Sunday, November 18, 2012

486 - AIIMS NOVEMBER 2012 Mcqs with answers - part 3

11q: Which of the following changes is not seen in uterine fibroid?
a. Red degeneration
b. Fatty degeneration
c. Sarcomatous degeneration
d. Hyaline degeneration

answer: c. Sarcomatous degeneration.

12q: Which one is correct about prions?
a. Nucleic acid
b. Highly immunogenic
c. Highly incubation period
d. Sensitive to autoclaving at 121 degree centigrade

answer: will post soon. if u know plz post in comments.

13q: Hyertensive man on medication with normal activity is graded under
a. ASA I
b. ASA II
c. ASA III
d. ASA IV

answer: b.ASA II.

14q: Fixative used in tissue specimens
a. Glutaraldehyde
b. Picric acid
c. Formalin
d. Alcohol

answer: Will post soon. If u know plz post in comments.

15q: BIRADS stands for
a. Breast Imaging Reporting and Data System
b. Best imaging reporting and data system
c. ????
d. Breast reporting radiological data system

answer: a. Breast Imaging Reporting and Data System.

485 - AIIMS NOVEMBER 2012 Mcqs with answers - part 2


6q: 14 year old boy, not able to get good grades on 9th standard exam. But very sharp and intelligent. Best test to diagnose his problem -
a. Neuropsychological battery
b. bhatia's battery
c. specific learning disability test
d. not recalled

answer: will post soon, if u know plz post in comments.

7q: Child with seizures, oval hypopigmented macules on trunk, subnormal IQ
a. Neurofibromatosis
b. Sturge Weber
c. Tuberous sclerosis
d. Incontinentia Pigmenti

answer: c.Tuberous sclerosis.

8q: 14yr female present with primary amenorrea. .absent uterus and vagina...breast and pubic hair normal..what is diagnosis?
a. Klinefelter syndrome.
b. Mullerian agenesis
c. Gonadal dysgenesis
d. ?????

answer: Mullerian agenesis.

9q: Which of the following does not supply sternocleidomastoid muscle?
a. Posterior auricular artery
b. Occipital artery
c. Thyrocervical artery
d. Superior thyroid artery

answer: Posterior auricular artery.

10q: EEG in anaesthesia useful in....
a. Depth of analgesia
b. depth of Local anesthesia
c. depth of general anaesthesia
d. depth of neuromucular block

answer: will post soon. if u know plz post in comments.

484 - AIIMS NOVEMBER 2012 Mcqs with answers - part 1


1q: Which of the following is true regarding testis?
a.Ectodermal origin
b.Gubernaculum attached to the caudal end
c.Surrounded by peritoneal tunica albuginea
d.Reach the scrotum by 28th week

answer: b. Gubernaculum attached to the caudal end.

2q: Nerve regeneration is not seen in spinal cord due to
a.No endoneurial layer
b.Glial scar
c.No myelin inhibiting factor
d.No growth factor

answer: will post soon, if u know plz post in comments.

3q: A neonate with poor respiration at birth starts throwing seizures after 10hrs of birth. Antiepileptic of choice wud be
a.Levetiracetam
b.Phenytoin
c.Phenobarbitone
d.Lorazepam

answer: will post soon, if u know plz post in comments.

4q: Mechanism of action of FUSADIOL
a.Rho kinase inhibitor
b.????
c.????
d.????

answer: Rho kinase inhibitor

5q: Which is not a 2nd generation antihistamine ?
a.cetrizine
b.loratidine
c.fexofenadine
d.cyclizine

answer: a and b are second gen, c is third gen and d is first gen.

Tuesday, October 30, 2012

483 - DNB June 2011 Mcqs with answers - part 2

1q: Which of the following is the weakest support of uterus?
a.Mackenrodt ligament
b.Uterosacral ligament
c.Round ligament
d.Broad ligament


2q: Midgut is supplied by
a.Superior Mesenteric artery
b.Inferior mesenteric artery
c.Celiac trunk
d.None of the above


3q: Bitter almond smell is seen in
a.Cyanide poisoning
b.??????
c.??????
d. ??????


