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ef3c0d08-da03-488e-967c-4f41251b303a | Features of Gegenhalten are all exept | It is voluntary opposition by patient to passive movement of limb | It is stiffening of limb in response to contact | Strength of antagonists remains the same as examiner uses increased force to change limb position | It is present throughout the range of motion | 2c | multi | Answer- C. Strength of antagonists remains the same as examiner uses increased force to change limb positionIt is ako called paratonia or paratonic rigidity.It is the voluntary opposition of patient to passive movement of limb.It is the movement of the limb to counteract any movement made by the examiner.The resistance... | Medicine | null |
7948a629-ef97-4627-b861-62bdd399f224 | 'Moron' is one with an IQ of | 0-24 | 25-49 | 50-69 | 70-79 | 2c | single | Levels of intelligence IQ range Idiot 0 - 24 Imbecile 25 - 49 Moron 50 - 69 Borderline 70 - 79 Low normal 80 - 89 Normal 90 - 109 Superior 110 - 119 Very superior 120 - 139 Near genius 140 and over | Social & Preventive Medicine | Mental Health |
144d4965-7ed3-470f-a28a-f121e01d082f | All of the following statements about Acute Attack in gouty ahritis are true, except:- | Joint aspirate reveals negative birefringent crystals | Allopurinol should be staed immediately | Colchicine is known to provide relief | Serum uric acid levels may be normal | 1b | multi | Answer is B (Allopurinol should be staed immediately): Allopurinol should not be staed immediately in acute attack of gout as it may precipitate acute symptoms. The mainstay of treatment in acute gouty ahritis is the administration of anti inflammatory drugs such as NSAID, Cochicine and /or glucocoicoids. Allopurinol s... | Medicine | null |
b9d4b790-c120-486e-b1b5-1730993c9012 | Machine used noninvasively to monitor an external chest compression during cardiopulmonary resuscitation is ? | Zoll AED - plus automatic external defibrillator | Zoll depth synchronizer | Zoll strength sensor | Zoll pA02 monitor | 0a | single | Ans. is 'a' i.e., Zoll automatic external defibrillator Monitor for chest compressions in cardio pulmonary resuscitation A novel monitor for the chest compressions is a device incorporated into the chest compression pad of the ZOLL AED - PLUS automatic external defeibrillator. The sternal compression pad located betwee... | Anaesthesia | null |
96e57c1b-b2b7-4a4e-8566-8b7fe15f6893 | Oxidative decarboxylation of pyruvate requires | NADP+ | Cytochromes | pyridoxal phosphate | COASH | 3d | single | Inside the mitochondria, pyruvate is oxidatively decarboxylated to acetyl CoA by pyruvate dehydrogenase (PDH). It is a multi-enzyme complex with 5 co-enzymes and 3 apo-enzymes.
The co-enzymes needed are:
Thiamine pyrophosphate (TPP)
Co-enzyme A (CoA)
FAD
NAD+
Lipoamide.
The enzyme part of the PDH complex is made up of... | Biochemistry | null |
0885b0cc-fb46-4d74-8510-c89293c446ee | Rigor mois stas in : | Right iliac fossa | Left iliac fossa | Brain | Hea | 3d | single | D i.e. Hea | Forensic Medicine | null |
a1b56466-2a0b-4fa8-86f2-cf6e691990c5 | Thyroid nodule of 4 cm size, mobile but causing compressive symptoms. All are true except: | FNAC is investigation of choice | FNAC cannot distinguish follicular adenoma from carcinoma | Managed by total thyroidectomy | Cold nodule are diagnostic of malignancy | 3d | multi | Thyroid nodule investigation of choice is FNAC, but does not distinguish between Adenoma and Carcinoma. Managment is Total Thryoidectomy. Risk of malignancy for cold nodule is 17-20% | Surgery | Thyroid |
db1aae26-8267-4bfc-bc95-c9f4a61cc1c9 | In acute diveiculitis of the colon, the sigmoidoscopic finding is - | Mucosa is inflammed | Minute diveiculi seen | Saw toothed appearance | Sigmoidoscope cannot be passed beyond 15 cm | 0a | single | Ans. is 'a' i.e., Mucosa is inflammed | Surgery | null |
efbf69ff-d997-4a36-b325-5c2d2183a2f2 | A 70 years old man with prostate cancer was given radiotherapy. The recurrence of the cancer is monitored biochemically by: | Androgens only | Prostate specific antigen and carcinoembryonic antigen | Prostate specific antigen only | ALP and CEA | 2c | multi | Ans. c. Prostate specific antigen only | Surgery | null |
a046c29b-7c6e-4080-bbe6-489795b4482f | True about molluscum contagiosum is all except | Dome shape umbilicated papules. | Contagious until the lesions resolve. | Most lesions regress spontaneously by 6 → 12 months. | With Giemsa staining, molluscum bodies are seen intranuclearly. | 3d | multi | Molluscum bodies are intracytoplasmic inclusion bodies. | Gynaecology & Obstetrics | null |
46347c82-002b-463c-a432-b5d3c011189e | True about Anion Gap: | It is difference between unmeasured anions and unmeasured cations | Normal value is 20 mEq/L | In Diarrhoea anion gap is increased | Anion gap will increase if increases | 0a | multi | The cation normally measured is Na+, and the anions are usually Cl- and HCO3-. The "anion gap" is the difference between unmeasured anions and unmeasured cations and is estimated as Normal range: 8-16 mEq/L Increase in chloride ion will decrease anion gap Increased Anion Gap (Normochloremia) Normal Anion Gap (Hyperchlo... | Physiology | Excretory System (Kidney, Bladder) Acid-Base Balance |
4db1db78-546f-4ff4-8d70-6a6b89145651 | Acute hyponatremia in 8 month old infant may produce all except- | Diarrhoea | Convulsions | Muscle cramps and weakness | Vascular collapse | 0a | multi | Ans. is 'a' i.e., Diarrhoea Hyponatremia o Hyponatremia is defined as serum concentrationof Na+ < 130 meq/L. o Hyponatremia causes a decrease in the osmolality of ECF. Because the intracellular space then has a higher osmolality, water Inevitably moves from the extracellular to intracellular space. o Increase in intrac... | Pediatrics | null |
a009a3a1-47df-4cf0-89eb-255f28c48c28 | Transitional cell carcinoma of bladder is associated with - | Schistosomiasis | Naphthylamine | Smoking | All | 3d | multi | Ans 'a' Schistosomiasis; 'b' Naphthylamine ; 'c' Smoking Risk factors for Transitional cell ca of Bladder 1) Cigarette smoking - is the main etiological factor and accounts for about 50% of bladder cancers. 2) Occupational exposures to chemicals the following compounds may be carcinogenic - 2 naphthylamine - combustion... | Surgery | null |
