 0 pneumocytes
with prominent intranuclear asophilic inclusion
odies surrounded y a clear halo2 The 5.@ count
was less than 0114mm; efore demise2 The most
li,ely diagnosis causing these features is
A. "cute respiratory distress syndrome
B. 'neumocystis iro$eci pneumonia
C. CM pneumonia
D. Mycobacterium a$ium&intracellulare
pneumonia
68. *iemsa stained smear of epithelial cells otained
from a neworn with hepatosplenomegaly is
shown elow2 What is the most li,ely cause of this
congenital infection?
A. CM
B. 2ubella
C. HI
D. Ebstein&Barr $irus
69. An elderly male presents : months after renal
transplantation with nephropathy2 Which of the
following can e a viral etiological agent?
A. 'olyoma $irus B>
B. Human herpes $irus type ;
C. Hepatitis C
D. Human papilloma $irus% high risk types
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70. The causative organism for A(.' was identified
in the year
A. ,8
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A. Histoto(ic
B. asculoto(ic
C. Musculoto(ic
D. 0euroto(ic
%8"#"NT(#" AN. 'O5(A) M".(5(N"
80. The prospectively evaluated+ doule/linded+
randomi9ed clinical trial represents the gold
standard for providing evidence for therapeutic
decision ma,ing2 This was first proposed y the
father of evidence/ased medicine!
A. Tolstoy
B. Sackett
C. Hippocrates
D. da inci
81. True statements regarding the calculation of &.(
are all of the following except
A. The minimum $alue for combined gross
enrolment ratio is fi(ed at 9=
B. The minimum $alue for adult literacy rate is
fi(ed at 9
C. The ma(imum $alue of life e(pectancy at birth
is taken as ,99
D. The ma(imum $alue for per capita income is
fi(ed at .9%999
82. 8egarding education in &.(+ true statement is
A. In gross enrolment% only secondary educationis
considered% not primary education
B. ,5rd*eightage is gi$en to adult literacy
C. -5rd*eightage is gi$en to gross enrolment
D. Countrys achie$ement is computed on the
basis of adult literacy
83. (mmune thromocytopenic purpura >(T% is a
complication oserved with which of the
following vaccines?
A. MM2
B. HiB conugate polysaccharide $accine
C. Typhoid i polysaccharide $accine
D. Influen#a $accine
84. (mmune thromocytopenic purpura >(T% is a
complication oserved with which of the
following vaccines?
A. MM2
B. Hib conugate polysaccharide $accine
C. Typhoid i polysaccharide $accine
D. Influen#a $accine
85. 5hemoprophylaxis is indicated for all of the
following except
A. Cholera
B. Measles
C. Meningococcal meningitis
D. Conuncti$itis
86. All of the following statements regarding (N&
chemoprophylaxis are correct except
A. It is cheap
B. It is not feasible to apply on a large scale
C. It has risk of drug&induced hepatitis
D. It is not highly clinically effecti$e
87. %ositive predictive value is a function of
sensitivity+ specificity and
A. "bsolute risk
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B. 2elati$e risk
C. Incidence
D. 're$alence
88. All of the following are correct regarding the
period of isolation in the following disease except
A. Chicken po(& ; days after the onset of rash
B. Measles& 5 days after the onset of rash
C. )erman measles& days after the onset of rash
D. Herpes #oster& ; days after the onset of rash
89. Which of the following regarding oral polio
vaccine >O%# is not true?
A. Fseful in epidemics
B. E(cretion of $irus in stools may cause disease
to the unimmuni#ed
C. 2apid antibody response
D. 'rotecti$e e$en in the presence of maternal
antibodies
90. &(# sentinel surveillance provides data
A. To monitor disease trends
B. To identify high risk population
C.To estimate disease incidence
D. To assess the /uality of related ser$ices
91. A oy complained of unprovo,ed ite y a local
dog in the community2 The dog was alter caught
y the local animal authorities and appeared to e
healthy2 The most appropriate course of action
would e
A. )i$e post&e(posure prophyla(is to the bitten
person *ith cell&culture deri$ed $accine
B. 4ithhold $accination% keep the dog under
obser$ation for ten days for signs of rabies
C. Test the dog for rabies antibodies
D. Immediately carry out euthanasia of the dog
92. "vidence of decreased ris, of cardiovascular
disease is associated with all of the following
except
A. itamin E supplementation
B. !o* to moderate daily alcohol consumption
C. 2egular physical acti$ity
D. 'otassium
93. Inder the school vision screening programme+
vision screening in schools is done y
A. 6phthalmologist
B. 6ptometrist
C. 0)6 *orker
D. Teacher
94. Inder the National 8ural &ealth Mission+ an
A'&A will receive financial remuneration for all
of the following except
A. Institutional deli$eries
B. Measuring the birth *eight of neonates
C. ,stdose of D'T and 6'
D. 2egistration of births
95. The provisions under Janani 'hishu 'ura,sha
Karya,ram >J''K include all of the following
except?
