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135
6b6b54ac-204c-4755-b0d8-b6ae65395370
Transverse fracture of maxilla is ?
Le Fo-1
Le Fo-2
Le Fo-3
Cranifacial disruction
0a
single
Ans. is 'a' i.e., Le Fo-1 It is classified into 3 types : ? Le Fo I (transverse) fracture runs above and parallel to the plate. It crosses lower pa of nasal septum, maxillary antra and the pterygoid plates. Le Fo II (pyramidal) fracture passes through the root of nose, lacrimal bone, floor of orbit, upper pa of maxilla...
ENT
null
8ade7c18-5c92-448d-86e8-4ba343bf981d
O2 release to tissue is affected by all except
2,3-DPG
pH
Bicarbonate
Globin chain
2c
multi
Ans: c (Bicarbonate) Ref: Ganong 22nd ed/p.667O2 release to tissue depends on oxygen dissociation curve.Shift of oxygen dissociation curve depends upon 2,3 - DPG pH and globin chain.
Physiology
Respiratory System
3d59a333-060b-40c9-bff7-a9b96c70142a
The proseal LMA has advantage over normal LMA
In being more easy to inse
Comparable to endotracheal tube in preventing aspiration
Can be inseed in concious patient.
Can be used for pulmonary toileting
1b
single
Advantage of proseal LMA over classical LMA is that it is comparable to ETT in preventing aspiration. The PLMA shows several modifications from the cLMA: The drain tube runs through the device from the tip to the proximal end. When the PLMA is correctly positioned, the tip of the device forms a high-pressure seal with ...
Anaesthesia
Airway
e6711124-803e-494d-9cfd-f859cf46820c
Which among the following fluoroquinolone has longest half-life?
Levofloxacin
Lomefloxacin
Ciprofloxacin
Moxifloxacin
3d
single
Among the given options, the drug with longest half life is moxifloxacin (around 12 hours) but overall longest acting is sparfloxacin. Half-life of fluoroquinolones Drug Half Life Drug Half Life Ciprofloxacin 4 hours Norfloxacin 3 hours Gatifloxacin 7-8 hours Levofloxacin 7-8 hours Lomefloxacin 8 hours Moxifloxacin 12-...
Pharmacology
Antimetabolites and Quinolones
40ece149-0759-4f56-b6e2-3ee20c6fdc14
Regarding fovea, which of the following statements is true –a) Has the lowest threshold for lightb) Contains only conesc) Contains only rodsd) Maximum visual acuitye) Is located at apex of optic nerve
acd
bcd
abc
abd
3d
multi
Fovea centralis contains only cones; therefore, has maximum visual acuity and lowest threshold for light. Option d is absurd as there is no apex in the optic nerve. It is orbital apex where the optic nerve enters the eye socket.
Ophthalmology
null
6f984290-fd4b-414f-8f2d-1a9c10b1ed00
Sprue should ideally be made of
Inlay wax
plastic rod
Hollow plastic
hollow metal
3d
multi
null
Dental
null
91945f21-0fb3-43da-9d38-9f519ba9b10f
Serotonin is:
5 Hydroxy tryptophan
5 Hydroxy tryptamine
5 Carboxy tryptamine
5 Carboxy tryptophan
1b
single
Ans. B. 5 Hydroxytryptamine5 Hydroxy Tryptophan is decarboxylated by Aromatic aminoacid decarboxylase to form 5 Hydroxytryptamine or Serotonin. Coenzyme is PLP.
Biochemistry
Proteins and Amino Acids
71acfd4f-4900-4977-9268-d68a1b2c28a6
Which of the following is more common in children?
Gingivitis
Periodontitis
ANUG
Pericoronitis
0a
single
Recent recognition that periodontal disease may have its origins in childhood has led dentists to be more aggressive in treatment. Studies confirm a high prevalence of gingival inflammation in children. Reference: McDONALD AND AVERY’S DENTISTRY for the CHILD and ADOLESCENT, 10th ed page no 243
Dental
null
08ff3f4e-97f2-4bf6-9b3d-4a7ff7c611e1
Irreversible cell injury is characterised by which of the following?
Mitochondrial densities
Cellular swelling
Blebs
Myelin figures
0a
single
The two key features of irreversible injury are: Inability to reverse mitochondrial dysfunction and Development of profound disturbances in the membrane function
Pathology
null
2fe7a87c-de23-4c20-96be-8c951488f6ad
Maternal viremia most commonly spreading to fetus in utero:
CMV
Rubella
HIV
Herpes
0a
single
Ans. (a) CMV Ref. Nelson 17/e, p 568, 623, 626, 631 Transplacental transmission occure in Viruses Rubella CMV HSV Varicella zoster virus Parvo B - 19 Coxasackie viruses HIV West nile virus Coxasackie viruses HBV and HCV Measles Bacteria Syphilis TB Brucella Parasite Plasmodium T. cruzi Microsporidia Toxoplasma
Microbiology
null
239371f7-936d-46de-a526-d9249676a2a4
Injury to cervical sympathetic trunk produces Horner's syndrome, that includes all, except
Anhydrosis
Enopthalmos
Ptosis
Mydriasis
3d
multi
Injury to cervical Symphathetic trunk (which are formed by T1 to T4 fibres of spinal cord) produces Horner's syndrome. It is characterized by • ptosis (dropping of the upper eyelid) • miosis (constriction of pupil) • anhydrosis (loss of sweating) • enophthalmos (retraction of eye ball)
Anatomy
null
1ad4153a-e3ce-4628-b857-68a3a18fee13
Not a criteria of J.R.A (Juvenile Rheumatoid Ahritis)
Age > 16 yrs
Ahritis > 3 wks
Ahritis > 6 months
1 or more joint involvement
0a
single
. juvenile Rheumatoid ahritis : age should be below 16 yrs Ref : Ghai pediatrics eighth edition pg no 625
Pediatrics
Musculoskeletal disorders
791a3030-3087-498e-8eef-8a31521eb2cc
The disease associated with miss folded proteins is:
Typhoid
Prions disease
Cholera
All
1b
multi
Prions disease is produced due to miss folded proteins Most common type of prions disease is: creutzfeldt-jakob disease Ref:Guyton and Hall textbook of medical physiology 12th edition,page number:10,11,12
Anatomy
General anatomy
03845b05-1c45-48d5-84dd-ac44a96963de
Slapped cheek appearance is caused by -
Parvo virus
Measles
Rubella
HHV-6
0a
single
Ans. is 'a' i.e., Parvo virus DiseaseI.P.ProdromeRashOther diagnostic featureo Roseola Infantum (6th disease) caused byHHV-610-14 daysFever (3-4 days)o Pink macular rash appearing at the end of illness,o Resolves within 2 dayso It spares the faceo Usually occur in children between 2-6 yrs. of ageRubella14-21 daysUsuall...