658578c9-c745-47ac-b226-f9b4a9e950fd | Hormonal contraceptive of choice in a lactating woman is - | Combined pill | Multiphastic pill | Mini-pill | Centchroman | 2c | single | Ans. is 'c' i.e., Mini-pill | Social & Preventive Medicine | null |
e605a6e8-1b2c-4510-aa28-29e0e827748f | Where in the kidney does acitve reabsorption of sodium ions occur - | Collecting duct | Distal tubule | Ascending limb of Henle | All of the above | 3d | multi | D i.e. All | Physiology | null |
9d1458c0-749a-4d12-94ac-15671473f14a | In Crohn's disease all are seen except :a) Hyperplastic polypsb) Diverticulosisc) Fissuring ulcerd) Epitheloid granulomae) Crypt abscess | ac | ab | ad | bc | 1b | multi | null | Surgery | null |
94ab7ef0-349a-4525-9487-de2cb27b9c10 | Cigarette smoking increases the risk of all the following diseases except | Pancreatic carcinoma | Cerebrovascular accident | Sudden infant death syndrome | Primary pulmonary hypeention | 3d | multi | Answer- D. Primary pulmonary hypeention Coronayhea diseaseCerbrovascularlesionsAoic aneurysmChronic airway obstructionSudden infant death syndromeInfant respiratory distress syndromeCancer of Pancreas, Lung, Kidney. | Medicine | null |
8e47093f-af63-4555-809c-17d5de98658b | Which of the following is a long acting insulin preparation? | Insulin lente | Isophane insulin | Insulin lispro | Insulin detemir | 3d | single | Ans. is 'd' i.e., Insulin detemir * Insulin detemir and insulin glargine are the long acting insulin preparations. | Pharmacology | Endocrinology |
8b6d30fb-a8b2-48b8-a2d0-e8ee6fec7eaf | All of the following act through GABA except ? | Phenobarbitone | Carbamazepene | Zopiclone | Muscimol | 1b | multi | Ans. is 'b' i.e., Carbamazepene | Pharmacology | null |
7ee8df76-e938-4a82-802e-9c35f4b73648 | Which one of the following provides most conservative approach while restoring the tooth? | Cast gold | Dental amalgam | Glass ionomer cement | Composite resin | 3d | single | null | Dental | null |
0dcc34a8-218b-49ef-8847-28b1d27f492f | Annealing of gold foil is the process by which | Contaminants are removed from the surface | Rigidity decreases and ductility increases | Both ductility and proportional limit decreases | None of the above | 0a | multi | Because gold attracts gases that render it noncohesive, such gases must be removed from the surface of the gold before dental compaction. This process is usually referred to as degassing or annealing and is accomplished by application of heat. Degassing is the preferred term, because the desired result is to remove res... | Dental | null |
8bdfbcfd-f1c8-40b4-b7f8-fa5f4a41814a | Rapid depolarization (phase 0) of the action potential of ventricular muscle results from opening of: | Voltage-gated Ca2+ channels | Voltage-gated Na+ channels | Acetylcholine-activated K+ channels | Inward rectifying K+ channels | 1b | single | Ans. B. Voltage-gated Na+ channelsVoltage-gated Na+ channels are responsible for phase 0 in ventricular muscle. Voltage gated Ca2+ channels are responsible for phase 0 in nodal cells. The potassium channels mentioned do not play a role in mediating depolarization. | Physiology | Heart, Circulation, and Blood |
5dc95e11-a8e4-4869-ad75-2cee7436155a | Select the false statement about Pneumocystis jiroveci | It is seen only in immunocompromised individuals | Frequently associated with CMV | May be associated with pneumatoceles | Diagnosed with sputum microscopy | 1b | multi | Pneumocystis jiroveci infection is transmitted by respiratory droplets and is asymptomatic in immunocompetent individuals. In immunocompromised individuals, life threatening pneumonia (pneumatocele) develops. Specimen - induced sputum, bronchoalveolar lavage or lung biopsy. Not associated with CMV. Ref: Textbook of Mic... | Microbiology | mycology |
7fb7bf64-10a3-4b27-8792-2c4330b370d8 | Cox pathway is not inhibited by | Aspirin | Indomethacin | Betamethasone | Diclofenac | 2c | single | Aspirin inhibits Cox irreversibly by acetylating one of its serine residues;return of Cox activity depends are depends on synthesis of freshers I enzymes. other NSAIDs like indomethacin, diclofenac, etc are competative and Irreversible inhibitors of Cox, return of activity depends upon the dissociation from enzyme whic... | Anatomy | General anatomy |
7e09b0ab-5e17-4374-a9ae-7e6289654335 | Which defense mechanism is commonly used by substance abusers? | Dissociation | Introjection | Denial | Projection | 2c | single | Ans. C. DenialDefense mechanism shown by drug addicts is denial.Defense mechanismDenialIs a psychotic type of defense mechanism where there is involuntary exclusion of unpleasant or painful reality from conscious awarenessRepressionSeemingly inexplicable naivete, memory lapse, or lack of awareness of physical status; t... | Psychiatry | Miscellaneous |
ac58b89f-dbbc-4321-969f-f97c13320385 | The following are the complications of trichobezoars except - | Haematemesis | Perforation and peritonitis | Obstruction | Malignancy | 3d | multi | Rapunzel syndrome is the term for a trichobezoar (gastric 'hair ball') which has a tail-like extension into the small bowel through the pylorus causing gastric outlet obstruction.Human hair (especially long hair) is resistant to digestion as well as peristalsis. So it tends to stay in the stomach and over a period of t... | Surgery | Miscellaneous (Stomach & Duodenum) |
febc10e6-0efc-4849-8853-39d6e3a458ba | Which of the following disorders is NOT aggravated by corticosteroid therapy ? | Congenital adrenal hyperplasia | Diabetes mellitus | Hypertension | Peptic ulcer | 0a | single | null | Pharmacology | null |
abb0f233-71d6-410f-8ed2-754df8183026 | All of the following are peptide-based except | ACTH | GnRH | Thyroxin | TRH | 2c | multi | Thyroxin is a lipid-soluble hormoneRef: DM Vasudevan, 7th edition, page no: 672 | Biochemistry | Endocrinology |
a5394a74-44f2-4996-9eb8-ad80a9bf4753 | The voice is not affected in - | Unilateral abductor palsy | Unilateral adductor palsy | Partial abductor palsy | Total adductor palsy | 0a | single | None of the given option is correct.
