Thursday, January 15, 2009

60 - AIIMS MAY 2006 paper - part 11


101. A case of carcinoma larynx with the involvement of anterior commissure and right vocal cord, developed perichondritis of thyroid cartilage. Which of the following statements is true for the management of this case? 
1. He should be given radical radiotherapy as this can be cure early tumours 
2. He should be treated with combination of chemotherapy & radiotherapy 
3. He shold first receive radiotherapy and if residuan tumour is present the should under go laryngectomy 
4. He should first undergo laryngectomy and then post-operative radiotherapy. 

Ans. -1 

102. Which of the following is the most common etiological agent in paranasal sinus mycoses? 
1. Aspergillus spp. 
2. Histoplasma 
3. Conidiobolus coronatus 
4. candida albicans 

Ans. -2 

103. Which of the following is not typical feature of Menieres disease? 
1. Sensorineural deafness 
2. Pulsatile tinnitus 
3. Vertigo 
4. Fluctuating deafness 

Ans. -3 

104. Which of the following is not a typical feature of malignant otitis externa? 
1. Caused by Pseudomonas aerugenosa 
2. Patients are usually old 
3. Mitiotic figures are high 
4. Patient is immune compromised 

Ans. -1 

105. A 30 year old woman with fiamily history of hearing loss from her mother’s side developed hearing problem during pregnancy. Hearing loss is bilateral, slowly progressive, with bilateral tinnitus that bothers her at night. Pure tone audiometry shows conductive hearing loss with an apparent bone conduction hearing loss at 2000 Hz. What is the most likely diagnosis? 
1. Otosclerosis 
2. Acoustic neuroma 
3. Otitis media with effusion 
4. Sigmoid sinus thrombosis 

Ans. -2 

106. Which of the following statements is true of primary grade IV-V vesicoureteric reflux in young children? 
1. Renal scarring usually begins in the midpolar regions. 
2. Postnatal scarring may occur even in the absence of urinary tract infections 
3. Long term outcome is comparable in patients treated with either antibiotic prophylaxis or surgery 
4. Oral amoxicillin is the choice antibiotic for prophylaxis 

Ans. -4 

107. A 3-year-old boy presents with fever, dysuria and gross hematuria. Physical examination shows a prominent suprapubic area which is dull to percussion. Urinalysis reveals red blood cells but no proteinuria. Which of the following is the most likely diagnosis/ 
1. Acute glomerulonephritis 
2. Urinary tract infection 
3. Posterior urethral valves 
4. Teratoma 

Ans. -* 

108. Transient synovitis (toxic synovitis) of the hio is characterized by all of the following, except: 
1. May follow upper respiratory infection. 
2. ESR and white blood cell counts are usually normal 
3. Ultrasound of the joint reveals widening of the joint spce. 
4. The hip is typically held in adduction and internal rotation 

Ans. -1 

109. Enzyme replacement therapy is available for which of the following disorders? 
1. Gaucher disease. 
2. Niemann Pick disease. 
3. Mucolipidosis 
4. Metachromatic leukodystrophy 

Ans. -4 

110. Cardiomyopathy may be seen in all of the following except: 
1. Duchenne muscular dystrophy 
2. Friedreich’s ataxia 
3. Type II glycogen storage disease 
4. Alkaptonuria 

Ans. -4 

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