Monday, March 18, 2013

RAPID REVIEW MAY AIIMS 2012

MAY 2012 QUESTIONS DISCUSSION 
1.BRAIN IS CONSIDERED RESPONSIVE BECAUSE
IT CAN BE PROFOUNDLY AFFECTED FUNCTIONALLY BY EXTERNAL ENVIORNMENT
2.DISTINGUISHING FEATURE OF PTSD FROM OTHER DISORDERS FOLLOWING A DISASTER IS
RE-EXPERIENCES AND AVOIDANCE OF SIMILAR SITUATION
3.ALL OF FOLLOWING ARE DISORDERS OF FORM OF THOUGHT EXCEPT
 A.LOOSENING OF ASSOCIATION
B.TANGENTIALITY
C.THOUGHT BLOCK(DISORDER OF CONTINUITY OF THOUGHT)
D DERAILMENT
4.ANTIPSYCHOTIC DRUG AVAILABLE AS A DEPOT PREPARATION
FLUPHENAZINE DECANOATE
5.A WOMAN CONSUMES SEVERALTABLETS OF AMITRYPTILINE.WHICH OF FOLLOWING ORDERS WRITTEN BY HOUSE SURGEON IS WRONG
A SODIUM BICARBONATE INFUSION FOR ALKALINISATION OF URINE
B.GASTRIC LAVAGE
C.IV DIAZEPAM TO AVOID SEIZURES
D.ATROPINE AS ANTIDOTE
6.MOST RELIABLE TEST FOR DIAGNOSING SPINAL TB
CT GUIDED BIOPSY
7.MAXIMUM RADIATION EXPOSURE AMONG FOLLOWING IS FOR 
CT SCAN 
CHEST XRAY
BONE SCAN 
MRI
8.STEREOTACTIC RADIOTHERAPY IS USED FOR 
A INOPERABLE STAGE 1 CA LUNG
B CA BASE OF TONGUE WITH NEW NODES
C LYMPHANGITIS CARCINAMATOSA
D MILIARY LUNG METASTASIS
9.BRACKET CALCIFICATION IPN SKULL XRAY SEEN IN
CORPUS CALLOSUM LIPOMA
10.WHICH AMONG FOLLOWING IS NON-IODINATED CONTRAST
A GADOLINIUM
B VISIPAQUE
C IOPANIDOL
D DIATRIZOATE
11.FOLLOWING AN ACCIDENT A PERSON SUFFERED SPLENIC RUPTURE.ON EXAMINATION BP 90/60 mm Hg PULSE RATE 126/MIN SPO2 92%INDUCTION AGENT OF CHOICE IS
ETOMIDATE
12.MAX DOSE OF LIGNOCAINE GIVEN WITH ADRENALINE FOR OCULAR BLOCK
7mg/kg
13.METHOD TO MONITOR DEPTH OF ANAESTHESIA
BISPECTORAL IMAGING
14.DECREASED DOSE OF LA OF SA OR EPIDURAL ANAESTHESIA IN MANAGING FULL TERM PREGNANCY IS DUE TO ALL EXCEPT
A DECREASED VOLUME OF SUBARACHNOID SPACE
B ENGORGED EPIDURAL VEINS
C EXAGGERATED LUMBAR LORDOSIS
D INCREASED SENSITIVITY OF NERVES 
15.MAJOR COMPONENT OF SODALIME USED FOR CO2 ABSORPTION IS
Ca(OH)2



Friday, March 15, 2013

PHYSIOLOGY QUESTIONS


PHYSIOLOGY
1.Hartmann’s solution contains no: 
A. Na
B. Ca
C. Mg
D. Lactate
ANS C
2.All of the following histamine effects are mediated by H2- receptors EXCEPT: 
A. Vasodilatation 
B. Bronchoconstriction 
C. Gastric acid secretion 
D. Tachycardia
ANS B
3.In a patient with diabetic ketoacidosis, the following are true except: 
A. There is decreased PaCO2
B. There is decreased concentration of H+ intracellularly 
C. Renal excretion of titratable acids will be increased 
D. There is increased synthesis of bicarbonate 
ANS B
4.Which biologically active substances are partially degraded by the lung? 
A. Surfactant 
B. Histamine 
C. Angiotensin 
D. Noradrenaline
ANS D
5.Changes with raised intracerebral pressure (ICP): 
A. BP increase, HR decrease, RR decrease 
B. BP increase, HR increase, RR decrease 
C. BP decrease, HR increase, RR increase 
D. BP increase, HR decrease, RR increase 
E. No change in BP or HR
ANS A
6.The hepatic artery : portal vein blood flow ratio is: 
A. 1 : 10 
B. 3 : 1 
C. 2 : 1 
D. 1 : 6 
E. 1 : 3
ANS E
7.The highest oxygen extraction is found in the: 
A. Carotid body 
B. Heart 
C. Kidney 
D. Brain 
ANS B
8.Which part of heart has fastest conduction? 
A. AV node  
B. His bundle 
C. Purkinje fibres 
D. SA node  
ANS C
9. Baroreceptors located in all EXCEPT: 
A. Carotid sinus 
B. Carotid body 
C. Right atrium 
D. Aortic arch 
E. Large veins 
ANS B
10.Significant tubular reabsorption occurs with: 
A. Phosphate 
B. Creatinine 
C. Urea 
D. Sulphate 
E. All of the above
ANS A