Skin
Skin Lesions And Disorders Of Pigmentation
92611dda-1895-41f9-b449-1b76585b3c8c
Which of the following is also known as collateral ligament?
Sphenomandibular ligament
Discal ligament
Stylomandibular ligament
Lateral ligament
1b
single
The collateral ligaments attach the medial and lateral borders of articular disc to the poles of condyles and are commonly called as discal ligaments.
Dental
null
4b0b6bd9-2ca7-4623-af4b-816360c47cfc
Urinary bladder spasmolytic having local anaesthetic propey-
Tamsulosin
Terazosin
Oxybutynin
Yohimbine
2c
single
Ans. is 'c' i.e., Oxybutynin o Oxybutynin, a newer antimuscarinic, has high affinity for receptors in urinary bladder and salivary glands alongwith additional smooth muscle relaxant and local anaesthetic propeies.
Pharmacology
null
c44825c7-ab2e-469d-b8b8-dcf0e31e4923
When subcondylar fractures on protrusion of mandible it deviates to
Same side
Opposite side
Does not move
retrudes
0a
single
null
Surgery
null
8426170a-cc44-429e-8695-2644b4e796e2
The drug of choice for the treatment of Pneumocystis jirovei (Pneumocystis carini) pneumonia is
Lamivudine
Co-trimoxazole
Doxycycline
Itraconazole
1b
single
Pneumocystis jirovecii pneumonia is characterised by progressive dyspnoea with dry cough and fever.Chest X ray shows bilateral interstitial infiltrate spreading out from hilar regions.High resolution CT scan is more sensitive,showing 'ground-glass' interstitial infiltrates.Diagnosis is made with silver stains,PCR,immun...
Medicine
Respiratory system
5247fd89-39cd-4541-b787-f47e1486a5fc
Ewings sarcoma arises from:
Totipoetent cells
Blastemal cells
Neuroectodermal cells
Mesodermal cells
2c
single
Ewings sarcoma is a neuro ectodermal tumor.
Pathology
null
754cab04-42ca-46f2-974b-5e65434b465d
Antidote of methyl alcohol poisoning is:
Barbiturate
Fomepizole
Phenytoin
Phenytoin
1b
single
Fomepizole (4-methylpyrazole) is a specific inhibitor of alcohol dehydrogenase & drug of choice for methanol poisoning by retarding its metabolism . Ref KD Tripathi 8th ed.
Pharmacology
Central Nervous system
d245bd4e-08eb-48b0-83f4-6edef3e91240
A 5-year-old boy presents with ear pain and fever. The left eardrum is inflamed with a small perforation in it and pus is seen in the external canal. A swab of the area grows S. pneumoniae. Which of the following is the most likely mechanism for S. pneumoniae to cause otitis media?
hematogenous spread
direct extension from the nasopharynx
direct inoculation on the ear
spread through lymphatic tissue
1b
multi
Infections of the middle ear, trachea, sinuses, bronchi, and lungs are caused by direct spread from nasopharyngeal colonization. Disease of the CNS, heart valves, bones, joints, and peritoneal are usually caused by hematogenous dissemination.
Medicine
Infection
07e304b2-6c82-4e59-a243-9704b8fb8e33
Coombs test is:
Precipitation test
Agglutination test
CFT
Neutralization test
1b
single
Ans. is 'b' i.e., Agglutination test(Ref: Ananthanarayan, 9th/e, p. 109 and 8th/e, p. 108)* Coombs test (antiglobulin test or anti - Rh antibody test) is an agglutination test.* The direct Coombs test is used to detect antibodies that are stuck to the surface of red blood cells. Many diseases and drugs can cause this. ...
Microbiology
Immunology
e9ddd9d9-8500-4daa-a3f9-ac2ca275ee61
Live attenuated microorganisms are used in the following type of vaccine for the production of immunity:
BCG
Salk
DPT
Tetanus toxoid
0a
single
Bacille Calmette-Guerin (BCG) vaccine is the only widely used live bacterial vaccine. It consists of living bacteria derived from an attenuated bovine strain of tubercle bacilli. The bacilli used for vaccine production are descendants of the original Calmette strain of BCG. The WHO has recommended the 'Danish 1331' str...
Social & Preventive Medicine
null
97e5c678-e69b-4156-b2fa-44161d015135
Coical area controlling vestibular function is located in ?
Frontal lobe
Parietal lobe
Occipital lobe
All of the above
1b
multi
Ans. is'b'i.e., Parietal lobe [Rel Gray's Anatomy'E book p. j20)Information from the vestibular nuclei also reaches the cerebral coex by way of thalamus (probably posterior pas of the ventroposterior complex and the medial pulvinar).The primary vestibular coical area is located in the parietal lobe
Physiology
null
e32aeaf6-0975-4b61-aa7b-d0467e8af601
Which of the following is not a component of carotid sheath
Vagus nerve
Internal jugular vein
External carotid artery
Internal carotid artery
2c
single
It is a condensation of the fibroareolar tissue around the main vessels of the neck. There are the common and internal carotid arteries and internal jugular vein and the vagus nerve
Anatomy
null
f57c38f8-a648-49f6-8456-a330c40d600d
Increased risk of liver adenoma is found in which of the following diseases?
