AIIMS Nov 2006 - Pre Clinical

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Pathology
28) NK cells acts on virus infected cells which are
a. which express MHC -1
b. which doent express MHC -1
C. which express MHC - 2
d. which doesnot express MHC - 2

29)in acute inflammation endothelial cells retractions causes
a. immediate transient increse in permeability
b. immediate prolonged increase in permeability
c. late transient increase in permeability
d. late prolonged increase in permeability

30)the mechanisms of phagocytosis of bacteria infected cells by NK cells is
a. peforin?
b.
c.
d.

31) Two different germ cell liver presented in a single individual from 2/more zygotes
a. Chimerism
b. Mosaicism
c. Segregation
d.

32) Which gene mutation is least likely to be associated with breast cancer:
  1. Li-Fraumenni syndrome
  2. Ataxia Telengiectasia
  3. BRCA1
  4. BRCA 2

33. In fetal & embryonic cells, dinision uninhibited, in adults cells not seen:
a. Infetal cells, protease absent for degrading cyclin DK
b. In adult cells (-) of cyclins DK present entering into S phase
c.
d.

34. Amyloid β pleated sheet is confirmed by
a. Scanning electron microscopy
b. x-ray crystallography
c. Apple green florescence in congo red staining
d. Polarizing electron microscope

35. AML poor prognosis associated
a. Monosomy 7
b. Inv. 16
c. t (8, 21)
d. CELLS with normal genotype

36. C- C chemokines is:
a. Eotaxin,
b. ILE
c.
d.

37. Steroid resistant NS associated with which gene
a. NPHSI
b. PAX
c. HOX II

38. Collagen type IV &alpha5 chain helps in
a. Thin basement membrane disease
b. Alport syndrome
c.

39. Acid phosphatase stains
a. Monocyte
b. B Lymphocyte
c. T Lymphocyte
d. Myelocyte

40. Pancytopemia with bone marrow cellularity all except:
a. G6PD def.
b. Myelodysplasia
c. PNH
d. Megaloblastic anemia


41. Most common lymphoproliferative disease in post transplant patients involves:
  1. B CELLS
  2. T CELLS
  3. NK CELLS
  4. NULL CELLS


42. Cystosolic cytochrome – c is used in elution chain
a. Necrosis
b. Apoplosis

43. Cy br green dye in used for:
a. HLDR
b. Immunofluorescent
b. PCR
d. ELISA

44. Antiapoptotic gene is:
a. BAX
b. BAD
c. BCL – XL

45. Poor prognostic marker of AML
a. Inv (16)
b. t ( 8 : 21)
c. t (15:17)
d. inv (3)

46. “Rheumatoid Factor” is of following type –
a. IgM
b. IgG
c. IgA

47. True regarding beta plated sheets of a myloid-
a. Stained by congo red & gives +ve birefringence on polariased light
b. Stained by olired – o

48. Breast cancer is least commonly associated with –
a. BRCA – I
b. BRCA – II
c. Her – 2 – nec.
d. P – 53

49. Which of following pigments are involved in free radical injury
a. Lipofuscin
b. Melamin
c. Prilirubin
d. Hematin

Microbiology

50) a patient presented with cough with expectoration sputum culture shows gram negative organisms from only charcol extract agar, the organism is
a. listeria monocytogens
b. M. catarrhalis
c. B. malli/psudomalli
d. legionella

51. Pustule an back of hand  ulcer  discharge  staining
a. polychrome methylene blue
b. Modified Kinyoun stain
c. Pas
d.

52. A patient admitted to an ICU is on central venous line for the last one week. He is on ceftazidime and amikacin. After 7 days of antibiotics he develops a spike of fever an his blood culture is positive for gram positive cocci in chains, which are catalase negative. Following this, vancomycin was started but the culture remained positive for the same organism even after 2 weeks of therapy. The most likely organism causing infection is:
a. Staphylococcus aureus
b. Viridans streptococci
c. Enterococcus faecalis
d. Coagulase negative staphylococcus

