All India Institute of Medical Sciences 2003 - Question Paper

1. DNA-PCR.
2. Viral culture.
3. HIV ELISA
4. p24 antigen assay.
Ans 3
A I I M S A I P P G PA P E R
113. In neonatal screening programme for detection of congenital hypothyroidism, the ideal place and time to collect the blood sample for TSH estimation is :
1. Cord blood at time of birth.
2. Heal pad blood at the time of birth.
3. Heal pad blood on four day of birth.
4. Peripheral venous blood on 28 day.
Ans 1

114. The Pin index code of Nitrous oxide is :
1. 2, 5.
2. 1,5.
3. 3,5.
4. 2,6.
Ans one Lee's

115. A 3 years old boy presents with poor urinary stream. Most likely reason is :
1. Stricture urethra.
2. Neurogenic bladder.
3. Urethral calculus.
4. Posterior uretral valves.
Ans 4

116. Peroconceptional use of the subsequent agent leads to
decreased incidence of neural tube defects :
1. Folic acid.
2. Iron.
3. Calcium.
4. Vitamin A.
Ans 1

117. A 11- month old boy, weighing three kg, has polyuria, polydipsia and delayed motor milestones. Blood investigations show creatinine of 0.5 mg/dl, potassium 3mEq/1, sodium 125 mEq/1, chloride 88 mEq/1, calcium 8.8 mg/dl, pH 7.46 and brcarbonate 26 mEq/1. Ultrasonography indicates medullary nephrocalcinosis. The most likely diagnosis is :
1. Renal tubular acidosis.
2. Diabetes insipidus.
3. Bartters syndrome.
4. Pseudohypoaldosteronism.
Ans three ghai page 384

118. The treatment of option for primary grade V vesico-ureteric reflux involving both kidneys in a six month old boy is:
1. Antibiotic prophylaxis.
2. Ureteric reimplantation.
3. Cystoscopy followed by subureteric injection of teflon.
4. Bilateral ureterostomies.
Ans one ?(Nelson says that chemo prophylaxis as even severe reflux resolves over time.)

119. The most common leukocytoclastic vasculitis affecting children is :
1. Takayasu disease.
2. Mucocutaneous lymph node syndrome. (Kawasaki disease).
3. Henoch Schonlein purpura.
4. Polyarteritis nodosa.
Ans 3

120. A-13-year old boy is referred for valuation of nocturnal enuresis and short stature. His blood pressure is normal. The hemoglobin level is 8g/dl. Urea 112 mg/dl, creatinine six mg/dl, sodium 119 mEq/dl, potassium four mEq/l, calcium seven mg/dl, phophate six mg/dl and alkaline phophatase 300 U/l. Urinalysis indicates trace proteinuria with hyaline casts; no red and white cells are seen. Ultrasound indicates bilateral small kindneys and the micturating cystourethrogram is normal. The most likely diagnosis is :

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