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

b) They are obligate intracellular organisms.
c) They lack a cell wall.
d) They are resistant to Beta-lactam drugs
169. Which of the subsequent strategy has been recommended to decrease the hereditary rist for ovarian cancer in women with BRCA I & BRCA II mutations ?
a) Use of Oral Contraceptive Pills.
b) Screening with Transvaginal Ultrasound.
c) Screening with CA-125.
d) Prophylactic oophorectomy.
170. The corneal transparency is maintained by :
a) Keratocytes
b) Bowman's membrane
c) Descemet's membrane
d) Endothelium
171. The most important indication for surgical repair of a Bicornuate Uterus is :
a) Infertility
b) Dysmenorrhoea
c) Menorrhagia
d) Habitual abortion

172. The 1 measurement of fetal maturity that is not affected by a 'bloody tap' during
amniocentesis is :
a) L/S ratio.
b) Phosphatidyl glycerol
c) a fetoprotein
d) Bilirubin as measured by AOD 450
173. Which of the subsequent test is the most sensitive for detection of iron depletion in
pregnancy ?
a) Serum iron
b) Serum transferrin
c) Serum ferritin
d) Serum Erythropoiethin
174. At what gestation does the switchover from fetal to adult hemoglobin synthesis
start ?
a) 30 weeks
b) 36 weeks
c) seven days postnatal
d) three weeks postnatal
175. In which of the subsequent conditions would maternal serum a-fetoprotein values be
the highest ?
a) Down's syndrome
b) Omphalocele ans
c) Gastroschisis
d) Spina bifida occulta
176. The drug of option in treatment of typhoid fever in pregnancy is :
a) Ampicillin
b) Chloramphenicol
c) Ciprofloxacin
d) Ceftraixone
177. The treatment of option for Anaplastic carcinoma of thyroid infiltrating trachea and
sternum will be :
a) Anaplastic carcinoma
b) Follicular carcinouma
c) Papillary carcinoma
d) Palliative/Symptomatic treatments

178. The treatment of option for Anaplastic carcinoma of thyroid infiltrating trachea and sternum will be:
a) Radical excision
b) Chemotherapy
c) Radiotheraphy
d) Palliative/Symptomatic treatment

179. A 10 year old boy developed hoarseness of voice subsequent an attack of diphtheria. On examination, his Rt vocal cord was paralysed. The treatment of option for paralysed vocal cord will be:
a) Gel foam injection of right vocal cord
b) Fat injection of right vocal cord
c) Thyroplasty kind I
d) Wait for spontaneous recovery of vocal cord.
180. The current treatment of option for a large Antro-choanal polyp in a 30 year old man is:
a) Intranasal polypectomy
b) Caldwell Luc operation
c) E.S.S. (Endoscopic sinus surgery)
d) Lateral Rhinotomy and excision
181. A two year old boy presents with fever for three days which responded to administration of paracetamol. 3 days later he developed acute renal failure, marked acidosis and encephalopathy. His urine showed plenty of oxalate crystals. The blood anion gap and osmolar gap were increased. Which of the subsequent is the most likely diagnosis?
a) Paracetomal poisoning
b) Diethyl glycol poisoning
c) Severe malaria
d) Hanta virus infection

