AIPGMEE 2015 - lengthy questions. How to read it in short time

Examples of lengthy questions. How to read it in short time

It is the ability to pick "key word" in the stem which decides merit.

General rule for reading lengthy question is to read the last one sentence first. Scan through option. Then pick the key words.

1.

A 73-year-old man complained of a swelling along the anterior border of the sternocleidomastoid (SCM) in the anterior cervical region (anterior triangle). On examination by his physician, a small, firm swelling was palpated in the submental triangle. It was moveable on the deep tissues and was not attached to the skin. Similar swellings deeper in the neck along the course of the internal jugular vein made the region of the SCM generally swollen. During examination of the man’s mouth, a small carcinomatous ulcer was detected on the left side of the apex of the man’s tongue. When asked how long this sore was on his tongue, the man said it has been there for several months but it was not painful so he ignored it. Which of the following statements best describes the most likely cause of the swellings in the submental and lateral regions of the man’s neck?

One liner looks like this-

A 73-year-old man has Ca tongue. He develops multiple swellings in neck. Which of the following statements best describes the most likely cause of the swellings in the submental and lateral regions of the man’s neck?

2.

A 20-year-old man was slashed in the right anterior cervical region (anterior triangle). An ambulance was called and the paramedics stopped the bleeding from the external jugular vein. He was taken to an emergency room where a physician examined him. When the man was asked to protrude his tongue, its apex was turned to the right side. The physician concluded that there was a nerve lesion. Which of the following statements best describes the most likely cause of the deviation of the man’s tongue?

One liner looks like this-

A man sustains neck injury with knife. He is asked to protrude tongue. Tip deviates to right side. Which nerve is injured?

3.

A 39-year-old woman noticed a swelling in the anterior part of her neck. A fellow member of her church choir suggested she consult their family physician because of the swelling, her nervousness, and loss of weight. During palpation of her neck, the physician determined that her thyroid gland was enlarged and moved up and down during swallowing. He also detected a slight protrusion of her eyes, making them appear too widely opened. He also observed an elevated pulse and tremor of her fingers. He diagnosed her condition as hyperthyroidism (exophthalmic goiter). When she failed to respond to medical treatment, he took a biopsy of a hardened part of the swelling in the gland. It was determined that she had several malignant nodules in her thyroid gland. She was referred to a surgeon who removed the gland. After the surgery the woman complained about the weakness of her voice and difficulty in singing her soprano parts. Which of the following statements best describes the most likely cause of the woman’s hoarseness after thyroidectomy?

One liner looks like this-

Which of the following statements best describes the most likely cause of a woman’s hoarseness of voice after thyroidectomy?

Since there is NO negative marks a tendency is to attempt as many questions as possible. The risk is that the student who scores more mistakes is likely to go down in the rank list because those who get same marks are ranked as per mistakes committed. If two students score 150 marks, the one with ten mistakes is ranked below the one with eight mistakes. In such situations the lengthy questions and image based questions decide the rank.