55 recalled unanswered questions from this year AIIMS Endocrine 2019
1st 10 are free to see after that only premium logged in members have access.
Q1.Tumor suppressor gene involved in thyroid tumorigenesisA. BrafB. NTRK1C.PTEN4. RET2.Indication to offer total thyroidectomy in Bethesda 4 category FNA all exceptA. Multiple nodules on opposite sideB. History of radiationC. Nodule more than 4 cmD. Male gender3.Blood supply of superior parathyroidA. Superior thyroid arteryB. Inferior thyroid arteryC. Common carotid arteryD. Internal carotid artery4) 21 year old boy with severe symptoms of bone pain and fractures, high PTH and calcium on MIBI and 4D CT found to have lesion in the left posterior mediastinum. Lesion most likely isA. Intrathymic parathyroid adenomaB. Inferior parathyroid adenomaC. Superior parathyroid adenomaD.5.30 year old male underwent total thyroidectomy + mrnd, hpe with papillary carcinoma thyroid, no lvi or extracapsular invasion, lymphnode with metastasis. TNM Stage of cancerA. Stage 2B. Stage 1C. Stage 3D. Stage 46.All are features of PTC on FNA exceptA. Psammoma bodiesB. Nuclear groovingC. Bizzare cellsD. Orphan anni eye nucleus7.All are features of Wermer synd exceptA. Parathyroid adenomaB. Mucosal neuromasC. PheochromocytomaD. Pituitary adenoma8.Intra op success of parathyroidectomy for adenoma is achieved if IOPTH drops toA. 10 %B.50%C. 30%D.20%9.Half Life of PTHA. 3-5msecB.3-5 secC.20 minD. 2-3 minutes10.Absolute Indication to do thyroid scintigraphyA. Graves diseaseB. Toxic MNGC. Solitary toxic nodule
D. Hashimoto thyroiditis11.Absolute contraindication to BCS
[/bg_collapse]15.40 year old with CKD stage 3, 6months later develops stress fractures, pTH 300, Deca bone scan with z and t values of -2.5. patient is suffering fromA. Tertiary hyperparathyroidismB. Secondary hyperparathyroidismC.Primary hyperparathyroidism16.All are treatment for hypercalcaemic crisis exceptA. CinacalcetB.BisphosphanateC. Loop diureticD. Glucocorticoid17.All are screening test for adrenal incidentals exceptA. Overnight dexa suppressionB. High dose dexa suppressionC. Renin Aldosterone ratioD. 24hours urine metanephrines18.30 year old patient suspected to have Addison's disease. 8am Cortisol is borderline low. Next step in evaluationA. Measure sex hormones and aldosteroneB. Measure 8am ACTHC. Do dexa suppression testD. Do ACTH stimulation test19.Multiparous women completed family with recurrent periductal mastitis and on multiple course of antibiotics comes with recurrent mastitis to you. Tuberculosis was rules out. What will you doA. MicrodocotomyB. Radical duct excisionC. AntibioticsD. Abscess drainage20.Lymphatic drainage of larynxA. Level 1,2,3,4,5,6B. Level 2,3,4,6C. Level 2,3,4D. Level21.Cernea classification is forA. Internal branch of superior laryngeal nerveB. External branch of superior laryngeal nerveC. Recurrent laryngeal nerveD.22.Other than breast cancer where is SLNB usedA. Colon cancerB. Penile cancerC. Rectal cancer23.SLNB use is most established inA. Breast cancerB. Penile cancerC. MelanomaD.inflammatory breast cancer24.Worldwide most commonly used reconstruction method after mastectomy isA. TRAM flapB. LD flapC. Breast implantsD. Free flaps25.Rotters node is present in betweenA. Pec major and minorB. Pec major and serratus anteriorC. Deep to pec minorD.26.What can be sacrificed during axillary dissectionA. Nerve of BellB. Thoracodorsal veinC. Lateral thoracic veinD. Thoracodorsal nerve27.collagen seen most commonly in first 48hours of wound healingA. Type IB.type IIIC Type IVD. Type II28.Breast tissue is present betweenA. Dermis and pec fasciaB subcutaneous fat and pec muscleC. Pec major and chest wallD.29.USg finding most sensitive to diagnose thyroid malignancy(already on your site)30.Pancreas develop duringA. Week 1B. Week 5C. Week 3D.week 631.All are false regarding BRCA 1 breasts cancer exceptA. Hormone receptor positiveB. Can