A. 1ree food to the mother in the hospital
B. Cash incenti$e for institutional deli$eries
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C. 1ree transport to the mother and baby tofrom
hospital
D. 1ree treatment of the neonate and infant in all
public health facilities:
96. 5alculate the neonatal mortality rate for a
population according to the data of :10:2 Numer
of neonatal deaths! @312 Numer of still irths!
:0:2 Total numer of live irths 0:+@31
A. 5;
B. ,7
C. 89
D. 7;
97. (nfant mortality rate includes all of the following
except
A. Early neonatal deaths
B. !ate neonatal deaths
C.'ost neonatal deaths
D. Still births
98. A girl is having white hair2 @1F of her classmates
are also suffering from the same prolem2 None of
the other people from the same village have white
hair2 &er rother who is staying with an aunt in
the neighouring village is also normal and does
not have white hair2 Which of the following
explains the proale cause of her white hair?
A. En$ironmental
B. )enetic
C. 0utritional
99. 'evere Acute Malnutrition >'AM in (ndia is
defined as
A. ery lo* *eight for age Gbelo*&5 scores of
the mean 4H6 standards for gro*th% by
$isible se$ere *asting or presence of
nutritional edema
B. ery lo* *eight for age Gbelo* &5 scores of
the mean 4H6 standards for gro*th only
C. isible se$ere *asting% or presence of
nutritional edema
D. ery lo* *eight for height Gbelo* &5 scores
of the mean 4H6 standards for gro*th% by
$isible se$ere *asting% or presence of
nutritional edema:
100. The most sensitive indicator of
environmental iodine deficiency is
A. Serum T. le$els
B. Serum T5 le$els
C. Frine iodine e(cretion
D. 0eonatal hypothyroidism
101. All of the following can cause epidemic
in post/disaster period except
A. !eishmaniasis
B. !eptospirosis
C. 2ickettsiosis
D. "cute respiratory infections
102. The hemogloin levels of pregnantfemales in a community was found to have a
mean of 012E g4d) and a standard deviation of :
g4d)2 What is the minimum hemogloin level
elow which 3F of the pregnant females will
have their hemogloin levels?
A. :5-
B.
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103. Iniversal &ealth coverage in (ndia was
recommended y which of the following
committees?
A. Multipurpose *orker committee
B. Health de$elopment and planning committee
C. High le$el e(pert committee
D. Medical education committee
104. All of the following provisions are
included in the primary health care according to
the Alma Ata declaration except
A. "de/uate supply of safe drinking *ater
B. 'ro$ision of food supply
C. 'ro$ision of free medicines
D. Basic sanitation
O%&T&A)MO)O*Y
105. The critical angle of cornea/air interface
is
A. 5;
B. .;
C. 7;
D. ;;
106. Which diagnostic procedure is not done
in a dilated pupil?
A. )onioscopy
B. !aser inferometry
C. 1undus e(amination
D. Electroretinography
107. A 3C/ year old male presents with
dimness of near vision2 On examination+ the
media was clear in oth the eyes2 What would e
the next step?
A. 2efraction *ith near add
B. 2efraction under atropine
C. 2adial keratotomy
D. Cataract surgery
108. Which organismal infection is highly
virulent and may cause corneal ulcer perforation
within @ hours?
A. Herpes simple(
B. 'seudomonas
C. Staphylococci
D. "spergillus
109. 5ircumcorneal vasculari9ation is
oserved in deficiency of
A. itamin D
B. Thiamine
C. 2ibofla$in
D. Biotine
110. A patient gives a history of chuna falling
into his eyes2 All of the following would e a part
of his immediate management except
A. Irrigation of both eyes *ith copious amounts of
normal saline
B. 1re/uent sodium citrate drops
C. Thorough slit&lamp e(amination on
presentation
D. 2emo$al of chuna particles by double e$ersion
of upper eyelids
111. Which of the following drugs acts on
traecular meshwor, and affects the aGueous
outflow?
