aiims medical pg exam may 2014 solved question paper.pdf

7/23/2019 AIIMS Medical PG Exam May 2014 solved question paper.pdf

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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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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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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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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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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&parasitic 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



17/28


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



18/28


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?



19/28


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



20/28


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



21/28


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


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


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



22/28


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



23/28


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



24/28


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



25/28


C. Cogniti$e beha$ior therapy

D. 'sychological psychotherapy

2 No Ans

,: B

-:D

5:B

.:D

7:B

;:B

: B


26/28


--:"

-5:B

-.:B

-7:B

-;:"

-:"

-


27/28



28/28


,.,:C

,.-:C

,.5:D

,..:C

,.7:C

,.;:B

,.:C

,.

aiims medical pg exam may 2014 solved question paper.pdf

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