Lipid storage disorder
Mitochondrial disease
Glycogen storage disorder
Lysosomal storage disorder
2c
single
Increased risk of hepatic adenomas is a feature of glycogen storage disorder type 1 (Von Geirke's disease). NARP stands for Neuropathy, Ataxia and Retinitis Pigmentosa. NARP is a disease featuring weakness of the muscles near the trunk, ataxia (wobbliness), retinal disease, seizures and developmental delay. Ref : Bioch...
Biochemistry
All India exam
fc98e962-fa25-44dd-8e86-492a16f74724
A 29 year old male found HBsAg positive with highly increased SCOT levels but HBeAg negative. Which of the foUowing is true about the status ofthe patient -
Precore mutant
Core-promoter mutant
Wild type mutant
Surface mutant
0a
multi
Hepatitis B e antigen Hepatitis B e antigen (HBeAg) is an indicator of viral replication. In acute hepatitis B it may appear only transiently at the outset of the illness; its appearance is followed by the production of antibody (anti-HBe). The HBeAg reflects active replication of the virus in the liver. Chronic HBV in...
Medicine
G.I.T
108e5590-53b9-4d43-83b3-6d06e55ab312
Anti pruritic property is seen with
Thiopentone
Propofol
Etomidate
Ketamine
1b
single
Propofol has anti pruritic property.
Anaesthesia
null
b9232c3f-460a-41be-91b2-6b65bb473529
The frequently occurring value in a distribution of data is: September 2012, March 2013 (b)
Median
Mode
Standard detion
Mean
1b
single
Ans: B i.e. Mode The mode is the value that appears most often in a set of data.
Social & Preventive Medicine
null
6cd9fbd5-8748-4599-9dd5-7b9210bcba8d
Reservoir for scrub typhus -
Mite
Humans
Rodents
Dogs
2c
single
Ans. is 'c' i.e., Rodents DiseaseAgentInsect vectorMammalian reservoir1. Typhus group a. Epidemic typhusR. prowazekiiLouseHumansb. Murine typhus (Endemic typhus)R. typhiFleaRodentsc. Scrub typhusR. tsutsugamushiMiteRodents2. Spotted fever group a. Indian tick typhusR.conoriiTickRodents, dogsb. Rocky mountain spotted fe...
Social & Preventive Medicine
Communicable Diseases
94125c72-5ada-4568-a2e1-8673c793efc5
To avoid contraception DMPA Is given :
Monthly
3 Monthly
6 Monthl
Yearly
1b
single
Ans. is b i.e. 3 monthly
Gynaecology & Obstetrics
null
f860c6d4-c4a9-4bf6-ab82-b7fdd7f00752
What is the normal weight of uterus?
20 g
40 g
60 g
100 g
2c
single
Ans. C 60 gRef: William's OB, 23rd ed. Ch 1* William's states "In nonparous women, the uterus averages 50 to 70 g, whereas in parous women it averages 80 g or more"* Since this question is asking just the normal weight of uterus, 60 gm is most appropriate given the option.UTERUS* Shape- pyriform* Size- 7.5 cm long x 5 ...
Anatomy
Abdomen & Pelvis
8f3736dc-ca76-4bd5-ba51-2df147a4297e
Frieberg's disease involve
Tibial tuberosity
Calcaneal tuberosity
2nd metatarsal
5th metarasal
2c
single
condition characterized by infarction and fracture of the metatarsal head. Most often seen in 2nd metatarsal (MT) head, paicularly the dorsal aspect4th and 5th MT rarely affected Bony nucleus of epiphysis is affected in osteochondritis Ref: Maheshwari and Mhaskar 6e pg 318.
Orthopaedics
Anatomy and physiology of bone and fracture healing
4a9e34a7-c0eb-47fb-b89a-9b3550d59e67
Which of the following lymph nodes are known as Delphic nodes?
Pretracheal
Paratracheal
Supraclavicular
Posterior triangle
0a
single
There is extensive lymphatic network seen in thyroid. Although some lymph channels pass directly to the deep cervical nodes, the subcapsular plexus drains principally to the central compament juxta thyroid - 'Delphian' or pretracheal - and paratracheal nodes and nodes on the superior and inferior thyroid veins, and fro...
Anatomy
null
b48fcefc-35a5-47f3-aeb4-38814762ecaf
Salivary amylase is activated by
Na+
K+
HCO3-
Cl-
3d
single
Both salivary and pancreatic α -amylases are activated by Cl–
Physiology
null
23c51c99-169c-430f-bef4-2aad21ddbf61
Filgrastim is used for the treatment of :
Neutropenia
Anemia
Polycythemia
Neutrophilia
0a
single
Filgrastim (G-CSF) and sargramostim (GM-CSF) are used to prevent or treat chemotherapy-induced neutropenia. Erythropoietin is used to treat anemia associated with chronic renal failure and cancer chemotherapy. Oprelvekin (IL-11) is used to prevent and treat thrombocytopenia.
Pharmacology
null
072d0d35-4e00-4e76-8168-dd06f5561fa7
Which among the following is not a branch of Arch of Aoa?
Brachiocephalic
Right common carotid
Left common carotid
Left Subclan
1b
single
Right common carotid REF: Keith L. Moore 4th edition page 103The branches of the arch of the aoa are:Brachiocephalic trunk.Left common carotid aery.Left subclan aery.The brachiocephalic trunk, the first and largest branch of the arch, arises posterior to the manubrium, where it lies anterior to the trachea and posterio...
Anatomy
null
58764465-7377-428d-bbba-4345d914e564
Bactericidal inhibitors of protein synthesis are:
Tetracyclines
Aminoglycosies
Macrolides
Lincosamides
1b
single
(Ref: KDT 6/e p669) Most protein synthesis inhibiting antibiotics are bacterostatic but aminoglycosides are bactericidal.
