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135
31ddd4c0-b977-4bad-b02f-e21f02c1d64c
Opioid analgesics used in treatment of cough?
Noscapine
Dextromethorphan
Codeine
Meperidine
2c
single
Ans. c (Codeine). (Ref: KD Tripathi, Pharmacology, 5th ed., 424)Codeine or its substitutes are widely used in treatment for suppressing, dry irritating cough.Following are anti-tussives (cough centre supressants).a.Opioidcodeine, pholcodeine, ethyl morphine and morphineb.Non-opioidNoscapine, dextrometharphan, oxeladine...
Pharmacology
C.N.S
e1741ffb-995f-4f37-a310-306a73dcc0f8
The following features of panophthalmitis differentiate it from endophthalmitis except:
Presence of pus in the anterior chamber
Proptosis
Limited and painful ocular movements
Complete loss of vision
0a
multi
Ans. Presence of pus in the anterior chamber
Ophthalmology
null
e49674dc-10c5-4d6f-93fa-f6adaa74030d
Which of the following is the embryological origin of ciliary muscle?
Surface ectoderm
Neural crest mesenchyme
Endoderm
Neuroectoderm
3d
single
The ciliary muscle and blood vessels are derived from neural crest mesenchyme. Derivatives of neural crest:Corneal keratocytesEndothelium of the cornea and the trabecular meshworkStroma of the iris and choroidCiliary muscleFibroblasts of the scleraVitreousOptic nerve meningesOrbital cailage and boneOrbital connective t...
Anatomy
null
681321f0-2ca6-4403-8ebd-9465aef8290c
Which of the following is not an extrapyramidal tract -
Rubrospinal
Corticospinal
Reticulospinal
Vestibulospinal
1b
single
Ans. is 'b' i.e.. Corticospinal Descending pathwaysPyramidal tractExtrapyramidal tractso Corticospinal tracto Rubrospinal tract o Tectospinal tract o Vestibulospinal tract o Reticulospinal tract
Physiology
Neural Tracts
4fd3d8d1-c6a7-4dd0-bd28-a58f0d19f2e1
Violent inversion of the foot will lead to avulsion of tendon of which the following muscle attached to the tuberosity of the 5th metatarsal?
Peroneus brevis
Peroneus longus
Peroneus tertius
Extensor digitorum brevis
0a
single
Tuberosity of 5th metatarsal base avulsion may occur with violent inversion of foot. Peroneus brevis inserts here.
Anatomy
null
dfe8b671-5d53-4cf8-832a-c5bae5fb36c7
Most common phase II drug metabolizing reaction is:
Glucuronidation
Acetylation
Oxidation
Glutathione conjugation
0a
single
- Glucuronidation    Carried out by UDP - Glucuronosyltransferase.    Results in increased molecular weight of the drug.    Helps in excretion in bile.
Pharmacology
null
1b5cb00c-9528-4535-97c7-1eb68e56a05b
Glioma of the optic nerve is associated with -
Neurofibromatosis type 1
Neurofibromatosis type II
Both the above
None of the above
0a
multi
Ans. is 'a' i.e., Neurofibromatosis type I Optic nerve gliomao Optic nerve glioma (astrocytoma) is the most common intrinsic tumor of the optic nerve. Most common type of optic nerve glioma is juvenile pilocytic astrocytoma. The majority of optic nerve gliomas are of astrocytic origin. However, a few rare optic nerve g...
Unknown
null
daf6fa56-288d-4ba6-b4a2-90ada077d8ca
"Asteroid bodies" and "Cigar shaped globi" may be produced by:
Sporothrix
Sporotrichosis
Phialophora
Aspergillus
1b
single
Sporotrichosis
Microbiology
null
7f71fe57-a008-40ab-a10c-35f5ed9506f8
The organism most commonly causing genital filariasis in most pa of Bihar and easteran U.P. is?
Wuchereria bancrofti
Brugia malayi
Onchocerca volvulus
Dirofilaria
0a
single
Ans. is 'a' i.e., Wuchereria bancrofti . W. bancrafti is the most widely distributed human filarial parasite.
Microbiology
null
e51e71b7-8793-47fd-ae06-050c07bf6f63
Which of the following is NOT a bad prognostic sign for pancreatitis?
TLC > 16000
Calcium < 8 mmol/L
Glucose > 200 mg%
Prothrombin > 2 time the control
3d
single
Ranson's Prognostic signs of Acute Pancreatitis (Caused by causes other than gallstones) At Admission During the initial 48 hrs Age > 55 years WBC > 16,000/mm^3 Blood glucose > 200 mg/dl Serum LDH > 350 IU/dl Serum AST > 250 U/dl Hematocrit fall > 10 points BUN elevation > 5 mg/dL Serum calcium < 8 mg/dL Aerial PO2 < 6...
Surgery
null
bbb05b25-0c69-452d-a375-0e647687e244
HIV transmission in relation to pregnancy is maximum during:
Labor and delivery
First trimester
Second trimester
Breastfeeding
0a
single
Ans. A. Labor and deliverya. The maximum risk is at labor and delivery. A baby can become infected with HIV in the womb, during delivery or while breast-feeding. If the mother does not receive treatment, 25% of babies born to women with HIV will be infected by the virus.b. With treatment that percentage can be reduced ...
Gynaecology & Obstetrics
Medical & Surgical Illness Complication Pregnancy
cc98aedd-0507-414d-880b-ef3b141045e0
CSF rhinorrhoea is diagnosed by -
Beta 2 microglobulin
Beta 2 transferrin
Thyroglobulin
Transthyretin
1b
single
Beta 2 transferring is a protein seen in CSF and not in nasal discharge. Thus its presence is specific and sensitive for diagnosing CSF rhinorrhea. (Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 184)
ENT
Nose and paranasal sinuses
7d0576f9-0b97-4bcd-8123-b04bbfa22851
Kanavel's sign is seen in
Tenosynovitis
Trigger finger
Dupuytrens contracture
Carpal tunnel syndrome
0a
single
Ans. is 'a' i.e. Tenosynovitis Kanavel's sign is seen in acute suppurative tenosynovitis of the little finger. It is tenderness elicited at a point in between the two palmar crease about 2.5 cm proximal to the base of the little finger.There are also 4 Cardinal signs of Kanavel seen in acute suppurative tenosynovitis o...
