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374161ca-5c39-4f79-b5c2-e1a986e6261b | Which of the following feature is not included in Bergmann's Triad? | Disorientation | Cyanosis | Coma | Bradycardia | 3d | single | Bergmann triad consists of:- Cerebral--Delirium, confusion, convulsions, disorientation,stupor,coma Cutaneous--Petechial rashes on chest Cardiopulmonary--Dyspnea, tachypnea, tachycardia, cyanosis, Hypoxia, hypoxemia It is seen in Fat embolism syndromme. | Orthopaedics | Lower Limb Traumatology |
06b46a13-01ec-481a-b46b-b19b2ca615b1 | All of the following are true about sargramustin except | It is a G - CSF analog | It is used in cases of neutropenia | Chronic usage can lead to bone pain | It can also lead to flu like symptoms | 0a | multi | It is a GM - CSF analog.
Filagastrim & lenogastrim are G - CSF analogs. | Pharmacology | null |
5a73b902-aced-4fd5-b17d-7a11be372dfc | The direct retainer of choice when the principle abutment tooth has Lost its periodontal support is: | Embrasure clasp | Ring clasp | Multiple circlet clasp | Onlay clasp | 2c | single | null | Dental | null |
02ee866e-f217-413c-b514-da37d7c4b82b | Which of the following is the most common type of congenital cataract? | Sutural cataract | Lamellar cataract | Coronary cataract | Embryonic nuclear cataract | 1b | single | Lamellar cataract is the most common type of congenital cataract. It occur in a zone of fetal nucleus surrounding the embryonic nucleus. In this type, the main mass of the lens internal and external to the zone of cataract is clear except for small linear opacities like spokes of wheel seen towards the equator. Coronar... | Ophthalmology | null |
417b4e5a-d4e7-4c72-8979-f3ff4b603508 | Kayser fleisher ring is characteristic of? | Hemosiderosis | Wilson disease | Tyrosinemia | Hereditary cataract | 1b | single | KANSWER: (B) Wilson diseaseREF: Khurana 4th ed page 181 & 410, Yanoff 2nd ed page 278"Kayser-Fleischer rings are caused by copper deposits, and are indicative of Wilson's disease, whereas Fleischer rings are caused by iron deposits and are indicative of keratoconus"In Wilson's disease, an autosomal recessive disorder, ... | Ophthalmology | Cornea |
64810c55-8ff5-46bd-83b4-475c6a6b9fe0 | Short 4th metacarpal is a feature of | Hypothyroidism | Hyperthyroidism | Pseudohypoparathyroidism | Hypoparathyroidism | 2c | single | Seen in pseudohypoparathyroidism and Pseudo pseudo hypoparathyroidism. | Radiology | null |
7176ed9e-89fa-475c-8853-d0dfad96bde4 | In Spondylolisthesis, which of the following is NOT useful investigation? | Anteroposterior X-ray | Lateral view X-ray | CT | MRI | 0a | single | (a)-AP view will show changes only in last stages-inverted Napoleon hat sign all other are more important for diagnosis and management. CT and MRI are required in all cases. | Orthopaedics | Spinal Injuries |
0d4d4dfe-7061-4678-afab-a43182634a00 | Drug used in remodeling of hea in congestive cardiac failure are all EXCEPT - | Beta blocker | ACE inhibitor | Digoxin | Aldosterone antagonist | 2c | multi | Ans. is 'c' i.e., Digoxin | Pharmacology | null |
f1ed5e63-20f2-40f9-a3f5-c2903277f835 | Which statement best describes a functional role for the lateral hemispheres of the cerebellum? | Control and coordinate movements of the axial muscles, as well as the shoulder and hip | Control movements that involve distal limb musculature | Function with the cerebral coex to plan movements | Stimulate motor neurons through their connections to the spinal cord | 2c | multi | From a functional point of view, the cerebellum is divided into three pas: 1. Vestibulocerebellum (or flocculonodular lobe) Consist of the nodulus in the vermis and the flanking flocculus in the hemisphere on each side. This lobe is phylogenetically the oldest pa of the cerebellum and has vestibular connections concern... | Physiology | Motor System |
d5d836c5-3c1f-4d83-8a59-77f8b151f584 | Cough and sputum in COPD are primarily due to changes in | Large airways | Medium airways | Small airways | Lung parenchyma | 0a | multi | Large airways- Cigarette smoking often results in mucus gland enlargement and goblet cell hyperplasia, leading to cough and mucus production that define chronic bronchitis, but these abnormalities are not related to airflow limitation.Small airways- The major site of increased resistance in most individuals with COPD i... | Medicine | Respiratory system |
d6dd2c57-a2d9-4452-91a3-7685af64a9cc | Enzyme papain is used? | To decrease intestinal gas produced during digestive process | As Anti helminthic | To treat Herpes zoster | To treat infected wounds in nucleus pulposus | 0a | single | ANSWER: (A) To decrease intestinal gas produced during digestive processREF: KDT 6th ed page 649, Katzung 12th ed pagePapain It is a proteolytic enzyme obtained from raw papaya. It is used as digestant. Its efficacy after oral ingestion is doubtful | Pharmacology | G.I.T |
4a18bff9-ca33-4a12-9f65-07cb1c2b2e10 | The intra - abdominal pressure laparoscopy should be set between : | 5-8 mm of Hg | 10 - 15 mm of Hg | 20 - 25 mm of Hg | 30 - 35 mm of Hg | 1b | single | 10 - 15 mm of Hg | Gynaecology & Obstetrics | null |
395ccc72-83e6-440f-b334-2bfb5a525e80 | A 20-year-old 70kg man is put on fast perioperatively. 100gm of glucose is given per day as 5% dextrose solution. This is to | Meet daily calorie requirement | Meet daily fluid requirement | Sustain cerebral energy metabolism | Sustain anabolic status | 2c | single | During starvation, the body is faced with an obligate need to generate glucose to sustain cerebral energy metabolism (100 g of glucose per day). This is achieved in the first 24 hours by mobilising glycogen stores and thereafter by hepatic gluconeogenesis from amino acids, glycerol and lactate. This eventually leads to... | Surgery | General surgery |
b5602f91-b787-4230-96f2-dd24701c4d9f | When a drug binds to the receptor and causes action opposite to that of agonist this is called as? | Complete Agonist | Partial Agonist | Inverse agonist | Neutral antagonist | 2c | multi | ANSWER: (C) Inverse agonistREF: Goodman and Gillman 11th edition page 14-15, http://en.wikipedia.org/wiki/Inverse_agonistIndirect repeat from June 2008An inverse agonist is an agent that binds to the same receptor as an agonist but induces a pharmacological response opposite to that agonist.A neutral antagonist has no ... | Pharmacology | C.N.S |
