I have made an attempt collect Questions with answers that appeared in 2011 November AIIMS Medical Entrance Exam. I have also added questions from various forums and post exam discussions conducted by PG coaching institutes. There exists lot of controversial questions and doubts. Recalled questions are never 100% perfect. Please correct me where the questions/answers are wrong
1.NESTROFT is used as a screening test for
c.Auto Immune Hemolytic Anaemia
Ans: Beta Thalassemia
Reference: NCBI . Note that an article on Indian Pediatrics mentions “The most feasible option in our view is to test the mothers antenatally in early pregnancy preferably in the first trimester. The parents are often receptive and would usually agree to get any tests done for the well being of their baby. If the mother is found to be a carrier, her husband can be tested for carrier status and if he is also a carrier, prenatal diagnosis can be offered after proper genetic counselling. We are at present offering this facility to the mothers registering at the antenatal clinic of AIIMS under an ICMR funded project and find it quite feasible and useful.
2. Motor Cycle injury Involving spine
Ans: Steroid dosing Methyl prednisolone to be given 30mg/kg for 15 minutes, wait for 45 minutes then continue as an infusion dosage of 5.4mg/kg for next 23 hours. The options were mentioning different time intervals so not sure.
3.Gene that is responsible for Steroid Resisitant Nephrotic Syndrome:
Ans: NPHS2 Official Name: Nephrosis 2, idiopathic, steroid-resistant – Also called Podocin. Reference: Wiki
4.Vision 2020 founding members are all except:
d. international council/society for prevention of blindness
5. Commonest Complication following ileo anal anstamosis for ulceratice colitis:
Ans: Pouchitis, it manifests as diarrhea.
6.Mass Azithromycin prophylaxis is recommended if incidence of Trachoma is more than
7. which is the only drug effective in EDSS in multiple sclerosis?
a. interferon gamma
b. interferon beta
c. glatiramer acetate
8. Kawasaki Disease treatment
Ans:Intra venous immuno globulin (IVIG)
9. Structure just lateral to femoral hernia sac
10.Mother has asthma child with rash skin biopsy IgA
Ans: Atopic Dermatitis
11.Anterior shoulder dislocation occurs mode of violence
Ans:Abduction and External Rotation
12. Child with leaking drug eruption
Ans: Blood Culture
13.Alcoholic with withdrawal, diagnosis of Delirium tremens
Ans: Not a Crime
14.Diabetic with finger deformity 15 degree mentioned.
Ans:observation ? till 30 degree to wait ?
15.Marker of bone formation are all except
2. alkaline phosphatase
3. procollagen residue
16.Mizuo phenomenon is seen in
17.Mean Arterial Pressure
Ans:MAP =( SBP + 2DBP )/3
18. Structure not passing through osesophageal hiatus
19.Pregnancy related changes all except
Ans:Increase in Peripheral vascular resisitance
20.Patient develops paralysis with bowel bladder involed MRI showed dorsal myelopathy and intradural enhancing lesion at dorsal level.cause?
21. Juice that prevents UTI
22. Gallows traction is used for
23. Indicator for proper functioning of Autoclave is
24. Most common site of cholangio carcinoma
25. Drug to prevent vertical transmission of HIV.
26.Rheumatoid Arthritis most specific is
27. Insulin structure amino acids sequnce discovery and nobel prize by
28 Which of the following does not occur in child exposed to cold
2. flexion of body like fetus postion
3. cutaneous vasoconstriction
4. production of noradrenalilne to release energy from brown adipose tissue
29. 75 yr old man with new focal onset seizure and normal renal function what drug togive-
30.Muscles weakened in osteoarthritis of knee?
3.Both hamstring and osteoarthritis
31. Which of the following has the least chance to progress to multiple sclerosis
a.optic nerve involvement
b.absence of oligoclonal antibodies in csf
Ans: Oligoclonal bands ?
32. Not true for myelopathy
a.Facial sensory loss
b.brisk jaw jerk
c.brisk pectoral jerk
Ans:Facial sensory loss
33. False among the following statements is?
1.Fetus can extract Co2 rapidly from placenta
2.Apgar score at 1 minutes shows need for immediate resuscitation
4..Apgar score if poor at 7 minutes relates to neonatal death
34. Which of the following is not true?
1.Fetus can extract Co2 rapidly from placenta
2.Apgar score at 1 minutes shows need for immediate resuscitation
4..Apgar score if poor at 7 minutes relates to neonatal death
35. Dopamine, norepinephrine, serotonin all have the following type of receptors?
36. Detrimental effects of hypothermia are all except.
a. cardiac arrythmias
b. reversible coagulopathy
37. Which of the following is not true?
a.Fetus can extract Co2 rapidly from placenta
b.Apgar score at 1 minutes shows need for immediate resuscitation
d..Apgar score if poor at 7 minutes relates to neonatal death
38. All of the following are required in PCR except
2. thermostable enzyme
39.If the same amino acid is coded by different codons , it is called?
