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135
1465d7e9-40a1-4fad-81ee-f5b83878efb3
In a sampling technique, every 10th unit of population is chosen. What is this type of sampling technique called?
Systematic random sampling
Systematic sampling
Simple random sampling
Cluster sampling
0a
multi
Systematic random sampling is a sampling technique. It is done by picking up every 5th or 10th unit at regular intervals. By this method, each in the sampling frame would have the same chance of being selected, but the number of possible samples is reduced. Other sampling methods are simple random sampling, stratified ...
Social & Preventive Medicine
Epidemiology
c465fac7-b2ff-4d4c-a1f3-a9246e9b1592
Most common mode of treatment of a 1 year old child with asthma is:
Inhaled sho acting beta 2 agonist
Oral sho acting theophylline
Oral ketotifen
Leukotriene agonist
0a
single
Asthma in children between 1-3 years of age is treated with inhaled beta-2 adrenergics and/or theophylline administered by nebuliser or face mask. Ref: Diagnosis and Management of Asthma, Mani S. Kavuru, 2007 - Page 41; Pediatric Allergy, Asthma And Immunology, Springer, 2008 - Page 828; Ghai Essential Pediatrics - 6th...
Pediatrics
null
0c9f912f-72db-4298-9d5c-661dee964877
A 10-year-old girl has multiple excoriations that have appeared on the skin of her hands over the past week. The child reports that she scratches her hands because they itch. Physical examination shows multiple 0.2- to 0.6-cm linear streaks in the interdigital regions. Treatment with a topical lindane lotion resolves t...
Ixodes scapularis
Poxvirus
Staphylococcus aureus
Sarcoptes scabiei
3d
single
The small scabies mites burrow through the stratum corneum to produce the linear lesions, and the mites along with their eggs and feces produce intense pruritus. Scabies is easily transmitted by contact and typically occurs in community outbreaks. Ixodes scapularis is the tick that is the vector for Borrelia burgdorfer...
Pathology
Skin
6471391f-e0a1-4d48-ab7b-abe64508553b
All are substrates of Gluconeogenesis EXCEPT:
Lactate
Alanine
Leucine
Lysine
2c
multi
18 amino acids are glucogenic (out of 20). These all can form glucose. Only 2 amino acids are purely ketogenic which cannot form glucose i.e. Leucine, Lysine. As there is controversy regarding Lysine to be purely ketogenic we cannot mark this as not gluconeogenic. Hence its only safe to mark leucine in case one best an...
Biochemistry
Gluconeogenesis
ae454291-2a1f-442b-b643-b7f009cb76a7
A wave in JVP is due to ?
Atrial systole
Atrial diastole
Ventricular systale
Ventricular diastole
0a
single
Ans. is 'a' i.e., Atrial systole
Physiology
null
e93e62dd-8def-479c-ab25-bb9592fbe71f
Characteristics of Slow Wave Sleep are
Also called paradoxical slee
Dreams occur but not consolidated into memory
Heart rate & respiratory rate become irregular
EEG shows desynchronized pattern of b waves
2c
multi
(C) Heart rate and respiratory rate become irregular > Slow waves in the EEG and their behavioral correlate, slow-wave sleep, can be produced by stimulation of at least three subcortical regions.> The diencephalic sleep zone is in the posterior hypothalamus and the nearby intralaminar and anterior thalamic nuclei.> The...
Physiology
Nervous System
503b2877-c4fe-4e2c-bbff-5083bf2ccec1
The decrease in plasma osmotic pressure is the cause of edema in?
CHF
DVT
Nephrotic syndrome
None
2c
multi
• Following conditions can cause edema :- 1) The increased hydrostatic pressure of capillaries : It causes an increase in outward driving force. It may be due to impaired venous return e.g. in CHF or DVT. 2) Decreased plasma osmotic pressure of capillaries: It causes decreases in inward driving force. It results from H...
Pathology
null
e119fee6-0aa8-483a-96d1-5b8825f99eac
A male 45 years old presents to the dental clinic with pain in lower back tooth region. Intraoral examination reveals carious 36. Root canal treatment done and zirconia crown has to be placed. Dentist makes an impression with polysulfide impression material. All of the following are the disadvantages of this material e...
High tear resistance
Stretching leads to distortion
Stains clothing
Obnoxious odor
0a
multi
Key Concept: High tear resistance is an advantage of Polysulfide impression materials. Characteristics of Elastomeric Impression Materials:
Dental
null
ab82bb57-b13b-43aa-99dd-db1d8931d44f
All of the following are mid line swellings in neck, except
Branchial cyst
Sublingual dermoid cyst
Throglossal cyst
Subhyoid bursitis
0a
multi
(A) Branchial cyst # DD of midline swellings of neck: Ludwigs angina; Enlarged submental lymph node; Sublingual dermoid cyst; Subhyoid bursitis; Thyroglossal cyst; Enlarged isthmus of thyroid gland; Pretracheal and prelaryngeal lymph nodes; Retrosternal goitre; Thymic swelling; Enlarged lymph nodes of lipoma in the sup...
Surgery
Miscellaneous
65378f7b-07c5-49df-81de-45be2a7e9496
Seen in rickets A/E –a) Cupping of metaphysicb) Defective Mineralizationc) Epiphyseal dysgenesisd) Defective osteoid formation
ab
cd
bd
ac
1b
single
In rickets osteoid (protein matrix) is formed normally but mineralization of this osteoid does not occur i.e. there is defective mineralization. Pathophysiology of rickets 1)   Normal anatomy and physiology of mineralization Normal growing bone has following regions (moving from end to centre) -
Pediatrics
null
a7098766-658d-4af4-bc5a-fc2a59f4b5c5
The commonest cause of pathological fracture is generalized affection is:
Carcinoma
Osteoporosis
Cyst
All of the above
1b
multi
B i.e. Ostoporosis
Surgery
null
a8953a0e-e635-4a11-9f1a-9c294b4920fa
A 24-year-old woman in her third trimester of pregnancy presents with urinary frequency and burning for the past few days. She denies fever, or chills. She has mild suprapubic tenderness, and a urine dipstick is positive for WBC, protein, and a small amount of blood. Culture produces greater than 100,000 colonies of gr...
