Final Consensus - AIIMS Recall 2010

After the publication of our book, it has come to our notice that there has been some controversies regarding a few questions for which different publications in the same segment has offered answers different from that in our book. Therefore we think that it would be beneficial for the students appearing for AIPGME to have a consensus opinion on the same. We are giving answers to a few questions from Anatomy, Medicine, O&G, Anesthesia, Forensic medicine and Pharmacology. A few other questions from pediatrics and surgery will be published later on. Please note that we have done our best to ensure maximum accuracy in the answers. We would still advice student discretion in making the final call.

Anatomy

1. All of the following are developed from the mesogastrium of Stomach except?

Forensic medicine

1. Autorikshaw run over an 8-year-old, tyre mark over leg is called?

Medicine

1. A 60-year-old lady with history of 8 transfusions in the past two years presents with Hb = 6g/dL , RBC count = 2.3 mn/dL, Platelets – 3.3 lakhs/dL, MCV–60, Total count 5600/dL. Normochromic and hypochromic microcytic cells. Which of the following is not necessary?
2. A 30-years-old female with Hb 60 gm/L, with S.Fe. 20 mcg, Ferritin 800 mcg., transferin - 64% Sat. What is the probable diagnosis?
3. A patient undergone surgery 1 month back came with complaints of altered sensorium, difficulty in urination. Se Na 140, K 4.5, urea 60, creatinine 1.3, Ca 15.5. What should not be done?
4. Most dangerous for heart (most important risk factor for coronary artery disease):

Obstetrics and Gynaecology

1. Test to differentiate fetal blood and maternal blood?
2. Which is not used in emergency contraception?
3. A 20-year-old female complaints of oligomonorrhea along with facial hair. Preliminary investigation reveal raised free testosterone levels and normal ovaries on USG. Which of the following could be the likely etiology?
4. A 32-year-old woman is 9 weeeks pregnant and has a 10 year old Down’s syndrome child. What test would you recommend for the mother so that she can know about her chances of getting a Down’s syndrome baby in this present pregnancy. How will you assure the mother about the chances of Down’s syndrome in the present pregnancy?

Anesthesia

1. Patient with mitral stenosis had preanaesthetic checkup. Increased liver enzymes were noted. Which of the following inhalational agent is preferred.
2. A patient after undergoing thoracotomy complained of severe pain. He can be best managed by:

Pharmacology

1. A patient is in renal failure, which is the material when given along with contrast that is least harmful:

Surgery

1. A 40-year-old man who met with a motor vehicle catastrophe came to the casualty hospital in an hour with severe maxillo facial trauma. His Pulse rate was 120/min, BP was 100/70 mm Hg, spO2 - 80% with oxygen. What would be the immediate management?

Pediatrics

1. A newborn child RR 86 per minute. No nasal flaring, no lower chest or xiphoid retraction, no grunt. Abdomen lagged behind chest in movement. Silverman’s score is:
2. 2. A child 30 weeks preterm presents with moderately severe respiratory distress with grunting after 2 hours. Respiratory management.
3. 3. A newborn with eyes closed 6 hrs after birth lustily crying, no chest retraction and movements of all four limbs. Neonatal behavioural response grading:
4. 4. Eightyearold boy presented with BP 180/110, Hb 9.6 gm, urea 120, creatinine 5.3, urinalysis—RBC 12/ hpf, WBC ++, proteinurea +, no previous history of medical illness