AIIMS May 2016

1.A surgeon tells you to preoperatively clean the patient who was planned for a
hemicolectomy surgery via midline approach.He asked you to paint the Patient
using antiseptic solution. The best way to do it
a.from xiphisternum to pubic symphysis
b.from umbilicus to Pubic symphysis
c.from Nipple level to mid thigh level including genitalia
d. from Sternal angle till mid thigh including genitalia
2.Patient was operated for Appendectomy post surgery a foley catheter was put.
Surgeron asked you to remove the catheter. You tried but could not remove it, then
surgeon and Medical officer also tried but they could not remove it. What will be the
best next step?
a.inflate the catheter balloon with ether to the poit it burst
b.inflate balloon using distilled water and burst it
c. ct guided Baloon Puncture
d. Usg guided Baloon puncture.
3.Patient developed sudden breathlessness after rta. On auscultation breath sounds
are absent on right side and hyperresonant note on percussion, His BP is 80/60,
Pulse is 120 beats per minute. What will be the next best step in management:
a.Needle puncture
b.IV fluid administration
c.
d.
5.4 yr baby in septic shock. Fluid of choice
a.20ml/kg Normal saline
b.10 ml /kg Hestarch
c.20ml/kg 0.5 Normal saline
d.

7.rbc storage temperature

a.2-8 C
b.-2C
c.10-15C
d.Room temperature
8.Given Histopathology specimen shows section of

.
a.Lymph node b.Spleen

c.Peyers Patches

9.The tissue shown in given HPE is found in

d.Tonsil

a.Nasal septum b. Ear Pinna

c.Articular cartilage d.Intervertebral disk

10.

12.

a.Posterior communicating artery

14.Identify the cell that secret HCl?

15. Which does not give afferent to it(Basal Ganglia).

a) Spinal cord
b) Cerebral cortex
c) Substantia nigra
d) Thalamus

16. Thoraco-abdominal diaphragm is not working, palsy of which nerve ?

Ans. Phrenic nerve

18. Diaphragm development - Which part causes most common deformity ?

a) Pleuroperitoneal membrane
b) Septum transversum
c) Dorsal mesentery of oesophagus
d) Cervical somites

Ans. a) Pleuroperitoneal membrane (postero-lateral defect in diaphragm)

19. Angle of jaw is supplied by

a) Maxillary branch of trigeminal b) Mandibular branch of trigeminal c) Lesser

occipital d) Greater auricular

Ans. d) Greater auricular nerve (C2 dermatome)

20. Identify Insula in the transverse section of brain

22.0

Most common nerve injured

a) Median b) Ulnar c) Radial d) Musculocutaneous

Ans. a) Median (Anterior interosseous nerve)

23.identify the structure which forms portal vein

24. Vasomotor reversal of Dale. Correct is adrenaline after giving

a.phentolamine
25. An ARB with PpAr gamma agonist action
Telmisartan

26. Which of following s least likely to inhibit CYP450??

a.lansoprazole
b.omeprazole
C.pantoprazole
d.rabeprazole

27..Dopamine used for shock does not act on?

Alpha 2

28.Needle size for blood transfusion

18-20

29.head injury True statement

30.Thrombolytics are not indicated in?
a. age >18 years
b. bp>180/100
c.
d.
001.Pt known case of Nephrotic syndrome. Has history of travelling for 15 day by air, presents with sudden onset
breathlessness. TOC
a.Heparin
B.str
C. intraarterialthrombectomy
D.
41.Patient with groin lesion applied steroid ointment. Pruritis resolved but the lesion extended in the

periphery. Diagnosis
A) lichen planus
B ) herpes
C ) psoriasis
D) tinea cruris
42.Pneumococcus

43.Meningococcal Meningitis

44.

002.Leprosy
47.child with painless cervical LN. MCC
48.

49.

50.

Treatment:
a.Immediate laparotomy b. early laparotomy c.

d.

51.