4q: HU are used in
a.CT
b.MRI
c.X ray
d.?????


5q: Which of the following is a vasoconstrictor?
a.Cocaine
b.Procaine
c.Lignocaine
d.None of the above


482 - DNB June 2011 Mcqs with answers - part 1

1q: Which of the following is a subcutaneous muscle?
a.Sternocleidomastoid
b.Mylohyoid
c.Palmaris longus
d.Palmaris brevis


2q: Intrinsic laryngeal muscles are supplied by
a.Recurrent laryngeal nerve
b.External laryngeal nerve
c.Internal laryngeal nerve
d.None of the above


3q: Laryngocele arises from herniation through
a.Thyrohyoid membrane
b.Cricothyroid membrane
c.??????
d. ??????


4q: Left testicular vein drains to
a.Left renal vein
b.Inferior vena cava
c.Right renal vein
d.Azygous vein


5q: Foramen of magendie which is in midline acts as an exit point of which of the following?
a.Lateral ventricles
b.Third ventricle
c.Fourth ventricle
d.None of the above


Friday, June 1, 2012

480 - AIIMS MAY 2012 Complete paper with answers - part 2

101. A patient with Hypertension, comes with severe unilateral headache and vomiting. On MRI, lateralized convex lesion seen. He has neck stiffness. The diagnosis is 
A. Intracerebral Hemorrhage 
B. Subarachnoid Hemorrhage -----------------ANS 
C. Meningitis 
D. meningoencephalites 

102. Drug induced Lupus seen in all EXCEPT (Nov 2010) 
A. Sulfonamides 
B. Hydralazine 
C. Isoniazid 
D. Penicillin ----------------ANS 

103. All about Leukemia are FALSE EXCEPT 
A. CML occurs after 50 years of age 
B. ALL occurs before 1 year in neonates 
C. ALL in before 1 year has poor prognosis---------------ANS 
D. Hairy Cell Leukemia occurs before 50 years of age 

104. Patient with Pneumococcal Brain Abscess. Culture is sent for Antibiotic sensitivity. Which empirical antibiotic is given till culture sensitivity result come? 
A. Penicillin G 
B. Ceftriaxone 
C. ceftriaxone+ vancomycin-----------ANS 
D. Ampicillin 

105. Pseudotumor Cerebri is seen in 
A. Obese Female of 20-40 years ----------------ANS 
B. Obese Male of 20-40 years 
C. Thin Female of 50-60 years 
D. Thin Male of 50-60 years 

106. Photosensitivity is a symptom of Porphyria. All of the following enzyme deficiencies have photosensitivity EXCEPT 
A. Uroporphyrinogen decarboxylase 
B. Uroporphyrinogen oxidase ---------------ANS 
C. Coproporphyrinogen oxidase 
D. Protoporphyrinogen oxidase 

107. A 60 year old lady has progressive slowing of movements since 2 years. She has Rigidity and rectangular slow wave jerking movements. Most probable diagnosis is 
A.Progressive Supranuclear Palsy ------------------ANS 
B. Lewy-Body Dementia 
C. Parkinsonism 
D. Multiple System Atrophy 

108. A Penicillin allergic patient has Rheumatic Fever. Which of the following drug should be prescribed? 
A. Penicillin G 
B. Sulfoxazole ------------ANS 
C. Sulfasalazine 
D. Sulfadiazine 

109. A neonate presents with bleeding from umbilical stump, rest of the examination is normal. Probable diagnosis is (Twist Nov 2006) 
A. Factor X deficiency --------------------ANS 
B. von Willebrand Disease 
C. Glanzman Thromboasthenia 
D. Bernard Soulier Syndrome 

110. Which scientific principle is the basis for Thermodilution method used in measurement of cardiac output by Pulmonary Catheter? 
A. Hagen-Poisseuille Principle ----------------ANS 
B. Stewart-Hamilton Principle 
C. Bernoulli’s Principle 
D. Universal Gas Equation 