Pharmacology
Other topics and Adverse effects
21eea28e-cf97-4c3f-8d4d-f2b096cd297a
Proptosis is seen in
Neuroblastoma
Meningioma
Sympathetic Ophthalmia
Injuries
0a
single
B option is also correct Neuroblastoma metastasizes in the orbit causing Proptosis Refer khurana 6/e
Anatomy
General anatomy
a7650716-43ac-466d-a73f-59e79c962469
True about Budd-chiari syndrome -a) Associated with coagulopathyb) Cirrhosis may occur c) Good prognosisd) Ascites may be present e) Hepatic vein thrombosis
abcd
bcde
acde
abde
3d
multi
Budd Chiari syndrome may be predisposed by hypercoagulable conditions, eg deficiency of antithrombin, protein C & S. Clinical features The acute syndrome presents with rapidly progressive - severe upper abdominal pain, jaundice, hepatomegaly (enlarge liver), ascites, elevated liver enzymes and eventual encephalopathy. ...
Pathology
null
62116417-e392-4b3a-b328-931da599fec1
Which is false about Wuchereria bancrofti -
Causes filariasis
Body is long and slender
Terminal nuclei absent
Man and anopheles are host
3d
multi
Definite host- man Intermediate host- mosquito No animal reservoir is known for W.bancrofti The adult worms are harboured in lymphatic system of man (refer pgno:166 baveja 3 rd edition)
Microbiology
parasitology
7be112b7-544a-4a05-ac99-3ec64356cf8a
The blood supply of the medulla comes from all of the following, EXCEPT:
Posterior inferior cerebellar aery
Veebral aery
Spinal aeries
Superior cerebellar aery
3d
multi
Blood supply to the medulla is supplied byAnterior spinal aery: The anterior spinal aery supplies the whole medial pa of the medulla oblongata.Posterior inferior cerebellar aery: It is a major branch of the veebral aery that supplies the posterolateral pa of the medulla.Veebral aery: It supplies an area between the oth...
Anatomy
null
55f00124-0031-41b8-8a08-7b3b6452da0a
All of the following are true about Weber's syndrome. Except
Ipsilateral occulomotor nerve palsy
Diplopia
Contralateral hemiplagia
Ipsilateral facial nerve palsy
3d
multi
Answer is D (Ipsilateral facial nerve palsy): Weber's syndrome is `midbrain' syndrome charachterized by Ipsilateral Occulomotor Nerve Palsy (Opthalmoplegia / Diplopia) and Contralateral Hemiplegia. Midbrain Syndromes Symptoms and Signs Structures involved Weber's syndrome * Ipsilateral oculomotor nerve palsy * Oculomot...
Medicine
null
c7c1d7ed-bf87-42a3-b3f9-1af5cb04291e
H. Influenzae grows on all of the media except
Chocolate agar
Fields agar
Nutrient agar
Blood agar with S aureus streak line
2c
multi
Nutrient agar lacks factor V and X hence does not suppo it's growth.
Anatomy
Bacteriology
c3d7218d-6e1b-4ef5-9ead-7caadee5a52a
Chronic cocaine abuse have following features except:
Peripheral gangrene
Black staining of tongue
Formication
Run amok
3d
multi
Cocaine : Fatal dose: 1g oral/ 20 mg IV Chronic cocaine abuse: a) Ulceration of nasal septum / palate b) Peripheral gangrene c) Black color staining of tongue d) Cocaine bugs/ formication Chronic cannabis abuse: a. Amotivational syndrome b. Run amok: homicidal impulse/stabbing spree
Forensic Medicine
Drug Abuse
82830320-7989-4d62-8941-35aa94b0089e
During general dental treatment local anesthesia is feasible in?
Child
Adult
Mentally retarded
Physically challenged
1b
multi
null
Surgery
null
65ce78de-ff84-4103-b878-04fcc8663768
Gram-negative bacteria doesn't take gram stain because it is made of:
Polysaccharide
Lipopolysaccharide
Techoic acid
None of the above
3d
multi
Ans. d. None of the above
Microbiology
null
5e517c8d-4f09-4fbc-832a-d0ea758595a9
Best screening method for Mirizzi syndrome is:
USG abdomen
CECT abdomen
Plain X-Ray abdomen
ERCP
3d
single
Mirizzi syndrome: Suspected cases should be examined with ultrasonography or CT for anatomical evaluation to avoid biliary injury or postoperative biliary leakage related to undetected fistula formation. ERCP has been recommended as the best screening method. Ref: Turk J Gastroenterol 2008; 19 (4): 258-263.
Surgery
null
87a3bac4-9464-46b1-a732-e88953375794
xylene and toluene ate types of
inhalants
hallicinigens
stimulants
anabolic androgenic steroids
0a
multi
Inhalants * FAMOUS COMPONDS==Toluene, xylene, trichloroethylene AGE OF ONET-----------Adolescent * Breath only for minutes, * inexpensive, * legal to possess, * easily concealed * COMPLICATIONS * Respiratory depression, * aspiration, * temporal lobe epilepsy, * leukoencephalopathy * LAB INVESTIGATION * Urine.==========...
Psychiatry
Substance abuse
0c44fab8-128a-4bb8-a19c-edf2bd47d0aa
Physiological locking involves
Internal rotation of femur over stabilized tibia
Internal rotation of tibia over stabilized femur
External rotation of tibia over stabilized femur
External rotation of femur over stabilized tibia
0a
single
A i.e. Internal rotation of femur over stabilized tibia Physiological locking occurs in last 30 degree of extension, when femur rotates medially (internally) over stabilized tibiaQ. This very stable position is caused by quadriceps femoris muscle. Unlocking needed to initiate flexion is carried out by popliteus muscle,...