52.

a.Klipple feil syndrome

53.Surgeon performed hernia operation. Asked you to close the abdomen using
interrupted skin sutures. Which instruments would u use?
54.Surgeon performed Mastoidectomy operation, asked u to close the wound
using subcutaneous sutures. Which suture will you use?

a.

55.
56. not an Antigen Presenting cell
a.M cell
b.langerhan cell
c.macrophage
d.Thymocytes
60. ASHA function
immunise all children completely
work under supervision of ANM
accompany pregnant women to hospital
...........

63.membrane attack complex

64

.
a.tibial hemilelia
65.H and E of inflammation site
Arrows show

a. Plasma cells

66.running nose from 1 month, nasal blockage since 15 days

a.Antrochoanal polyp
68

.
a.Laryngeal papillomatosis
003. ABC and VED in PHC is used for
a.vaccines
b. drugs and pharmaceuticals

70. Rhythm of respiration is regulated by

Ans: Pre botzinger complex
71. a child of 6yrs age with habit of bed wetting and no abnormal findings of urinary
investigations..
Options:1) reassurance and follow up
2)Referred to psychiatrist
3)
4)
72. 8 finger FINDER test uses all except thumb/index /ring/ little finger
73. Torniquet test used to diagnose
a.Dengue
004. A patient comes in emergency with feeling of impending doom, intense ghabrahat and palpitations. Which of
the following investigation need to be done in emergency to find the cause of anxiety
a. T3T4 TSH
b. Glucose
c. Hemoglobin
d.ECG

75. image of teeth upper jaw lower jaw?

palmar notation? universal.etc
76. biomedical research..ethics code?
geneva declartion?hippocratic oath?
77. Psychiatrists are not posted in india to?
A) military hospital
b)phc
C)district hospitals
D) medical college
005. Male with patchy baldness and hair around the patch
Alopecia areata
Androgenic alopecia
Telogen effluvium
Anagen effluvium

79. Type of sounds on auscultation in post tb bronchiectasis

A crackles bibasilar
B mixed crackles

C tubular breathing
D only expiration Crackle's
80. 11 weeks Iucd insitu and female gets pregnant , next stepA. Remove immediately
B. Let it remain
C. Give antibiotics
D. ?
81. Stature of person with length of humerus given
Options?
82. Congenital dislocation of hip picture given which sign is not positive
A. Narath sign
B.ortolani
C. Barlows.
D?
006.Which of the following is not asked in personal history in a psychiatric disorder?
A. Occupation history
B. Academic history
C. Food preferences
D. Marital history

84. How do we reduce intracranial pressure In Head injury cases

100% oxygen
reduce end tidal co2
Sedatives
?
85. Packed RBC's to transfuse within...
Within 4 hrs of issue from blood bank
Within 4 hrs of preparation of sample
Within 4 hrs of receiving it at bedside
86. Nimodipine is given in
Extradural hemorrhage
Subdural haemorrhage
Intracerebral
Subarachnoid hameorrhage
87. Image of bone marrow aspiratiin needle perhaps. Test can not be done when
88. a cell with negativity 100 outside the calls and positivity 10 inside the cell the nernest
potential is

a +10
b +60
c -10
d -60
89. A person develops pruritus on exposure to sun, following exercise, after spicy food.. Probable
diagnosis
A) cholinergic urticaria
B. ) atopic dermatitis
C) allergic dermatitis
Cholinergic urticaria

90. histo pic of ulcer given

Clini
A. Molluscum contagiosum
B. Herpes
C. BCC
D. SCC with central crater

cal scerio was multiple papules on skin...HPE slide suggests

007. ER PR and Her 2 neu images given.... Prognosis asked

Poor prognosis
Good prognosis
Good prognosis with trastuzumab
Good prognosis without trastuzumab
92

.
Goodpasteur syndrome
008. glucogenesis possible from A/E
Lactate
OAA
Pyruvate
Acetyl CoA
94. glucagon acts on which lipase
Hormone sensitive lipase
..... Lipase
.... Lipase
95. Cervix soft, posterior, -1, 1cm dialation, 30 effaced.. Bishop score

96.

a.anencephaly

009. Diabetic women most common congenital abnormality in baby

Vsd
Sacral agenisis

98. MMSE is used in assesment of:

1. Cognition
2. Mood and effect
3. Thought process
4. Insight

99.Hoffman elimination seen in

0010. PSVT ECG.. Treatment ?

101.