11. Which of the following is NOT a function of the lungs?
A. Metabolism
B. Serves as a reservoir of blood for the left ventricle.
C. It is a filter to protect the systemic vasculature
D. Facilitates the exchange of O2 and CO2 between air and blood.
E. All of the above are true.
ans E

12. Which of the following is in the correct path of CO2 from the tissue to the atmosphere?
A. Reaction with H2O to make H2CO3, dissociation to H+ and HCO3-, H+ combines with imidazole side chain of hemoglobin, carried back to lungs as HHb+ and HCO3-, reverse reaction forms CO2.
B. O2 is metabolized to CO2, reaction with H2O to make H2CO3, H2CO3 combines with imidazole side chain of hemoglobin, H2CO3Hb+ is carried back to the lungs, reverse reaction forms CO2.
C. Reaction with H2O to make H2CO3, dissociation to H+ and HCO3-, HCO3- combines with imidazole side chain of hemoglobin, carried back to the lungs as HCO3-Hb+ and H+, reverse reaction forms CO2.
D. O2 is metabolized to CO2, reaction with H2O to make H2CO3, dissociation to H+ and HCO3-, carried back to lungs in this form, reverse reaction forms CO2.
ANS A

13.Calculate PAO2 for a person at sea level for R = 0.82 and PACO2 = 40 Torr.
A. 110 Torr.
B. 95 Torr
C. 80 Torr
D. 101 Torr
ANS D

14.Mechanism of development of edema in nephrotic syndrome is?
A. Sodium and water retention
B. Loss of proteins
C. Hyperlipidemia
D. Increased venous pressure
ans: B.
15. Chemotaxis – Main feature is
a) Unidirectional locomotion of neutrophils
b) Increase in phagocytosis
c) Increased random motion of neutrophils
d) Increased adhesiveness to intima
ANS A

16. Appetite is stimulated by A/E
a) Agouti related peptide
b) Melanocyte concentrating hormone
c) Melanocyte stimulating hormone
d) Neuropeptide Y
ANS C

17. Capacitation occurs in
a) Uterus
b) Seminal vesicle
c) Epididymis
d) Vas deferens
ANS A

18. The main cause of increased blood flow to exercising muscles is
a) Raised blood pressure
b) Vasodilatation due to local metabolites
c) Increased sympathetic discharge to peripheral vessels
d) Increased heart rate
ANS B

19. Intrinsic factor of Castle is secreted by
a) Chief cells
b) Parietal cells
c) Mucus cells
d) B cells
ANS B

20. Somatomedin mediates
a) Deposition of chondroitin sulphate
b) Lipolysis
c) Gluconeogenesis
d) Decreased rate of glucose uptake by cells
ANS A

21. Hyperaldosteronism associated with all except
a) Hypernatremia
b) Hypokalemia
c) Hypertension
d) Metabolic acidosis
ANS D


22. Spinocerebellar tract – Function is
a) Equilibrium
b) Vision
c) Initiation & planning of movements
d) Smoothens & co-ordinates movement
ANS D

EACH OF YOU WHO VISITED PLEASE SHARE ONE QUESTION IN PHYSIOLOGY IN COMMENT BOX BELOW.WE WILL UPLOAD MORE QUESTIONS TOMORROW

Thursday, March 14, 2013

ANATOMY QUESTIONS DISCUSSION FOR AIIMS


ANATOMY

1.The following structures are felt on per
rectal examination except -
A. Bulb of penis
B. Ureter
C. Anorectal ring
D. Urogenital diaphragm
Ans: b.

2.All are true except –
A. Superior thyroid artery is a branch of
ext. carotid artery
B. Posterior branch of superior thyroid
artery supplies parathyroid gland
C. Inferior thyroid artery is branch of
thyrocervical trunk
D. Thyroidea ima artery is invariably a
branch of arch of aorta
Ans: d.

3.The following structure does not pass
through flexor –
A. Ulnar Nerve
B. Median Nerve
C. Flexor digitorum profundus
D. Flexor digitorum superficialis
Ans: a.