f28f6fdc-78f9-47f6-957e-be40dab8528c | All of the following statements regarding idiopathic edema are true, EXCEPT: | It is due to estrogen mediated sodium retention | It is not related to menstrual cycle | It is associated with an increased water retention in upright position | In some cases ACEI is useful | 0a | multi | Idiopathic edema is an ill-defined syndrome characterized by intermittent pitting edema secondary to Na and water retention. There is only very little evidence to prove that sodium retension is occuring under the influence of estrogen. Patients present with swelling of legs, hand, rarely face along with abdominal bloat... | Medicine | null |
c2891254-23ca-45a8-ac4d-5cb166365c9a | A major step in the pathogenesis of listeriosis is - | The formation of antigen-antibody complexes with resultant complement activation and tissue damage | The release of hyaluronidase by L. monocytogenes, which contributes to its dissemination from local sites | The antiphagocytic activity of the L. monocytogenes capsule | The survival and multiplication of L'. monocytogenes within mononuclear phagocytes and host epithelial cells | 3d | multi | null | Microbiology | null |
e3e5778d-1d9a-431b-9b83-93764d8114fa | Calculate the prevalence if incidence is 2 cases per 1,000 population per year and mean duration is 4 years- | 8 mases per 1,000 population | 2 cases per 1,000 population | 0.5 cases per 1,000 population | 32 cases per 1,000 population | 0a | single | prevalence is calculated as the product of incidence and mean duration of a disease in a community.during a specific period,here it is given as 4 *2 cases per 1000 population. ref:park&;s textbook,ed 22,pg no 67 | Social & Preventive Medicine | Epidemiology |
2f958b9a-bd99-47a7-a28b-42505398a24c | Hyperacusis is defined as: | Hearing of only loud sound | Normal sounds heard as loud and painful | Completely deaf | Ability to hear in noisy surroundings | 1b | single | Sensation of discomfo or pain on exposure to normal sounds. Seen in injury to nerve to stapedius and in case of congenital syphilis (Hennebe sign) | ENT | null |
96cb625b-3946-4711-b8e5-f4a2422148dd | Which of the following is teratogenic: March 2011 | Folate | Cyanocobalamin | Vitamin A | Vitamin C | 2c | single | Ans. C: Vitamin APharmacological doses of vitamin A are teratogenic and in pregnancy the daily dose must not exceed 6000-8000 IU.Synthetic analogues of vitamin A:TretinoinIsotretinoinEtretinateAcetretinTeratogenic drugsDrugs and medications:- Tobacco Caffeine- Drinking alcohol (ethanol) (fetal alcohol spectrum disorder... | Pharmacology | null |
345d2f53-53a9-4b2f-ac26-4e0a5d2d3785 | In a patient suspected to be diagnosed with Rabies, a sample of corneal smear was taken. Which of the following investigations can be done from the specimen? | RT PCR | Immunofluorescence test | Negri body visualization | Virus isolation | 1b | single | Ans. (b) Immunofluorescence test style="font-size: 1.04761904761905em; font-family: Times New Roman, Times, serif">(Ref: )Lab diagnosis of rabies*RT-PCR: detecting the viral nucleic acid especially on biological fluids (saliva, cerebrospinal fluid, tears) and skin biopsy (ante mortem) and brain samples (post mortem)*Se... | Pathology | Central Nervous System |
713893ba-01df-4234-93f3-437060ddc282 | MAO inhibitors should not be used with: | Pethidine | Pentazocine | Buprenorphine | Morphine | 0a | single | Pethidine should be avoided in patients receiving MAO inhibitors, because both these drugs can result in very high levels of serotonin. MAOI inhibits breakdown of serotonin and pethidine inhibits reuptake of serotonin. This result in excess excitation characterized by agiation, delirium, headache, rigidity, hyperpyrexi... | Pharmacology | null |
1005c1d4-84e4-4dea-849b-48456604803e | Renal GFR is best measured by | Tc99 DMSA | Tc99 Pyrophosphate scan | Tc99 DTPA | Creatinine clearance | 2c | single | C i.e. Tc99 DTPA 99mTcDMSA (gold standard) and 99mTc- GFIA are morphologic agents. Dimercaptosuccinic acid (DMSA) labelled with technetium-99m is most satisfactory tracer for imaging renal anatomyQ (e.g. in renal ectopia and anomalies like horseshoe kidney), differentiating functional renal masses (with radiotracer upt... | Radiology | null |
55265e5b-f83a-41f2-bed0-04852d2b56c6 | Which cranial nerve carries parasympathetic fibers? | Vagus nerve | Trigeminal nerve | Hypoglossal nerve | Abducent nerve | 0a | single | Ans. A. Vagus nerveThe only cranial nerves that transmit parasympathetic fibers are the oculomotor, facial, glossopharyngeal, and vagus nerves.Parasympathetic flow is cranio-sacral flow carried by cranial nerves: 3,7,9,10 and the sacral nerves: S-2,3,4. These nerves carry the preganglionic fibres to their respective ga... | Anatomy | Head & Neck |
adc76304-e1de-4ca8-b2cb-da60c8375fdd | A 27-year-old man presents with chest pain and feeling unwell. He describes cough with blood-tinged sputum, chills, and fever of 2 days' duration. Physical findings reveal dullness and moist rales in the left lower chest. His CXR is shown in Figure given below. Which of the following is the most likely diagnosis? | pneumonia, left lower lobe | atelectasis, left lower lobe | PE | tuberculosis | 0a | single | The diagnosis is pneumonia. There is consolidation of the left lower lobe. The increased density, presence of air bronchogram, and the silhouetting of the left diaphragm point to a parenchymal lesion. Pneumococcal infection, as in this patient, is still the most common etiology, although other bacterial infections such... | Medicine | Respiratory |
865c98a6-86fa-4e67-9a35-8a316363d7b8 | In malignant hyperthermia the increased heat production is due to : | Increased muscle metabolism by excess of calcium ions | Thermic effect of food | Increased sympathetic discharge | Mitochondrial thermogenesis | 0a | single | Ans. is 'a' i.e. increased muscle metabolism by excess of calcium ionsRef Harrison 16th/e p 105 (15th/e page 92)Malignant hyperthermiais caused by inherited abnormality in sarcoplasmic reticulum of skeletal muscleDue to this there is rapid increase in intracellular calcium levels in response to certain drugs.This leads... | Pathology | Endocrine |