Time since MI
0011. What golgi tendon organ transmits?
0012. Complement involved in humoral rejection in organ transplant
C3b
C4d
C5a

104.Serum sickness is a
a. type 3 rxn

0013. wrong about venous drainage of esophagus?

a) cervical part drains to brachiocephalic vein
b.) thoracic to a azygos vein
c) left gastric vein drains lower part
d) veins drain to submucous plexus
106.urea clearance c= uv/p.... What is u
107. Maximum difference b/w partial pressure of Oxygen in artery and alveolus in.....
ILD
Asthma
Pulmonary Embolism
Bronchial obstruction
108. resting position lung and chest wall recoil same at
Frc
Rv
Expiratory reserve volume
109.Permissive hormone for puberty?
GnRH
Insulin
GH
FSH
0014. )Image of an injury on the left shoulder anterior aspect. Type of injury??
Laceration
Chop wound
Abrasion
Incised wound
111. Ploquet's test??
Air in stomach
Air in middle ear
Lung floatation test
Wt of lung doubled after breathing.
112. for victim of rape,toluidine blue reagent used for??
Microinjuries....
Recently healed microinjuries
Dried semen stain

0015 true about obsession A. Obsession persists despite resistance by the patient
B. Ego dystonic
C. Disorder of thought content
D. Can be seen in schizophrenia

0016. audiometry graph given and asked about conductive or sensory neural hearing loss
115

.
Pap smear
a.Trichomoniasis
116.Bloody diarrhea. Colonoscopic biopsy

a.Entamoeba

117. smoking and lung cancer best and fastest study ?

0017.confidence Interval of a population with 100 people and 10 % prevalace.
119.Type 2 error
120.Mullerian agenesis
121.Asherman Syndrome MC presentation
122.Test to differentiate between obstructive and organic azoospermia
123. person on standing from lying position systolic bp reduced by 10mmhg...error was
2mmhg and gain of baroreceptor....
124. apgar score in a study was most of the time above 7 or more
A)data symmetrical
B)+vely skewed
C)_vely skewed
D) data symmetrically skewed
0018.Most important in dengue is?hematocrit?/HB?/platelet count?
126. organism causing fungal like ulcer in eye
0019.white painful corneal ulcer with raised margins and finger like projections in
surrounding cornea and minimal hypopyon. Causative organism
128.Phenol red test
129. image of spine given? ankylosing spondylitis?pagets?/hyperparathyroidism?
130. a pt came with acute abdominal pain ,reports suggest hypercalcemia due to tumour lysis
syndrome.next step?
a.prednisolone.b. bisphosphonate
131. ABG collection ?/radial artery preferred?/0.3ml heparin taken in syringe prior to
collection?/not collected if modified ad...test is negative?
0020. lead poisoining ? levels ???ALA ?
133. pregnant female - hbE +ve fulminent LF
134. In Pleural fluid TB detection which of the following is not useful in making diagnosis?
ada/ldh/x-pert gene,albumin
135. 70 yr old male has a pearly firm lesion on his cheek with blood vessels running on the
surface ,diagnosis?

wart/bcc/sq cc/acne?
136.Double sac embryo in usg is due to
0021. MAC order in neonates,children,adults
138. in term pregnancy which doesn't increase ?minute ventilation /c.o/blood volume/
139. vegetations around mitral valve leaflets closure mc seen in?
infective endocarditis/libmansach endocarditis?/tb/rheumatic endocarditis
140External beam therapy fr Ca endometrium...which st on pelvis is most radiosensitive
Bladder ovary rectum vagina

141. Volume of remaining air after expiration

0022. Obstructive jaundice urobilinogen level
0023. hormone acting on nuclear receptor
144. A man develops erythema and pruritis over v area of the chest , arms , face. What test will you
do to confirm diagnosis
A) If E levels in the blood
B. ) skin biopsy
C) prick test
D) patch test

145. Michalis Menton equation

146.stool specimen

True statement?
d.Parthenogenesis

0024. CLED media....

separates lactose and nonlactose ....decreases swarming....urinary pathogen..
148.Megaloblastic pernicious anemia causing organism
149. Strength of association given by
Attributable risk
RR/ ODDS Ratio

150. Pic basex QuePatient with hemoptysis and cough.

Diarrhea and flushing is there.

