All India Institute of Medical Sciences 2002 Post Graduate Diploma Medical - Question Paper

c. In the mediastinum
d. In the thyroid
162. Features to differentiate
parathyroid adenoma from
hyperplasia would include which
of the subsequent
a. Presence of excess chief
cells
b. Infiltration of capsule
c. Identifying hyperplasia
involving all four glands at
surgey in parathyroid
hyperplasia
d. High levels of
parathormone
163. Asbestosis of the lung is
associated with a all of the
subsequent other than
a. Progression of lesion
even after stopping
exposure to asbestos
b. Nodular lesions involving
upper lobe
c. Asbestos bodies in
sputum
d. Mesothelioma
164. Actinic keratosis
predisposes to which of the
subsequent lesions commonly
a. Basal cell carcinoma
b. Squamous cell carcinoma
c. Melanoma
d. Freckles
165. All of the subsequent are
actual regarding warthins tumour
except
a. More common in females
b. 10% are bilateral
c. Commonly involve the
parotid glands
d. They arise from the
epithelial and the
lymphoid cells
166. Which of the subsequent
mutations in a tumour suppressor
agent causes breast carcinoma
a. P43
b. P53
c. P73
d. P83
167. A female patient
presented with a firm mass of
2*2 cms in the upper outer
quadrant of the breast. She provide
a family history of ovarian
carcinoma .The investigation that
needs to be done to assess for
mutation in
a. BRCA2
b. Her2/Neu gene
c. P53
d. C-myc gene
168. For comparison grading
of pain the scale used is
a. Face’s scale
b. Visual chart
c. CHEOPES
d. Numerical charts
169. Phelps sign is seen in
a. Glomus jugulare
b. Vestibular shwanoma
c. Menniers disease
170. Citelli’s angle is
a. CP angle
b. Dural sinus angle
c. Solid angle
d. Part of Mac Evans
triangle
171. A child with cervical
Ependymoma receives
radiotherapy for his treatment.
On follow-up he has been obtained
to gain a lot of weight. The reason
for his weight gain is
a. Steroid induced obesity
b. Hypothalamic lesion
c. Hypothyroidism
d. Pan hypopitiutarism
172. In a DNA the coding
region reads 5-CGT-3.This
would code in the RNA as
a. 5-UAG-3
b. 5-ACG-3
c. 3-GCA-5
d. 3-ACG-3
173. A 10 year boy presented
with polyuria , polydypsia
Laboratory data showed (in meq)
Na 154 , K 4.5 , serum
osmolality 295 Bicarbonate 22
meq. Blood urea was 50 and
specific gravity of urine 1.005.
Diagnosis is
a. Diabetes Insipidus
b. Renal tubular acidosis
c. Recurrent UTI’s
d. Barters syndrome
174. A lady presented with
bilateral nodular lesions on shins.
She was also obtained to have
bilateral hilar lymphadenopathy
on chest X-ray. Mantoux test
reveals induration of five mms.
Skin biopsy would reveal
a. Non caeseating
Granuloma
b. Vasculitis
c. Caeseating Granuloma
d. Malignant cells
175. In a patient with
ascending paralysis there is
subsequently respiratory muscle
involvement. CSF exam
showed albuminocytological
dissociation. Treatment to be
provided is
a. Oral Prednisolone
b. IV methyl Prednisolone
c. IV immunoglobulins
d. Cyclosporin
176. In a patient presenting
with a swelling of the thyroid,
the radionuclide scan showed a
cold nodule and the ultrasound
showed a non cystic solid mass.
The management of this patient
would be
a. Lobectomy
b. Hemithyroidectomy
c. Eltroxin
d. Radio Iodine therapy
177. A patient presenting with
jaundice the HIDA scan would
be most useful for which of the
following
a. Biliary atresia
b. Bile duct carcinoma
c. Cholelitihiasis
d. Benign biliary disease
178. Insulinoma is most
commonly located in which part
of the pancreas
a. Head
b. Body
c. Tail
d. Can be located at head
neck or body equally
distributed
179. In the synthesis of fatty
acids the energy is supplied by
a. NAD
b. NADPH
c. FAD
d. GTP
180. In a patient with frontal
lobe abscess pigment released on
exposure to UV rays showed red
fluorescence. The organism
implicated is
a. Bacteroids
b. Peptostreptococci
c. Streptococci
d. Provetella
181. A patient operated for
thyroid surgery for a thyroid
swelling later in the evening
developed difficulty in breathing.
