Q1. Which is a branch from trunk of brachial plexus ? 1. SupraScapular Nerve 2. Long Thoracic Nerve 3. Axillary Nerve 4. Nerve to Subclavius Muscle Answer 1. SUPRASCAPULAR NERVE Q2. Autorikshaw run over an 8-year-old, tyre mark over leg is called? A. Patterned bruise B. Imprint abrasion C. Contusion D. Pressure bruise References : Given below Answer is B Imprint abrasion Krishan Vij ,Text Book of Forensic Medicine and Toxicology, Principles and Practice, 2008, 4thEdn, Pages 282-283. Pressure Abrasions (Crushing Abrasions / Imprint Abrasions): When the impact is vertical to the skin surface, the epidermis gets crushed and pressure type of abrasions result and the imprint of the impacting object may be produced. These may be seen in manual strangulation (abrasions produced by fingernails) and in hanging, where the weave of the ligature material may be reproduced. Patterned Abrasions: Patterned abrasions occur when the force is applied at or around right angle to the surface of skin, as already mentionedâ€¦â€¦The classical example of this is seen in traffic accidents when tyre of a motor car passes over the skin leaving the pattern when the skin has been squeezed into the grooves of the rubber tread. Reddy.K.S.N,The Essentials of Forensic Medicine and Toxicology, 2006, 25th Edn, Pages 156-157. Patterned bruising is also seen in motor car accidents. Answer: Imprint Abrasion is to be preferred as most appropriate alternate to Patterned Bruise, since, 1. Imprint abrasion and patterned abrasion are the same. 2. Patterned abrasion (imprint abrasion) is the classical example of tyre mark 3. Tyre will produce patterned bruise usually, if in association with abrasions Q3. Mineralocorticoid receptors are present in all except ( REPEAT ) 1) Hippocampus 2) Brain 3) Liver 4) Kidney Answer 3) Liver Q4. Which is not autoimmune disease? 1. SLE 2. Graveâ€™s Disease 3. Myasthenia Gravis 4. Sickle Cell Disease Answer 4. Sickle Cell Disease Q5. A 40 year female underwent surgery. Post operatively she told the anaesthetist that she was aware of per-operative agents. Individual intraoperative awareness is evaluated by 1. Bispectral Index 2. Answer 1. Bispectral Index Bispectral index (BIS) is one of several recently developed technologies which purport to monitor depth of anesthesia. BIS monitors can replace or supplement Guedel's classification system for determining depth of anesthesia. Titrating anesthetic agents to a specific bispectral index during general anesthesia in adults (and children over 1 year old) allows the anesthetist to adjust the amount of anesthetic agent to the needs of the patient, possibly resulting in a more rapid emergence from anesthesia. Use of the BIS monitor may reduce the incidence of intraoperative awareness in high risk procedures or patients and may also have a role in predicting recovery from severe brain injury Q6. Most common cause of death in schizophrenia patient 1. Homicide 2. Depression 3. Suicide 4. Due to Antipsychotic side effects Answer C ) Suicide Q7. All are pneumatic bones except 1) Frontal 2) Mandible 3) Ethmoidal 4) Mastoid Answer 2 ) Mandible Q8. Clue Cells are found in A) Candida B) Bacterial Vaginosis C) Trichomonas Vaginalis D) Chlamydial infection B) Bacterial Vaginosis Q9. Nerve involved in supracondylar fracture 1. Radial nerve 2. Median nerve 3. Ulnar nerve 4. Ant int nerve Ans- AIIMS CONTROVERSIAL QUESTION Q11. Punett Square is used for 1. Genotype 2. Collecting datas in one group 3. 4. 1. Genotype The Punnett square is a diagram that is used to predict an outcome of a particular cross or breeding experiment. It is named after Reginald C. Punnett, who devised the approach, and is used by biologists to determine the probability of an offspring having a particular genotype. Q12. A teenage girl complaints of pain over the knee. The pain increase while starting to stand from sitting position and while walking upstairs. What is the likely diagnosis? 