Chromogramine positive..
151.Histo slide was there.
- large cell neuro endocrinal tumor
-brochial carcinoid
-squamous cell carcinoma
-??

151.Lung carcinoma HPE specimen

0025.

153.True statement regarding pericardial tamponade

154.In Isolated aortic Stenosis all of the following is seen except

a.Pulsus bispheriens
b.
c.
d.
0026. Child wid TOF., now has diarrhea,... most characteristic finding for TOF spells
S3 gallop rhythm
pAO2 < 74%
Murmur
Hepatomegaly

156.Weber Fechner Law states

157. subarachnoid block was given by bupivacaine (heavy) and anaesthesia was found till T6 level on
examination. patient presented with PR 56 n BP 90/60 .possible mechanism is
bain bridge reflrx
reverse Bainbridge reflex
loss of cardio accelerator fibres
some other reflex

0027. A 22 year old g2p1 woman delivered at term a healthy baby and
after delivery the products of conception came out. 1 hour after
delivery, the lady starts bleeding profusely from uterus and uterus felt
boggy. Emergency Usg done which showed Placental tissue inside
uterus . This is due to
a.Placenta accrete
b.Placenta succenturium
c
d

0028.

160.A patient was posted for hernia surgery and Intrathecal bupivacaine given.
After sometime patient developed hypotension and sensory level was till t6. This
fall in bp was due to?
161.which of following drugs does not act on post synaptic receptors?
a. Succinylcholine
b.Pancuronium
c.vecuronium
d.dandrolene sodium

162.Angle which of an uppermost letter of Snellen chart would substend into eye
by keeping the chart at a distance of 6 metres from eye.
163.sampling procedure
164.Calculate sample size
CI=95% Alpha=5% Power =80% relative precision =20%
a.900

b.
c.
165. Following phototherapy what will happen to a lesion immediately
A) remains unchanged
B ) changes to white
C) changes ti grey
D) changes to yellow

0029.Ovarian cystic mass felt and seen on usg.Pap smear given. Next
step
a.Ca125
b.CT scan
c.Follow up after 3 Months
d.Laproscopy
167.Best determinant of Afterload
a.TPR
168.Transfusion associated malaria is more severe than Mosquito spread Malaria.
This is due to the transmitted form being
a.Trophozoite
b.sporozoite
c.Merozoite
d.schizont
0030.Diffusion graph
a.K+
B.O2
C.CO2
D.Glucose

170. most potent oxide ion

superoxide/peroide /hydrogen peroxide

171. EBV infection does not cause

a.T cell lymphoma
172. Who can't declare brain death
Treating physician
Neurosurgeon
Rmo
Surgeon performing liver transplant
173. pt having cynide poisionong whichi is first affected
NAD
CITRATE FORMATION
acetyl coa
174. nitric oxideCGMP pathway
0031.this instrument is used in

a.d and c
176. Anganwadi worker used measurements for growth.....
HT for age/Mac

177.Cells of origin of this neoplastic growth is

a.giant cells
b. small round cells
c. osteocytes
d.chondrocytes
0032.Injury shown in pic is
a. Abration
b.laceration
c.contusion
d
179. Uterus enlarge,tender,no mass on usg......disease...????
endometriosis/endometritis/leiomyoma..????
180. Image..identify is it
facial recess/Sinus tympani\ Scala tympani/, pyramidal fossa

