AIIMS Image Based Test 1: Medical PG

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AIIMS Image Based Test 1

Analysis
Solution
Mistakes
Improvement
 Filters
Question 1  Ask Doubt  Bookmark Question

Which of the following is true about the egg of a parasite as shown in the picture?
https://medical.prepladder.com/dashboard/?Medical-PG 08-02-2018
1
The adult and larval state of helminth can be seen in the host
2
Its acquired by consumption of improperly cooked pork
3
The disease occurs transiently and corrects on its own
4
Drug of choice is thiobendazole
13% got this answer correct.
Solution
Hymenolepsis Nana
• Dwarf tapeworm
• Smallest cestode that parasites the human
• Only cestode that parastises humans without requiring an intermediate host
• Egg (picture) is infective to humans
• Chemotherapy is by Praziquental, NIclosamide and Paramomycin
Which type of epiphyseal injury is being shown here?
1
I
2
III
3
IV
4
V
Solution
MOST COMMON IS TYPE 2.
THURSTON HOLLAND SIGN SEEN IN TYPE II.
Fracture classification shown in the image involve
1
Zygomatic arch
2
Maxilla
3
Mandible
4
Nasal bones
Solution
Fractures of Maxilla (Le fort classification) (Image)
• Le Fort I (Transverse): Fracture runs above and parallel to the palate crossing lower part of
nasal septum, maxillary antra and the pterygoid plates.
• Le Fort II (pyramidal): Fracture passes through the root of nose, lacrimal bone, floor of
orbit, upper part of maxillary sinus and pterygoid plates.
• Le Fort III (craniofacial dysjunctin): Fracture line passes through root of nose, ethmo frontal
junction, superior orbital fissure, lateral wall of orbit, fronto zygomatic and temporo
zygomatic sutures and the upper part of pterygoid plates

Gynecological procedure shown in below image is:
1
Swab of vaginal discharge
2
Pap smear
3
VIA test
4
Punch biopsy
Solution
VIA Test:-
Visual Screening with Acetic Acid:
• Visual inspection after application of 3-5% acetic acid (VIA), also known as direct visual
inspection (DVI), or as acetic acid test (AAT), is the most widely studied visual screening
test.
• Results are interpreted one minute after application of acetic acid.
• Test outcome is categorised as 'negative', 'positive' and 'invasive cancer'.

Procedure shown in image leads to deficiency of which vitamin ?
1
B1
2
B2
3
B6
4
B12
Solution
Gastrectomy can cause B12 deficiency 5-10 years post gastrectomy because the bulk of intrinsic
factor producing surface is removed.

Identify the vaccine administered by the following route
1
Typhoral live
2
H1n1 killed
3
H1n1 live
4
Yellow fever live
Solution
• Influenza Vaccine (Human, live Attenuated) Pandemic (H1N1), freeze drired is a live
monovalent vaccine for administration by intranasal spray (Image)

The differential diagnosis of following clinical finding includes all except?
1
TAR syndrome
2
Holt oram syndrome
3
Fanconi anemia
4
Phocomelia
Solution
Left hand –absent thumb
Right hand – triphalangeal thumb
Absent thumb seen in: Holt oram syndrome, Fanconi anemia, Phecomelia, Poland syndrome
TAR-thrombocytopenia and absent radius but thumbs are always present.

Name the method of identification using imprint shown in the image
1
Dactylography
2
Podogram
3
Cheiloscopy
4
Poroscopy
Solution
METHOD OF IDENTIFICATION BY USING FINGERPRINTS IS CALLED DACTYLOGRAPHY

Most common virus affecting the Gland (Encircled) as shown in the image is
1
Varicella virus
2
Measles Virus
3
Mumps Virus
4
Rubella Virus
Solution
• MC virus affecting the parotid gland (encircled in image).
• MC cause of Parotitis (Non suppurative enlargement).
• MC presentation: Parotitis 70-90% (bilateral>unilaterla)
• Complications
- Epididymo - Orchitis (unilateral > bilateral) - seen in 1/3 of post pubertal male patients
- Aseptic meningitis
- Pancreatitis leads to diabetes (other viral agents of Diabetes - Rubella, Coxsackie B4)

