All India Institute of Medical Sciences 2003 - Question Paper

4. Ventricular septal defect with pulmonary arterial hypertension.
Ans 3

8. Which test is performed to detect reversible myocardial ischemia ?
1. Coronary angiography.
2. MUGA scan.
3. Thallium scan.
4. Resting echocardiography.
Ans 3

9. A 62 years old man with caracioma of lung presented to emergency department with respiratory distress. His EKG showed electrical alternans. The most likely diagnosis is :
1. Pneumothorax.
2. Pleural effusion.
3. Cardiac tamponade.
4. Constrictive pericarditis.
Ans 3

10. Atrial fibrillation may occur in all of the subsequent conditions, except:
1. Mitral stenosis
2. Hypothyroidism.
3. Dilated cardiomyopathy.
4. Mitral regurgitation.
Ans two (Causes of AF include hyperthyroidism)

11. A patient with recent-onset primary generalized epilepsy develops drug reaction and skin rash due to phenytoin sodium, The most improper course of action is :
1. Shift to clonazepam.
2. Restart phenytoin sodium after two weeks.
3. Shift to sodium valproate.
4. Shift to ethosuximide.
Ans 3

12. Which of the subsequent is the commonest location of hypertensive hemorrhage?
1. Pons.
2. Thalamus.
3. Putamen/external capsule.
4. Cerebellum.
Ans 3
13. Which of the subsequent is the most common central nervous system parasitic infection?
1. Echinococcosis.
2. Sparganosis.
3. Paragonimiasis.
4. Neurocysticercosis.
Ans 4. Echinococcosis- Most common site is liver & lungs. Paragonimiasis occurs in lungs.

14. Which of the subsequent is the most common tumor associated with kind I neurofibromatosis?
1. Optic nerve glioma.
2. Meningioma.
3. Acoustic Schwannoma.
4. Low grade astrocytoma.
Ans one [Ranjita Pallavi, K.J.Somaiya; Mumbai] Neurofibromatosis kind one (von Recklinghausen's Disease is am Autosomal dominant disorder. Gene involved = 17, gene product = Neurofibromin.
Criteria for diagnosis of neurofibromatosis kind one (any 2 of the subsequent 7 will do)
1) Neurofibromas (one plexiform neuroma, or 2 +)
2)Cafe au lait spots (six or more measuring at lowest 1.5 cm in greatest dimension)
3)Frekling in axilliary or inguinal areas
4) 2 or more iris hamartomas (Lisch nodules)

Earning:   Approval pending.