111. Most common symptom of Immunoproliferative small intestinal disease (IPSID) 
A. Malabsorption ----------ANS 
B. Obstruction 
C. Bleeding 
D. Abdominal Pain 

112. “Fever Blister” is due to 
A.Primary HSV-1 Infection 
B. Varicella Zoaster 
C. Reactivation of HSV-1 Infection-------------ANS 
D. CMV 

113. An alcoholic with poor judgment and decreased in skilled motor movements. Blood alcohol level would be 
A. 30-80 mg/dl 
B. 80-200 mg/dl-------------ANS 
C. 200-300 mg/dl 
D. >300 mg/dl 

114. A 56 year old man presents with unilateral headache, diplopia and fever. He had difficulty in chewing. MRI of brain was normal and ESR was raised. Treatment is 
A. Prednisolone --------ANS 
B. High Dose Aspirin 
C. Coxibs 
D. Valproate 

115. Type of wave in Metabolic Encephalopathy 
A. Alpha 
B. Beta 
C. Gamma 
D. Delta -------------ANS 

116. In 2 patients with Atherosclerosis, one is diabetic and other is non-diabetic. In relation to non-diabetic, diabetic patient has 100 times increased risk of 
A. MI 
B. Cerebrovascular Stroke 
C. Lower Limb Ischemia----------------ANS 
D. Vertebrobasilar insufficiency 

117. In ”Pneumonia Severity Scale”, most important factor is 
A. Age --------------ANS 
B. Congestive Heart Failure 
C. Hypothermia 
D. Hyponatremia 

118. A boy is suffering from Acute Pyelonephritis. Most specific urinary finding (Nov 2006) 
A. WBC Cast --------------------ANS 
B. Gram Staining for Bacteria 
C. Leucocyte Esterase positive 
D. Positive Nitrite Test 

119. A lady had Meningioma with inflammatory edematous lesion. She was planned for surgery. Junior resident’s mistake in writing pre-op notes is 
A. Stop Steroids ---------------------ANS 
B. Wash head with shampoo 
C. Antibiotic Sensitivity 
D. Antiepileptic 

120. A lady had breathlessness, arthralgia and granulomatous uveitis. Diagnosis is 
A. Ocular Sarcoid ----------------------ANS 
B. HLA B27 related Uveitis 
C. Tuberculosis 
D.Behcets syndrome 

121. A 46 year old man with constipation, abdominal pain, mucous in stool and sense of incomplete evacuation since 4 years. On examination, there was left iliac fossa tenderness. Diagnosis is 
A. Ca Colon 
B. Diverticular disease ------------------ANS 
C. IBS 
D. Ulcerative Colitis 

122. Hematopoietic Stem Cells differ from Committed Progenitor Cells in 
A. Can reconstitute Bone Marrow -----------------ANS 
B. Secrete Growth Factor 
C. Terminal Cells are different 
D. Nuclear Receptor present 

123. In an ablated animal, a researcher injects Myeloid Stem Cells, after the incubation period he finds which type of cells? 
A. T-Lymphocyte 
B. Erythrocyte ----------------ANS 
C. Fibroblast 
D. Hematopoietic Stem Cells 

124. Due to decelerations, Aorta can be ruptured at places where it is fixed EXCEPT 
A. At Aortic Valve --------------ANS 
B. Behind Esophagus 
C. Behind Crura of the Diaphragm 
D. At Ligamentum Arteriosus 

125. A lady with cold intolerance and hoarseness of voice was detected with cardiomegaly. Investigation to be done to know the cause is 
A. Coronary Angiography 
B. Left Ventricle Angiography 
C. Right Ventricle Angiography 
D. Echocardiography -------------ANS 

126. Midsystolic Click is heard in a female. Pathology seen in mitral valve is (AI 10) 
A. Myxomatous degeneration ----------------ANS 
B. Aschoff Nodules 
C. Sub Acute Bacterial Endocarditis 
D. Ruptured Chordae Tendinae 

