AIIMS PG - Type of Questions

AIIMS PG - Type of Questions:

The Questions for MD/MS/MDS Entrance Examinations are of the objective type and consist of 200 Multiple Choice Questions (MCQs). The MCQs shall be of the following types and indicative examples of each are provided:

1. Single Best Answer Type:

Each question / statement shall have four alternatives / statements of which only and one best response is to be selected /marked

The nerve that controls salivary secretion from the Parotid Gland is

1. Glossopharyngeal nerve

2. Facial nerve

3. Hypoglossal nerve

4. Chorda tympani

 Correct answer: +01 and Incorrect answer: -1/3

2. Multiple True-False Type:

Each question shall have a stem followed by five alternatives/ statements and every alternative/ statement will have to be marked as either True or False

The following statements are true / false regarding currently applicable modified Jones criteria for the diagnosis of Rheumatic Fever

1. Major criteria are similar for both Low Risk and High-Risk populations

2. Doppler echocardiography is recommended for confirming subclinical carditis

3. Monoarthritis is included as one of the major criteria in Low Risk population

4. Three minor criteria are sufficient to diagnose subsequent episodes of disease

5. Fever ≥ 37.5°C is a minor criterion

 Correct answer: +1/5 for each alternative/statement and Incorrect answer: -1/5 for each alternative/statement

3. Match the Following Type:

Each question shall have two columns with four items in one column (A) that need to be matched appropriately with the best alternative available in the next column(B).

Correct answer: +1/4 for each alternative and Incorrect answer: -1/4 for each alternative

4. Sequential Arrangement Type:

Each question shall have a list of items that need to be arranged sequentially or in order as indicated

Arrange the following bone tumours / lesions sequentially in the order of prevalence with regard to age: Tumour/ lesion occurring in the youngest age group first and the oldest age group last.

1. Osteosarcoma

2.Ewings Tumour

3. Multiple Myeloma.

4. Osteoblastoma

 Correct answer (full sequence corrects): +01, Incorrect Answer (Sequence in correct): - 01

5. Multiple Completion Type:

Each question / statement shall have four alternatives / statements of which one or more may be correct and need to be marked using the following key:

(1) If a, b, and c are correct

(2) If a and c are correct

(3) If b and d are correct

(4) If all four (a, b, c, & d) are correct

Clinical features of neonatal tetanus include

a. Stiffness of neck muscles

b. Painful body spasms

c. Difficulty in swallowing

d. Bulging fontanelle

 Correct answer: +01 and Incorrect answer: -1/4

6. Reason Assertion Type:

Each question shall have two statements: Assertion (A) and Reason (B) connected by the term “because”. The appropriate answer should be marked using the following key:

(1) Both Assertion and Reasons are independently true / correct statements and the Reason is the correct explanation for the Assertion

(2) Both Assertion and Reasons are independently true / correct statements, but the Reason is not the correct explanation for the Assertion

(3) Assertion is independently a true / correct statement, but the Reasons is independently a false / incorrect statement

(4) Assertion is independently a false / incorrect statement, but the Reasons is independently a true / correct statement

(5) Both Assertion and Reasons are independently false / incorrect statements

(A) Serum insulin levels in untreated Type 1 Diabetes Mellitus is low (B) In Type 1 Diabetes mellitus the β cells in pancreas are destroyed

In the above question Statement (A) is the Assertion and Statement (B) is the Reason that explains the Assertion (Statement A)

 Correct answer: +01 and Incorrect answer: -1/4

7. Extended Matching Items / Questions (EMI /EMQ) Each EMI /EMQ will broadly have the following components.:

 Theme & Focus

 Answer option list

 Lead in question

 Scenarios or Vignettes

There will be two or more scenario / vignette related to the overall Theme & Focus of the question

 The candidate should select the best possible answer from the Answer Option List.

Theme & Focus

Fatigue

Answer Option List

A. Thalassemia

B. Acute Leukemia

C. Hereditary Spherocytosis

D. Non-Hodgkins Lymphoma

E. Hodgkin Disease

F. Multiple Myeloma

G. Megaloblastic Anemia

H. Chronic Myeloid Leukemia

Lead in question

For each of the following patients as described in the scenarios below, identify the cause from the above Answer Option List

Case 1:

A 30-year-old male presented with fatigue and pain abdomen of six months duration. On examination, he is anemia and has multiple, cervical lymph nodes around 1cms in size, hepatomegaly to the extent of 2 cms below costal margin and a spleen that is enlarged to 10 cms below costal margin. Laboratory examination reveals Hemoglobin of 7G/dL, Total Leukocyte Count of 85.6 X109 /L and Platelet Count of 326 X109 /L. The peripheral smear showed mild anisocytosis and poikilocytosis of Red Cells. Normoblasts were not seen. There were increased numbers of neutrophils and neutrophil precursors and few basophils were identified. Occasional blasts were seen. The Differential Count was: Blasts 1%, Promyelocytes 1%, Myelocytes 8%, Metamyelocytes 7%, Band Forms 22%, Neutrophils 41%, Eosinophils 2% Basophils 2%, Lymphocytes 12% and Monocytes 4%. Numerous platelets were identified singly or in clumps.

What is your diagnosis?

Case 2:

A 25 year old male was detected to have pallor and mild icterus by his Family Physician whom he consulted for fatigue since about a year. He gives a history of cholecystectomy for gall-stone disease. He could not give any detailed family history except that his father and paternal grand-father were known to be “anemic”. Neither he nor his family members ever needed blood transfusions. On Physical Examination, his spleen was palpable 3 cms below costal margin. Laboratory investigations revealed:

RBC 3.62 x 1012/L

HGB 10.3 G/dL

HCT 30.1 % MCV 85.1 fL

MCH 27.6 pg

MCHC 32.6 g/dL

RDW 17.9

Reticulocyte count was 15.6%

Serum Iron Studies did not reveal any abnormality

Hemoglobin electrophoresis was normal

Total Bilirubin was 3.2 mg/dL and the Conjugated Bilirubin was 0.5 mg/dL.

What is your diagnosis?

Correct answer: (+)1/ No of scenarios

Incorrect answer: (-) 1/No of scenarios

In the above example there are two scenarios. Therefore, the marks allotted for each scenario shall be: +1/2 for the correct answer identified from the Option List for each scenario and -1/2 will be deducted if an incorrect answer identified from the Option List for that scenario

The number of scenarios and therefore the allotted marks may vary accordingly. This means that if there are three scenarios, in the question, the marks shall be +1/3 and -1/3 for each scenario answered correctly or incorrectly respectively.