4.True about left phrenic nerve –
A. lies anterior to anterior scalenous
muscle
B. posterior to brachial plexus
C. posterior to subclavian artery
D. Posterior to hilum left lung
Ans: a.

5.In injury to head of fibula, all are
involved except –
A. Common peroneal N.
B. Superficial peroneal N.
C. Anterior Tibial N.
D. Tibial N.
Ans: d

6 Deep peroneal nerve supplies –
A. 1stweb space nerve foot
B. 5thweb space of foot
C. Antero lateral dorsum of foot
D. Lateral part of leg
Ans: a.

7. True about prostatic urethra are all
except –
A. Trapezoid in cross-section
B. Presence of verumontanum
C. Opening of prostatic ducts
D. Contains urethral crest
Ans: a.

8. Meissner’s and Auerbach’s plexus are
derived from:
A. Neural crest
B. Yolk sac
C. Primordial germ cell
D. Epithelial lining of gut
Ans: a.

9. In post ductal coarctation of the aorta,
blood flow to the lower limb is maintained
through which of the following arteries?
A. Vertebral artery
B. Suprascapular artery
C. Intercostal arteries
D. Internal thoracic artery
Ans: a.

10. Vaginal sphincter is found by all
except –
A. Internal urethral sphincter
B. External urethral sphincter
C. Pubovaginalis
D. Bulbospongiosus
Ans: a.


11. All of the following maintain the
stability of ankle joint except –
A. Cruciate ligament
B. Shape of the bones
C. Tendons of muscle which cross the
joint
D. Collateral ligament
Ans: a.

12. What is medial most in femoral
triangle?
A. Vein
B. Artery
C. Nerve
D. Lymphatics
Ans: d.


13 Hypogastric Sheath is a condensation of
A. Scarpa’s fascia
B. Colle’s fascia
C. Pelvic fascia
D. Inferior layer of Urogenital diaphragm
Ans: C. Pelvic fascia

14 Which of the positions best describes 
the location of celiac plexus
A. Anterolateral to aorta
B. Posterolateral to aorta
C. Anterolateral to sympathetic chain
D. Anteromedical to sympathetic chain
Ans: A. Anterolateral to aorta

15 Gluteus medius is supplied by
A. Superior Gluteal Nerve
B. Inferior Gluteal Nerve
C. Nerve to Obturator Internus
D. Nerve to Quadratus Femoris
Ans: A. Superior Gluteal Nerve


16. Which of the following passes through 
the foramen magnum
A. Vertebral artery
B. Sympathetic chain
C. XIth cranial nerve
D. Internal carotid artery
Ans: A. Vertebral artery

17. All of the following movements occur 
abduction of shoulder except
A. Elevation of humerus
B. Axial rotation of clavicle
C. Medial rotation of scapula
D. Acromioclavicular joint movement
Ans: C. Medial rotation of scapula

18. All of the following are composite 
muscles, except:
A. Flexor carpi ulnaris
B. Flexor digitorum profundus
C. Pectineus
D. Biceps femoris
Ans: A. Flexor carpi ulnaris

19. Urogenital Diaphragm is made up of 
the following, except:
A. Deep transverse perineus
B. Perinial membrane
C. Colle’s fascia
D. Sphincter Urethrae
Ans: C. Colle’s fascia




20. In post-ductal coarctation of aorta 
collaterals may be formed by all of the 
following, except:
A. Vertebral artery
B. Suprascapular artery
C. Subscapular artery
D. Posterior intercostals artery
Ans: none

21. Left sided superior vena cava drains 
into:
A. Right Atrium
B. Left atrium 
C. Coronary sinus
D. Pericardial space
Ans: A. Right Atrium


22.Labyrinthine artery is a branch of: 
A. Anterior inferior cerebellar artery 
B. Basilar artery 
C. Posterior cerebellar artery 
D. Internal carotid artery
ans.A

23.Common carotid artery divides at the level of :
a) Hyoid bone
b) Cricoid cartilage
c) Superior border of thyroid cartilage
d) Inferior border of thyroid cartilage
ans.c

24.Which of the following muscle is known as 'Climbing muscle' :
A. Teres major
B. Lattisimus dorsi
C. Deltoid
D. Serratus anterior
ans b

 25.Carpal bone which fracture commonly :
A. Lunate
B. Hamate
C. Scaphoid 
D. Pisiform
ans c

26.The structures passing posterior to diaphragm are all except :
A. Aorta
B. Azygos vein
C. Thoracic duct
D. Greater splanchnic nerve
ans d