127. Most significant association for Hepatocellular Carcinoma 
A. Hepatitis A 
B. Hepatitis B -------------------ANS 
C. EBV 
D. CMV 

128. A patient comes with transmural thrombi. Streptokinase and Warfarin is started. After which further intial sign thrombolysis should be stopped 
A. Pericardial Friction Rub 
B. Pericardial Effusion---------ANS 
C. Mobitz Type 2 Block 
D. Leg vein thrombosis 

129. Thrombolytics can be given in treatment of AMI, if patient comes within 
A. 6 hours 
B. 12 hours -------------------ANS 
C. 18 hours 
D. 24 hours 

130. An old hypertensive man, on treatment with Aspirin, Sorbitrate, and Atenolol suddenly fell in bathroom. Relatives noted black stools. He presented in ER with hypotension, tachycardia. The diagnosis is 
A. Gastric Ulcer bleed ---------------ANS 
B. Cerebrovascular Accident 
C. MI 
D. 

131. All are true EXCEPT 
A. Amyloid Angiopathy is associated with Small Vessel Disease 
B. Alzheimer’s Disease is associated with Amyloid Angiopathy 
C. Alzheimer’s Disease is related to Small Vessel Disease 
D. Alzheimer’s Disease is not related to Small Vessel Disease-------ANS 

132. A patient with Atrial Fibrilation has clot in Left Atrium. All of the following should be done in management EXCEPT 
A. DC Cardioversion with Percutaneous Clot removal 
B. Warfarin therapy 
C. Open Commisurotomy and Clot Removal -----------ANS 
D. 

133. A child undergoing induction before surgery suddenly developes ,tachycardia,unable to open mouth etco2 shows increase co2 level with Metabolic Acidosis and respiratory alkalosis, Start treatment with 
A. Iv Dantrolene --------ANS 
B. Na Bicarbonate 
C. Mgso4 
D. 

134. Most reliable test for diagnosing spinal TB is 
A. MRI ---------------ANS 
B. CT guided Biopsy 
C. PPD 
D. X ray spine 

135. All of the following can be seen in Massive Acute Blood loss EXCEPT 
A. Increase in Reticulocyte count 
B. Increase in PCV --------------ANS 
C. Increase in MCV 
D. Increase in Neutophils 

136. Which of the following is incorrectly matched 
A. Neurofibromatosis – Renal Artery Stenosis 
B. Moyamoya disease – Aortic Aneurysm -------------------ANS 
C. Marfan’s Syndrome – Dural Ectasia 
D. Muilbrey nanism – Constricitve Pericarditis 


SURGERY 

137. Patient is tenderness in left iliac fossa. There was 3 cm stone in renal pelvis and no Hydronephrosis. Most appropriate management is 
A. PCNL 
B. ESWL ---------ANS 
C. Diuretics 
D. Medical dissolution therapy with Potassium Citrate 

138. A 40 year male presents with hematemesis. On examination his BP was 90/60 mmHg and Heart Rate was 120/min. Splenomegaly was also present. The most probable cause of his bleeding is (AI 2012) 
A. Portal Hypertension------------------ANS 
B. Gastric ulcer 
C. Duodenal ulcer 
D. Drug-induced GI injury 


139. After removal of the Parotid gland, patient is having sweating on cheeks while eating. Auriculotemporal nerve which contains parasympathetic secretomotor fibers to parotid gland is fused with 
A. Greater Petrosal Nerve 
B. Facial Nerve 
C. Greater Auricular Nerve --------------ANS 
D. Buccal Nerve 
E. Glossopharyngeal Nerve 

140. A patient of Crohn's Disease, underwent resection anastomosis. Now presents on 7th post-op day with anastomotic site leak from a fistula. Everyday leakage volume adds up to 150-200ml. There is no intra-abdominal collection and the patient is stable without any complains. What will be the next line of management? (Repeat) 