Colonisation factor antigen
Heat labile toxins
Heat stable toxins
P pili
3d
multi
P pili are found in uropathogenic strains of E. coli. By using P pili, E. coli is able to attach to epithelial cells lining the urinary tract. Pili or fimbriae are hair like structures, which are formed by only gram-negative bacteria. They are organs of adhesion and allow the bacteria to adhere to mucosal surface. Thes...
Surgery
null
5cb0b109-7201-410a-8f03-c0db7ddfbca0
A child presents with a solitary white well-defined patch on his right thigh. Diagnosis is –
Piebaldism
Albinism
Nevus achromicus
Acral vitiligo
2c
single
Information is this question are :- Lesion is on thigh Unilateral lesion (Isolated lesion on Right thigh) Both these suggest Nevus achromicus, i.e. Nevus acromicus involves :- Trunk and proximal extremity (thigh in this question) Lesion is unilateral Also keep in mind that, though Nevus achromicus presents sinc...
Dental
null
7b99f77a-9045-40a2-a82c-3483bc22796d
X- linked recessive disease in male with clotting defect is-
Hemophilia A
Von - Willebrand disease
ITP
None
0a
multi
X- linked recessive disease in male with clotting defect is Hemophilia A XR (X-linked recessive) Color blindness Duchenne's Muscular Dystrophy Becker's Muscular Dystrophy Glucose-6-Phosphate Dehydrogenase deficiency(G6PD) Testicular Feminization Hunter's Syndrome Fabry's disease Ornithine Transcarboxylase deficiency Le...
Biochemistry
Genetic Disorders
c79013b4-4f74-4e2b-b3d0-565aeb3f571e
Which of the following is seen retinitis pigmentosa?
Aeriolar attenuation
Neovascularization
Retinal aery thrombosis
Papilledema
0a
single
Retinitis pigmentosaApoptosis of rodsAR - most common RISK FACTOR- Consanguineous marriagesC/F- Nyctalopia- Ring scotoma +nt- Progress to tubular vision (constriction of visual fields) O/E- TRIAD- Pale waxy disc- Aeriolar attenuation- BONE SPICLUE PIGMENTATION (characteristic) - Gold standard for Dx - ERG- Measures the...
Ophthalmology
FMGE 2019
6d171e42-c76c-4073-8227-ff04b6b509d2
All of the following statements about renal regulations in a paient with hypovolemic shock are true, expect(2018)
Reduced renal plasma flow
Reduced glomerular filtration rate
Constriction of afferent aeriole more than the efferent aeriole
Renal vasoconstriction
2c
multi
Renin is secreted from the juxtaglomerular cells that surround the renal afferent aerioles.Aldosterone secretion is regulated the renin-angiotensin system in a feedback manner.Angiotensin II has a generalized vasoconstrictor action. A drop in ECF volume or intra-aerial vascular volume leads to a reflex increase in rena...
Physiology
Renal physiology
dcd68b91-c56a-4da4-a671-113095e4c099
Best parameter measured by ultrasound to assess foetal maturity in the first trimester?
Crown - rump length
Biparietal diameter
Ratio of transverse diameter of abdomen to foetal head diameter
Transverse diameter of abdomen
0a
single
Ans. A. Crown - rump lengthThe most sensitive indicator of symmetric and asymmetric IUGR is the abdominal circumference, which has a sensitivity of over 95 percent if the measurement is below the 2.5th percentile. Head/abdomen ratio is very useful in suspected IUGR when sparing head growth is observed (asymmetrical IUG...
Gynaecology & Obstetrics
Diagnosis in Obstetrics
66f7b2eb-2211-4485-bb14-c4075c3d4cc8
Which is the following is an example of low grade Non-Hodgkin's lymphoma?
Follicular lymphoma
Burkitt lymphoma
Diffuse large cell lymphoma (DLBCL)
Lymphoblastic lymphoma
0a
single
Follicular Lymphoma is a low grade non-Hodgkin's lymphoma Most common form of indolent lymphoma in adults. Hallmark is a (14;18) translocation that juxtaposes the IGH locus on chromosome 14 and the BCL2 locus on chromosome 18. The t(14;18) is seen in up to 90% of follicular lymphomas and leads to overexpression of BCL2...
Pathology
Non Hodgkin Iymphoma
734443fe-7165-4b3f-b990-d6b7f098711d
Which of the following is respiratory analeptic drug?
Picrotoxin
Methylphenidate
Caffeine
Doxapram
3d
single
ANSWER: (D) DoxapramREF: KDT 6th edition page 470CNS STIMULANT CLASSIFICATIONConvulsants: Strychnine, Picrotoxin, Bicuculline, Pentylenetetrazol (PTZ)Analeptics: DoxapramPsychostimulants: Amphetamines, Methylphenidate, Modafinil, Pemoline, Cocaine, Caffeine.Doxapram: It acts by promoting excitation of central neurones....
Pharmacology
C.N.S
8e5f745c-f2eb-470b-9d76-40de90f0303b
Increase in temperature during first 2 hours after death is due to?
Massive hemorrhage
Cyanide poisoning
Organophosphorus poisoning
Septicemia
3d
single
Ans. is 'd' i.e., septicemia Postmortem caloricitv is seen in1) Due to disturbed heat regidation : Sun-stroke (heat stroke), pontine hemorrhage.2) Due to heat production by muscular activity: Tetanus, strychnine poisoning, asphyxial death.3) Acute bacterial or viral infections : Pneumonia, septicemia, liver abscess, pe...
Forensic Medicine
Death and Medicolegal Aspects
64d20297-0cc6-4a91-bb83-109c1a9e2c99
All of the following occur in pregnancy EXCEPT
Increase in Cardiac output
Increase in stroke volume
Decrease in fibrinogen levels
Rise in the venous pressure in the lower limb in supine position
2c
multi
(C) Decrease in fibrinogen levels # PHYSIOLOGICAL CHANGES ASSOCIATED WITH PREGNANCY:> Blood Volume increases progressively from 6-8 weeks gestation (pregnancy) and reaches a maximum at approximately 32-34 weeks with little change thereafter.> Renal plasma flow and glomerular filtration rate begin to increase progressiv...
