95. . True about protease inhibitors are all except: [AIIMS Nov 2007]
a. Acts as a substrate for P-glycoprotein(P-gp) and action is mediated by MDR-1 gene
b. Hepatic oxidative metabolism
c. All protease inhibitors interfere with metabolism by drug interactions
d. Saquinavir causes maximum induction of CYP3A4
(consultant’s discussion-)
194. All are characteristics of schizophrenia except [AIIMS-NOV-2007]
a. Third person auditory hallucinations
b. inappropriate emotions
c. Long stretches of mood changes
d. Formal thought disorder
SESSION-36- 28-10-07 PSYCHIATRY-Question79
79. All are features of schizophrenia except
a) Altered affect
b) Incongruity of emotion
c) Altered intellectual functions
d) Neologisms
Most common Hallucination: Auditory Hallucination
Schneider’s First Rank Symptoms:
| 1. Thought Echo 2. Thought insertion 3. Thought withdrawal 4. Thought broadcasting 5. Made affect 6. Made impulse 7. Made volution 8. Hallucinations 9. Somatic passivity 10. Delusional perception |
195. Altered perception of real objects is: [AIIMS-NOV-2007]
a. Illusion
b. Delusion
c. Hallucination
d. Delirium
SESSION-36 (
Perception without stimuli – Hallucination misinterpretation – illusion
53. . In tandem [bleep] number of [bleep] fired [AIIMS-NOV-2007]
a.1
b.2
c. 3
d.
Session-FM (13.5.07)
13. According to Couinaud’s classification the 4th segment of the liver is: [AIIMS-NOV-2007]
a. Caudate lobe
b. Quadrate lobe
c. Left lobe
d. Right lobe
Session-19-Page-19-Q.No-21
21. Pick the WRONG statement regarding hepatic anatomy
(a) Liver sinusoids are developed from Endodermal bud
(b) The basis of segmental division is on hepatic arterial branches
(c) Segment I corresponds to Caudate lobe
(d) Normal liver function test after transplant 3-5 weeks.
(e) Only hepatic vein to join liver outside liver is Right hepatic.vein
(f) Central structure of Hepatic lobules is central vein
21. Ans:B.
| Is based on French. Couinaud. “Portal scissurae” -> “Hepatic venous planes”. Caudate lobe I. Quadrate IV. Caudate has direct drainage to IVC. Central structure is central vein.–Direction of blood flow away Components of portal tract bileduct, hepatic artery and portal vein. Development Liver endothelium – Vitelline + umbilical vein. Bud. Connective tissue, kuppfercells -> septum transversum. Haemopoeitic cells |
Hepatic anatomy
| a) It is the largest solid organ in the body (b) The hepatic blood supply is 80% portal vein & 20% hepatic artery (d) Majority of arterial supply is from right hepatic artery (e) Abnormal left hepatic artery arises from celiac(trunk Liver. Largest organ 1.5kg 2% body Wt 5% New borns Capsule of liver (Glisson). Devt starts from 3rd week. Rate of liver regeneration 25±1.2 m/kg or 70ml/day. Cell division complete in 72 hrs. Major art supply hepatic artery. Right > Left Abnormal right hepatic 17% from sup. Mesenteric artery. Abnormal left hepatic celiac trunk. Hepatic duct with longest extra hepatic course is left. Free edge relation CBD, PV posterior, Hepat Anterior + Left. Only hepatic vein to join liver outside liver – Right hepatic. |
193. Regarding type A personality, false is: AIIMS-2007
a. Hostility
b. Time pressure
c. Competitiveness
d. Mood fluctuations
SESSION-36 (
90. In a patient with post partum hemorrhage with rheumatic heart disease , which is contraindicated: [AIIMS-NOV-2007]
a. Misoprostol
b. Methyl ergometrine
c. Oxytocin
d. Carboprost
SESSION 38 (18.11.07)
186. Transparency of the cornea is maintained by all except: [AIIMS-NOV-2007]
a. Hydration
b. Wide separated collagen bands
c. Mitotic figures in the central cornea
d. Unmyelinated nerve fibers
SESSION-30 (
6. Occlusion occurs at the 2nd part of Axillary artery, blood flow is maintained by anastomosis between: [AIIMS-NOV-2007]
a. Anterior and posterior circumflex humoral artery
b. Suprascapular and posterior circumflex artery
c. Deep branch of the transverse cervical artery and Subscapular artery
d. Anterior circumflex artery and subscapular artery
Session-1-Page-14 – Q.No-2
2. A 62-year-old woman has a neoplasm of the left coracoid process completely compressing the axillary artery. However, the left radial arterial pulse is normal. An anastomotic connection between which of the following arteries best explains this finding?
