AIIMS MD MS MCH Nov. 2012 all 200 questions with answers1. most common organism causing neonatal sepsis???a staph albusb e coli2. Tumor marker of glioma cd1133. Blue white stain on uv light semen4. M.C. complication of long term HAART optic neuritis5. rpt on bacteriodes fragilis6. Organism in which endotoxin is not involved in pathophysiology vibrio cholera7. Epidemic cause of pneumonia spread by aerosol- legionella8. Sub Himalayan resident with multiple ulcers in lower limb sporothrix9. True about bacillus anthrax mcfaydean reaction (rpt)10. Child presents with seizures, hypopigmented macule, subnormal iq-tuberous sclerosis (rpt)11. Preterm babies with PDA, true A/E apnea/narrow pulse pressure12. All cause acute anal pain A/E- (ans)anal fistula, (other options)thrombosed external hemorrhoids,perianal abcess, fissure in ano13. Not helpful in diagnosis of ectopic pregnancy beta HCG estimation14. Child a fussy eater, mother decides to reward child with chocolateeverytime he finishes his meal operant condition (indirect rpt)15. Treatment of choice for ca cx 3B-concurrent chemoradiotherapy16. Total birth 4050 with still birth 50 and neonatal birth 200 NMR 50-rpt17. Child with hypoglycemia unable utilize glucose from glycogenolysis, gluconeogenesis- G6phosphatase defy18. Not a second messenger-guanyl cyclase (rpt)19. Old male with history of loss of consciousness and hence injuredhimself, on waking pt with both shoulders adducted internally rotated-B/l posterior dislocation20. Amphoterecin B therapy with hypokalemia K+=2.3meq- supplement with 40meq over 24 hours?21. Blood supply to sternomastoid A/E-post auricular (rpt)22. type1 rta A/E daily hco3 supplementation >4mmol (aipg 2012 rpt)23. not used in erectile dysfunction phenylephrine (rpt)24. Diabetic with clinical picture of mucormycosis, DOC- amphotericin B (rpt)25. rho kinase inhi bitor fasudil (dnb rpt)26. COL4A5 mutation alport syndrome (rpt)27. Infant with respiratory distress was intubated, the fastest and accurate test to confirme intubation is normal capnography28. anaesthestic drug to be given for the total body weight rather than ideal body weight- atracurium29. child presented with volvulus, small intestinal lesion incised, path evaluation revealed presence of what tumor in lesion lymphoma30. Causes of calcification of pinna A/E gout31. Patient develops urticaria following hot bath and sun exposure cholinergic utricaria (rpt)32. ciliary muscle derivative neural ectoderm33. True of post tonsillectomy grisels syndrome A/E- neurosurgeon consultation not required34. Third window effect- superior semicircular canal dehiscence35. stereotactic radiotherapy brain tumor/lung tumour (rpt aims)36. All seen in syringomyelia except hypertrophy of adductor pollicis37. 70yo lady on long term alendronate treatment for severe osteoporosis comes with hip and thigh pain, IOC Xray38. Drug contraindicated in glaucoma with systemic beta blocker brimonidine39. 70yr old retired military man with bitemporal headache that reduced on bitemporal massage and lying down for weeks, due to chronic tension type headache40. True about NPCDCS subcentre has facility for DM and HTN diagnosis and treatment41. Patient with ICD misplacement, IOC chest Xray42. Fixed dilated pupil with Iris Atrophy and Secondary glaucoma ?43. Rashtriya Bima Suraksha Yojna applies to BPL only44. HIV Sentinel Surveilance to asses apt use of management resources45. All true except about RTA >4mg/d of sodium bicarb (rpt)46. True about Prions long incubation period47. True except about Bfragilis seen in shock commonly (rpt)48.49. screening for hearing in neonates- Otoacoustic Emission50. Absolute requirement for cochlear implant presence of auditory nerve51. knowledge of illness in MMSE insight52. Frontotemporal dementia A/E- insight present53. Treatment advice for patient with recurrent stone A/E calcium restriction (rpt)54. structures cut during vasectomy A/E ilioinguinal nerve55. EEG monitoring during anaesthesia helps in assessing depth of anesthesia (rpt)56. EEG figure-absence seizures (rpt without image)57. M/C cause of neonatal sepsis- Group Beta streptococcus or E.coli (indirect repeat)58. DOC for ESBL E. coli piperacillin59. Malignancy with B/l proptosis is the commonest presentation of Leukemia60. lateral force on knee causing valgus deformity ? Medial collateral61. Fixative used in Electron Microscopy glutaraldehyde (DNB rpt)62. Double base smokeless powder- nitroglycerin, nitrocellulose63. Rt axis deviation seen in tall and thin individual64. End diastolic volume increases increase in negative intrathoracic pressure65. True about testis gubernaculums attached to caudal end66. Child intubated and after 2 mins bellows collapse, next step ?67. 