182. What is the drug of option to control supraventricular tachycardia?
a) Adenosine
b) Propranolol
c) Verapamil
d) Digoxin
183. A child presents with diarrhea and peripheral circulatory failure. The arterial pH is 7.0 PCO2 15 mmHg, and PO2 76mm Hg. What will be the most improper theraphy?
a) Sodium bicarbonate infusion
b) Bolus of Ringers lactate
c) Bolus of hydroxyethyl starch
d) 5% Dextrose infusion
184. A five year old child is rushed to casualty reportedly electrocuted while playing in a park. The child is apneic and is ventilated with bag mask. There are burns on every hand. What will be the next step in the management?
a) Check pulses
b) begin chest compressions
c) Intubate
d) Check oxygen
185. Arterial blood gas of a five year old done at sea level provide the subsequent results: pH 7.41, PaO2 100 mmHg and PaCO240mmHg. The child is being ventilated with 80% oxygen. What is the (A-a) PO2?
a) 570.4 mm Hg
b) 520.4 mm Hg
c) 470.4 mm Hg
d) 420.4 mm Hg
186. Recurrent respiratory tract infections may occur in all of the subsequent except:
a) Ventricular sepal defect
b) Tetrology of fallot
c) Transposition of great arteries
d) Total anomalous venous return
187. A six month old boy weighting 3.2 kg presents with recurrent vomiting and polyuria Investigations show blood urea 60 mg/dL creatinine 0.7 mg/dL, calcium 12.8 mg/dL, phosphate three mg/dL, pH 7.45, bicarbonate 25 mEq/L and PTH 140 pg/ml (normal<60 pg/ml). Daily urinary calcium excretion is decreased. Ultrasound abdomen show bilateral nephrocalcinosis. The most likely diagnosis is:
a) Bartter syndrome
b) Mutation of the calcium sensing receptor.
c) Pseudo-pseudohypoparathyroidism
d) Parathyroid adenoma
188. A female child has recently studied to eat with spoon without spilling; to dress and undress hereself with supervision; and to understand that she is a girl. These skills are 1st mastered ranging from the ages of:
a) two & three years
b) three & four years
c) four & five years
d) five & six years
189. Which of the subsequent antiepileptic agents acts on the GABAergic system to reduce the uptake of GABA into neurons and glial cells:
a) Vigabatrin
b) Progabide
c) Gabapentin
d) Tiagabine
190. The Mu receptor of the opioids is responsible for the subsequent clinical actions except:
a) Analgesia
b) Respiratory depression
c) Sedation
d) Diuresis
191. Which 1 of the subsequent drugs does not produce central anticholinergic syndrome
a) Atropine sulphate
b) Glycopyrrolate
c) Antihistaminics
d) Tricyclic antidep
192. Heparin is the commonly used anticoagulant in cardiac surgery. All of the subsequent are actual about heparin except:
a) Weakest acid obtained in residing things
b) Most commercial preparations of heparin now utilize pig intestinal slimes
c) Act via Antithrombin activation
d) Produce thrombocytopenia
193. The new agent , useful in breast cancer, belongs to which of the subsequent category of drugs?
a) Antitumor antibiotic
b) Alkylating agent
c) Hormonal agent
d) Antimetabolite

194. Bradycardia is common after injection of:
a) Midazolam
b) Succinyl choline
c) Dopamine
d) Isoprenaline
195. According to myogenic hypothesis of renal autoregulation, the afferent arterioles contract in response to strech induced by:
a) No release
b) Noradrenaline release
c) Opening of Ca2+ channels
d) Adenosine release
196. All of the subsequent transport processes follow'saturation kinetics' except:
a) Facilitated diffusion
b) Na+-Ca2+ exchanger
c) Simple diffusion
d) Na+ coupled active transport
197. An anterolateral corodotomy relieving pain in right leg is effective because it interrupts the:
a) Left dorsal column
b) Left ventral spinothalmic tract
c) Left lateral spinothalmic tract
d) Right lateral spinothalmic tract
198. Fetal haemoglobin has all the subsequent characteristic features except:
a) Strong affinity for 2,3-DPG
b) Oxygen dissociation curve is shifted to left
c) At low fetal PO2 provide up more oxygen to tissues than adult hemoglobin.
d) Forms 80% of haemoglobin at birth
199. Beta waveforms in electroencephalogram designate which of the subsequent states of the patient?
a) Deep Anaesthesia
b) Surgical Anaesthesia
c) Light Anaesthesia, eyes closed, relaxed
d) Awake/alert state

200. A 24 years old primigravida wt=57 kg. Hb 11.0 gm% visits an antenatal clinic during second trimester of pregnancy seeking advice on dietary intake. She should be advised:
a) Additional intake of 300 kcal
b) Additional intake of 500 kcal
c) Additional intake of 650 kcal
d) No extra kcal

Earning:   Approval pending.