40.Subtelomeric mutation which occurs in most heriditary(?) mental (?) diseases is detected by all except
41.Not true about drug resistance mechanism?
a. Most common mechanism is production of neutralizing substances
b. If plasmid mediated always transferred vertically
c. alteration of target in pneumococcal resistance
d.complete removal of target is cause of resistance to vancomycin
Ans: b – conjugation can result in transfer of resistance
42.Chromosomal mutations can be identified from all except.
1. single stranded polymorphism
2.dideoxy nucleotide trail sequencing
3.agarosge gel electrophoresis
4.Denaturing Gradient Gel Electrophoresis (DGGE)
43. Regarding MRI what is false?
a.scar shows late enhancement
b.akinetic objects donot improve with contrast
44.Not a complication of Hypertensive disorder of pregnancy?
45.Which of the statements about renal function is not true?
a.oncotic pressure of filtrate is equal to glomerular capillaries
b.if afferent arteriole is vasoconstricted, then pressure in glomerular capillaries will fall
46.Which is not a symptomatic CV junction disorder?
47.Not a ultrasound feature of Chronic Pyloric Stenosis?
a. 95% sensitivity by ultrasound
b.thickness of pylorus >4mm
c.channel length >16mm
d.High gastric residue
Ans:High gastric residue. Pyloric residue is associated with vomiting and hence low gastric residue.
48.False about Alzheimers disease
a.Number of NF tangles correlates with severity of disease
b.Number of NF tangles correlates with dementia
49.EEG slowing during induction of anesthesia is due to?
50.Panic disorder involves all the following except?
51.Criteria for primary hyperaldosteronism includes all except
a.diastolic hypertension without edema
b.metabolic acidosis present
c.low secretion of rennin.
d.low secretion of aldosterone inspite of reduced volume of fluid
52.Drug not used in multiple sclerosis
a.interferonn 1 alpha
b.interferon 1 beta
53.Drug used in multiple sclerosis
54.Bremelanotide used for
d.Metastatic Renal Cancer
55.Post operative ileus most common in:
56.If 4 nucleotide repeats code for a amino acid. Theoritically what is the maximum no. of amino acid coded possible from nucleic acid
57.Cranial drug used in patch form in parkinsons disease
58.Flaying seen in what type of lacerated wound ?
59.According to organ transplantation act 1994 what is punishment for a doctor if found guilty ?
b.morethan 5 yrs
60.Palatoprint commonly taken from
a.anterior part of palate
b.lateral wall of palate
c.medial wall of palate
Ans:anterior part of palate
61.drug used for non infectious uveitis in luminate
62.type d personality were recently found to risk for
a.coronary artery disease
Ans:coronary artery disease
63.maximum punishment to doctor under 304A…………….2year
19.ldl recptr true A/E-
a.clathrin coated recptr on cell membrane,
b.taken by endocytosis,
c.present only at xtra hepatic site,
d.incrsd cellular chloesterol downregulates the receptors
64.which drug for ms improve the EDSS ?
65.stack formula for age estimation frm dental pattern :
c.age 25- 50
d.>50 yrs age
66.Major determinant factor in gluconeogenesis in liver depends 0n
b.level of essential fatty acid in liver
c.ADP in liver
67.Anti coagulant for choice for testing anti coagulation?
d.3.2% Trisodium citrate
68.If u r in PHC, which anticoagulant is used to sent the blood sample ?
c.A-F + POTASSIUM
69.Which of the following inhibit CPT1 on outer membrane of mitochondria? malonyl coA
lady with hb-9, mcv- 50 , ferritin-200 , tibc-294 fe- 30mg/dl
b.anaemia of chronic d’s
70.WHICH OF THE FOLLOWING DOES NOT AFFECT THE HARDY WINBERG EQUATION?