A. Timolol
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B. 'ilocarpine
C. Brimonidine
D. Brin#olamide
112. "x/press glaucoma implant is made up of
A. Silicone
B. Titanium
C. )old
D. Stainless steel
113. Ascorate and
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B. Carbon dio(ide
C. 0itrous o(ide
D. 6(ygen
120. 5ells affected in glaucomatous optic
neuropathy are
A. "macrine cells
B. Bipolar cells
C. )anglion cells
D. 2ods and cones
121. )ipogranulomatous inflammation is seen
in
A. 1ungal infection
B. Tuberculosis
C. Chala#ion
D. iral infection
"A8+ NO'" AN. T&8OAT
122. Which of the following does not show
negative 8inne test in the right ear?
A. Sensorineural hearing loss of .7 dB in left ear
and normal right ear
B. 'rofound hearing loss
C.Conducti$e hearing loss of .9 dB in both ears
D. Conducti$e hearing loss of .9 dB in right ear
and left ear normal
123. The screening investigation of high ris,
neonates in (5I for suspected hearing loss is
A. 6toacoustic emissions
B. 1ree field audiometry
C. Stapedial refle( testing
D. 'ure tone audiometry
124. The wave # in B"8A represents activity
in which of the following?
A. !ateral lemniscus
B. Superior oli$ary comple(
C. Cochlear ner$e
D. Cochlear nucleus
125. Which of the following is not resected in
stapedotomy?
A. "nterior crus of stapes
B. 'osterior crus of stapes
C. Stapedial ligament
D. !enticular process of incus
126. Which of the following part of cochlear
implant is implanted during surgery?
A. 2ecei$er stimulator
B. Transmitting coil
C. Microphone
D. Speech processor
127. A D3/year old diaetic patient presents
with severe ear pain and granulation tissue at
external auditory canal with facial nerve
involvement2 The most li,ely diagnosis is !
A. Skull base osteomyelitis
128. A 0@/year old oy presents with nasal
leeding2 &is & was found to e E2@ g4d) and
peripheral smear showed normocytic
hypochromic anemia2 The most proale
diagnosis is
A. 3u$enile nasopharyngeal angiofibroma
B. Hemangioma
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C. "ntrochonal polyp
D. Carcinoma of nasopharyn(
129. A patient presents withantrochoanal
polyp arising from the medial wall of the maxilla2Which of the following would e the est
management for the patient?
A. 1ESS *ith polypectomy
B. Medial ma(illectomy GTEMM
C. Cald*ell&!uc procedure
D. Intranasal polypectomy
130. An elderly male presents with T; No
laryngeal carcinoma2 What would e the
management?
A. 0eo&adu$ant chemotherapy follo*ed by
radiotherapy
B. Concurrent chemoradiotherpay
C.2adical radiotherapy follo*ed bychemotherapy
D. 2adical radiotherapy *ithout chemotherapy
M".(5(N"
131. Which of the following is not a
characteristic feature of multiple myeloma?
A. Increased Ig le$els in serum
B. 'ositi$e "0"
C. 'lasmacytosis
D. M spike on electrophoresis
132. A E1 year old oese male with a history
of chronic smo,ing since childhood presents in
5I with pelvic fracture due to fall from height2
On the @
th
day of the (5I stay+ he developedsudden tachypnoea+ fall in 'pO: and
hypotension2 On :. echo+ there was a dilation of
right ventricle and tricuspid regurgitation2 What
would e the next immediate step?
A. D&dimer assay
B. "dministration of heparin
C. 'ericardiocentesis
D. Systemic thrombolysis
133. A @/year old girl presents with severe
vomiting after a viral fever of 3 days2 'he is
hospitali9ed and develops cereral edema2 )iver
iopsy is most li,ely to demonstrate which of the
following?
A. Centri#onal hemorrhagic necrosis
B. 0on&alcoholic steatohepatitis
C. 2ing granulomas
D. Marked micro$esicular steatosis
134. A @1/year old oese female presents with
fullness of right upper Guadrant of adomen2 &er
medical history is significant for Type : .M and
hyperlipidemia2 )iver iopsy is most li,ely
suggestive of which of the following diagnoses?