There was swelling in the neck.
The immediate management
would be
a. IV calcium gluconate
b. Open the wound sutures
in the ward
c. Epinephrine inj
d. Tracheostomy
182. Which of the subsequent
mechanisms is important in
staphylococcal enterotoxin
causing vomiting
a. Increased activation of
camp
b. Stimulation of vagal
fibres
c. Release of IL-4 cytokine
d. Increased cGMP
183. The diagnosis of rota
virus is made by
a. Demonstration of
Antibody in stool
b. Demonstration of antigen
in stool
c. Direct visualization
d. Stool culture
184. Toxoplasmosis infection
in the foetus can be best
diagnosed by
a. IgM antibody against
toxoplasma in foetus
b. IgG antibodies against
toxoplasma in foetus
c. IgM antibodies in mother
d. IgG antibodies in mother
185. actual about V Cholera is
a. Pathogenecity of 0139
V.Cholera is due to the
presence of the O antigen
in it
b. 1 attack of V cholera
provide life long immunity
c. Affects adults and
children with equal
propensity in non
endemic regions
d. V.Cholera survives in the
carriers in the inter
epidemic period
186. Which of the subsequent is
associated with hypersensitive
pneumonitis
a. Asbestosis
b. Bysinosis
c. Berylliosis
d. Silicosis
187. Dr. Trehan, was
accidentally exposed by a needle
stick injury while taking sample
of a patient who was HIV
positive .The prophylaxis to be
provided is
a. Zidovudine+Lamuvudine
for four weeks
b. Zidovudine+Stamuvudine
for four weeks
c. Ziduvudine+Lamuvudine
+Nevirapine for four weeks
d. Ziduvudine +Lamuvudine
+Indinavir for four weeks
188. Egg shell calcification is
characteristically seen in
a. Silicosis
b. Sarcoidosis
c. Asbestosis
d. Beryliosis
189. A patient presenting with
polyuria, pain abdomen, nausea ,
altered sensorium was obtained to
have bronchogenic carcinoma
.The electrolyte abnormality seen
in him would be
a. Hypocalcemia
b. Hypercalcemia
c. Hypokalemia
d. Hyperkalemia
190. A patient presented with a
swelling in his right foot with
multiple discharging sinuses. The
lesion did not respond to
antibiotics. The likely etiological
agent would be
a. Actino-madura
b. Nocardia
c. Sporothrix
d. Madurella mycetoma
191. In Video assisted
thoracoscopic surgery for better
vision the space in the operative
field is created by
a. Co2 insufflation
b. Collapse of ipsilateral
lung
c. Self retaining retractor
d. Rib spacing
192. Which of the subsequent
malignancies would spread to
cervical lymph nodes more
commonly
a. Nasopharyngeal
carcinoma
b. Ca Base of tongue
c. Glottic Ca
d. Transglottic carcinoma
193. A patient presented with a
1 by 1.5 cms growth on the
lateral border of the tongue. The
treatment indicated in
management of this patient is
a. Laser ablation
b. External beam
radiotherapy
c. Interstitial Brach therapy
d. Chemotherapy and
Radiotherapy
194. A patient presented with a
3.5 cms size lymph node
enlargement, which was hard and
current in the submandibular
region. exam of the head
and neck did not yield any lesion.
The next investigation to be done
in this patient is
a. Triple endoscopy
b. Supra vital oral mucosal
staining
c. Chest X ray
d. Laryngoscopy
195. A patient with solitary
pulmonary nodule. The best
investigation to come to a
diagnosis would be
a. MRI
b. CT scan
c. Ultrasound
d. Imaging guided FNAC

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