Gynaecology & Obstetrics
Miscellaneous (Obs)
ca7b5676-e246-457f-8907-09f9c8882621
Who gave the basic concepts of "Analytical Psychology"?
Sigmond Freud
Erik erikson
Anna Freud
Carl Jung
3d
single
Psychoanalysis : Sigmond Freud Child psychoanalysis: Anna Freud Analytical psychology: Carl Jung.
Psychiatry
null
0dc4e1a5-bb7f-4184-9555-9cb3d40438d9
Consistency of the gas permeable contact lenses is:
Hard
Soft
Semisoft
None of the above
0a
multi
Ans. Hard
Ophthalmology
null
19d93654-2416-4bcb-be13-345ba3111073
Sudden inversion of foot leads to rupture of which tendon?
Deltoid ligament
Anterior talofibular ligament
Posterior talofibular ligament
Spring ligament
1b
single
Ans. is 'b' i.e., Anterior talofibular ligament * The lateral collateral ligament is commonly sprained, mostly so the anterior talofibular component* Structures damaged due to inversion injury.i) Peroneal tendon injury.ii) Avulsion fracture of tip of lateral malleolus.iii) Avulsion fracture of anterolateral surface of ...
Orthopaedics
Injuries to the Leg, Ankle & Foot
e17f5379-5f45-4743-8721-be7907eca17f
All of the following are known side effects with the use of tocolytic therapy except:
Tachycardia
Hypotension
Hyperglycemia
Fever
3d
multi
Tocolysis for pregnancies beyond 34 weeks are associated with more complications and no clear benefits in fetal status. Hence tocolysis is now limited to pregnancies before 34 weeks. Common side effects of tocolytic therapy - Hypotension Tachycardia Hyperglycemia Pulmonary edema Cardiac arrythmias Hypokalemia Neonatal ...
Gynaecology & Obstetrics
Labour - normal, abnormal, malposition, malpresentation and their management
75d4f290-63af-4e82-845d-6d0ef766869b
'Socialized medicine' concept was first given by
India
Russia
Germany
China
1b
single
Socialized medicine - Free medical care by govt. regulated by professional groups or bodies. Concept given by Russia State medicine -free medical care by govt. Finger printing first given by - India Blindness control first staed by - India Compulsory sickness insurance given by- Germany
Social & Preventive Medicine
Definition and Concepts in Sociology & Psychology
4629afc9-09ca-4566-8618-c1c0e14255ad
A pregnant lady is suffering from peptic ulcer. Drug that is absolutely contraindicated is:-
Omeprazole
Ranitidine
Misoprostol
Famotidine
2c
single
Misoprostol (PGE1 analogue) is the MOST SPECIFIC drug for treatment and prevention of NSAID induced peptic ulcer (DOC is PPI). Commonest side effect of PG analogues is diarrhea and colicky abdominal pain. Misoprostol can cause aboion. It is therefore contraindicated in pregnancy.
Pharmacology
Gastro-Intestinal Tract
3a9b8bd3-7255-4188-bfc5-577ce872c418
Discectomy can be performed using
Open surgery
Microscope
Endoscope
All
3d
multi
Ans. D. ALLa. Discectomy is performed in case of accompanying LCS - fenestration with laminectomyb. Small disc with microscope/endoscope
Orthopaedics
Management In Orthopedics
78571ef8-2966-4b45-8eeb-023475ae06a6
Nocardia is stained by:
Acid fast stain
Kiram's stain
Alcian blue
Mucin stain
0a
single
Ans. is 'a' i.e., Acid fast stainRef:(Ananthanarayan, 8th/e, p. 393; 9th/e, p. 390-91)The first step in diagnosis is examination of sputum or pus for crooked, branching, beaded, gram-positive filaments 1 um wide and up to 50 um long. Most nocardiae are acid-fast in direct smears if a weak acid is used for decolorizatio...
Microbiology
Bacteria
a75710c2-ed1d-4c1b-9a22-b4201013db84
Virus causing acute onset sensorineural deafness -a) Corona virusb) Rubella, measlesc) Mumpsd) Adeno viruse) Rota virus
a
bc
ac
ad
1b
single
“The most common postnatal cause of acquired SNHL is meningitis, while the most common prenatal cause is intrauterine infection (eg TORCH infections, syphilis, mumps, measles)”. According to Scotts Browth 7/e, p 3579 – Specific viruses like mumps and syphilis and encephalitis can cause sudden sensorineural hearing loss...
ENT
null
f13a74c3-dc74-4134-a219-0dc36840172c
Urine concentrating ability of the kidney is increased by
Increased medullary hyperosmolarity
Increase in RBF
Reduction of medullary hyperosmolarity
Increase in GFR
0a
single
Countercurrent mechanism is a system in the renal medulla that facilitates concentration of the urine as it passes through the renal tubules.Ref: Ganong&;s review of medical physiology; 24th edition; page no: 687
Physiology
Renal physiology
964e53b0-4fd4-4f11-879a-eba3485b0319
a-Granules of platelet contains all of the following, EXCEPT:
Fibrinogen
Fibronectin
factors V
ATP
3d
multi
Platelets play a critical role in normal hemostasis. Their function depends on several glycoprotein receptors, a contractile cytoskeleton, and two types of cytoplasmic granules. a-Granules have the adhesion molecule P-selectin on their membranes and contain fibrinogen, fibronectin, factors V and VIII, platelet factor 4...
Pathology
null
846849b3-dcc5-4fea-87a7-0683d37bd70b
Periodic Acid Schiff stain shows block positivity in:
Myeloblasts
Lymphoblasts
Monoblasts
Megakaryoblasts
1b
single
Lymphoblasts
Pathology
null
bafc370f-af00-48c3-ac1d-4db9a759bb6a
Brazilian purpuric fever is caused by?
