All India Institute of Medical Sciences 2003 Post Graduate Diploma all india medical pre pg entrance - Question Paper

1. From a person suffering from the infection while traveling in the aeroplane.
2. From a chronic carrier in the convention center.
3. From inhalation of the aerosal in the air conditioned room at convention center.
4. By sharing an infected towel with a fellow delegate at the convention.
Ans. 3
71. In post-operative intensive careunit, 5 patients developed post-operative wound infection on the identical day. The best method to prevent cross infection occuring in other patients in the identical ward is to:
1. provide antibiotics to all other patients in the ward.
2. Fumigate the ward.
3. Disinfect the ward with sodium hypochlorite.
4. Practice proper hand washing.
Ans. 4
72. The earliest immunoglobulin to be synthesized by the fetus is:
1. IgA.
2. IgG.
3. IgE.
4. IgM.
Ans. 4
73. The subsequent are actual regarding Lyme's Disease, except:
1. It is transmitted by ixodes tick.
2. Erythema chronicum migrans may be a clinical feature.
3. Borrelia recurrentis is the aetiological agent.
4. Rodents act as natural hosts.
Ans. 3
74. A 55 year old lady presenting to out patent department (OPD) with postmenopausal bleding for three months has a 1x1 cm nodule on the anterior lib of cervix. The most improper investigation to be done subsequently is:
1. Pap smear.
2. Punch biopsy.
3. Endocervical curettage.
4. Coloposcopy.
Ans. 2
75. A hemodynamically stable nulliparous patient with ectopic preganancy has adnexal mass of 2.5 x three cms and Beta hCG titre of 1500 miu/ml. What modality of treatment is suitable for her:
1. Conservative management.
2. Medical Management.
3. Laparoscopic Surgery.
4. Laparotomy.
Ans. two [ 3 Criteria have been mentioned for medical therapy of ectopic pregnancy
i) Hemodynamically stable patient
ii) Mass lessthan four cm in size
iii) Cardiac activity absent in ectopic mass
No mention is made in these criteria for HCG level. 1st 2 criteria are satisfied here and no mention of third. No shock current. So answers should be 2]
76. A primigravida at 37 week of gestation reported to labour room with central placenta praevia with heavy bleeding per vaginum. The fetal heart rate was normal at the time of exam. The best management choice for her is:

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