Only paralysis in which voice is not affected is bilateral abductor paralysis.
But in this question you can go ahead with unilateral abductor paralysis.
Though the voice is affected in early stages of unilateral abductor paralysis, it gradually improves due to compensation by the he... | ENT | null |
0e414374-efcd-496d-94d3-c52485ed5c59 | cAMP mediates actions of all of the following hormones, EXCEPT: | Glucagon | Follicle stimulating hormone | Luteinizing hormone | Estrogen | 3d | multi | Hormones acting by increasing cAMP levels are epinephrine and nor epinephrine binding to beta adrenergic receptors, vasopressin, prostaglandin E2, glucagon, LH, FSH, TSH, ACTH and PGE2. Signal transduction mechanisms in hormone action: Receptors that mediate tyrosine kinase activation: Insulin Growth factors (PDGF, EGF... | Pharmacology | null |
6d69598c-ea18-4772-9dcf-72f438c32fed | Branches of brachial aery are all except ? | Profunda brachii | Superior ulnar collateral | Inferior ulnar collateral | Radial collateral | 3d | multi | Ans. is 'd' i.e., Radial collateralo Radial collateral is a branch ofprofimda branchii aery, which in turn is a branch of brachial aery (Radial collateral aery is not a direct branch of brachial aery).Brachial aery o It begins as a continuation of axillary aery at level of lower border of teres major muscles. It termin... | Anatomy | null |
eb7fc9fc-31e8-442d-912e-b1f598d33a5c | A 6-week baby presents with cough and cold for the past 3 days. Respiratory rate is 48/min. On examination, patient is febrile with wheezing but no chest indrawing. Which of the following is not true? | Child has pneumonia | Antibiotics are not required | Wheezing should be treated | Fever should be treated | 0a | multi | This child does not have fast breathing or chest indrawing; So there is no pneumonia. Hence antibiotics are not required. But fever and wheezing should be treated. SIGNS CLASSIFY AS TREATMENT Any general danger sign or stridor in a calm child Severe pneumonia or VERY severe disease Give 1st dose of Inj. Ampicillin & Ge... | Pediatrics | Respiratory infections |
144dbef5-b72b-4e56-99e6-33b7441158a0 | Hyperophy is a result of | Increased production of cellular proteins | Growth factor-driven proliferation of mature cells | Reprogramming of stem cells | Decreased protein synthesis and increased protein degradation in cells | 0a | single | Hyperophy refers to an increase in the size of cells, that results in an increase in the size of the affected organ. The hyperophied organ has no new cells, just larger cells. The increased size of the cells is due to the synthesis and assembly of additional intracellular structural components.HyperophyResult of increa... | Pathology | General pathology |
1a93b757-b031-4b1d-b2d8-c28604e598d9 | The peak level of chorionic gonadotropin in normal pregnancy occurs | 30-40 days | 60-70 days | 10-20 days | 100-110 days | 1b | single | Peak maternal levels of chorionic gonadotropin in normal pregnancy occurs between 60th and 80th days after menses and is around 100,000 mIU/mL. Before 5 weeks of gestation, hCG is expressed in both cytotrophoblast and syncytiotrophoblast. Later during gestation, when maternal serum levels peak, hCG is produced almost s... | Gynaecology & Obstetrics | null |
7ca88f01-529e-4f9a-a399-9b7f4732ab52 | In 29 days menstrual cycle ovulation takes place at? | 14th day | 15th day | 16th day | 17th day | 1b | single | ANSWER: (B) 15th dayREF: Ganong's 22nd ed p.434In a menstrual cycle the post ovulatory days remains constant, hence to calculate the day of ovulation substract 14 from the total days of cycle; i.e. in a 29 days cycle ovulation takes place on 15th day (29-14), | Physiology | Sex Hormones |
c9c45703-5a05-4308-b5a0-389d18a5a009 | Maximum growth spurt is seen in girls at time of – | Pubarche | Thelarche | Menarche | Adrenarche | 2c | single | null | Pediatrics | null |
60613e6d-0621-4a38-b312-094b07e23bc1 | Fetal blood loss in abnormal cord inseion is seen in : | Vasa pre | Placenta pre | Battledore placenta | Succenturiate placenta | 0a | single | Vasa Pre is usually associated with velamentous inseion when some of the fetal vessels in the membranes cross the region of cervical os and are below the presenting pa. Sometimes this can also occur with the succenturiate lobed placenta or with the marginal inseion of cord. This may be the cause for antepaum hemorrhage... | Gynaecology & Obstetrics | General obstetrics |
7e5b4c14-8d83-401d-bd15-75e415d5df27 | Following is not a sexual perversion ? | Sadism | Masochism | Undinism | Bestiality | 3d | single | Ans. is d i.e., Bestiality | Forensic Medicine | null |
986e0493-7661-4124-9752-0eae7fcf383e | Personal history includes all except: | Occupational details | Sexual history | Academic details | Food preferences | 3d | multi | Ans. D. Food preferencesPersonal history includes:* Birth and early development* Education* Occupational history* Substance use* Marital & sexual history (including menstrual history) | Psychiatry | Personality Disorders |
a41073c7-ec2a-476d-8dfc-b53103b08d3b | Exotropia occurs due to - | Third nerve palsy | Optic neuritis | Abducens injury | Papilloedema | 0a | single | Ans. is 'a' i.e. Third Nerve Palsy Causes and associations of exotropia (Divegent squint)o Third nerve palsyo Congenitalo Previous strabismus surgeryo Thyroid ophthalmopathyo Iatrogenic trauma following retinal detachment surgery | Ophthalmology | Strabismus - Definition and Evaluation |
