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Posted Date: 30 Jul 2009 Posted By: Dr.Puneet Potdar Member Level: Gold
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2007 All India Institute of Medical Sciences M.D General Medicine AIPG MD MEDICINE 2009 University Question paper
MEDICINE
Q1. Carpal tunnel syndrome can be caused by the following except:
a- Diabetes mellitus
b- Acromegaly
c- Addison’s disease
d- Hypothyroidism
Ans: c.
Q2. Hirsutism is caused by all except:
a- Cushing syndrome
b- Acromegaly
c- Hyperthyroidism
d- Hyperprolactinemia
Ans: c.
Q3. Systolic thrill in 2nd and 3rd IC space. Causes all except:
a- Pink TOF
b- Sub-pulm VSD
c- Pulm stenosis
d- Ebstein anomaly
Ans: b.
Q4. All of the following can be associated with PNH except:
a- Cerebral thrombosis
b- Budd Chiari
c- Pancytopenia
d- Massive splenomegaly
Ans: d.
Q5. Aldosterone leads to all except:
a- Hypernatremia
b- Hypokalemia
c- HTN
d- Metabolic acidosis
Ans: d.
Q6. Hypercalcemia is associated with:
a- Hyperparathyroidism
b- Sarcoidosis
c- Milk alkali syndrome
d- Celiac disease
Ans: d.
Q7. All lead to hyper coagulability except:
a- Burns
b- Hemorrhage
c- Infections
d- Surgery of 1 hour duration
Ans: d.
Q8. Coombs positive hemolytic anemia associated with:
a- TTP
b- PAN
c- SLE
d- HUS
Ans: c.
Q9. True about temporal arteritis all except:
a- More common in females
b- Worsens on exposure to heat
c- Seen in elderly women
d- Can lead to sudden bilateral blindness
Ans: b.
Q10. Hepatomegaly with liver pulsations indicates:
a- TR
b- MR
c- Pulmonary hypertension
d- MS
Ans: a.
Q11. C wave in JVP indicates:
a- Atrial contraction
b- Bulging of tricuspid valve
c- Ventricle systole
d- Rapid ventricle filling
Ans: b.
Q12. False-positive rheumatoid factor can be associated with all except:
a- Inflammatory bowel disease
b- HbsAg
c- VDRL
d- Coombs test
Ans: a.
Q13. Patients with foreign body sensation in eye and swollen knee it after leisure trip:
a- Sarcoidosis
b- Reiter’s disease
c- Behcet’s disease
d- SLE
Ans: b.
Q14. About Hepatitis C, which is true?
a- DNA virus
b- MC indication for liver transplant
c- Does not cause liver cancer
d- Does not cause coinfection with HBV
Ans: b.
Q15. A 23 years old symptomatic female pilot has MCV-70, ferritin – 100 g/L, Hb – 10 gm%, what is the cause?
a- Thalassemia trait
b- B12 def
c- Folate def
d- Iron def
Ans: a.
Q16. Which of the following pair is incorrect?
a- Selenium deficiency causes cardiomyopathy
b- Zinc deficiency causes pulmonary fibrosis
c- Increased calcium ingestion causes iron deficiency
d- Vitamin A deficiency occurs after 6 months to 1 year of low vitamin A diet
Ans: b.
Q17. Immediately after eating a man developed lump in throat, prutitis, dyspnea, cyanosis and not being able to breath after few hours. Most probable cause is;
a- Angioneurotic edema
b- Hypersensitivity reaction
c- MI
d- Food stuck in larynx
Ans: b.
Q18. A girl-aged 8 years has been admitted for dialysis. She has serum K of 7.5 mEq/l, which is the fastest way to reduce the hyperkealmia?
a- Kayexalate enema
b- Infusion of insulin + glucose
c- IV calcium gluconate
d- IV NaHCO3
Ans: b.
Q19. Restless leg syndrome (RLS) is seen in:
a- Hypercalcemia
b- Hyperphosphatemia
c- Chronic renal failure
d- Hyperkalemia
Ans: C.