Which type of amputation is shown below?
1
Boyd amputation
2
Chopart amputation
3
Syme amputation
4
Sarmiento
Solution
Syme: Distal tibia fibula 0.6 cm proximal to the periphery of ankle joint passing through the
dome of ankle.
Sarmiento: Distal tibia and fibula 1.3 cm proximal to the ankle joint and excision of medial and
lateral malleoli.
Boyd: Talectomy, forward shift of the calcaneus and calcaneotibial arthrodesis.

Milestone shown in below image appears at the age of ...........
3 months
2
4 months
3
5 months
4
6 months
Solution
clinical image shown depicts neck holding which starts appearing from 3 months of age.
These cells are seen in?
1
Classical HL
2
Nodular HL
3
Lymphocyte rich HL
4
Lymphocyte predominant HL
Solution
Lacunar variant of RS cells in nodular HL.
Popcoren-kernel cell in lymphocyte predominant type.
Mummy cell/Hodgkin cell/pleomorphic variant of RS cell in lymphocyte poor HL.

Condition of lungs (image) is seen in all EXCEPT
1
Silicosis
2
Tuberculosis
3
Aspergillosis
4
Anthracosis
Solution
Aspergillosis:-
• Aspergilloma shows: Air crescent sign (on chest radiography)

• invasive aspergillosis shows: Halo appearance.
• Allergic bronchopulmonary aspergillosis shows: Gloved finger appearance.

Identify the procedure being shown in below image.
1
Endoscopic biopsy
2
Core cut biopsy
3
Fine needle aspiration
4
Excisional biopsy
Solution
Excisional Biopsy:-
Tissue Sample Collection:
Fine needle aspiration: Simplest, least invasive test and uses the smallest needle to simply
remove cells from the abnormality; this is not always adequate to obtain a diagnosis, depending
on the area to be biopsied.
Core needle biopsy: Removes not only cells, but also small amount of the surrounding tissue; this
provides additional information to assist in the identification of the lesion.
Incisional biopsy: Takes out even more surrounding tissue; It takes out some of the abnormality,
but not all.
Excisional biopsy: Generally removes the entire area in question.

Recognize the scheme / program/ plan launched by WHO/ UNICEF
1
Janani Shishu Suraksha Karyakram
2
Kangaroo Mother Care
3
BFHI
4
RCH Program
Solution
WHO-UNICEF and BFHI 1991 Baby Friendly Hospital Initiative (Image)
Ten steps to successful breast feeding
Every facility providing maternity services and care to the newborn infants should
• Have a written breast feeding policy that is routinely communicated to all health care staff.
• Train all health care staff in skills necessary to implement this policy
• Inform all pregnant women about benefits and management of breast feeding
• Help mother initiate breast feeding 'within half hour of birth'.
• Show mothers how to breast feed, and how to maintain lactation even if they are separated
from their infants.
• Give newborn infants no food or drink other than breast milk, unless medically indicated.
• Practice rooming in : Allow mothers and infants to remain together 24 hours a day.
• Encourage 'breast feeding on Demand'.

• Foster Establishment of breast feeding support groups and refer mothers to them on
discharge from the hospital or clinic.
• Eliminate any support by the manufacturers of infants formula/ infant food or feeding
bottles.
• Prohibit distribution of free and low cost supplies of breast milk supplies.
• Provide additional lactation assistance to mothers of special cases, i.e. low birth weight,
caesarean sections.
• Assure a safe and health and positive birthing experience for mother and infant.

In the below image, Skin changes occur due to exposure to:
1
Thioridazine
2
Haloperidol
3
Chlorpromazine
4
Clozapine
Solution
Chlorpromazine:-
Long term chlopromazine use is associated with blue-gray discoloration of skin areas exposed to
sunlight.
The skin changes often begin with a tan or golden brown color and progress to such colors as
slate grey, metallic blue and purple.