e325dab2-1ab5-4b17-adb6-c8db2c66d1fd | In exocrine pancreatic, cancer, the commonest tumor marker to be elevated in | CA 125 | CEA | CA 15-3 | CA 19-9 | 3d | single | .Investigations for exocrine pancreatic tumors includes * Liver function tests: Serum bilirubin, direct component (conjugated) is increased (van den Bergh's test). Serum albumin is decreased with altered A : G ratio. Prothrombin time is widened. Serum alkaline phosphatase is increased * U/S abdomen to see gall bladder,... | Surgery | G.I.T |
8a21c581-a417-45e4-ac23-62d6377082d3 | Most common complication of cardiac catheterization? | Arrhythmia | Hypeension | Vascular bleeding | Contrast reaction | 2c | single | the most common complication of cardiac catherisation is vascular bleeding or hematoma formation Risks of cardiac catheterization are: Bruising. Bleeding.(vascular bleeding) Hea attack. Stroke. Damage to the aery, hea or the area where the catheter was inseed. Irregular hea rhythms (arrhythmias) Allergic reactions to t... | Medicine | C.V.S |
9d92e126-5721-43ad-9b1c-eb8fe2dbc290 | In a healthy subject, when is the PO2 of the blood leaving a pulmonary capillary lower than the PO2 in the alveolus served by that capillary? | While breathing a low O2 gas mixture | While performing an exercise in which the cardiac output doubles | At the base of the lungs, where perfusion exceeds ventilation | None of the above | 3d | multi | Blood spends about 0.75 sec in a pulmonary capillary; and under normal conditions, all of the gas exchange in the vessel occurs early. Because equilibrium is reached so rapidly (less than 0.25 sec for both O2 and CO2), blood at the end of a pulmonary capillary has the same P02 and PCO2 as alveolar gas, and gas exchang... | Unknown | null |
2623318a-686d-4a3c-910e-a0b98ca919a6 | Mid-diastolic Murmur with presystolic accentuation is typically seen in | Mitral stenosis | Mitral Regurgitation | Aoic stenosis | MVP | 0a | multi | An opening snap, mid-diastolic rumbling murmur, presystolic accentuation and loud first hea sound are all characteristic of mitral stenosis.The mid-diastolic rumble (murmur) stas with the opening snap and may extend to the S1 with presystolic accentuation.Ref: Harrison's 18/e. p1930, 1931. | Medicine | All India exam |
7f5bed0c-f1d8-4f77-b27f-e1baac4e2e4f | Leukocyte alkaline phosphatase is elevated in: | Pernicious anemia | Sickle cell anemia | Polycythemia vera | Plummer Vinson syndrome | 2c | single | null | Medicine | null |
b6753cfc-22be-4e74-8ed6-d29f4ec3b24d | Sinus tachycardia is seen in | Beta blocker therapy | Athletes | Hypothyroidism | Severe anaemia | 3d | single | null | Medicine | null |
7e0d39b1-8388-480b-87f3-017d5d427558 | Mucous glands are absent in | Cervix | Esophagus | Vagina | Duodenum | 2c | single | INDERBIR SINGH&;S TEXTBOOK OF HUMAN HISTOLOGY-PAGE NO:359 Vagina Mucous membrane The epithelium rests on dense connective tissue that is highly vascular,many veins being present .the tissue is rich in elastic fibres.no glands are seen in the mucosa,the vaginal surface being kept moist by the secretions if glands in the... | Anatomy | General anatomy |
39c8828a-58a1-496c-91d3-6de6a0a81d1e | Blood transfusion is indicated in following condition with sickle cell anemia | Frequent sickling episodes | Twin pregnancy | Poor obstetrical outcome | All of the above | 3d | multi | Indications of Blood transfusion in Sickle Cell Anemia Frequent sickling episodes Twin pregnancy Poor obstetrical outcome Severe anemia Blood transfusion replaces the abnormal cells with normal red cells The objective of transfusion is to keep the hematocrit value above 25% and concentration of Hb-S under 50% Prophylac... | Gynaecology & Obstetrics | Medical, surgical and gynaecological illness complicating pregnancy |
a803cd1c-910e-4d42-8535-bc247656adb2 | Shentons line is seen in X ray of - | Antero-posterior pelvis with both hips | Antero-posterior shoulder | Lateral cervical spine | Lateral lumbosacral spine | 0a | multi | Ans. is 'a' i.e, Antero-posterior pelvis with both hips Plain X - ray for hip pathology:* The minimum required is an anteroposterior x-ray of the pelvis showing both hips and a lateral view of each hip separately.* The two sides can be compared: any difference in the size, shape or position of the femoral heads is impo... | Orthopaedics | Injuries Around Hip |
b362cadb-72b6-4319-8cd3-3db39d25b8ed | During normal conversation, sound heard at 1meter distance is | 60dB | 80dB | 90dB | 120dB | 0a | single | At a distance of 1 m, intensity of Whisper = 30 dB Normal conversation = 60 dB Shout = 90 dB Discomfo of the ear = 120 dB Pain in the ear = 130 dB Ref: Dhingra 7e pg 21. | ENT | Ear |
ad812a73-612a-4a76-8d55-fb5f91dd6227 | The etiology of anterior ethmoidal neuralgia is: | Inferior turbinate pressing on the nasal septum | Middle turbinate pressing on the nasal septum | Superior turbinate pressing on the nasal septum | Causing obstruction of sphenoid opening | 1b | single | Sluder's neuralgia or the anterior ethmoidal syndrome is pain around the bridge of the nose radiating into the forehead. It is said to originate from the middle turbinate (pa of ethmoid bone) pressing on the deted septum. This is a rare cause of headache and also k/a contact point headache. | ENT | null |
986e04c1-a818-4680-b48c-2bca043c7417 | Most suggestive of anti moem hanging ? | Salivary dribbling | Congestion of lungs | Ligature marks | Petechial hemorrhages | 0a | single | Most suggestive of antemoem hanging is Salivary dribbling . There is no specific gold standard to distinguish between antemoem and postmoem hanging.However presence of : Veical salivary dribble mark from the dependant angle of mouth. The phenomenon of Le Facies sympathique. Hyperemia and echymosis of margins of ligatur... | Forensic Medicine | Hanging and strangulation |