1. Chondromalacia of patella 2. Patellar Fracture 3. Torn Meniscus 4. Bipartite Patella Answer ) 1. Chondromalacia of patella Chondromalacia patellae means "soft cartilage under the knee cap," a presumed cause of pain at the front of the knee. This condition often affects young .The pain of chondromalacia patellae is typically felt after prolonged sitting, like for a movie, and so is also called "movie sign" or "theater sign". Q13. Blountâ€™s disease is present as 1. Genu recurvatum 2. Genu varum 3. Genu Valgum 4. Answer 3. Genu Valgum Blount's Disease is one which affects the bone development of toddlers and older children. Most often, it starts as bow-leggedness which does not improve in a child between two and four years of age. DEAR DOCTORS TIBIA VARA is other name for BLOUNT'S DISEASE and it presents as GENU VALGUM Radiographic Appearance Physiologic bowing typically show flaring and bowing of tibia and femur in a symmetric fashion and is normal in children < 2 years of age (maximal at about 18 mo); - physiologic genu valgum, or knock knees, develops next, w/ maximal deformity occurring at 3 years of age; - gradual correction to ultimate alignment of slight genu valgum occurs by 9 years of age in the great majority of patients Q14. Which is not a neural tumor ? 1. Ependymoma 2.Neuroblastoma 3. Gangliocytoma 4. Ganglioglioma Answer. CONTROVERSIAL As Usual AIIMS ROCKS with dummy Questions REF Cotran, Ramzi S.; Kumar, Vinay; Fausto, Nelson; Nelso Fausto; Robbins, Stanley L.; Abbas, Abul K. (2005). Robbins and Cotran pathologic basis of disease. St. Louis, Mo: Elsevier Saunders. pp. 1406. Ganglioglioma is a tumour that arises from ganglion cells in the central nervous system. The term "gangliocytoma" is sometimes equated with ganglioglioma. However, it is also sometimes equated with ganglioneuroma. The term "gangliocytoma" is sometimes used to imply that the tumor is entirely neuronal. Q15. Cadeveric transplant is done for A/E 1. blood vessels 2. liver 3. lung 4. bladder Answer 4. Bladder The major donor organs and tissues are heart, lungs, liver, pancreas, kidneys, eyes, heart valves, skin, bones, bone marrow, connective tissues, middle ear, blood vessels. Therefore one donor can possibly give gift of life to many terminally ill patients who would not survive otherwise. Q16. 32 yr male a known hypertensive planned for cholecystectomy . which of following is contraindicated 1. propofol 2. ketamine 3. midazolam 4. ANS 2. Ketamine Ketamine causes a rise in intracranial pressure and should not be used in patients who have sustained a recent head injury. The blood pressure rises by about 25% (on average the systolic pressure rises by 20-30 mmHg) and the heart rate is increased by about 20% - the overall effect is therefore to increase the workload of the heart. The pressure within the eyeball (intra-ocular pressure) rises for a short time following administration. All pressures are increased. Q17. . One of the drug is contraindicated in Patients with lithium toxicity 1.diuretics 2. beta blocker 3. ccb 4. Answer 1. Diuretics Diuretics acting distally to the proximal tubule, such as thiazides and spironolactone, do not directly affect the fractional excretion of lithium (although they may affect serum lithium levels indirectly through their effects on volume status). Reabsorption of lithium is increased and toxicity is more likely in patients who are hyponatremic or volume depleted, both of which are possible consequences of diuretic therapy. Q18. Which virus crosses placenta least likely 1. rubella 2. herpes simplex 3. HIV 4. Hepatitis B ANS Hepatitis B HBV is a large virus and does not cross the placenta, hence it cannot infect the fetus unless there have been breaks in the maternal-fetal barrier, e.g. via amniocentesis. Q19. Which is present in Pentology of fallot : 1. ASD 2. VSD 3. Right Ventricular Hypertrophy 4. Pulmonary stenosis Answer 1. ASD Q20. All are true about Nesidioblastosis except ? 1. Hypoglycemic Episodes are seen 2. Occurs in adults more than child 3. Histopathology shows Hyperplasia of Islet cells 4. Diazoxide is used in treatment Answer 2. Occurs in adults more than child Nesidioblastosis is hyperinsulinemic hypoglycemia attributed to excessive function of pancreatic beta cells with an abnormal microscopic appearance. The abnormal histologic aspects of the tissue included the presence of islet cell enlargement, islet cell dysplasia, beta cells budding from ductal epithelium, and islets in apposition to ducts.Most common age group 2 â€“ 3 years.