A. Do conservative treatment and leave him and hope for the spontaneous resolution ------------ANS 
B. Perform Laparotomy and check for leakage site and healthy margins 
C. Perform Laparotomy and completely exteriorize the fistula 
D. Perform Laparotomy and place lateral drains and leave 


141. A lady has dysphagia, intermittent epigastric pain. On endoscopy, Esophagus was dilated above and narrow at the bottom. Treatment is 
A. Heller’s Cardiomyotomy ----------ANS 
B. Esophagectomy 
C. Dilatation 
D. PPIs 

142. Which jaw cyst is pre-malignant? 
A. Radicular Cyst 
B. Dental Cyst 
C. Odontogenic keratocyst 
D. Dentigerous Cyst ------------------ANS 

143. After doing a Thoracoabdominal graft, a person developed weakness in legs. It is due to 
A. Lumbosacral nerve injury 
B. Thoracic splanchnic nerve injury 
C. Decreased blood supply to lower limbs 
D. Discontinuation of Arteria Radicularis Magna-------------ANS 

144. True about Epigastric Hernia is 
A. Located below the umbilicus and always in the midline 
B. Located above the umbilicus and always in the midline 
C. Located above the midline and on either side --------------ANS 
D. Can be seen anywhere on abdomen 

145. External Hemorrhoids, distal to dentate line is (Aiims nov 06) 
A. Painful ----------------ANS 
B. Skin Tag is not seen in these cases 
C. May turn malignant 
D. ligation is done as management 


146. Early complication of Ileostomy (May 2010) 
A. Diarrhoea 
B. Obstruction 
C. Necrosis --------------ANS 
D. Prolapse 

147. Ca Breast Stage 4b involves all EXCEPT 
A. Nipple Retraction -----------------ANS 
B. Skin ulcer over the swelling 
C. Dermal Edema 
D. Satellite Nodule 

148. Due to advances in cancer treatment the prognosis of which of the following has become better? 
A. Glioblastoma Multiforme 
B. Esophageal Carcinoma 
C. ALL in children -------------------ANS 
D. Cholangiocarcinoma 

OBSTETRICS & GYNECOLOGY 

149. After full term normal vaginal delivery, lady goes to sudden collapse. What should be suspected? (Nov 2010) 

A. PPH 
B. Amniotic fluid embolism 
C. Uterine Inversion ---------------ANS 
D. Eclampsia 

150. A young lady has history of recurrent abortion. Which test should be done? (Reverse May 2011) 

A. Russel Viper Venom Test --------------ANS 
B. Prothrombin Time 
C. Bleeding time 
D. Clotting Time 

151. A 20 year old average weight female complains of oligomenorrhoea along with facial hair. Preliminary investigation reveals raised free testosterone levels. On Ultrasound, ovaries were normal. Which of the following could be likely etiology? (Nov 2010) 
A. Idiopathic Hirsutism 
B. PCOD --------------ANS 
C. Adrenal Hyperplasia 
D. Testosterone secreting tumor 

152. Which test is used to differentiate maternal and fetal blood cells? (Nov 2010) 
A. Apt Test -----------------ANS 
B. Kleihauer-Betke test 
C. Bubblin Test 
D. Osmotic Fragility Test 

153. Endometrial Cancer involving 50% of endometrium, extending to vagina, lymph nodes negative with positive peritoneal cytology is staged as – (Nov 2010) 
A. Stage IIIA 
B. Stage IIIB -------------ANS 
C. Stage IIIC1 
D. Stage IIIC2 

154. Treatment of Ca Cervix IIIB include – (Nov 2010) 
A. Wertheims Hysterectomy 
B. Schauta’s Hysterectomy 
C. Chemotherapy 
D. Intracavity Brachytherapy followed by External Beam Radiotherapy--------------ANS 

155. At which time in the pregnancy, woman has maximum cardiac strain? 
A. 2nd Trimester 
B. At the time of delivery 
C. Immediately following delivery-------------------ANS 
D. After delivery 