02e15cf9-0ca7-47a9-8269-fc557e11ef2d | All of the following are radio-opaque stones except: September 2009 | Calcium | Struvite | Uric acid | Cystine | 2c | multi | Ans. C: Uric acid | Surgery | null |
bfad0536-1c5d-4dde-ad97-d85ddfccc861 | In CA stomach, T4 lesion means | Involved till serosa | Involved till lamnia propria | Involved till submucosa | Involved till muscularis propria | 0a | single | T1a Tumour involves lamina propria T1b Tumour involvessubmucosaT2 Tumour invades muscularis propriaT3 Tumour involves subserosa T4a Tumour perforates serosaT4b Tumour invades adjacent organsBailey and love 27e pg: 1135 | Surgery | G.I.T |
7ed43862-2edd-4b5c-bbcc-69dd95d770f3 | A young patient presents to the ophthalmology clinic with loss of central vision. ERG is normal but EOG is abnormal. Which of the following is the most likely diagnosis - | Stargardt's disease | Best's Vitelliform Dystrophy | Retinitis Pigmentosa | Cone- Rod Dystrophy | 1b | single | Normal ERG with an abnormal EOG is charachteristic of best's vittelliform dystrophy. | Ophthalmology | null |
dcada2c3-3282-43ec-9848-b36d9114e46d | preservative used for this suture material? | saline | ethanol | formalin | isopropyl alcohol | 3d | single | Catgut suture are available in the form of plain catgut or chromic catgut preservative used is ISOPROPYL ALCOHOL life span for plain catgut is 10-14 days chromic catgut is -40-60days Plain catgut is usually having shoer absorption periods and is absorbed more rapidly in infected areas. The percentage of collagen in the... | Surgery | All India exam |
a66ffca3-43ba-46ed-af2f-9a397610ba9c | Following are TVS findings of Adenomyosis except | Transition zone > 12mm thick | Endometrial cyst | Heterogenous myometrium | Subendometrial striations. | 1b | multi | Adenomyosis is characterised by myometrial cyst, which is most specific sign. | Gynaecology & Obstetrics | null |
b5a410d5-95cb-4aa0-9147-04b99c82af82 | Preganglionic Parasympathetic fibres are not carried by which cranial nerve - | III | V | VII | X | 1b | single | Ans. is 'b' i.e., V o Parasympathetic origin ---> Cranio-Sacral (III, VII, IX, X, S2-S4) o Sympathetic origin --> Dorso-lumbar (T1 to L2 or L3) | Pharmacology | null |
3ba454af-1ffc-4b0e-a5b1-d4c0bf84c719 | The drug of choice for chemoprophylaxis in contacts of a patient of pneumonic plague is - | Penicillin. | Rifampicin | Erythromycin | Tetracycline | 3d | single | null | Microbiology | null |
29115237-8465-4cf3-9133-b2c13acd2098 | Pontiac fever is caused by - | Legionella | Listeria | Scrub typhus | Leptospira | 0a | single | null | Microbiology | null |
c1acb3d2-9b77-46c4-a62b-aae373baa64f | In glycolysis, the conversion of 1 mol of fructose 1,6-bisphosphate to 2 mol of pyruvate results in the formation of: | 1 mol NAD+ and 2 mol of ATP | 2 mol NAD+ and 4 mol of ATP | 2 mol NADH and 2 mol of ATP | 2 mol NADH and 4 mol of ATP | 3d | single | null | Biochemistry | null |
a7b5bb4c-2c92-4610-90a6-2b3eadf69ce1 | A previously healthy 30-year-old man has been unable to open his right eye.Which of the following cranial nerves is most likely to be affected? | 3 | 4 | 6 | 7 | 0a | single | Opening of the eye is related to Levator Palpebrae Superioris - IIIrd nerve affected so L.P.S will not be able to function Leading to PTOSIS | Medicine | Intracranial Space Occupying Lesion |
a34f9a36-3a4c-4b41-8710-12189cc82632 | Best tumor marker for pancreatic cancer? | CA 125 | CA 19-9 | CEA | AFP | 1b | single | Ans. B. CA 19-9. (Ref. H - 17th / pg. 483)Best tumor marker for pancreatic cancer is CA 19-9.CA 19-9 as a Marker for Pancreatic Cancer# CA 19-9 is not recommended for use as a screening test for pancreatic cancer. The use of CA19-9 testing alone is not recommended for use in determining operability or the results of op... | Medicine | Oncology |
8c964ed5-4c02-4703-9be0-4292637448e0 | A 76-year-old woman presents to the office for evaluation of symptoms of weight loss, anxiety, and palpitations. The symptoms started 1 month ago, and are involuntary. She has no prior history of anxiety or palpitations and her only medical history is hypertension for which she is taking losartan.On examination, the bl... | prolonged circulation time | decreased cardiac output | paroxysmal atrial fibrillation | pericardial effusion | 2c | single | Atrial fibrillation is particularly common in older individuals with hyperthyroidism. Thyroid disease may affect the heart muscle directly or there may be excessive sympathetic stimulation. Common symptoms of thyrotoxic heart disease include palpitations, exertional dyspnea, and worsening angina. Pericardial effusion, ... | Medicine | C.V.S. |
09fbd0db-cffe-4e2c-a3c9-3282c7ca1440 | Anatomic characteristics of the spleen include? | Blood supply to the spleen includes branches from the left renal aery | The spleen is wholly contained within the lesser sac | The spleen lies in the retroperitoneal space | The splenic aery is a terminal branch of the celiac trunk | 3d | single | The aerial supply to the spleen is derived from the splenic aery, which arises within the hepatic aery as the terminal branches of the celiac trunk. The spleen is located with in the dorsal mesentery of the stomach protruding in pa into the omental bursa. The blood vessels enter the spleen in the splenic pedicle, the m... | Anatomy | null |
27d259dc-3353-421f-9e4d-620d05c8a72f | During extractions of maxillary second molar a 0.5mm perforation is created in maxillary sinus. The appropriate treatment would be to: | Perform cald well-Luc procedure | Smoothen the bone and place suture across socket | Pack the opening with iodoform gauge and allow to heal by secondary intention | No treatment necessary | 3d | multi | null | Surgery | null |
db7fb0c1-eed3-45c7-b1a0-9842bf346bd5 | Which of the following amino acid is both polar and ionic? | Arginine | Asparagine | Glutamine | Leucine | 0a | multi | 4 Classification of amino acids Polarity & Solubility Hydrophobic amino acid Tryptophan , Tyrosine , Methionine , Leucine , Valine , Isoleucine , Alanine , Phenylalanine , Proline , Glycine Hydrophilic amino acid Neutral amino acid Threonine , Serine , Tyrosine , Cysteine , Asparagine , Glutamine Acidic amino acid Aspa... | Anatomy | All India exam |