Haemophilus haemolyticus
Haemophilus aphrophilus
Haemophilus aegyptius
Haemophilus parainfluenzae
2c
single
Brazilian purpuric fever is caused by Haemophilus aegyptius. It is characterised by conjunctivitis which proceeds to fulminant septicemia in infants and children. There is high fatality. It was first recognized in Brazil in 1984. Ref: Ananthanarayan and Paniker's Textbook of Microbiology, 9th edition, p330,331.
Microbiology
Bacteriology
6cc506bb-4b74-4fdb-9e82-ea5ffb0217f1
A 7 year old girl is brought with complaints of generalized swelling of the body. Urinary examination reveals grade 3 proteinuria and the presence of hyaline and fatty casts. She has no history of hematuria. Which of the following statements about her condition is true -
No IgG deposits or C3 deposition on renal biopsy
C3 level will be low
IgA nephropathy is the likely diagnosis
Alpo's syndrome is the likely diagnosis
0a
multi
Ans. is 'a' i.e., No IgG deposits or C3 deposition on renal biopsy This girl is having i) Generalized swelling (edema) ii) Grade 3 proteinuria iii) Fatty casts (lipiduria) iv) No hematuria o All these features suggest the diagnosis of nephrotic syndrome. o Minimal change disease is the commonest cause of nephrotic synd...
Pediatrics
null
f76ecf80-ea0c-4a98-9b26-0cf4434f91c2
Which of the following has small representation in somatosensory area of cerebral cortex -
Lips
Thumb/fmgers
Tongue
Trunk
3d
multi
Ans. is 'd' i.e., Trunko A distinct topographic represention of the body can be demonstrated in somatosensory area-1.o Each side of the cortex receives sensory information from the opposite side of the body only (contralateral representation).o The body is represented upside down (vertical) in the postcentral gyrus, i....
Physiology
Nervous System
5618436b-5205-45d0-8c7a-e3576228148f
Menorrhagia is defined as blood loss per vagina more than:
80 ml
110 ml
150 ml
50 ml
0a
single
null
Gynaecology & Obstetrics
null
5d2982e4-2534-4967-a67e-de310e568dce
All are true about Bullous keratopathy except -
See in Macular dystrophy
Treatment is keoplasty
Lenses can be prescribed for such patients
Seen in Fuch's dystrophy
0a
multi
It is seen in fuch's dystrophy.Stage of bullous keratopathy,this stage follows long-standing stromal oedema and is characterised by marked epithelial oedema with formation of bullae, which when rupture cause pain, discomfo and irritation with associated decreased visual acquity.Reference:Comprehensive ophthalmology,AK ...
Ophthalmology
Cornea and sclera
854ad2c1-5c62-44ed-8553-b2bd35c56cad
Which of the following is very effective in Rx of acute exacerbation of asthma and status asthmaticus?
Beclomethasone
Budesonide
Ciclesonide
None of the above
3d
multi
Ans. D. None of the above. (Ref. KDT 6th/224 - 227)KDT 6th/pg. 225........Currently, inhaled steroids are not considered necessary for patients with mild and episodic asthma. They are indicated when inhaled beta2 agnoists are required almost daily or the disease is not only episodic. Peak effect is after 4-7 days of in...
Pharmacology
Asthma
ec7f76f9-faba-4406-8743-121db3da8f0c
B cells are induced to produce IgE by which of the following
IL-2
IL-4
IL-1
IL-6
1b
single
ref : robbins 10th ed
Pathology
All India exam
a01c700c-1354-41c5-b83f-a86433750487
Mycobacterium tuberculosis is diffentiated from other atypical mycobacteria by -
Niacin test
AFB staining
PAS staining
None
0a
multi
null
Microbiology
null
1e56cddc-84bc-4477-8158-96251e523e4c
cove sensitization is mainly used in
schizoid personality
substance use
mania
schizophrenia
1b
single
In cove sensitization also called as imagined punishment, the individual who wants to quit alcohol will be asked to think about adverse consequences of taking alcohol like getting arrested for drunken driving or facing a accident underintoxicated state. He would be told to dream as if if he is drunk and lies intoxicate...
Anatomy
Treatment in psychiatry
bc627485-33a9-4b09-b910-ac6e1c2edf4c
Effective polymerase reaction was repeated for 3 cycleson a DNA molecule. What will be the resultingformation of the copies?
Double number of copies
Three times the number of DNA molecule
Four times the number of DNA molecule
8 times
3d
single
. 8 times
Pathology
null
ffb47a34-1d5e-4d69-8729-2b8b72c882a9
Most common cause of aificial hea valve infection?
Staphylococcus aureus
Streptococcus mutans
Staph epidermidis
Pneumococcus
2c
single
Ans. is 'c' i.e., Staph epidermidis Most common cause of prosthetic valve endocarditis upto 12 months is coagulase - negative staphylococci (staph. epidermidis). Most common causes of infective endocarditis In native wall - Staphylococcus aureus. In early prosthetic valve (up to 12 months after valve surgery) - Staphyl...
Microbiology
null
bf7ef2bd-a740-422f-84f3-89aaa81b5462
A female patient presents with diffuse alopecia. There is no other significant past or present complain except that she had suffered from typhoid fever 4 months back. What would be the most probable diagnosis is:
Androgenetic alopecia
Telogen effluvium
Anagen effluvium
Alopecia areata
1b
multi
Ans. B. Telogen effluviumAnagen Effluvium - hair loss during anagen - the onset may be rapid (within 2-4 weeks of the cause). Hair loss may be severe. Causes include: - Chemotherapy drugs (antimitotic agents), Radiotherapy, Malnutrition, Seborrheic dermatitis, Oral contraceptives, Vitamin A poisoning, Iron deficiency, ...
Skin
Alopecia
09d955a9-574e-4833-9b03-b1430936ec25
Following operations are used for genital prolapse, EXCEPT:
Fothergill's operation
Fenton's method
Ward Mayo operation
Le Fo operation
1b
multi
Fenton's method is used for perineoplasty. All others are surgical correction methods of genital prolapse. Types of operation for genital prolapse: Anterior colporrhaphy Colpoperineorrhaphy Repair of enterocele Pelvic floor repair (PFR) Fothergill's or Manchester operation Vaginal hysterectomy with PFR or Ward Mayo's o...