14 yr old boy unable ot get good grades, was assessed and deemed smart and intelligent, best to diagnose his problem specific learning disability test68. Ligament connecting menisci coronary ligament69. Self Stimulation of Brain median forebrain bundle70. 14 y/o female presents with normal breast and hair, with absent uterus and vagina but normal ovaries Mullerian Agenesis (rpt)71. Young man with asymptomatic macules over trunk, erythematous painless lesion over glans, generalized lymphadenopathy, TOC Benzathine penicillin (rpt)72. Child with precocious puberty and uncontrollable laughter hypothalamic hemartoma73. M.C complication following lens extraction in PHPV retinal detachment74. Follow up for recurrence of Prostatic Cancer in elderly PSA (rpt)75. Postmortem estimation of gestational age of fetus 2cm in length and 10 gram in weight 6 weeks (indirect rpt)76. Site of extravasation of urine in rupture of urethra above deep perineal pouch true pelvis (indirect rpt)77. Forced inversion of plantar flexed foot causes damage to which ligament ?78. Atrophy of hypothenar muscle with numbness of little and ring finger lesion in ?79. CD 95 marker of extrinsic apoptosis pathway80. B/L proximal clamping of carotid bodies increase in vasomotor centre (indirect rpt)81. Blink reflex midbrain lesion82. Kinemyograph -83. Liver enzyme dephosphorlated to phosphorylated form true is seen in fasting state than fed state84. Ocular manifestation of trisomy 13- B/L microphthlmia85. Blood supply to muscle is increased by all except increased blood pressure86. Property not shared by t cell and b cell- antigen presenting site (indirect rpt)87. Female with 2 month amenorrhoea,with sudden abdominal pain with adnexal mass, upt positive ectopic pregnancy88. Nerve root of long thoracic nerve of bell-c56789. Silverman scoring 4 (rpt )90. Ovulation common on rt side A/E right handedness (rpt)91. Asssult without intent to kill Cr PC35192. choking seen in shotgun93. Penicillin g Rat bite fever94. Indication for laser uvulopalatoplasty snoring (old rpt)95. lady with RA with sudden quadriperesis with increased tone with exaggerated reflex, no bladder/bowel involvement Investigation to be done MRI of Brain96. Child with tibia swelling, elevated ESR and periosteal reaction, Investigation MRI97. Cholinimimetics not used in bradycardia98. Multigravida with previous 2 normal pregnancy now with unstable lie placenta previa99. Trial of labour c/I after previous caeserian section if previous CS is for CPD (rpt)100. BI-RADS breast imaging reporting and data system101. RCT to asses dating in adolescents, random school chosen, random class choses, random students chosen method of sampling multistage sampling/stratified sampling102. Lesion in bullous skin lesion with ,oral ulceration ?suprabasal103. Chronic high dose alcoholic now acheieves the same effect with lower quantity of alcohol reverse tolerance104. What percentage of disability in an individual with V/A 4/6 75%105. Recurrent amoebic abscess drained thrice, now with empty cavity given luminal amoebicide, plan of follow up USG or CT monthly with Stool Test weekly106. RHO kinase inhibitor fasudil (dnb rpt)107. Antiepileptic of choice in infant with refractory epilepsy at 6hr and 10hr phenobarbitone108. Most common cause of neonatal mortality in India ?109. Child can say her name, knows her sex and can dress under supervision ?4yrs110. DOC for premenstrual syndrome SSRI (rpt)111. Not a second generation antihistaminic cyclizine and fexofenadine112. Double base smokeless gun powder contains nitrocellulose and nitroglycerine113. Lymphoma marker Common leukocyte antigen114. 24 y/o male with CKD with positive family history of dead brother with similar CKD and lenticonous Alports Syndrome115. Structure that doesnt develop in mesentry of stomach kidney (rpt)116. Gait apraxia due to involvement of which artery MCA117. Denis classification involves three column118. Mechanism of action of intratympanic gentamycin disruption of sodium and calcium channel119. Principle of MRCP 120. Population of yearly patients with cervical cancer based on present incidence ?1 million121. Bispectral imagine to monitor depth of anaesthesia (indirect rpt)122. Lady presents with painful palpable lump, next test USG123. Rt hypochondrial pain with elevated diaphragm on xra, A/E acute cholecystitis124. Gas ideal for analgesia Nitrous Oxide125. Gravid female at 37 weeks gestation comes with visual disturbance, headache and elevated BP, TOC start antihypertensive, magnesium sulphate and terminate pregnancy126. Viriable tonometer used in ?127. No nerve regeneration occurs in spinal cord due to ?glial scarring/no endoneural tube128. Lady with multiple facial abrasion with broken teeth grievous