Surgery
null
3237cac7-65d9-4859-b5b6-1ca98694ddd1
The approximate no of genes contained in human genome
A. 40,000
B. 30,000
C. 80,000
D. 1,00,000
1b
single
Humans have a mere 30,000 genes rather than the 100000 predicted only recently . Recent ribbons mention the no of genes 20,000 to 25,000 Ribbons 7th/219
Anatomy
General anatomy
b2792f26-5561-45cc-af6b-f3c214b24007
Acquired nasolacrimal duct obstruction is caused by
Timolol
Pilocarpine
Brimonidine
Dorzolamide
1b
single
B i.e. Pilocarpine
Ophthalmology
null
34f4dc0d-96fe-4617-ac46-270c631c1241
A patient is brought to the emergency room after being found by search and rescue teams. He was mountain climbing, got caught in a sudden snowstorm, and had to survive in a cave. He had no food for 6 days. In adapting to these conditions, which metabolic process has increased rather than decreased?
The brain's use of glucose
Muscle's use of ketone bodies
The red blood cells' use of glucose
The brain's use of ketone bodies
3d
single
In the starvation state, muscle decreases the use of ketone bodies, causing an elevation of ketone bodies in the bloodstream. The brain uses the ketone bodies for energy and uses less glucose, decreasing the need for gluconeogenesis and thus sparing muscle protein degradation to provide the precursors for gluconeogenes...
Biochemistry
Nutrition & Digestion
48b462ba-440a-4443-84fb-05021ae5fc8e
A 27 year old male is is incidentally HBsAg positive. DNA-PCR for hepatitis B revealed 1000 copies/ml.The patient is suffering from?
Active HBV carrier
Acute hepatitis B
Chronic hepatitis B
Inactive HBV carrier
3d
multi
null
Medicine
null
048486c6-12e1-44a7-8918-383fad8bc75f
In an adult patient with plural effusion, the most appropriate site for plurisentesis done by inseing a needle is in:
5th intercostals space in midclevicular line
7th intercostal space in mid axillary's bone
2nd intercostals space adjacent to the sternum
10th intercostal space adjacent to the veebral column
1b
single
Answer is B (7th Intercostal space in mid axillary line): Site of pleural effusion drainage is seventh intercostal space in mid-axillary line. Pneumothorax
Medicine
null
ca9ac082-dd5d-4387-ad90-ed37a10af084
A patient presents with history of bullae involving >30% BSA along with rashes all over body with erosions of the lips and other mucosa for few days. What can be the triggering factor?
Viral infection
Drug induced
Bacterial infection
Idiopathic
1b
multi
Ans. B. Drug induced* Toxic epidermal necrolysis (TEN) is a potentially life-threatening dermatologic disorder characterized by widespread (TEN involves more than 30% of the body surface, whereas SJS involves less than 10%) erythema, necrosis, and bullous detachment of the epidermis and mucous membranes, resulting in e...
Skin
Miscellaneous
004585b9-9349-4e0b-bebe-4e8e614a9dc5
The reproductive method by which fungi asexually produce rectangular spores by fragmentation of hyphae is known as-
Chlamydospore
Blastospore
Conidiophore
Ahrospore
3d
multi
Ahrospores Fungi asexually produce rectangular spores Produced by fragmentation of hypha. Eg.Coccidioides.
Microbiology
Mycology
c5fb528c-1155-4523-bf4c-7e0cbe2b4729
Which of the following is earliest sign of ulcerative colitis on double contrast barium enema (DCBE) study?
Fine Mucosal granularity
Loss of haustrations
'Collar-button' ulcers
Lead pipe colon
0a
single
.
Pathology
All India exam
1d3d7abf-36bb-453d-9609-a701d1aead52
The drug of choice for treatment of thyrotoxicosis during pregnancy is
Iodine therapy
Carbimazole
Propylthiouracil
Methimazole
2c
single
Refer KDT 6 /e p 250 Propylthiouracil does not cross placenta and us therefore The drug of choice in first trimester pregnancy
Pharmacology
Endocrinology
f3fa2639-9cba-4c2d-9629-8b1bb4858f36
A city has a population of 10000 with 500 diabetic patients. A new diagnostic test gives true positive result in 350 patients and false positive result in 1900 patients. Which of the following is/are true regarding the test ?
Prevalence is 5%
Sensitivity is 70%
Specificity is 80%
All
3d
multi
Ans. is 'a' i.e., Prevalence is 5%; 'b' i.e., Sensitivity is 70% & 'c' i.e., Specificity is 80% In this question : Total patients = 500 (diabetic patients) True positive patients = 350 Thus remaining 150 (500-350) are false negative. 350 So, sensitivity of test = 350+150 70% Similarly, Total non-diseased are = 9500 (10...
Social & Preventive Medicine
null
c93fdaea-b405-4b93-bf84-8887ad38be04
Which of the following is the most common tumor of the fetus and newborn –
Neuroblastoma
Wilm's tumor
Leukemia
Sacrococcygeal Teratoma
3d
single
Sacrococcygeal Teratoma (SCT) is the most common neoplasm in the fetus and newborn. Sacrococcygeal Teratoma (SCT) is the most common neoplasm in the fetus and newborn with an estimated prevalence of 1:30,000- 1:40,000 and with a 3:1 female preponderance. - Handbook of Fetal Medicine by Shailesh Kumar (Cambridge Univ P...
Pediatrics
null
9582b5cd-7ec8-442d-8112-8b45a4d4414a
Efferent's from cerebellum is through
Golgi cells
Basket cells
Purkinje cells
Bipolar cells
2c
single
The only output from the cerebellum is the axons of Purkinje cells, they are the biggest neurons of CNS & are inhibitory in nature (GABA ) Ref: Ganong 25th ed/page 250
Physiology
Nervous system
4b5221fd-1e3f-4c21-899b-19862447ec43
Which of the following is not associated with ANCA?
Microscopic polyangitis
Churg strauss syndrome
Wegener's granulomatosis
Henoch shonlein purpura
3d
single
null
Medicine
null
a338af1c-6654-4287-af2e-c11106eb9f92
Antisperm antibodies are usually present in the :
Cervix
Vagina
Uterus
Fallopian tube
0a
multi
Cervix
Gynaecology & Obstetrics
null
0a2247a4-63ca-4be1-ad62-0794e16a3091
The only oncogenic virus whose pathogenicity has been proved without doubt is -
HTLV - I
HTLV - II
HTLV - III
HTLV - IV
0a
single
HTLV1 present world wide.it causes adult T cell leukemia,tropical dpadtic paraparesid.it mainly infect CD4 cells .infected cell express more inter leukin2 REF:<\p>MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.567
Microbiology
Virology
268a0f6c-6fd2-477b-885c-b3019453cd48
All are features of dengue hemorrhagic fever expect:
Thrombocytopenia
Narrow pulse pressure
Hematocrit elevated
Positive torniquet test.