Orthopaedics
Disorders of the Hand
893681b3-4822-4221-8c94-4d458668d8b5
Which vaccines are not given in a 8 yrs old unimmunized child
Peusis
Salk vaccine
BCG
All
3d
multi
BCG vaccination of infants appear to offer significant protection from primary and disseminated tuberculosis including meningitis. In older children it doesn&;t seem to offer protection against secondary tuberculosis. It is generally recommended that peussis vaccine should not be given to children over 5-6 years old. T...
Pediatrics
Infectious disease
43c09029-fca6-46f7-bf3d-914eaff4543f
Which of the following type of cataract is seen in a person 1-2years following exposure to radiation?
Lamellar cataract
Christmas tree cataract
Posterior polar cataract
Posterior subcapsular cataract
3d
single
Radiation usually causes posterior subcapsular cataract which has their onset 1-2 years after completion of radiation therapy. A radiation dose of 15Gy is associated with a 50% risk of cataract formation. Christmas tree cataract is a rare form of age related cataract. In this type, the highly retractile multicolored ne...
Ophthalmology
null
b1f64d84-d4fb-4f36-82fc-174821f5184f
Fungal spores may be produced -
Singly
In chains
In sporangium
All of the above
3d
multi
Ans. is 'd' i.e., All of the above . Fungal spores have different morphology. They may be unicellular, multicellular or in chains. Sporangium contains asexual spores of phycomycetes, called sporangiospores.
Microbiology
null
491c4013-5314-4e21-906c-f08305c3514d
Air-borne contact dermatitis can be diagnosed by-
Skin biopsy
Patch test
Prick test
Estimation of serum IgE levels
1b
single
air borne contact dermatitis is diagnosed by patch testing with the specific allergen. eg: pahenium is the common allergen tested using patch test. IADVL TEXTBOOK OF DERMATOLOGY, INDIAN PATCH TEST SERIES PAGE 581.
Dental
Dermatitis
9e862b8f-07df-4555-a1b1-21666e74eb10
In uterine prolapse, decubitus ulcer in the cervix is caused by :
Friction
Malignant change
Venous congestion
Trophic changes
2c
single
Venous congestion
Gynaecology & Obstetrics
null
87f3b07c-6f3a-46e5-a6eb-1936c3856a18
Drug not deposited in cornea:
Gold
Chloroquine
Amiodarone
Antimony
3d
single
Ans. Antimony
Ophthalmology
null
0218838c-d7b4-44cf-9664-fa821da070da
A 70 years males presented with asymptomatic white patch on oral cavity following application of the denture. Treatment of choice is
Low dose radiotherapy
Biopsy of the all the tissues
Asceaining the denture is fit in completely
Antibiotics
2c
multi
Leukoplakia White keratotic plaque or patch that cannot be rubbed off and cannot be given another diagnostic name Risk factors Smoking Alcohol Ill-fitting dentures Jagged tooth Ref: Bailey and love 27th edition Pgno :761-762
Surgery
Head and neck
3be59961-813b-4b96-a61a-5453acae4046
Negative growth is a characteristic of:
Testis
Brain
Mandible
Thymus
3d
single
null
Dental
null
9cc225a1-0a32-44a7-9fd0-59318876a44b
Which of the following is used for wound infection grading system?
ASA classification
Glassgow scale
Southampton grading
APGAR score
2c
single
Ans. (c) Southampton Grading(Ref: Bailey and Love 26th edition Page 54)* There are scoring systems for the severity of wound infection, which are particularly useful in surveillance and research.* Examples are the Southampton and ASEPSIS systems.
Surgery
Trauma
c2dead98-0243-443d-b2af-fcbbad250cb5
All of the following can cause osteoporosis, EXCEPT:
Steroids
Fluorosis
Thyrotoxicosis
Hyperparathyroidism
1b
multi
Osteoporosis is a skeletal disorder characterized by a loss of bone osteoid resulting in reduced bone integrity, thereby increasing the risk of fractures. Most common causes of osteoporosis are aging, highdose coicosteroid, thyrotoxicosis, hyperparathyroidism, alcoholism, sex hormone deficiency, paicularly menopause in...
Medicine
null
e737043e-c5ac-4932-9d5f-994ac310dd8f
The dorsalis pedis aery terminates at the
Base of the proximal phalanx of the hallux
First metatarsophalangeal joint
Dorsum of ankle joint
Proximal pa of first intermetatarsal space
3d
multi
DORSALIS PEDIS AERY:- Dorsal aery of foot. Chief palpable aery on dorsum of foot. Continuation of anterior tibial aery on to the dorsum of foot. The aery begins in front of the angle between the two malleoli.It passes forwards along the medial side of the dorsum of the foot to reach the proximal end of first intermetat...
Anatomy
Lower limb
7d96679d-fbfd-45cf-ba15-d43db5764c08
Antemoem burn differ from postmoem burns by all of the following findings, EXCEPT:
Pus in vesicle
Vesicle with hyperemic base
Vesicle containing air
Inflammatory red line
2c
multi
Difference between ante-moem burns and post-moem burns: Trait Ante-moem burns Post-moem burns Line of redness Present Absent Blister Contains serous fluid with proteins and chloride. Base is red and inflamed. Contains air and thin clear fluid. Base is dry, hard, and yellow Vital reaction Marked cellular exudation and r...
Forensic Medicine
null
14489a75-1d62-4d80-8146-99c915a9b485
A term neonate was delivered by cesarean section. He presents with mild respiratory distress soon after birth. Chest X-ray shows the typical findings. How is this condition managed
Oxygen delivery by CPAP
Surfactant provided by InSuRE technique
Supportive care as it resolves spontaneously
Oxygen delivery by endotracheal intubation
2c
single
This condition is Transient Tachypnea of Newborn: Seen in term / post - term neonate Neonates delivered by cesorean rection They presents with mild respiratory distress soon after birth which resolves in 48 hours X-ray a) fluid in interlober fissure b) Prominent bronchovascular markings Image is below Supportive tr...