a) Anterior and posterior humeral circumflex arteries
b) Subscapular and brachial arteries
c) Subscapular and posterior humeral circumflex arteries
d) Suprascapular and subscapular arteries
e) Thoracoacromial and supreme thoracic arteries
2. Ans(d) In this case, the second part of the axillary artery is being compressed. Therefore, the anastomotic connection must be between a branch from the first part of the subclavian artery on one side and a branch from the third part of the axillary artery on the other side. Answer D is the only one that fits this requirement. The suprascapular artery, a branch of the thyrocervical trunk of the subclavian artery anatomoses with the circumflex scapular artery, a branch of the subscapular artery. The subscapular artery is a branch of the third part of the axillary artery.
189. A 30 year old man presents with 6 month history of nasal discharge, facial pain and fever. On antibiotic therapy, fever subsided. After 1 month again had symptoms of mucopurulent discharge from the middle meatus and the mucosa of the meatus appeared congested and oedematous. Next best investigation would be: [AIIMS-NOV-2007]
SESSION 22 - ENT (11.8.07)
[snip]. Regarding Phenytoin,false is: [AIIMS-NOV-2007]
a. Induces microsomal enzymes
b. At very low doses, zero order kinetics occurs
c. Higher the dose,higher is the half life
d. Highly protein bound
Session-35 (21.10.07) Page-8-Q.No -24
24. False statement about the pharmacokinetics of anti epileptic drugs is
a) Oxcarbazepine is a prodrug
b) Ethosuximide is highly plasma protein bound
c) High doses of Phenytoin are eliminated by zero order kinetics
d) Gabapentin is excreted unchanged in urine
24. Ans (b)
| Anti epileptics are given orally.All have good oral bioavailability. Fosphenytoin & Oxcarbazepine are prodrugs.Plasma protein binding is less for most drugs. Phenytoin (90%)& Valproate (90%) are highly bound to plasma protein. Most undergo metabolism. Gabapentin, lopiramate are excreted unchanged in urine. High doses of Phenytoin is eliminated by zero order kinetics.(AIIMS-NOV-2007) |
61. In an epidemic the first case of come to the notice of the investigator is: [AIIMS Nov 2007]
a. Index case
b. Primary case
c. Secondary case
d. Tertiary case
Session -SPM - (
59. Which of the following will cause an increase in the prevalence of the disease: [AIIMS Nov 2007]
a. Immigration of healthy persons
b. Increased cure rate of the disease
c. Longer duration of the disease
d. ..
Session-SPM- (
58. . Regarding National Polio Surveillance all are true except: [AIIMS Nov 2007]
a. Mopping up is done in areas with active cases found
b. ..
c. ..
d. Acute Flaccid Paralysis(AFP) Surveillance is not done in children <>
Session-SPM- (
74. Not a measure of central tendency: [AIIMS Nov 2007]
a. Mode
b. Range
c. Variable
d. Standard deviation
Session-SPM- (
120. Basement membrane consists of all except: [AIIMS Nov 2007]
a. Laminin
b. Nidogenin
c. Entactin
d. Rhodopsin
Session-NEPHROLOGY (
157. A 3-year old girl is posted for tonsillectomy. On examination it is found that she has a midline cystic swelling extending till below the hyoid bone. It is painless and moves with deglutition. The thyroid examination is normal. What should be done next? [AIIMS Nov 2007]
a. Percutaneous aspiration
b. I.V. antibiotics
c. Surgical removal
d. Observation
SESSION-SURGERY – (
159. A 30 year old male patient presents with a peptic ulcer in the posterior duodenum with a bleeding vessel at the base. The bleeding is not controlled endoscopically. On examination his heart rate is 100/min, BP is 110/76 mm of Hg and Hb is 10 gm/dl after transfusion. Next step in his management will be: [AIIMS Nov 2007]
a. Proton pump inhibitors
b. Duodenotomy with controlled bleeder and pyloroplasty
c. Duodenotomy with controlled bleeder and truncal vagotomy with antrectomy
d. Partial gastrectomy involving the bleeding ulcer
SESSION-19-22-07-07-PAGE-17-Q-12
12. Least chances of complications like dumping syndromes, and diarrhea is seen in (SESSION-19-22-07-07-PAGE-17-Q-12)
(a) Highly selective Vagotomy
(b) Truncal vagotomy and Gastrojejunostomy
(c) Antrectomy and Truncal vagotomy
(d) Vagotomy and pyloroplasty.
