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135
a276e053-4174-4fe2-a2fd-02a96a1a68e0
A 27 yr old worker fall from a roof and is brought to the emergency depament. His physical examination and computed tomography (CT) scan reveal dislocation fracture of the thoracic veebrae. The fractured body of the T7 veebra aiculates with which of the following pas of the ribs?
Head of the sixth rib
Neck of the seventh rib
Tubercle of the seventh rib
Head of the eighth rib
3d
multi
The body of veebra T7 aiculates with the head of the seventh and eighth ribs. The neck of a rib does not aiculate with any pas of the veebra. The transverse process of the veebra aiculates with the tubercle of the corresponding rib.
Anatomy
Back region
7c390484-f096-4222-9ea2-20112142b0e4
A 50-Year-old diabetic patient presented with orbital pain, swelling and chemosis along with fever. Patient also gave history of orbital cellulitis 1 week back. O/E: - 3rd, 4th and 6th cranial nerves neuropathy Trigeminal neuropathy affecting V1 and V2 divisions The neuropathy was observed initially on left side but la...
Superior ophthalmic vein
Superficial middle cerebral vein
Central vein of retina
Basilar plexus
3d
multi
This is a case of cavernous sinus thrombosis post orbital cellulitis meaning the septic thrombi came the superior ophthalmic vein. It is a life-threatening condition. Presents as orbital/facial pain Orbital swelling and chemosis is seen. 3rd, 4th, 5th and 6th cranial nerves are affected Occurs secondary to infection fr...
Unknown
Integrated QBank
f2778e0b-7e9e-477e-bf2f-19b0b69166c6
A 54-year-old obese man was diagnosed with NIDDM 1 year earlier. He was started on glipizide and metformin. His other medications are propranolol and nifedipine for hypertension, and naproxen, which he began 2 weeks ago for severe osteoarthritis. His BP is 154/92. His BUN is 29 mg/dL and a creatinine of 1.8 mg/dL; both...
Glipizide
Metformin
Naproxen
Nifedipine
2c
multi
The use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen, may cause a usually mild renal insufficiency, possibly related to a mild interstitial nephritis or glomerulonephritis. Risk of NSAID-induced renal damage is increased in the elderly and in patients with underlying renal disease. Glipizide a sec...
Unknown
null
8824b583-a791-4d5d-aae6-9cd4601c3819
All are true about antemoem contusion except -
Sequential color change
No Inflammation
Raized enzyme levels
Blood cells in surrounding tissue
1b
multi
The synopsis for forensic medicine & toxicology ,Dr k.s.narayan reddy ,28th edition ; Pg no . 108 ; In antemoem bruising ,there is swelling ,damage to epithelium ,extravasation ,coagulation & infiltration of tissue with blood & colour changes .these points are absent in postmoem bruises . Hence it is seen that there wi...
Forensic Medicine
Mechanical injuries
eebb9fb7-9881-4307-a2e5-a99d841a1c9f
Under the Rajiv Gandhi Shramik Kalyan Yojana, in case of closure of a factory/establishment, one gets "Unemployment Allowance" for -
6 months
9 months
12 months
18 months
0a
multi
parks textbook of preventive and social medicine 23rd edition. *as per scheme ,Rajiv gandhi shramik kalyam yojna ,an insured person going out of insurable employment involuntarily ,on account of closure of a factory or establishment ,retrenchment,or permanent invalidity arising out of non-employment injury ,after rende...
Social & Preventive Medicine
Health education & planning
aae8025e-b414-4680-b0b5-13915b61e450
Low molecular weight dextran is contra indicated in -
Foetal distress syndrome
Cerebrovascular accident
Electrical burns
Thrombocytopenia
3d
single
Dextran interfere with Platelet function.
Surgery
null
754433cd-1255-46ac-9361-0225bdb3d74f
Which statement regarding delusions is true?
They are almost exclusively found in schizophrenia
Grandiose delusions are rarely encountered except in mania
They involve a disturbance of thought content
They involve a disturbance in perception
1b
multi
Another example is a person who is convinced that he or she is responsible for some disaster (such as fire, flood, or eahquake) with which there can be no possible connection. Delusion of mind being read: The false belief that other people can know one's thoughts. Ref ganong's review of medical physiology 25e p765
Physiology
All India exam
6bb277fa-f6d3-46a7-a956-05f6c29b900e
A most common cause of intestinal obstruction is?
Ileocaecal tuberculosis
Carcinoma colon
Intussusception
Adhesions
3d
single
Adhesions and bands are the commonest causes of intestinal obstruction in Western countries. In India, hernia and then adhesions are the two common causes of intestinal obstruction. Clinical features Pain abdomen—colicky type and recurrent and episodic Distension, vomiting Constipation Reduced bowel sounds on ausculta...
Surgery
null
de456867-2462-4b54-9f11-06c35176b6a0
Branched chain amino acid which is both ketogenic and glucogenic -
Leucine
Isoleucine
Valine
Tryptophan
1b
multi
Ans. is 'b' i.e.. Isoleucine o Branched chain amino acids are leucine, Isoleucine and valine.Leucine is purely ketogenic.Isoleucine is both ketogenic and glucogenic.Valine is glucogenic.
Biochemistry
Structure & Function of Protein
d50545bc-2c5d-461b-9fd8-88745641fa5a
Rib notching is seen in all except-like diagnosis is -
Coarctation of aorta
Classical blalock tausing operation
IVC obstruction
Neurofibromatosis
2c
multi
null
Medicine
null
dc8a3ec5-2ffb-4558-815e-2f7f6d349fd8
78 year old male, known case of prostate cancer with multiple painful veebral metastasis. Ideal management plan would be -
Androgen ablation with Orchidectomy
Palliative Chemotherapy
Radical prostatectomy
TURP
0a
multi
Answer- A. Androgen ablation with Orchidectomy Only Palliative t/t is the optionl) Androgen Ablation is the first line therapyIt can be achieved by-Orchiectomy orDrugs (medical castration)2) Palliative Radiotherapy
Surgery
null
ac32780f-253f-4878-bd08-18513587be9a
Helsinki declaration deals with ?