A. 0on&alcoholic steatohepatitis
B. 'eliosis hepatis
C. "utoimmune hepatitis
D. 'rimary biliary sclerosis
135. A young female patient presents with
-aundice and elevated liver en9ymes2 'he has a
history of : similar episodes in the past2 &er
serum ANA was 0!@1 and (g* was :@11 (I2 &is
serum copper levels were normal and viral
mar,ers were negative2 A liver iopsy was carried
out and ased on the pathology report+ you treated
her with immunosuppressants and the patient7s
condition improved2 What was the most li,ely
finding on pathology report to suggest the
treatment?
A. 0on&alcoholic steatohepatitis
B. Hemosiderosis
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C. "utoimmune hepatitis
D. 'rimary biliary cirrhosis
136. )axative ause is associated with
A. Hypokalemia
B. Hypomagnesemia
C. Hypoglycemia
D. Colonic spasticity
137. A :D year old male presents with low
ac,ache+ that occurs early in the morning+associated with stiffness+ and persists for more
than ;1 minutes2 On examination+ his chest
expansion is also restricted2 The most proale
diagnosis is
A. 2heumatoid arthritis
B. 6steoarthritis
C. )outy arthritis
D. "nkylosing spondylitis
138. One of the following is not a diagnostic
criteria for declaring rainstem death
A. "bsence of brainstem refle(es
B. " positi$e apnea test
C. !ack of cerebromotor response to pain in alle(tremities
D. "bsence of stretch refle( from all e(tremities is
essential
139. A vascular lesion in the mid/rainstem
level in the area depicted in the figure can cause
all of the following except
A. De$iation of the tongue to the same side
B. Contralateral loss of pain and temperature
belo* the neck
C. 0ystagmus
D. 'aralysis of soft palate
140. Two persons A and B were told to draw a
sGuare from the lan, and filled circle+respecitively2 The sGuare drawn y A is irregular2
What could e the possile cause?
A. !esion in basal ganglia
B. !esion in subthalamic nucleus
C. !esion in cerebellum
D. 'hysiological tremors
141. One of the following drugs is used in
acute acterial meningitis
A. Erythromycin
B. Sulfametho(a#ole
C. Ceftria(one
D.
Streptomycin
'I8*"8Y
142. The first priority in management of a
case of head in-ury with open fracture of shaft of
femur is
A. 0eurosurgery consultation
B. )i$e I fluids
C. Intubation
D. Splintage of fracture
143. Neurogenic shoc, is characteri9ed y
A. Hypertension and tachycardia
B. Hypertension and bradycardia
C. Hypotension and tachycardia
D. Hypotension and bradycardia
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144. .uring resuscitation+ artefacts of
fractured ris most commonly involve
A. -nd&.thribs
B. 5rd&7thribs
C. .th
&;th
ribs
D. 7th&thribs
145. A 0: year old girl presents with nodular
goiter2 Which of the following statements
regarding her evaluation and management
incorrect?
A. 88 m&Tc scan should be performed to
determine *hether the nodules are
hypofunctioning or hyperfunctioning
B. 1unctional thyroid nodules are usually benign
C. "ll nodules J .cm should be resected
irrespecti$e of cytology
D. 10"C should be performed for all nodules J
,cm in diameter
146. Which of the following incisions is ta,en
for diaphragmatic surgery?
A. Trans$erse
B. Circumferential
C. ertical
D. 2adial
147. Which of the following is not an
etiological factor for pancreatitis?
A. "bdominal trauma
B. Hyperlipidemia
C. Islet cell hyperplasia
D. )ermline mutations in the cationic trypsinogen
gene
OB'T"T8(5' AN. *YN"5O)O*Y
148. All of the following indicate
superimposed pre/eclampsia in a pregnant female
of chronic hypertension except
A. 0e* onset proteinuria
B. 'latelet count K 7%999
C. Increase in systolic B' by 59 mm Hg and
diastolic by ,7 mm Hg
D. 1resh retinal hypertensi$e changes
149. All of the following indicate
superimposed pre/eclampsia in a pregnant female
of chronic hypertension except
A. 0e* onset proteinuria
B. 'latelet count K 7%999
C. Increase in systolic B' by 59 mm Hg and
diastolic by ,7 mm Hg
D. 1resh retinal hypertensi$e changes
150.Which of the following antihypertensives
is not given in pregnancy?
A. Enalapril
B. ?&methyldopa
C. !abetalol
D. 0ifedipine
151. All of the following can e administered
in acute hypertension during laour except
A. I labetalol
B. I nitroprusside
C. I dihydrala#ine
D. I dia#o(ide
152. Which of the following is not a part of
&"))% syndrome?
