(Paper) AIIMS PG Entrance December 1999 Question Paper (2)

Paper :  AIIMS PG Entrance December 1999 Question Paper

51. In carcinoma colon C2 refers to involvement of 
a.mucosa only 
b.serosa
c.serosa with lymph node 
d.hepatic metastases

52. The best investigation for involvement of renal vein by renal cell carcinoma is 
a.USG         b.CT         c.IVP         d.color doppler

53. Which should be done in fracture of cervical spine
a.stabilize the cervical spine
b.intubate the patient
c.turn head from side to side to check for fracture


54. Following thyroidectomy, a 50 year old female developed bleeding. The most hazardous complication is
a.respiratory obstruction 
b.recurrent laryngeal palsy
c.dysphagia 
d.hypotension

55. Man sustained an injury with loss of skin cover exposing bone of 10 x 10 cm. The best treatment is
a.full thickness graft 
b.pedicle graft
c.amnion

56. A 75 year old male with adenocarcinoma of the left descending colon presented to the Casualty with acute abdominal obstruction. The best treatment is
a.Hartmann’s operation 
b.defunctioning colostomy
c.left hemicolectomy

57. The deformity in anterior dislocation of the hip is 
a.flexion, adduction, internal rotation
b.flexion, abduction, external rotation
c.flexion, adduction, external rotation
d.flexion, abduction, internal rotation

58. A 70 year old man involved in a Road traffic accident two weeks back and now on traction for pelvic fracture presents with dyspnea, hemoptysis and chest pain. The most likely diagnosis is
a.pulmonary embolism         b.ARDS        c.CCF           d.sepsis

59. A 10 year old child presents with limping and hip pain and on examination showing limitation on internal rotation and abduction in flexion. The diagnosis is
a.perthe’s disease 
b.TB hip
c.JRA 
d.septic arthritis

60. The most serious compliction in posterior dislocation of the knee is 
a.popliteal artery occlusion 
b.sciatic nerve injury
c.compartment syndrome due to occlusion
d.damage to femoral nerve

61. A 2 day old child presenting with weak Moro reflex of the right upperlimb with intact grasp reflex. On examination there is limitation of abduction, external rotation of arm and supination of forearm. The most likely nerve to be injured is
a.C8, T1         b.C5, C6         c.C1,C2         d.C7,C8

62. The correct choice regarding age group for various tumors is 
a.chondrosarcoma in 1st decade
b.multiple myeloma in 5th decade and above
c.osteosarcoma in 5th decade
d.osteoclastoma in 6th decade

63. A 10year old child presents with bone pain of two weeks duration. On examination there is anemia and hepatosplenomegaly. The X-ray showed chalky bones and multiple fractures with osteomyelitis. The likely diagnosis is
a.osteopoikilosis 
b.osteopetrosis
c.myoisitis ossificans progressiva


64. Which among the following benefits from cervical sympathectomy 
a.Sudeck’s dystrophy 
b.compound palmar ganglion
c.osteoarthritis of first MCP joint
d.de quervain’s tenosynovitis


65. A line drawn from the ischial tuberosity to the anterior superior iliac spine normally touches the greater trochanter. This line is called
a.Perkin’s line 
b.Nelaton’s line
c.Shoemaker’s lien 
d.Von Rosen’s line

66. The most common cause of Volkmann’s ischemic contracture in children is 
a.lateral condylar # 
b.supracondylar#
c.both bone fracture 
d.olecranon #

67. The most common cause of urinary retention at 10 weeks of pregnancy is 
a.fibroid 
b.ovarian cyst
c.RV gravid uterus 
d.pyelonephritis


68. USG is diagnostic in all except
a.hydatidiform mole 
b.anencephaly
c.Down syndrome 
d.placenta previa

69. Oligohydramnios is seen in 
a.esophageal atresia 
b.neural tube defect
c.renal agenesis 
d.anencephaly

70. Alpha feto protein is raised in which ovarian tumor 
a.dysgerminoma 
b.teratoma
c.choriocarcinoma 
d.endodermal sinus tumor

71. The cause of theca lutein cyst in hydatidiform mole is 
a.raised hCG 
b.raised estradiol
c.raised progesterone 
d.human placental lactogen

72. A woman, G2 P1 , presents with 10 wks gestation and history of DVT in the previous pregnancy in puerperium. The management includes all except
a.heparin to be started immediately
b.warfarin to be continued 6 wk after delivery
c.risk of thrombosis recurring is 10-12%
d.no anticoagulant needed in antenatal period

73. In a newly married woman with rheumatic heart disease, the contraceptive of choice is 
a.condom 
b.OCP 
c.copper T 
d.norplant

74. The most specific finding in amniotic fluid to diagnose neural tube defect is 
a.acetyl choline esterase
b.acetyl glucosamine
c.cysteinase

75. The transmission of HSV to the baby is maximum at
a.1st trimester         b.2nd trimester
c.3rd trimester         d.at parturition