develop DCISC. Young age of onsetD. Aggressive tumor histology32.Invasive breast cancer among following isA. ComedoB. ColloidC.PapillaryD. Tubular33.ECG changes in hypokalemia are all exceptA.Flat T waveB.Prominent U waveC.Prolonged PR intervalD.Prolonged QT interval34.False about PNET (not very sure about the options. There was one more question on MEN 1)A. They arise in different locations and are different in mode of onset and functionB. In Men 1 most common site of insulinoma is pancreas transplant slept cells and gastrinoma is duodenumC. PNET is the most common lesion in MEN 1D.35. Half Life of I131A. 12 hoursB. 5 daysC. 7 daysD. 72 hours36. 80 percent of superior and inferior parathyroid receive blood supply fromSimilar options like above37. Patient with hyperthyroidism (thyrotoxicosis). Biochemical picture would beA. Elevated TSH , elevated T4B. Elevated TSH, depressed T4C. Depressed TSH , depressed T4D. Depressed TSH, elevated T438. Treatment of Plummers disease before preparing for surgery all exceptA. CarbimazoleB. Lugol's iodineC. SteroidD. I131 ablation39. False isA. On usg parathyroid adenoma appears hyperechoicB. 4d CT 4th dimension is timeC. 4d CT is less sensitive and specific than usg in parathyroidD. 4d CT gives anatomical and functional information40. Which is evidence based inthe treatment of benign breasts diseaseA. NSAIDSB. Vit EC. Primrose oilD. Centchroman41.35year old lady with no high risk features asymptomatic on mammogram have birads 2 lesion. What is the next line of management.A. Mammography after 2 yearsB. Follow up after 6 monthsC.42. After intraductal papilloma what is the most common cause of blood discharge form the nippleA. Paget's diseaseB. Periductal mastitisC.IDC43. Lethal triad includes all exceptA. HypothermiaB. HypoxiaC. CoagulopathyD. Acidosis44. Young lady diagnosed with intestinal tuberculosis. Lab values total calcium 6.8mg/dl, albumin 1.5 gm/dl, creat 1.5. what's her corrected calciumA. 8.4mg/B. 9.2C. 10.10D. 9.845.50 y male admitted in icu for 2 weeks . Weight currently is 48 kgs. His wife claims his pre admission weight to be 60 kgs. What is percentage loss of weightA. 25B. 20C. 15D. 3046. All are true regarding right renal vein except(weird question!)A. Drain into right IVCB. Can drain into right gonadal veinC. Drain into right adrenal veinD. Drain into right phrenic vein47. Best statistical method to prognosticate 5 year survival in cancerA. ANOVAB. Kaplan MeirC. Log regressionD. Cox analysis48. In ARDS what should be the airway pressure on the ventilator ( not sure about the question)A. 6 cm of waterB.8 cm of waterC. 10 cm of water49. Which is false regarding sensitivity screening in breastA. Clinical examination 18 %(CI range was given)B. Usg 60%(CI...)C. MRID. Mammogram50.False regarding BiradsA. 0 is normalB.2 is benignC. 3..D.51. In the era of minimal invasive thyroidectomy , which is not standard of care for proven malignancyA. Subtotal thyroidectomyB. NodulectomyC. Lobectomy plus isthusmectomyD. Total thyroidectomy52.not a contraindication for transaxillary minimally invasive thyroidectomyA. Lymphnodal MetsB. Age more than 40C. Previous neck irradiationD. Previous neck surgery52. Regarding PNET false isA. Frozen section done intraop to look for malignancyB. Fnac some pre op to establish diagnosisC.Malignancy is seen in 10 percent insulinoma and 90 percent glucagonoma and somatostatinoma53.Charles operation is associated withA. Venous ulcerB . Lymphatic diseaseC. Arterial disease54. Earliest improvement seen within weeks of parathyroid adenoma excision inA. Renal functionB. Bone densityC. Weight55. Middle aged lady with right breast lump of size ... And mobile axillary nodes. Core biopsy of lump shows IDC ER PR 7/8 and 8/8Allred score. Her 2 NEU Equivocal. What's the next plan..A. Upfront surgeryB. Start chemotherapyC Fluorescence Insitu hybridisation for Her2D. Start on Herceptin[/s2If]