AIIMS NOV 2013 subject wise questions

ANATOMY 1.Mesorectal fascia doesnt include 2.Not a derivative of neural ectoderm- ciliary muscle 3.Not a part of ethmoid bone- inferior turbinate 4.Dynamic sholder cuff stabiliser rotator cuff 5.Anal sphincter- S2,3,4 6.Predominant artery of stomach-left gastric artery 7.Muscle of back that is related to front- lattismus dorsi 8.Thumb and index finger C6 , C6 9.Blood testis barrier- sertoli sertoli cells 10.Spermatogenesis division of chromosomes11.Blood supply to medulla all except12.Which space doesnt follow VAN structures 13.Long space collagen fibres14.Anatomical sphincter for fallopian tube - intramural part 15.vaginal epithelium derived from endoderm of urogenital sinus PHYSIOLOGY 1. Aleviation of pain by repated stimulation gate control theory 2. Regarding muscle contraction false is- calcium binding to tropomycin 3. Peripheral vascular resistance best ascessed by4. Platelet attachment to collagen is through vWF 5. Progesterone excreted in urine as pregnanediol 6. Sympathetic stimulation causes vasoconstriction of skin vessels Bio chemistry 1. Suicidal enzyme- cycloxygenase 2. Not a use of NADPH for ATP in RBC 3. To detect known genetic loci -FISH 4. PCR DNA amplification 5. Low insulin glucagon ratio glucose 6 phosphatase 6. Light microscopy 500kb 7. Von gierkes disease fat immobilization is low 8. Ribosome peptidyltransferase 9. Enzyme not in fatty acid complex acetyl co a carboxylase

PHARMACOLOGY 1. Rho kinase inhibitor fasudil 2. DOC for JME in pregnancy - levatiracetam 3. Lennaux gestaut syndrome newly approved drug rufinamide 4. True regarding carbamazepine steven johnsons syndrome 5. Cholinomimetic contraindicated in partial heart block 6. Sudden stoppage doesnt cause any side effects with fluoxetine 7. Apoptosis by corticosteriod 8. Corticosteriod is indicated in E.Coli septicemia 9. LMWH vs unfractionated heparin 10. Drug doesnt cross BBB 11. Elimination of a drug is called 12. False about iodine 13. Duration of action of fumazenil 14. Drug used for primary pulmonary hypertension bosentan 15. drug with both alpha and beta agonism - epinephrine PATHOLOGY 1. Seminoma marker HCG , fetal ALP 2. In B 12 deficiency not seen is increased reticulocyte count 3. False regarding latent iron deficiency anemia 4. Parental disomy not seen in bloom syndrome 5. Africo american kid with chronic hemolytic anemia , abnormal rbc shape point mutation 6. Tensile strength of the wound cross linkage of tropo collagen 7. 16 yr old girl ht 58 inches primary amenorrhea , raising FSH histology finding no oocyte in ovary 8. A 70 yr old man who was working in asbestosis factory . On routine xray a mass was seen in right apical region the histopathology of this is 9. A 32 ye old female with virchow node enlargement on biopsy owl eye cell and CD 30 and CD 15 positive diagnosis nodular sclerosis 10. In retinoblastoma patient other primary malignacy seen is osteosarcoma FORENSIC MEDICINE 1. In autopsy curling ulcer should be examined in 1st part of duodenum 2. Disclosure of rape victim 228 ipc 3. Conduction of criminal abortion ipc 4. Embalming before death certificate ipc5. Declaration as unclaimed dead body according to delhi anatomy rules after 72 hrs