1b
multi
1. Criteria for diagnosis of dengue hemorrhagic fever (DHF): o Fever - acute, high, continuous for 2-7 days. o Positive tourniquet test o Enlargement of liver o Laboratory evidence o Thrombocytopenia (< 1000,000/mm3) o Haemoconcentration (Haematocrit raised by >20%) Narrow pulse pressure is not seen in DHF
Microbiology
Virology Pa-2 (RNA Virus Pa-1,2 & Miscellaneous Viruses)
b4ae452b-78b9-417f-ab15-5a569565eddc
Brown, spherical, septate bodies from pus are diagnostic of:
Geotrichosis
Chromomycosis
Mucormycosis
Sporotrichosis
1b
single
Chromoblastomycosis is also known as verrucous dermatitis. Lesions consist of way cutaneous nodule which resemble the florets of cauliflower. The disease is confined to subcutaneous tissue of feet and lower legs. Histologically lesions show, the presence of fungus as round / irregular, dark brown, yeast - like bodies w...
Microbiology
null
1d7f0b25-6249-410d-a6ad-fb4092f7c8b9
The deep ring is situated in
External oblique
Internal oblique
Fascialis tranversalis
Cremasteric fascia
2c
single
INGUINAL CANAL:- The oblique intermuscular passage in the lower part of the anterior abdominal wall. Extends from the deep inguinal ring to superficial. Deep ring- oval opening in fascia transversalis.  1.25 cm above mid-inguinal point. Superficial ring: triangular gap in external oblique aponeurosis. Length: 4cm Direc...
Anatomy
null
8cbe1669-ceae-4923-85ea-281077937fc7
A farmer rearing sheep, presented with complaints of fever and weakness for the last one month. There is generalised lymphadenopathy. There was also associated hepatomegaly. Biopsy of liver showed non-caseating granuloma. There are most likely due to infection with:
Yersinia pestis
Brucella canis
Francisella tularensis
Brucella melitensis
3d
single
Ans. is 'd' i.e., Brucella melitensis(Ref: Harrison, 19th/e, p. 1066 and Ananthanarayan, 9th/e, p. 339)Most common focal feature of brucellosis is musculoskeletal pain.Classic triad of fever - Profuse night sweating, arthralgia/arthritis and Hepatosplenomegaly are present in most patients.History of contact with animal...
Microbiology
Bacteria
9b7a66b0-d47f-42e4-ac7f-f641442f5a0e
Fulminant Amoebic meningoencephalitis caused by?
Acanthamoeba
N.fowleri
E.Histolytic
E. Coli
1b
single
Ans. is 'b' i.e., N. fowleri
Microbiology
null
4a99b01c-f8df-4710-823a-2dec1ec22502
Which is the only local anaesthesia which raises the BP:
Lignocaine
Cocaine
Prilocaine
Lidocaine
1b
single
Cocaine increases BP by inhibiting the reuptake of catecholamines.
Pharmacology
null
1484a9d5-4f10-411d-a901-f31ed68954ae
A 47-year-old woman presents to the emergency department with symptoms of new-onset transient right arm weakness and word-finding difficulty lasting 3 hours. She is also experiencing exertional dyspnea, and had a syncopal event 1 month ago. Her medical history is only remarkable for 2 uneventful pregnancies, and she is...
myxoma
sarcoma
rhabdomyoma
fibroma
0a
single
The myxoma is a solitary globular or polypoid tumor varying in size from that of a cherry to a peach. About 75% are found in the left atrium, and most of the remainder in the right atrium. The clinical presentation is with one or more of the classical triad of constitution symptoms (fatigue, fever, anemia), embolic eve...
Medicine
C.V.S.
9d8f552f-c42b-46c7-9b17-d91f74c33a3e
The chromosomal disorder in patau Syndrome is:
Chromosome 21
Chromosome 18
Chromosome 13
Chromosome 45x / 46xx
2c
single
(Chromosome 13) (593-G) (615-Ghai 7th)* Down syndrome - 21* Edwards syndrome - 18* Patau syndrome - 13* Turner's syndrome - 45X/ 46XX* Klinefelter syndrome - 47XXY
Pediatrics
Genetics And Genetic Disorders
4c4afcaa-25b9-4ee2-a8b6-127a2be9d5fe
Syncytium formation is a property of -
Herpes virus
Adenovirus
Measles virus
Rabies virus
2c
single
Ans. is 'c' i.e., Measles virus Methods of detection of viral growth in cell cultures1. Cytopathic effecto Many viruses causes morphological changes in cultured cells knowm as cytopathic effect,o Examples are:EnterovirusMeasles virusHerpes virusAdenovirusSV40Crenation of cells and degeneration of the entire cell sheetS...
Microbiology
Virology
67d2dfed-1494-4d37-ae68-6e4c2601f6e5
Right hepatic duct drains all, Except:
Segment I
Segment III
Segment V
Segment VI
1b
multi
B i.e. Segment III
Anatomy
null
f97644fa-6899-4d39-841e-b487c9abf4e3
True about trematodes -
Two host required
Segmented
Anus present
Body cavity present
0a
multi
character cestodes trematodes nematodes shape tape like leaf like elongated and cylindrical body segmented unsegmented unsegmented sexes monoecious monoecious(except shistosoma) separate head contains suckers,often with suckers present,not hooks suckers and hooks absent body cavity absent absent present alimentary cana...
