All India Postgraduate Medical Entrance Exam Papers

Hello sir, I am Shyam Das. I am from Delhi. I want you to help me by providing me with the All India Post graduate medical entrance exam papers. Can you provide me with it?

[Shaleen]

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1 . In a case of hypertrophic pyloric stenosis, the metabolic disturbance is

1. Respiratory alkalosis

2. Metabolic acidosis

3. Metabolic alkalosis with paradoxical aciduria

4. Metabolic alkalosis with alkaline urine

Ans 3

2 .Sentinel lymph node biopsy is an important part of the management of
which of the following conditions?

1. Carcinoma prostate

2. Carcinoma breast

3. Carcinoma lung

4. Carcinoma nasopharynx

Ans 2

3. In hyperthyroidism during pregnancy, which of the following is absolutely
contra-indicated?

1. Surgery

2. Radioiodine (I 131)

3. Antithyroid drugs

4. Iodine

Ans 2

4. The most pre malignant lesion among the following is

1. Leukoplakia

2. Erythroplakia

3. Metaplasia

4. Dysplasia

Ans 2

5. A previously healthy 45 year old construction worker develops acute low
back pain, right leg pain, and weakness of

dorsiflexion of the great toe. True statements regarding this case include
which of the following?

1. Immediate treatment should include analgesics, muscle relaxants, and
back strengthening exercises.

2. The appearance of foot drop would be an early indication for early
surgery.

3. Lumbar laminectomy and excision of any herniated nucleus pulposus
should be performed if the presenting symptoms

should fail to resolve in 1 week

4. If the neurological signs but not the back pain resolve in 2 to 3 weeks,
proper treatment would include fusion of

affected lumbar vertebrae.

Ans 2

6. A 26 year woman presents with a palpable thyroid nodule, and needle
biopsy demonstrates amyloid in the stroma of the lesion.

A cervical lymph node is palpable on the same side as the lesion. The
preferred treatment should be

1. Removal of the involved node, the isthmus, and the enlarged lymph node

2. removal of the involved lobe, the isthmus, a portion of the opposite lobe,
and the enlarged lymph node

3. Total thyroidectomy and modified neck dissection on the side of the
enlarged lymph node

4. Total thyroidectomy and irradiation of the cervical lymph nodes

Ans 3

7. A 75-year-old woman underwent neck exploration for hyperthyroidism 5
years ago, and a parathyroid adenoma was excised. At

the present time, she is recovering from a myocardial infarction 6 weeks
ago, and she is in mild congestive heart failure. Her

electrocardiogram shows a slow atrial fibrillation. Measurement of her serum
calcium shows a level of 13.0 mg/dl and urine calcium is 300 mg/24h.
Studies suggest a small mass in the Para tracheal position behind the right
clavicle. Appropriate

management at this time is

1. Observation and repeat calcium levels in two months

2. Repeat neck exploration

3. Treatment with technetium-99

4. Ultrasound guided alcohol injection of the mass

Ans 4



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