Q20. Positive hepatojugular reflux is found in conditions except:
a- Tricuspid regurgitation
b- Right heart failure
c- Decreased after lead
d- PS
Ans: c.
Q21. Neurofibromatosis is associated with all except:
a- Autosomal recessive
b- Cutaneous fibromas
c- Cataract
d- Scoliosis
Ans: a.
Q22. A 55 years old lady posted for hip replacement surgery. All of the following are known causes of DVT except:
a- PNH
b- OCP
c- Infections
d- Surgery for 1 hrs
Ans: c.
Q23. SIRS includes all except:
a- Leukocytosis
b- Thrombocytopenia
c- Hypothermia
d- Oral temperature more than 38°C
Ans: b.
Q24. Treatment for leukemia in a child with hyperleukocytosis is all except:
a- IV fluids
b- Allopurinol
c- Alkalinizations of urine
d- Immediately start chemotherapy
Ans: d.
Q25. Which of the following is not true about JRA?
a- Fever
b- Rheumatoid nodules
c- Uveitis
d- Raynaud’s phenomenon
Ans: d.
Q26. Positive urinary anion gap is found in:
a- RTA
b- Glue poisoning
c- Diabetic ketoacidosis
d- Diarrhea
Ans: a.
Q27. Triad of tuberous sclerosis except:
a- Epilepsy
b- Adenoma sebaceum
c- Low intelligence
d- Hydrocephalus
Ans: d.
Q28. Test for assessment of mucosal function of GIT:
a- D-Xylose test
b- Small bowel study
c- Biopsy
d- Schilling test
Ans: a.
Q29. The following are the complications of the HIV infection except:
a- Cardiac tamponade
b- Pericardial effusion
c- Aortic aneurysm
d- Cardiomyopathy
Ans: c.
Q30. A young man with gout has synovial fluid removed. It would shows:
a- MSU crystals
b- CPPD crystals
c- PMN cells
d- Mono nuclear cells
Ans: a.
Q31. In a lady with bilateral superior temporal quadrantopia, galactorrhea, the most probable cause is:
a- Pituitary macroadenoma
b- Craniopharyngioma
c- Sheehan’s syndrome
d- Pituitary hypophysitis
Ans: a.
Q32. Hepatomegaly is caused by all except:
a- Glycogen storage disease
b- Niemann pick
c- Hepatic porphyria
d- Hurlers disease
Ans: c.
Q33. Not seen in idiopathic pulmonary hemosiderosis:
a- Eosinopenia
b- Iron deficiency anemia
c- Diffuse alveolar hemorrhage
d- Hemoptysis
Ans: a.
Q34. A 29 years old person know diabetic on OHA since 3 years. He has lost weight. Never had DKA. His grand father is diabetic. His father is nondiabetic. Which is the likely diagnosis?
a- MODY
b- DM type I
c- DM type II
d- Pancreatic diabetes
Ans: c.
Q35. About VHL which is not true:
a- Retinal and cerebellar hemangioblastoma
b- Gastric carcinoma
c- Pheochromocytoma
d- RCC
Ans: b.
Q36. Spastic paraplegia is caused by all except:
a- Vit B12 deficiency
b- Cervical spondylosis
c- Lead poisoning
d- Amyotropic lateral sclerosis
Ans: c.
Q37. If a person with severe hyperglycemia is given IV insulin, which of the following can occurs?
a- Hypokalemia
b- Hyperkalemia
c- Hyponatremia
d- Hypernatremia
Ans: a.
Q38. Paraneoplastic syndrome associated with RCC are all of the following except:
a- Polycythemia
b- Hypercalcemia
c- Malignant hypertension
d- Cushing syndrome
Ans: d.
Q39. Which of the following won’t present in right heart failure?
a- Increased PCWP
b- Pulsatile liver
c- Increased liver
d- Positive hepatojugular reflux
Ans: a.
Q40. Cystic fibrosis all are true except:
a- Defect in calcium channel
b- Pseudomonas infection seen
c- AR
d- Cirrhosis of liver can occur
Ans: a.
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