71.A/e brown sequard syndrome
a.ipsilateral pyramidal tract features
b.c/l dorsal column
d.ipsilat planter extensor
72.ozurdex – 7% dexamethasone
73.patient with proptosis and pain after 4 hrs of injury,,,bruise in eye and frontal area……..
a.cav sinus thrombosis/
b. int carotid artery aneurysm/
c. carotico cavernous fistula/
74.a downs child mentally retarded, a/e
Ans: Deleted 21
75.PGE causes worsening in infant——-
a.ps without vsd
b.left hypoplastic hrt syndme
d.obstruction in aorta
d.HIV entry into cell
77.Which retinal layer is most resistant to radiation
b.layers of rods $ cones
c.bipolar cell layer
d.ganglion cell layer
Ans:a or b?
78.Calcification around foramen of monro, with periventricular infiltrates with raise ICT, diagnosis?
Ans:subependymal astrocytoma ?
79.herpes zoster keratitis all occure except
b.anterior endothelial keratitis
80.Patent with urethral syndrome , microscopy full of polymorph , but no bacteria , culture done in
81.First chemical barrier encountered for microorganism for common exposed sites
82.A surgeon inexperienced in laparoscopic cholecystectomy .He sees a CBD stone durin the procedure. how does he proceed ?
a.open cholecystectomy wid choledochoduodenostomy
b.convert it to open and then do CBD removal
c.laparoscopic cholecystectomy with lap choledocholithotomy
d.lap cholecystectomy with choledocholithotomy through cystic duct
Ans: Convert it to do open cholecystectomy and CBD stone removal ?
83.A child with tlc-60000 , hb-9.1 ,CD10+, CD33-, MPO+, CD117+, CD19- ????
84.all prevent delivery of aftercoming head of fetus except
d.incomplete dilatation of cervix
85.baby born wid blisters……….best investigation..
b.MANOUX on blister fluid
87.Treatment of choice in idiopathic CAH in infants:
88.Dilator pupillae supplied by
a.post ganglionic parasympathetic
b.post ganglionic sympathetic
89.Spondylolisthesis least helpful in diagnosis-
a.ap x ray
b.lateral x ray
Ans:AP X ray ?
90.For confirmation of identity DNA from autopsy sample is taken from
91.Women with infertility with bilateral cornual block on hysterosalphigography best way to manage is
92.poly (A) tail on translation will give rise to
93.least harm caused by damage to-
94.Karyotyping of fetus can be done frm a/e
a.Chorionic villlus sampling
Ans: fetal skin ?
95.T4 to T3 converted by all except
96.least harm caused by damage to-
Ans:Inferior mesenteric Artery
97.Newborn hypoehoic midline mass bruit on ausculation
Ans:Vein of galen malformation
98. Patient has papillary necrosis, investigation that need not be done
b.bacterial UTI culture –urine culture
c.urine PCR for TB
99.IgA deposits in dermal papilla. Diagnosis?
d.IgA dermatosis of childhood
100.17yr girl with ovarian tumor. Usg shows predominant solid components Ca 125 negative, AFP negative, ALP raised, most likely diagnosis?
2.Endodermal sinus tumor
102.% of endothelium destroyed in automated keratoplasty?
103.Bipolar 2 disorder is =
a.Hypomania + depression
b.Hypomania + syndromic depression
104.Hematuria with hypercalciuria what will be the associated finding
b. rbc cast
c. nephrotic range proteinuria
105.situs invertus, sinusitis, infertility: diagnosis
106.TB meningitis features, blood picture will show which of the following-
a.lymphocytosis ,low glucose ,high protein
b. lymphocytosis ,normal glucose ,high protein
lymphocytosis ,low glucose ,high protein
107.Group a streptococcus, best to diagnose by?
108.Reflux nephropathy pt has
109.indications of GTT in preg a/e:
d.PREVIOUS UNEXPLAINED DEATH
Ans:Therapist’s feelings towards a client(emotional entanglement)
111.A 50 year old man with aortic stenosis is doing exercise for 11 minutes according to bruce protocol. Exercise stopped due to fatigue, Regional pressure gradient is 60mmHg between the two sides of the aortic valve. What is the best management?
b.Aortic valve replacement
c.Aortic ballooning to prevent further derangement
112.Maintenance of tidal volume
a.bronchial stretch receptors
d.Hering breuer reflex
113.prothrombin time measurement –
a.within 2 hr should be measured
b.immediately refrigerate to preserve coagulant factor function
c. platelet rich plasma is required
d. activate with kaolin
114.Most common Cause of Addisons disease in india
115.Suppose you are in a phc, then you will send blood collected for blood glucose investigation mixed with?
b.Potassium citrate with _
c.Potassium citrate with NaF
116.17 yr female with b/l inguinal hernias,sec sex charecters seen,no pubic hair,with primary amennorhoe?