12. Ans : A
Indications for surgery in bleeding peptic ulcer: Uncontrollable bleeding
Inability to identify localize bleeding point.
Requirement of blood: >6 units.
Treatment: Gastroduodenotomy, suturing of the bleeding vessel and pyloroplasty(AIIMS-NOV-2007****)
Duodenal ulcer perforation:
Diagnosis: X-ray chest PA with diaphragm erect.
Minimal amount of gas for pneumoperitoneum: 10 ml.
Pneumoperitoneum is absent in 30% of duodenal ulcer perforation.
Treatment is laparotomy & closure with omental patch.
Vomiting is usually absent
170. A child presented with respiratory distress.was brought to emergency with bag and mask ventilation. Now intubated. Chest x ray shows right sided deviation of mediastinum with scaphoid abdomen. His Pulse Impulse has shifted to the right. What is the next step? [AIIMS Nov 2007]
a. Remove the Endotracheal tube
b. Put a nasogastric tube
c. Surgery
d. Tube thoracostomy
SESSION-PEDIATRICS – (
130. Persistent foetal lobulation of adult kidney is due to: [AIIMS Nov 2007]
a. Congenital renal defect
b. Obstructive uropathy
c. Intrauterine infections and scar
d. Is a normal variety
SESSION-NEPHROLOGY (22.7.07)
177. Clomiphene citrate is associated with all except: [AIIMS Nov 2007]
a. Polycystic ovarian disease
b. Multiple pregnancies
c. Ovarian cancer
d. Teratogenecity
SESSION-PHARMOCOLOGY – (
199. ‘Egg-on-side’ appearance on X-ray chest is seen in: [AIIMS Nov 2007]
a. Tetralogy of Fallot
b. Uncorrected TGA
c. Tricuspid atresia
d. Ebstein’s anomaly
SESSION RADIOLOGY (
200. Floating ‘Water-Lilly sign is seen in: [AIIMS Nov 2007]
a. Hydatid ds.
b. Aspergillosis
c. Tuberculous cavity
d. ..
SESSION-RADIOLOGY (
5. . Left renal vein crosses the Aorta: [AIIMS Nov 2007]
a. Anteriorly, above the superior mesenteric artery
b. Anteriorly, below the superior mesenteric artery
c. Posteriorly, at the level of superior mesenteric artery
d. Anteriorly, below the inferior mesenteric artery
SESSION-19-22-07-07-PAGE-62,55-Q-20
20. Nut cracker phenomenon is due to (SESSION-19-22-07-07-PAGE-62,55-Q-20)
a) Compression of left renal vein between aorta and superior mesentric artery
b) Compression of left renal vein between aorta and inferior mesentric artery
c) Compression of right renal vein between aorta and superior mesentric artery
d) Compression of right renal vein between aorta and inferior mesentric artery
20. Ans:- (a)
Compression of left renal vein between aorta and superior mesentric artery leading to increased pressure in left renal vein. This leads to anoxia in the medulla favouring sickling in left kidney leading to left sided predominance of hematuria.
8. One of the following is the watershed area of the colon between the superior and inferior mesenteric arteries: [AIIMS Nov 2007]
a. Ascending colon
b. Hepatic flexure
c. Splenic flexure
d. Descending colon
SESSION-ANATOMY-ABDOMEN (29.7.07)
11. Dangerous area of the face is: [AIIMS Nov 2007]
a. Ciliary body
b. Sclera
c. Optic nerve
d. Retina
SESSION-ANATOMY-HEAD AND NECK (
14. . If the circumflex artery gives off the posterior interventricular artery, then the arterial supply is called: [AIIMS Nov 2007]
a. Right dominance
b. Left dominance
c. Balanced dominance
d. ..
SESSION –CARDIOLOGY (
30. The mechanism of action of surfactant is: [AIIMS Nov 2007]
a. Breaks the structure of water in the alveoli
b. Lubricates the flow of CO2 diffusion
c. Makes the capillary surface hydrophilic
d. ..
