AIIMS Nov 2006 - Clinical Sciences
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COMMUNITY MEDICINE
83) ASHA (activated social health activist) are part of which program
a. national mental health program
b. replaces anganwadi worker in ICDS program
c. for 1000 population there is one ASHA worker
d. from recent health policy of 2001, they are the part of social and sanitation management
84 & 85 specificity in a screening test means
a. true positive
b. false positive
c. true negative
d. false negative
86. Lice is not a vector in:
a. Q fever
b. Trench fever
c. Epidemic typhus
d. Relapsing fever
87. All are true about communicability of malaria except:
a. Gametocyte in 4-5 days in blood in P. vivax.
b. Gametocyte in 10-12 days in blood in P. falciparun
c. Initially, less gametoaytes, with time
d.
88. Which of the following dose not fall in to problem village:
a. where water is not available with in 1.6 km
b. where there is risk of dracunculiosis
c. where water is not available at depth of 15 m
d. where water has impurities containing salts,
flourides
89. Active search for cause in apparently healthy individuals is:
a. Notification
b. Screening
c. Surveillance
90) efficiency of the program for iodine deficiency disorders against hypothyrodism can be assesed by
a. neonatal thyroxin levels
b. goiter in pregnancy
c. goiter in age group of 12 to 18 levels
d. soil iodine levels
91. Statistical analysis can be best correlated b/w lab reports of a new test & gold standard test by:
a. Correlation
b. Regression
c.
d. Case finding
92. Trachoma-SAFE all true except:
a. Screening
b. Anti biotics
c. Face wash
d. Environment
93. For renal stone what helps
a. Raspberry juice
b. Grape
c. Orange
d. Craneberry juice
83) ASHA (activated social health activist) are part of which program
a. national mental health program
b. replaces anganwadi worker in ICDS program
c. for 1000 population there is one ASHA worker
d. from recent health policy of 2001, they are the part of social and sanitation management
84 & 85 specificity in a screening test means
a. true positive
b. false positive
c. true negative
d. false negative
86. Lice is not a vector in:
a. Q fever
b. Trench fever
c. Epidemic typhus
d. Relapsing fever
87. All are true about communicability of malaria except:
a. Gametocyte in 4-5 days in blood in P. vivax.
b. Gametocyte in 10-12 days in blood in P. falciparun
c. Initially, less gametoaytes, with time
d.
88. Which of the following dose not fall in to problem village:
a. where water is not available with in 1.6 km
b. where there is risk of dracunculiosis
c. where water is not available at depth of 15 m
d. where water has impurities containing salts,
flourides
89. Active search for cause in apparently healthy individuals is:
a. Notification
b. Screening
c. Surveillance
90) efficiency of the program for iodine deficiency disorders against hypothyrodism can be assesed by
a. neonatal thyroxin levels
b. goiter in pregnancy
c. goiter in age group of 12 to 18 levels
d. soil iodine levels
91. Statistical analysis can be best correlated b/w lab reports of a new test & gold standard test by:
a. Correlation
b. Regression
c.
d. Case finding
92. Trachoma-SAFE all true except:
a. Screening
b. Anti biotics
c. Face wash
d. Environment
93. For renal stone what helps
a. Raspberry juice
b. Grape
c. Orange
d. Craneberry juice
94. .Endemic ascites is associated with
- Sanguinarine
- Aflatoxin
- Pylorrizidine alkaloids
- Ergot
95. In blood sample, Hb, eshma done 10 hrs
9.5, 9.2, 9.4 9.7, 10.2, 12.1, 10.5, 10.3, 9.6, 9.9
accurate value – 10.2 by standard
a. High validity , high reliabity
b. Low validity , low relibity
c. low validity, high rehabity
d. high validity, low raliabity
96. Direct standardization is used to compare the mortality rates between two countries. This is done because of the difference in:
a. Causes of death
b. Numerators
c. Age distributions
d. Denominators
97. Which one of the following method is used for the estimation of the chlorine demand of water?
a. Chlorometer
b. Horrock’s apparatus
c. Berkfeld filter
d. Double pot method
98. You have diagnosed a patient clinically as having SLE and ordered 6 tests. Out of which 4 tests have come positive and 2 are negative. To determine the probability of SLE at this point, you need to know:
a. Prior probability of SLE; sensitivity and specificity of each test
b. Incidence of SLE and predicitive value of each test
c. Incidence and prevalence of SLE
d. Relative risk of SLE in this patient
99. For revised cataract surgeries all are approaches except:
a. Uniform Disl but
b. Regular follow up
c. Fixed place surgical treatment
d. mobile surgical camps
100. Any loss or abnormality of psychological, physiological or anatomical structure or function:
a. Impairment
b. Disability
c. Handicap
101. In a study consum of antiasthmatic drug & &increased death seen in UK is seen from 1960 – 1975
a. Exp-study
b. Cohort
c. Ecological
d. Case reference study
102. Best study
a. Randomised CT double blind
b. Retrospective cohort study
c.
d.
103. All of the following indication are included in physical quality of life india (PQLI) except:-
a. Infant mortality rate
b. Life expectancy at age one
c. Literacy rate
d. Per capita income
104. All are true about point source epidemic except:
a. It may have two peace’s
b. Sharp rise & sharp fall
c. Occurs within a single I. P.
d.
105. Long term malnutrition
a. MAC
b. Body wt
c. Body wt & linear growth
d.
MEDICINE
106) in multiple myeloma bone scan will show
a. hot nodules
b. cold nodules
c. diffuse increase uptake
d. diffuse decrease uptake
107) a patient with history of recurrent abortion, the investigation required for this patient
a. PT
b PTT
c. anti russel viper snake venum
c. fibrinogen levels
108. Constrictive pericarditis rarest in:
a. Tuberculous effusion
b. Staph effusion
c. post surgical
109. Blood creatinine accurate diagnosis by:
a. Kinetic Jappes
b. Jappes test
c. Enzyme assay
d.
110. Charcot’s joint not seen in:
a. leprosy
b. DM
c. Syringomyelia
d. Arthrogryposis multiplex
111. S. Fe increse , S. ferritin increase, TIBC decrease, % saturation increase
a. Siderblastic anemia
b. A of chronic disease
c. Fe def anemia
d.
112. Ham’s test for
a. Mannose binding protein
b. GPI anchor
c. Spherocytosis
d. PNH
113. Brucellosis can be transmitted by all of the following modes, except:
a. Contact with infected placenta
b. Ingestion of raw vegetables from infected farms
c. Person to person transmission
d. Inhalation of infected dust or aerosol
114. Muscular dystrophies associated with all except
a Dystrophinopathies
b Sarcoglycanopathies
c. Dysferlinopathies
d.
115. Nephrotic range proteinuria occurs in
a. Focal segmental glomerulosclerosis
b. Nodular glomerulosclerosis
c. Membranous glomerulosclerosis
d.
116. Serum Ta 140, LDL-600
a. Tender xanthomas
b. Plantar xanthomas
c. Tuberoeruptive xanthomas
d. Lipemia retinalis
117. Duromanab – RA SLE osteoporosis
OA
a. Dosemomab a monoclona
b. Antibody, that combines
c. Rank with rank ligand is used for treatment of
d.
118. MRSA all given except:
a. Vancomycin
b. Cotrimoxazole
c. Cefactor
d. Ciprofloxalin
119. Absence seizers drug of choice is:
a. Gabapentine
b. Topiramate
c. Phenytoin
d. valproic acid
120. Child preseting with obst jaundice all increased except:
a. Gamma Glutamyl transferase
b. Glutamate dehydrogenase
c. Alk phosphatase
d. 5’ nucleosidase
121. In Ra antibody found is:
a. IgM RF
b. Anticep antibodies
c. IgG AB
d.
122. Only neuron involved in
a. spinocerebellar ataxia
b. Progressine supramuclear palsy
c.
d.
123. Hypothermia associated with all except:
a. Cendiac arrythma
b. increased peri. Resistance
c. Impaired renal function
d.
124. M/C site of pigmented villonodular synovitis
a. Ankle
b. Shoulder
c. Knee
d.
125. Cong. Torticollis true is all except:
a. 2/3 cases, sternomastoid mass palpable
b. Plagiocephaly
c. Spontaneous resolution
d. Always associated with breech presentation
126. Mycosis fungoides not true
a. M/C cutaneons lymphama
b. Paubier’s abscess
c. curable
d. Erythroderma present
127. 25-yrs-old female, LL weakness, spasticity, urinary hesitancy, middorsal intradural enhancing mass seen in MRI o/e dorsal myelopathy
a. Intradural lipoma
b. Meningoma
c. Dermoid cyst
d. Neuroepithelial cyst
128. Hyaluromic acid is found in:
a. Vitreous humour
b.
129. Metabolic abnormality seen in congenital pyloric stenosis
a. Hypokalemic metabolic alkalosis
130. A patient present with massive hematemesis with spleen enlarge:
a. PHT
b. Duodenal ulcer
c. Gastric ulcer
131. Carey coomb murmur all is true except:
a. AR
b. Diastolic
c. Low pitched
d. acute rheumatic fever
132. A person consumer peanut, following which he has sudden hoarseness, stridor
Ans: Angioneurotic odeum
133. For syncope – least diagnostic will be
a. Pet scan
b. Electrophysiologial test
c. Till table test
d. Holter monitdring test
9.5, 9.2, 9.4 9.7, 10.2, 12.1, 10.5, 10.3, 9.6, 9.9
accurate value – 10.2 by standard
a. High validity , high reliabity
b. Low validity , low relibity
c. low validity, high rehabity
d. high validity, low raliabity
96. Direct standardization is used to compare the mortality rates between two countries. This is done because of the difference in:
a. Causes of death
b. Numerators
c. Age distributions
d. Denominators
97. Which one of the following method is used for the estimation of the chlorine demand of water?
a. Chlorometer
b. Horrock’s apparatus
c. Berkfeld filter
d. Double pot method
98. You have diagnosed a patient clinically as having SLE and ordered 6 tests. Out of which 4 tests have come positive and 2 are negative. To determine the probability of SLE at this point, you need to know:
a. Prior probability of SLE; sensitivity and specificity of each test
b. Incidence of SLE and predicitive value of each test
c. Incidence and prevalence of SLE
d. Relative risk of SLE in this patient
99. For revised cataract surgeries all are approaches except:
a. Uniform Disl but
b. Regular follow up
c. Fixed place surgical treatment
d. mobile surgical camps
100. Any loss or abnormality of psychological, physiological or anatomical structure or function:
a. Impairment
b. Disability
c. Handicap
101. In a study consum of antiasthmatic drug & &increased death seen in UK is seen from 1960 – 1975
a. Exp-study
b. Cohort
c. Ecological
d. Case reference study
102. Best study
a. Randomised CT double blind
b. Retrospective cohort study
c.
d.
103. All of the following indication are included in physical quality of life india (PQLI) except:-
a. Infant mortality rate
b. Life expectancy at age one
c. Literacy rate
d. Per capita income
104. All are true about point source epidemic except:
a. It may have two peace’s
b. Sharp rise & sharp fall
c. Occurs within a single I. P.
d.
105. Long term malnutrition
a. MAC
b. Body wt
c. Body wt & linear growth
d.
MEDICINE
106) in multiple myeloma bone scan will show
a. hot nodules
b. cold nodules
c. diffuse increase uptake
d. diffuse decrease uptake
107) a patient with history of recurrent abortion, the investigation required for this patient
a. PT
b PTT
c. anti russel viper snake venum
c. fibrinogen levels
108. Constrictive pericarditis rarest in:
a. Tuberculous effusion
b. Staph effusion
c. post surgical
109. Blood creatinine accurate diagnosis by:
a. Kinetic Jappes
b. Jappes test
c. Enzyme assay
d.
110. Charcot’s joint not seen in:
a. leprosy
b. DM
c. Syringomyelia
d. Arthrogryposis multiplex
111. S. Fe increse , S. ferritin increase, TIBC decrease, % saturation increase
a. Siderblastic anemia
b. A of chronic disease
c. Fe def anemia
d.