Microbiology
parasitology
83d94b0b-1dc4-4b61-93ac-c9192aec71c9
Fracture of body of mandible with full arch of teeth (undisplaced) is treated by:
IMF
Open reduction and internal fixation
Close reduction and internal fixation
External pin fixation
0a
single
null
Surgery
null
14f13ea0-4aa2-4611-9c1a-8f4013e24401
Vigorous treatment of nephritis in SLE is indicated in:
Class I & II
Class III & IV
Class IV & V
Class V & VI
1b
single
Renal Biopsy in SLE: The pattern and severity of injury are impoant in diagnosis and selecting the best therapy. Aggressive immunosuppressive treatment is indicated in : Class III and IV disease Class V accompanied by III or IV disease Treatment for lupus nephritis is not recommended in class I or II disease or with ex...
Medicine
null
54626b5b-99ba-42b1-a5d8-e5ba1f4e295b
Pathognomonic sign of traumatic fracture is -
Redness
Swelling
Crepitus
Tenderness
2c
single
This question is slightly different from the previous one. Here the examiner is asking about the pathognomonic feature (not most consistent feature) both are different : A most consistent feature is the one which is always present in a fracture a. The pathognomonic feature is the one whose presence is diagnostic of a ...
Orthopaedics
null
90461301-7559-4478-b039-4579f7bb51d1
Metcalfe's Criteria is used for:
Assessing risk of maternal moality in pregnancy
Grading congenital valvular hea diseases in pregnancy
Findings suggestive of hea disease in pregnancy
Classifying various cardiomyopathies
2c
single
Metcalfe's Criteria for Hea Disease in Pregnancy (Finding Suggestive of Hea Disease in Pregnancy) Symptoms Progressive dyspnea or ohopnea Nocturnal cough Hemoptysis Syncope Chest pain Clinical Findings Cyanosis Clubbing of fingers Persistent neck vein distention Systolic murmur grade 3/6 or greater Diastolic murmur Car...
Gynaecology & Obstetrics
Medical Illness Complicating Pregnancy
ff79a598-4bfd-404b-bbd9-5c69353b6781
Renauld Braude phenomenon is seen in -
Candida albicans
Candida pscittasi
Histoplasma
Cryptococcus
0a
single
Ans. is 'a' i.e., Candida albicans Candida o Candida albicans is the most common cause of mucosal candidiasis. o All Candida species pathogenic for humans are also encountered as commensals of humans, particularly in the mouth, stool and vagina. o They grow rapidly on simple media as oval budding cells at 25deg to 37o ...
Microbiology
Mycology
15d5df51-a243-4432-8afd-b40da6b97281
A young adult presents with proptosis and pain in eye after 4 days of trauma to eye. Chemosis, conjunctival congestion and extraocular muscle palsy with inability to move eye are seen.Investigation of choice -
MRI
Digital subtraction angiography
CT
MR angiography
1b
single
Information in this question are :- Presentation 4 days after trauma Traumatic proptosis along with chemosis and conjunctival congestion Extraocular muscle palsy (ophthalmoplegia) Given the patient's clinical presentation of proptosis with chemosis and conjunctival congestion in the setting of cranio-facial injury,...
Ophthalmology
null
913be714-9ac4-48f5-beb1-6a984658646b
Childhood obesity prevention is a type of?
Primordial prevention
Primary prevention
Secondary prevention
Tertiary prevention
0a
single
null
Social & Preventive Medicine
null
ddf92300-1923-4dab-b7bc-03b67c37ce86
Which of the following is not a feature of multiple myeloma?
Recurrent infection
Neurological manifestation
t (8 - 14) translocation
Hypercalcemia
2c
single
t (8 - 14) translocation is seen in 75% cases of Burkitt's lymphoma not multiple myeloma. Diagnostic criteria of multiple myeloma requires presence of more than 10% plasma cells in bone marrow, presence of monoclonal protein in serum or urine and presence of evidence of end organ damage (hypercalcemia, anemia, bone les...
Medicine
null
e28050e4-469c-437b-b91c-2c8eaa3b0c44
Which is the following is false regarding reversible cell injury?
Detachment of ribosomes from the endoplasmic reticulum (ER)
Breakdown of plasma membrane
Hydropic change
Accumulation of myelin figures in the cytoplasm
1b
multi
On microscopic examination of reversibly injured cells, small clear vacuoles may be seen within the cytoplasm; these represent distended and pinched-off segments of the ER. This pattern of nonlethal injury is sometimes called hydropic change or vacuolar degeneration. The ultrastructural changes of reversible cell injur...
Pathology
Reversible Cell Injury
2c82aac5-6bce-4865-8d84-2c7e63a1c85c
A 15 years old girl complains of anterior knee pain which increases on going upstairs and getting up after prolonged sitting. The most probable diagnosis is:
Chondromalacia Patellae
Plica syndrome
Bipartite patellae
Patellofemoral arthritis
0a
single
Ans. A. Chondromalacia Patellaea. Bipartite patellae is congenital fragmentation of patellae and is usually asymptomaticb. Plica syndrome- presence of synovial fold in suprapatellar pouch which can undergo inflammation and presents as meniscal symptoms of lockingc. PFA will be seen in later age.
Orthopaedics
Injuries Around the Thigh & Knee
6f053910-24c0-4269-a706-0f4843fe9f4f
Which of the following is both PPAR - α & PPAR - γ agonist?
Pioglitazone
Bizofibrate
Beroglitazar
Bromocriptine
2c
multi
null
Pharmacology
null
e7c27198-0cbe-4676-ae4c-52d1c05bdc22
Which of the following produces dissociated anesthesia
Ketamine
Propofol
Thiopentone
Enflurane
0a
single
Ans. is 'a' i.e. Ketamine Mechanism of action of ketamineKetamine dissociatesThalamus from limbic cortexThalamus relays sensory inputs from R.A.S. (reticular activating system) to limbic cortex. Clinically this produces dissociative anaesthesia. In this state the patient appears conscious (e.g. eye opening, swallowing,...