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A. Hemolysis
B. Ele$ated li$er en#yme
C. Thrombocytopenia
D. 2eteroplacental hemorrhage
153. A 5esarian section was done in the
previous pregnancy2 All of the following would
e indications for elective 5esarean section except
A. Breech
B. Macrosomia
C. 'olyhydramnios
D. 'ost&term
154. Which of the following is responsile for
puertal growth in females?
A. Decreased le$el of adrenal androgens at
puberty
B. High le$el of estrogen at puberty
C. 'ulsatile release of )n2H during sleep
D. Increased sensiti$ity of H'6 a(is to estrogen
155. One of the following forms the asis for
sex chromatin testing?
A. Barr body
B. Testosterone receptors
C. Hormone le$els
D. 'henotypic features
156. &ysteroscopic myomectomy scores over
open myomectomy in all of the following except
A. !ess recurrence
B. !ess post&operati$e pain
C. !ess bleeding
D. Early ambulation
%A".(AT8(5'
157. A ;:/wee+ 0@11 g neonate is orn to a
primigravida2 The ay did not reGuire
resuscitation and showed stale vitals2 The ay
was transferred to the N(5I2 &ow will youmanage the feeding of the patient?
A. Start total enteral feeding and I feeding not
re/uired
B. Start I feeding *ith minimal enteral feeding
C. Start I feeding and introduce feeding on -nd
day of life
D. Start parenteral feeding and institute oral
feeding on -ndday of life
158. Which of the following is not a
component of Kangaroo mother care >KM5?
A. Skin to skin contact
B. Supplementary nutrition
C. E(clusi$e breast feeding
D. Early discharge and follo*&up
159. A ;: wee, ay is orn to a mother with
eclampsia+ who was given (# magnesium
sulphate2 The ay was resuscitated and
transferred to the N(5I2 0: hours later+ the ay
showed hypotonia+ lethargy+ constricted pupils
and two episodes of sei9ures2 The staging of &("is
A. ,
B. -
C. 5
D. There is no HIE
160. Asymmetric Moro7s reflex at irth is
indicative of
A. HIE
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B. Brain damage
C. Erbs palsy
D. >ernicterus
161. A very preterm ay on ;1 m)42,g of
enteral feeding developed sudden severe
adominal distension with visile owel loops on
day E of life2 The ay also showed temperature
instaility and lethargy2 H/ray of the adomen
showed portal venous gas2 The staging of N"5 is
A. ,b
B. -a
C. -b
D. 5a
162. Which of the following aies has the
least ris, of developing hypoglycemia?
A. " baby born to mother treated *ith beta
blockers
B. Infant of diabetic mothers
C. "ppropriate for gestational age babies
D. IF)2 babies
163. The most common fungal infection in the
neonates transmitted y caregiver7s hands is
A. Candida albicans
B. Candida glabrata
C. Candida tropicalis
D. Candida parapsilosis
164. A child has deficient one minerali9ation
with low serum calcium+ high serum phosphorus+
with decreased urinary excretion of calcium and
phosphorus and elevated levels of al,aline
phosphatase2 The most li,ely diagnosis is
A. 0utritional rickets
B. 2enal tubular rickets
C. 2enal glomerular rickets
D. Celiac rickets
165. Bull/nec, is seen in severe cases of which
of the following?
A. Diphtheria
B. Tubercular lymphadenitis
C. Mumps
D. )oitre
166. (n a rural clinic+ a ;/year old girl child is
rought y her mother and is emaciated2 &er
hemogloin was 3g4d)2 The girl also has edema
over her ,nees and an,les with discrete rash on
her ,nees+ an,les and elows2 The most li,ely
worm infestation causing these manifestations is
A. Hook *orm
B. 2ound *orm
C. 4hip *orm
D. 'in *orm
167. A E/wee, ay presents with cough and
cold for the past ; days2 8espiratory rate is @4min2
On examination+ patient is ferile with whee9ing
ut no chest in drawing2 Which of the following is
not true?