5dcae060-6e20-47eb-8889-e2f0a014c343 | A woman is exposed to a case of chicken pox 2 days back at 14 weeks of gestation. She does not give history of chicken pox in the Past. What is the next step? | Administer varicella vaccine | Administer varicella Immunoglobulin | Administer varicella Immunoglobulin and vaccine | Test mother for antibodies against varicella | 3d | multi | Ans. D. Test mother for antibodies against varicellaIf the pregnant woman has antibodies against varicella, then she is immune and needs no further treatment.Exposed pregnant women who are susceptible to varicella, should be given varicella Ig within 96 hrs of exposure to prevent or attenuate varicella infection. | Gynaecology & Obstetrics | Medical & Surgical Illness Complication Pregnancy |
35f6fab4-5750-45c7-9be7-5e6b1c4c7cac | All are derivatives of mullarian duct except ? | Fallopian tube | Uterus | Upper 2/3rd of vagina | Lower2/3rd of vagina | 3d | multi | Ans. is 'd' i.e., Lower 2/3rd of vagina PARAMESONEPHRIC DUCT (MULLERIAN DUCT) : Main genital duct in females Females Males Fallopian tubes Appendix of testis (Hydatid of morgagni) Uterus Prostatic utricle Upper 2/3 of vagina | Anatomy | null |
e603a274-fe0f-49db-9e91-9f3273a90160 | Which teratogen causes deafness? | Isotretinoin | Chloroquine | Alcohol | Warfarin | 0a | single | Teratogenic drugs which cause deafness-. Tetracycline, minocycline, erythromycin,lsotretinoin, alcohol, phenytoin, thalidomide ESSENTIALS of MEDICAL PHARMACOLOGY SEVENTH EDITION -K D TRIPATHI Page:854 <a href=" | Pharmacology | Other topics and Adverse effects |
1c1f0e9f-a78a-4ea7-8f05-59e0501aa9ec | Left sided lateral gaze is affected in leasion of : | Right frontal lobe | Right occipetal lobe | Left occipetal lobe | Left frontal lobe | 0a | single | A i.e. Right frontal lobe | Ophthalmology | null |
94759637-40da-4224-85e5-9ad6229b844a | Which of the following drugs cause Heterochromia iridis? | Latanoprost | Prednisolone | Timolol | Olopatadine | 0a | single | Ans. a. Latanoprost (Ref. Katzung 12/e p328)Latanoprost causes heterochromia iridis.Latanoprost, a stable long-acting PGF2-aIpha derivative, was the first prostanoid used for glaucoma. The success of latanoprost has stimulated development of similar prostanoids with ocular hypotensive effects, and bimatoprost, travopro... | Pharmacology | Adverse Drug Effect |
a3b6e2b4-12de-4f9d-8c51-4e1947b5bb5c | The gray matter of the primary somatosensory coex contains six layers of cells. Which layer(s) receive the bulk of incoming signals from the somatosensory nuclei of the thalamus? | I | II and III | III only | IV | 3d | single | Layer IV of the somatosensory coex receives the bulk of the input from the somatosensory nuclei of the thalamus. The cerebral coex contains six layers of neurons, beginning with layer I next to the brain surface and extendingprogressively deeper to layer VI. The incoming sensory signal excites neuronal layer IV first; ... | Physiology | Sensory System |
0977da5d-fe8e-4781-ac74-f2cedcd79027 | MARTEL'S sign is seen in | Gout | SLE | Takayasu | Kawasaki disease | 0a | single | Ans. A. GoutCystic changes, well-defined erosions with sclerotic margins (often with overhanging bony edges), and soft tissue masses are characteristic radiographic features of advanced chronic tophaceous gout. Martel sign sharply marginated bony erosions from a long standing soft tissue tophus in patient with gout. | Radiology | Skeletal System |
e9a2a06e-c53f-46b5-b10e-0c139df8d554 | Which of the following is true regarding Umblical Cord | One artery and two veins | Presence of one vein indicates congenital anomaly | Wharton jelly is the connective tissue of the cord | Two artery only | 2c | multi | Ref. Gray’s anatomy. 41st edition. Page. 179
Umblical Cord:
The umbilical cord forms around the fifth week of pregnancy and can grow up to 20 inches long at full-term.
Has two main layers: an outer layer of smooth muscle, and an inner layer containing a gelatinous fluid called Wharton's jelly.
Vasculature - one vein... | Unknown | null |
4162ead9-e02d-45d0-be10-ebc7fbd0f7a6 | Relation of caudate lobe of liver is : | Posterior to poal vein | Anterior to right inferior phrenic aery | Posterior to ligamentum teres | Posterio to ligamentum venosum | 1b | single | B. i.e. Anterior to . Inferior Phrenic aery | Anatomy | null |
d30c4653-a359-49ee-b0fa-6c3524e53a14 | Glutamine in blood acts as- | NH3 transpoer | Toxic element | Store energy | Abnormal metabolite | 0a | single | Glutamine is the major form of transpo of ammonia | Biochemistry | null |
2e98f427-968d-4c09-b6ca-ddc30245e686 | Rakesh, a 7–year old boy had itchy, excoriated papules on the forehead and the exposed parts of the arms and legs for 3 years. The disease was most severe in the rainy season and improved completely in winter. Most likely diagnosis is | Insect bite hypersensitivity | Scabies | Urticaria | Atopic dermatitis | 0a | single | Some guides have given atopic dermatitis and I would like to exclude this option first:
Exclusion of atopic dermatitis
This child is presenting at the age of 7 years with a history of disease starting 3 years back → that means the disease was started at 4 years of age.