MTP
Human organ transplantation
Capital punishment
Human experimentation
3d
single
Ans. is 'd' i.e., Human experimentation The Declaration of Helsinki is a set of ethical principles regarding human experimentation developed for the medical community by the World Medical Association. It is widely regarded as the cornerstone document on human research ethics The Declaration is morally binding on physic...
Forensic Medicine
null
6015af1c-d7bf-4fae-bdd7-3f046dae8237
Memory cells doesn't undergo apoptosis due to presence of which growth factor:
Platelet derived growth factor
Nerve growth factor
Insulin like growth factor
Fibroblast growth factor
1b
single
Nerve growth factor [Ref: Survival of memory B lymphocytes is tightly linked to the integrity of the Bel-2 protein and is regulated by a nerve growth factor (NGF) autocrine circuit. Nerve growth factor inhibits apoptosis in memory B lymphocytes inactivation of p38 MAPK, prevention of Bcl-2 phosphorylation, and cytrochr...
Physiology
null
4240589f-4130-47af-bd69-ca8d3c599e21
A 32 year old woman, gravida 4, para 3, at 39 weeks gestation comes the labor and delivery ward with painful contractions. Her prenatal course was unremarkable. Examination shows that her cervix is 5 cm dilated, 100% effaced and the fetal hea rate is in the 130s and reactive. She is given meperidine for pain control. S...
Blood transfusion
Glucose
Naloxone
Sodium bicarbonate
2c
multi
Meperidine can be used as a systemic analgesia during labor. It is an opioid and readily crosses the placenta; therefore, the fetus is exposed to the medication. As an opioid, it causes respiratory depression. Neonates are at greatest risk for respiratory depression when delivery occurs approximately 2 to 3 hours after...
Gynaecology & Obstetrics
null
bf5edf9a-bce4-43fd-a4e8-0bb5f7535f03
In alopecia areata, seen is:
Exclamatory mark hair
Scaring
Fungal infection
Traumatic
0a
single
A i.e. Exclamatory markStumps in alopecia areata form exclamation mark(2 (constriction) just above the skin surface. Exclamation mark hair is pathognomic of alopecia areataQ.
Skin
null
ec3749b3-32f8-4db0-8ab8-fa982c06391e
A 30 year old man presents to the emergency with complaints of muscle weakness, nausea, vomiting and fatigue. ECG showed tall peaked T waves, prolonged PR interval, wide QRS and absent P. which of the following drugs is not used in management?
Beta antagonist
Calcium gluconte
Insulin
Sodium bicarbonate
0a
multi
Early ECG changes of hyperkalemia, typically seen at a serum potassium level of 5.5-6.5 mEq/L, include the following: Tall, peaked T waves with a narrow base, best seen in precordial leads. Shoened QT interval. ST-segment depression The detions to both extremes (hypo- and hyperkalemia) are related to the risk of cardia...
Medicine
Fluid and electrolytes
d1d28552-e4f1-4c6c-a38b-862a5e13a43e
Which of the following is not ionizing:
Beta radiation
Alpha radiation
Gamma radiation
UV radiation
3d
single
d) uv radiation ref: SPM Park 17th/e p.521, principal and practice of oncology 6th/e p. 195-196
Radiology
Fundamentals In Radiology
c4b87217-57e9-4c76-bdfa-66840d69c5d6
The most common nerve involvement is dislocation of Lunate is -
Median nerve
Anterior interosseus
Posterior interosseus
Ulnar nerve
0a
single
Dislocation of carpal bones Dislocation of carpal bones may be of two types:- 1)  Lunate dislocation Lunate dislocate anteriorly but the rest of the carpals remain in position. Complications may be AVN, osteoarthritis and median nerve injury. 2)  Perilunate dislocation The lunate remains in position and the rest ...
Orthopaedics
null
a29d2f2e-dbda-43b8-bf5a-96734e11f85d
With regards to the anorectal angle, what is true
It distributes intraabdominal forces onto the pelvic floor and plays and impoant role in continence mechanism
It is due to the pull of the external sphincter
It is around 30 degrees at trest
The angle increases at the time of defecation
0a
multi
Answer- A. It distributes intraabdominal forces onto the pelvic floor and plays and impoant role in continence mechanismAt rest the puborectalis muscle creates a 'sling' around the distal rectum, forming a relatively acute angle (Anorectal angle).It is 90 to 100 degrees at rest.Both the internal and external sphincters...
Surgery
null
19179914-da6a-4446-8af3-b4144c5b3317
True about carbohydrate absorption?
Glucose absorption occurs independent of sodium
Fructose absorption occurs dependent on Na
Fructose absorption occurs SGLT 1
Fructose absorption is not by secondary active transpo
3d
multi
Ans. is 'd' i.e., Fructose absorption is not by secondary active transpoGlucose absorption Fructose absorption along the apical side is by GLUT 5 transpoer.GLUT 5 transpoer is an example of facilitated passive diffusionFructose absorption along the basolateral side is by GLUT 5 transpoer or through GLUT 2 transpoerThus...
Biochemistry
null
65a2324e-cedb-4786-9a96-a0227f1694b3
The longer and more parallel opposing walls of a cast restoration
The greater the retention
The greater the resistance
The greater the compressive strength
The greater the tensile strength
0a
multi
The gingival-to-occlusal divergence of these preparation walls may range from 2 to 5 degrees per wall from the line of draw. If the vertical walls are unusually short, a maximum of 2 degrees occlusal divergence is desirable to increase retention potential. As the occlusogingival height increases, the occlusal divergenc...
Dental
null
c0d53b88-db8d-40e5-afcc-e5859aea135b
The thoracic duct crosses the posterior mediastinum at the level of which veebral body
T5
T6
T7
T8
0a
single
Thoracic duct ascents through posterior mediastinum from the level of T12 to T5.Ref: BD Chaurasia; Volume 1; 6th edition; Pg no: 285
Anatomy
Thorax
874f9dcb-b3e3-4066-aa4e-b6383b627dc4
Vegetations on undersurface of A.V. valves are found in
Acute rheumatic fever
Libman Sach's endocarditis
Non thrombotic bacterial endocarditis
Chronic rheumatic carditis
1b
single
Ref: R Alagappan - Manual of Practical Medicine 4th Edition.pg no:163 Endocarditis associated with SLE (Libman-Sachs endocarditis): The vegetations are 3-4 mm in size, composed of degenerating valve tissue; functional disability is minimal; ventricular surface of the mitral valve is commonly involved; aoic valve involv...