A. Child has pneumonia
B. "ntibiotics are not re/uired
C. 4hee#ing to be treated
D. 1e$er to be treated
168. A 01/ year old child presents with edema+
oliguria and frothy urine2 &" has no past history
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of similar complaints+ On examination+ his urine
was positive for ;L proteinuria+ no 8B5s4WB5s
and no casts2 &is serum alumin was :23 g4) and
serum creatinine was 123 mg4d)2 The most li,ely
diagnosis is
A. Ig" nephropathy
B. Minimal change disease
C. "cute interstitial nephritis
D. Membraneous nephropathy
169. A E/year old girl presents with fever for
the past 3 days+ generali9ed erythematous rash+
strawerry tongue and cervical lymphadenopathy2
The most li,ely diagnosis is
A. >imura disease
B. >a*asaki disease
C. Scarlet fe$er
D. 2osie&Dorfman syndrome
170. A E/year old girl presents with fever for
the past 3 days+ generali9ed erythematous rash+
strawerry tongue and cervical lymphadenopathy2
The most li,ely diagnosis is
A. >imura disease
B. >a*asaki disease
C. Scarlet fe$er
D. 2osie&Dorfman syndrome
171. "n9yme replacement therapy is availale
for
A. )auchers disease
B. 'ompe disease
C.San 'hilipo disease
D. 1abrys disease
172. A child presents will alinism2 &e
should e evaluated for
A. E0T consultation
B. Eye consultation
C. Electrocardiography
D. 0eurosurgery
173. A ;@/wee, female fetus was orn as
shown elow2 (dentify the congenital anomaly
A. "nencephaly
B. Iniencephaly
C. "nen&iniencephaly
D. Complete craniospinal rachischisis
174. A D/year old oy presents with a right/
sided hemangioma and left sided focal sei9ures2
The most li,ely diagnosis is
A. 0eurofibromatosis
B. Incontinetia pigmenti
C. Hypermelanosis of Ito
D. Sturge&4eber disease
175. A 023 year old female is rought to the
clinic with complaints of excessive enlargement of
head+ intolerance to feeds and severemalnourishment2 M8( imaging was suggestive of
a medullolastoma causing ostructive
hydrocephalus2 Which of the following is an
example of irrational management of the patient?
A. Craniotomy and sub&total e(cision of the
tumour: Surgeon lea$es the layer of the tumour
adherent *ith colliculus
B. 1irst $entriculoperitoneal shunt *as done
C. CC0F and $incristine *ere gi$en as
chemotherapy
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AIIMS MEDICAL PG MAY 2014
D. 2adiotherapy 57&.9 )y *as gi$en to the *hole
craniospinal a(is
O8T&O%A".(5'
176. (n a case of tuerculosis of the thoracic
spine+ the earliest sign of cord compression is
A. Bladder dysfunction
B. E(tensor plantar
C. Motor *eakness
D. Sensory loss
177. A 3 year old oy presents with pain and
swelling in diaphysis of tiia2 &e also complains
of fever2 On examination+ his "'8 was raised+
which of the following is the li,ely diagnosis?
A. E*ing sarcoma
B. Chondrosarcoma
C. 6steogenic sarcoma
D. 1ibrosarcoma
178. The signs of malignant transformation in
osteochondroma are all except
A. 'ain
B. 4eight loss
C. Increase in si#e
D. Increase in thickness of cartilage cap
."8MATO)O*Y
179. Olympian row and rhagades are seen in
A. CM inclusion disease
B. Ectodermal dysplasia
C. Congenital syphilis
D. Hyper IgE syndrome
180. A E1/year old male presents with painful+
grouped vesicles over erythematous plaGues in T;
dermatome region of trun,+ which of the
following would e the li,ely causative
organism?
A. aricella #oster
B. Herpes simple(
C. 'o( $irus
D. 'apilloma $irus
181. A 0C/year old male presents with several
comedones+ papules and pustules on face and
trun,2 The appropriate drug of choice for thepatient would e
A. Topical retinoic acid
B. Topical retinoic acid + 6ral do(ycycline
C. Topical clindamycin
D. Topical a#ithromycin
182. A ;D year female presents with multiple+
linear+ itchy wheals+ with itching for ;1 minutes at
the site2 The most proale diagnosis is
A. Dermatographic urticaria
B. 'ressure urticaria
C. "cute urticaria
D. Chronic urticaria
183. A young year old oy presents with
multiple discrete+ shiny+ pin/head papules on
dorsal aspect of hand+ forearms and shaft of penis2
The diagnosis is
A. Molluscum contagiosum
B. Scabies
C. !ichen planus
D. !ichen nitidus
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184. A ;1/year old male presents with flaccid
ullae on an erythematous ase and erosions over
the oral mucous memrane2 The listers
developed painful erosions on rupture2 What
would e the most li,ely finding on an
immunofluorescent examination of the s,in
iopsy of this patient?
