Solve MEDICINE AIIMS 2018 Total Questions: 33 1. A 40-year-old male chronic smoker presents to the AIIMS OPD with fever, fatigue, yellow-colored urine, and clay-colored stools. For the past few days, he has developed an aversion to cigarette smoking. On examination icterus was present. What investigations would you advise to rule out acute viral hepatitis? Liver function test results are given below: Total Bilirubin - 18.5 Direct Bilirubin - 7.5 SGOT - 723 SGPT 812 AntiHAV, HBsAg, IgM antiHBc, AntiHCV HBsAg, IgM antiHBC, AntiHCV, AntiHEV HBsAg, IgM antiHBc, AntiHDV, AntiHCV, Anti HEV AntiHAV, IgM antiHBc, AntiHCV, AntiHEV None 2. AKIN and RIFLE criteria are used to classify Acute kidney injury Acute glomerulonephritis Chronic renal failure Nephrotic syndrome None 3. A 22-year-old man presented with diarrhea and intolerance to dairy products. On investigation, he was found to have a lactase deficiency. Which of the following agents is least likely to cause symptoms of lactose intolerance? Condensed Milk Skimmed Milk Yogurt Ice Cream None 4. An 18-year-old girl with the diagnosis of acute promyelocytic leukemia was treated medically. She developed fever and tachypnea and a chest X-ray showed pulmonary infiltrates. What drug should she be given next? Dexamethasone Cytarabine Doxorubicin Methotrexate None 5. The most common bleeding manifestation seen in severe hemophilia is: Recurrent hematomas Recurrent hemarthrosis Intracranial hemorrhage Hematuria None 6. What is the most likely causative organism of ventilator-associated pneumonia among the following? Klebsiella Clostridium Hemophilus Acinetobacter None 7. A 50-year-old man was brought to the emergency in an unconscious state. He had a fever for the past two days and is a known case of severe COPD. His ECG is given below. What is the most likely diagnosis? Multifocal atrial tachycardia Atrial tachycardia Ventricular tachycardia Atrial fibrillation None 8. A patient with chronic kidney disease came with complaints of vomiting and diarrhea. His blood gas reports show pH = 7.40, HCO3-= 23 mEq/L, Na+ = 145 mEq/L, Cl-= 100 mEq/L. What is your probable diagnosis? No acid base abnormality Metabolic alkalosis Respiratory acidosis High anion gap metabolic acidosis with metabolic alkalosis None 9. A patient presents with left-sided facial paralysis and left-sided limb weakness for the past 1 hour. Her blood pressure is 160/100 mm Hg and her CT appears normal. What would be the next step of management? Nothing, since CT was normal Intravenous thrombolysis Start on aspirin + clopidogrel Advice BP control None 10. The arterial blood gas findings of a patient are pH = 7.12, pCO2 = 50, HCO3 = 28. What is the diagnosis? Respiratory acidosis with metabolic compensation Respiratory alkalosis with metabolic compensation Metabolic acidosis with respiratory compensation Metabolic alkalosis with respiratory compensation None 11. Which of the following is not done before drawing blood for arterial blood gas analysis? Rinse syringe with heparin Allen's test Flexion of wrist Placing needle at 45 degree angle None 12. Relative bradycardia occurs in: Leptospirosis Q fever Typhoid fever All of the above None 13. Which of the following drugs is not used in rheumatoid arthritis? Leflunomide Etanercept Methotrexate Febuxostat None 14. Anti-nuclear antibodies are required for the diagnosis of which of the following? Scleroderma Rheumatoid arthritis Systemic lupus erythematosus Sjogren's syndrome None 15. A middle-aged woman with a history of constipation, dry skin and menorrhagia presents to the ER with altered sensorium, non-pitting edema, hypothermia, bradycardia, and hypotension. What is the most likely diagnosis? Cardiogenic shock Myxedema coma Hypoglycemia Septic shock None 16. Which of the following is the most specific marker for alcoholism? ALT ALP GGT LDH None 17. An elderly diabetic and hypertensive patient was carried to the emergency room in a comatose state. On examination, the blood pressure was 170/100 mmHg and pulse rate was >100/min. Plantar reflex was bilateral extensor. What is the next step to do? Give antihypertensive Check blood sugar level CT brain IV mannitol None 18. Infertility