3bea1c5c-7bf0-43bf-883d-a50ac6116951 | A 26-year-old female presents for ante natal visit. She has a history of aboion in last pregnancy due to neural tube defect in the fetus. What is the amount of folic acid that should be prescribed to this female? | 4 micrograms per day | 40 micrograms per day | 400 micrograms per day | 4000 micrograms per day | 3d | single | *All women of childbearing age and who are capable of becoming pregnant should take 0.4mg (=400mcg) of folic acid daily. *If pregnancy is planned in high-risk women(previously affected child), supplementation should be staed with 4mg (=4000microgram) of folic acid daily, beginning 1 month before the time of the planned... | Pharmacology | Central Nervous system |
0cb08b79-3782-4979-b1f3-86c8d2205132 | The serine proteases are all except | Elastase | Chymotrypsin | Trypsin | Pepsin | 3d | multi | They are enzymes with a serine residue at the active site and most of the proteolytic enzymes belong to this group, e.g. trypsin, chymotrypsin, clotting factors. Ref: DM Vasudevan, page no: 44 | Biochemistry | nutrition and digestion |
af2a31fe-26c1-42c4-81ff-8181729e517a | All are true about the Sympathetic vasodilator system except | It originates from the frontal coex | It has a strong basal tone | The fibres to skeletal muscles are cholinergic | After sympathectomy, the blood vessels dilate | 1b | multi | There is no tonic activity in the vasodilator fibers(sympathetic), but the vasoconstrictor fibers to most vascular beds have some tonic activity Sympathetic noradrenergic fibers end on blood vessels in all pas of the body to mediate vasoconstriction- So sympathectomy cause vasodilation Resistance vessels in skeletal mu... | Physiology | Cardiovascular system |
6e9666fc-6869-40f5-9db9-493c35450c0c | Exploratory laparoscopy was performed on a 34-year-old male, following a successful emergency appendectomy. Which of the following anatomic relationships would be seen clearly, without dissection, when the surgeon exposes the beginning of the jejunum? | The second portion of the duodenum is related anteriorly to the hilum of the right kidney. | The superior mesenteric artery and vein pass posterior to the third part of the duodenum. | The portal vein crosses anterior to the neck of the pancreas. | The second part of the duodenum is crossed anteriorly by the attachment of the transverse mesocolon. | 3d | single | The second part of the duodenum is crossed anteriorly by the transverse mesocolon, a relationship that can be seen when the beginning of the jejunum is exposed by lifting the transverse colon superiorly. The posterior relationships of the second part of the duodenum and the portal vein cannot be seen without some disse... | Anatomy | Abdomen & Pelvis |
df552a3d-f426-4684-92ec-44931c38973a | Enterocele formation is a common complication of | Suburethral sling surgery | TVT | Burch colposuspension | TOT | 2c | single | BURCH COLPOSUSPENSION COMPLICATIONS Hemorrhage during dissection of the space Urethra and bladder neck injury due to injudicious placement of sutures Osteitis pubis voiding difficulty detrusor instability Enterocele formation Failure and recurrence D.C.DUTTA&;S TEXTBOOK OF GYNAECOLOGY,Pg no:404,6th edition | Gynaecology & Obstetrics | Urogynecology |
9081ca20-ab9a-47b2-8c68-f5b715677429 | The most constant early symptom of uterine rupture during labour is : | Shock | Pain | Vaginal bleeding | Cessation of labour | 1b | single | Pain | Gynaecology & Obstetrics | null |
23beed0a-aec0-41e6-b8da-683801cb01d9 | All of the following factor stimulate angiogenesis in a fetus Except: | Vascular Endothelial Growth Factor (VEGF) | Basic Fibroblast Growth Factor (bFGF) | Interleukin - 8 (IL8) | Interferon Alpha (INFa) | 3d | multi | D i.e. Interferon Alpha (INFa) 'Ocular Angiogenesis' by Tombran - Tink and Barnstable (2006)/297; Lasers in Ophthalmology (2003)/ 2251 Interferon alpha is an anti- angiogenic' agent that suppresses angiogenesis. 'Interferon alpha is an anti- angiogenic agent. Interferon alpha 2a causes dramatic involution of hemangioma... | Ophthalmology | null |
77a5df11-139c-4077-b102-aea20f2b561a | In a patient with renal cell carcinoma with a thrombus in IVC renal vein, which is the best investigation for diagnosis? | CT scan | Angiography | Colour doppler imaging | IVP | 0a | single | Investigation of choice in RCC-CT scan. REF : DAVID SUTTON 7th ed | Radiology | null |
7a194632-0eb6-46b2-9df0-a0859b957cff | Chronically lymphoedematous limb ispredisposed to all of the following except - | Thickening of the skin | Recurrent soft tissue infections | Marjolin's ulcer | Sarcoma | 2c | multi | null | Surgery | null |
5e4773af-58ec-499b-a7dd-05706db54de0 | What is implied, if a drug has more renal clearance than the GFR | Drug is reabsorbed in the tubules | Drug is secreted in the tubules | Drug is excreted in bile | Drug is neither secreted, nor reabsorbed | 1b | single | If clearance of a substance is greater than GFR, then tubular secretion must be present. | Physiology | null |
f7979a38-a308-4bb3-bbc7-56463f9f5ed8 | QT prolongation is seen in all, except: | Hypothermia | Digitalis toxicity | Hypocalcemia | Romanowand syndrome | 1b | multi | Answer is B (Digitalis toxity) QT interval is shoened in digitalis toxity and not prolonged QT interval Is measured from the beginning of Q wave to the end of T wave Q It is the time taken for total ventricular events i.e. depolarization as well as repolarization 2 Normal QT interval should not exceed 42 seconds | Medicine | null |
cac221d5-4ef8-4322-8572-85d3c6e02608 | The surface marking of the arch of aorta is as follows - | Behind the manubrium sterni | 2nd intercostal space | 3rd intercostal space | Left 2nd costal cartilage | 0a | single | Arch of Aorta surface marking
Right end of sternal angle
Centre of manubrium sterni
Sternal end of left second costal cartilage
These points when connected lies behind the lower half of manubrium sterni. | Anatomy | null |