53. With reference to bacterioides fragilis the following statements are true, except:
a. B. fragilis is the same frequent anaerobe isolated from clinical samples
b. B. fragilis is not uniformaly sensitive to metronidazole
c. The lipopolysaccharide formed by B. fragilis is structurally and functionally different from the conventional endotoxin
d. Shock and disseminated intravascular coagulation are common in bacteroides bacteremia

54. Pus cells true but organism absent on grams stain is:
a. Chlamydia
b. Gonorrhoea
c.
d.

55. True is
a. agar for nutrition
b. Nutrient broth basal
c. Choc. Gas is selective
d. When selective agent added to solidmed  enrichment

56. Fungus is biopsy stain is:
a. Maner
b. Alzarian red
c. Pas
d. Polychrome methylen blue

57. Which bacteria acts by mechanism of CAMP antivation
Ans: V. cholerae

58. Young man, uretheral discharge which has no organism but only pus cells. Diagnosis should be done on:
a. Thiragen martin
b. Mc coy cell

59.Alpha hemolytic streptococcus URTI, to prove:
a. Bacitracin sensitivity
b. Optochin sensitivity
c. Bile solubility
d. Catalase positivity

60. Fungus is biopsy, stain is:
a. Polychrome methylene blue
b. PAS
c. Alzarin red
d. Manson

61. Acid phosphatase stains
a. Monocyte
b. beta lymphocytic
c. T lymphocyte
d. Myelocyte



Pharmacology

62)which is not a second generation H-1 antagonist
a. acrivastatin
b. loratidin
c. fexofenadine
d. cyclizine

63. H. Pylori Rx all except:
a. Amoxicillin
b. Omeprazole
c. Metronidazole
d. Mosapride

64. Long acting beta agonist
a. Orciprenaline
b. Salmeterol
c. ……… terol
d.

65. Prodrug is
a. Enalapril
b.
c.
d.
66. Which drug act on Cell wall
a. Cefepime
b. Erythromycin
c. Tetracycline
d. Lomefloxacin

67. In HIV with pregnancy which drug is given to treat a fetus developing HIV following transmission from mother?
a. Lamivudine
b. Starudine
c. Nevirapine
d.

68. Transient amneria loss of memory
a. Ethionamide
b. Z
c. H
d. R

69. Class Ic antiarrhythmic
a. Encainide
b. Tocainide
c. Propafename
d. Flecainide


70. Acetycation is mechanism for all except:
a. INH
b. Procainamide
c. Dapsone
d. Me tochlopramde

71. Loading dose depends on:
a. Ronte of aden
b. Clearance
c. Volume of distribution
d. t ½

72. Doc in multiple sclerosis
a. IFN alpha
b. IFN beta
c. IFN gamma
d. Intiliximab

73. Creatimine clearance < 10 mg%, which is not given 

a. Amikacin 
b. Rifampicin 
c. Vancomycin 
d. Amphotericin 

74. Drug for long term maintenance of morphine with drawl 
a. Methadone 

75. Benzodiazepnic antagonist 
a. Flumazenil 

76. Which ATT not given in pregnancy: 
a. S 
b. H 
c. Z 
d. R 

77. Enterohepatic circulation occur with which NSAID 
a. Aspirin 
b. Phemylbutazone 
c. Proxicam 
d. Ibuprefem 

78. Which of the following NSAID is metabolized leg liver: 
a. Aspirin 
b. Pheyl Butazone 
c. Ibuprofen 
d. Piroxicam


Forensic

79. Sexual asphyxia is seen in cases of
  1. Masochism
  2. Voyeurism
  3. Sadism
  4. Fetichism


80. Chills & rigors like malaria occurs in which poisoning
a. Arsenic
b. Red P
c. Mg
d. Hg

81. Mechanism of “criminal abortion” –
a. Infection & inflame action of endometrium
b. uterine contraction
c. Placental separation
d. Stimulation of nerve

82. The “Knot” in judicial hanging is placed at:-
a. The back of the neck
b. The side of the neck
c. Below the chin
d.

Category: AIIMS Nov 2006 MCQs

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