AIIMS nov 2014 review

Discussion in 'AIIMS Nov 2013' started by samuel, Nov 10, 2014.

  1. samuel

    samuel New Member

    1.no of repeat questions-40-45 including direct n indirect
    2. Almost 10-12 questions were direct repeat from May 2014
    3. From last nov 13 also 5-7 direct repeats
    4.photo/visual slides questions-5-6
    5.photo quality of questions were so excellent that u can find minute details n easy diagnosis ( unlike dnb/aiipg where u cant even decide whether its visual or some kind of computer error
    6.visuals all were patho and dermatology, No xray/mri/ct/usg visuals
    7.easy questions of medicin, surg n ortho
    8. Subjects whch asked in details-opthm, gynac, pharma
    9. The topic on whch i thnk asked more no of que- Blindness includes prevention n programmes
    9. Not even single question ws repeated in same paper like in may14/nov13
    10.overall avg ppr with sm qur wer so easy n very few que were outof the world
  2. samuel

    samuel New Member

    shwanoma antoni a qnd b
    herediatory fructose tolerance aldolase
    lqser photocoagulation neovascular glucoma
    harakiri
    time dependant killing with post antibiotic effect clindamycin
    neonate meningitis listeria
    q on congenital lobar emphysema
    hartnup disorder
    cornea transplantation
    electrooculugram more than 180
    some tissue eye lid or scrotum
    t3 larynx cqncer treatment
    fungal keratomycosis
    malignqnt otitis externa
    nasal foreign body

    Abatacept- Rheumatoid arthritis ?
    Beta blockers should not be given in hyperkalemia!
    Left forefinger injury with glass-IOC is MRI ??
    Hara-kiki ??
    MC cause of VC paralysis ??Surgical trauma
    MC cause of parasuicide ??
    Nodular and cystic acne-Rx is Isotretinoin ??
    6m child with blood per rectum and pain on and off- Intussusception
    10months old is given fruit juice,vomits.Enz deficiency is Hepatic Fructokinase ??
    Lady image-Rosacea ??
    Kidney image-Hydronephrosis with chronic pyelonephritis ??
    Thyroid image-Is it follicular adenoma ??
    Blisters image-Is it bullous pemphigoid ??
    Back image-Is it KOH mount ??
    Child abuse Rx:Inform police before starting rx ??
    Csf leakage thru right nostril-management ??
  3. samuel

    samuel New Member

    1Harakiri..??
    Neck and wrist cutting
    Chest injury
    Wrist injury
    Abdominal cutting
    2.20 yrs old spontaneous breathing patient undergoing incision and drainage under GA, which is the breathing circuit of choice?
    Mapleson B
    Mapleson A
    Mapleson D
    3.Mc cause of vocal cord palsy-inflammatory,surgery ?? ??
    4. Mental health act? Not included is
    Community participation
    Basic mental health care services
    Fundamental rights of mentally retarded
    5.Parasuicide...hanging,drug abuse,gun shot,wrist cut
    6. PTSD :
    CBT
    Hypnotise
    rational emotive therapy
    eye movement desensitization
    7.component of normal ageing A/E
    dementia
    pseudodementia
    delirium
    amneistic syndrome

    8Nerve endings sensitive to noxious substance present in??
    Liver
    Spleen
    Mesentry
    Intestine
    9.1. 1.Antibiotic with Time dependent killing and post antibiotic effect ?
    a.flouroquinolones
    b.beta lactam antibiotics
    c.erythromycin
    d. Clindamycin
    10.A patient with crush injury and ecg changes which of d foll not useful??
    A.beta antagonist
    B.ca gluconate
    C.glucose insulin
    D.dialysis
    11.Dexmedetomidine?
    12.Apoptosis caused by
    a.Oliec acid
    b.Glucocorticoids
    c.Myristic acid
    d.Isoprenoid.
  4. samuel

    samuel New Member

    Courtsey : Dr. bpurva89

    1. Doctor finds poisoning, police or magistrate inquest? Section - crpc 174, 176, 34, 36
    2. Harakiri - abdomen
    3. Fatal dose of arsenic - 120-200, 30-40, 60-80
    4. 12 year old girl with abuse, bleeding from.genitals, fracture pelvis, appropriate management- inform police start treatment, blood transfusoon, internal iliac artery ligation,
    5. Advanced Ca prostate (may14)
    6. Cholinomimetiv not used in (bradycardia), glaucoma, myasthenia gravis,
    7. Man with right iloac fossa mass, dull aching pain, anemic - ilieocecal tb, appendicular mass, carcinoma colon
    8. Inability to perform work without discomfort is classified as- nyha 1,2,3,49. In heart failure which is not seen / elevated - crp, sirtuin, BNP, troponin
    10. Population attributable risk
    11. Photos - man with hypopigmented patch investugation!? - KOH?
    12. THYROID ? Papillary follicular graves
    13. Kidney stones - photo? Hydronephrosis with chronic pyelonephrosis, rcc,
    14. Hepatitis with hbsAg and HbE ag positive person has - HBV HBE infection, acute hepatitis and is infectious.
    15. Fnac doesn't dtect - thyroiditis, follicular Ca, papillary, graves
    18. Female with vulvovaginitis, having a new sexual partner. Sensitive test to reach diagnosis grams, bacterial culture with specific media, immunoassay, nucleic acid
    Anovulatory cycle, what is not given for treatment - progesterpne, e+p, tranexemic acid, mefenemic acid