e034059f-7d45-4d68-bca5-82cb95f416d9 | Malaria protection comes from all Except | G6PD deficiency | Thalassemia | Sickle cell anemia | Acanthocytosis | 3d | multi | The geographic distributions of sickle cell disease, hemoglobins C and E, hereditary ovalocytosis, the thalassemias, and glucose-6-phosphate dehydrogenase (G6PD) deficiency closely resemble that of falciparum malaria before the introduction of control measures.This similarity suggests that these genetic disorders confe... | Medicine | C.V.S |
967dfea1-5672-4837-a9a3-14f839b4d193 | Which is not a product of Pentose phosphate pathway | Glyceraldehyde 3 PO4 | NADPH | Sedoheptulose PO4 | CO2 | 3d | single | null | Biochemistry | null |
4239b12d-d81d-4fa6-9954-f927f5aaef02 | Which enzyme Deficiency leads to serious side effects with 5FU | CYPD29 | Dihydropyrimidine dehydrogenase | Uridine di phosphate | Purine | 1b | single | Ans. b. Dihydropyrimidine dehydrogenaseRef: Goodman Gilman 13th E/P 11825FU is metabolized by Dihydropyrimidine dehydrogenase in liver and other tissues including tumor cells.Deficiency of this enzyme in patients can lead to a decreased metabolism and increased toxicity of 5FU like severe diarrhea and shock leading to ... | Pharmacology | Anti-Cancer |
0d41f8ef-4dfa-44e0-990f-8abbb09de804 | TRH stimulation testing is useful in diagnosis of disorders of following hormones? | PTH | Insulin | ACTH | Growth hormone | 3d | single | Thyrotropin releasing hormone stimulates the release of TSH, GH and prolactin. Patients with acromegaly shows a rise in serum growth hormone levels following an injection of TRH. TRH stimulation test is also used to monitor the therapeutic response of patients with acromegaly to trans sphenoidal surgery, pituitary radi... | Physiology | null |
566c1b9c-344b-478e-80eb-3e2103ad0f2a | Effect of environment on genes is called? | Positive Eugenics | Negative Eugenics | Euthenics | Enthenics | 2c | multi | Ans. is 'c' i.e., Euthenics Eugenics Science which aims to improve the genetic endoment of human population. o That is improving the quality of the human species or a human population by genetic manipulation. o Eugenis may be : 1. Negative Discouraging reproduction by persons having genetic defect or presumed to have i... | Social & Preventive Medicine | null |
ce6eb330-bf18-4218-a87b-3ad9db5fb840 | Screening age for trachoma is: | Below 5 years school child only | 1-9 years | 9-14 years | 5-15 years | 1b | single | Ans. b. 1-9 years (Ref: Trachoma Surveillance Annual Report 2008; Park 23/e p308)Screening age for trachoma is 1-9 years.School children are screened and mass treatment with azithromycin is given in areas found to have active trachoma (TF >10% in children aged 1-9 years).Trachoma control includes all the components of ... | Social & Preventive Medicine | Health Programmes in India |
d25d9dd4-d39a-4aab-b6cd-d0af2803c032 | Inventory of material means which one of the following - | List of items procured | Stock distributed during a period | The quantum of material ordered for | Stock on hand at any given time | 3d | single | Inventory management is a discipline primarily about specifying the shape and placement of stocked goods. It is required at different locations within a facility or within many locations of a supply network to precede the regular and planned course of production and stock of materials. The concept of inventory, stock o... | Social & Preventive Medicine | Social science, Mental health & Genetics |
21e4dc0f-c463-4627-bde7-eabdb622a139 | All are the histological features of Pulmonary hypeension - | Capillaritis of alveolar septa | Saddle thrombi in pulmonary trunk | Thrombi in pulmonary vasculature | All | 2c | multi | Ans. is 'c' i.e., Thrombi in pulmonary vasculature Pulmonary Hypeension o In pulmonary hypeension pathological changes are seen from main pulmonary aeries to aerioles. They are : (a) Aerioles and small pulmonary aeries : (i) Medial hyperophy (ii) Thickening and reduplication of elastic lamina. (iii) Plexiform pulmonary... | Pathology | null |
f9711229-c919-4ec7-a9cd-b0016b124e7d | First secondary ossification center appears in | Lower end of femur | Upper end of humerus | Lower end of fibula | Upper end of tibia | 0a | single | Ans. is 'a' i.e., Lower end of femur Site given in question Secondary ossification center appears at Lower end of femur 9th month intrauterine life Upper end of tibia At bih Upper end humerus 1/2 -1 year of age Lower end of fibula 1 year of age | Forensic Medicine | null |
704d2de8-9fb4-4e4a-b000-1e5287538ee8 | DNA covering material in a virus is called as? | Capsomere | Capsid | Nucleocapsid | Envelope | 1b | multi | Ans. is 'b' i.e., Capsid Structure of virus . The extracellular infectious virus paicle is called as the virion. . The virion consist of a nucleic acid surrounded by a protein coat, the capsid. . The capsid with the enclosed nucleic acid is known as the nucleocapsid. . Two kinds of symmetry are encountered in the capsi... | Microbiology | null |
16dd4a48-468f-41d5-ae67-e617474a4e50 | Tide water mark dermatitis is seen:- | Allergic contact dermatitis | Contact dermatitis to rubber used in disposable napkins | Band shaped papular dermatitis | Papulo-erosive ulcer | 2c | multi | Tide water mark dermatitis is a band shaped papular eruptions on the thighs and abdomen at the diaper edges, characteristically sparing the skin folds Variant of contact dermatitis. | Dental | JIPMER 2018 |
643bbc5d-534e-46a3-bc64-85ffb7ff00d6 | All the following can be used to predict severe acute pancreatitis except NOT RELATED MEDICINE | Glasgow score > 3 | CT severity score > 7 | APACHE-II score >8 | Serum lipase >5 times the normal | 3d | multi | . | Pharmacology | All India exam |
81da4bf8-9804-4b4a-95bf-e241a8fefed8 | All of the following procedures are recommended in dark
room processing except: | Use of high intensity and short wavelength light (Red) | Light is placed 4 feet above the processing tank | Light is placed behind the processing tank | X-ray of red filter GBX-2 is used | 0a | multi | One of the most important requirements is that the darkroom be lightproof. If it is not, stray light can cause film fogging and loss of contrast. To make the darkroom lightproof, a light-tight door or doorless maze (if space permits) is used.