Pediatrics
null
25d892ed-9538-4d03-890f-2370ae862b48
Which of the following is not an indication of secondary nerve repair:
Syndrome of irritation
Division of nerve by sharp object
Delayed presentation of nerve injury
Syndrome of incomplete interruption
1b
single
Late repair/ Secondary repair( Repair weeks or months after the injury) , may be indicated because: (1)Closed injury was left alone but no sign of recovery is seen at the expected time; (Syndrome of incomplete interruption) (2)Diagnosis was missed and the patient presents late ( Delayed presentation) (3)Failed primary ...
Orthopaedics
Amputations and Spos Injury
f54f37ca-4b82-4537-beda-9ff47310da88
Which one of the following drugs is most likely to be associated with elevations of pancreatic enzymes, including amylase and lipase?
Erythromycin
Didanosine
Isoniazid
Azidothymidine
1b
single
Pancreatic dysfunction, heralded by large increases in serum amylase and lipase, is associated with the use of several reverse-transcriptase inhibitors (RTIs). Didanosine appears to be the worst offender, and pancreatitis is the most characteristic adverse effect of this particular NRTI. Conditions enhancing susceptibi...
Pharmacology
Anti Microbial
86da3c93-c23a-4292-b224-98a9c509dab3
Trapezius is attached to all structures except -
First rib
Clavicle
Scapula
Occiput
0a
multi
Trapezius originates from the occiput and inserts onto clavicle and scapula.
Anatomy
null
3d462e52-518d-42cb-87b9-41a089837039
Radiocontrast is contraindicated in all except -
Renal failure
Patient on metformin
Dehydration
Obesity
3d
multi
Impoant risk factors for contrast induced nephropathy (CIN) : Renal failure Diabetes Hypeension Dehydration Patient on metformin Hyperuricemia
Radiology
Fundamentals in Radiology
0fa5d450-8b06-49b5-8e59-e762c247c36b
Which of the following is a feature of nonselective Cox inhibitor but not of selective Cox 2 inhibitor?
Analgesic effect
Antiplatelet aggregatory
Renal salt/ water retention
Prolongation of labour
1b
single
Ans. is'b'i.e., Antiplatelet aggregatory(Ref: KDT 7th /e p. 194)
Pharmacology
null
8bdebaef-da6f-4bb9-9fa8-0a569aee9d4a
Which muscle is called as peripheral heart:
Soleus
Popliteus
Gastrocnemius
Quadriceps Femoris
0a
multi
Ans. A. SoleusThe soleus is a powerful muscle in the back part of the lower leg (the calf). It runs from just below the knee to the heel, and is involved in standing and walking. It is closely connected to the gastrocnemius muscle and some anatomists consider them to be a single muscle, the triceps surae. Also, in upri...
Anatomy
Lower Extremity
378282fc-d4ee-422c-9694-4c6550f2286c
Signet-ring cells are found in which type of breast cancer NOT RELATED- GYN
Papillary carcinoma
Tubular carcinoma
Invasive ductal carcinoma
Invasive lobular carcinoma
3d
single
Invasive lobular carcinoma accounts for 10% of breast cancers. The histopathologic features of this cancer include small cells with rounded nuclei, inconspicuous nucleoli, and scant cytoplasm. Special stains may confirm the presence of intracytoplasmic mucin, which may displace the nucleus (signet-ring cell carcinoma).
Pharmacology
All India exam
59c6f7f8-3ee1-43b4-ab96-11135dd90106
Which is the only medial branch of the external carotid artery?
Superior thyroid
Lingual
Internal maxillary
Ascending pharyngeal
3d
single
null
Anatomy
null
35b5a2ca-d130-4b0b-bc96-ef699462b65a
Bacterial vaginosis is caused by all except
Gardnerella
Mobiluncus
Proteus
Coccobacillus
2c
multi
Proteus does not cause Bacterial vaginosis Bacterial vaginosis MC Vaginitis Caused by Gardnerella vaginalis, Ureaplasma urealyticum, Mobiluncus species, Mycoplasma hominis, and Prevotella species. Gardnerella vaginalis is an example of Coccobacillus
Gynaecology & Obstetrics
FMGE 2019
a559c06f-438d-4b1c-87b9-c17d81b09268
Extra energy, needed per day during pregnancy –
150 Kcal
200 Kcal
300 Kcal
350 Kcal
3d
single
null
Social & Preventive Medicine
null
25dcec96-3a78-42c8-9080-b1eb6f952d2e
Advantage of palatal strap:
Increased rigidity with Less bulk
Increased retention of appliance
Can be used in Kennedy class I partial dentures
More economical and comfortable to patient
0a
single
null
Dental
null
18237460-9c89-43a9-a32f-f88384ccfd16
Which of the following syndrome is associated with mental retardation?
Hunter syndrome
Morquio syndrome B
Sly syndrome
Natowicz syndrome
0a
single
Disease name Abbretion Enzyme Defective GaG(s) affected Symptoms Hurler syndrome MPS I a-l-Iduronidase Dermatan sulfate, Heparan sulfate Mental retardation, coarse facial features, hepatosplenomegaly, cloudy cornea Hunter syndrome MPS II Iduronate sulfatase Dermatan sulfate, Heparan sulfate Mental retardation Reference...
Biochemistry
Metabolism of carbohydrate
9e3c13ef-8518-41df-9dfa-c1b8b56711b9
The distinct golden colour in transgenic Golden rice is due to the presence of-
Riboflavin
b-carotene
Vitamin B12
Xanthophyll
1b
single
Ans. is 'b' i.e., b-carotene
Social & Preventive Medicine
null
035d14d9-0711-4966-876b-f75f47560121
who gave free asssosiation
bleuler
freud
lorenz
erikson
1b
single
CONTRIBUTIONS OF FREUD o Father of psychoanalysis He founded a type of psychotherapy called psychoanalysis. It is nothing but analyzing the psych(MIND) o Interpretation of dreams According to Freud dreams are royal road to unconscious In dreams several conflicts that are present in the unconscious comes to the consciou...