SESSION-32—Physiology-7-10-07-Q-6
6. The following statements are true about surfactant EXCEPT(SESSION-32—Physiology-7-10-07-Q-6)
A. It is secreted by Type II alveolar epithelial cells
B. It reduces surface tension
C. It decreases the compliance of the lung
D. Its major constituent is a lipid
6. Answer is C
| Lipid molecule reduces the surface tension secreted by the type II alveolar cells The smaller alveoli tends to collapse and the larger alveoli tends to expand further according to law of Laplace P=2T/r According to law of But both are exposed to same pressure,When tension is constant, the smaller alveoli tends shrink and larger alveoli tends expand-Alveolar instability.The surfactant molecule get arranged as single molecular layer over the alveolar air fluid interface layer.So the surfactant reduces the tension of smaller alveoli by crowding and increases the surface tension of larger one by separation in the layer |
33. Ureteric peristalsis is due to: [AIIMS Nov 2007]
a. Sympathetic innervation
b. Parasympathetic innervation
c. Both sympathetic and parasympathetic innervation
d. Pacemaker activity of the smooth muscle cells in the renal pelvis
SESSION-ANATOMY-ABDOMEN (
9. A patient with pericarditis is complaining of chest pain. The pain is mediated through(AIIMS-NOV-2007***)
a. Deep cardiac plexus b. Superficial cardiac plexus
c. Inter costal brachial nerve d. Phrenic nerve*
For explanation, refer to the MCQs of Thorax & Embryology discussed in the class. The fibrous pericardium and the outer layer of the servous pericardium are innervated by the somatic nerve i.e the phrenic nerve in this case and therefore are sensitive to pain. The superficial and deep cardiac plexuses are formed by autonomic fibres and they innervate the heart and the inner layer of the serous pericardium). Note that the outer layer of all three body cavities develops from the somatopleuric mesoderm and therefore are innervated by the nerves of the body wall. Hence sensitive to pain. The inner layer of the body cavities develops from the splanchnopleuric mesoderm and therefore is innervated by the autonomic nervous system. Hence insensitive to pain
21. Violent inversion injury – fracture of 5th metatarsal tuberosity is due to avulsion of the tendon of(AIIMS-NOV-2007****)
A. Peroneus longus
B. Peroneus brevis*
C. Peroneus tertius
D. Extensor digitorum brevis
(For explanation, refer to the MCQ of lower limb discussed in the class. “Jone’s fracture is due to the avulsion of the tendon of…….”) The tuberosity of the 5th metatarsal bone is a small projection near its base. It gives attachment to the tendon of peroneus brevis
24. Penile fracture with intact Buck’s fascia – haematoma is seen in(AIIMS-NOV-2007*****)
A. Butterfly perineum
B. Shaft of penis
C. Penis, perineum, scrotum, anterior abdominal wall up to umbilicus*!
D. Penis and scrotum
In this case the blood collects in the superficial perineal space. Therefore it can extend into the scrotum, perineum and the anterior abdominal wall. Refer to MCQs of Abdomen discussed in the class – the question regarding rupture of bulbous urethra
26. Structure not destroyed in tracheostomy(AIIMS-NOV-2007*****)
A. Isthmus of thyroid gland
B. Inferior thyroid artery*
C. Thyroidea ima artery
D. Inferior thyroid vein
(For explanation, refer to the MCQ of head & neck discussed in the class). Q.No. “
62. During tracheostomy inferior to the thyroid gland, the following structures carry the risk being damaged EXCEPT
A. Inferior thyroid artery*
B. Inferior thyroid vein
C. Arteria thyroidea ima
D. Jugular venous arch”
B, C & D lie in front of trachea. Therefore, they carry the risk of being injured during tracheostomy. As the inferior thyroid artery enters the lower pole the gland from lateral side it is least likely to be damaged.
51. All of the following are included in grievous hurt except: [AIIMS Nov 2007]
a. Loss of testis
b. Loss of eye
c. Loss of kidney
d. Abrasion of the face
SESSION-FM (
52. Not a part of informed consent is: [AIIMS Nov 2007]
a. ..
b. ..
c. ..
d. Concealed information…..