    Universal lscs - 37, 38, 39, 40 week

    Cridu chat foto? Chromosome

    1st disease with neural substance deficiency - Parkinson's Huntington

    Gist -
    Malt - stomach

    Director of district blindness- dho? District eye surgeon, district programme manager

    Outcome indicator for blindness -

    T3n0 - concurrent chemoradiation

    Sleep apnea false- common in females than males,

    Laser trabeculotomy in which glaucoma

    25 year old with painless dimunition with iop 60mmHg- chronic papilloedema, ant uveitis, acute angle closure, glaucoma cyclonic crisis

    Sleep spindles and k complex in nrem 1,2,3 and rem

    Clear fluid from nose,head injury, patient conscious, ct no fracture- immediate cisternography, endoscopocally stop leakage, wait and watch

    Hlab27 - Ankylosing spondy

    Gouty arthritis

    Similar to Albumin, not antigenic, mol wt 30,000, - HES, DEXTRAN
    Mcc parasuicide- drug ingestion, hanging,

    Gene associated with cataract- cryps, pax,

    Penicillin g - given for rat bite fever, broad spectrum, can be given orally

    Time dependent with prolonged post antibiotic effevt- clindamycin, erythromycin, beta lactams

    Lichen of. Not a variant - lichen scrofulosum

    Traumatic brain injury with elevated levels of all except - lactate, pyruvate, glycogen,

    65 year old with gray white mass in central bronchus, diagnosis

    Non pulmonary association false is- cyanosis-anxiety, wheezing-chf, tachypnea-acidosis,

    Antilarval control in urban population - clean drains, cover overhead tanks, fill cesspools

    False about malignant otitis externa- severe hearing loss, granulation tissue...., seen in diabetics and in my no compromised

    Dexametazodine ???

    Not in dilated pupils,- gonioscopy

    Not for embolus- absolute alcohol, ???

    Boy with small lytic lesion surrounding by sclerosing lesion in mid shaft tibia- osteoid osteoma, fibrous cortical defect

    Turkish saddle- hypothalamus,

    Concentration attention - thalamus, frontal lobe, parietal loss

    Burr hole- contralateral to pupil affected, midline burrhole, refer to higher center

    Girl died after 5 days of diagnosis of bacterial meningitis, cause- e.histolytica, naeglaria, toxo gondi, pl.falciparum

    Severe falciparum treatment- mefloquine, chloroquine,

    Old man, giddy, passes fresh blood. Guaic negative for routine cancer screen

    Apla syndrome routine use! Aspirin low dose heparin, corticosteroid, IG, plasmapheresis

    Ecg changes, symmetric tall T, abswnce of R... - not used as treatment beta antagonist, dialysis, calcium gluconate, insulin
    Child has abdominal distension, vomitting- intusseption,

    Afro american - single nucleotide, trinucleotide repeat

    For child with appendicitis- usg, ct, MRi

    Don't remember question options with - babygram, contrast in lower git, skiagram,

    MHC 1 and 2 common - transduce signal to t cell following antigen binding, presenting antigen to t cell receptors

    Measuring variation between different units- variance, coeeficient of variation, standard error of mean. Standard deviation.

    Hepatitis most or reliable IgM antiHbC


    Crying umbilicus - urachal fistula, meckel doverticulum,

    Photo of women with acne, scabies, lupus, rosacae

    Osteosarcoma sunray- calcification along vessels, calcification along..?, necrosis, ???

    Man with primary infertility, vas not palpable, thick viscosity, long liquefaction time- hyperprolactinemia, varicose
    10month child, RR 48, no indrawing- no pneumonia, pneumonia, severe pneumonia

    MCC of postinfluenza pneumonia- staph aureus, legionella,

    Vaccine something about it don't remember

    Colles # not seen - radial displacement, dorsql displacement, volar tilt,

    Day care , parenteral anesthetic - propofol

    4 questions about influenza-
    Schools shut in pandemic
    Pandemic influenza all except - > 5 cities,
    Avian flu H5N1
    H.influenza....

    Antibiotic pseudomembrane colitis due to cl.dificile, treatment oral vanco, linezolid,

    Steroid not given in- antrochoanal polyp, allergic fungal, etjmoidal,

    Don't remember exact (wordy)

    Abatacept

    Rituximab

    Lee veen shunt- peritoneum with- renal cortex, SVC, umbilicus?

    False about nsaid- reduce antiHTN effevt, given for neuropathic pain

    B category in pregnant woman- brimonidine, pilocarpine, latanoprost, dorzolamide.