6. lateral traction test for habitual passive agent 7. False regarding methyl alcohol poisoning fomipizole action 8. Rigor mortis not seen in fetus of less than 7 months 9. Color code for dangerous pesticides is red 10. In RTA patient lost conciousness later he gained again after sometime he lost conciousness MICROBIOLOGY 1. Function of MHC class I and II antigen presenting 2. Not a common cause for neonatal sepsis in india is aceintobacter 3. After disaster epidemic not seen in leishmaniasis OPHTHALMOLOGY 1. Topiramide concentration 2. Band keratopathy CALCIUM 3. b/l proptosis rhabdomyosarcoma 4. True regarding pterigium 5. Optic atrophy not seen in retinitis pigmentosa 6. False regarding indirect opthalmoscopy is useful in hazy media 7. In cataract increased insoluble proteins and decreased soluble protiens 8. A new born baby was refered from CHC to a opthalmologist for 28 wks GA 9. In glaucomatic atrophy changes are seen in ganglion cells 10. A patient with eye pain and blurring of vision the drug contraindiacted is homatropine 11. Corneal change in VIT A deficiency is actinic degeneration 12. According to NPCB post catarct surgery survialnce done by 13. True regarding degenerative myopia retinal tear and RD 14. Regarding anti glaucoma drugs false is brimodine decrease acqueous production 15. Source of most common intraocular malignancy metastasis id from - breast ENT 1. b/l hearing loss worsened during pregnancy tympanogram curve As 2. Topical steriod contraindicated after sinus surgery in antrochonal polyp 3. Part of cochlear implant that is implanted during surgery transmitter coil 4. A person consumed peanut developed urticaria , swelling of neck , lips angioneuritic oedema 5. Child with enlarged tonsils false statement is 6. A patient with OSA with hypertension on treatment and apnea index 5 next step CPAP

PSM 1. Regarding ESI ACT which is correct -The State Governments share of expenditure on medical care is 1/8 ; the ESI Corporations share of expenditure on medical care is 7/8 of total cost 2. In assessing the literacy rate -age above 7 years 3. Screw feed technology false is -ideal for pathological waste 4. % of GDP allotted to health in India 0.012 5. Burden of under 5 mortality in the world in 2010 6. Regarding measles vaccination strategy in 9-14 yrs is called as catch up 7. regarding Q test - to determine outliars 8. Indoor air pollution will cause all except 9. roll back malaria true all except 10. True regarding RSBY is only for BPL 11. False statement regarding polio12. Hb mean of a population is 13.5g% population above mean -0.5 13. Population between mean and standard deviation is - 0.34 14. In triage importnace given to red 15. RDA of iodine in pregnancy 16. False statement regarding folic acid fortification MEDICINE 1. Coarse tremors of tongue not seen in 2. Acquired red cell aplasia is not seen in3. A diabetic patient with loss of vision next investigation to be done serum creatinine 4. For contrast nephropathy abnormality seen is5. Not a marker of acute kidney injury miRNA122 6. True regarding critical myoneuropathy 7. a 32 yrs bengali woman with fever and had episode of seizure awaiting investigation by that time i.v mannitol 8. A patient with hemiparesis presented after 2.5 hrs b.p was 180/100 immediate NCCT scan 9. A patient with hemiparesis recovering after a week .he has nave aortic valve .treatment to prevent recurrent stroke- antiplatelets only 10. TB meningitis patient develops confusion investigation not required 11. A female patient who eats mainly junk foods with bleeding around hair follicles , bleeding in mucosal areas and joints the defect in this patient is hydroxylation of proline 12. Not a criteria for severe malaria- hct >15% 13. A patient on amphotericin B had potassium level of 2.3meq/dl correction to be given - 120-160 meq over 24 hrs 14. A patient had an anaphylactic shock in treatment which is not required is crystalloids 15. A male didnt have alcohol for 2 days presented with seizures treatment given - diazepam 16. Post surgically patient developed diastolic hypertension treatment given sodium nitroprusside