Anatomy
Treatment in psychiatry
96cc6ffb-210a-4b44-993f-7db324597b71
Panophthalmitis involves -
Inner coat of eyeball
Inner and outer coat but sparing tenon's capsule
All structure of eyeball including tenon's capsule
None of the above
2c
multi
Ans. is 'c' i.e., All structure of eyeball including tenon's capsule EndophthalmitisPanophthalmitiso Endophthalmitis is defined as inflammation within the anterior segment (aqueous) or post- erior segment (vitreous) or both together with partial thickness involvement of the adjacent occular wall (one or more inner coat...
Ophthalmology
Ocular Trauma
4b5318cd-97cc-4df1-9fa1-d179db5dff05
Which of the following is decreased during third trimester of a normal pregnancy?
Hea rate
Stroke volume
Systemic vascular resistance
Cardiac output
2c
single
Late pregnancy was associated with the expected increases in hea rate, stroke volume, and cardiac output. Systemic vascular and pulmonary vascular resistance both decreased significantly, as did colloid osmotic pressure. Also know: During normal pregnancy, mean aerial pressure and vascular resistance decrease, while bl...
Gynaecology & Obstetrics
null
a90c98cd-45f2-4267-b932-7290d77c72dc
Failure of the choroid fissure to close results in
Congenital detached retina
Congenital aniridia
Congenital aphakia
Coloboma iridis
3d
single
Failure of the choroid (optic) fissure to close results in a cleft of the iris--called coloboma iridis (mostly in inferonasal position). This defect may extend into the ciliary body, choroid, optic nerve, or retina. Congenital aphakia--absence of the lens--may result from defective development of the lens placode.
Anatomy
Eye, Nose and Ear
b9b0fb89-1f7e-4c92-8bd2-06a102e276eb
Which of the following is predominantly involved in Alzheimer's dementia:
Frontal coex
Temporo-Parietal coex
Fronto-Parietal coex
Franto-Temporal coex
1b
single
Answer is B (Temporo-Parietal coex):Alzheimer's disease predominantly affects the temporoparietal coex although frontal lobe is also frequently involvedAlzheimer's disease predominantly affects the temporo-parietal coex' - Alzheimer's Disease by Terry Regional deficits are most prominent in the temporo-parietal coex' -...
Psychiatry
null
9ece749c-84a5-4801-b794-654ff720f40d
A 15-year-old boy is bitten by an Ixodes tick while camping with his parents and presents 1 week later with fatigue, fever, headache, and a reddish rash over his trunk and extremities. Positive IgM antibody (1 :200) to Borrelia burgdorferi is associated with which of the following?
Acute Lyme disease
Fifth disease
Possible hepatitis B infection
Possible subacute sclerosing panencephalitis (SSPE)
0a
single
Borrelia burgdorferi, the causative agent of Lyme disease, elicits an acute antibody response. IgM appears within days to a few weeks following tick bite, and IgG appears a few weeks later. IgG persists; IgM does not. Cross-reactions occur with other treponemes.
Microbiology
Immunology
93841a6f-2fbc-4ae5-87c8-3376c16d881a
True about actinomycetes is:
Include A. israelii, Nocardia & Streptomyces are a group of organisms characterized as Gram-positive rods
Mycetomas can form as a result of traumatic injury, mainly in people working in farms and forests.
Organisms form filamentous or hyphae-like structures
All of the above
3d
multi
Actinomycetes- include A. israelii, Nocardia & Streptomyces: Gram-positive rods commonly found in soil and decaying organic matter or as colonizers of body surfaces. In culture and lesions, these organisms form filamentous or hyphae-like structures. Eumycetoma- has a fungal origin. Mycetomas can form as a result of tra...
Microbiology
Systemic Bacteriology (Gram Positive Bacilli, Gram Negative Bacilli)
1673c14a-4e3e-4f8d-be8e-734dc02b9b41
"Albumino-Cytologic Dissociation" occurs in cases of:
Guillain Barre syndrome
TBM
Motor neurone disease
Demyelinating disorder
0a
single
Guillain Barre syndrome
Pathology
null
632314c4-0320-4bdc-8139-c69c58bb9a90
Methanol toxicity causes blindness due to the formation of: March 2010
Formic acid
Formaldehyde
Lactic acid
Pyruvic acid
0a
single
Ans. A: Formic Acid The initial step in the metabolism of methanol involves the enzyme alcohol dehydrogenase (ADH). First, methanol is slowly oxidized by ADH to yield formaldehyde. Next, formaldehyde is oxidized by formaldehyde dehydrogenase to yield formic acid (or formate, depending on the pH). This oxidation occurs ...
Pharmacology
null
e692e77a-94bf-4c6d-8641-4ea50c68ef3b
A 4-year child presents with a history of hoarseness, croupy cough and aphonia; the child has dyspnea with wheezing. The most probable diagnosis is:
Asthmatic bronchitis
Laryngeal foreign body
Bronchopneumonia
Retropharyngeal abscess
1b
single
Ans. B. Laryngeal foreign bodyForeign body Aspiration: - Most common age group is 6 months to 4 years. Most common foreign body aspirated is peanuts.Most airway foreign bodies lodge in a bronchus (right more than left).
Pediatrics
Disorders of the Respiratory Tract
d9c80a70-718a-4830-8166-df0b1e801328
When the drug binds to the receptor and causes action opposite to that of agonist is called as
Complete agonist
Paial agonist
Inverse agonist
Neutral agonist
2c
multi
In pharmacology, an inverse agonist is a drug that binds to the same receptor as an agonist but induces a pharmacological response opposite to that of the agonist Ref-KDT 7/e p42
Anatomy
General anatomy
0337a3f1-61cb-418d-a36b-006484fbec3a
NOT RELATED- OHO Rolando's fracture is
Fracture distal radius with inferior radioulnar dislocation
Fracture distal end of radius with dorsal displacement and angulation
Fracture radial styloid
Fracture extra-aicular surface of the base of first metacarpal
3d
single
a. Fracture distal radius with inferior radioulnar dislocation=Galeazzi fracture.b. Fracture distal end of radius with dorsal displacement and angulation=Colle'sfracturec. Fracture radial styloid=Chauffer's fractured. Fracture aicular surface of the base of first metacarpal=Rolando's fracture.