156. A Pregnant female feeling dizziness in supine position; feels better on lateral position and after getting up. This must be due to (Repeat) 
A. IVC Compression -------------------------ANS 
B. Raised intra-abdominal pressure 
C. Decreased blood flow to placenta 
D. Compression of Sympathetic Chain 

157. A woman presented with carcinoma cervix FIGO STAGING II-III, which of the following treatment is recommended? 
A. Trichelectomy 
B. Radiotherapy plus HPV vaccine 
C. Chemo-radiotherapy ---------------------ANS 
D. Hysterectomy 

PEDIATRICS 

158. Which of the following will favor the diagnosis of RDS in new born? (Nov 2010) 
A. Receipt of antenatal steroids 
B. Air bronchogram in chest X-ray ----------------ANS 
C. Manifests after 6 hours 
D. Occurs after term gestation 

159. A neonate is diagnosed with Bell’s Stage 1 Necrotizing Entercolitis and he is stable. Treatment is 
A. Conservative and Antibiotics --------------ANS 
B. IV Antibiotics and Removal of necrosed portion of Intestine 
C. Drainage 
D. Resection Anastomosis 

160. A Toddler has few drops of blood coming out of rectum. Probable diagnosis is 
A. Juvenile Rectal Polyp --------------------ANS 
B. Adenoid Poliposis Coli 
C. Rectal Ulcer 
D. Piles 

161. In Juvenile Myoclonic Epilepsy, most common presentation is (Twisted Repeat) 
A. Absent Seizure 
B. Myoclonus ------------ANS 
C. Generalized Tonic-Clonic Seizure on going to sleep 
D. Generalized Tonic-Clonic Seizure on awakening 

162. A child was taken for CECT Chest and contrast was injected; child had swelling which gradually increased. There is numbness. There is pain on passive extension of fingers. He is not allowing you to touch the arm. Pulse was present. What will you do? 
A. High Dose Prednisolone 
B. Arterial Thrombectomy 
C. Immediate Fasciotomy -----------------ANS 
D. Antihistaminics / Anticoagulants 

163. Recurrent URTI in 5 year old child with ear problems, mouth breathing. Treatment is (May 2007) 
A. Myringotomy 
B. Myringotomy with Grommet insertion 
C. Adenoidectomy with Grommet insertion---------------ANS 
D. Tonsillectomy 

164. A child with recurrent seizures, palpable plaques in the Ophthalmic and Maxillary distribution. Mother complaints, it is present since birth and not changed since then. Diagnosis is 
A. Congenital Hemangioma 
B. Sturge-Weber Syndrome----------------ANS 
C. Infantile Hemangioma 
D. Proteus syndrome 

SKIN 
165. Which of the following is characteristic of Basal Cell Carcinoma? 
A. Foam Cells 
B. Nuclear Palisades ---------------ANS 
C. Keratin Pearls 
D. Presence of intercellular bridges 

166. A 24 year old man had multiple small hypopigmented patches around hair follicles on upper chest and back. Macules were with fine scaling which coalesced later. Patient has received treatment before 1 year and it was treated. Investigation to be done is 

A. KOH preparation -----------------ANS 
B. Tzank test 
C. Slit Skin Smear 
D. Skin biopsy of coalesced lesion 


167. A child with itchy erythematous lesion on face and palm & soles. Possible diagnosis is (AI 2006, May 2005, Nov 2002) 
A. Scabies ---------------ANS 
B. seborrheic dermatitis 
C. psoriasis 
D. congenital syphilis 

168. A patient has multiple hypoaesthetic and hypopigmented patches on lateral aspect of forearm. Abundance of Acid fast bacilli and Granulomatous inflammation is seen. Diagnosis is 
A. Lepromatous Leprosy 
B. Tuberculoid Leprosy 
C. Indeterminate Leprosy 
D. Borderline Leprosy --------------------ANS 

169. Characteristic of Borderline Leprosy is 
A. Inverted Saucer appearance --------------------ANS 
B. Erythema Nodosum Leprosum 
C. Hypopigmented macules/plaques all over the body 
D. Glove and Stocking Anesthesia 