112. Ham’s test for
a. Mannose binding protein
b. GPI anchor
c. Spherocytosis
d. PNH
113. Brucellosis can be transmitted by all of the following modes, except:
a. Contact with infected placenta
b. Ingestion of raw vegetables from infected farms
c. Person to person transmission
d. Inhalation of infected dust or aerosol
114. Muscular dystrophies associated with all except
a Dystrophinopathies
b Sarcoglycanopathies
c. Dysferlinopathies
d.
115. Nephrotic range proteinuria occurs in
a. Focal segmental glomerulosclerosis
b. Nodular glomerulosclerosis
c. Membranous glomerulosclerosis
d.
116. Serum Ta 140, LDL-600
a. Tender xanthomas
b. Plantar xanthomas
c. Tuberoeruptive xanthomas
d. Lipemia retinalis
117. Duromanab – RA SLE osteoporosis
OA
a. Dosemomab a monoclona
b. Antibody, that combines
c. Rank with rank ligand is used for treatment of
d.
118. MRSA all given except:
a. Vancomycin
b. Cotrimoxazole
c. Cefactor
d. Ciprofloxalin
119. Absence seizers drug of choice is:
a. Gabapentine
b. Topiramate
c. Phenytoin
d. valproic acid
120. Child preseting with obst jaundice all increased except:
a. Gamma Glutamyl transferase
b. Glutamate dehydrogenase
c. Alk phosphatase
d. 5’ nucleosidase
121. In Ra antibody found is:
a. IgM RF
b. Anticep antibodies
c. IgG AB
d.
122. Only neuron involved in
a. spinocerebellar ataxia
b. Progressine supramuclear palsy
c.
d.
123. Hypothermia associated with all except:
a. Cendiac arrythma
b. increased peri. Resistance
c. Impaired renal function
d.
124. M/C site of pigmented villonodular synovitis
a. Ankle
b. Shoulder
c. Knee
d.
125. Cong. Torticollis true is all except:
a. 2/3 cases, sternomastoid mass palpable
b. Plagiocephaly
c. Spontaneous resolution
d. Always associated with breech presentation
126. Mycosis fungoides not true
a. M/C cutaneons lymphama
b. Paubier’s abscess
c. curable
d. Erythroderma present
127. 25-yrs-old female, LL weakness, spasticity, urinary hesitancy, middorsal intradural enhancing mass seen in MRI o/e dorsal myelopathy
a. Intradural lipoma
b. Meningoma
c. Dermoid cyst
d. Neuroepithelial cyst
128. Hyaluromic acid is found in:
a. Vitreous humour
b.
129. Metabolic abnormality seen in congenital pyloric stenosis
a. Hypokalemic metabolic alkalosis
130. A patient present with massive hematemesis with spleen enlarge:
a. PHT
b. Duodenal ulcer
c. Gastric ulcer
131. Carey coomb murmur all is true except:
a. AR
b. Diastolic
c. Low pitched
d. acute rheumatic fever
132. A person consumer peanut, following which he has sudden hoarseness, stridor
Ans: Angioneurotic odeum
133. For syncope – least diagnostic will be
a. Pet scan
b. Electrophysiologial test
c. Till table test
d. Holter monitdring test
134. You are working in a peripheral health centre. One of your patiets is diabetic and you want to send his blood for glucose estimation to a higher centre. Which of the following bottles will you used to send his blood sample for estimation of blood glucose level ?