A. !inear Ig" deposition in dermopeidermal
unction
B. !inera Ig) deposition in dermoepidermal
unction
C. 1ish net Ig) deposition in epidermis
D.)ranular deposits of Ig" in dermal papillae
185. A patient presented with thinning of
nails and onychyloysis2 What else finding can e
oserved in him?
A. iolaceous papules
B. Suprabasal split
C. Basal degeration
D. "cantholysis
186. A patient presents with focal alopecia
areata2 All of the following are associations of
alopecia areata except
A. 0ail pitting
B. "topy
C. )eographical tongue
D. E(clammatory mark
187. A man presents with rashes on face and
also complains of decreased mental function2 &e
is also having few macular lesions on his s,in2 On
5T scan+ intracranial calcification was seen2 &iswife is normal2 &is 01/year old daughter is also
normal ut his E year old son is also having
similar s,in lesions2 What would e the most
li,ely diagnosis?
A. 0eurofibromatosis&,
B. 0eurofibromatosis&-
C. Leroderma pigmentosum
D. "utosomal dominant inheritance
ANA"'T&"'(A
188. A patient of head in-ury is intuated and
ventilated2 The ideal mode of ventilation in him
would e
A. CM
B. C'"'
C. "M
D. SIM
189. The appropriate si9e of )MA for an
average adult patient weighing 31 ,g is
A. -:7
B. 5:9
C. .:9
D. 7:9
190. At supra MA5 concentrations+
anaesthetics lead to shift of ""* wave from
A.? to *a$es
B. to N *a$es
C. N to O *a$es
D. O to ? *a$es
191. The plane of surgical anesthesia during
either anesthesia is defined as
A. !oss of consciousness
B. !oss of consciousness to the onset of
spontaneous respiration
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C. 1rom onset of regular respiration to cessation
of spontaneous breathing
D. "bsence of refle(es
192. Which of the following drugs does notaffect asorption and secretion of cererospinal
fluid?
A. Halothane
B. 0itrous o(ide
C. >etamine
D. Thiopentone sodium
193. Which of the following intravenous
anesthetic agents is contraindicated in epileptic
patients posted for general anesthesia?
A. >etamine
B. Thiopentone
C. 'ropofol
D. Mida#olam
194. Mida9olam causes all except
A. "nterograde amnesia
B. 2etrograde amnesia
C. Causes tachyphyla(is during high dose
infusions
D. Decreased cardio$ascular effects as compared
to propofol
8A.(O)O*Y
195. %uff of smo,e appearance on cereral
angiography is seen in
A. "C" aneurysm
B. Ca$ernous sinus thrombosis
C. Moyamoya disease
D. ein of )alen malformation
196. A D/year old patient presents with severe
headache+ paralysis of upward ga9e+ loss of light
perception and accommodation+ nystagmus and
failure of convergence2 5T scan showed
homogenous hyperdense lesion aove the sella
and in the posterior part of the third ventricle2
M8( showed that the lesions were homogenous
and isointense on T0 weighted imaging+ and
isointense on T: weighted imaging with intense
contrast enhancement2 The most li,ely diagnosis
is!
A. Teratoma
B. )erminoma
C. Dermoid
D. Choroid ple(us carcinoma
%'Y5&(AT8Y
197. All of the following statements are true
aout lac,outs except
A. The person appears confused to the onlookers
B. 2emote memory is relati$ely intact during the
blackout
C. It is a discrete episode of anterograde amnesia
D. It is associated *ith alcohol into(ication
198. According to the (5./01 revision+ for
estalishing a diagnosis of mania+ the symptoms
should persist for at least
A. , *eek
B. - *eeks
C. 5 *eeks
D. . *eeks
199. The evidence/ased psychological
therapy of choice for depression is
A. )roup discussion therapy
B. Counselling
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AIIMS MEDICAL PG MAY 2014
C. Cogniti$e beha$ior therapy
D. 'sychological psychotherapy
2 No Ans
,: B
-:D
5:B
.:D
7:B
;:B
: B
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--:"
-5:B
-.:B
-7:B
-;:"
-:"
-
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,.,:C
,.-:C
,.5:D
,..:C
,.7:C
,.;:B
,.:C
,.
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