Medicine
C.V.S
623ea61b-bb75-469c-bcfd-786022704d81
A child is below the third percentile for height. Growth velocity is normal, but chronologic age is more than skeletal age. The most likely diagnosis is:
Constitutional delay in growth
Genetic short stature
Primordial dwarfism
Hypopituitarism
0a
single
null
Physiology
null
8adebc43-2aff-48c5-adce-8adf65db223e
Uicarial lesions are best described as -
Nonpruritic
Bullous
Evanescent
Macular
2c
single
uicaria consists of raised erythemayous skin lesions that are markedly pruritic , evanescent and generally worsened by scratching IADVL textbook of dermatology, cutaneous vascular response, page657
Dental
Dermatitis
09eece52-ca43-4ad0-9905-d2d2bf4557f2
All of the following may be used to differentiate Central Retinal Venous Occlusion (CRVO) from Ocular Ischemic Syndrome due to Carotid Aery Stenosis, Except:
Dilated Retinal Vein
Touous Retinal Vein
Retinal Aery Pressure
Opthalmodynamometry
0a
multi
A i.e. Dilated Retinal Vein Central Retinal Vein Occlusion and Ocular Ischemic Syndrome due to carotid aery stenosis are both associated with dilated retinal veins and hence this feature cannot be used to distinguish these conditions. However, ophthalmic aery pressure (measured by ophthalmo dynamometry) and retinal aer...
Ophthalmology
null
989ee00d-4a71-4925-b7d9-4f6c458dc214
All of the following are preserved in a case of poisoning except
Stomach with its contents
A loop of large intestine
Blood
Urine
1b
multi
(B) A loop of large Intestine
Forensic Medicine
Misc.
4dfb48dc-615f-464b-83cd-52901eeb1c27
Which of the following blood vessels is most commonly affected by atherosclerosis
Popliteal artery
Thoracic aorta
Abdominal aorta
Coronary arteries
2c
single
Abdominal aorta especially region below the renal arteries and above the iliac bifurcation is the most commonly affected vessel.
Pathology
null
61ec9159-2e08-4c50-bb54-694106b797f6
Patella commonly dislocates: March 2013 (c)
Laterally
Medially
Superiorly
Inferiorly
0a
multi
Ans. A i.e. Laterally
Surgery
null
2e2abffd-fc20-45a3-ab4d-7ceb8b38b2eb
A 19-year-old man and one of his two brothers have polyuria and polydipsia since birth. Neither his sisters nor his parents are affected.For the above patient with polyuria and polydipsia, select the most likely diagnosis.
central diabetes insipidus (DI)
nephrogenic DI
primary polydipsia
osmotic diuresis
1b
multi
Nephrogenic DI can be inherited on the X chromosome. Its X-linked recessive nature means that males are predominantly affected. Only women who are homozygous are affected.
Medicine
Oncology
04ac1041-647c-4018-9a1f-ef0c405aaf7d
Cerebellar cortex contains -
Pyramidal cells
Purkinje cells
Stromal cells
Kupffer cells
1b
single
Ans. (b) Purkinje cellsRef.: Gray's 41sted./335-336* The cerebellar cortex contains five types of neurons: Purkinje, Granule, Basket, Stellate and Glogi Cells.
Anatomy
Cranial Cavity
4d2a872e-945c-4aa9-8021-1702151f0cba
In early phase division of spermatogonia by-
Meiosis
Mitosis
Both Meiosis & Mitosis
Maturation
1b
multi
Ans. is "b' i.e., Mitosis [Ref: Principles of medical physiology p. 322J
Physiology
Sex Hormones
897eaa1a-efbe-44c1-90cf-524e58eeb39b
13 yr old child visit OPD with complains of not attaining menarche with karyotype 46 XX. O/E there is clitromegaly, which enzyme is likely deficient?
17 alpha hydroxylase
21 alpha hydroxylase
11 alpha hydroxylase
3 beta hydroxyteroid dehydrogenase
1b
single
Above history point towards diagnosis of Congenital adrenal hyperplasia: - Due to deficiency of enzyme21-alpha Hydroxylase There is lack of coisol production resulting in excess of Adrenocoicotropic hormone (ACTH) production from pituitary. Features: - Enlarged clitoris Presence of penile urethra or hypospadias Associa...
Gynaecology & Obstetrics
NEET Jan 2020
143c538d-1aa3-4eb0-9122-9584a592deba
A malignant tumour of childhood, that metastasized to bone most often, is:
Wiles tumour
Neuroblastoma
Adrenal gland tumour
Granuloma cell tumour of ovary
1b
single
null
Surgery
null
d48e1a7d-602a-4833-8d41-11136c119401
The commonest type of lung carcinoma in nonsmokers is -
Squamous cell CA
Small cell CA
Adeno CA
Alveolar cell CA
2c
multi
"Adenocarcinoma is the most common type of lung cancer in women and nonsmokers". — Robbin's Predisposing factors for lung cancer A smoking → Most important factor associated with lung carcinoma. Two lung cancer cell types, squamous cell carcinoma and small cell carcinoma are strongly associated with cigarette smoking ...
Pathology
null
803ed17e-42ea-4d00-9f7a-af0ef4da952c
Disinfectant used for blood spills
Phenol
Glutaraldehyde
Ethanol
Sodium hypochlorite
3d
single
Ans. is 'd' i.e. Sodium hypochloriteCommon Disinfectants for Hospital UseGroupExamples and UsageAdvantages and DisadvantagesPHENOLICSClear-soluble phenolic compounds, white fluids; 1.5% solutions; leave in contact for 1 hour.Good general purpose disinfectants, not readily inactivated by organic matter, active against w...