- E. D. T. A
- Potassium – oxalate
- K – oxalate + NaF
- K – oxalate + NaI
135. Acute pancreatitis severity associated with all except:
a. Glucose
b. Ca+2
c. Amylase
d. Transminases
136. Only neuron involved in
a. Spinocerebellar ataxia
b. Progressive suplamilear plasy
137. Persistently low C3 is not seen in:
a. Ans: Post streptococcal GN
138. A pt. presented with jaundice and H/o passing clay coloured stool. The following enzymes will be elevated except:
a. 5’ nucleotidase
b. ALP
c. gamma- GT
d. delta - ALA
139. Oculomotor n. Palsy, doesn’t lead of:
a. Miosis
b. Ptosis
c. Lateral deviation of eye
d. Diplopia
SURGERY
140. Adjunct chemotherapy has a definite role in cancer of
140. Adjunct chemotherapy has a definite role in cancer of
a. Oesophagus
b. Colon
141. Undescended testis Rx (orchiopexy)
a. Neonate
b. 1-2 yrs
c. 5 yrs
d. puberty
d. Rheumatic fever
142. Carcinoid of true except?
a. Small intestine
b. M/C tumor of small bowel
c. M/C site is duodenum
d. Carcinoid is small intestine is associated with lung carcinoid
143. Which of the following is Not Malignant?
- Juvenile polyp
- Familial Adenomatous polyposis dyndrome
- Juvenile Polyposis syndrome
- Puetz Jeghers polyp
144. Following genetic counselling in a family for FPC next screening test -
a. APC gene
b. Flexible sigmoidoscopy
c. Colonoscopy
d.
145. Barret oesophagus is diagnosed by:
a. Intestnial metaplasia
b. Squamous metaplasia
c. Columnar metaplasia
146. Prognosis in head injury is best given by:
a. GC scale
b. CT head
c. age of patient
147. True about branchial cyst
a. Associated with 2nd arch
b. Branchial sinus is more common
c. During surgery removal of branchial is not necessary
148. Painless hematuria in a 60 yrs man
a. USG KUB
b. Urine R/M
c. Plain x-ray
d. Urine microscopy for malignant cells
149. Which of the following polyp has least chance to develop colon CA-
a. Familial adeno matious polyp
b. Juvenile polyp
c. Peut – Jeghers polyp
150. No haematoma in CT scan only basilar compression multiple focal hemo. Spots in brain panenclyma, Pt has sugar of Ext. ing and unconscious
a. urebral cantusion
b. urebral lacera
c. mulliple infarcts
d. Diffuse exanal ing
151. Which of the following is the immediate complication of ileostomy ?
- Prolapse
- Obstruction
- Necrosis
- Diarrhea
ORTHOPAEDICS
152. Epiphyseal tumor,
a. osteoclastoma
b chondromyxoid fibroma
c.
d.
153. Most chemo resistent
a. Synonal saccoma
b. Osteosancema
c. Malig fibram histocylosema
d. Sarcoma
154. Which of the following is a diaphyseal bone tumour
a. Osteosarcoma
b. Chondro blastoma
c. G.C.T.
d. Ewing sarcoma
155. bankart’s lesion involves stripping of glenoidal labrum from
a. Anterior part
b. Anterio superior part
c. Anterio inferior part
d. Posteriorosuperior part
OBSTETRICS & Gynaecology
156. Female with prim ameno with B/L ing hernia with absent of pubic hair with (n) sec sexual characters
a. Androgen insensitivity syndrome
b. Muellarian agenesis
c. Turner’s syndrome
d.
157. HIV transmission M/C
a. During delivery
b. I Trimester
c. II Trimester
d. III Trimester
158. PAP smear carcinoma in situ is diagnosed next logical step is:
a. Colposcopy & biopsy
b. Conization
c. Total hysterectomy
159. In preg with hypothyroidism not seen
a. PIH
b. Preterm
c. Polyhy dramnios
d. Recure abortions
160. M/C in DM with pregnancy is
a. NTD’s
b. Cardiovascular anomalies
c. Congenital malformations
d.
161. In which of the following heart disease maternal mortality is found to be highest?
a. Elesenmenger’s complex
b. Coarctation of aorta
c. Mitral stenosis
d. Aortic stenosis
162.In 1st TM aneuplady is diagnosed by:
a. Nuchal transtnency
b. CRL
c.
d.
163. In hormone replacement therapy all occur except:
a. hot flushes
b. coronary vascular disease
c.
d.