Gynaecology & Obstetrics
null
1892b1e6-c270-431a-9b34-45f2d8d047c1
Neo Vscularization of iris is not seen in:
CRVO
Pigment dispersion syndrome
Ocular Ischemic Syndrome
Diabetic retinopathy
1b
single
Neovascularization of iris is not seen in pigment dispersion syndrome. Neovascularization of Iris. Seen in the conditions where there is VEGF release post inflammation. Can cause neovascular glaucoma. Rx: PRP followed by trabeculectomy/shunt. Causes: PDR CRVO Ocular ischemic syndrome Central Retinal Aery Occlussion Sic...
Ophthalmology
Vitreous Humour, Uveal Disorders
81501821-32cd-4013-b703-a1ae6fe7d445
All are transmitted by milk except
Tuberculosis
Brucellosis
Q Fever
Leishmaniasis
3d
multi
Leishmaniasis is caused by Leishmania donovani. It is a parasitic infection. L.donovani passes its life cycle in 2 hosts, veebrate host ( man and dog), inveebrate host (female sand fly of genus Phlebotomus). The disease is transmitted by the bite of the infected sand fly. In bovine tuberculosis infected cows excreted b...
Microbiology
Bacteriology
ffd7ed95-0c68-482c-b54f-ce13db7cfa87
Earliest lesion seen in asbestosis is:
Pleural plaques
Hilar lymphadenopathy
Adenoma lung
Mesothelioma
0a
single
It is the most common manifestation of asbestosis exposure composed of plaques of dense collagen containing calcium.they are usually asymptomatic and develop on anteroir and postereolateral pas of parietal pleura and over diaphragm.(ref Robbins 9/e p691)
Anatomy
Respiratory system
741598af-d73d-4968-8b25-42497387376d
A child plays a simple ball game at:
52 weeks
36 weeks
12 weeks
40 weeks
0a
multi
Playing a simple ball game comes at 1 year or 52 weeks.
Pediatrics
Social and Language Milestones
099bc60d-9c8e-434f-9fe6-9d91a6ff88f7
In Treacher collin's syndrome there is:
Upward sloping of the palpebral fissure
Poorly developed or absence of malar bones
Progenia and mandibular prognathism
No loss of hearing
1b
single
null
Pathology
null
b2aa1b73-a758-4992-b86f-9ddd5faaf48a
What is present in the retropharyngeal space ?
Platysma
Loose areolar tissue & lymph nodes
Veebrae
Hypoglossal nerve
1b
single
Preveebral Fascia anteriorly is separated from the pharynx and buccopharyngeal fascia by the retropharyngeal space containing loose areolar tissue. Neck infections in front of the preveebral fascia in the retropharyngeal space usually arise from suppuration, i.e. formation of pus in the retropharyngeal lymph nodes. Ref...
Anatomy
Head and neck
1205e5fc-3085-4d21-be23-48d9e58b20ff
All are Lyophilized vaccines except
BCG
Yellow fever
Measeles
Tetanus
3d
multi
null
Social & Preventive Medicine
null
4a721608-358e-4f56-9327-7325fb16f1d6
Nasopalatine cyst arises from
A Embryonic remnants of nasopalatine duct
Cell rest of malassez
Cell rest of serre
Cell remnants of maxillary sinus
0a
single
Nasopalatine cyst is also known as incisive canal cyst.
Pathology
null
eba660c6-f703-48a4-803e-7562f949b5f7
Definitive laboratory diagnosis of acute pancreatitis is done by:
Serum Amylase
Serum Lipase
Hyperglycemia
Hypercalcemia
1b
single
Answer is B (Serum Lipase) Serum lipase elevation is the most specific laboratory test for establishing a diagnosis of Acute Pancreatitis `A three fold elevated serum lipase value is usually diagnostic of acute pancreatitis' - Harrison Serum Lipase levels and serum amylase levels are both used to establish the diagnosi...
Medicine
null
b99a45d9-a8da-4822-a118-cfd1baab2912
In G-6PD deficient patient haemolysis is due to decrease in
H+
TPP
NADH
NADPH
3d
single
Ans. is 'd' i.e. NADPH Glucose-6-POd dehydrogenase (G6PD) deficiencyis an X-linked recessive disorder* that causes episodic hemolytic anemia because of decreased ability of RBCs to deal with oxidative stresses.G6PD is the first and the rate limiting enzyme of the hexose monophosphate shunt (HMP shunt) which is responsi...
Biochemistry
HMP Shunt Pathway, Fructose, Galactose Metabolism
8919f843-db59-43fc-b77c-b5a2d4f61506
Macrocytic anemia is not seen in:
Vitamin B12 deficency
Hemolytic anemia
Post haemmorgagic
Anemia of chronic disease
3d
single
Anemia of chronic disease
Pathology
null
0556015a-1170-414e-a566-8833a238e891
Dental pulp is derived from
Cephalic neural crest cells
Mesenchymal cells
Ectodermal cells
Endodermal cells
0a
single
null
Dental
null
8eafd0cc-d432-4298-ac65-d8a03d15fc60
All are true regarding killed polio vaccine except -
Produces circulatory antibody
Does not require stringent refrigeration
Immunity againts paralytic and wild strains
Not effective in an epidemic
2c
multi
<p> IPV /salk polio vaccine. Strains - Mahoney( salk type 1) MEF1( salk type 2) saukett( salk type 3) Inactivated in formaldehyde. Final vaccine mixture contains 40 units of type1, 8 units of type 2, and 32 units of type3. Administration- intramuscular injection or subcutaneous. Should be refrigerated to ensure no loss...
Social & Preventive Medicine
Communicable diseases
09f7c6c3-99a6-4238-b44e-e12afa9881f4
Rapid infusion of blood causes
Acute Left heart failure
Ankle edema
Pulmonary edema
Respiratory Distress
2c
single
null
Surgery
null
9e1de97b-a389-490b-890f-f66a8d245ed3
Nine days following splenectomy, a 13-year- old patient presents with fever and leukocytosis. The chest x-ray shows free air under the diaphragm. What is the most likely diagnosis?