170. A patient has 2 fingernails and 1 toenail tunneling since 1 year. Rapid Diagnosis is done by 
A. Woods Lamp Examination 
B. KOH mount -------------------------ANS 
C. Slit Smear Examination 
D. skin biopsy 

171. A boy had itchy, excoriated papules on the forehead and the exposed parts of the arms and legs since 3 years. The disease was most severe in rainy season and improved completely in winter. The most likely diagnosis is (May 2004) 
A. Insect Bite Hypersensitivity---------------ANS 
B. Scabies 
C. Urticaria 
D. Atopic Dermatits 

172. Which of the following is related to sunlight exposure? (Aipg 06) 
A. Actinic Keratosis ------------------ANS 
B. Basal cell carcinoma 
C. molluscum contagiosum 
D. Photodermatitis 

173. A 23 year lady develops brownish pigmentation on cheeks and bridge of nose on exposure to sun. Diagnosis is (Repeat) 
A. Photodermatitis 
B. SLE 
C. Chloasma -----------ANS 
D. Rosacea 


ANAESTHESIA 

174. Maximum dose of Lignocaine given with Adrenaline for Occular Surgery 
A. 3 mg/kg 
B. 5 mg/kg 
C. 7 mg/kg -------------------ANS 
D. 10 mg/kg 

175. Lady with a history of previous C Section told the anesthetist that in spite of spinal anesthesia, she was aware of the procedure. What should be done to monitor depth of anesthesia? (AI 2011, AI 2012) 

A. Pulse Oximetry 
B. Train of Four 
C. Bispectral Imaging ----------------ANS 
D. End Tidal CO2 

176. During ET tube Intubation, by right handed person, Laryngoscope is held by which hand? 

A. Left --------------ANS 
B. Right 
C. Both 
D. Either of these 

177. Patient with ruptured spleen is taken for laparotomy. BP is 80/50 and HR is 125/min. Induction agent of choice 

A.Etomidate------------ANS 
B. Opioids 
C. Remifentanyl 
D. Halothane 

178. A 25 year old primigravida has Mitral Stenosis and Regurgitation and is under labor. She says she wants natural delivery. Which would be the best way to provide analgesia in the woman? 

A. Neuraxial Anesthesia ----------------ANS 
B. Spinal Anesthesia 
C. Inhalational Analgesia 
D. Intravenous Opioids 

179. A Patient has RTA with head injury BP:80/50,PR:150 bpm...anaesthetic agent of choice 
A. Thiopentone 
B. Propramide 
C. Morphine 
D. Ketamine--------------ANS 

80. All are true about “Scoline Asphyxia” EXCEPT 
A. It can be inherited 
B. It is due to deficiency of Cholinesterase ------------------ANS 
C. Succinylcholine can produce it 
D. Patient can be saved if properly treated 

181. Component of Sodalime for CO2 absorption in closed circuit in anesthesia is 
A. NaOH 
B. Ca(OH)2----------------------ANS 
C. KOH 
D. Ba(OH)21 

182. pregnant female, there is decreased requirement of the anesthetic agent because of all of the following EXCEPT 

A. Exaggerated Lumbar Lordosis----------------ANS 
B. Increased Congestion in Spinal Veins 
C. Decreased Subarachnoid space 
D. Increased Sensitivity of Nerves 

RADIOLOGY 

183. Amifostine is (Reverse AI 2012) 
A.Radiosensitizer 
B.Radioprotector--------------ANS C.Radiomodifier 
D.Radiomimetic 
184. “Bracket Calcification” on Skull X-Ray is seen in 
A.TuberousSclerosis B.SturgeWebeSyndrome 
C.Lipoma of corpus callosum--------------------------ANS D. Meningioma 
185. Maximum Radiation exposure occurs in 
A. Bone Scan-----------------ANS B. CT Scan 
C.X-ray D. MRI 
186. Non-Iodine containing Contrast is 
A. Gadolinium -------ANS 
B. Visipaque 
C. Iohexanol 
D. Diatrozoate 