in Kartagener's syndrome is due to which of the following? Asthenospermia Oligospermia Undescended testes Epididymis obstruction None 19. An elderly woman presents with a chronic history of pain in the small joints of hands with stiffness of joints in the early hours of the day. The image of the patient's hands is given below. What is the most likely diagnosis? Rheumatoid Arthritis Complex Regional Pain Syndrome Osteoarthritis Villonodular synovitis None 20. Calculate the GCS Score in an intubated patient, with findings of eye movements to pain and abnormal flexion? E2V1M3 E2VTM3 E2VTM4 E2VNTM3 None 21. A 60-year-old patient came with a history of hyponatremia. He was treated by a large volume of hypertonic fluids over 24 hours following which the patient developed quadriparesis. What is the most likely cause for this patient's condition? Central Pontine Myelinolysis Brain Infarct Brainstem Injury Hypernatremia Rare Cause None 22. Two brothers were arguing over a property dispute when the elder of the two complained of chest pain and collapsed and was later declared brought dead by the hospital. His family says he was previously healthy and there was no similar disease in the family members. What is the likely diagnosis? Acute myocardial infarction Infective cardiomyopathy Takotsubo cardiomyopathy Hypertrophic cardiomyopathy None 23. Which of the following is a differentiating feature between cardiac tamponade and tension pneumothorax? Breath sounds Increased heart rate Muffled heart sounds Raised JVP None 24. Which of the following is used in the treatment of late cardiovascular syphilis? Benzathine penicillin 2.4 million units as single dose Benzathine penicillin 2.4 million units weekly for three weeks Benzathine penicillin 12-24 million units for 21 days Tetracycline 2g daily None 25. A patient presented with chronic diarrhea and steatorrhea. D-xylose test was normal and the Schilling test was abnormal. A duodenal biopsy was normal. What is the most likely diagnosis? Celiac disease Ulcerative colitis Intestinal lymphangiectasia Pancreatic insufficiency None 26. A triad of skin lesions, asymmetric mononeuritis multiplex and eosinophilia is seen in which of the following conditions? Polyarteritis nodosa Churg Strauss syndrome Giant cell arteritis Cryoglobulinemic vasculitis None 27. Which of the following drugs is commonly used for treating community-acquired pneumonia in OPD? Streptomycin Azithromycin Ceftriaxone Vancomycin None 28. A patient walks with a stomping gait. When asked to close his eyes and walk, he is unable to do so. Which of the following tracts is probably affected? Posterior column tract Spinocerebellar tract Rubrospinal tract Vestibulospinal tract None 29. Which among the following is wrong about DIC? Increased schistocytes Increased fibrinogen Increased PT Increased FDPs None 30. Which of the following is not a component of Syndrome Z? Obstructive sleep apnea Fasting triglyceride more than 150mg/dl Blood pressure more than 130/85 mmHg LDL more than 100mg/dl None 31. A patient with thalassemia has a history of multiple blood transfusions, iron overload, and cardiac arrhythmia. She has now come for blood transfusion and during the process, complains of backache and looks very anxious. What would you do next? Stop the transfusion. Wait for patient to become normal and then start it again Stop the blood transfusion Continue the transfusion but do an ECG Do clerical check and get ECG None 32. A 16-year-old girl, who is taking antiepileptics, has had a seizure-free period of 6 months. She has no family history of epilepsy. Her EEG is now normal and she has a normal neurological exam and intelligence. What would your advice be? Stop the treatment and follow up treatment Continue treatment for another 18 months Gradually taper the drug and stop Continue lifelong treatment with antiepileptics None 33. A patient with a history of a backache for 10 days, has now presented with sudden onset difficulty in micturition and defaecation. There was no history of a cough or fever previously. What is the diagnosis? Pott's Spine Guillain Barre Syndrome Cauda Equina Syndrome Multiple Sclerosis None 1 out of 33 Time's up