Anaesthesia
Miscellaneous General Anesthesia
ae226df4-32c7-4788-87fd-c9921f93a95b
Cocket & Dodd's operation is for
Saphenofemoral flush ligation
Subfascial ligation
Deep vein thrombosis
Diabetic foot
1b
single
null
Surgery
null
3d9ee2de-ca86-4a86-8582-452cf101aebf
Which of the following muscle relaxant undergo Hoffman's degradation?
Atracurium
Succinylcholine
Gallamine
Pancuronium
0a
multi
Atracurium is an intermediate acting nondepolarizing neuromuscular blocker which is inactivated in the plasma by spontaneous nonenzymatic degradation (Hoffman's elimination) in addition to that by cholinesterase.
Anaesthesia
null
c70de274-6fa4-41c8-9450-e244aa8bfe29
A 4-week old first-born, pre-term boy admitted to your dept. 3 days ago. Chief complaint was Vomiting which was projectile without bile in it, and follows each feeding, and the baby is hungry and eager to eat again after he vomits. The baby is dehydrated and has visible gastric peristaltic waves and a palpable "Olive s...
Duodenostomy
Billroth Type-I GJstomy
KASAI operation
Ramstedt's pyloromyotomy
3d
single
CHPS: Congenital Hyperophic Pyloric Stenosis IHPS: Infantile Hyperophic Pyloric Stenosis Clinical features After breast feeding, breast milk accumulates in stomach. Obstruction due to hyperophy at pylorus causes multiple episodes of non-bilious vomiting which can be projectile/non-projectile. IOC for diagnosis - Ultras...
Surgery
Pediatric Surgery
b18afa5e-1de4-4ed6-b52e-50ecbf8abda9
A 41 year old obese female patient comes with acute abdominal pain in the right hypogastrium. USG examination shows a stone in the common bile duct. Which is the treatment of choice for stone in CBD?
Observation
Chenodeoxycholic acid
Endoscopic sphincterotomy
Antibiotics
2c
single
A gallstone in the common bile duct may impact distally in the ampulla of Vater. More than 80% of gallstones contain cholesterol as their major component. If surgical removal of common bile duct stones is not immediately feasible, endoscopic retrograde sphincterotomy can be used. In this procedure, the endoscopist cann...
Surgery
null
5a645856-06e6-4f05-a2a5-14048352d217
Muscles of tongue develop from?
Occipital myotome
Cervical myotome
Thoracic myotome
Pharyngeal arches
0a
single
ANSWER: (A) Occipital myotomeREF: Langman's Medical Embryology 11th edition pg. 150 table 10.2The number of somites is one of the criteria for determining age of the embryo. Somites further differentiate into these components:Sclerotome forms the cartilage and bone components of the vertebral column.Myotome forms epime...
Anatomy
Oral Cavity & Tongue
b7b23bf4-f83f-49b0-9dc9-c15366e8c03f
Which carries more weight in a cou of law :
Dying declaration
Dying deposition
Both carry the same weight
Both are not significant
1b
multi
B i.e. Dying deposition
Forensic Medicine
null
7b768344-6c0b-451e-a630-6beefff3e2da
Which of the following is an intermideiate level disinfectant -
2% glutarldyhyde
Ethylene oxide
Hypoclorite
None
2c
multi
Ans. is 'c' i.e., Hypochlorite Categories of effective potencyo Sterilants are capable of completely eliminating or destroying in all forms of microbial life, including spores,o DisinfectantsDestroy some, but not necessarily all organisms. The category is further divided into subcategories:- i) High level disinfectants...
Microbiology
General
7fad7d23-600a-4317-bec6-b810b5cec853
Myasthenia gravis is most commonly associated with which of the following?
Thymoma
Thymic carcinoma
Thymic hyperplasia
Lymphoma
2c
single
Myasthenia gravis Autoimmune disease with fluctuating muscle weakness that is caused by autoantibodies that target the neuromuscular junction. About 85% of patients have autoantibodies against post-synaptic ACh receptors, while most of the remaining patients have antibodies against the sarcolemmal protein muscle-specif...
Pathology
Auto Immune Disorders Introduction
9f30c6f1-17fa-4355-b97b-454ed3a132a8
High risk pregnancy includes all except:
Twins
25 year old primi
Hydramnios
Previous LSCS
1b
multi
High risk pregnancy is defined as one which is complicated by factor or factors that adversely affects the pregnancy outcome – maternal/perinatal or both. The high risk cases are: During pregnancy:
Gynaecology & Obstetrics
null
1e9fb98a-b5b4-4e62-a195-9bcd192867f7
All of the following disease show Mitochondrial diseases except
Leigh syndrome
Leber's hereditary optic neuropathy
Myoclonic epilepsy
Huntington's disease
3d
multi
Huntington&;s disease (HD), also known as Huntington&;s chorea, is an inherited disorder that results in death of brain cells. The earliest symptoms are often subtle problems with mood or mental abilities. A general lack of coordination and an unsteady gait often follow. As the disease advances, uncoordinated, jerky bo...
Biochemistry
Metabolism of nucleic acids
8d71d440-d1c5-4da8-b539-963e19b9f170
About otic ganglion true statement (s) is/are
Lesser petrosal nerve forms parasympathetic root
Secomotor to parotid gland
Topographically connected to maxillary division of trigeminal nerve
Nerve to medial pterygoid connected to the ganglion
0a
multi
The sensory root is by the auriculotemporal nerve Sympathetic root is by the sympathetic plexus around the middle meningeal aery Secretomotor root is by the lesser petrosal nerve from the tympanic plexus formed by tympanic branch of cranial nerve IX.Fibres of lesser petrosal nerve relay in the otic ganglion.Postganglio...
Anatomy
Head and neck
c1cf0c57-9518-471c-96d8-44f3016fdc69
Encephalitis is caused by :
HSV-I
EBV
Infectious mononucleosis
CMV
0a
single
Infections caused by HSV-1 Acute gingivo-stomatitis Herpes labialis Kerato-conjuctivitis  Eczema herpeticum Encephalitis Dendritic keratitis Ref : textbook of microbiology, C P Baveja, 5th edition , Pg no:444
Microbiology
null