187. Stereotactic Radiotherapy is used in 
A. Miliary Lung Metastasis 
B. Inoperable Stage 1 Lung Tumor ----------------ANS 
C. Lymphangitis Carcinomatosa 
D. Tumor at the base of tongue with new Lymph Node enlargement 

PSYCHIATRY 

188. Which of the following drug is available as depot preparation? 
A. Fluphenazine ---------------ANS 
B. Aripriprazole 
C. Ziprosidone 
D. Trifluperzine 

189. All of the following are disorders of “form of thought” EXCEPT 
A. Loosening of Association 
B. Tangentially 
C. Thought Block ---------------------ANS 
D. Derealisation 

190. PTSD is differentiated from all other disorders by 
A. Recall of events and avoidance of trauma ---------ANS 
B. Nightmares about events 
C. Autonomic arousal and anxiety 
D. Depression 

191. Brain is considered responsive because 
A. It has control centers for all motor actions and sensory inputs 
B. It can be profoundly affected by external environment------ANS 
C. Every cell of brain has specific function 
D. It acts as a closed system, responding to internal stimuli but not the external stimuli 



ORTHOPEDICS 

192. Gallow’s Traction is used for (Nov 2010, Nov 2011) 
A. Shaft of Femur ---------ANS 
B. Neck of Femur 
C. Shaft Tibia 
D. Tibial Tuberosity 

193. A patient met with Road Traffic Accident with injury to left knee. Dial test was positive. What could be the cause?(Nov 2010) 
A. Medial Collateral Ligament Injury 
B. Posterolateral Corner Injury---------ANS 
C. Lateral Meniscus Tear 
D. Medial Meniscus Injury 

194. After lifting something heavy from ground, a patient complaints of back pain, which is radiating to lateral leg and great toe of lower limb. Most probable diagnosis would be (AI 2012, Nov 2011) 
A. L5-S1 disc prolapse 
B. L4-L5 disc prolapse ---------ANS 
C. L3-L4 disc prolapse 
D. L5 fracture 

195. A person is able to abduct his arm, internally rotate it, place the back of hand on lumbosacral joint, but is not able to lift it from back. What is etiology? (Nov 2011) 
A. Subscapularis tendon tear ---------ANS 
B. Teres major tendon tear 
C. Long head of biceps tendon tear 
D. Acromioclavicular joint dislocation 

196. A newborn child presents with inverted foot and the dorsum of the foot cannot touch the anterior tibia. The most probable diagnosis is (Nov 2010) 
A. Congenital Vertical Talus 
B. Arthrogryposis Multiplex 
C. CTEV ----------ANS 
D. Flat Foot 

197. 8 year old child has fever with pain and swelling in mid-thigh. Lamellated appearance and Codman’s triangle is seen on X-Ray. On aspiration pus is seen. Histopathology shows small round cell tumor positive for MIC-2. Diagnosis is 
A. Osteosarcoma 
B. Ewing’s Sarcoma ----------ANS 
C.Chondroblastoma 
D. Multiple myeloma 

198. A patient comes to the emergency department after alcohol binge previous night and sleeping on arm chair. In the morning he is unable to move his hand and diagnosis of ulnar nerve palsy is made. What is the next line of management? 
A. Wait and Watch 
B. Knuckle Bender Splint -----------ANS 
C. Immediately operate and explore the nerve 
D. Do EMG study after 2 days 

199. An old lady had a history of fall in bathroom once and couldn’t move. Afterwards, she had legs in externally rotated position. There was tenderness in Scarpa's triangle and limb movement could not been done due to pain. No hip fracture was seen on X-Ray. Next step 
A. MRI 
B. Repeat X-Ray after one week --------ANS 
C. Joint Aspiration 
D. Give analgesic and Manipulate 

200.Retroperitoneal fibrosis caused by drug 
A.Methysergide---------ANS 
B.Melphalan 
C.Cyclosporine 
D.All 

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