Nov 14 aiims - all surgical ortho and related patho

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

  1. samuel

    samuel New Member

    1) A mentally retarded pt has epigastric pain ,alopecia ,crepitus on epigastri palpation

    Likely dx-trichobezoar

    2) meniere's disease treatment - surgery is mainstay
    3) 50 yr old male became dizzy while passing stools and noticed fresh blood in the stools. Previous stool examination for routine screening of Ca colon was normal. What is the most likely cause of bleed?
    1 EARLY CA COLON
    2 SIGMOID DIVERTICULITIS
    3 MICROSCOPIC COLITIS
    4 DILATION OF VEINS OF COLON

    4) 50 y,h/o uretric stones with fever Picture provided of kidney with cyst and yellowish stones seen--and histology

    ADPKD/
    HYPERNEPHROMA/
    HYDRNEPHROSIS with chronic pyelonephritis

    5)Which of the following is the Investigation of choice for evaluation of acute head injury?

    A) NCCT Head
    B) CECT Head
    C) MRI Brain 
D) CT angiography
    Answer: NCCT Head

    5) A girl was abused and presented with profuse genital bleeding...wat should be d ideal management..

    Assess airway
    Internal iliac ligation
    inform police first
    blood transfusion

    6)M/c cause of vocal cord palsy
    Trauma
    Malignancy
    Neurological
    Surgical

    7)Correction of cleft palate done at..??
    24 month
    8-10month
    15-18 month
    9-12 mo

    8)You are a gen surge in a chc, RTA pt in emergency department hemipresis,both eye are being dilated,eye ball deviate upward, no imaging or neurodurgeon available ,what u should do..???

    Make a hole on contralateral side of blown eye
    Make a hole on centre of fore head if both eye dilated
    Make a hole on temporal area of left side
    Reffered to higher centre if no lateralising signs

    9)WOF is not pre malignant --

    Chrons,
    UC,
    peutz jeghe

    10)Fnac of thyroid cant tell abt ??

    thyroiditis
    anaplastic
    follicular Ca
    papillary Ca
    ??colloid goitre

    11)Billous vomiting neonate ..frst inv?

    Cxr,
    babygram,
    ct
    usg?


    12)Molecular classifictn of br ca basd on?

    Size nd nodal stats ,
    her2 nd estrogen receptr,
    gene level?

    13)Tension pnemothorax, first step in manag.

    Cxr,
    emargency thorctomy,
    needle insert at 2nd ics at mcl

    14)T3 n0 laryge ca, Manag.? Only

    rt ,
    rt +ct,
    neoct +rt ,
    ct only

    15)child with tracheo esophagal fistula repair done, c/o chronic dry cough-

    tracheomalacia,
    subglottic stenosis

    16)increased intracranial tension with bradycardia, hypertension-

    cushings reflex

    17)investi of choice for appendicitis in children

    18) not seen in distal radius (???colle's )

    radial displacement
    volar tilt
    dorsal displacement
    supination

    19)battery disc-foreign body in the nose . immediate concern is

    a)refer
    b)associated with tetanus
    c)can leak and damage tissue
    d)nasal drops instilled till its removal

    20)drug for adv Ca prostate--

    goserelin

    21)right iliac fossa mass iwth dull aching pain-

    iliocaecal tb,
    appendicular lump,
    Ca of asc colon

    22)Anaesthesia for day care surgery-
    propofol
    Ketamine

    23)Schwanoma-

    antoni a b

    24)Immunohisto markers identify wrongly matched.

    Desmin- carcinomas
    Vimentin- sarcomas
    Leucocyte specific antigen- lymphoma

    25)10 month old infant is crying, passes red colored stool and then stops crying after sometime. Diagnosis

    Meckel’s diverticulum
    Intussusceptions

    26)mc site of MALT?

    stomach,
    ilium

    27) GIST prognosis depends not on

    size

    28)ASBESTOS EXPOSURE PATIENT,upper lobe mass… histopath of cancer

    finger like projections

    29)Joints position (axis of rotation is parallel) in pronation of foot

    calaneo-cuboidal and subtalar

    30)thyroid histology??

    papillary ca/follicular ca pic gross and micro

    31) FNA of breast lump discreate round mobile, in a young women most likely histology

    32)glass pice at finger tip…initial investigation??

    usg
    xray
    mri
    ct

    33)Post anesthesia pain-cause of pain

    succinyl choline ,
    propofol
    early immobilization

    34) cortial lesion with surrounding sclerosis

    ostiod osteoma

    35)osteosarcome sunray appearene cause

    alifiation along bloog vessels

    36)a person suffers road traffic accidents nd presents wid clear watery discharge from nose and no fracture seen on ct scan.. conscious.. management

    a. observe for spontaneous stoppage for 2-3 days
    b. endoscopic visualizatn
    c. ct cisternography
    d.

    37)white tumor in mid bronchus mediastnm shifted to same side tumor ..histology??

    38)A girl with swelling on posterior aspect of thigh, gradual in onset, soft on palpation, color doppler showed multiple venous chanels but no major arterial contribution which of the following will NOT B used??
    1. Cyanoarcylate.
    2)absolute alcohol.
    3)polyvinyl alcohol.
    4)sod tetradecyl smthng

    39)Le vee shunt for ascites drains into?

    Cisterna chylii
    Peritojeum eyc..
    gall bladder
    svc

    40)after 1year,,osteoporosis in a hemiparesis pt 1st seen in

    distal radius
    upper end femur
    lower end humerus
    lumbar vertebra

    41)raised ict, hypertnsn bradycardia, resp changes-

    cushings,
    bezold zarish....

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