Home » » AIIMS may 2011 MD/ MS/ Mch Question paper

AIIMS may 2011 MD/ MS/ Mch Question paper

Written By onci on Sunday, December 18, 2011 | 3:08 AM

anatomy
1.root of mesentry crossed by..horizontal part duodenum?
2.safe site for draining axillary absess?
3.not ture abt trochlear nerve..supplies ipsilaterl sup obl
4. a/e retract scapula levatr scapulae
5. sphincter of oddi 3 sphincters
6. brachail plexus sheath frm pre vertebral fascia
7. triangle of auscultation a.e serrr. ant.
8. collaterals in subclavian art block a/e superior thoracic art
9. sternocleidomastoi arteries a/e post. auricular
10. spleen projects into greatr sac
11. terminal grp of LN in colon preaortic
12.weight of upper limb transmitted by a/e interclavicular ligament?
Physio
13. csf pressure rel to rate of absorption
14. nuclear receptors – thyroxine
15. exposure to cold in animals?
16. vasomotor centre-wroks with cardiovagal centre
17. primary stimulus for peripheral chemoreceptors or central chemoreceptors..dont remember exactly ans different in both cases
18. resting metabolic rate – lean body mass
19. angiotensin 2 causes a/e vasodilation
20 myocardial o2 demand depends on?
21 shunt vessels- thermoregulation
22 true abt gfr- clearance more than gfr then secretion must be present
23 nitrogen narcosis- permeability of membrane to nitrogen
24 max post prandial motility-decd colon

Biochem
25 gene duplication in which RNA?
26 triple helix dna- hoogsteen bond
27 not digested by colonic bacteria- lignin
28 apo b100 & b48- modification after splicing
29 acetyl coa converted to a/e glucose
30 sealing of dna by- ligase
31 CAP in lac operon-positive regulator
32 true in sickle cell dis a/e- on polar to polar amino aci
33 protein movement from cyto to nucleus seen by – FARP
34 histone acetylation – role in euchromatin

Forensic
35 cardiac polyp – fibrinous clot
36 civil negligence burden of proof on – patient
37 H/o garlic odor, pain abdo, transverse line on nails-arsenic poisoning
38 formication & del of perscution- cocaine
39 spinal cord autopsy posterior aspect
40 indian medical degree recognised by- schedule 1
41 adipocere- humid & optimum temp

Pathology
42 GIST – cd117 +
43 true abt mesothelioma a/e -late middle age
44 MI finding after 4 days – netrophils with necrosis
45 RCC paraneoplastic syndrome a/e – cushings? amyloidosis?
46 seen in benigh HT- hyaline arteriosclerosis
47 true abt hashimoto a/e- orphan annie eye nuclei
48 berry aneurysm – defect in muscle layer/media
49 alpha thal – 3 gene deletion

Micro
50 true abt brucella a/e- ?
51 non typhi salmonella true a/e – invasive dis ininfants?blood culture better than stool in gastroenteritis?
52 CD4 cell function a/e – opsonisation
53 true abt strep a/e – pyrogenic toxin plasmid mediated
54 lymes dis true a.e – polymorphonuclear lymphocytosis in cfs
55 pertussi vaccine has- flageller, pertactin, pretussis toxin?
56 mech of some enterotoxin – ADP ribosylation?
57 true abt lambda phage-lysogeny integrates & remains dormant?
58 true abt bacteriophage- decides toxicigenicity in some bacteria?

Pharma
59 true abt diazoxide a/e – causes hypoglycemia?
60 worsen angina a/e-???
61 true abt pioglitazone a/e – ??
62 exanitide true a/e- used in type 1 dm
63 ifosfamide true a/e- activated by cyp3a4?less neurotoxic?
64 hypoglycemia by a/e- acarbose
65 insulin plus acarbose hypoglycemia t/t – glucose?
66 folate deficiency by a/e – chloroquine
67 octreotide uses a/e – glioma
68 bleomycin pulm toxicity- type 2 cells
69 naloxone side effcts a/e – pulm edema?
70 muscle rigidity- mu receptors?
71 C/I in pregnancy a/e – propylthiouracil
72 cotrimoxazole uses a/e chancroid?
73 tamoxifen causes a/e ca in opposite breast
74 true abt clomiphene – enclomiphene is anti estrogenic
75 true abt ace inhibitors – avoiding diuretic prevents 1st dose hypotension
76 true abt ESBL enzymes a/e -phenotypic classification based on 3rd gen ceph??
77 used in sickle cell dis – hydroxyurea
78 methotrexate uses a/e – sickle cell dis

eye
79 NIDDM patient with csme with h/o macular grid coagulation, now has vitreomacular traction- vitreoretinal surgery
80 33 wks baby both eyes stage 2 zone 1 plus dis- both eye laser photocoagulation to be done
81 horner’s syndrome a/e – apparent exophthalmos

ent
82 mitomycin c used in – tracheal stenosis
83 microwick catheter – to deliver drug to round window
84 sub ligamental cordectomy grade-??
85 vertical crest in internal auditory canal – bills bar