    Mapleson a, b,c,d (don't remember question)

    Haloperidol 10mg, rolled eyes- acute dystonia

    Augmentation of labor false is- in twins preclude augmentention reduces oxytocin (don't remember)

    Female with lytic lesions in bone, fracture- hyperpth, hyperthyroidism

    Dyspnea+ syncope+ angina what could it be- AS, AR, PDA,

    Photo of - bullous pemphigoid, pemphigus,

    Female 10yr old, mentally retarded, severe epigastric pain, alopecia- trichobezoar, don't remember options

    Photo with bone all except- maxillary nerve, sensory part of mandibular, motor trigeminal, lesser petrosal

    Something about wearing spectacles and eyesight- convex lens, aniesokinesia,......

    Regular collagen? - aponeurosis, ligament, tendon, periosteum

    Wrong combo- desmin- ca, vimentin- sarcoma,

    2 year old male with pellagra, elder sister similar symptoms, rash, etc, 2 siblings normal, 4 others ..... Hartnups, PKU, alkaptonuria,

    Something about elevated lactate, prognosis favorable something... Don't remember.

    Nephrotic syndrome + diarrhea creat 4.5 and basal 0.9. What is unlikely cause of acute kidney injury- furosemide, diarrhea induced,

    Counter current not- collecting tubule, vasa recta, thick and thin loop

    Sphincter urethrae- voluntary, pudendal nerve, ischiopubic ramus,

    Epigenetics not from gene mutation. How to detect- bisulphite sequence, hplc,

    Molecular changes xray crystallography, MRI, ct

    Acute head injury. investigation - ncct brain, MRI,

    2-3 questions with baby/ child with - usg, MRI, ct, xray. Almost all answers were USG?

    NORMAL child with absence of puberty- kallaman, gonadal dysgenesis, androgen insensitivity, klinefelter

    3rd generation cephalosporin anti mesa? Cephazolin,

    Keratomycosis treatment - linezolid,

    H influeza infection- puerperal sepsis, ear infection,

    Viral antibodies?- occur before interferon, ....
  5. samuel

    samuel New Member

    Indicator of NPCB..?
    Dec in prevalence of blindness
    Surgeries done for cataract
    ?
    ?
    Population attributable risk?

    Young lady..distal end of 2 3 radial side of finger show osteoporosis
    Hyperparathyroidism
    Thyroidism
    ?
    ?
    All are components of collagen
    Glycine
    Procollagen
    Proline
    ?

    Attention /concntrtn?
    Frontal lobe
    Basal ganglia
    Hypothalamus
    Thalamus

    Aggravated labour?

    EDD is 40 wks? What is wrng
    80% 2wks arnd it
    50% 1 wk
    5% 3wks
    If 40 wks is mean i S.D is 3 wks

    Thigh mass venous hamartoma
    Wrong rx is?
    Absolute alcohol
    Polyvinyl alcohol
    Embolization
    ?
    Albumin is similar in m.w and chmical proprties to
    Dextran
    Poly?
    ?
    ?

    Absolute c.i for lamellar keratoplasty?
    Rabies
    Sspe
    T.b meningitis
    Unknw cause of death

    Girl went to frnd village came bk died bacterial meningitis confrmed cause is
    Naegleria
    Entamoeba
    ?
    ?

    Lady has intercourse dysuria purulent dishcharge
    Invstgtn to b done
    Gram stain
    Elisa
    ?
    ?
    Rntcp screening based on
    Cxr
    Sputum
    Cuilture
    ?
    Tibia sclerosis in 10 yrs kid
    Osteoid osteoma
    Etc,,
    Dense regulr collagen whats wrng
    Tendon
    Ligament
    Aponeurosis
    Perichondrium?

    APLA lady pregnacy
    Rx:
    Lmw heparin
    Plasmapheresis
    Steroids
    ?
    Child with nephroticndyndrome and edema
    Develops fever..cause is

    Le vee shunt for ascites drains into?
    Cisterna chylii
    Peritojeum eyc..

    Not a type of cmv?
    Extracorporeal oxygentn
    Peep
    Etc..
  6. samuel

    samuel New Member

    not associated with long term use of ppi?
    a)hypothyroidism
    b)community acquired pneumonia
    c)osteoporosis
    d)clostridium difficle enterocolitis

    Q.RITUXIMAB not correct?
    a)anti CD-20
    b)used for indolent lymphomas
    c)most common adverse effects are infusion related
    d)pharmacokinetics is dose related

    Q.PANICULLUS ADIPOSUS site?
    a)scrotum
    b)penis
    c)eyelid
    d)orbit

    Q.outcome indicator of NPCB?

    Q.influenza pandemic not true?
  7. samuel

    samuel New Member

    The H-reflex on stimulation of the tibial nerve in the popliteal fossa is routinely used in the diagnosis of first sacral (S1) nerve-root radiculopathy. The H-reflex latency, however, is considered to lack sensitivity since a small change from the focal root pathology can be diluted in a relatively long reflex latency. We have studied the soleus H-reflex elicited by stimulation of the S1 nerve root at the S1 foramen. The normal values for the S1-foramen H-reflex have been reported in a previous study, but there are no definitive reports in patients with S1 radiculopathy. This study was undertaken to determine whether stimulating at the S1 nerve root can improve the utility of the H-reflex for detecting an S1-root lesion.

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