Social & Preventive Medicine
Sterilization and Disinfection
65cfda8f-78b1-4822-984b-e5160f751b3a
Diagonsis of tetanus is made by :
Culture of bacteria from wound
Clinically
Four fold raise in antibody against tetanus toxin
Gram staining of biopsy from wound
1b
multi
null
Microbiology
null
456cb96c-6b53-4835-9c09-cc6f27be2bdb
Normal capillar wedge pressure ?
0-2 mm Hg
5-10 mm Hg
15-20 mm Hg
20-30mm Hg
1b
single
Ans. is 'b' i.e., 5-10 mm HgNormal capillary Wedge pressure is 4-12mm Hg. It is a measure of left atrial pressure.
Physiology
null
16573766-007f-4af4-8d80-49dbc0c98641
Grisofulvin is used in all except
Tinea Capitis
Tinea Versicolor Candida
Tinea Corporis
Tinea Ungium
1b
multi
B i.e. Tinea versicolor & candida Griseofulvin is ineffective topically and used systemically only for dermatophytosisQ. It is used for 4-6 monthsQ in tinea ungum (finger nail) infection. It is not active against candida, fungus causing deep mycosis and pityriasis versicolorQ. Condition DOC Systemic Fungal infection Am...
Skin
null
7b43281f-222e-4cbc-b328-60eaad2e1270
Which of the following is the most common renal vascular anomaly
Supernumerary renal aeries
Suprnumerary renal veins
Double renal aeries
Double renal veins
0a
single
Supernumerary renal aeries (two or more aeries to a single kidney) are the most common renovascular anomaly.The main renal aery may manifest early branching after originating from the abdominal aoa and before entering the renal hilum . The detection of these is significant in the evaluation of the patients for donor ne...
Surgery
Urology
e10fad8b-630d-4672-82dc-fbf79c03aca3
The most common intracranial haemorrhage associated in this scenario is:
Extradual hemorrhage
Subdural hemorrhage
Subarachnoid hemorrhage
Intracerabral hemorrhage
1b
single
Ans. (B). Subdural hemorrhageThe photograph shows shaken baby syndrome.The Most common intracranial haemorrhage associated with shaking is sub dural haemorrhage.
Forensic Medicine
Injuries
b15ea939-b37d-452d-beaa-c5899cb2ba12
In Acne rosacea, the main pathogenesis is:
Unknown
Increased sebum production
Increased reactivity of cutaneous blood vessels to vasodilators
Telangiectasia is present over whole face along with the exposed part of back where papules & pustules are also present
0a
single
Ans. A. UnknownAcne rosacea - Disease of unknown etiology, Papules & pustules over central face (but never over any other part of body); Telangiectasia of nose & cheeks; Facial erythema.a. Flushing reaction to hot, spicy foods & alcohol but no increased reactivity of cutaneous blood vessels to vasodilators.b. Sebum pro...
Skin
Miscellaneous
685cf98e-85a8-412f-ac82-816ebe8674b2
Bedsore is an example of -
Tropical ulcer
Trophic ulcer
Venous ulcer
Post thrombotic ulcer
1b
single
"Trophic ulcers are neurogenic ulcers which are caused by various factors such as impairment of nutrition of the tissues, inadequate blood supply and neurological deficit. Bed sore is included in the group of "trophic ulcers"
Surgery
null
b0501d36-200f-4c37-b4fb-5b0f6e49dffc
Chronic treatment with tamoxifen can cause carcinoma of:-
Ovary
Endometrium
Cervix
Vulva
1b
single
TAMOXIFEN Tamoxifen is effective in Estrogen Receptor (ER) positive breast carcinoma but some ER negative tumors also respond to tamoxifenQ. Potent antagonist in breast carcinoma cells, blood vessels and at some peripheral sitesQ Paial agonist in the pituitary, bone, uterus and liver (Pit Bul) Adverse Effects of Tamoxi...
Surgery
Breast
999f28e1-1f73-416a-860d-47600c080894
A patient treated for infertility with clomiphene citrate presents with sudden onset of abdominal pain and distension with ascites, the probable cause is -
Uterine rupture
Ectopic pregnancy rupture
Multifetal pregnancy
Hyperstimulation syndrome
3d
single
Ans. is 'd' Hyperstimulation syndrome (Ref : Shaws 13/e, p 304, 305 (12th/e, p. 242)). History of clomiphene citrate intake and the presence of ascites abdominal pain and distension strongly suggests ovarian hyperstimulation syndrome.Hyperstimulation syndrome results from clomiphene citrate intake.Other drugs which cau...
Gynaecology & Obstetrics
Contraceptives
4c81b22f-edd8-4839-a9b4-07d73ff5b5f9
Signet ring appearance is seen in -
Granulosa cell tumor
Krukenberg tumor
Teratoma
Dysgerminoma
1b
single
Ans. is 'b' i.e., Krukenberg tumor FeatureOvarian tumoro Call-Exner bodieso Reinke crystalloidso Psammoma bodieso Pseudomyxoma peritoneio Signet ring cellso Rokitansky's protuberanceGranulosa-theca cell tumorHilus cell tumors (pure leydig cell tumor)Serous cystadenomaMucinous cystadenomaMetastatic krukenberg's tumorsMa...
Pathology
Female Genital Tract
fb8951d5-a132-4388-88d4-42c3f3cc762d
The following is false about Atrial septal defect ?
Ostium secundum most common
Right to Left Shunt
May be associated with TAPVC
CCF is very rare
1b
multi
Ans. is 'b' i.e., Right to left shunt o In ASD there is left to right shunt. Clinical manifestations of ASD o Patients with ASD are generally asymptomatic. o Mild effo intolerance and respiratory tract infection may occur. CHF is rare. Physical examination o Parasternal impulse Systolic thrill at 2"d left interspace. o...
Pediatrics
null
18daf9f3-b075-4b42-a8ab-c614326099e2
Which statement best describes the posterior compament of the thigh?
The common origin for the posterior thigh muscles (hamstrings) is the Ischial Spine.
Adductor Magnus is a muscle of the posterior compament of thigh
All the hamstring muscles are innervated by the Obturator Nerve.
Both heads of Biceps Femoris take origin from the pelvis.
1b
multi
Adductor magnus has a hamstring poion and adductor poion and is, therefore, pa of both the medial and posterior compaments and is dually innervated by the obturator and sciatic nerves. The common hamstring origin is the ischial tuberosity. The tibial pa of sciatic nerve innervates all the muscles of the posterior compa...