Pharmacology
All India exam
2eafdc39-09e4-4ee6-880b-2bf87237dbed
Ratio of incidence of a disease among the exposed to the incidence among non-exposed is:
Odds ratio
Relative risk
Absolute risk
Attributable risk
1b
single
Ref. Foundations of Community medicine. Page. 596   Measures of effect Measures of effect are used in epidemiological studies to assess the strength of an association between a putative risk factor and the subsequent occurrence of disease. This requires that the incidence of disease in a group of persons exposed to a ...
Unknown
null
f76a4be2-f70b-486b-a497-da3eb6452559
Which of the following muscle is pierced by the needle while giving an IANB:
Medial pterygoid
Buccinator
Temporalis
Superior constrictor
1b
single
null
Surgery
null
c09ad82a-cbff-4944-a956-39fa867993e7
Uterine artery is branch of -
Anterior branch of internal iliac
Posterior branch of internal iliac
Anterior division of external iliac
Psterior division of external iliac
0a
single
Ans. is 'a' i.e., Anterior branch of internal iliac o Branches of anterior division of internal iliac artery are : (i) Superior vesical, (ii) Middle rectal, (iii) Inferior vesical (in males), (iv) Internal pudendal, (v) Vaginal (in females), (vi) Uterine (in females), (vii) Obturator, and (viii) Inferior glutealo Branc...
Anatomy
Blood Vessels of Abdomen and Pelvis
16145223-bb7b-4bbc-888b-435c1b76b6b9
Percentage of malignancy in duct ectasia is
No risk
5:01
1.2 :1
10:01
0a
single
Ans. (a) No risk(Ref. Schwartz 10th edition Page 511, Bailey 26th edition page 806)* The periductal mastitis mimics like cancer and hence mammography must be done.* Otherwise there is no risk of cancer in Duct ectasia
Surgery
Breast
c3a2645c-98ab-451a-826f-695882a83215
True statements about shock -
During dehydration both ICF and ECF volume decreases
10-20% of fluid loss is compatible to life.
Hemorrhage cause intravascular fluid loss
All of the above
3d
multi
null
Medicine
null
27c60cd3-60be-4078-8a02-37672758625c
A study of aging shows that senescent cells have accumulated damage from toxic byproducts of metabolism. There is increased intracellular lipofuscin deposition. Prolonged ingestion of which of the following substances is most likely to counteract this aging mechanism?
Antioxidants
Analgesics
Antimicrobials
Antineoplastic agents
0a
single
Antioxidants may counteract the effects of reactive oxygen species (ROS) that may accumulate acutely and chronically within cells as a consequence of environmental insults and pathologic processes. Certainly, health food stores promote this concept with sales of products such as vitamin E. However, cellular damage is m...
Pathology
Cellular Pathology
ff1e5a83-dc51-4745-9982-5a0159015dae
Cause of large kidney in CRF are a/e
DM
Amyloidosis
Benign nephrosclerosis
Diffuse GN
2c
single
null
Medicine
null
620a4672-70ad-4af5-b94a-b4bb3ed703d0
TIPSS involves percutaneous creation of a shunt between
Poal vein and vena cava
Poal vein and hepatic vein
Hepatic vein and vena cava
Poal vein and hepatic aery
1b
single
It&;s a nonsurgical interventional radiological method wherein stent is placed in the liver between hepatic venule and poal venule through a guidewire, used in reducing poal pressure before doing an ohotopic liver transplantation in cirrhotic patients. Reference SRB edition 5 page:622
Surgery
G.I.T
4e589129-0d0c-4a28-86d4-2ec65b281c26
All the following hormones are secreted by adrenal cortex except:
Estriol
Cortisol
Corticosterone
Aldosterone
0a
multi
null
Physiology
null
02cbef5f-a59d-4b46-9945-002fe54f5d58
The type of glomerulonephritis which is least likely to cause chronic renal failure-
Membranous glomerulonephritis
Focal segmental glomerulosclerosis
Post streptococcal glomerulonephritis
Membrano proliferative glomerulonephritis
2c
single
In adults, 15% to 50% of affected persons develop end-stage renal disease over the ensuing few years or 1 to 2 decades, depending on the clinical and histologic severity. By contrast, in children, the prevalence of chronicity after sporadic cases of acute postinfectious GN is much lower. <\p> robbins book of pathology....
Pathology
Urinary tract
bcde8d7e-1d17-406f-b74e-573e5aa00dd4
Which branch of fascial nerve supplies muscles of lower lip (FMGE Dec 2018)
Temporal
Cervical
Buccal
Mandibular
3d
single
-TEMPORAL BRANCH-Supply upper pa of orbicularis oculi and frontalis -ZYGOMATIC BRANCH-Supply lower pa of orbicularis oculi -BUCCAL BRANCH-Supply upper orbicularis oris, zygomaticus minor/major -MARGINAL MANDIBULAR BRANCH-Supply lower lip-Mentalis, lower orbicularis oris, depressor labii inferioris -CERVICAL BRANCH -Sup...
Anatomy
FMGE 2018
68351feb-349e-4113-b8a3-d7f0a3045264
Which of the following statements best explains the action of nitroglycerine on coronary vessels:
It mitigates angina pectoris by increasing total coronary flow
It preferentially dilates conducting aeries without affecting resistance aerioles
It preferentially dilates autoregulatory aerioles without affecting the larger aeries
It mainly decreases the after load
1b
multi
Nitrates cause redistribution of blood flow without affecting total coronary flow. Autoregulatory small vessels remain unaffected whereas large conducting vessels are dilated. Nitrates are predominantly venodilators, therefore decrease mainly preload.