76. True about HIV in the neonate includes all the following except 
a.cannot be diagnosed accurately by current methods
b.failure to thrive may be a presentation
c.transmission rate during pregnancy exceeds 90%


77. All the following are seen in maternal alcoholism except
a.microcephaly 
b.brachycephaly
c.hyperkinesis 
d.IUGR

78. A 28 yr old multipara presents with 3rd degree uterovaginal prolapse. The best management for her is
a.vaginal hysterectomy and pelvic floor repair
b.Fothergill’s repair 
c.sling operation
d.Fothergill’s repair with tubal ligation

79. Which of the following is not true about teratogenecity in pregnancy 
a.valproate causes neural tube defects
b.carbamazepine causes breech presentation
c.phenobarbitone causes cardiovascular defects
d.phenytoin causes gum hypertrophy in mother

80. A 24 yr old pregnant female with history of the first child having spina bifida. Which of the following is true
a.maternal valproate ingestion is associated with increased chances of spina bifida
b.multivitamin is prescribed
c.recurrence rate of

81. A pregnant female with her first child having toxoplasmosis in the right eye. What is the chance of toxoplasmosis in the next pregnancy.
a.100%         b.50%         c.25%         d.nil

82. A 38 wk pregnant lady presents with painless antepartum hemorrhage. On examination, the uterus was non-tender and the head was engaged. The most appropriate management for her.
a.conservative 
b.emergency USG
c.speculum examination
d.antepartum hemorrhage is associated with increased incidence of PNMR

83. In abruptio placenta, which of the following is not decreased.
a.factor V 
b.whole blood clotting time
c.factor VIII 
d.renal blood flow

84. Which of the following is true about Rh isoimmunization.
a.indirect antibody titre >4 denotes severe sensitisation
b.serial USG helps in early detection
c.order of pregnancy does not affect the prognosis
d.ABO incompatibility increases the risk of sensitisn

85. True regarding placenta accreta is
a.seen at the site of previous C.S scar
b.associated with amniotic fluid embolization
c.villi penetrate to the serosa
d.removed piecemeal under G.A

86. 6 yr old Ramesh underwent tonsillectomy. He developed profuse bleeding in the post operative period. The best treatment is
a.external compression bandage
b.mouthwash with antibiotics
c.palatal infusion 
d.surgery

87. Dysphonia plica ventricularis is producing sound with
a.true cords          b.false cords
c.ventricle             d.buccal walls


88. Stone in salivary gland is most common in
a.parotid 
b.submandibular
c.sublingual 
d.minor salivary glands

89. In obstructive jaundice in a 70 yr old man, which of the following is the investigation of choice
a.USG         b.CT scan

90. Skin graft survival in the first 48 hours is dependent on 
a.random connection between host & donor capillaries
b.plasmatic imbibition 
c.saline in dressing
d.development of new blood vessels

91. All are true about cholelithiasis except 
a.seen in males at 30-70 year age mostly 
b.associated with gallbladder carcinoma

92. The most common salivary gland tumor in children is
a.adenoid cystic carcinoma 
b.mucoepidermoid
c.pleomorphic adenoma 
d.warthin’s

93. Regarding blood pressure in co-arctation of the aorta, which of the following is true. 
a.Rt upper limb > Lt. upper limb > lower limb
b.Rt. upper limb > Lt.upper limb
c.upper limb > lower limb

94. A young couple have a 2 yr old son and a 3 yr old daughter . The wife’s father developed Huntington’s chorea at 48 yrs of age. Which of the following is true a.sex linked dominant inheritance 
b.with the above data alone a 25% chance of the children being affected can be predicted
c.if the mother is unaffected till 40 yrs, the children are free of risk
d.many of the cases occur due to new mutation

95. A young female approached an antenatal clinic fearing about congenital anomaly. Which is true regarding autosomal recessive disease
a.consanguinity increases the chance
b.family history of the disorder

96. A 30 yr old male with history of chronic smoking developed gangrene of the toes. The diagnosis is
a.TAO             b.atherosclerosis             c.Raynaud's

97. Which of the following is seen in sub-cortical dementia 
a.aphasia 
b.dyslexia
c.memory loss 
d.tactile agnosia

98. A patient presents with loss of repetition, comprehension and naming of objects. His speech is flowing. But mistakes occur with new words. The site of lesion is
a.dominant frontal lobe
b.nondominant frontal lobe
c.dominant temporoparietal
d.nondominant temporoparietal


99. CSF finding of protein moderately elevated, glucose much reduced, chloride moderately decreased and neutrophils suggests
a.tuberculosis 
b.meningococcal
c.viral 
d.poliomyelitis

100. A child underwent splenectomy and developed sepsis. The cause could be 
a.streptococcus pyogenes
b.streptococcus pneumoniae
c.staphylococcus
d.klebsiella

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