SURGERY 1. Anorchidia IOC laproscopy 2. For h shaped oesophageal fistula investigation oesophagoscopy 3. Necrotising fascia treatment is debridement 4. NEC staging IIb 5. Lactating women with breast pain investigation ultrasound 6. A new born baby with respiratory distress , cyanosis , froth in the mouth oesophageal atresia 7. Mortality rate for surgery of ruptured AAA - >50% 8. False regarding endemic stones is 9. Increased PSA tender prostate next step antibiotics 10. Tension pneumothorax needle into the 2nd intercostal space 11. RTA Patient with bradycardia and hypotension neurogenic and hypovolemic shock 12. Glascow coma scale withdrawl of limb M4 13. A 50 yr old female with progressive painless jaundice malignancy 14. Neoadjuvant chemotheraphy not useful in PNET chestwall 15. False regarding endemic bladder stones recurrence after surgery 16. Alcoholic liver disease with hemetemesis which is not true in managemant 17. A female pateint with hemptysis which is truePAEDIATRICS 1. Drug not used in cyanotic spell CaCl2 2. Immunisation of 5 year old by National immunisation schedule 3. Effectiveness of phototheraphy doesnt depend on 4. A 10 yr old boy with leg muscles hypertropy decreasing CK DMD 5. In neonatal resucitation step not followed finger sweeping of mouth to remove foreign body 6. true regarding childhood CML DOC is protein tyrosine kinase inhibitor 7. A 6wks child with respiratory rate 48 min , no intercostal drawing false statement is -child has pneumonia 8. A bone scan necessary for mets in a child in case of neuroblastoma 9. Neonate with seizures next investigation trans cranial USG OBG 1. order in lochia rubra , serosa , alba 2. Fertilised ovum reach uterus by -4-5 days 3. Maxium cardiac output during pregnancy seen at 28 wks 4. Not a risk factor for cervical cancer low parity 5. Best prognosis among sex ambiguity diseases is congenital adrenal hyperplasia 6. Less than 20 wks gestation , bleeding , cervical os dilated , placenta and fetus in the uterus inevitable abortion

7. Not seen with vacuum cup compared to forceps lateral rectus palsy 8. Sign of heart disease in pregnancy not seen in normal pregnancy distended neck veins 9. A male patient coming to infertility clinic 4 yrs of unprotected intercourse , ejaculate volume 0.8ml , no sperms / hpf next investigation- transrectal ultrasound to rule out ejaculatory duct obstruction 10. Drug not used in PCOD is tamoxifen 11. Radiation dose for cervical cancer at point A for early and late stage cancer is 12. Risk of transimision of HIV from mother to baby if no intervntion is done13. False regarding latent phase of labour it is also known as false labour pain 14. A pregnant patient underwent LSCS for fetal distress. She had mild hypertension during pregnancy . She developed headache and episode of seizure. Mass seen in para sagital area of size 2*3 cm no proteinuria sagital sinus thrombosis 15. Not a screening investigation for detection of cancers in females ORTHOPEDICS 1. Gallows traction - # of shaft of femur 2. True regarding supracondylar # -tranisient nerve injury 3. A child with 14 days of fever and swelling around the tibia showing periosteal reaction next investigation biopsy 4. In newborn club foot not seen in poliomyelitis 5. A hockey player sustained injury and presented with instability of knee o/e anterior drawer test positive and lachman test negative diagnosis is- posterolateral part of anterior cruciate ligament injury 6. Both vertebral body and intervertebral disc space is involved in tuberculosis 7. A obese patient refered from endocrionology department for a painful limp investigation not useful is -USG of hip 8. Regarding osteoporosis false statement is PSYCHIATRY 1. Mother gives a child whenever the boy eats vegetables operant conditioning 2. A 20 yr old female had abdominal pain last week but usg and clinicly normal again presented with loss of vision reflexes are normal malingneering 3. Kluver brucy syndrome doesnt include 4. Cognitive remediation ANAESTHESIA 1. During laparoscopic cholecystectomy patent develop wheeze treatment is beta agonists

2. Anaesthetic agent contraindicated in epileptic patient I.V ketamine 3. Malignant hyperthermia caused by -suxamethonium 4. According to AHA 2010 guidelines drug not used for CPR is atropine 5. Induction is quicker when with N2O 6. For d-tubacurare highly senistive muscle is respiratory muscle 7. For neuraxial anaesthesia not a contraindiaction is antihypertensives 8. Not a method to prevent post spinal headache is atraumatic needle 9. Dermatomal level of anesthesia for LSCS T8 RADIOLOGY 1. Stratosphere sign on M mode usg pneumothorax 2. FAST - Focused assessment with sonography for trauma 3. at 6wks best test for viability usg for fetal cardiac activity 4. Spinal cord injury not seen on radiology 5. Painful great toe radiologcally punched out lesions and hanging like features gouty arthritis 6. Patient of age 60 yrs presnts with headche , blurring vision and neck rigidity [SAH} ioc NCCT 7. A patient with 6 months history of altered bowel habits with increased mesentric fat,dialatation of proximal and distal ileum and thickening of the walls which is not included in D.D ischemic bowel disease