Anatomy
Muscles of Lower Limb
00fcd0b4-e348-4d09-a091-bf165979edcc
Which of the following represent Fetal Haemoglobin (HBF)-
Alpha2Beta2
Alpha 2 Gamma 2
Alpha 2 delta 2
Delta 4
1b
single
Ans. 'b' i.e., Alpha2 Gamma2 Fetal Hemoglobin is represented bv Alpha-2: Gamma-2 Hemoglobin chainsHemoglobinHemoblobm ChainsNormal Ad utt ValuesFetal Hemoglobin (HBF)a2g2 {Alpha 2 Gamma 2)< 2percent of Total adult HBAdult Haemoglobin (HB A)a2b2 (Alpha 2 Beta 2)- 96 percent of Total Adult HBAdult Hemoglobin (HBA,)a2d2 (...
Medicine
Anemia and RBC Disorders
84b181a4-0092-4a5b-aece-7a52cb51c507
Starvation and diabetes mellitus can lead on to ketoacidosis which of the following features is in our of ketoacidosis due to diabetes mellitus?
Increase in glucagon/insulin ratio, increased CAMP and increased blood glucose
Decreased insulin, increased free fatty acid which is equivalent to blood glucose
Decreased insulin, increased free fatty acid which is not equivalent to blood glucose
Elevated insulin and free fatty acid, equivalent to blood glucose
0a
single
Ketoacidosis is a high anion gap metabolic acidosis due to an excessive blood concentration of ketone bodies. Ketone bodies (acetoacetate, beta-hydroxybutyrate, acetone) are released into the blood from the liver when hepatic lipid metabolism has changed to a state of increased ketogenesis. The three major types of ket...
Biochemistry
null
44db7caf-0dcd-4965-aaca-d579344ecac4
True about Glue ear
Is painful
Is painless
Radical mastoidectomy is required
NaF is useful
1b
multi
Glue ear is a painless and nonpurulent effusion of middle ear cleft. It occurs due to malfunctioning of the eustachian tube and increased secretory activity of middle ear mucosa. It can be controlled by decongestants and middle ear aeration. The surgical method of correction is by myringotomy with the aspiration of flu...
ENT
Ear
c254de43-9736-47e8-8f06-641c858fce96
Peripheral neuropathy is seen due to prolonged use of all, except -
Zalcitabine
Didanosine
Stamivudine
Lamivudine
3d
multi
Ans. is 'd' i.e., Lamivudine
Pharmacology
null
162f6cc1-648f-4c00-afb3-895c8428e37a
Which of the following is NOT an indication for blind nasal intubation?
TM joint ankylosis
Impossible laryngoscopy
CSF otorrhea
Base of skull fracture
3d
single
Blind intubation techniques are those methods of airway management that are done without visualization of the larynx or glottis. Blind nasal intubation is contra-indicated in the presence of a base-of-skull fracture, e.g., with 'raccoon eyes' or with CSF dripping from the nose, as the endotracheal tube can enter the br...
Anaesthesia
null
bfeeb50c-aeb2-4f6e-ab24-f27a6886c3a7
PO2 is maximum
Base of lung
Posterior lobe
Apex of lung
Middle lobe
2c
single
Paial pressure of oxygen is maximum at the apex of the lung Ref: guyton and hall textbook of medical physiology 12 edition page number: 332,333,334
Physiology
Respiratory system
e0b5686a-ee3f-4e30-abd0-36dc5e724204
A 40 year old woman with CIN 2, next step of management?
Colposcopy
Cyrotherapy
Conisation
Hysterectomy
0a
multi
Pap Class systemReagen (WHO classification)Rucha classificationBethesda classificationClass 1Negative for malignantNegativeWithin normal limitClass 2Inflammation/squamous atypia/koilcytes-Atypical squamous cells of unknown significance(ASCUS)Class 3Mild dysplasia(1/3rd of sample)CIN1LSILClass 4Moderate dysplasia(1/3rd ...
Anatomy
All India exam
1dcf6d14-730a-4afb-bcdb-8028f06a0e3b
A child developed diarrhoea after a tour with her parents. Suspected pathogen is Enterotoxigenic E.coli. Which among the following is TRUE about Enterotoxigenic E.coli?
Not a common cause of travelers diarrhea
Commonly seen in acute watery diarrhea in infants
Causes diarrhea due to invasion of mucosa
Transmitted by feco-oral route and through fomites
3d
multi
Enterotoxigenic E.coli It is the most impoant cause of traveler's diarrhea in visitors to developing countries. Transmission is by consumption of food and water contaminated by infected human or convalescent carriers. Uncooked foods such as salads or marinated meats and vegetables are associated with the greatest risk....
Microbiology
null
e398394d-3149-4df6-9705-60095ff72b0c
Percent change in water content according to the weight of an agar impression material in various storage media is shown in the following graph. This is least when stored in storage media shown by yellow line on graph. Yellow line represents:
Potassium sulfate
100% humidity
Water
Air
1b
single
null
Dental
null
e759f847-545b-4bc8-a938-b52b8d6d7497
Among of following IUCD's which has life span for 10 years :
CuT380A
CuT200
Nova T
Multiload
0a
single
Ans. is a i.e. CuT380A
Gynaecology & Obstetrics
null
647078c9-5b77-4971-81cb-117368389ff1
Cause of pulsating proptosis
Lymphoma
Caroticocavernous fistula
Orbital cellulitis
Mucocele of paranasal sinuses
1b
single
Causes of Pulsatile Proptosis Caroticocavernous fistula Aneurysms of Ophthalmic aery Transmitted cerebral pulsation from deficient orbital roof like congenital meningocele / meningo-encephalocele
Ophthalmology
Orbit and Adnexa
6db4b7d7-dcd1-48f2-ae43-e3a6cf449383
Which of the following diseases have incubation period < 10 days -a) Cholerab) Influenzac) Plagued) Measlese) Rubella
ab
bc
abc
bcd
2c
single
null
Social & Preventive Medicine
null
2ac10b4f-5334-439a-a90f-39c283ec8a19
Color of nitrous oxide cylinder is
Black with white shoulders
White with black shoulders
Grey
Blue
3d
single
Ans. d (Blue). (Ref. Short textbook of anesthesia by Ajay Yadav, 2nd ed., 21)Colour and pressure of cylindersSr. No.Anaesthetic gasColorPressure (bar) CyclopropaneOrange52.N2OBlue543.CO2Grey504.HalothaneAmber--5.EthyleneRed--6.HeliumBrown1377.O2Black body with white shoulder1378.Entonox (50%O2+50%N2O)Blue with white sh...