181. Instrument not used in tonsillectomy

Harmonic scalpel

Bipolar cautery
Microdebrider
Cobalting band
182. A child 3 mon given cereals what can occur
Allergy
Gastrooesophageal reflux
Gi infection
183. Reason for immediate peri operative fall in BP
Use of nm blocker
Use of induction agent..
184. A/E about Lumbar puncture is true
Pt made to lie supine & prone position & needle pointing upwards
Needle is put in cephalad position

185. Sevoflurance will be able to deliver another inhalational agent if it is having similar

Blood gas coeff

Lipid gas coeff??
molecular wt
vaporizing pressure
186. Abnormal subclavian artery formation
187. Which amino acid cannot go into kerbs cycle
Glycine
Tyrosine
Hydroxyproline
Alanine
188.For EPISIOTOMY Why mediolateral incision is preferred over median
Less blood loss
Less extension
189. Autoinfection not seen with
-e.vermicularis
-h.nana
-tinea
-Ascaris
190. Largest number of genes in human genome r for receptors of
Immunoglobins
Odorants

Growth factors
Interleukins
191. Protein precipitation wid all except ?
Alcohol acetone
Salts of heavy metals
Ph oder dan isoelectric ph
TCA
192. Which is nt continuous data?
Height
Weight
Abo blood grouping
Age in year and month
193. In anaphylaxis, which action of adrenaline is nt observed
Bronchodilatiom by beta receptors
Heart action by beta
Action on blood vessel by alpha
Act on Pre synaptic by alpha receptors
194. Pic - of pelvis
Lucency on rt Upper end of femur
- simple bone cyst
-osteoclastoma
- ????
195. Abdominal pain, dysmenorrhea and menorrhagia.
Painful bleeding.
Endometrial bx normal.
P/v examination diffuse enlarge uterus no adnexal mass or tenderness
-endometritis
-adenolymphoma
-endometriosis
-adenomyosis
196. Direct coombs test positive in all except ?
Drug induced autoimmune hemolytic anaemia
Transfusion related hemolytic anaemia
Aplastic anaemia
Hemolytic ds newborn
197. True abt antigenic drift is...
A due to frameshift mutation
B seen only in GRP A influenza
C casuse seasonal epidemic

198.All post ganglionic receptors are..

A nicotinic
B muscuranic
C dopamergic
D...
199.not True about incidence

Incidence decreases when programme is effective

Incidence means new cases detected
Incidence shows the absolute risk
200. 9. Which phase of clinical trials is done after the drug enters the market?

a. Phase 1
b. Phase 2
c. Phase 3
d. Phase 4

0033.child with pneumonia had ards. CXR given. what is not seen?
pleural effusion
pneumothorax
in situ chest drains
0034.patient in shock, rapid correction of volume required , which colour
canula yo use
11.Age of child?

13.the gland shown in the pic is:

A,Holocrine gland

0035.identify nerve affected?

21. Image of muscle of larynx labelled A,B,C,D. Which muscle of larynx responsible

for abduction of vocal cord.

a) Cricothyroid
b) Thyroarytenoid
c) Posterior cricoarytenoid

d) Lateral cricoarytenoid

Ans. c) Posterior crico-arytenoid muscle

Not a gp lla/lllb receptor blocker

Prasugrel
27. L asparaginase used in
?ALL
0036. G2 specific drug Etoposide, dactinomycin,vinca alkaloids, paclitaxel
29. Metoclopromide antiemetic action is due to
d2 blocking
30. DOC for erythrodermic psoriasis?

32. Sputum sample collected for tb marked as

A) 1,2
B) alpha , beta
C) A, B
D) Y, Z
34.testicular biopsy to be collected in?
Ans:Buyon solution
0037.c represents

38.patient with acute MI. presents at 6 hours. Treatment of choice

0038. semantic memory doesnt include

a. word

b. rule
c. language
d.events
0039. 1 Child of 2 yrs face, abdomen, chest and both upper limbs burned. what is the
%age burnt area
40%
54%
60%
45%
0040. Nation Iron Plus program true is
IFA to 3-6 months
IFA to reproductive age group
IFA to 12-19 yrs
Kidney gross morpho given....

Flea bitten appearance.....ans

amyloidosis
PSGN
0041.