67 - AIIMS MAY 2006 paper - part 18

171. “Intestinal angina” is a symptom complex of the following: 
1. Postprandial abdominal pain, weight loss, acute mesenteric vessel occlusion. 
2. Postprandial abdominal pain, weight loss, chronic mesenteric vessel occlusion 
3. Preprandial abdominal pain, weight loss, chronic mesenteric vessel occlusion 
4. Preprandial abdominal pain, weight gain, acute mesenteric vessel occlusion. 

Ans. -2 

172. In which of the following condition acquired (secondary) megacolon is seen? 
1. Fissure in-ano 
2. Complete absence of parasympathetic ganglion cells 
3. Absence of sympathetic ganglion cells 
4. Rectal malignancy 

Ans. -1 

173. One of the following is not correct in papillary carcinoma of thyroid: 
1. Can be reliably diagnosed using fine needle aspiration cytology. 
2. Always unifocal 
3. Typically spreads to the cervical lymph nodes 
4. Requires a total thyroidectomy for large tumours. 

Ans. -2 

174. Which one of the following is the correct statement during operation on the submandibular gland? 
1. The submandibular gland is seen to warp around the posterior border of mylohyoid. 
2. The facial artery and vein are divided as they course through the deep part of the gland 
3. The hypoglossal nerve is seen to loop under the submandibular duct 
4. Damage to the lingual nerve will cause loss of sensation to the posterior third of the 

Ans. -1 

175. Which of the following statements is incorrect in regard to stones in the gallbladder? 
1. Pigment stones are due to increased excretion of conjugated Bilirubin 
2. Are considered a risk factor for the development of gallbladder carcinoma 
3. 10% of gallstones are radio-opaque 
4. A mucocele of the gallbladder is caused by a stone impacted in Hartmann’s pouch 

Ans. -1 

176. Which one of the following statement is incorrect, regarding Meckel’s diverticulum? 
1. Is found on the anti-mesenteric border of the small intestine 
2. Consists of mucosa without a muscle coat 
3. Heterotopic gastric mucosa can ulcerate and cause a brisk gastrointestinal bleed 
4. A fibrous band between the apex and umbilicus can cause intestinal obstruction 

Ans. -2 

177. The following ocular structure is not derived from surface ectoderm: 
1. Crystalline lens 
2. Sclera 
3. Corneal epithelium 
4. Epithelium of lacrimal glands 

Ans. -2 

178. A 35 year old premenopausal patient has recently developed a 1.5 cm sized pigmented lesion on her back. Which of the following forms of tissue diagnosis will you recommend for her? 
1. Needle biopsy 
2. Trucut biopsy 
3. Excision biopsy 
4. Incisional biopsy 

Ans. -3 

179. A patient of thrombosis of hepatic veins has been receiving coumarintherapy for duration of three years. Recently, she has developed bleeding tendency. How will you reverse the effect of coumarin? 
1. Protamine injection 
2. Vit K injection 
3. Infusion of fibrinogen 
4. Whole blood transfusion 

Ans. -* 

180. A 45 year old gentleman has undergone truncal vagotomy and pyloroplasty for bleeding duodenal ulcer seven years ago. Now he has intractable recurrent symptoms of peptic ulcer. All of the following suggest the diagnosis of Zollinger Ellison syndrome, except: 
1. Basal acid output of 15 meq/hour 
2. Serum gastrin value of 500 pg/ml 
3. Ulcers in proximal jejunum and lower end of esophagus 
4. Serum gastrin value of 200 pg/ml with secretin stimulation 

Ans. -2 

54 - AIIMS MAY 2006 paper - part 5

41. Which of the following is the best way of preventing development of deep vein thrombosis (DVT) in post operative period? 
1. Early ambulation 
2. Physiotherapy 
3. Prophylactic heparin 
4. Los dose aspirin 

Ans. -3 

42. In the manning scoring system of biophysical profile for fetal monitoring which parameter is not included: 
1. Fetal tone 
2. Fetal gross body movements. 
3. Oxytocin challenge test 
4. Non stress test 

Ans. -2 

43. The pseudomyxoma peritonei occurs as a complication of the following ovarian tumour: 
1. Serous cystadenoma 
2. Mucinous cystadenoma 
3. Dysgerminoma 
4. Gonadoblastoma 

Ans. -2 

44. A 27-year primigrvida presents with pregnancy induced hypertension with blood pressure of 150/100 mm of Hg at 32 week of gestation with no other complications. Subsequently, her blood pressure is controlled on treatment. If there are no complications, the pregnancy should be best terminated at: 
1. 40 Completed weeks 
2. 37 Completed weeks 
3. 35 Completed weeks 
4. 34 Completed weeks 

Ans. -3 

45. A 13-year-old young girl presents in the casualty with acute pain the lower abdomen. She has history of cyclical pain for last 6 months and she has not attained her menarche yet. On local genital examination, a tense bulge in the region of hymen was seen. The most probable diagnosis is: 
1. Rockytansky Kuster Huser syndrome 
2. Testicular feminization syndrome 
3. Imperforate hymen 
4. Asherman’s syndrome 

Ans. -1 

46. In which of the following heart diseases maternal mortality is found to be highest? 
1. Eisenmenger’s comlex 
2. Coarctation of aorta 
3. Mitral stenosis 
4. Aortic stenosis 

Ans. -2 

47. All of the following are the complications in the new born of the diabetic mother except: 
1. Hyper bilirubinemia 
2. Hyperglycemia 
3. Hypocalcemia 
4. Hypomagnesemia 

Ans. -4 

48. The shortest diameter in fetal head is: 
1. Biparietal diameter 
2. Suboccipito frontal diameter 
3. Occipito frontal diameter 
4. Bitemporal diameter 

Ans. -3 

49. A twenty year old patient presented with early pregnancy for Medical Termination of Pregnancy (MTP) in day care facility. What will be the anesthetic induction agent of choice? 
1. Thiopentone 
2. Ketamine 
3. Propofol 
4. Diazepam 

Ans. -2 

50. Which organ is the primary site of hematopoiesis in the fetus before midpregnancy? 
1. Bone 
2. Liver 
3. Spleen 
4. Lung 

Ans. -4