Anaesthesia
Anaesthetic Equipments
91822d89-4178-4c7f-9f3b-b4056ceb38a1
Cut off value of length of cervix at 24 weeks of gestation for prediction of preterm delivery is
0.5 cm
1.5 cm
2.5 cm
3.5 cm
2c
single
Diagnosis of preterm labor : Regular uterine contractions with or without pain Dilatation more than 2cm and 80% effacement of cervix Length of the cervix <2.5 cm and funnelling of internal os Pelvic pressure, backache ,vaginal discharge Ref: Dutta Obs 9e pg 294.
Gynaecology & Obstetrics
Abnormal labor
fe1e6282-4663-4616-8fe5-b31217fca5e3
Presence of Epstein Barr virus in hairy Leukoplakia can be demonstrated using following methods EXCEPT -
Tzanck smear
Polymerase chain reaction
In situ hybridization
Electron microscopy
0a
multi
null
Pathology
null
57b68761-56e3-46f7-99f4-56f3cce071dc
After fracture of middle cranial foramen there is epiphora this is due to damage of:
Ciliary ganglion
Greater palatine nerve
Infraorbital nerve
None of the above
3d
multi
null
Surgery
null
69340f98-4d1c-4c9d-9249-7cee69cb22ae
Histamine is mainly found within storage granules of mast cells but also found in other tissues like:
Gastric mucosa.
Oral mucosa.
Inner epithelium.
All of the above.
0a
multi
Histamine is mainly found within storage granules of mast cell but also found in other tissue Mast cell histamine – mast cell and basophile. Non mast cell histamine – Gastric mucosa.
Physiology
null
fcc78812-5acc-4291-81b0-7e4766161b54
Posterior superior alveolar aery is branch of
Nasal branch of maxillary aery
Palatal branch of maxillary aery
Mandibular aery
Inferior alveolar aery
1b
single
B i.e. Palatal branch of maxillary aery
Anatomy
null
73631386-0cb5-459c-8aef-22313403a076
Spinal shock is characterized by
Spasticity
Wasting
Sensory loss
All
2c
multi
Answer is C (Sensory loss) Current Critical Care Diagnosis and Treatment 3rd/691; Spinal shock is associated with sensory loss, areflexia and urinary retention. Spinal shock is defined as total loss of motor and sensory function below the level of lesion with areflexia, and flaccidity occurring immediately after spinal...
Medicine
null
e4d51191-a052-46d5-9df1-ddb7d90cf649
Which of the following drug is alpha 2 agonist?
Apraclonidine
Timolol
PG analogues
PG analogues
0a
single
Apraclonidine - Selective alpha 2 agonist. Useful in glaucoma. Alpha agonists (Brimonidine and apraclonidine) are contraindicated in hypeensive crisis. Dipivefrin is a prodrug which is conveed into epinephrine inside ttre eyeUall, so can safely be used in hypeension. REF : katzung pharmacology : 14th ed
Pharmacology
All India exam
848d1291-f9c3-448b-951d-a5d6e85c0aa1
Objective signs of inferior alveolar nerve block are seen in
Unilateral midline between premolars & incisors
Bilaterally between premolar & incisors
Unilateral midline between 2nd molar & incisor
Bilateral midline between 2nd molar & incisor
0a
multi
null
Surgery
null
d1357351-b109-454d-8912-4d87b0979744
In how much time does Hepatic glycogen storage depletes during starvation?
18 hrs
36 hrs
72 hrs
48 hrs
0a
single
The primary role of altered metabolism during fasting is to maintain blood glucose through the synthesis (gluconeogenesis) and utilization of alternate substrates. Fasting-starvation is divided in three broad categories:?Initial stage :- Lasts upto 2-3 daysIntermediate stage :- Lasts upto 24 daysAdvanced stage:- begins...
Biochemistry
null
ae70c008-c008-42c6-aaa3-60c0ba666c27
Drug of choice in simple partial seizure is –
Phenytoin
Valproic acid
Carbemazepine
Phenobarbitone
2c
single
DOC for generalized tonic clonic seizure (Grand mal), absence seizure (Petit mal), Atonic seizure, myoclonic epilepsy → valproate. DOC for partial seizure → carbamazepine / oxcarbazepine DOC for status epilepticus → IV lorazepam DOC for febrile seizures → Rectal Diazepam DOC for seizure of eclampsia → Magnesium sulfate...
Pediatrics
null
6c65e030-c4e2-4be8-bfb4-2f76e3223270
In contraction stress test, positive interpretation is:
Early deceleration
Early acceleration
Persistent late deceleration
Variable deceleration
2c
single
C i.e. Persistent late decelerationIt is an invasive method to assess fetal well being during pregnancy, when there is alteration in FHR in response to uterine contraction. It suggests fetal hypoxia.
Physiology
null
b7717069-b191-47a8-a5f5-3ea62a973a5d
A 35 yr old lady with normal PT and increased APTT. 2 years back, she was operated for cholecystectomy & did not have any bleeding episode. What is next investigation for clinical diagnosis -
Factor VIII assay
Anti viper venom assay
Platelet aggregation test
Ristocetin Cofactor assay
1b
single
null
Medicine
null
94f9aa2b-464e-47e0-a788-70924e9548be
Following circulatory shock, which of the following occurs: March 2009
Acute tubular necrosis
Acute papillary necrosis
Both of the above
None of the above
0a
multi
Ans. A: Acute tubular necrosisAcute tubular necrosis (ATN) is caused by lack of oxygen to the kidney tissues (ischemia of the kidneys), or by exposure to materials that are poisonous to the kidney (nephrotoxic agents).The internal structures of the kidney, paicularly the tissues of the kidney tubule, become damaged or ...