Left lower lobe pneumonia
Postsplenectomy sepsis
Gastric wall ulcer
Left colon perforation
3d
multi
Colon perforation is likely to show free air under the left hemidiaphragm. A subphrenic abscess presents with fever, leukocytosis, and a left pleural effusion. Gastric wall necrosis may likewise result in perforation with free air. There is air below the diaphragm following laparotomy, but it usually manifests symptoms...
Surgery
Trauma
f050afe2-c1b9-49b2-a6d7-a2101f2aa212
Opioid agonist are all fo the following except
Morphine
Codeine
Ketamine
Methadone
2c
multi
Ketamine
Pharmacology
null
48762496-af5d-469c-a140-dff2b1b5c924
Which of the following acts as an acute phase reactant?
Se iron
Se ferritin
TIBC
% of saturation
1b
single
Ans: b (Serum ferritin) Ref: Rob7th ed, p. 84-85Acute phase reactants: They are a group of plasma proteins which rise during inflammation and trauma.Endotoxin (during an infection) stimulates the release of IL-1 from the Kupffer cells which leads to enhanced hepatic synthesis of the protein.Eg:FerritinHaptoglobulinCRPA...
Pathology
Inflammation & Repair
e0fab01d-1e44-44e4-b1ce-c3245266720f
Frequency of woods lamp is ?
365 nm
400 nm
320 nm
200 nm
0a
single
Ans. is `a' i.e., 360 nm Wood's lamp Wood's lamp has an ultraviolet light lamp (365 nm) with a filter containing nickle oxide and barium silicate. The UV light, when absorbed by ceain substances, fluorescences in dark and the color of fluorescence is useful in diagnosis of the condition. Condition Fluorescent colours T...
Skin
null
44b383fa-f273-41e0-8741-3d1b5d4992b3
Maximum chance of spread in accidental needle stick injury is?
Hepatitis B
HIV
Hepatitis C
EBV
0a
single
Percentage of chances of transmission of infection with accidental stick injury HBsAg positive and HBeAg Positive 22-30% HBsAg positive and HBeAg Negative 1-6% Hepatitis C 1.8-3% HIV 0.3%
Medicine
Hepatitis
52088ef3-dfd3-4435-843a-7845f368ec83
A child presented with difficulty in seeing the blackboard at school. His teachers say that he frequently 'squint' his eyes. Most probable cause is:
Hypermetropia
Myopia
Presbyopia
Astigmatism
1b
single
For the myopic or nearsighted individual, objects nearby are in focus; those at a distance are blurred. This is because the plane of focus is anterior to the retina. The onset is typically at about age 8 years and may progress throughout adolescence and young adulthood. A myopic person may squint to produce a pinhole e...
Ophthalmology
null
be882a36-439c-4cf1-a46b-603b974b50bf
Alpha rhythm on EEG is seen in:
Awake state
Mental work
Light sleep
Deep sleep
0a
single
Alpha wave is seen when the person is awake, in a quiet, resting stage of cerebration. Mental work (focused attention) will convert alpha to beta wave. Light sleep converts alpha to theta wave.
Physiology
null
71f5955d-8da1-490d-9a7e-25a821dd6c34
Periodontal endoscopes work on the principle of:
Fiberoptics
Magnetorestrictive
Piezoelectric
All of the above
0a
multi
null
Dental
null
21f9239d-7fb2-4e1a-ac2c-28406c137851
Pudendal nerve supplying motor part to external sphincter is derived from -
L5-S1 roots
S1-S2 .roots
L2-L3 roots
S2-S3 roots
3d
single
Ventral division of sacral plexus gives rise to pudendal nerve. So the root value is S2-4
Anatomy
null
4b819843-830e-4f9f-bac5-3737a1992376
Nerve injured in fracture of medial epicondyle of humerus
Anterior interosseous nerve
Median nerve
Ulnar nerve
Radial nerve
2c
single
It is more commonly injured than the lateral epicondyle, because the epiphysis of the medial epicondyle appears early and fuses late with the main epiphysis of the lower humerus. This fracture is commonly associated with posterior dislocation of the elbow. It may be associated with an ulnar nerve injury. Ref essential ...
Orthopaedics
Elbow injuries
89c89c4a-e3a2-4b19-b637-2cee5b2ad1a6
Hotspot on Tc-99 is seen in which parotid tumour?
Pleomorphic adenoma
Adenoid cystic carcinoma
Acinic cell tumour
Wahin tumour
3d
single
Wahin tumour, or papillary cystadenoma lymphomatosum, is the second most common benign parotid tumour and occurs most often in older white men. Because of the high mitochondrial content within oncocytes, the oncocyte-rich Wahin tumour and oncocytomas incorporate technetium-99m and appear as hot spots on radionuclide sc...
Surgery
Head and neck
121a9fa1-6274-4b8f-8f93-59d9b3a602f6
Grafting done between genetically different individuals of same species is -
Autograft
Allograft
Isograft,
Xenograft
1b
multi
Ans. is' b' i.e., Allograft o Based on the donor, the graft may be >Autograft (autogenic graft) : Graft from self.Isograft (syngraft) : Graft from a genetically identical person, e.g. identical twin.Allograft (homograft or allogenic graft) : Graft from a genetically unrelated member of same species.Xenograft (heterogra...
Unknown
null
7f93c965-1823-439d-9bab-9d28510a0225
All are seen in Tuberous sclerosis except –
Iris nodule
Renal cortical cyst
Rhabdomyoma of heart and lung
Adenoma sebaceum
0a
multi
Iris nodule (Lisch nodule) is seen in neurofibromatosis (not in tuberous sclerosis).
Dental
null
fe396688-6e78-426d-b519-41aee7158026
Nuclei controlling circadian rhythm:
Supra chiasmatic nuclei
Arcuate
Paraventricular
Vestibulocerebellar
0a
single
null
Physiology
null
0505f546-a485-44b8-9970-1b03a28a5b6b
Which of the following is a cause for conjugated hyperbilirubinemia?