SAFELIGHTING
The processing room should have both white illumination and safe... | Radiology | null |
a1668df3-ad2a-4591-8d36-d3db9a07eb7f | In tumor lysis syndrome all of the following are seen except - | Hypernatremia | Hypercalcemia | Hyperkalemia | Hyperphosphatemia | 1b | multi | Tumor lysis syndrome
Caused by destruction of large number of rapidly proliferating neoplastic cells. It frequently leads to ARF
It is characterized by
Hypocalcemia
Hyperkalemia
Lactic acidosis
Hyperuricemia
Hyperphosphatemia
Most frequently associated with treatment of
Burkitt lymp... | Pathology | null |
69154946-1a1f-4593-a3aa-2a8fb92ad21f | Renal pa of inferior vana cava develops from? | Vitelline vein | Subcardinal vein | Supracardinal vein | Common cardinal vein | 1b | single | null | Anatomy | General anatomy |
40752e15-b244-47b8-a485-485596104dfb | There is an increased risk of what in pregnant women with thyroid peroxidase antibodies | Pre-term delivery | Abruptio placenta | Preterm rupture of membrane | Placenta previa | 1b | single | In women with TPO antibodies, there is high risk for placental abruption. | Gynaecology & Obstetrics | null |
189dadb3-4625-4636-98ac-e725439bcd82 | Following is a non-essential amino acid: | Phenylalanine | Proline | Tryptophan | Threonine | 1b | single | null | Biochemistry | null |
8c730cd3-25c6-4f1a-8427-3eb663d6dbe0 | About Retinitis pigmentosa all are true EXCEPT: | Night blindness | Waxy disc | Early loss of central vision | Attenuation of retinal vessels | 2c | multi | ANSWER: (C) Early loss of central visionREF: khurana 4th ed p. 260-262Retinitis pigmentosaNight blindness is earliest featureDefective dark adaptationPartial or ring scotomaTubular visionLoss of central vision by age of 50-60 yearsFundus changesRetinal pigmentary changes typically perivascular and resemble bone corpusc... | Ophthalmology | Dystrophies and Degenerations |
27ff71d6-352d-47d1-adc4-6628d71fefb6 | True about metastatic calcification is | Calcium level is normal | Occurs in dead and dying tissue | Occurs in damaged hea valve | Mitochondria involved earliest | 3d | multi | Ref, Robbins 8/e p38;7/e p41-42,9/e p65 | Anatomy | General anatomy |
5550a0fa-86fe-4d45-a280-2c937465b804 | State with highest prevalence of blindness | Jammu - kashmir | Maharashtra | Bihar | Uttaranchal | 0a | single | null | Social & Preventive Medicine | null |
ba9cf44b-c9c0-4db1-8853-b59798edb60f | Most common surgical cause of obstructive jaundice | Periampullary carcinoma | Carcinoma gallbladder | Carcinoma head of pancreas | CBD stones | 3d | multi | Clinical features suspicious of biliary obstruction due to CBD stones include biliary colic, jaundice, clay coloured stools and darkening of urine It is treated by ERCP, laparoscopic or open exploration CBD stones are seen in 6-12% of patients with GB stones Incidence becomes high and surgery is the treatment of choice... | Anatomy | G.I.T |
6129d5d7-dfeb-4265-847d-9cc2e71393c7 | Which of the following is given to treat thrombocytopenia secondary to anti-cancer therapy and is known to stimulate progenitor megakaryocytes | Filgrastim | Oprelvekin | Erythropoietin | Anagrelide | 1b | single | Ans. is 'b' i.e., Oprelvekin | Medicine | null |
3b2d2bc3-4907-4e66-837a-0a02b6a0492b | Concurrent flexion of both wrists in response to electrical stimulation is characteristic of which area of the nervous system? | Postcentral gyrus | Vestibulospinal tract | Dentate nucleus | Supplementary motor coex | 3d | multi | The supplementary motor area tends to produce bilateral motor responses when stimulated. The other areas would tend to produce unilateral responses. | Physiology | All India exam |
c5e85b2d-3fc2-4c25-b6ea-42a0ca123305 | According to the treatment plan plaque control, root planning under: | Preliminary phase. | Etiotropic phase. | Surgical phase. | Restorative phase. | 1b | single | Phase 1 is also known as Etiotropic phase which includes plaque control, diet control, scaling, root planning and temporary restorations. | Dental | null |
f9abc852-7d7a-43f0-9bc9-ea6f3606b887 | A new born with respiratory distress with RR 86/min, nasal flaring, audible grunting, abdomen lagged behind chest respiratory movement, no lower chest or xiphoid retraction. What is silverman&;s score | 1 | 3 | 5 | 6 | 2c | single | Silverman Anderson Score (SAS) are widely used for the categorization of respiratory distress in neonates. It consists of five items: (1) chest retraction as compared with abdominal retraction during inhalation; (2) retraction of the lower intercostal muscles; (3) xiphoid retraction; (4) flaring of the nares with inhal... | Pediatrics | New born infants |
61552325-a36b-4b99-8745-f7376e7ae9ab | Dense zone of calcification at growing metaphysis seen in scurvy is ___: | Wimberger's ring sign | Pelkan spur | Frankel's line | Trummerfeld zone | 2c | single | Ans. C. Frankel's line* Scurvy is due to the deposition of defective collagen in the bone.* Radiological features of scurvy:- Zone of provisional calcification at the growing metaphysis is dense, giving a white line called as Frankel's line,- Sclerotic rim around the epiphysis known as Wimberger's ring sign.- Area of l... | Radiology | Skeletal System |