There is involvement of the forehead (face) an... | Dental | null |
02c28212-eb98-4a60-a0ff-c4b1c8f18f6b | Target strategies in preventing the HIV transmission include the following except - | Education | Treatment of STD | Anti-retroviral treatment | Condoms | 2c | multi | Ans. is `c' i.e., Anti-retroviral treatment | Social & Preventive Medicine | null |
4b874855-91a8-4804-9f37-7065366c8ca6 | All are true about management of uterine inversion, EXCEPT? | Repositioning of uterus should be attempted immediately if diagnosed at the time of inversion | May require laparotomy | In case of delayed presentation repositioning to be attempted only after securing IV lines and adequate anesthesia | Surgical management is hysterectomy | 3d | multi | MANAGEMENT OF UTERINE INVERSION Immediate management: manual repositioning, (iv access, fluid and blood for resuscitation) Delayed management: attempt manual repositioning under anesthesia (iv access, fluid and blood for resuscitation, hydrostatic method (O Sullivans) Surgical management: laparotomy f/b pulling uterus ... | Gynaecology & Obstetrics | Labour - III |
fc7cbaa1-b26b-4c07-b8d6-a0ec587eb3ad | A 42-year-old man complains of head¬ache when he wakes up in the morning. It lasts into the afternoon and then subsides. Headache has been present for a few months. CT scan shows a frontal lobe mass with focal areas of calcification. You strongly suspect the pa¬tient has | An astrocytoma | A pinealoma | A meningioma | An oligodendroglioma | 3d | single | A frontal headache when waking up in the morning and a computerized tomography (CT) scan showing a frontal lobe mass with focal areas of calcification are characteristic findings in oligodendrogliomas, which commonly involve the frontal lobe. These are tumors derived from oligodendrocytes that frequently locate in the ... | Unknown | null |
6c37f45a-7fca-4072-93e5-8213842bed2e | Enzyme deficiency in Farber disease is | Arylsulfatase A | Sphingomyelinase | Ceramidase | Hexosaminidase A | 3d | single | DiseaseEnzyme deficiencyClinical symptomsTay-Sachs diseaseHexosaminidase AMental retardation, blindness, muscular weaknessFabry diseasea-GalactosidaseSkin rash, kidney failure (full symptoms only in males;X-linked recessive)MetachromaticleukodystrophyArylsulfatase AMental retardation and psychologic disturbances inadul... | Biochemistry | Enzymes |
93544cb1-a6d4-448c-a11b-5ecfea1f8823 | Which of the following is present in skeletal muscle? | GLUT 4 | GLUT 5 | GLUT 7 | GLUT 2 | 0a | single | GLUT-4 is present in peripheral tissues (skeletal muscles, cardiac muscles, adipose tissues). Table: Location and function of various GLUTs LOCATION FUNCTION GLUT-1 Brain, Placenta, Kidney, RBC Glucose uptake during fasting GLUT-2 Liver, Pancreas, Intestine Liver-glycogen formation pancreas-insulin secretion GLUT-3 Bra... | Biochemistry | FMGE 2019 |
9b8b7b46-3058-47db-84df-2ae4ead08072 | Erysipeloid is transmitted by which of the following route | Droplet | Mosquito bite | Fish | Feco-oral | 2c | single | Erysipeloid (Fish Handler's Disease) * Infection caused by Erysipelothrix rhusiopathiae through direct contact with infected meat, seen mainly in meat-handlers, fisherman or veterinarians. * Presents with painful red to purple patches over hands (finger webs often involved, sparing terminal phalanges) with sharply-marg... | Dental | Bacterial infections |
3a170ad4-df24-40f6-a7df-c00e93c4d4a9 | A subtype of Hodgkins which is histogenetically distinct from all others | Lymphocyte predominant | Nodular sclerosis | Mixed cellularity | Lymphocyte depleted | 0a | multi | Nodular Lymphocyte-Predominant Hodgkin's Lymphoma It is now recognized as an entity distinct from classical Hodgkin's lymphoma. Asubset of these patients has tumors with nodular growth pattern and a clinical course that varied from that of patients with classical Hodgkin's lymphoma. This is an unusual clinical entity a... | Pathology | General pathology |
a054a69f-5fdc-4d6a-b158-26d878e4efab | Which of the following is not a suppo of the uterus? | Urogenital diaphragm | Pelvic diaphragm | Perineal body | Rectovaginal septum | 3d | single | (Refer: Gray's Anatomy, 40th Edition, Chapter. 77) | Anatomy | All India exam |
5d47d2b5-dfcf-4b36-970d-5321a26936e2 | Koebner's phenomenon seen in ? | Psoriasis | Lichen nitidus | Vitiligo | All the above | 3d | multi | Ans. is `d' i.e., All the above See explanation- 2 of session- 1 of Skin of All India 2014-15 pattern of this book. | Skin | null |
3f996dd3-1cd3-495c-9de6-2e110978fd48 | In a clinical trial, blood pressure was measured in a group of patients before and after treatment, which of the following tests will be suitable as a test of significance: | Paired t-test | Mann-Whitney U test | Student t-test | ANOVA | 0a | single | Ans. A. Paired t-testUnpaired t-test (aka Students test) compares two different subjects. The paired t-test reduces intersubject variability (because it makes comparisons between the same subject), and thus is theoretically more powerful than the unpaired t-test.In our case, we are analyzing the same subject twice (tha... | Social & Preventive Medicine | Biostatistics |
b73c3dcd-707f-4e45-a620-004d2482bb36 | A newborn baby was born with phocomelia. It results due to which drug taken by mother during pregnancy | Tetracycline | Thalidomide | Warfarin | Alcohol | 1b | single | Ans. (B) Thalidomide(Ref: KDT 8th/e p100)Thalidomide is highly teratogenic drug that can result in phocomelia as congenital anomaly. | Pharmacology | General Pharmacology |