Recognise the National Health Program depicted by the symbol
1
IDSP
2
RCH
3
NRHM
4
NVBDCP
Solution
National Vector Borne Disease Control programme (NCBDCP) (Image)
An umbrella program for prevention and control of Vector borne diseases.
Earlier the Vector Borne Diseases were managed under separate National Health Programmes,
but now NVBDCP covers all 6 Vector borne disease namely:
• Malaria
• Dengue
• Chikungunya
• Japanese Encephalitis
• Kala-Azar
• Filaria (Lymphatic Filariasis)

In which cases the rule shown in the image is used
1
Stab wounds
2
Asphyxial deaths
Burn injuries
4
Drowning deaths
Solution
• Wallace rule of nine (image): Degree of burns an be estimated by "the rule of 9", 9% for
head & each upper limb, 9% for the front of each upper limb & 9% for the back of each
lower limb, 9% for the front of chest & 9% back of chest, 9% for front of abdomen, 9% for
back of abdomen, remaining 1% is for genitals.

MC Heart disease seen in the state shown in image:
1
Mitral Stenosis
2
Mitral regurgitation
3
Aortic stenosis
4
Aortic regurgitation
Solution
Mitral Stenosis:-
It is the commonest heart lesion met during pregnancy.
Normal mitral valve area ranges between 4 and 6 cm2.
Symptoms usually appear when stenosis narrows this to less than 2.5 cm2.
Women with mitral valve area < 1cm2 have the high rate of pulmonary edema (55%) and
arrythmia (33%).
In asymptomatic cases, the mortality is < 1% but once it is significantly symptomatic, mortality
ranges between 5% and 15%.

Recognize the contraceptive shown in the image
1
Progestasert
2
Mirena
3
Lippes loop
4
Vaginal ring
Solution
• 1st generation / non - dedicated / inert IUD contraceptives
• Consists of a thin plastic wire bent in a series of S shapes
• Needs to be straightened when it is being inserted into the uterus but resumes its shape
once inside
• Intended for long term use until menopause
• No Longer used in India
• IUD with highest failure rate
This type of cells are seen in:
1
Trichomonas vaginalis
2
Candidiasis
3
Gardnerella vaginalis
4
Gonococcal infection
Solution
Above shown PAP smear shows bacteria lumps which is adhered to macrophages and
neutrophills ,they are called as CLUE CELLS which is seen in bacterial vaginosis.

Typical appearance of cell shown in smear image is found in
1
Microcytic hypothromic anemia
2
Megaloblastic anemia
3
Sideroblastic anemia
4
Hemolytic anemia
Solution
• The presence of macro - ovalocytes red cells is highly characteristic of megaloblastic
anemia
• The reticulocyte count is low
• Nucleated red cell progenitors occasionally appear in the circulating blood when anemia is
severe
• Neutrophils are also macropolymorphonuclear and show nuclear hypersegmentation
(image) having five or more nuclear lobules instead of the normal three to four
This type of ear deformity occurs due to non development of ?
1
Antihelix
2
Helix
3
Both
4
None
Solution
MOZART EAR-DUE TO FUSED HELIX AND ANTIHELIX.
WILDERMUTH EAR PROMINENT ANTIHELIX.
BAT EAR-PROMINENT HELIX.
CAULIFLOWER EAR-BOXER EAR-ORGANISED PERICHONDRITIS (MCC –PSEUDOMONAS).

Identify the sign shown in below image which occurs due to splenic trauma:
1
Cullen's sign
2
Rovsing's sign
3
Trousseau sign
4
Kehr's sign
Solution
Kehr's Sign:-
Kehr's sign is the occurrence of acute pain in the tip of the shoulder due to presence of blood or
other irritants in the peritoneal cavity when a person is lying down and the legs are elevated.
Kehr's sign in the left shoulder is considered a classic symptom of a ruptured spleen.
A classic example of referred pain: Irritation of the diaphragm is signaled by the phreni nerve as
pain in the area above the clavicle.
This is because the supraclavicular nerves have the same cervical nerves origin as the phrenic
nerve, C3 and C4.