Pharmacology
CHF, Angina Pectoris and Myocardial Infarction
77067b51-631d-4856-895a-538df1443c9d
Combined indicator to reflect both acute and chronic malnutrition is
Low height-for-age
Low weight-for-height
Low height-for-weight
Low weight-for-age
3d
multi
Indicators of undernutrition Indicator Interpretation Comment Stunting Low height-for-age Indicator of chronic malnutrition, the result of prolonged food deprivation and/ or disease or illness Wasting Low weight-for-height Suggests acute malnutrition, the result of more recent food deficit or illness Underweight Low we...
Pediatrics
Nutrition
5e37a48d-5519-4a98-87d9-5af2280ba690
Palpable purpura is seen in
Idiopathic thrombocytopenic purpura (ITP)
Scurvy
Henoch Sconlein Purpura
Monoclonal cryoglobulinemia
2c
single
Answer is C (H. S. Purpura): Henoch Sconlein Purpura is associated with palpable purpura without thrombocytopeniae
Medicine
null
e004d44a-e08a-40ef-abdb-2a94d0f1b9fe
A 28-year-old man flips over an all-terrain vehicle, and he lands on his leg. On physical examination, there is intense pain on palpation over the right shin, but there is no shortening of the limb. The overlying skin is intact. A radiograph shows right tibial and fibular midshaft fracture into multiple bone fragments....
Comminuted
Compound
Displaced
Incomplete
0a
multi
When the bone is splintered into fragments, the fracture is comminuted, and will likely require orthopedic appliances to align fragments for healing. A compound fracture penetrates the skin. Displaced fractures have nonaligned bone, and some deformity may result. The bone remains contiguous with an incomplete fracture ...
Pathology
Osteology
1957cdf7-c7e8-48bf-8f80-d2882c0221a4
Commonest site of obstetric injury leading to uretero vaginal fistula :
Infundibulo pelvic ligament
Vaginal vault
Distal to uterine aery near vaginal vault
Below cardinal ligament where uterine aery crosses
0a
single
Infundibulo pelvic ligament
Gynaecology & Obstetrics
null
9ba75433-9e4c-40de-82fb-c0b4743421fb
The tensile strength of the wound stas and increase after
Immediate suture of the wound
3 to 4 days
7 to 10 days
6 months
2c
single
Wound Strength Carefully sutured wounds have approximately 70% of the strength of normal skin When sutures are removed, usually at 1 week, wound strength is approximately 10% of that of unwounded skin this increases rapidly over the next 4 weeks Wound strength reaches approximately 70% to 80% of normal by 3 month ref:-...
Pathology
General pathology
d3c15902-8dee-45ac-aae5-25baa5f97f2b
All of the following statements about Renal physiology are true, except:
Distal tubule always receives hypoosmotic solution
The kidney receive 5% of the cardiac output
GFR is controlled by resistance in afferent and efferent aerioles
The Glomerulus receives capillaries from the afferent aeriole
1b
multi
Kidney receives 25%)(1.2-1.3L) of cardiac output.Ref: Ganong's review of Medical Physiology, 23rd edition, Page number: 643
Physiology
Renal physiology
140b888c-97ec-423b-b4cc-f16f6a1d14d2
The following type of glomerulonephritis should not be treated with prednisolone?
Minimal change disease
Lipoid nephrosis
Congenital Nephrotic Syndrome
Post-streptococcal GN
3d
single
By the time the child with acute PSGN presents with symptoms, the glomerular injury has already occurred and the healing process has begun. Only a small percentage of patients with acute glomerulonephritis require initial hospitalization and most of those are ready for discharge in 2-4 days. As soon as the blood pressu...
Medicine
Nephrotic and Nephritic syndrome
f6cf11ae-3751-4c73-807d-8e5eb3bdce1b
According to FDI tooth numbering system the number 45 refers to
deciduous mandibular right second molar
mandibular right second premolar
maxillary right second premolar
deciduous maxillary right second molar
1b
single
null
Dental
null
47920b17-8516-4c09-9289-fbe467e62255
Drug safely given in Pregnancy -
Antifolate
Quinine
Chloroquine
Primaquine
2c
single
Ans. is 'c' i.e., Chloroquine
Pharmacology
null
0da0b254-d440-47c6-ac7f-b437b7172dad
Common ocular manifestation in Trisomy 13 is
Capillary hemangioma
Bilateral microphthalmos
Neurofibroma
Dermoid Cyst
1b
single
B i.e. Bilateral micropthalmos Patau's syndrome (trisomy 13)Q present with microcephaly, mental retardation and micropthalmos Q Patau's Syndrome Ocular Manifestations - Micropthalmos Q/ Anopthalmos - Anterior segment dysgenesis - Cyclopia - Corneal opacity - Cataract / congenital glaucoma - Coloboma - Persistent hyperp...
Ophthalmology
null
6004bf2d-2c0d-4322-8b29-45a5464d8e3c
The most common cause of "Antibiotic" induced colitis is due to:
E. coli
Clostridium difficile
Salmonella
Campylobacter jejuni
1b
single
Clostridium difficile
Microbiology
null
8ac80ad0-1d4d-4dff-b45b-4071204927e7
The gas which produces systemic toxicity without causing local irritation is:
Ammonium
Carbon monoxide
Hydrocyanic acid
Sulfur dioxide
1b
single
B i.e. Carbon Monoxide Carbon Monoxide Poisoning CO is a colourless, tasteless, non irritant gasQ which is produced due to incomplete combustion of carbon. CO poisoning is defined as > 15 % carboxyhemoglobinQ in blood (normal < 1.5 % in nonsmokers, < 10 % in smokers). Diagnosis is made by cooximetric measurements of bl...
Anaesthesia
null
a07e2cb8-5d7c-45d3-8975-3071a5dd3281
Patient perceives a stimulus from one modality and perceives hallucination in another modality
functional hallucination
reflex hallucinations
extra campine hallucination
Auditory hallucination
1b
multi
FUNCTIONAL HALLUCINATIONS Patient perceives a stimulus from one modality and perceives hallucination in same modality Ex. Whenever the patient hears water flowing from tap he hears auditory hallucinations REFLEX HALLUCINATION: Patient perceives a stimulus from one modality and perceives hallucination in another modalit...