8964fedc-83d1-4d1b-b982-69d09366b9f6 | Patient is being treated with clomiphene for infertility, method of choice to look for ovulation is - | Serial ultrasound | Chest X-ray | Serial HCG | None | 0a | multi | Ans. is 'a' Serial ultrasound (Ref. Shaws, 13/e, p 305 (12/e, p. 242)).In patients with infertility and being treated with clomiphene monitoring of Graafian follicle is required to check its maturity and to detect imminent ovulation.This monitoring is done with serial ultrasound starting from day 10th to day 16th.It is... | Gynaecology & Obstetrics | Pathology of Conception |
b4d1b5ca-04e6-4592-aedd-ee47c04b507e | To cause hemorrhagic shock, least volume of blood loss should be: | 30% | 40% | 20% | 50%. | 2c | single | Ans: C (20%) Ref: Klingensmith ME, Chen LE, Glasgow SC, Goers T4. Melby SJ, Reticular Formation, EEC and sleep. In: Washington Manual of Surgery. 5th Edn, Lippincott Williams & Wilkins 2008; 7: 145Explanation: (See the following table) | Physiology | Circulation: Circulatory Shock and Its Treatment |
b4efadc1-11f3-4188-9188-8fb42af4b49e | The water channel presented in proximal convoluted tubule is: | Aquaporin 1 | Aquaporin 2 | Aquaporin 5 | Aquaporin 9 | 0a | single | Rapid diffusion of water across cell membranes depends on the presence of water channels, integral membrane proteins called aquaporins. Aquaporin-1 is localized to both the basolateral and apical membrane of the proximal tubules and its presence allows water to move rapidly out of the tubule along the osmotic gradients... | Physiology | null |
9c66fdaf-aacb-4af6-a448-a8c9fd599383 | Clara cells are seen in - | Alveoli | Bronchus | Trachea | Bronchiole | 3d | single | Ans. is 'd' i.e., Bronchioles o Clara cells are small dome shaped cells present in terminal bronchioleo They secrete a protein that lines the small air passages. | Anatomy | Respiratory System (Histology) |
d45eba0a-b3e9-4f72-990d-8ee040c34103 | Child can Swaps object from one hand to other in: | 2-3 month | 5-6 month | 6-12Months | 12-18 Months | 1b | single | Ans. b. 5-6 monthChild can transfer objects from one hand to other by 6-7 monthTransfer objects hanil to hanil in 5'5 months | Pediatrics | null |
05d951e6-48e2-4e75-9ed5-b7e7a7734621 | How will you differentiate a mediastinal mass being a thymoma or ALL? | Cytokeratin | CD1a | Cd3 | Tdt | 0a | multi | Marker specific for thymoma is Cytokeratin Other markers for thymoma include : P 63, PAXp-8 . Most sensitive and specific marker for thymoma is FOXN 1 Markers common for both thymoma and T-ALL include: CD1a CD3 TDt Marker specific for thymoma is Cytokeratin Other markers for thymoma include : P 63, PAXp-8 . Most sensit... | Pathology | Acute Lymphoblastic Leukemia |
d1a01001-d053-4788-9c55-027cb7b61a73 | The main component of hyperlipidemia constituting a major risk factor for atherosclerosis is | high density lipoprotein (HDL) cholesterol | intermediate density lipoprotein (IDL) Cholesterol | low density lipoprotein (LDL) cholesterol | very low density lipoprotein (VLDL) cholesterol | 2c | single | null | Medicine | null |
d69c449e-de8e-492d-90c8-232421cc9ded | Features of Giardiasis - | Mal absorption | Cyst with 4 nuclei | Trophozoite with four nuclei | Common in hypogammaglobulinemia | 0a | single | Giardiasis Infection with Giardia lamblia is found worldwide and is common in the tropics. It paicularly affects children, tourists and immunosuppressed individuals, and is the parasite most commonly impoed into the UK. In cystic form, it remains ble in water for up to 3 months and infection usually occurs by ingesting... | Medicine | Infection |
19ab4837-0560-453c-b675-c1ca09a258e4 | Which one of the drugs is useful in treating Crohn's disease ? | Infliximab | Azathioprine | Tacrolimus | Cyclosporine | 0a | single | null | Pharmacology | null |
cf4382aa-ae9e-4d09-b534-5d10792d9343 | 45 year old patient develops nausea,vomiting and ascending paralysis on ingestion of broken seeds from a plant. What could be the active present in that seed? | Atropine | Strychnine | Ricin | Bhilawanol | 1b | single | Strychnos Nux vomica is a spinal poison unbroken seeds are not poisinous. The above clinical features are characteristic of strychnine poisoning. | Forensic Medicine | null |
cc3e84c5-e949-4e85-b7b7-c833a836179d | All are minor Jones criteria except - | Arthralgia | Fever | Prolonge PR interval | Chorea | 3d | multi | Ans. is 'd' i.e., Chorea Guidelines for the Diagnosis of Initial Attack of Rheumatic Fever (Jones Criteria, Updated 1992) Major Manifestations Minor Manifestations Supporting evidence of antecedent group A streptococcal infection Carditis Clinical features: Positive throat culture or rapid streptococcal antigen test Po... | Unknown | null |
7459464c-7cda-4a5c-8700-94c24e9ef6be | Reliability of screening test does not mean - | Reproducibility | Repeatability | Validity | Precision | 2c | single | Ans. is C Validity Screening test to be applied o The screening test to be applied should fulfill the following important criteria before it is considered suitable for screening : - 1 .Acceptability The test should be acceptable to the people at whom it is aimed. In general painful or embarrassing tests e.g., per recta... | Social & Preventive Medicine | Screening for Disease |
1e652061-38e2-4c9e-b879-b24bb0359861 | True about H mole:a) Always associated with raised uterine size for gestational ageb) Raised hCGc) Hysterectomy in selected casesd) Chemotherapy is the treatment of choicee) Thyrotoxicosis rare | ab | bc | bce | ace | 2c | multi | Lets have a look at each option separately -
Option ‘a’: Always asociated with raised uterine size for gestational age.