For which the technique shown in the image is used for
1
Screening dental caries
2
Screening Cervical Lymphadenopathy
3
Screening oral cancer
4
Diagnosing Oral cancer
Solution
• Bimanual oral palpation (BMOP) (image) is used for screening oral cancer
• Diagnosis is confirmed by Biopsy

Which is false about the given programme?
1
Full immunisation coverage is increased from 65 to 90%.
2
It covers DPT,TB,Mumps
3
Launched in Dec 2014
4
Je and Hib is also included in some states
Solution

Which deficiency leads to condition shown in below image ?
1
Niacin
2
Iron
3
Zinc
4
Selenium
Solution
Acrodermatitis Enteropathica:-
• Primary defect is in zinc absorption.

• Inheritance: Autosomal recessive.
Characteristics:
• Perioficial dermatitis, Alopecia, Diarrhoea.

• Features start appearing in the first few months of life, as the infant discontinues breast
milk.
• Erythematous patches and plaques of dry,scaly skin.

All are true for the following image except?
1
It produces a neurotoxic venom
2
It produces a haematoxic venom
3
It belongs to elapidae family
4
All are true
Solution
Common cobras are usually brown or black in color
• Head is covered with shields. The third supra-labial shield touches the eye and nose.
• A small wedge shaped scale called as cuneate is present between 4th and 5th infra-labials.
• Pupils are round.
• Hood is present. Dorsal aspect of hood may have monocellate (monocele) or binocellate
(spectacle) mark. Ventral surface of hood have two dark spots
• Fangs are short, grooved and situated anteriorly.
• Tail is cylindrical. Caudal scales (scales on undersurface of tail) are divided and double.
• Venom — neurotoxic.

Identify the organ from the image of H and E section of stained tissue
1
Spleen
2
Tonsil
3
Lymph node
4
Peyer's patches
Solution
Tonsil: squamous epithelium and lymphoid tissue

The MOST likely explanation for these findings, from the gross appearance of the liver at autopsy
seen here, is the presence of:
A 72 year old female has been feeling fatigued for weeks. She has had a 10kg weight loss in the
past couple of months. She has some nausea, but no vomiting, hemoptysis, or hematemesis. She
does not have a cough. She is afebrile.
1
Hepatic Adenomas
2
Metastatic Adenocarcinoma
3
Multifocal Biliary Tract Dysplasia
4
Hepatocellular Carcinoma
Solution
The multiple mass lesions seen here are characteristic for metastases, and a common primary
site would be the colon. Nearly all solid tumors can potentially give rise to liver metastases;
primary cancers of the gastrointestinal tract (colon, pancreas, esophagus, stomach,
neuroendocrine), breast, lung, genitourinary system (kidney, adrenal), ovary and uterus,
melanoma, and sarcomas account for the overwhelming majority of cases. Spread to the liver
may be via the systemic or portal venous circulation. The cirrhotic liver, which often gives rise to
primary hepatic tumors, seems to be less susceptible than normal liver to implantation of
metastases. Individual tumor types have characteristic patterns of spread. For example, colorectal
cancer spreads to the liver as the first site of metastatic disease in a very high proportion of
patients; the lung is the next most common site, but bone, brain, or adrenal metastases are
distinctly unusual. In general, the vast majority of patients with metastases to the liver also have
disease at other sites. A notable exception is colorectal cancer, which in many cases involves the
liver only for a prolonged period. Symptoms & signs: Weight loss, fatigue, pain, and anorexia are
the presenting general complaints in many such patients. Signs of liver failure, such as ascites
and jaundice, are uncommon and suggestive of very advanced cancer. Imaging: The detection of
liver metastases relies on CT and/or MRI scans; ultrasonography will identify tumors in the liver
and will distinguish solid from cystic lesions but cannot provide the same degree of anatomical
detail. Treatment: For most patients with metastatic liver disease, chemotherapy is the only
treatment option, particularly with coexisting metastases outside the liver. Such therapy is usually
not curative but rather palliative in most cases. A notable exception is metastatic colorectal
cancer, for which resection or other treatments aimed at the liver disease are effective and
potentially curative.
Ref: Jarnagin W.R. (2010). Chapter 24. Liver & Portal Venous System. In G.M. Doherty (Ed),
CURRENT Diagnosis & Treatment: Surgery, 13e.
Diagnosis is ?
1
Kawasaki disease
2
Scarlet fever
3
Fifth disease
4
Chicken pox
Solution
STRAWBERRY TONGUE + SAND PAPER RASH + SLAPPED CHEEK APPEARANCE=
SCARLET FEVER.
STRAWBERRY TONGUE ALSO SEEN IN KAWASAKI DISEASE.
SLAPPED CHEEK APPEARANCE IN FIFTH DISEASE.
DEW DROP RASH IN CHICKEN POX.