PSM
86 not true abt breast millk – max at 12 months
87 false abt RCT- dropouts to be excluded
88 screening increases survival in- colon carcinoma
89 net protein utilisation- nitrogen absorbed by retained
90 fish lacks – iron
91 incidence calculated with- prospective study
92 late expanding phase – death rate lower than birth rate?
93 abt water contamination a/e- clostridium spores recent contamination
94 abt DDT false- kills instantaneously
95 larvicidal methods a/e – ddt
96 mc cause of maternal motality – hemorage
97 national population policy a/e- bring down tfr by 2015
[snip] true abt bcg- who recommends danish 1331 strain
99 incineration not done in- waste sharps
100 false abt vaccines- neomycin preservative in bcg
101 false abt cluster samplin – sample size same as simple random sampling
skin
102 subcuteneous fat necrosis in newborns resembles-lupus panniculitis?lipodystrophy?
103 reticular pattern with pitted lesion in which syndrome-cockyane?n 3 others tht i dont remember
104 false abt incontinentia pigmenti- 100 % eye affected
105 mutaion in cong. epi. bullosa – collagen type 7
106 h/o of verrucous lesion with vacuolated cells- verrucous epidermal nevus

anaesthesia
107 d/b atra & cis atracurium- no histamine release
108 laudanosine – atracurium

Radio
109 false abt angiography-???
110 mc vessl affected by dissection during arteriography–??
111 barium mean xray abdo shows a/e – duodenal cap in distal duo
112 selective b emmiters a/e – samarantium
113 used in protein losing enteropahty a.e – radiolabelled dextran
114 comet tail artefacts with gb thickening- adenomyomatosis
115 IOC for GIST – pet scan
116 infraclavicular TB focus – assman’s focus


psychiatry
117 healthy thinking a/e – constancy??
118 therapy for mentally retarded child – cognitive behaviour therapy
119 reflex hallucinations – synanesthesia
120 cognitive model of depression by- beck

orhto
121 knee joint bounce bacl test a/e – ?
122 mangled extrimity score a/e – neurological grp
123 variant of germ cell tumor – chondroblastome ? non ossifying fibroma?

124 enneking benign bone tumor has a/e – extended curettage needed

125 differentials of bone tumor a/e – hurlers syndrome
126 percutanous vertebroplasty in a/e – TB
127 false abt high tibial osteotomy – more than 30 degree correction

medicine
128 insulinoma ioc – 72 hr fast test
129 thrombosis seen in a/e – itp
130 horners sndrome a/e – apparent exoph
131 LVF a/e – oligemic fields
132 HR 160 regular with palpitaions – ?
133 hepato jugular reflex a/e – decreased afterload
134 hepatomegaly with pulsations – TR
135 fastest way to correct hyperkalemia – insulin with glucose
136 carpal tunnel in a/e – addison’s
137 JRA a/e – raynauds
138 true abt atherosclerosis – pufa prevents
139 H/o proximal muscle weakness n going down stairs – creatine kinase
140 h/o raynauds, disease later in life – scleroderma
141 true abt goiter – symptoms due to thyroxine?

142 seen in apla a/e – pancytopenia
143 reperfusion is best for – ??
144 congenital myopathies a/e – z band myopahty
145 mc cause of death in mi after thrombolytic therapy – intra cranial hemorage?
surgery
146 gold std for gerd – 24 hour ph moniter
147 Gall bladder ca survival – 4-6 months
148 – true abt ca pancrea a/e – survival in stage 3 30 %
149 mucinous cyst pancreas true a/e – microsystic adenoma
150 t/t of 2 cm papillary ca thy – total thy with mod RND
151 pyloric stenosis true – correct fluid imbalance later surgery
152 lap chole 1st done by -?
153 non progressive contractions of esophagus – tertiary
154 decrease risk of ca colon with – high fibre intake
155 genes in ca colon a/e – beta catenin
156 true abt t/t of medullary ca thy- surgery alone
157 most imp prognostic factor in ca colon- lymph nodes
158 risk factor for ca gb a/e – polyp size more than 5 mm
159 mc cause of mesentric ischemai – arterial embolus
160 mc site of cholangioca – hilus
161 brca 1 gene on – chr 17
162 false abt hepatic duct – caudate only left duct
163 after cholecystectomy adenoca stage t1 – excision of all port sites
164 false abt gleasons – grade 1 – 10
165 central dot sign – caroli dis
166 false abt FAP – autosomalrecessive
167 best laser for non blanching lesion on face-??

obs & gynae
168 true abt prolactinoma in pre a/e ?
169 true abt ovulatory phase – high inhibin ?
170 ideal contraceptive for post partum – lactional ammenorrhea
171 ideal for couple stayin away – barrier
172 adeal for newly married couple – combines pill
173 para 3 with hypertension with menorragia – mirena?trce?
174 primary infertility with cea 90 with pelvic mass – endometrioma
175 non reactive nst at 36 wks- repeat after 1 hr
176 obstructed labor with dead fetus – lscs
177 vaginal delivery in a/e – monochorionic monoanniotic twin
178 not seen in gestation DM- malformations
179 best for ovarian reserve – fsh
180 lady gets chicken pox within 3 days of delivery- baby will hv cong varicella syndrome

PEDS
181 international prognossis index for lymphoma a/e – Hb & albumin
182 patent ductus needed in a/e – ?
183 resp distress with shock after being discharged healthy after 2 days – hypoplastic left heart syndrome?
184 Dent’s dis a/e – history of dis in father
185 cause of chest infection in cystic fibrossi child- burkholderia?
186 resistant nephrotic syndrome t/t – oral cyclophosphamide
187 mother havin tb prophylaxis in neonate-?
188 normal sweat chloride test, next test for systic fibrosis- trans nasal potential diffrnce
189 – limb reduction with scarring of skin – congenital varicella
190 australian trial for steroids-?
191 cervical lap in mother h/o of spiramycin intake, hydroceph & calcfication in child- toxoplasmosis
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