This statement is incorrect as :
“The size of the uterus is more than that expected for the period of amenorrhea in 70%, corresponds with the period of amenorrhea in 20% and smaller than the period of... | Gynaecology & Obstetrics | null |
d77b0dd5-13ac-4a87-8861-615738081b32 | Bioterroism group A agent | Q fever | Typhus fever | Brucella | Antrax | 3d | single | Ans. is 'd' i.e., Antrax Bioterrorismo A bioterrorism attack is the delibrate release of viruses, bacteria or other germs (agents) used to cause illness or death in people, animals or plants. These agents are typically found in nature, but it is possible that they could be changed to increase their ability to cause dis... | Microbiology | Bacteria |
3a721b2c-ee4f-4acf-8ff0-d307e11862f9 | To look right & left which type of joint is involved | Ellipsoid joint | Pivot joint | Saddle joint | Hinge joint | 1b | single | Ans: B. Pivot jointRight to left movement occurs at atlanto-axial joint which is a pivot joint. | Anatomy | null |
3e7fa273-5b30-410e-b97e-3571eab87961 | In Schwann cells, mycobacterium leprae divide in how many days? | 2 - 3 days | 11 - 13 days | 22 - 23 days | 32 - 33 days | 1b | single | . | Pathology | All India exam |
802a2c2d-b722-4407-9428-ad7bd43e53e9 | The commonest anatomical position of appendix is | Retrocaecal | Pelvic | Paracaecal | Preileal | 0a | single | A. i.e. Retrocaecal- Vermiform appendix develops from midgut loops, is supplied by appendicular branch of ileocolic aery. It has mesoappendix (mesentery) but no teniaMost common posiion of vermiform appendix is retrocecal (12 o'clock = 65%) followed by pelvic or 4 o'clock positions | Anatomy | null |
8994c4c6-4abf-4fd7-a315-aeff7b205c68 | What is the optimum duration antibacterial treatment of acute bacterial prostatitis? | 3 days | 4-6 weeks | 7-14 days | 2-14 days | 1b | single | The choice of antibiotic for treatment of acute bacterial prostatitis (ABP) is based on the results of the initial culture and sensitivity. However, initial therapy should be directed at gram-negative enteric bacteria. Useful agents include fluoroquinolones, trimethoprim-sulfamethoxazole, and ampicillin with gentamicin... | Surgery | Urology |
1b7e02a2-f110-4aec-a932-c533cdc4d2c7 | D2O is used to measure | ECE Volume | ICF volume | TBW volume | Plasma volume | 2c | single | The concentration of the marker in the plasma is measured and from this value, the total body water can be measured. The markers are D2O, tritium oxide, aminopyrine.(Ref: Textbook of medical physiology N Geetha 2nd edition page no.61) | Physiology | General physiology |
e45da1d0-3b72-4c9c-b4e2-23892a992ca1 | A 13-year-old young girl presents in the casualty with acute pain in the lower abdomen. She has history of cyclical pain for last 6 months and she has not attained her menarche yet. On local genital examination, a tense bulge in the region of hymen was seen. The most probable diagnosis is: | Mayer Rockitansky Kuster Hauser syndrome | Testicular feminization syndrome | Imperforate hymen | Asherman's syndrome | 2c | single | Ans. is c, i.e. Imperforate hymenRef: Shaw 15th/ed, p96-97A young girl who has not attained menarche but has history of cyclical pain for last 6 months, presenting to casualty with acute abdomen and on examination a tense bulge in the region of hymen - clearly point towards "Imperforate hymen" as the diagnosis. | Gynaecology & Obstetrics | Disorders in Menstruation |
332b332d-69a1-4ed4-aab4-e1e15214ad24 | Fern test is due to : | Presence of NaCI under progesterone effect | Presence of NaCI under estrogenic effect | LH/FSH | Mucus secretion by Glands | 1b | single | Ans. is b i.e. Presence of NaCI under estrogenic effect Fern test is for documenting ovulation. Procedure : A specimen of cervical mucus is obtained and is spread on a clean Glass slide and allowed to dry. It is then viewed under the low power microscope. Result and interpretation : Under the influence of estrogen on D... | Gynaecology & Obstetrics | null |
ec5294be-01e7-4b56-a8da-87f9b015aee2 | A 28-year-old G1P0 at 32 weeks gestation present with itchy, erythematous papules on the extensor surfaces and trunk. . No history of fever or use of new creams or lotion was given. What is first line treatment for this condition? | Antibiotic therapy | Antivirals and termination of pregnancy | Topical steroids and oral antihistamines | Oral steroids | 2c | single | This lesion isPruritic uicarial papules and plaques of pregnancy (PUPPP) or prurigo pf pregnancy. Characterized by 5- to 10-mm, itchy, erythematous papules or nodules commonly found on the extensor surfaces and trunk Prurigo of pregnancy resolves after delivery of the baby. However, resolution can take as long as sever... | Gynaecology & Obstetrics | Medical Illness Complicating Pregnancy |
b3d8ee67-06a6-49d3-964d-7b66d5b79dfb | Familial amyloidotic polyneuropathy is due to amyloidosis of nerves caused by deposition of ? | Amyloid associated protein | Mutant Calcitonin | Mutant Transthyretin | Normal transthyretin | 2c | single | Ans. is 'c' i.e., Mutant transthyretinTransthyretin (ATTR) amyloid Transthyretin (TTR) is normal serum protein that binds and transpo thyroxine and retinol.o TTR can cause following types of amyloidosis : ?1. Mutant TTR : - Mutation in TTR can cause syndrome of familial amyloidotic polyneuropathy or familial amylodotic... | Pathology | null |
7d441343-777a-4209-9f07-05860288a651 | Hutchinson's rule is related to ? | Herpes simplex keratitis | Mycotic keratitis | Herpes zoster ophthalmicus | None | 2c | multi | Ans. is 'c' i.e., Herpes zoster ophthalmicus Hutchinson's rule : - In herpes zoster ophthalmicus, involvement of the tip of nose, supplied by external nasal nerve (a terminal branch of nasociliary nerve), signifies increase risk of ocular involvement (uveitis). | Ophthalmology | null |