Anatomy
General anatomy
3dff335e-d319-43df-bade-6f415a28b77d
Intractable seizure in a 7-day-old child with skin rash, Increased ammonia and lactate can be diagnosed as
Organic acidemia
Phenylketonuria
Urea cycle anomaly
ME LAS with lactic acidosis
0a
single
Mutation in mitochondrial DNA, result in disease 1.Mitochondrial myopathies 2.MERRF syndrome - myoclonus epilepsy with ragged red fibers 3.MELA's syndrome - mitochondrial encephalomyopathy with lactate acidosis and stroke like pisodes, (Intermittent vomiting, proximal muscles weakness) 4.LHON=Leber hereditary optic neu...
Pediatrics
null
3b348d13-eafe-4079-8703-e63194d60887
In humans, end product of purine metabolism
Allantoin
Uric acid
CO2
None
1b
multi
Question repeated
Biochemistry
Metabolism of nucleic acids
5123e88a-4345-4e7e-a65c-dbba316c1d14
A 42 year old female P3 + 0 + 0 + 3 is found to have carcinoma in situ. Best treatment would be:
Hysterectomy
Weheim's hysterectomy
Conisation
Wait and Watch
0a
single
Ans. is a i.e. Hysterectomy
Gynaecology & Obstetrics
null
7be1562b-8836-48b4-92fe-f7ddeaec4395
Which of the following drug is a reverse transcriptase inhibitor?
Indinavir
Ritonavir
Nelfinavir
Abacavir
3d
single
ANTIVIRAL DRUG: CLASSI FICATION 1.Anti-Herpes virus Idoxuridine, Acyclovir, Valacyclovir, Famciclovir, Ganciclovir*, Foscarnet* 2 Anti-Retrovirus (a) Nucleoside reverse transcriptase inhibitors (Nis): Zidovudine (AZT), Didanosine, Zalcitabine*, Stavudine, Lamivudine, Abaca vir (b) Nonnucleoside reverse transcriptase in...
Pharmacology
Chemotherapy
cdc9eb94-3316-4421-98c0-c1be3c715127
Tubuloglomerular feedback is initiated by delivery of:
Na+ to the macula densa
Cl- to the macula dense
NaCl to macula densa
NaCl to the loop of Henle
2c
single
- The rate of NaCl delivery to the distal nephron significantly influences the RBF and GFR; the mechanism is called Tubuloglomerular (TG) feedback. The mechanism is based on 3 components: (i) A sensor: Cells in the macula densa. (ii) A signal: NaCl delivery to the distal tubule. (iii) An effector: Vascular smooth muscl...
Physiology
Excretory System (Kidney, Bladder) Acid-Base Balance
02a2e40b-17fb-4ff2-b88b-1cfaea664e5c
Max. absorption of water takes place in :
Loop of Henle
Collecting duct
PCT
DCT
2c
single
Ans. is 'c' is PCT * " Normally, about 65 percent of the filtered load of sodium and water and a slightly lower percentage of filtered chloride are reabsorbed by the proximal tubule before the filtrate reaches the loop of Henle *
Physiology
Renal Tubular Reabsorption and Secretion
ba949e5f-3c82-48d8-a1df-5a3c92376ebe
A 35-year-old woman presents with amenorrhea and weight loss despite increased appetite. The history and physical examination reveal exophthalmos, fine resting tremor, tachycardia, and warm, moist skin. Laboratory tests for thyroid function would be expected to yield a decreased value for which of the following?
Free T4
Radioactive iodine uptake
T3 resin uptake
Thyroid stimulating hormone
3d
single
- Given clinical features suggests the diagnosis of hypehyroidism - Laboratory findings depicted in graves disease are: Decreased TSH levels Increased serum T3, free T4 levels Increased T3 resin upake Increased saturation of TBG Increased radioactive iodine uptake
Pathology
Hypehyroidism and Goitre
628bb3e4-a153-467b-8233-297773af3a0d
Most common site for medulloblastoma is-
Cerebellum
Pituitary
Cerebrum
Pineal gland
0a
single
POORLY-DIFFERENTIATED AND EMBRYONAL TUMOURS CNS tumors composed of primitive undifferentiated cells include medulloblastoma and glioblastoma, and rarely, neuroblastoma and retinoblastoma. Medulloblastoma is the most common variety of primitive neuroectodermal tumor. The most common location is the cerebellum in the reg...
Pathology
Nervous system
64518f58-c14f-4908-bedf-cdc7ffc2ccb9
Mcburney's point tenderness is indicative of signifies -
Acute appendicitis
Acute pancreatitis
Acute hepatitis
Acute nephritis
0a
single
Ans. 'a' i.e., Acute appendicitis * McBurney's point is the name given to the point over the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus (navel).* This point roughly corresponds to the most common location of the base of the appendix where it is at...
Surgery
Vermiform Appendix
7625a539-926b-4e15-ae8e-df5484d6b147
Which of the following is a true neoplasm of functional cementoblasts
Periapical cemental dysplasia
Familial cemental dysplasia
Benign cementoblastoma
Hypercementosis
2c
multi
null
Pathology
null
4b724426-2a98-4890-80e2-7661735c2c6b
The histopathology of osteopetrosis shows:
EndosteaL bone formation and lack of normal bone resorption
Periosteal bone formation and lack of normal bone resorption
Presence of extra collagen fibres and Less calcification resulting in resistance of bones to fracture
Presence of numerous osteoclasts and a few osteoclasts
0a
single
null
Pathology
null
574c048e-6176-4e88-8a5b-77e2baf73a4f
Mrs AR G3 P1LIA a full term pregnant female is admitted in labor. On examination, she has uterine contractions 2 in 10 minutes, lasting for 30-35 seconds.On P/A examination 3/5th of the head is palpable per abdomen.On P/V examination-cervix is 4 cms dilated, membranes intact.On repeat examination 4 hours later, cervix ...