A 20 year old girl come to you with bluish discoloration in right eye. What is your most likely
diagnosis?
1
Nevus of Ota
2
Nevus of Ito
3
Mongolian spot
4
Dermal Melanocyte Hamartoma
Solution
Description:Nevus of Ota is characterized by blue-black or gray-brown dermal melanocytic
pigmentation and typically occurs in areas innervated by the first and second branches of the
trigeminal nerve. Mucosal pigmentation may involve conjunctiva, sclera, and tympanic membrane
or other sites. It is has female predominance, and is usually congenital.
Nevus of Ito can be considered as a variant of nevus of Ota but it involves the acromioclavicular
and deltoid region.
Ref: Wolff K, Johnson R, Saavedra AP. Section 9. Benign Neoplasms and Hyperplasias. In: Wolff
K, Johnson R, Saavedra AP. eds. Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology,
7e.

This splint is used in?
1
Radial nerve palsy
2
Ulnar nerve palsy
3
Median nerve palsy
4
Brachial plexus injury
Solution
Splints:
– Axillary N – Shoulder abduction splint
– Radial N – Cock-up splint
– Median N/Ulnar N – Knuckle bender splint
– Common peroneal N – foot drop splint
– Brachial plexus injury – Aeroplane splint
Nerve Injuries in Fractures and Dislocations
Nerve Trauma Effect
Axillary nerve Dislocation of the shoulder (Anterior and Inferior)
Deltoid palsy
Radial nerve :Fracture shaft of the humerus (lower 1/3rd)
Wrist drop
Ulnar nerve :Fracture medial epicondyle humerus Claw hand
Sciatic nerve Posterior dislocation of the hip Foot drop
Common peroneal nerve
Knee dislocation/fracture of neck of the fibula
Foot drop
Posterior
Interosseous nerve
Monteggia fracture Finger drop
Anterior
Interosseous nerve
Supra condylar fracture humerus Kiloh Nevin Sign.

Staining procedure shown in photograph is used to visualize ................. of bacterium
1
Nucleus
2
Motility
3
Capsule
4
Ribosomes
Solution
• Capsules of bacteria may be demonstrated by negative staining in wet films with India Ink,
when they are seen as clear halos around bacteria, against a black background (image).

Identify the Protein (arrow) shown in the thin filament in below image:
1
Titin
2
Actinin
3
Tropomyosin
4
Desmin
Solution
Tromyosin:-
They are long filaments located in the groove between two chains in the actin.
Regulatory protein of rod shaped molecule with double helix pattern.
It covers the binding site of actin where myosin head comes in contact with actin.
It prevents the interaction between actin and myosin filaments.
This histological slide is of ?
1
Normal lower oesophagus
Stomach
3
Barrets oesophagus
4
Intestinal epithelium
Solution
Baretts oesophagus: Intestinalisation of lower esophagus and act as a precursor for
adenocarcinoma oesophagus.
Alcian blue – intestinal cells.
PAS STAIN - MAGNETA BLUE.