injury (rpt)129. GDP expenditure on healthsector in India 1.4%130. Biliary obstruction following infected fish consumption Clonorchis sinensis131. Child with skin tumour with blistering of skin on exposure to light is due to what genetic anomaly ?132. Millenium Development Goals two/thirds of under 5 mortality rate133. Reversal of shunt not possible in natural progression of which TOF134. Patient on Amphotericin B with hypokalemia of 2.5mEQ/l, potassium supplement at rate of 40meq/l in 24hrs135. Enzymes present in CSF examination CK and LDH136. In insomnia sleep accurately assessed by actigraphy137. All seen in polymyositis except ophthalmoplegia138. Cholimimmetics not used in bradycardia139. Roll back malaria A/E ? develop new insecticide/insecticide nets140. Flow cytometry done in polycythemia141. A pt with surgical obstructive jaundice can be evaluated by USG A/E peritoneal deposits142. Nerve doesnt supply gluteus region sciatica143. Contraindicated in corneal ulcer flurometholone144. Nanotechnology application in medicine, A/E ?145. Transition from infectious diseases to manmade and non communicable disease epidemiological transition146. Lady with scant vaginal discharge, foul smelling with no cells, syndromic management is metronidazole and fluconazole (rpt)147. Curve with mean > mode right positive skew (rpt)148. Mass prophylaxis not done in scabies (rpt)149. Which is not seen in megaloblastic anaemia raised bilirubin150. Population of 10lakh with 30% under 16yrs, with prevalence of blindness 0.8 per 1000 in that age group, population affected 240151. Leukemic patient with dry tap and myelofibrosis megakaryocytic leukemia152. Corrective surgery adviced in child with rickets when serum phosphate is normal153. True about tetanus toxoid A/E ?passed from mother to foetus/useless in a pt with no past history of immunization with trauma154. Similar to T and B cell A/E antigen presenting site155. With absence of brain involvement, CNS directed treatment is not required in ?burkitts156. Cognitive impairment due to aging due to homocysteine (aipg rpt)157. Population 5000 with myopic prevalence of 500. New cases of 90, incidence is 1.8% (dont remember the question values but answer is correct)158. Child with mass in upperhumerus with cortical thinning and periosteal reaction, toc A/E bone radiotherapy159. Patient with first metatarsophal jt involvement with CKD RA160. Least likely to occur in uterine leiomyoma fatty degeneration161. Seen in ARDS airbronchogram on Xray (rpt)162. Actual body wt instead of ideal body wt preferred in atracurarium163. Modified allen test at wrist (rpt)164. Causative agent of SARS coronavirus (rpt)165. One parent with balanced translocation of 15/21, advice given ?adoption166. Age for trachoma screening 1 to 9 yrs167. Pseudosulcus seen in laryngopharyngeal reflux168. Sternomastoid muscle supplied by A/E Post auricular (rpt)169. Ionizing radiation affects which cell cycle M phase170. Lady with progressive loss of vision with photopic vision Stargradts Disease171. ASS grade of patient with controlled HTN ASA 2172. Radiographical diagnosis of intestinal obstruction small bowel dilatation of more than 3cm173. Protozoa that affects the eye toxoplasma174. A/E true about Lidocaine most cardiotoxic lethal antiarrhythmic175. Seen in Burgers Disease neural involvement present (indirect rpt)176. Pathogenesis of Raynauds phenomenon ?177. Associated with membrane raft GPI anchored protein178. Next investigation in generalized lymphadenopathy with 70%lymphocytes and TLC 20,000 peripheral blood cytological analysis179. Seen in pregnancy with heart disease systemic hypotension180. True A/E retinoids affect vitamin E metabolism181. Child with Hb 3.4g% with history of transufion 3months back, with microcytic hypochoromic cells with target cells and erythroid expansion changes in bone beta thalassemia major182. In HIV pregnancy true A/E forceps preferred to vacuum delivery183. Difficulty in dorsiflexion of distal phalanx if index finger, mngmt is- splint184. Fixed number of vertebral column found in thoracic185. Stain used in sebaceous cell carcinoma of eye lid Oil Red O stain186. Patient with increased serum cysteine, with multiple renal stones, treatment plan A/E penicillamine187. True A/E ?Dopamine affective vasodilation (cant remember)188. IOC for lady with dysmenorrhoea with cyclical pain and infertility diagnostic laparascopy (rpt)189. Hyperacute transplant rejection due to preformed antibodies in recipient190. Epiglottis derived from fourth arch191. Comparative chromosomal analysis of normal cell genetics with neoplastic cell comparative genomic hybridization192. Patient with heroin addiction comes with pinpoint pupin and coma, doc IV Naloxone