mock test 6

all questions repeats from nov aiims 2009
total=10 ques
time limit= 5 min
difficulty level=easy

ques1) Spontaneous rhythmic respiration initiated in
a)Prebotzinger complex
b)Dorsal respiratory nuclei
c)pneumataxic centre
d)Ventral respiratory nuclei

ques2)Zn is a cofactor of
a)alcohol dehydrogenase
b)pyruvate dehydrogenase
c)pyruvate decarboxylase
d)alpha keto acid dehydrogenase

ques 3)Which is not a prodrug?
1. Fosinopril
2. Benzopril
3. Quinipril
4. Lisinopril

ques 4)A teacher slapped a student, who then suffered from 25% hearing loss which was healed
by surgery; what kind of injury is this
a) serious injury
b) dangerous injury
c) simple injury
d) grievous injury

ques 5)Section 377 deals with:-
a) unnatural offences
b) rape
c) incest
d) adultery

ques 6)Early neonatal sepsis is caused most commonly in India by
a) group b streptococci
b) E coli
c) klebsiella
d) Pseudomonas

ques 7) Mic-2 positive in
a. Ewing's sarcoma
b. Osteosarcoma
c. Dermatofibrosarcoma protuberans
d. Alveolar soft part sarcoma

ques 8)Definition of non vigorous resusciation in meconium stained liquor does not include
a) colour
b) tone
c) respiratory rate
d) heart rate

ques 9)Ideal time of surgery for cryptorchisism
a)neonate
b)1-2 yrs
c)5-8 yrs
d)puberty

ques10)Stimulation of which of the following leads to elevated mood?
1)optic nerve
2)olfactory nerve
3)vagus nerve
4)trigiminal nerve

few things about various histological types of CARCINOMA THYROID

1)most common type = papillary carcinoma
2)most commonly associated with h/o radiation exposure to neck = papillary
latent period for such radiation induced carcinoma = 30 years
3)type not associated with radiation exposure = lymphoma
4)most common type associated with dystrophic calcification= papillary
5)psammoma bodies are seen in = papillary
6)orphan annie eyed nucleus seen in = papillary
7)best prognosis = papillary
8)worst prognosis=anaplastic
9)type associated with lateral aberrant thyroid(cervical metastasis)= papillary

10)type associated with MEN-2 syndrome = medullary
11)type associated with amyloidosis = medullary
12)type derived from parafollicular C cells = medullary
13)type associated with hypocalcaemia = medullary

14)type originating in a case of longstanding multinodular goitre= follicular
15)bony metastasis common in = hurthle cell carcinoma(variant of follicular carcinoma)
16)FNAC not useful in = follicular

FEW DANGEROUS AREAS !!!

all these have been asked as MCQs before

1)dangerous area of eye = CILIARY REGION (penetrating trauma here makes eye prone to sympathetic ophthalmitis)

2)dangerous area of face = area between upper lip and lower part of nose (infection here can spread to cavernous sinus through facial vein)

3)dangerous area of hand = also k/a area of pulleys or NO MAN'S LAND or zone 2. This lies between the distal palmar crease and the proximal interpalangeal joint.

PURSUIT OF HAPPINESS

Two men, both seriously ill, occupied the same hospital room. One man was allowed to sit up in his bed for an hour a day to drain the fluids from his lungs. His bed was next to the room's only window. The other man had to spend all his time flat on his back.

The men talked for hours on end. They spoke of their wives and families, their homes, their jobs, their involvement in the military service, where they had been on vacation. And every afternoon when the man in the bed next to the window could sit up, he would pass the time by describing to his roommate all the things he could see outside the window.

The man in the other bed would live for those one-hour periods where his world would be broadened and enlivened by all the activity and color of the outside world. The window overlooked a park with a lovely lake, the man had said. Ducks and swans played on the water while children sailed their model boats. Lovers walked arm in arm amid flowers of every color of the rainbow. Grand old trees graced the landscape, and a fine view of the city skyline could be seen in the distance. As the man by the window described all this in exquisite detail, the man on the other side of the room would close his eyes and imagine the picturesque scene.

One warm afternoon the man by the window described a parade passing by. Although the other man could not hear the band, he could see it in his mind's eye as the gentleman by the window portrayed it with descriptive words. Unexpectedly, an alien thought entered his head: Why should hehave all the pleasure of seeing everything while I never get to see anything? It didn't seem fair. As the thought fermented, the man felt ashamed at first. But as the days passed and he missed seeing more sights, his envy eroded into resentment and soon turned him sour. He began to brood and found himself unable to sleep. He should be by that window - and that thought now controlled his life.

Late one night, as he lay staring at the ceiling, the man by the window began to cough. He was choking on the fluid in his lungs. The other man watched in the dimly lit room as the struggling man by the window groped for the button to call for help. Listening from across the room, he never moved, never pushed his own button which would have brought the nurse running. In less than five minutes, the coughing and choking stopped, along with the sound of breathing. Now, there was only silence--deathly silence.

The following morning, the day nurse arrived to bring water for their baths. When she found the lifeless body of the man by the window, she was saddened and called the hospital attendant to take it away--no words, no fuss. As soon as it seemed appropriate, the man asked if he could be moved next to the window. The nurse was happy to make the switch and after making sure he was comfortable, she left him alone.

Slowly, painfully, he propped himself up on one elbow to take his first look. Finally, he would have the joy of seeing it all himself. He strained to slowly turn to look out the window beside the bed. It faced a blank wall.

Moral of the story:

The pursuit of happiness is a matter of choice...it is a positive attitude we consciously choose to express. It is not a gift that gets delivered to our doorstep each morning, nor does it come through the window. And I am certain that our circumstances are just a small part of what makes us joyful. If we wait for them to get just right, we will never find lasting joy.

The pursuit of happiness is an inward journey. Our minds are like programs, awaiting the code that will determine behaviors; like bank vaults awaiting our deposits. If we regularly deposit positive, encouraging, and uplifting thoughts, if we continue to bite our lips just before we begin to grumble and complain, if we shoot down that seemingly harmless negative thought as it germinates, we will find that there is much to rejoice about.

Our greatest glory is not in never falling but in rising every time we fall

Lord, are you trying to tell me something?
For...

Failure does not mean I'm a failure;
It does mean I have not yet succeeded.

Failure does not mean I have accomplished nothing;
It does mean I have learned something.

Failure does not mean I have been a fool;
It does mean I had enough faith to experiment.

Failure does not mean I have disgraced;
It does mean I have dared to try.

Failure does not mean I don't have it;
It does mean I have something to do in a different way.

Failure does not mean I am inferior;
It does mean I am not perfect.

Failure does not mean I have wasted my life;
It does mean that I have an excuse to start over.

Failure does not mean that I should give up;
It does mean that I should try harder.

Failure does not mean that I will never make it;
It does mean that I need more practice.

Failure does not mean that you have abandoned me;
It does mean that you must have a better idea!!!