Identify the instrument shown in the image
1
Siegel's pneumatic speculum
2
Vienna nasal speculum
3
Thudicum nasal speculum
4
Beckmann nasal speculum
Solution
• Vienna Nasal Speculum (Image) : An intranasal instrument used to retract and expose
nasal tissue for examination.

This type of appearance is seen in all of the following bacteria except?
1
Yersinia
2
Vibrio parahaemolyticus
3
Campylobacter granulomatis
4
Haemophilus aegypticus
Solution
Central type of disease shown in image is seen in
1
Cystic adenomatous malformation
2
Cystic fibrosis
3
Bronchogenic carcinoma
4
Tuberculosis
Solution
Central Bronchiectasis
• Allergic bronchopulmonary aspergillosis (ABPA)

• Congenital tracheobronchomegaly a.k.a. Mounier Kuhn syndrome
• Cystic fibrosis (image)
• Williams Campbell syndrome (rarely)

Which type of blood cell is shown in the image ?
1
RBC
2
Monocyte
3
Eosinophil
4
Neutrophil
Solution
Eosinophil:-
10-14 micron diameter.
Bilobed nucleus, Spectacle-appearance.
Acidophilic, Granular cytoplasm.
Coarse bright red granules.
Diagnosis is?
1
Partial mole
2
Complete mole
3
Invasive mole
4
Choriocacinoma
Solution
Complete mole- snow storm appearance on usg.
Choriocarcinoma : snow storm appearance on xray.

Diagnose the underlying disorder based on sign (arrow) shown in below image:
1
Scleroderma
2
SLE
3
Juvenile dermatomyositis
4
Takayasu arteritis
Solution
Juvenile Dermatomyositis:-
Gottron's papules:
Scaly erythematous eruptions or red patches overlying the knuckles, elbows and knees.
MC seen on dorsal aspects of MCP and IP joints of fingers or toes.

Diagnose the Bone tumor shown in below image.
1
Osteosarcoma
2
Giant cell tumour
3
Ewing's sarcoma
4
Osteoid osteoma
Solution
Ewing's Sarcoma:-
Highly malignant tumor occurring between the age of 10-20 years, sometimes upto 30 years.
Radiological features in a typical case, there is a lytic lesion in the medullary zone of the mid-shaft
of a long bone, with cortical destruction and new bone formation in layers- Onion Peel
appearance.
The image shows:
1
Wuchereria bancrofti
2
Brugia malayi
3
Mansonella perstans
4
Mansonella ozzardi
Solution
W. BANCROFTI - THEY HAVE OUTLINE OF SHEATH , NO NUCLEUS AT THE TIP AND WELL
DEFINED NUCLEUS.
M.PERSTANS- UNSHEATH AND NUCLEI GO THE TIP AND TAIL IS ROUNDED.
M.OZZARDI- UNSHEATH AND NUCLEI DOESNT REACH THE TIP.
B. MALAYI- SHEATH , 2 NUCLEI AT THE TIP , BODY IS KINKED AND NUCLEI IS DENSE.

Skin disorder shown in below image is:
1
Panniculitis
Nodular vasculitis
3
Polyarteritis nodosa
4
Pyoderma gangrenosum
Solution
Polyarteritis Nodosa (PAN):
• Segmental vasculitis affecting primarily medium sized vessels, including small arteries in
the deep dermis and subcutis.
• Tender subcutaneous nodules along line of arteries.
• Favors middle-aged adults (men>women), but can occur at any age.

