All India Institute of Medical Sciences 2005 M.D /MS Entrance - Question Paper

a) Brucelloswis
b) Weil's disease
c) Acute viral hepatities
d) Q fever

158. A 50-year old lady presented with history of pain upper abdomen, nausea and reduced appetite for five days. She had undergone cholecystectomy two years back. Her bilirubin was 10 mg/dl, SGOT 900 IU/I SGPT 700 IU/I and serum alkaline phophatase was 280 IU/I. What is the most likely diagnosis ?
a) Acute pancreatitis
b) Acute cholagits
c) Acute viral hepatitis
d) Posterior penetration of peptic ulcer
159. A 70- year old male patient presented to the emergency department with pain in epigastrium and difficulty in breathing for six hours. 1 examination, his heart rate was 56 per minute and the blood pressure was 106/60 mm Hg. Chest exam was normal. The patient has been taking omeprazole for gastroesophageal reflux disease for last six months. What should be the initial investigation ?
a) An ECG ans Inf wall MI
b) An upper GI endoscopy
c) Urgent ultrasound of the abdomen
d) An x-ray chest
160. A 30-year old delivered a healthy baby at 37 week of gestation. She was a known case of chronic hepatitis B infection. She was positive for HBs Ag but negative for HBeAg. Which of the subsequent is the most improper treatment for the baby ?
a) Both active and passive immunization soon after birth.
b) Passive immunization soon after birth and active immunization at one year of age.
c) Only passive immunization soon after birth.
d) Only active immunization soon after birth
161. The blood culture from a patient of febrile neutropenia has grown psuedomonas aeruginsa. When tested for antimicrobial susceptibitly, it was obtained to be a producer of extended spectrum beta lactamase enzyme. The best option of antimicrobial theapy should be :
a) Ceftazidime+amikacin
b) Aztreonam+amikacin
c) Cefpirome+amikacin
d) Imipenem+amikacin

162. A known HIV positive patient is admitted in an isolation ward after an abdominal surgery subsequent an accident. The resident doctor who changed his dressing the next day obtained it to be soaked in blood. Which of the subsequent would be the right method of option of discarding the dressings:
a) Pour 1% hypochlorite on the dressing material and send it for incineration in a improper bag.
b) Pour 5% hypochlorite on the dressing material and send it for incineration in a improper bag.

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