73c9e1d1-7158-4f5e-9f08-48904d42ab38 | Disecting hematoma is a clinical complication occurring in | Turner's syndrome | Klinefelter's syndrome | Down syndrome | Marfan syndrome | 3d | single | Marfan Syndrome Marfan syndrome is a disorder of connective tissues, manifested principally by changes in the skeleton, eyes, and cardiovascular system. Its prevalence is estimated to be 1 in 5000. Approximately 70% to 85% of cases are familial and transmitted by autosomal dominant inheritance. The remainder are sporad... | Medicine | Genetics |
2e3e231e-a655-4a04-9fc1-5aafaeb468e1 | Colonic pseudo-obstruction occurs in all, except: | Diabetes mellitus | Dermatomyositis | Scleroderma | Hyperthyroidism | 3d | multi | Ans. (d) HyperthyroidismCauses of secondary pseudo-obstruction of colon: (Secondary pseudo-obstruction of colon is most common)* Neurological medications* Opiates* Myxedema (Hypothyroidism)* Hyper parathyroidism* Uremia* SLE* Scleroderma* Diabetes mellitus* Retroperitoneal hematoma* Parkinson's disease* Metabolic disea... | Surgery | Small & Large Intestine |
9c7d6822-548b-4999-b551-07dea90b8062 | The commonest presenting complaint In a gynaecology depament is : | Bleeding PV | Leucorrhoea | Prolapse uterus | Mass abdomen | 1b | single | Leucorrhoea | Gynaecology & Obstetrics | null |
1e144dd1-32c7-45d2-bde9-3567ec2cfdbb | The management technique which is more promising tool for application in health field is:- | Cost effective analysis | Cost benefit analysis | Cost accounting | Input output analysis | 0a | single | Cost Effective Analysis - This is a more promising tool for application in health field than cost benefit analysis It is similar to cost benefit analysis except that benefit ,instead of being expressed in Monetary terms is expressed in terms of Results achieved eg - No. of lives saved or No. of days free from disease | Social & Preventive Medicine | Definitions and Concepts in HP |
4d773a5b-c924-4174-8f52-053225e9abf0 | Increased risk of coronary hea disease is seen in? | Type I hyperlipidemia | Type II hyperlipidemia | Type IV hyperlipidemia | Type V hyperlipidemia | 1b | single | Ans. is 'b' i.e., Type II hyperlipidemia FRADERICKSON CLASSIFICATION OF HYPERLIPIDEIVRA 1. Type Ilfamilial lipoprein lipase deficiency) o Lipoprotein lipase is required for the hydrolysis of chylomicrons and VLDL tri glycerides. o Deficiency of LPL results in decrease hydrolysis and elevated levels of plasma chylomicro... | Pathology | null |
ce0d5a65-f7a4-4a61-8001-ffe8d9f5fffc | Which of the following cannot be done by 3 years old child - | Draw a triangle | Draw a circle | Can arrange 9 cubes | Can go, up and down | 0a | single | Ans. is 'a' i.e., Draws a triangle o A child can draw a triangle by 5 years. o A child can draw a circle by 3 years. o A child can make a tower of 9 cubes by 30 months. o A child can go up and downstairs with one step at a time by 2 years. o A child can stand momentarily on one foot by 3 years | Pediatrics | null |
eac09546-5051-4ee5-861c-454faf2e595c | Which of the following is false about parotid tumor | Facial nerve involvement indicates malignancy | Pleomorphic adenoma is most common | Superfical parotidectomy is the treatment | Malignant disease is most common variety | 3d | multi | Benign tumors are most common parotid gland tumors. | Surgery | null |
4bd077a6-2583-44fc-ad4a-cefe8549645b | Characteristic features of opioid withdrawal is: | Rhinorrhea and lacrimation | Seizures | Delirium tremors | Transient visual, tactile or auditory hallucinations | 0a | multi | Ref: KDT 6/e p447 *Withdrawal symptoms are opposite of the acute effect of drug. For opioids, these include lacrimation, rhinorrhea, lacrimation, yawning, piloerection, diarrhea, nausea, coughing, mydriasis, sweating and twitching of muscles. | Pharmacology | Central Nervous system |
53cf3c6b-ffb1-4703-9709-3601fcc1f6f3 | Fetal hemoglobin has more affinity for oxygen than adult hemoglobin because - | Decreased 2,3 DPG concentration | Low affinity for 2,3 DPG | Increase 2,3 DPG concentration | Reduced pH | 1b | single | Ans. is 'b' i.e., Low affinity for 2,3 DPG o Make it very clear in mind that higher affinity' of fetal hemoglobin for oxygen is due to low affinity of HbF for 2,3- DPG (not due to decreased 2, 3-DPG concentration). HbF does not combines to 2, 3-DPG as avidly as adult hemoglobin."Fetal hemoglobin is left - shifted becau... | Physiology | Blood: RBCs, Anemia, and Polycythemia |
eca82811-1145-4ca4-8af4-8d1c56b3aae7 | Transport of two substances in same direction is called as? | Symport | Antiport | Exocytosis | Pinocytosis | 0a | multi | ANSWER: (A) SymportREF: Guyton's physiology 22nd ed page 54- 55, Ganong's physiology 22nd ed chapter 1CotransportWhen the transported molecule and cotransported ion move in the same direction, the process is called Symport; when they move in opposite directions, the process is called Antiport UniporterSynporterAntiport... | Physiology | Transport Across Cell Membrane |
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