Pathology
null
c851b996-43d8-48a4-98e5-6bb8fe1f2b34
A woman with a history of deep vein thrombosis seeking contraception, select the method that is medically contraindicated for that patient (SELECT 1 METHOD)
Oral contraceptives
IUD
Condoms
Laparoscopic tubal ligation
0a
multi
Oral contraceptives are the contraceptive method of choice in the motivated, healthy, monogamous young woman. If the pill is properly used, the failure rate for users is the lowest among women using a reversible method of contraception. However, the use of oral contraceptives is contraindicated in patients with a histo...
Gynaecology & Obstetrics
Contraceptives
c56a58d6-ed86-4e5b-b8ff-87328734a2bd
Which hormone does not have corresponding release hormone produced in pituitary?
TSH
Prolactin
ACTH
FSH
1b
single
null
Physiology
null
26f57489-8639-4576-9c5c-2e0495c25630
Acute physiology and Chronic Health Evaluation (APACHE) scoring system is used as a scoring system to
To predict postoperative cardiac risk
To predict postoperative pulmonary complications
To evaluate prognosis in the critical care settings
To evaluate prognosis after acute myocardial infarction
2c
single
Currently, the most commonly utilized scoring systems are the APACHE (acute physiology and chronic health evaluation) system and the SAPS (simplified acute physiology score) system. These systems were designed to predict outcomes in critical illness and use common variables that include age; vital signs; assessments of...
Medicine
C.V.S
23aefdf8-87d3-4371-8177-a620a0db407c
In Erb-Duchene paralysis, the injury is limited to the
2nd and 3rd cervical nerves
3rd and 4th cervical nerves
4th and 5th cervical nerves
5th and 6th cervical nerves
3d
single
ERB'S PARALYSIS:- upper plexus injury.Caused by a forceful widening of the angle between the head and shoulder which may occur by traction of the arm during the bih of a child or by fall on the shoulder.Involves upper trunk - C5, C6 roots. Leads to typical deformity in the limb- policeman's tip hand/ poer's tip hand. T...
Anatomy
Upper limb
ff49393f-3999-49da-9d35-3318a3e948e1
In a patient with gouty ahritis Synol fluid aspiration will show which of the following:
Monosodium urate crystals
Calcium pyrophosphate crystals
Mononulcear leucocytosis
Polymorphonuclear leukocytosis
0a
single
The definitive diagnosis of gout is made of examination of synol fluid or tophaceoius material with polarized light microscopy and identifying the characteristic monosodium urate crystals * Group of conditions which may be characterized by an elevation of serum uric acid (usually) * Recurrent attacks (flares) of an acu...
Anatomy
Joint disorders
47658341-168e-4df2-aa64-80a55d72589f
In fracture of penis involving rupture of tunica albuginea with intact Buch's fascia following would be noted clinically?
Hematoma involving only the shaft of penis
Hematoma involving scrotum & perineal region
Penis, scrotum and abdominal wall
Penis scrotum & thighs.
0a
multi
Hematoma involving only the shaft of penis.Penile fracture is the disruption of the tunica albuginea with rupture of the corpus cavernosum.Penile fracture is most commonly seen during sexual intercourse (when the rigid penis slips out of the vagina and strikes the perineum or pubic bone), however it is also seen with m...
Anatomy
null
2c79d676-7dac-497a-9e69-039c7965acfe
Total cutaneous blood flow is
1500 ml/min
1000 ml/min
450 ml/min
250 ml/min
2c
single
At rest, the cutaneous blood flow is approximately 450 ml/min in the average ... It accounts for 5% of the total body oxygen consumption.
Physiology
Cardiovascular system
a662d33a-5b53-43c7-b69d-c6c097a840ea
A 2 years old child without fever develops bone pain, vomiting and features of increased intracranial pressure following excessive meditation. The drug most likely to be responsible for this is;
Vitamin A
Phenothiazine
Phenytoin
Vitamin D
0a
single
Since vit. A is stored in liver, deficiency symptoms appear only after long- term deprivation, but vit A deficiency is quite prevalent, especially among infants and children in developing countries. Manifestations are: * Xerosis (dryness) of eye, 'Bitot' s spots', kerato- malacia (softening of cornea), corneal opacitie...
Pharmacology
Other topics and Adverse effects
97ded530-2b50-496b-ad98-9ff3ea43557e
Granulomatous disease (s) is/are -a) Lichen planusb) Histoplasmosisc) Sarcoidosis d) Asbestosis
a
c
bc
ad
2c
single
null
Medicine
null
31e90270-03dd-4b53-a417-4df72adcbb39
The selective MAO–B inhibitor out of the following is :
Selegiline
Clorgyline
Moclebemide
Moclebemide
0a
single
null
Pharmacology
null
5d4d29ed-5fef-4f14-a955-0fab86c612c5
A dimensionally accurate reproduction of a part of the oral cavity or extraoral facial structures that is produced in a durable hard material?
Model
Die
Cast
impression
2c
multi
Cast-Positive dimensionally accurate replica of a part of oral cavity or extraoral facial structures in a durable hard dental material Model-Positive replica of teeth, soft tissues, and related structures can be used for the construction of orthodontic and prosthetic appliances and mostly used as a diagnostic aid/displ...
Dental
null
99a3ff33-bb4c-485a-b83c-09beb0f20f53
Visual coex is supplied by :
Anterior cerebral aery
Media cerebral aery
Posterior cerebral aery
Anterior inferior cerebellar aery
2c
single
C i.e., Posterior cerebral aery Posterior cerebral aery (PCA) supply blood to occipital lobe (i.e. visual or striate coex), temporal lobe, thalamusQ lentiform nucleus, pineal & medial geniculate body, choroids plexus of inferior horn of lateral ventricle & 3rd ventricle and mid brain. Occipital lobe or visual coex is s...
