AIIMS MCQ for Medical PG Preparations .. NIME : Infantile autism mcq

A 5-year-old boy with normal motor skills has severe language delay, shows no interest in interacting with other children or with adults, and spends a lot of time spinning around. The most likely diagnosis for this child is
A. Attention deficit hyperactivity disorder (ADHD)
B. Rett syndrome
C. Conduct disorder
D. Infantile autism

Ans. D.

The most likely diagnosis for this 5-year-old boy with normal motor skills, severe language delay, and stereo typical spinning movements who shows no interest in interacting with others is infantile autism, a pervasive developmental disorder of childhood. In contrast, children  with attention deficit hyperactivity disorder (ADHD) show problems paying attention or with excessive activity but not  language delay. Children with conduct disorder show behaviors like stealing, truancy, and setting fires.Mentally retarded children may have language delay but interact with others in a relatively normal fashion. Rettsyndrome, which involves some behavioral features of infantile autism such as stereotypical movements, is seen only in girls.

 

AIIMS MCQ for Medical PG Preparations .. NIME | In which one of the following type of hernia do the abdominal viscera from .....

In which one of the following type of hernia do the abdominal viscera from a part of the wall of hernial sac?
A. Pantaloon hernia
B. Sliding hernia
C. Richter’s hernia
D. Indirect inguinal hernia

Ans. B.

As a result of slipping of the posterior parietal peritoneum on the underlying retroperitioneal structures, the posterior wall of the sac in sliding hernia is not formed by peritoneum alone, but by the sigmoid colon and its mesentery on the left, the caecum on the right and, sometimes, on either side by a portion ofthe bladder. In Richter hernia, a portion of circumference of intestine is seen.

Dual sliding bag/pantaloon hernia: Two sacs, which straddle the inferior epigastric artery, one sac being medial and the other lateral to the vessel.

^FAQSliding Hernia:

·Seen exclusively in males. Five out of six hernias is on left side making sigmoid colon and its mesentery as most common constituent. Bilateral cases are rare.

·Always over 40 years and incidence rises with age.

 

AIIMS MCQ for Medical PG Preparations .. NIME | Contraindications for pancreaticoduodenectomy for carcinoma head of pancreas .....

Contraindications for pancreaticoduodenectomy for carcinoma head of pancreas would include all of the following EXCEPT:
A. Infiltration of portal vein
B. Metastases to coelicgrop of lymph nodes
C. Infiltration of the second part of the duodenum
D. Tumour measuring 6 cm in size

Ans. C.

Patients with duct cell cancers should be considered for resection, which are:

·<than 4 crn in diameter.

·No involving the superior mesenteric or portal veins.

·With no evidence of multiple enlarged nodes or distant spread.

CA Pancreas(^FAQ)

•                  Role of chemotherapy in CA pancreas though ill defined but if tumour is lymphoma then benefit is without doubt.

•                  For duct cell adenocarcinoma, 5-fluorouracil will produce remission in 15-25 percent of patients.

•                  It affects men and women to same degree.

•                  Only predispbsing factors are tobacco smoking and chronic pancreatitis.

•                  More than 85% cases are duct cell adenocarcinoma.

•                  Most frequent symptoms are nonspecific namely epigastric discomfort, anorexia and weight loss.

•      Jaundice is the commonest sign and symptom, which brings the patient to the attention of his/her physician.

The preferred test is now a contrast-enhanced spiral CT scan specific for pancreas.