117.normal function of ovary is seen in?
118.short child with low t4 nd raised tsh nd swelling of pitutary , what is the diagnosis?
c.TSH secreting pituitary adenoma
119.direct thrombin inhibitor newest drug?
120.a 25 yr old female with mcv55,rbc count 4.5,with normal wbc count
c.anemia of chronic diseases
d.iron def anemia
121.Question on primary hyperaldosteronism all are present except-
Ans:metabolic acidosis present
122.indications of systemic steroids in psoriasis
123.question was which is true for octreotide
a.stimulates growth hormone
b.used in secretory diarrhoea
d.contraindicated in acromegaly
Ans:Used in secretory diarrhoea
124.MRSA cannot be given
125.to produce insulin by bacteria ,initial material is –
a.rna of beta pancreatic cell of human
b.DNA of beta pancreatic cell of human
c.m rna of beta pancreatic cell of bacteria
d.DNA of beta pancreatic cell of bacteria
126.lower limb weakness, subdural mass
127.Material not required in protein synthesis-
128.which of the following is not involved in translation in eukaryotes?
129.liver capsule compartments formed by all except
130.Direct standardisation question
6 TESTS ORDERED, 4 POSITIVE, 2 NEGATIVE, TO DIAGNOSE SLE WE MUST KNOW
Ans:Prior probability of sle,sensitivity,specificity.repeat question
132.Thiazide drug usage, what changes will occur within 24 hours of use of the thiazides in excretion of
134.old pt male develops respi infection, with fever, dry cough, organism grown on charcoal yeast extract only then the organism grows
135.pustular lesion on shin,recurrent oral mucosal ulcers?
136.Preleukemic conditions all except
b.paraoxysmal cold hemoglobinuria
137.Herpes zoster keratitis all occure except
b.anterior endothelial keratitis
138.LDL levels 500, triglyceride 150, which will be present in the patient?
139.not an indicator of acute pancreatitis
140.man with accident and forehead abrasion ,trauma proptosis appeared after 4 days of injury
The question given at top, repeat
141.brinzolamide- reversible noncompetitor
142.azithromycin prophylaxis in trachoma given when prevalence above?
143.phagocytosis causes complement activation by
Ans:c3b and fc
144.steroid resistant gene in NS:
145.Not used as prognostic marker in pancreatitis;
146.MRI finding characteristic of cavernous angioma-
a.popcorn like appearance
147.alzheimers disease all are seen except
148.epidermoid and arachnoid cyst differentiation
c.CSF in FLAIR
149.After RTA a young male presented with non pulsatile retroperitoneal hematoma.on table IVU was done.rt kidney not visualised left kidney showed immediate excretion of dye.what is next step in m/t
b.explore proximal renal vessels, open Gerota’s fascia n explore kidney
c.perform on table angiography
150.Characteristic thing secreated in breast milk
151.a pt present with sudden b/l loss of vision with loss of light perception. More on rt side. Pupillary reflex, optokinetic nystagmus are normal. Pt can touch to his finger on closing his rt eye but not on closing lt. What is diagnosis?
b.anterior ischaemic optic neuropathy
d.Funtional vision loss
152.all r true abt socialized medicine except
a.decreases competition among practitioners for patients
b.state incorporation for free medicine
c.itself states utilization of health facilities
153. Socialisation of Medicine
154.All r seen in 3rd nerve palsy except
d.eye moves laterally
155.all r true abt oxygenase except
a.incorporate one atom of O2
b.incorporate both atoms of O2
d.help in carboxylation reaction of steroids
156.Lid retraction is caused by
157.Granulosa cell tumor marker
158.Child presents with lesions on extensor surface of elbow, mother giving h/o bronchial asthma
a.airborne contact dermatitis
159.Cytoskeletal endothelial retraction adjustment occurs in inflammation-
a.early increase in permeability
b.late increase in permeability
160.about forcep delivery all except this is is inaccurate?
a.the AP diameter of head is 15 degree to the axis
b.it the presentation is vertex n face with mentoantr
c.the presenting part is at zero station
161.INVESTIGATION OF CHOICE FOR meningial carcinamatosis?
a.Non contrast CT
162.Episodic anemia +jaundice..all except
163.Leaking meningomyelocele..what investigation
164.investigation of choice for zenkers diverticulum?
