Saturday, November 15, 2008

137 - AIIMS november 2008 medicine mcqs

111. A 9 YR OLD GIRL HAS DIFFICULTY IN COMBING HAIRS AND CLIMBING UPSTAIRS SINCE 6 MONTHS.SHE HAS GOWERS SIGN POSITIVE AND MACULOPAPULAR RASH OVR METACARPO PHALANGEAL JOINTS.WHAT SHUOLD BE THE NEXT APPROPRIATE INVESTIGATIO TO BE DONE?
A. ESR
B. RA FACTOR
C. CREATINE KINASE
D. ELECTROMYOGRAPHY

112.ANTIBODY FOUND IN MYOSITIS IS?
A. ANTI JO1
B ANTI SCL 70
C. ANTI DS DNA

113.A GIRL ON EXPOSURE TO COLD HAS PALLOR OF EXTERMITIES FOLLOWED BY PAIN AND CYANOSIS. IN LATER AGES OF LIFE SHE IS PRONE TO DEVELOP?
A. SLE
B. SCLERODERMA
C. RA
D. SYSTEMIC SCLEROSIS

114. WHICH RADIOLOGICAL FEATURE WOULD HELP DIFFERENTIATE RHEUMATOID ARTHRITIS WITH SLE?
A. EROSION
B. JUXTA ARTICULAR OSTEOPOROSIS
C. SUBLUXATION OF MCP JOINT
D. SWELLING OF PIP JOINT

115.ALL ARE SEEN IN REITERS SYNDROME EXCEPT?
A. SUBCUTANEOUS NODULES
B. ORAL ULCERS
C. KERATODERMA BELANORRHAGICUM
D. CIRCINATE BALANITIS

116.WHICH OF THE ORGANISM CAUSES REACTIVE ARTHRITIS?
A. UREAPLASMA UREALYTICUM
B. GROUP A BETA HEMOLYTIC STREPTOCOCCI
C. BORRELIA BURGDORFERI

117.ALL ARE TRUE ABOUT METACHROMATIC LEUCODYSTROPHY EXCEPT?
A. FOLLOWS AN INDOLENT COURSE AND SLOW TO PROGRESS
B. TISSUE BIOPSY IS DIAGNOSTIC
C. PRESENTS AS VISUAL LOSS AND SPEECH ABNORMALITY
D. INVOLVES DEEP CORTICAL NEURONS


118. MOST COMMON CAUSE OF MONONEURITIS MULTIPLEX IN
INDIA IS?
A. HANSENS DISEASE
B. RA
C. TB
D. PAN

119.WISKOTT ALDRICH SYNDROME IS CHARACTERISED BY ALL EXCEPT?
A. THROMBOCYTOPENIA
B. AUTOSOMAL RECESSIVE
C. FAILURE OF AGGREGATION OF PLATELETS IN RESPONSE TO AGONISTS
D. ECZEMA

120.SPONTANEOUS CSF LEAK OCCOURS IN ALL EXCEPT?
A. INCREASED ICT
B. PARTIAL OR COMPLETE EMPTY SELLA SYNDROME
C. PSEUDOTUMOUR CEREBRI
D. LOW RISK ENCEPHALOCOELE

121. TRUE ABOUT FLUORESCENT ANTIBODY DETECTION TEST IN DIAGNOSIS OF PLASMODIUM FALCIFARUM ARE A/E?
A. IT’S A IMMUNOCHROMATIC TEST
B. DETECTION OF HISTIDINE RICH PROTEIN 1
C. DETECTION OF LACTATE DEHYDROGENASE ANTIGEN
D. DETECTION OF ALDOLASE ANTIGEN

122.MICROANGIOPATHIC HEMOLYTIC ANAEMIA IS SEEN IN A/E?
A. ANTIPHOSPHPLIPID ANTIBODY SYN
B.TTP
C. MICROSCOPIC POLYANGITIS
D. METALLIC CARDIAC VALVES

123. WHICH OF THESE IS NOT A MARKER OF ACTIVE REPLICATIVE PHASE OF CHRONIC HEPATITIS B?
A. HBV DNA
B. HBV DNA POLYMERASE
C. ANTI Hbc
D. AST &ALT

124.VASODIALATION IN SPIDER NAEVI IS DUE TO?
A. HEPATOTOXIN
B. ESTROGEN
C. TESTOSTERONE
D. DHEA

125. IN A EMPHYSEMATOUS PATIENT WITH [bleep] LEISON WHICH IS THE BEST INVESTIGATION TO MEASURE LUNG VOLUMES?
A. BODY PLETHYSMOGRAPHY
B. HELIUM DILUTION
C. TRANS DIAPHRAGMATIC PRESSURE
D. DLCO





126.A 29 YR OLD UNMARRIED FEMALE PRESENTS WITH DYSPNEA, HER CHEST X RAY IS NORMAL, FVC-92% FEVI/FVC-89% DLCO-59%. ON EXERCISE HER OXYGEN SATURATION DROPS FROM 92% TO 86%.WHAT IS THE DIAGNOSIS?
A. ALVEOLAR HYPOVENTILLATION
B. PRIMARY PULMONARY HYPERTENSION
C. INTERSTITIAL LUNG DISEASE
D. ANXIETY

127.A MAN ON 10 DAYS COURSE OF CEPHALOSPORINS ON 8TH DAY OF TREATMENT DEVELOPS HIGN GRADE FEVER AND RASHES ALL OVER THE BODY.WHAT IS THE DIAGNOSIS?
A. PARTIALLY TREATED MENINGITIS
B. TYPE III HYPERSENSITIVITY REACTION
C.
KAWASAKI’S DS

128. WHICH IS FALSE ABOUT ACRODERMATITIS ENTEROPATHICA?
A. TRIAD OF DIARRHOEA DMENTIA DERMATITIS
B. LOW SERUM ZINC LEVELS
C. SYMPTOMS IMPROVE WITH ZINC SUPPLEMENTATION

129.WHICH OF THE FOLLOWING IS NOT A MINOR CRITERIA FOR MULTIPLE MYELOMA?
A. MULTIPLE LYTIC BONE LEISONS
B. PLASMACYTOSIS OF 20% IN BONE MARROW
C. PLASMACYTOMA ON TISSUE BIOPSY
D. IgG- 3g/Dl IgA-1.5g/Dl

130.WHICH OF THE FOLLOWING FEATURES OF UREMIA WILL NOT IMPROVE WITH HEMODIALYSIS?
A. PERIPHERAL NEUROPATHY
B. PERCARDITIS
C. SEIZURES
D. METABOLIC ACIDOSIS

131.NOT A MAJOR
FRAMINGHAM CRITERIA FOR DIAGNOSIS OF CHF?
A. HEPATOMEGALY
B. CARDIOMEGALY
C. S3 GALLOP
D. PAROXYSMAL NOCTURNAL DYSPNEA

132.A 54 YR OLD SMOKER MAN COMES WITH FEVER HEMOPTYSIS WEIGHT LOSS AND OLIGOARTHRITIS. SERIAAL SKIAGRAM SHOWS FLEETING OPACITIES.WHAT IS THE DIAGNOSIS?
A. ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS
B. CA LUNG
C. TB
D. WEGENERS GRANULOMATOSIS

133.MISFOLDED PROTEINS ARE SEEN IN A/E?
A. PRION DS
B. MULTIPLE SCLEROSIS
C. AMYLOIDOSIS
D. CREUTZFELDT JACOB DS

134.ZINC DEFICIENCY CAUSES A/E?
A. PULMONARY FIBROSIS

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