Anatomy
null
ac44751d-b56e-4c54-a4cd-bc64abc2262f
Duval procedure in case of chronic pancreatitis involves
Distal resection of tail of pancreas with end to end pancteaticojejunostomy
Distal resection of tail of pancreas with longitudinal opening of duct and pancteaticojejunostomy
Duodenum preserving pancreatic head resection
Local section of pancreatic head with longitudinal pancteaticojejunostomy
0a
single
Surgical procedures in chronic pancreatitis Drainage procedure Duval procedure : Distal pancreatictomy with Roux-en-Y pancteaticojejunostomy (caudal PJ) Ref: Sabiston 20th edition Pgno : 1535
Anatomy
G.I.T
74f6cc07-b9be-48f8-bd64-23919e5adf79
Noma is
pyogenic granuloma
fibrous dysplasia
Vincent's disease
cancrum oris
3d
single
null
Pathology
null
17757ca6-44e3-4087-9e54-9383416881ee
Back washing is a recommend technique for
Rapid Sand Filter
Slow Sand Filter
Community Well
Domestic Filter
0a
single
null
Dental
null
f57a2f2f-d928-4dfd-ab4f-7362eaf2e1e2
Following are the early causes of death in criminal aboion except?
Hemorrhage
Vagal inhibition
Fat embolism
Septicemia
3d
multi
Ans. is 'd' i.e., SepticemiaDeath in criminal aboionEarly CausesDelayed causesLate causesHemorrhageGeneral peritonitisHepatitisshockPelvic tetanusMeningitisvagal inhibitionPyemiaPneumonitisFat embolismSepticemiaEndocarditisAir embolismSecondary hemorrhagePulmonary embolismCervix and vagina Systemic poisoningPerforation...
Gynaecology & Obstetrics
null
3114f02f-b3ea-4534-9de8-724d6ee65dfd
A women noticed mass in her left breast with bloody discharge. Histopathology revealed duct ectasia. Treatment is?
Simple mastectomy
Microdochotomy
Lobectomy
Hadfield operation
3d
single
Hadfield operation Duct ectasia is dilatation of lactiferous ducts often associated with periductal inflammation, the pathogenesis of which is unknown. The dilated ducts are filled with brown or green coloured secretions. These fluids cause an irritant reaction in the surrounding tissue leading to periductal mastitis o...
Surgery
null
791fcd38-d28d-44a1-9b19-0eff40de1109
A deficiency of vitamin D can lead to all, except:
Decreased gastrointestinal absorption of calcium
Hypercalcemia
Decreased renal excretion of phosphorus
None of the above
1b
multi
Normal vitamin D metabolism
Medicine
null
e20ec4dd-3711-4d78-a898-b5645a8f6454
A 40 year old man presented with painless hematuria Bimanual examination revealed a ballotable mass over the right flank. Subsequently right nephrectomy was done and mass was seen to be composed of cells with clear cytoplasm. Areas of hemorrhage and necrosis were frequent. Cytogenic analysis of this mass is likely to r...
Chromosome 1
Chromosome 11
Chromosome 3
Chromosome 17
2c
multi
Answer is C (Chromosome-3) Presence ofpainless haematuria with balottable muss in right flank in this foy years old male suggests diagnosis of renal cell carcinoma. The most common histological variant 'clear cell carcinome' is associated with a defect in chromosome 3.
Medicine
null
0cf20b46-64f6-493e-9fd3-66670f54da32
In apoptotic permeabilization of membrane occurs in
Nuclear membrane
Pytoplasmic membrane
Lysosome
Mitochondrial membrane
3d
single
Mitochondrial membrane ruptures releasing substances like cytochrome c ....which play major role in apoptosis Ref guyton and hall textbook of medical physiology 12/e pg 40
Physiology
General physiology
73d92e39-f837-494b-a842-94a9e64da19b
Most common site for avascular necrosis of femur is:
Subcapital
Transcervical
Trochanteric
Basal
0a
single
A i.e. Subcapital fracture Avascular necorsis & Non union are most common in subcapital type of fracture neck femur Q & least common in basal neck femur Q.
Anatomy
null
b658c464-3a01-4aff-bb68-94e41fc400ec
MHC class I represented on-
All cells
All nucleated cells
RBCs
None
1b
multi
Ans. is 'b' i.e.. All nucleated cells [Ref: Robbin's 8th/e p. 192; Ananthanarayan 7th/e p. 130}o The histocompatibility antigens (human leukocyte antigens - HLA) are cell surface antigens that induce an immune response leading to rejection of allografts.o The principal physiologic function of the cell surface histocomp...
Pathology
Cells and Tissues of Immune System
e2a98706-ad45-43bc-9730-f5ad7319cf41
The gene involved in GIST
C-KIT
BRAC-1
p53
BRAC-2
0a
single
Pathogenesis of GISTs Approximately 75% to 80% of all GISTs have oncogenic, gain-of-function mutations of the gene encoding the tyrosine kinase c-KIT. Approximately 8% of GISTs have mutations that activate a related tyrosine kinase, platelet-derived growth factor receptor a (PDGFRA). Constitutively active c-KIT or PDG...
Pathology
null
2061e228-084c-414d-ade5-47e7d60a8ad2
Which of the following in the natural course of disease has no reversal of the shunt
ASD
VSD
TOF
PDA
2c
single
Ans. c. TOF Infants with acyanotic gradually become cyanotic as a result of worsening condition of the infundinular stenosis a.nd polycythemia Polycythemia develop secondary to cyanosis Hypoxic spells may develop in infants Growth retardation may be present if cyanosis is severe Brain abscess and cerebrovascular accide...
Pediatrics
null
58e2358e-0d06-4010-a696-1188d3fc3060
True statement about &;total feility rate&; is
Indicates approximate magnitude of completed family size
Numerator is 'women of child bearing age'
Numerator is 'all live bihs'
Numerator is 'married women of child bearing age'
0a
multi
Total feility rate represents the average number of children a woman would have if she were to pass through her reproductive years bearing children at the same rates as the women now in each age group It gives the appropriate magnitude of completed family size Reference : Park&;s textbook of preventive and social medic...
Social & Preventive Medicine
Demography and family planning
194a9466-d2fa-4259-ae01-1ada81339e75
Inhalational agent of choice in children:
Sevoflurane
Isofurane
Desflurane
Halothane
0a
single
A. i.e. Sevoflurane
Anaesthesia
null