27. Meckel's diverticulum most commonly presents as:
A. Gastrointestinal bleeding
B. Obstruction
C. Diverticulitis
D. Intermittent abdominal pain
ans a

28.The part of pancreas that develops from ventral pancreatic bud :
A. Uncinate process
B. Upper part of head
C. Body
D. Tail
ans a

29.
 Middle superior alveolar nerve is a 

branch of 
a) Mandibular division of 
trigeminal nerve 
b) Palatine division of maxillary 
nerve 
c) Anterior nasal division of 
maxillary nerve 
d) Inferior alveolar nerve 
ans c
30 All the following muscles retracts the 
scapula EXCEPT 
a) Trapezius 
b) Rhomboid major 
c) Rhomboid minor 
d)  Levator scapulae
ans d
31
. Cranial nerve NOT carrying 

parasympathetic fibres 
a) 4th 
b) 7th 
c) 3rd 
d) 9th 
ans a

32 Prostatic urethra – True are A/E 
a) Trapezoid in cross section 
b) Elevated round swelling called 
verumontanum 
c) Opening of prostatic ducts 
d) Posterior part has urethral 
crest 
ans a

33 Morgagni hernia presents most 
commonly on 
a) Left posterior 
b) Right anterior 
c) Right posterior 
d) Left anterior 
ans b

34. Meralgia parasthetica is due to 
involvement of 
a) Sural nerve 
b) Medial cutaneous nerve of 
thigh 
c) Lateral cutaneous nerve of 
thigh 
d) Peroneal nerve 
ans c

35. Celiac plexus is located 
a) Anterolateral & around the 
aorta 
b) Posterolateral & around the 
aorta 
c) Anteromedial to lumbar 
sympathetic chain 
d) Posterolateral to lumbar 
sympathetic chain 
ans a

36. Paneth cells – True is 
a) Rich in rough endoplasmic 
reticulum 
b) High zinc content 
c) Foamy cytoplasm 
d) Numerous lysozyme granules 
ans b

37. About sternocleidomastoid tumor all are 
true except –  
a) Always associated with breech 
b) Spontaenous resolution in 
most cases 
c) Two-third have palpable neck 
mass at birth  
d) Uncorrected cases develops 
plagiocephaly 
 ans a

38. The function of 8th cranial nerve is 
related to 
a) Smell 
b) Taste 
c) Touch 
d) Balance 
 ans d

39. Anterior ethmoidal nerve supplies all 
except? 
a. Maxillary sinus 
b) Interior of nasal cavity 
c) Dural sheath of anterior cranial 
fossa 
d) Ethmoidal air cells 
ans a

40. A healthy young athlete is  sitting at the 
edge of the table with knee at 90 degree 
flexion. He fully extends it. What will 
happen? 
a) Movement of tibial tuberosity 
towards lateral border of 
patella 
b) Movement of tibial tuberosity 
towards medial border of 
patella 
c) Movement of tibial tuberosity 
towards centre of patella 
d) No change in position 
ans a

41. Pain insensitive structure in brain is 
a) Falx cerebri 
b) Dural sheath surrounding 
vascular sinuses 
c) Choroid plexus 
d) Middle meningeal artery 
ans c

42 Appendices epiploiceae present in 
a) Appendix 
b) Cecum 
c) Rectum 
d) Sigmoid colon 
ans d

43. Pelvic splanchnic nerve supplies A/E 
a) Appendix 
b) Rectum 
c) Uterus 
d) Urinary bladder 
ans a


44.. Capacitation occurs in 
a) Uterus 
b) Seminal vesicle 
c) Epididymis 
d) Vas deferens 
ans a

45.Which of the following movements will not be affected by involvement of the L5 Nerve root?
A. Thigh adduction
B. Knee Flexion
C. Knee Extension
D. Toe Extension
Ans: A. 


46.The Couinaud’s segmental nomenclature is based on the position of the :
A. Hepatic veins and portal vein
B. Hepatic veins and biliary ducts
C. Portal vein and biliary ducts
D. Portal vein and hepatic artery
ans: A. 


47.Which of following is the feature of Y chromosome?
A. Acrocentric
B. Telocentric
C. Submetacentric
D. Metacentric
ans : A. 

48.All of the following are catagorised as secondary lymphoid organs except
A. Lymph nodes
B. Spleen
C. Thymus
D. Subepithelial collections of lymphocytes
ans: C. 

49.The articular cartilage is characterized by all of the following features except :
A. It is devoid of perichondrium
B. It has a rich nerve supply
C. It is avascular
D. It lacks the capacity to regenerate
ans : B. 

50.The first costo-chondral joint is a :
A. Fibrous joint
B. Synovial joint
C. Syndesmosis
D. Synchondrosis
ans : D






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