164. All of the following are supports of uterus except ?
- Transverse cervical ligament
- Uterosacral ligament
- Broad ligament
- Levator ani
165. In breech after coming head least obstruction by:
a. Extended head
b. Incompetence of cervix dilatation
166. In Ist trimester, anencephaly is diagnosed by:
a. Nuchal transparency
b. CRL
167. In fibroid red degeneration occur in:
a. Ist trimester
b. IInd
c. IIIrd
d. Puerperium
168. Hyperglycemia in late pregnancy associated with
a. Macrosomia
b. Post inaturnty
c. IUGR
d. Cong abnormalies
169. HRT is helpful in all of the following except:
a. Vaginal atrophy
b. Flushing
c. Osteo porosis
d. Ca breast
Paediatrics
170. A baby presented with profuse umbilical cord bleeding after birth. Probably diagnosis is:-
a. Factor x defi
b. factor xiii defi
c. VWD
171. Umbilical bleeding in newborn is seen in:
a. VWD
b. Factor 13 deficiency
c. Glanznam thrombasthenia
d. Bernard soulier syndrome
172. Schwartz formula for estimation of GFR in children has a "k" constant which is independent of:
- Method of calculation of S. creatinine
- Age
- Renal function
- Body mass
173. VSD, B/L small eyes, cleft lip, cleft palate is associated with:
a. Trisomy 18
b. Trisomy 13
c. Trisomy 21
d.
174.Beta thalassemia, M/C chromosomal abnormality.
a. 6/9 dele
b. 3.7 dele
c. Inversion
175. Bullous lesion in newborn, periostiis test to be done in mother is:
a. Mother test
b. VDRL
c.
d.
176. Newborn with CHF not respending to Rx
a. transcianial hypolchic
b. midline mass
c. enlarged left ventricle
d. arachanid cyst
177. A 6-yrs-old child with 50% IQ
a. Color can be taught
b. Ride a bicycle
c. Draw a triangle
d. Sentence read
178. B/L reflex nephropathy associated acute PN
OPTHALMOLOGY
179. Retro orbital tumor / mass proptosis
a. No brnit / thriu
b. increased on bending forward,
c. compressible
180. Retinal transmission is:
a. Best syndrome
b. Bridel
c. B. K
d. Glane a pathy
181. Childhood blindness associated with all except
a. Glaucoma
b. Malnutrition
c. Chr. Dacryocystitis
d. Ophthalmia neonatorum
OTORHINOLARYNGOLOGY
182) a thirty year old female with history of progressive hearing loss, which became profound with pregnancy the tympanogram we will get which curve
a. A
b. B
c. As
d. Ad
183. Treatment of choice for glue ear is
a Medical treatment
b Myringotomy with grommet
c Myringotomy
184. A child presents with B/L deafness and recurrent URTI. Which surgery should be done
a. Adenoidectomy
b. Adenoidectomy with grommet
c. Myrnigotomy with grommet
SKIN
185. Pitryriasis rosea is a
a. chronic replapsing disease
b. it is an auto immune disease
c. caused by dermato phyte
d. self resolving
186. H/O of asthma in mother, her child has severe itching, sudden onset macule, papule ; in summer:
a. Atopic dermatites
b. Infections eczematoid dermatitis
Anaesthesia
187.188 Which of the following drugs causes Dissociative Anaesthesia ? (Repeated )
- Diazepam
- Propofol
- Ketamine
- Midazolam
189. Which of the following is not true about xenon anaesthesia ?
- Slow induction & recovery
- Low blood solubility
- Non explosive
- Cardiotoxic
RADIOLOGY
190. hypoechoic mass true is
a. orbital encephalocele
b. orbital varix
c. neurofibromatosis
d. av fistula
191. Tumour showing dural enhancement with a tail is:
a. Medulloblastoma
b. Maningiome
Psychiatry
192) delusion is a disorder of
a. thought
b. perception
c. insight
d. cognition
193) the drug of choice for obsessive compulsive disorder?
a. olanzepin
b. fluoxetin
c. haloperidol
d. thioridazine
194) which of the drug is not an atypical anti psychotic?
a. thoridazine
b. riseperidone
c. clozapine
d. olanzepine
195)naltrexone is used
a. for opiod overdose
b. to cover the withdrawal symptoms
c.
196. Doc in OCD –
a. Imipramine
b. Fluoxetine
197. A chlild 3 yrs doesn’t interact, speech difficulty normal milestones plays alone difficult to corelatate relates
a. Autish
b. Mental retardation
c. Specific learning disability
????
198. For stopping hemopump supernal artery
a. Right visceral rotation
b. Left visceral rotation
c. Caudal rotation
d. Cranial rotation
199. CV junc abnormality
a. RA
b. AS
c.
d.
Category: AIIMS Nov 2006 MCQs
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