SESSION-FM (
62. Maternal Mortality Rate is calculated by:
a. Maternal deaths/live birth
b. Maternal deaths/1000 live births
c. Maternal deaths/100000 live births
d. Maternal deaths/100000 population
SESSION-SPM (
64. Not included in the National Immunisation Programme is: [AIIMS Nov 2007]
a. Tetanus toxoid
b. Hepatitis B
c. BCG
d. Measles
SESSION-SPM (
84. Positive Schick’s test indicates that the person is: [AIIMS Nov 2007]
a. Immune to diphtheria
b. Hypersensitive to diphtheria
c. Susceptible to diphtheria
d. Carrier of diphtheria
Ans [c]
SESSION-MICRO-1 (
85. True about Corynebacterium diphtheria is: [AIIMS Nov 2007]
a. Deep invasion is not seen
b. Elek’s test is done for toxigenicity
c. Metachromatic granules are seen
d. Toxigenicity is mediated by chromosomal change
SESSION-MICRO1 (
100. Increased cerebral O2 consumption is caused by: [AIIMS Nov 2007]
a. Propofol
b. Ketamine
c. Atracurium
d. Fentanyl
SESSION-ANESTHESIOLOGY (
102. All are true about Thiopentone except: [AIIMS Nov 2007]
a. NaCO3 is a preservative
b. Contraindicated in Porphyrias
c. Agent of choice in shock
d. Cerebroprotective
SESSION-ANESTHESIOLOGY (
122. Shock lung is characterized histologically by: [AIIMS Nov 2007]
a. Diffuse alveolar oedema
b. Hemosiderosis
c. Interstitial pneumonia
d. Pulmonary oedema
SESSION-PATHOLOGY-1 (
124. . In HIV window period indicates: [AIIMS Nov 2007]
a. Time period between infection and onset of first symptoms
b. Time period between infection and detection of antibodies against HIV
c. .
d. .
SESSION-MEDICINE-1 (
146. Which of the following is not included in intensive management of diabetes mellitus: [AIIMS Nov 2007]
a. Pregnancy..
b. Postural hypotension due to autonomic neuropathy
c. DM with acute MI
d. Post kidney transplant
SESSION-MEDICINE-1 (
153. Inflammation of a retrocaecal appendix will produce pain when there is which of the following movements at the hip: [AIIMS Nov 2007]
a. Flexion
b. Extension
c. Medial rotation
d. Lateral rotation
SESSION-SURGERY-1 (
161. Most common type of seizures in neonates are: [AIIMS Nov 2007]
a. Clonic
b. Tonic
c. Subtle
d. Myoclonic
SESSION-PEDIATRICS (
166. A 2 year old female child developed fever, cough and respiratory distress. On chest x-ray consolidation is seen in right lower lobe. She improved with antibiotics but on follow up at 8 weeks was again found to have increasing consolidation in right lower lobe and fever. Your next investigation would be: [AIIMS Nov 2007]
a. Bronchoscopy
b. Bacterial culture of the nasopharynx
c. CT scan of the chest
d. Allergen sensitivity test
SESSION-PEDIATRICS (
8. A child with recurrent pneumonia should be investigated for:
A) Cystic fibrosis (B) Foreign body aspiration (C) Bronchiectasis (D) G.E.reflux (E) All of the above
171. Kanavel’s sign is seen in: [AIIMS Nov 2007]
a. Tenosynovitis
b. Dupuyteren’s contracture
c. Carpal tunnel syndrome
d. Trigger finger
SESSION-ORTHOPEDICS (
173. Primary impact injury is seen externally most commonly in the: [AIIMS Nov 2007]
a. Head
b. Chest
c. Legs
d. Abdomen
SESSION-FM (
180. A gravida3 female with a history of 2 previous 2nd trimester abortions presents at 22 weeks of gestation with funneling of the cervix. Most appropriate management would be: [AIIMS Nov 2007]
a. Administer Dinoprostone and bed rest
b. Administer mifipristone and bed rest
c. Apply Fothergill’s stitch
d. Apply McDonald’s stitch
SESSION-38 (19-11-2007)
181. Internal Podalic Version done in cases of transverse lie is associated with the following complication: [AIIMS Nov 2007]
a. Uterine rupture
b. Vaginal laceration
c. Uterine atony
d. Cervical laceration
SESSION-38 (
182. Increase in maternal serum AFP levels is seen in: [AIIMS Nov 2007]
a. Down’s syndrome
b. Molar pregnancy
c. Over estimated gestational age
d. Congenital Nephrotic Syndrome
SESSION-19 (
186. Transparency of the cornea is maintained by all except: [AIIMS Nov 2007]
a. Hydration
b. Wide separated collagen bands
c. Mitotic figures in the central cornea
d. Unmyelinated nerve fibers
SESSION-30 (
5. Transparency of cornea is due to
A. Absence of blood vessels
B. Regular arrangement of collagen fibres
C. Fibres and ground substance having same refractive index
D. All of the above E. A & B
Ans (d)
188. child presents with ear infection with foul smelling discharge. On further exploration a small perforation is found in the pars flaccida of the tympanic membrane. Most appropriate next step in the management would be: [AIIMS Nov 2007]
a. Topical antibiotics and decongestants for 4 weeks
b. IV antibiotics and follow up after a month
c. Tympanoplasty
d. Tympano-mastoid exploration
SESSION-ENT - (11-8-07)