04da575c-3116-4c63-b45a-f2e5de45c837 | The rectus sheath contains all of the following except | Pyramidalis muscle | Genitofemoral nerve | Inferior epigastric vessels | Superior epigastric vessels | 1b | multi | The rectus sheath is formed by the aponeuroses of the transverse abdominal and the external and internal oblique muscles. It contains the rectus abdominis and pyramidalis muscles. It can be divided into anterior and posterior laminae. <img src=" /> Ref - BDC 6e Vol2 pg209 | Anatomy | Abdomen and pelvis |
e4a9c97a-6004-4af1-8994-06e58bfcd919 | Iron absorption is decreased by A/E- | Calcium | Tetracycline | Phytate | Ascorbic acid | 3d | single | Ans. is 'd' i.e., Ascorbic acid | Pathology | null |
44a81232-4761-4a03-b0b8-b74478d1ef64 | The usual maximum dose of furosemide and spironolactone in patients with cirrhosis and poal hypeension is: | Furosemide 160 mg and spironolactone 400 mg | Furosemide 80 mg and spironolactone 400 mg | Furosemide 160 mg and spironolactone 200 mg | Furosemide 80 mg and spironolactone 200 mg | 0a | single | Usual maximum doses of diuretic for the treatment of ascites in decompensated cirrhosis are 400 mg/day of spironolactone and 160 mg/day of furosemide. Furosemide can be temporarily withheld in patients presenting with hypokalemia, which is very common in the setting of alcoholic hepatitis. Ref: HEPATOLOGY, June 2009. | Pharmacology | null |
a55393f2-bc2a-4885-a21c-caf82ad429b3 | Major contribution to cachexia with advanced cancer- | Clathrin | Histamine | Nutritional demands of cancer | Tumor-necrosis-factor (TNF) | 3d | single | Cachexia is not caused bu nutritional demands of the tumor. It is suspected that TNF produced by macrophages in response to tumor cells or by the tumor cells them self mediate cachexia. TNF mobilize fat from tissue stores and suppress appetite. ROBBINS | Pathology | General pathology |
568d8b8c-78e8-4980-ac14-a2171998b68a | Which of the following is the rarest modification in a fibroid uterus : | Red degeneration | Calcification | Hyalinization | Sarcomatous changes | 3d | single | Sarcomatous changes | Gynaecology & Obstetrics | null |
8ec8010c-7210-4b3c-9e26-541c020cd9b0 | Prehn sign is seen in | Acute orchitis | Chronic orchitis | Testicular torsion | None | 2c | multi | Prehn's sign - elevation of the scrotum for 1 hr relieves the pain of acute epididymo-orchitis but aggrevates the pain in case of torsion testis . Reference : page 1082 SRB's manual of surgery 5th edition | Surgery | Urology |
1ade9c5a-380e-41c2-ad73-697582c4dae5 | Berkesonian bias refers to | Different rates of admission to the hospital | Interviewers bias | Reduces bias | Systematic difference in characteristic cases and controls | 0a | single | Ans. is 'a' i.e., different rates of admission to the hospital Bias is any systematic error in the determination of the association between the exposure and diseaseMany varieties of bias are seen: a) Bias due to confounding : This bias arises because of the confounding factors."A confounding factor is defined as one wh... | Social & Preventive Medicine | Epidemiological Study |
15ad5cd9-8e06-4fa0-a149-ef1073adecd9 | Males are more commonly affected than females in- | Autosomal dominant | Autosomal recessive | X- linked dominant | None of these | 2c | multi | Most X-linked disorders are X-linked recessive and are characterized by the following features: They are transmitted by heterozygous female carriers only to sons, who of course are hemizygous for the X chromosome. Heterozygous females rarely express the full phenotypic change, because they have the paired normal allele... | Pathology | General pathology |
6f360145-de81-4019-9765-d377d8c024d1 | Antiparkinson drug known to cause cardiac valvular fibrosis is ? | Levodopa | Ropinrole | Pramiprexole | Pergolide & cabergo line | 3d | single | Ans. is 'd' i.e., Pergolide & cabergoline o Ergot-containing dopamine receptor agonists used for Parkinson's disease (pergolide, cabergoline, bromocriptine) cause valvular hea disease that closely resembles that seen in the carcinoid syndrome. o Metabolites of fenfluramine, as well as the dopamine receptor agonists, ha... | Pharmacology | null |
8742c726-03a6-46aa-aaef-fe40b579114c | Ring of Soemmering is seen in – | Galactosemia | Dislocation of lens | Acute congestive glaucoma | After cataract | 3d | single | Ring of sommerring and Elsching's pearls are seen in after cataract. | Ophthalmology | null |
b91f2274-0ea9-4a1d-90a5-497dc33133ed | Most common brain tumour is- | Astrocytoma | Meningioma | Metastasis | Oligodendroma | 2c | single | Ans. is 'c' i.e., Metastasis o MC brain tumors-Metastaseso MC primary brain tumor-Gliomao MC Glioma-Astrocytomaso MC Astrocytomas-Glioblastoma multiforme | Surgery | Central Nervous System Tumors |
2915b15f-cb0e-49ad-8d4e-c5f1bde92a25 | "Limey bile" is? | Present in the CBD | Thin and clear | Like toothpaste emulsion in the gall bladder | Bacteria rich | 2c | multi | Ans. (c) Like toothpaste emulsion in the gall bladderRef: Harrison 18th ed/2622* It is a complication of chronic cholecystitis.* Calcium salts in the lumen of the gall bladder in sufficient concentration may produce calcium precipitation and diffuse, hazy opacification of bile or a layering effect on plain abdominal ra... | Surgery | Miscellaneous (Gall Bladder & Bile Ducts) |
db5f5891-c5ed-4747-9f58-95a82f1f14b0 | RDA of zinc in a child less than 8 years old is- | 5 mg | 12 mg | 20 mg | 25 mg | 0a | single | Ans. is 'a' i.e., 5 mg RDA of Zinc in children* 1-3 years- 3mg* 4-8 years- 5 mg* 9 years and above (male)- 8-11 mg* 9 years and above (female)- 8 mg | Pediatrics | Nutrition |
985d9850-68f7-4b7e-ba19-d33216cb3948 | Before the onset of pubey, the GnRH neurons are under the inhibitory control of: | Glycine | Glutamate | Gamma amino butyric acid (GABA) | Beta-endorphin | 2c | single | The transition to a reproductive state (during pubey) requires maturation of the entire hypothalamic-pituitary-gonadal axis. Before this maturation occurs, plasma LH and FSH levels are diminished despite low concentrations of gonadal steroids and inhibin. GnRH neurons are said to be under inhibitory influence of GABAer... | Physiology | Female Reproductive System |
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