165.Test were done 4m one sample hb ranging from 9.1 to 12.2…
Ans:Low Validity n low reliability??
167.Only neurons affected
168.Non blanching purpura lower limb-IgA
Ans:Henoch Schonlein Purpura
169.A patiemt has normal PT,Plat count and inc aPTT,factor 8 levels given as 60 iu/ml, no bleeding history, diagnosis?
a.Factor IX def.probably
c.Factor VIII inhibitors
170.1% pilocarpine given,large non responding pupil,cause is
171.patient with recurrent joint pains n pettiechial hemorrhages-
c.platelet function defect
d.factor viii inhibitors
172.4 month pregant lady on rx valproate.regularly seeking advice for valproate therapy,wts nxt management??
a.immediately taper off valproate and start lamotrigine
c.continue valproate with monitoring of dose
d.both valproate and lamotrigine
173. which of the following does not present with eosiniphilia and ARF..
a.drug induced interstitial nephritis
174.Which is the only drug effective in EDSS in multiple sclerosis?
175.”Experimental Bacteroides fragilis bacteremia in a primate model: evidence that Bacteroides fragilis does not promote the septic shock syndrome.”
176. c/c aicoholic wid painless 15degee deviation of little finger-rx
177.Lady with pain in great toe, but sensation intact on the toe, level of disc prolapsed?
178.Which of the following is not the function of gut flora?
a.degradation of mucin
b.production of vitamin k
c.decreased proliferation of epithelial cells
179.RA is best diagnosed by?
d.anti CCP antibody
180.Patient with pain in thumb, index finger, middle finger, what test will you not do come to a diagnosis?
181.Universal definition of MI all except?
a.Sudden death can be MI
b.New abnormal wall motion with raised cardiac biomarkers
c.3 times troponin levels
d.Reperfusion in 5-7% leads to elevation of troponin levels
182.Correct match of drug and its metabolic enzyme are all except?
4.2D6 for a drug
183.patient has injury in the base of right thumb, which muscle should be tested?
184.Which is not true
a.Ankle brachial index b.Smoking is more specific for peripheral vascular disease than for cardiovascular disease
c.ABI changes during exercise than at rest
185.Not true of isoenzymes?
b.same rate of work
c.same quarternary structure
186.Which is not due to defect in normal movement of brain tissue?
d.focal cortical brain maldevelopment
187.Syndromic management in INDIA includes which of them?
a.primary chancre and herpes
b.chancroid and herpes
c.chancroid, herpes and primary chancre
d.chancroid and primary chancre
188.Diabetes mellitius diagnosed when
a.fasting blood glucose is 100 and post prandial 140
b. fasting blood sugar 125 and 2 hr posprandial blood sugar is 199
Ans:fasting blood sugar more than 125 and 2 hr pp blood sugar more than 199.
189.Not a direct somatoform disorder?
c.Chronic fatigue syndrome
d.Irritable bowel syndrome
190.Somatic passivity is a feature of?
191.A hibernating heart can be diagnosed by?
192. All of the foll are present in superficial perineal pouch except?
b.posterior scrotal nerves
193. A 40 nm gap junction between tropocollagen arms contains which ion?
194. Adrenaline,dopamine, GABA, serotonin receptors are?
195.If a doctor indulges in giving false medical certificate to a patient then he is liable to be prosectuted under?
196.Incorrect IPC match?
a.Murder 300 IPC
b.Attempt to murder 307?
c.Attempt to suicide
197.Lady on long term hemodialysis developed carpel tunnel, on biopsy, it was Found to be due to amyloidosis. What type is the amyloid will be present?
a. Beta2 microglobulin
b.Amyloid light chain
198. An ICU pt on central line given Amikacin + ceftazidime. Culture grew gram positive bacteria in chain, he is Started on vancomycin for 2 weeks but bacteria still persisted. Which is it?
b.Coagulase negative Staphylococcus
c. Enterococcus fecalis
199.Patient with jaundice and white stools. Which of the foll enzymes is not raised?
b. alkaline phosphatase
d.gamma glutamyl transferase
I have completed 200 questions In the process of finding answers. Please contribute with references (web links)
I think some questions have been repeated please report them. Also correct incorrect questions
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