224 - AIIMS MAY 2001 mcqs with answers - part 6

26) A 76 year old male comes with a history of
frequent falls and difficulty in looking downwards
and laterally. The diagnosis is


a) Alzheimer’s disease
b) Supranuclear palsy
c) Amyotropic lateral sclerosis
d) Oculomotor nerve palsy

answer b . supranuclear palsy

27) The commonest side effect of cisplatin in a
patient using it for esophageal carcinoma is


a) ATN
b) Thrombocytopenia
c) Hepatic failure
d) Cardiomyopathy

answer a . ATN or acute tubular necrosis

28) The most common late CNS complication of
HIV is


a) Dementia
b) Ataxia
c) Seizures
d) Delirium

answer a . dementia

29) In a patient with acute liver failure, the best
prognostic indicator is


a) Serum albumin
b) Serum AFP
c) Serum bilirubin
d) Factor V estimation

answer d . factor V estimation

30) The commonest hepatotropic virus causing
increased chronic carrier state is


a) HEV
b) HAV
c) HBV
d) HCV

answer d . HCV

223 - AIIMS MAY 2001 mcqs with answers - part 5

21) A 32 year old male, Kallu, who recently
visited a sea coast presented with an ulcer over the
left leg. The probable cause is


a) Pasturella multocida
b) Micrococcus halophilus
c) Vibrio vulnificus
d) onchocerca volvulus

answer a . pasturella multocida

22) An 8 year old boy, Kallu, is brought to the
casualty with a history of consuming something
while playing outside in a play ground. On
examination, there was altered sensorium,
hyperpyrexia, dilated pupils. Most probable cause is


a) Dhatura poisoning
b) Organophosphorus poisoning
c) Parthenium poisoning
d) Barbiturate poisoning

answer a . datura poisoning

23) All the following viruses cause stomach and
colon cancer except


a) H pylori
b) EB virus
c) HBV
d) HIV

answer c . HBV

24) Which of the following is pathognomonic of
renal disease


a) Hyaline casts
b) coarse granular casts
c) cystine oxalate crystals
d) epithelial cells

answer c . cystine oxalate cystals

25) Hypoglycemia is seen in


a) Acromegaly
b) Cushings syndrome
c) Hypothyroidism
d) Hypopitutarism

answer d . hypopituitarism

222 - AIIMS MAY 2001 mcqs with answers - part 4

16) In malignant hypertension, hyperplastic
arteriosclerosis is seen in all except


a) Peripancreatic fat
b) Kidney
c) Heart
d) Periadrenal fat

answer c . Heart

17) In a chronic smoker, a highly malignant,
aggressive and metastatic lung carcinoma is


a) Squamous cell Carcinoma
b) Small cell Carcinoma
c) Adenocarcinoma
d) Large cell Carcinoma

answer b . small cell carcinoma

18) All are true about Neisseria gonorrhea except


a) Gram positive cocci
b) causes stricture urethra
c) Involves seminal vesicles and spreads to epididymis
d) drug of choice is Ceftriaxone

answer a . gram positive cocci . neisseria gonorrhea is gram negative

19) A 30 year old male, Kallu, with a history of
sexual exposure comes with a painless indurated
ulcer over the penis with everted margins. The
diagnosis is


a) Syphilis
b) Chancroid
c) LGV
d) Granuloma inguinale

answer a . syphilis

20) All are features of peripheral neuritis in a
patient with Hansens Disease except


a) Predominant sensory involvement
b) Decreased tendon reflexes
c) Mutilations
d) peripheral nerve thickening

answer b . decreased tendon reflexes

221 - AIIMS MAY 2001 mcqs with answers - part 3

11) In beta thalassemia, there is


a) increase in Beta chain , decrease in Alpha chain
b) decrease in Beta chain, increase Alpha chain
c) decrease in Beta chain, decrease Alpha chain
d) Increase in Beta chain, increase Alpha chain

answer b . decrease in beta chain and increase in alpha chain

12) Non caseating granulomas are seen in all the
following except


a) Tuberculosis
b) Byssinosis
c) Hodgkin’s Lymphoma
d) Metastatic carcinoma of lung

answer d . metastatic carcinoma of lung

13) All are paraneoplastic syndromes except


a) cerebellar degeneration
b) Progressive Multifocal leukoencephalopathy
c) Amyotropic lateral sclerosis
d) Opsoclonus myoclonus

answer c . amyotropic lateral sclerosis

14) In Burkitts lymphoma, translocation seen is


a) 12-14 translocation
b) 8-14 translocation
c) 11-14 translocation
d) 7-14 translocation

answer b . 8-14 translocation

15) Ingestion of arsenic causes


a) Hepatic Ca
b) Hepatic adenoma
c) Noncirrhotic portal fibrosis
d) Hepatic cirrhosis

answer c . non cirrhotic portal fibrosis

220 - AIIMS MAY 2001 mcqs with answers - part 2

6)An HIV positive female has an indurated ulcer
over the tongue. Laboratory findings show growth
in corn meal agar at 20 Degrees, microscopy
showing hyphae and growth in human serum at 37
degrees show budding yeasts. The probable cause
is :


a)Candida albicans
b)Histoplasmosis
c)Blastomycosis
d) Coccidiodomycosis

answer a . candida albicans

7) Kallu, a 30 year old man, presented with
subcutaneous itchy nodules over the left iliac
crest. On examination, they are firm, non tender
and mobile .Skin snips contain microfilaria and
adult worms of


a) Loa Loa
b) Onchocerca volvulus
c) Brugia malayi
d) Mansonella perstans

answer b . onchocerca volvulus

8)In an ICU patient on invasive monitoring, all
are causes of bacterial sepsis except


a)Orotracheal intubation
b)Intra arterial line
c)Humidified air
d)Central venous catheter

answer c . humidified air

9) In Polycythemia vera, all the following are seen
Except


a) thrombocytopenia
b) increased GI bleed
c) thrombosis
d) Transient visual loss

answer a. thrombocytopenia

10) A stem cell disorder affecting all the 3 cell
lines - platelets, RBC’s and leucocytes is


a) Hemolytic anemia
b) Paroxysmal cold
haemoglobinuria
c) PNH
d) Blackfan Diamond syndrome

answer c . PNH

219 - AIIMS MAY 2001 mcqs with answers - part 1

1) A 65 year old female Kamala gives the
history of severe unilateral headache on the
right side and complains of blindness since 2
days .On examination there is a thick cord like
structure on the lateral side of the head. The
ESR is 80 mm/Hr in the first hour. The most
likely diagnosis is :


a) Temporal arteritis
b) Migraine
c) cluster headache
d) sinusitis

answer a . Temporal arteritis

2) A 60 year old man complaining of chest pain
since 6 hrs is diagnosed as acute MI .
Angiography showed the involvement of
anterior descending branch of left coronary
artery The most probable site of involvement
is :


a) Anterolateral
b) Posterior
c) Inferior
d) Septal

answer a . anterolateral

3) Pulmonary Kerley B lines are seen in all the
following except


a) Pulmonary edema
b) Mitral valve disease
c)Interstitial fibrosis
d) Broncho-alveolar Ca

answer d . broncho-alveolar carcinoma    Click here for a complete article on Kerley A,B,C lines . 

4) Infective endocarditis is least likely to occur in


a) ASD
b) Small VSD
c) MVP
d) TOF

answer a . ASD

5) In a patient with chronic AF with a regular beat
of 60/min, the most probable cause is


a) sleep
b) digitalis toxicity
c) Sino nodal block
d) Hypothyroidism

answer b . digitalis toxicity