Massive hematoma
Gilbe's syndrome
Crigler Najir syndrome
Rotor's syndrome
3d
single
Rotor's syndrome is a congenital illness which causes conjugated hyperbilirubinemia. Dubin's Jhonson syndrome is also a similar condition. Conjugated hyperbilirubinemia results from reduced secretion of conjugated bilirubin into the bile, such as occurs in patients with hepatitis, or it results from impaired flow of bi...
Medicine
null
cf9a7700-208c-460a-8573-680004f61ca0
Regan isoenzyme is increased in
Seminoma
Paget's disease
Osteoporosis
Cholestasis
0a
single
The Regan isoenzyme is a placental-type alkaline phosphatase that is expressed in a number of human tumors, paicularly in gonadal and urologic cancers. Evidence now points to seminoma as a consistent producer of Regan isoenzyme although much more work will be required to establish its clinical utility. Ref:
Biochemistry
Enzymes
9ea8ebd5-d535-4185-ac49-4055163f4256
True about Chvostek's sign are all of the following except: March 2010, March 2013
Denotes neuromuscular hyperexcitability
Elicited over face
Raised calcium level
Facial nerve is stimulated by tapping
2c
multi
Ans. C: Raised calcium levelPTH is essential for life. After parathyroidectomy, there is a steady decline in the plasma Ca2+ level. Signs of neuromuscular hyperexcitability appear, followed by full-blown hypocalcemic tetany.In humans, tetany is most often due to inadveent parathyroidectomy during thyroid surgery. Sympt...
Physiology
null
bf81b74e-0619-4e6d-901f-be187e3c0442
Bacteria not affected by streptogramins is -
E. coli
Staphylococcus aureus
Legionella
M. pneumoniae
0a
single
Ans. is 'a' i.e., E. coli o Streptogramins are active against gram-positive cocci and organisms responsible for atypical pneumonia (e.g., M. pneumoniae, Legionella spp., and Chlamydia pneumoniae), but largely inactive against gram-negative organisms, o They are bactericidal against streptococci and many strains of stap...
Unknown
null
eac3a814-de6e-4725-be72-41f59063ce09
Function of Larynx is A/E
Phonation
Protect lower respiratory tract from infection
Prevent food regurgitation
Immunity enhancement
3d
single
(Immunity enhancement): (303-4- Dhingra 5th edition; 577-P Hazarika 3rd)Function of the Larynx1. Primary function is to protect lower respiratory tractProtection of tracheobronchial tree is fascilitated by'Three - tier' sphincter action- Laryngeal elevation - Mylohyoid- Laryngeal tilting - Stylopharyngeous- Cricopharyn...
ENT
Larynx
58219a51-8797-479f-8553-e15fd8855936
Which of the following is/are caused by trachoma:
Entropion
Ectropion
Pinguecula
All
0a
multi
A. i.e. Entropion
Ophthalmology
null
79983421-a1ac-4556-b1ae-19a9a2451692
Spider naevi are due to action of -
Estrogen
Androgen
Steroids
Progesterone
0a
single
The vascular spider, aerial spider or spider angioma or naevus is the most classical vascular lesion that is sometimes a presenting sign of chronic liver disease. Spider telangietasia occur in up to 10-15% of normal individuals and may also be seen in pregnant women (3rd trimester).They may also be seen in thyrotoxicos...
Medicine
Endocrinology
93fcd8bd-eb5e-4366-b799-7a37c257660f
Indicators of impending uterine rupture during labour include all of the following except:
Fetal distress
Hematuria
Fresh bleeding per vaginum
Passage of meconium
3d
multi
Signs and symptoms of impending uterine rupture: 1. Non - reassuring FHR- Most common/ most consistent sign - first finding- fetal tachycardia - most common finding - fetal bradycardia 2. Maternal tachycardia 3. Scar tenderness 4. Uterine tenderness and hematuria are other signs
Gynaecology & Obstetrics
Labour - normal, abnormal, malposition, malpresentation and their management
500b3d90-02ff-4e51-8f92-5c14f8d9b865
Passive forcible dorsiflexion of foot with knee extended causes pain in the calf. This is called
Moses sign
Homan's sign
Schwartz sign
Fegan's test
1b
multi
Homan's sign is test for deep vein thrombosis. Passive dorsiflexion of foot with knee extended causes pain in the calf.
Surgery
null
f1505280-2700-485e-a0db-dd7bb85ac914
True about SLE is?
Autoimmune disease
Childhood SLE had poor prognosis than adult SLE
Presence of ANA
All are true
3d
multi
Ans. is 'd' i.e., All are true SLE (sytemic lupus Erythematosus) Autoimmune disorder Inflammation of blood vessel Childhood SLE had poor pnognosis than adult SLE Hall mark of SLE is presence of antinuclean antibody (ANA) More common in female. Malar rash in pathognomic of SLE Non - erosive ahritis Nephritis Encephalopa...
Pediatrics
null
7af9098a-737d-4332-8a24-992e984594a7
Bacteria X has an adenine content of 33% in its genome. What is the expected thymine content in the genome of X?
22%
33%
44%
67%
1b
single
Adenine= Thymine = 33% In a double stranded DNA, Chargaff's rule is followed Number of Purines = Number of pyrimidine = = = [?] Chargaff's rule is not applicable for RNA and ssDNA.
Biochemistry
Molecular Biology
96407644-6716-4102-92ba-13dde82b923b
Cerebrospinal fever is due to
Streptococcus pyogenes
Staphylococcus aureus
Neisseria meningitides
None of the above
2c
multi
(C) Neisseria meningitides # Cerebrospinal meningitis and meningococcal septicaemia are the two main types of meningococcal disease.> Cocci spread from the nasopharynx to the meninges may be directly along the perineural sheath of the olfactory nerve, through the cribriform plate to the subarachnoid space or more proba...
Microbiology
Misc.
49f1b9a1-ecf4-4054-9b4c-540e8980664e
True about primary aldosteronnism -a) Pedal oedemab) Increased reninc) Increased Na+d) Decreased K.+ e) Hypertension
abd
acd
cde
ade
2c
multi
null
Medicine
null
e1772c52-ed5d-4955-b32d-a015d507914c
Harakiri means
Stabbing hea
Cutting the genitalia
Shooting in mouth
Stabbing in abdomen
3d
single
Harakiri (seppuku) is a form of Japanese ritual suicide by disembowelment. Stab injury in the abdomen (L-shaped), causing instantaneous evisceration of bowel loops. It results in sudden decrease in abdominal pressure and cardiac return resulting in circulatory collapse and death.
Forensic Medicine
Regional injuries
66daff08-12a5-4605-a6cf-ae1c3d4d5831
Iceberg phenomena is not seen in
Measles
AIDS
Polio
Rubella
0a
single
The only source of measles infection is case. Carriers are not know to occur. So, iceberg phonomena is not seen in measles. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno 147
Social & Preventive Medicine
Concept of health and disease
d144fd46-4dec-4bb1-82b2-bc60d0647332
Major cell involved in interstitial nephritis -
Eosinophils
Neutrophils
Lymphocytes
Macrophage
2c
single
Ans. is 'c' i.e., Lymphocyteo Acute interstitial nephritis (AIN) is a renal lesion that causes decline in creatinine clearance and is characterized by inflammatory infiltrate in the kidney interstitium.o The definitive diagnosis of interstitial nephritis is made by biopsyo The major histological changes are interstitia...
Unknown
null
3d43296f-c18c-49d3-a4d0-67316b0aa7bc
Which of the following are alkylating agents ? a) Cyclophosphamide b) Ifosfamide c) Paclitaxel d) Methotrexate e) Vincristine
ad
c
ab
ac
2c
single
null
Pharmacology
null
2a06d1ce-2319-4b87-9027-4ab37b40a9dc
Combined OCPs can be used in all conditions except
Fibroadenoma
Breast cancer
Ectopic pregnancy
Iron deficiency anemia
1b
multi
Breast cancer is an absolute contraindication for the use in Breast cancer.
Social & Preventive Medicine
null
da11773f-d4cf-441b-968d-d158c68d2f8c
Following statements about sarcoidosis is false?
Elevated level of angiotensin conveing enzyme (ACE)
Bilateral parotid enlargement is the rule
Pleural effusion is common
Facial nerve palsy may be seen
2c
multi
Answer is C (Pleural Effusion is common): Pleural Effusion is an uncommon atypical manifestation in Sarcoidosis repoed in up to 5 percent of patients. Parotid enlargement is a classic feature of Sarcoidosis and bilateral involvement is the rule. Neurological disease is repoed in 5-10 percent of patients with Sarcoidosi...
Medicine
null
1d5efdf9-cae7-4c58-945c-3a40278a94d0
All of the following factors influence hemoglobin dissociation curve, except
Chloride ion concentration
CO2 tension
Temperature
2–3 DPG levels
0a
multi
Hb-O2 dissociation curve shift to left indicates more affinity of Hb to O2 and thus less delivery of O2 to tissues. Shift to left seen in -        Increased pH -        Decreased 2,3 DPG, temperature, PCO2 -        HbF (Fetal) Shift to right seen in -        Decreased pH -        Increased 2,3DPG, temperature, PCO2 -  ...
Physiology
null
51e0da77-e642-4881-a181-401bec3e1a25
Cancer cells derive nutrition from
Glycolysis
Oxidative phosphorylation
Gluconeogenesis
Glycogenolysis
0a
single
In fast-growing cancer cells, glycolysis proceeds at a high rate, forming large amounts of pyruvate, which is reduced to lactate and expoed. This produces a relatively acidic local environment in the tumor, which may have implications for cancer therapy. The lactate is used for gluconeogenesis in the liver, an energy-e...
Biochemistry
Metabolism of carbohydrate
6a58bc9c-43fd-4374-86ca-bf7e832aaa5f
Risk period for maximum fetal damage by congenital rubella -
First trimester of pregnancy
Second trimester of pregnancy
Third trimester of pregnancy
Risk is same throughout the pregnancy
0a
single
Ans. is 'a' i.e., First trimester of pregnancy In general, the earlier in pregnancy infection occurs, the greater the damage to the fetus. Maximum damage to the fetus occurs when infection is acquired in the first trimester of pregnancy.Rubellao Rubella virus belongs to togavirus family - enveloped RNA virus .o Only on...
Social & Preventive Medicine
Communicable Diseases
68a1d22b-04e5-44a4-ba27-0efc7b1a0cd9
A sinus associated with a periapical pathology requires:
Broad spectrum antibiotics
RCT with excision of sinus
RCT with Periapical curettage
RCT with no treatment for sinus
3d
single
null
Dental
null
6044a29d-3adf-4a36-9d5e-86aec5d0e01b
Which is not transmitted by Aedes aegypti?
Yellow fever
Dengue
Japanese encephalitis
Filariasis
2c
single
null
Social & Preventive Medicine
null
df0d3fd4-19c9-48fa-b1cb-55c6c25174e4
Intranasal calcitonin is given in ?
Pagets's disease
MEN syndrome
Hypercalcemia
Post menopausal osteoporosis
3d
single
Ans. is 'd' i.e., Post menopausal osteoporosis o Salmon calcitonin is approved for clinical use. The latter product also is available as a nasal spray, introduced for once-daily treatment of postmenopausal osteoporosis. o For Paget c disease, calcitonin generally is administered by subcutaneous injection because intran...
Pharmacology
null
cdc381b0-9797-4acd-ab13-08cabf361744
In embryo, Hemopoiesis is first demonstrable in
Yolk sac
Liver
Spleen
Bone marrow
0a
single
In the early embryo, hemopoiesis is demonstrable first in the yolk sac, followed by the liver and finally bone marrow.Reference: William&;s Obstetrics; 24th edition; Chapter 7; Embryogenesis and Fetal Morphological Development
Gynaecology & Obstetrics
General obstetrics