The head was engaged at the time a of presentation
Her cervicographical progress is satisfactory
Her cervicographical status suggests intervention
On repeat examination, her cervicograph should have touched the action line.
2c
multi
In this patient at the beginning of the labor, three fifths of the head was palpable , which indicates head is not engaged as head is said to be engaged only if 1/5th is palpable per abdomen…
Gynaecology & Obstetrics
null
9541fa59-9a5b-4590-84f4-d700f447621e
Which of the following condition is characterized by "Golf-hole ureter"?
Genitourinary Tuberculosis
Ureterocele
Vesicoureteric reflux
Carcinoma of Bladder
0a
single
"Golf-hole ureter" is a characteristic finding in Genitourinary Tuberculosis. It occurs because of the contraction caused by the fibrosis of ureter at the ureteric orifice which leads to widening of its internal opening which gives an appearance of golf hole.
Surgery
Kidney and ureter
3bf8eb46-fd18-44e5-ba3e-cd533b339d0f
Hashimoto's thyroiditis-True are A/E
Follicular destruction
Increase in lymphocytes
Oncocytic metaplasia
Orphan Annie eye nuclei
3d
multi
Ans is `d' i.e Orphan Annie eye nuclei Orphan Annie eye nuclei is histological feature seen in Papillary Ca thyroid. "Characteristic histologic features of Hashimoto's thyroiditis include atrophy of thyroid follicles with oncocytic metaplasia (Huhle cell) of the follicular epithelium and abundant lymphoplasmacytic infi...
Surgery
null
989c5f12-abb7-489b-ad79-edfe4c12852e
With respect to cardiac arrests occurring during anaesthesia – a) The most common preceding arrhythmia is bradycardiab) The most common cause is failure of ventilationc) Most occur during emergence from anaesthesiad) Most are considered unpreventable and untreatable
ac
a
ad
ab
3d
single
Mast cardiac arrests are preceded by bradycardia suggesting that early identification and treatment may prevent complications. Most common cause is failure to provide adequate ventilation. Most of the cardiac arrests occur during induction or maintenance.
Anaesthesia
null
47fb752e-38f8-4fd6-81e2-db2e0e4cb517
Burkitts lymphoma associated with ?
EBV
HHV
HIV
HTLV
0a
single
Ans. is 'a' i.e., EBV
Pathology
null
25f7823b-0332-4cf3-b22a-7600d16a4af8
Sterilising agents include -a) Dry heatb) Ethylene oxidec) Etherd) Alcohole) Chlorhexidine
ac
a
ab
bc
2c
single
null
Microbiology
null
24a58b89-bffd-4769-9d4e-8367f042157b
A 12-year-old girl begins to limp while playing soccer. She has pain in her right leg and upper right thigh. Her temperature is 102degF. X-ray of the femur reveals that the periosteum is eroded. Assuming that this case is managed as an infectious disease, which of the following is the most likely etiologic agent?
Listeria monocytogenes
Salmonella enteritidis
Staphylococcus saprophyticus
Staphylococcus aureus
3d
single
Staphylococcus aureus is a well-known pathogen that is very opportunistic and commonly causes abscess lesions. It routinely may resist phagocytosis by WBCs due to protein A. Osteomyelitis and arthritis, either hematogenous or traumatic, are commonly caused by S. aureus, especially in children. Salmonella are gram-negat...
Microbiology
Bacteria
7e5016f6-d34f-4899-9723-da622fe0821b
Rigor mortis results after death is due to
Failure of acetylcholine to diffuse
Failure of ATP supply
Failure of break down of calcium bridges
None of the above
1b
multi
null
Physiology
null
2e34289c-c056-4297-9f3d-97d696f46cd9
Mediator of acute inflammation not derived from cell is -
Histamine
Leukotrienes
Kinins
Cytokines
2c
single
. Kinins
Pathology
null
487aebed-40d7-4eb8-ab35-57f964992167
Hyperdynamic circulation is seen in all except:
Anemia
Beriberi
Cor pulmonale
AV fistula
2c
multi
Ans. c. Cor Pulmonale (Ref: Harrison 19/e p1501, Harrison 18/e p1901)Hyperdynamic circulation is seen in anemia, beriberi & AV fistula, but not in Cor pulmonale."Conditions that lead to a high cardiac output (e.g.. arteriovenous fistula, anemia) are seldom responsible for the development of HF in a normal heart: howeve...
Medicine
Miscellaneous (C.V.S.)
4415a8ee-4311-4cfc-b731-80afaef92487
The collagen triple helix structure is not found free in which of the following cell organelle?
Cytoplasm
Golgi apparatus
Intracellular vesicles
Lumen of endoplasmic reticulum
0a
single
Collagen is synthesized on ribosomes as pre-pro-collagen. From there it enters the endoplasmic reticulum where the signal sequence is removed from the terminal end and glycosylation and hydroxylation of proline and lysine residues occur, resulting in the formation of procollagen. From endoplasmic reticulum it is secret...
Biochemistry
null
2b60f445-7664-44d2-b205-ad74102341cf
Dragon or serpent worm is:
Enterobius
Trichuris
Dracunculus
T. Solium
2c
single
Ans. is 'c' i.e., Dracunculus(Ref: Harrison, 19th/e, p. 1422-1423; Chatterjee, 12th/e, p. 203)* Dracunculus medinensis is also known as Guinea worm, Serpent worm, Dragon worm, Medina worm.
Microbiology
Parasitology
f4faf063-ae40-4c3d-a234-89eac3a6aff9
Antiphospholipid syndrome is associated with all except:
Recurrent aboion
Venous thrombosis
Pancytopenia
Antibody to lupus
2c
multi
ANTIPHOSPHOLIPID ANTIBODY SYNDROME (APLA SYNDROME) Clinical Features:1. Vascular Thrombosis2. Pregnancy Morbidity3. Venous thrombosis (More common)4. Aerial thrombosis (Less common) Laboratory Features:1. Elevated anticardiolipin antibodies (IgG or IgM)2. Elevated Anti beta-2 glycoprotein -1 Antibody3. Thrombocytopenia...
Gynaecology & Obstetrics
Obstetrics