Which is false about the image given below?
1
These are inserted transabdominally
2
A minimum period of 3 months is required for complete blockage of fallopian
tube
3
They do not prevent STD
4
A HSG should be done to confirm blockage of tube
Solution
Essure: A permanent sterilization procedure for women (USA).
– Mechanism of action:
- Micro-inserts are placed into fallopian tubes by a catheter passed from vagina through cervix
and uterus.
- Once in place, the device is designed to elicit tissue growth (scarring) in & around micro-insert to
form over a period of 3 months an occlusion/blockage in fallopian tubes.
- Tissue barrier formed prevents sperm from reaching an egg.
- Occlusion confirmed by Hysterosalpingogram.
- No general anaesthetic nor incision through the abdomen required.

Below image shows a case of leprosy on multidrug therapy develops lesions. Treatment is:
1
Thalidomide
2
Rifampicin
3
Dapsone
4
Prednisolone
Solution
Erythema Nodosum Leprosum:-
Features: Tender, Reddish and transient skin nodules, occasionally painful and swollen nerves,
fever, joint pains and malaise.
Treatment of Lepra reactions:
Type I (Reversal) Reactions: Prednisolone (steroid).
Type II (ENL) Reactions: : Mild cases: Analgesics or Anti-pyretics like aspirin.
- Severe cases: Prednisolone (steroid),
- During steroid withdrawl: Clofazimine.

Measured in fluid (arrow) shown in the image to evaluate time since death
1
Sodium
2
Potassium
Chloride
4
Proteins
Solution
• Relationship between measurement of vitreous (arrow in image) potassium concentration &
time elapsed after death up to 120 hours has a linear relation.
• Rise in mainly due to diffusion from the retina into the center of globe, even there is a liner
rise of hypoxanthine up to 120 hours.

A 26 year old man presents with fever for 3 days duration, hypotension and rash over the
extremities. The most likely diagnosis is
1
Enteric fever
2
Dengue hemorrhagic fever
Meningococcemia
4
Scrub typhus
Solution
• It is not enteric fever: Symptoms don't suggest enteric fever
• Scrub typhus patient will show eschar and regional lymphadenopathy
• Hypotension and failure is generally a late sign of meningococcemia

A 39-year-old factory worker with diabetes, presented with loss of appetite of 2 months duration,
generalized weakness and dyspnea on exertion. On examination, pallor was present. On
investigation the below a peripheral smear was obtained. What may be the best line of treatment?
1
Repeated blood transfusions
2
Vitamin B12 Supplementation
3
Chelation therapy
4
Bone marrow transplant
Solution
The given peripheral smear shows basophilic stippling, and is a sign of lead poisoning in a factory
worker. Preferred treatment is Chelation therapy.

AIIMS Image Based Test 1: Medical PG

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Analysis for Paper: AIIMS Image Based Test 1 Page 1 of 53

AIIMS Image Based Test 1

Question 1  Ask Doubt  Bookmark Question

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Question 2  Ask Doubt  Bookmark Question

Which type of epiphyseal injury is being shown here?

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THURSTON HOLLAND SIGN SEEN IN TYPE II.

Question 3  Ask Doubt  Bookmark Question

Fracture classification shown in the image involve

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Question 4  Ask Doubt  Bookmark Question

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Visual Screening with Acetic Acid:

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Question 6  Ask Doubt  Bookmark Question

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Right hand – triphalangeal thumb

TAR-thrombocytopenia and absent radius but thumbs are always present.

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Boyd: Talectomy, forward shift of the calcaneus and calcaneotibial arthrodesis.

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These cells are seen in?

50% got this answer correct.

Popcoren-kernel cell in lymphocyte predominant type.

Mummy cell/Hodgkin cell/pleomorphic variant of RS cell in lymphocyte poor HL.

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• Aspergilloma shows: Air crescent sign (on chest radiography)

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Tissue Sample Collection:

Excisional biopsy: Generally removes the entire area in question.

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Ten steps to successful breast feeding

• Encourage 'breast feeding on Demand'.

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An umbrella program for prevention and control of Vector borne diseases.

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It is the commonest heart lesion met during pregnancy.

Normal mitral valve area ranges between 4 and 6 cm2.

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This type of cells are seen in: