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64b177fc-9955-41b1-9755-a458e3bfc465 | Which of the following fats the highest concentration of saturated fatty acids - | Butter | Palm oil | Coconut oil | Margarine | 2c | single | <p> Saturated fatty acids:- Fats yield fatty acids and glycerol on hydrolysis. Fatty acids are divided into saturated fatty acids such as lauric acid, palmitic and stearic acids and Unsaturated fatty acids which are fuher divided into MUFA and PUFA. Approximate saturated fatty acid composition in : Coconut oil - 92 But... | Social & Preventive Medicine | Nutrition and health |
81f1a89f-68ed-48b5-841c-6d22ad976dde | Most common cause of Hirsutism : | Polycystic ovary disease | Arrhenoblastoma | Cushing syndrome | Congenital adrenal hyperplasia | 0a | single | Ans. is a i.e. Polycystic Ovarian Disease (PCOD) Hirsutism is defined as excessive growth of androgen dependant sexual hair or male distribution of hair in a female. "The most common cause of hirsutism is Polycystic Ovarian Syndrome." "Polycystic ovarian syndrome accounts for 70 - 80% of cases of hirsutism, with idiopa... | Gynaecology & Obstetrics | null |
5857d38f-a72b-402f-8fbd-59ee9a7780e3 | Family consisting of a mother and her children is | Problem family | Broken family | Dysfunctional family | Matrifocal family | 3d | single | null | Social & Preventive Medicine | null |
b31e655d-448b-479f-8c59-e4101f59f627 | In Shigella dysentery associated hemolytic uremic syndrome, the false statement is | Leucocytosis | Neurological abnormalities | Hepatic failure | Thrombotic angiopathy | 2c | multi | Hemolytic Uremic Syndrome (HUS)Salient featuresLaboratory findingsVessel wall disorder characterized by deposition of localized platelet and thrombi within the renal vasculature (afferent aerioles and glomerular capillaries are most commonly affected).Presents with microangiopathic hemolytic anemia (microangiopathic de... | Pathology | All India exam |
65b8d8aa-14fa-4674-82c7-75a67db2618d | Which of the following is proof of eyes being open for few hours after death | Kevorkian sign | Tach noir | Both of above | None of above | 1b | multi | Kevorkian sign (fragmentation & segmentation of retinal vessels) is a sign seen in retina; which is independent of eye opening. it appears within minutes after death and stays there for about an hour. Tache noir is the dust deposition in the sclera in the form of two triangles on either side of iris when eyes are open.... | Forensic Medicine | Thanatology |
d1306a58-1cad-454f-965b-30c615d7944c | Most common complication seen with prostatitis is | Epididymitis | Orchitis | Sterility | Seminal vesciculitis | 0a | single | PROSTATITIS In both acute and chronic prostatitis, the seminal vesicles and posterior urethra are usually also involved. Acute prostatitis Aetiology Acute prostatitis is common, but underdiagnosed. The usual organism responsible is Escherichia coli, but Staphylococcus aureus, Staphylococcus albus, Streptococcus faecali... | Surgery | Urology |
d36dd21b-4bc1-4bf4-a27a-84fa7dc1c164 | Which CrPc is related to - | Withdrawal of cases by Session Judge | Withdrawal of cases by Judicial magistrate | Withdrawal of cases by executive magistrate | Reasons to be recorded | 3d | single | Cr.P.C. 1973- It provides the mechanism for punishment of offences against the substantive criminal law.It deals with the police duties in arresting offenders, dealing with absconders, in the production of documents and in investigating offences. Ref: K.S. Narayan Reddys Synopsis of Forensic Medicine and Toxicology 29 ... | Forensic Medicine | Medico legal procedures |
156d9420-f9fd-48d2-85c0-2f277fd5236b | HIV-E is more common | India | Africa | Europe | Thailand | 3d | single | Since HIV/AIDS was first repoed in Thailand in 1984, 1,115,415 adults had been infected as of 2008, with 585,830 having died since 1984. ... In 2009 the adult prevalence of HIV was 1.3%. As of 2016, Thailand had the highest prevalence of HIV in Southeast Asia at 1.1 percent, the 40th highest prevalence of 109 nations A... | Medicine | Infection |
6181106a-2995-47d5-b664-9163b7daa0a8 | The socioeconomic status of community is best indicated by - | IMR | Under 5 moality rate | Maternal moality rate | Perinatal moality rate | 0a | single | Infant Moality Rate is the ratio of infant deaths registered in a given year to the total number of live bihs in same year,expressed as rate per 1000 live bihs. IMR is universally regarded as not only as the most impoant indicator of health status of community but also as the level of living of people and effectiveness... | Social & Preventive Medicine | obstetrics,pediatrics and geriatrics |
9c2acb88-d7fe-4016-8343-9096ac160aa7 | Investigation of choice for posterior chethral stricture is | Retrograde Urethrogram | Anterograde Urethrogram | IV Pydogram | Ascending Urethrogram | 1b | single | Investigation of choice :
a) Anterior Urethral stricture ⇒ Retrograde Urethrogram.
b) Posterior Urethral stricture ⇒ Anterograde urethrogram. | Surgery | null |
6030ce68-8764-4568-b7d8-847daac9a920 | Which of following substances inhibit succinate dehydrogease in Kreb cycle? | Flouroacetate | Arsenite | Malonate | Fluoride | 2c | single | Inhibitors of TCA Cycle
Aconitase noncompetitively inhibited by Flouroacetate
Alpha Ketoglutarate Dehydrogenase noncompetitively inhibited by Arsenite
Succinate Dehydrogenase is competitively inhibited by Malonate.(Inhibitor of complex II of ETC).
Harper 30th edition pg-162 | Biochemistry | null |
ea914074-919b-4669-93b9-4a667c75f234 | The hormonal factor responsible for circadian rhythm is formed from which amino acid? | Tyrosine | Tryptophan | Phenylalanine | Histidine | 1b | single | Ans. is 'b' i.e., Tryptophan In circadian rhythm maintenance melatonin is involved which is derived from tryptophan.Tryptophan is a precursor for synthesis of niacin (nicotinic acid), serotonin and melatonin. | Biochemistry | null |
3ce78960-74cb-49d1-95d9-5bb949cd9ce1 | Glycolipids are mostly found in | Hea | Brain | Spinalcord | Tetanus | 1b | single | Glycolipids are mostly seen in Brain and spinalcord Two types of glycolipids are : ganglioside ,cerebroside | Anatomy | General anatomy |
088e0510-c5b8-479c-896c-ea885642759f | All of the following are cluster A personality disorders except: | Schizoid personality disorder | Schizotypal personality disorder | Paranoid personality disorder | Avoidant personality disorder | 3d | multi | Avoidant personality disorder is a cluster C personality disorder. | Psychiatry | null |
f1370c8d-3612-4a5f-80cb-6d3c27014ee8 | Which emphysema is associated with Alpha- 1 antitrypsin deficiency: | Panacinar emphysema | Paraseptal emphysema | Centriacinar emphysema | Irregular emphysema | 0a | single | Emphysema can be classified based on pattern of enlargement of air spaces as: Panacinar Associated with a1AT deficiency Diffuse loss of parenchymal tissue mainly in lower lobes In this, air spaces are abnormally large within and across the acinar unit Centriacinar Most commonly associated with cigarette smoking Enlarge... | Medicine | COPD and Asthma |
0b6a93f0-c3ef-436a-885b-fe39bf08a0f9 | Somatic passivity is seen in? | Depression | Hypomania | Body dysmorphic disorder | Paranoid Schizophrenia | 3d | single | Somatic passivity is a Schneiderian first rank of Schizophrenia. Ref : Harrison's Principles of Internal Medicine 21st ed | Psychiatry | All India exam |
03f95e33-c298-4c91-aff8-c08d5f233c16 | With accommodation at rest, total refractory power of crystalline lens is | 14D | 16D | 18D | 20D | 1b | multi | Answer- B. 16DThe diopteric power of reduced eye is + 6OD, of which + 44D is contributed by cornea and + 16D by the crystalline lens. | Ophthalmology | null |
6eb58c24-1219-49ac-9589-8f204c1150d3 | Most common type of schizophrenia is: | Simple | Paranoid | Catatonic | Undifferentiated | 1b | single | Paranoid | Psychiatry | null |
0797a3a2-0505-40e0-9a75-f96a03c8f91a | Two of 3 family members have dinner at a local restaurant and, within 48 hours, start experiencing double vision, difficulty in swallowing and speaking, and breathing problems. These symptoms are consistent with which of the following? | Activation of cyclic AMP | Endotoxin shock | Ingestion of a neurotoxin | Invasion of the gut epithelium by an organism | 2c | multi | Campylobacter botulinum growing in food produces a potent neurotoxin that causes diplopia, dysphagia, respiratory paralysis, and speech difficulties when ingested by humans. The toxin is thought to act by blocking the action of acetylcholine at neuromuscular junctions. Botulism is associated with high mortality; fortun... | Microbiology | Bacteria |
9dab2645-0c44-4678-a5e1-cbe758b523de | All are seen in carcinoid syndrome | Diarrhoea | Constipation | Liver metastasis | 5-HT secretion | 1b | multi | Carcinoid syndrome is a paraneoplastic syndrome comprising the signs and symptoms that occur secondary to carcinoid tumors. The syndrome includes flushing and diarrhea, and less frequently, hea failure, vomiting and bronchoconstriction. It is caused by endogenous secretion of mainly serotonin and kallikrein. Ref: Inter... | Surgery | Urology |
b93d67b9-257a-474f-8cda-3fad29025b3a | Which of the following combination of iron can be given both IM and IV | Iron dextran | Iron Sorbitol Citrate Solution | ferrous Sulphate | ferrous Humourate | 0a | multi | null | Pharmacology | null |
4562156c-e43a-4a0b-a9e3-50c3c7dfce72 | Which of the following is coagulase-negative staphylococcus? | Staph. aureus | Staph. epidermidis | Staph. Intermedius | Staph. Hyicus | 1b | single | Coagulase-positive StaphylococciBesides Staph.aureus, few others are coagulase positive like Staph.intermedius and Staph.hyicusCoagulase-negative StaphylococciStaph.epidermidis; Staph.hemolyticus and Staph.saprophyticusRef: Ananthanarayan; 7th edition; Page no: 200 | Microbiology | Bacteriology |
f5a6b097-bf3a-4ccf-a82f-53bcb826871d | A patient present with the following lesions.Investigation shows cocci in long chains.The diagnosis is | Bullous impetigo | Impetigo contagiosa | Furuncle | Cellulitis | 1b | single | The image shows presence of classical " honey coloured crusts" which are seen in Impetigo contagiosa. | Dental | null |
78a528af-5c71-44c1-8022-65d1e66e7216 | Mucin clot test is done to detect- | Mucin in stool | Protein in CSF | Hyaluronate in Synol fluid | Protein in pleural fluid | 2c | single | mucin clot test. A test of synol fluid precipitation in acetic acid, formerly used to determine whether inflammatory ahritis was present in a joint. Other tests have replaced it, such as the cell count, cultures, Gram stain, and crystal examination Also helps in detection of hyaluronic acid in synol fluid Ref Davidson ... | Medicine | Miscellaneous |
93a9bb0b-d2e1-4dbd-9fe8-e3e900af1f20 | Diagnosis on CXR is? | Congenital diaphragmatic hernia | Bochdalek hernia | Pneumothorax | Pneumo-mediastinum | 3d | single | Ans. (d) Pneumo mediastinumIn the area of arrows a continuous diaphragm sign is noted. Normally diaphragm is seen below lungs only. This kind of presentation is noted in pneumo-mediastinum. | Medicine | Pleural Effusion & Pneumothorax |
fe8e13ab-6ab8-4a07-9666-677f0a3464b5 | Which of the following is not an adverse effect of chronic amiodarone therapy? | Pulmonary Fibrosis | hypothyroidism | hypehyroidism | Systemic lupus erythematosis | 3d | single | Impoant drugs that can cause hypothyroidism are iodides, lithium, and amiodarone. Amiodarone inhibits the peripheral conversion of T4 toT3, also interferes with thyroid hormone action and cause hypothyroidism and rarely hypehyroidism may develop on chronic use. Pulmonary alveolitis and fibrosis is the most serious toxi... | Pharmacology | Cardiovascular system |
cd158e83-3342-4988-bf6d-99598af1fafd | Excretory urography is contraindicated in: March 2011 | Renal aery hypeension | Single kidney | Multiple myeloma | Trauma | 2c | single | Ans. C: Multiple myeloma Contraindication to excretory/intravenous urography are 1) iodine sensitivity or previous reaction to contrast media, 2) pregnancy, 3) intractable cardiac or renal failure and 4) multiple myeloma | Radiology | null |
94e91aa1-baaf-4545-aa8a-04d2af59cc89 | Best site for taking biopsy for viral oesophagitis is? | Edge of ulcer | Base of ulcer | Adjacent indurated area around ulcer | Surrounding normal mucosa | 0a | single | Ans. is 'a' i.e., Edge of the ulcer o In viral esophagitis d/t Herpes simplex the biopsy sample is taken from the edge of the ulcer. | Pathology | null |
52c18385-4888-427e-adf8-99407dbe45c0 | Which of the following antiretrol drugs does not cause peripheral neuropathy | Lamivudine | Stavudine | Didanosine | Zalcitabine | 0a | single | Lamivudine E-Emtricitabine and Lamivudine are safest NIs these are not assoscated with peripheral neuropathy or pancreatitis Refer KDT 6/e p771, 772 | Anatomy | General anatomy |
4ada601f-4935-46c1-8154-240e065c3f89 | A 48 year old woman was admitted with a history of weakness for two months. On examination, she has enlarged cervical lymph nodes and spleen. Her hemoglobin was 10.5 g/dl, platelet count 2.7 x 109/L and total leukocyte count 40 x 109/L, which included 80% mature lymphoid cells with coarse clumped chromatin. Bone marrow... | A pseudofollicular pattern with proliferation centers | A monomorphic lymphoid proliferation with a nodular pattern | A predominantly follicular pattern | A diffuse proliferation of medium to large lymphoid cells with high mitotic rate | 3d | single | Patient in the question stem is showing features of chronic lymphocytic leukemia. Histopathological examination in a case of CLL shows diffuse effacement of lymphocyte architecture by small to medium sized lymphocytes with clumped chromatin, indistinct or absent nucleoli and scanty cytoplasm. Chronic lymphocytic leukem... | Pathology | null |
649091d0-3746-4a59-9f9a-8d82094b0196 | Secular trend is demonstrated by | Pic chart | Line diagram | Scatter diagram | Pictogram | 1b | single | null | Social & Preventive Medicine | null |
08d67e18-dcbe-4d02-bfa6-20484201e86c | In blood culture the ratio of blood to reagent is - | 1:05 | 1:20 | 1:10 | :100 | 2c | single | Specifics for <a href=" and panels</a> are as follows: Specimen type - Whole blood Container - Culture bottles (one aerobic and one anaerobic) for blood and green-top tube (heparin) for fungus and mycobacteria (if warranted by clinical suspicion) Collection method - Venipuncture Specimen volume - Adults: 10-20 mL per c... | Microbiology | general microbiology |
0105e842-90f2-41c3-82d9-17449b008bc5 | A diabetic patient developed cellulite is due to S. aureus, which was found to be methicillin resistant on the antibiotic sensitivity testing. All of the following antibiotics will be appropriate except: | Vancomycin | Imipenem | Teicoplanin | Linezolid | 1b | multi | Ans. is 'b' i.e., Imipenem(Ref: Harrison, 18th/e, p. 1168 and 17th/e, p. 879)"The carbapenem imipenem has excellent activity against methicillin - sensitive S. aureus but not M.R.S.A." Because MRSA is resistant to all Beta-lactam antibiotics including cephalosporins and carbapenems. | Microbiology | Bacteria |
d2d5e575-5957-424d-a7c2-ba4c9369e14e | A patient using a contact lens develops a corneal infection. Laboratory diagnosis of acanthamoeba keratitis was established. The following is the best drug for treatment – | Propamidine | Neosporine | Ketoconazole | Polyhexamethylene biguanide | 3d | single | PHMD is the drug of choice. Chlorhexidene is an alternative
"Treatment with PHMB or chlorhexidene is often combined with propamidine and neomycine". — Infections of eye | Ophthalmology | null |
c57112e6-7a0e-4686-86bf-423d179589a3 | Profuse watery diarrhea in an immuno-compromised child is due to: | Cryptosporidium | Amoeba | Giardia | Lactose intolerance | 0a | single | Cryptosporidium induces severe and protracted diarrhea in AIDS patients. | Pediatrics | Disorders of Gastrointestinal System Including Diarrhea |
6c5321c9-5568-4582-b20f-40d8ce8cfe94 | Heat Rupture is characterized by- | Regular margins | Irregular margins | Ruptured blood vessels | Ruptured Red Blood cells/clotted blood | 1b | single | Among the given options, only irregular margins are seen in heat rupture. | Forensic Medicine | null |
1afa67c8-29c8-4e35-a080-495b4966f24a | A patient presents with mild jaundice. On examination he had splenomegaly and his USG abdomen showed gallstones. Peripheral smear showed generalized red cell targeting and occasional cells with angular crystals of hemoglobin C. Formation of hemoglobin C requires substitution of glutamic acid with which of the following... | Valine | Leucine | Lysine | Arginine | 2c | multi | Hemoglobin C is formed by a single amino acid substitution with lysine for glutamine at codon 6. Patients with homozygous hemoglobin C presents with mild hemolytic anemia with splenomegaly, mild jaundice, and pigment (calcium bilirubinate) gallstones. The peripheral blood smear shows generalized red cell targeting and ... | Pathology | null |
0caffce6-cf34-413d-bda6-1b6c68f43014 | In a Anti-moem burn which is NOT true: | Line of redness | Increase in enzymes | Vesicle formation | Nonalbu minus bulla | 3d | multi | D i.e. Non albuminous bulla | Forensic Medicine | null |
fced41ab-8259-402e-9432-ad84c2c8a183 | True about HCG: September 2012 | Produced by cytotrophoblast | Prevent involution of corpus luteum | Value reaches maximum level at 20 week of pregnancy | Its secretion stas after 2 day of ovulation | 1b | multi | Ans. B i.e. Prevent involution of corpus luteum Beta-HCG HCG is secreted by: Synctiotrophoblasts Structurally HCG has: 2 subunits, It is a glycoprotein | Gynaecology & Obstetrics | null |
1a9291c6-0a9f-419c-9165-afe0b7937d3e | Which is NOT a clinical feature of Addison's disease - | Hypoglycemia | Hyponatremia | Hypocalcemia | Hyperkalemia | 2c | single | there is no hypocalcemia , there is weakness and fatiguability , hyperkalemia , hyponatremia, hypotension, hypoglycemia( Harrison 17 pg 2263) | Medicine | Endocrinology |
9705a10d-a159-4160-8cb8-84a1aed061a6 | Commonest stone in case of UTI | Phosphate | Urate | Cysteine | Calcium oxalate | 0a | single | Phosphate or struvite stones are infection stones associated with urea-splitting organisms i.e. Proteus, Pseudomonas, Providencia, Klebsiella, Staphylococci and Mycoplasma. The high ammonium concentration desired from urea-splitting organisms results in an alkaline urinary pH, required for the precipitation of phosphat... | Anatomy | Urology |
f1d292e5-8c6d-48d5-8c37-3b525d8182c0 | Cryopercipitate is Rich in which of the following clotting factor | Factor 2 | Factor5 | Factor 7 | Factor 8 | 3d | single | ref Robbins 7/e p664 Cryoprecipitate is prepared from plasma and contains fibrinogen, von Willebrand factor, factor VIII, factor XIII and fibronectin. Cryoprecipitate is the only adequate fibrinogen concentrate available for intravenous use. Cryoprecipitateis available in pre-pooled concentrates of five units. | Anatomy | General anatomy |
990082ae-2f82-497f-a609-28e1cc4d84aa | Jefferson fracture is: | C2 fracture | C1 fracture | Fracture of talus | Atlanto- axial dislocation | 1b | single | Ans. B. C1 fracture* Jefferson's fracture: Sudden severe load on the top of the head may cause a 'bursting' force which fractures the ring of the atlas.* There is no encroachment on the neural canal and, usually, no neurological damage. | Orthopaedics | Spinal Injuries |
16c43379-c012-47f0-a30e-b75c283b368a | All are true statements regarding Lemborexant except : | It is used in the treatment of Insomnia | It is an orexin receptor agonist | It is useful in patients with difficulties with sleep onset/maintenance | The most common adverse effect is somnolence | 1b | multi | Lemborexant FDA approved drug for the treatment of insomnia which got its approval after two Phase III clinical trials namely SUNRISE I and SUNRISE II. Useful in insomnia ,characterized by difficulties with sleep onset and/or sleep maintenance. Orexin neuropeptide signaling system plays a role in wakefulness. Blocking ... | Pharmacology | Sedative-Hypnotics and Parkinsonism |
a3a86f81-ff1b-4bda-ac03-15a86ef780f3 | Which of the following is/are criteria for the expectant management in pre-eclampsia excepts | Platelet count <100000 ml | B.p.>140/90 mm Hg | Urine output < 400mUday | Persistent headache | 1b | multi | Ans. b. B.P.>140/90 mm HgCriteria for severe Preeclampsia:A persistent SBP of > 160 mm Hg systolic or DBP of > 110 mmHgPersistent severe epigastric painCerebral or visual disturbancesOliguria <400ml/24hrProtein excretion of > 5gm/dayHELLP syndromeRetinal haemorrhage, exudates or papilledemaIntrauterine growth restricti... | Gynaecology & Obstetrics | null |
2b2d8823-a395-4d9b-86eb-6d2fb3386920 | All are complication of formula fed baby over human milk fed baby except : | Necrotizing enterocolitis | Otitis media | Hypocalcemia | Vit K deficiency | 3d | multi | Ans. is d i.e. Vit. K deficiency Formula feeds contain a host of vitamin and minerals, as well as trace elements (zinc, mangnese, copper, iodine) and electrolytes. in formula feeds vitamin K is added in higher levels than in breast milk to reduce the risk of hemorrhagic diseases in new born. So, vitamin K deficiency ca... | Gynaecology & Obstetrics | null |
22f23423-e211-4b5f-a40f-45d5e0ae224c | All of the following are true about type 1 HLA except? | Present on APC | Activate cytotoxic T cell and kill virus infected cell | Present on nucleated cells | First line defense mechanism | 3d | multi | Ans. (d) First line defense mechanism(Ref: R 9th/pg 191)a. True; It is present on all nucleated cells including antigen presenting cells as well as plateletsb. True; It activates cytotoxic T cell and kill virus infected cellc. True; It is present on platelets also, which are non- nucleated cellsd. False; It is a part o... | Pathology | Immunity |
8b4a922b-bf1b-44b4-83c0-f0e57cd6cda1 | Jeeps disease is known as | Hemorvhoids | Fissure in ano | Fistula in ano | Pilonidal sinus | 3d | single | Pilonidal sinus is seen in drivers mainly hairy jeep drivers in military. | Surgery | null |
ed77e81f-62e5-4fba-95e3-eb3db0a17d42 | nosocamial infection after how many hours ? | 48hrs | 72hrs | 7 days | 1 day | 0a | single | *Any infection causing illness that was not present or in its incubation period when the subject entered hospital or received treatment in outpatient clinic. *Infections are considered Nosocomial if they first appear 48 hours or more after hospital admission or within 30 days after discharge. *"Nosocomial" comes from t... | Medicine | All India exam |
e1d56fd5-9b2f-4867-9c66-77d62105d66e | Thermoregulatory response activated by cold is- | Cutaneous vasodilatation | Anorexia | Increased voluntary activity | Increased respiration | 2c | single | * In cold environment, muscular contractions are increased and there is increased heat production Increased muscular contraction can be due to: 1) Increased tone of muscles. 2) Voluntary activities like foot stamping, hand rubbing, spoing activities etc. * Hypothalamic stimulation in cold environment brings about the f... | Surgery | null |
b424d443-cbe0-4a5f-a439-0fa9e36b3e4f | Chlaymydia in asymptomatic carriers, the most sensitive test is - | Tissue culture | Nucleic acid amplification test | Serology | Serum electrophoresis | 1b | single | Ans. is 'b' i.e., Nucleic acid amplification test . Recently Nucleic acid amplification tests (NAAT), have'been developed for chlamydial infections. . These tests are well suited for screening ( asymptomatic carriers) as well as diagnosis. . These tests are the most sensitive and specific chlamydial diagnostic methods ... | Microbiology | null |
732916f9-0891-490f-9e2b-3b32a876981f | 20 yr old female diagnosed previously with adenocarcinoma stomach and on examination following is seen; | Sister Mary joseph nodule | Umbilical granuloma | Infected umbilical hernia | Irish node | 0a | single | Sister Mary joseph nodule - Cutaneous metastatic deposit around umbilicus (Not Lymph node) Lymph Node involvement in Ca stomach - Involvement of left supraclavicular LN - Virchow's Node (Aka Troisier's Sign) - Involvement of Axillary LN - Irish nodes - Palpable intraperitoneal metastasis on digital rectal examination -... | Surgery | FMGE 2019 |
e8bcf735-2968-4704-a55e-2ae706d6fe7c | Hypertrichosis is seen with following drugs EXCEPT: | Minoxidil | Cyclosporine | Barbiturates | Phenytoin | 2c | multi | (Barbiturates) (276-H 16th) (301-345-H17th)Hypertrichosis - Occurs in use of phenytoin, minoxidil, or cyclosporine, Diazoxide, Androgens, oral contraceptives containing androgenic progestins. | Medicine | Drugs |
5c025311-06f3-474d-b902-40705765ee7e | Tafenoquine - anti TB drug has been approved in July 2018 for | Radicle cure of P falciparum | Radicle cure of P vivax | Clinical cure of P falciparum | Clinical cure of P vivax | 1b | single | orally active 8 amino qinolone. It is a heame polymerase inhibitor. it is a prodrug and is active againist all liver forms includung hypnozoits. Molucular target is not exactly kmown | Pharmacology | All India exam |
c8c881e1-934a-45b5-8d98-241692c75dbc | Difference b w the incidence in exposed and non exposed group is best given by | relative risk | attributable risk | population attributable risk | odd's ratio | 2c | single | attributable risk : Attributable Risk(AR) (sometimes called Attributable Propoion or Attributable Fraction) is a measure of the prevalence of a condition or disease. Given a group of people exposed to a risk, it&;s the fraction who develop a disease or condition. ref : park 21st ed | Social & Preventive Medicine | All India exam |
84a2a07c-4e4f-4ad2-a06a-1dc00ed34f6c | A 55-year old man presented with a two-day history of headache, fever and generalized weakness. He had received a cadaveric kidney transplant 5 years earlier. His medications included 5 mg oftacrolimus twice a day and 10 mg of prednisone daily. On neurologic examination, he was confused and incoherent Cranial nerves we... | Cerebral toxoplasmosis | Listeria monocytogenes infection | Nocardia asteroides infection | Miliary tuberculosis | 2c | multi | Nocardiosis is an infectious disease affecting either the lungs (pulmonary nocardiosis) or the whole body (systemic nocardiosis). It is due to infection by a bacterium of the genus Nocardia, most commonly Nocardia asteroides or Nocardia brasiliensis. It is most common in adult males, especially those with a weakened im... | Medicine | Miscellaneous |
d7642af5-decf-48cb-8b76-0686ca3dc383 | Positive Screening test for Diabetes Mellitus:- | RBS > 200mg/dl | GTT > 200mg/dl | HbA1C > 6.5 % | FBS > 126 mg/dl | 0a | single | Screening test is a search for an unrecognized disease/defect in Apparently healthy individuals by means of RAPIDLY APPLIED TESTS. RBS is used for screening of Diabetes mellitus. Rest all tests are diagnostic tests. Screening tests of impoant diseases: Leprosy - Hypoanesthesia HIV - ERS Breast cancer - Mammography Cerv... | Social & Preventive Medicine | Sensitivity, Specificity, PPV, NPV |
ab0aec7c-4eaf-45bc-b2c0-f0dfc3170cde | Vascular sign of narath is seen in- | Dislocation of hip | Dislocation of knee | Dislocation of elbow | Dislocation of shoulder | 0a | single | Vascular sign of Narath *Normally femoral pulse is felt in the groin against head of the femur. *In posterior dislocation of hip the vessels fall back unsuppoed, so femoral aerial pulsation, which isn't felt against the head of the femur will be feeble or even, may not be palpable. Ref: Textbook of Ohopaedics by kotwal... | Orthopaedics | Pelvis and Hip injuries |
aa920f42-c195-43e9-9878-20de967df6c7 | Most frequent tooth to be impacted is | Upper third molar | Lower third molar | Upper premolar | Lower premolar | 1b | single | Impacted tooth Is the tooth that has failed to erupt completely or paially to its correct position in the dental arch and its eruption potential has been lost. Order of frequency Mandibular 3rd molar (i.e. Lower 3rd molar) Maxillary 3rd molar (Upper 3rd molar) Maxillary canine | Surgery | Head and neck |
1ee1ab36-e7f7-425e-a494-e2448718e494 | The gold standard investigation for renal aery stenosis in an 21 year old girl : | Renal scan | Ultrasound Doppler | Renal angiography | 3D Contrast-enhanced MRA | 2c | single | Angiography is the gold standard and definitive means to diagnose RAS, except for the risk of contrast reaction. In screening for stenosis of the main renal aeries and differentiation from fibromuscular dysplasia, the use of 3D contrast enhanced MRA provides optimum method for its detection and allows the demonstration... | Radiology | Genitourinary radiology |
12e460b9-96aa-49b7-93ca-e64913fe881a | Premature fusion of coronal, sphenofrontal and frontoethmoidal sutures is seen in? | Turricephaly | Dolicocephaly | Plagiocephaly | Trigoncephaly | 0a | single | Premature fusion of coronal, sphenofrontal and frontoethmoidal sutures is seen in Turricephaly 1. Turricephaly Cone-shaped head caused by premature fusion of coronal, sphenofrontal and frontoethmoidal sutures 2. Dolicocephaly Due to premature closure of sagittal suture produces a long and narrow skull Also called scaph... | Pediatrics | Abnormalities of Head Size |
77e4d9ff-3fbc-4601-b616-233d8137f18a | Pulled elbow means | Fracture of head of radius | Subluxation of head of radius | Fracture dislocation of elbow | Fracture ulna | 1b | single | Pulled elbow occurs in children between 2-5 years of age. The head of radius is pulled paly out of annular ligament when child is lifted by the wrist. The child stas crying and is unable to move an affected limb. There might be swelling at the elbow.its not possible to see the subluxated head in x-ray as it is still ca... | Orthopaedics | Elbow injuries |
e2f1527d-989d-49a6-99c3-be1855662f79 | Most common site of lymphangiosarcoma is | Liver | Spleen | Retroperitoneum | Post mastectomy arm | 3d | single | Most common site of lymphangiosarcoma is arm following mastectomy, Occurs commonly after radical lymph nodes dissection- stewa treves syndrome Reference- SRB - 5th edition, sarcoma, page 311. | Surgery | Vascular surgery |
0dac3eae-f650-42af-958d-7476ef07dbf7 | The following ocular structure in not derived from surface ectoderm: | Crystalline lens | Sclera | Corneal epithelium | Epithelium of lacrimal glands | 1b | multi | B i.e. Sclera | Anatomy | null |
89983de3-54ae-4936-bf1d-35aee78643b7 | One of the following is not true of International Classification of Disease - | It is revised once in 10 years | It was devised by UNICEF | The 10th revision consists of 21 major chapters | It is accepted for National and International use | 1b | multi | Ans. is 'b' i.e., It was devised by UNICEF ICD was devised by WHO. | Social & Preventive Medicine | null |
4484cd54-b70a-4f84-8b97-5dd27fae4b8e | Operations for varicose veins are best accomplished by- | Stripping | Multiple subcutaneos ligatures | Subfascial ligatures | Division and ligation at the superficial venous system | 0a | single | null | Surgery | null |
87cb85b5-41dc-4f2f-b30d-c96c52fce614 | All of the following metabolic functions occur in the mitochondria, Except: | Beta-oxidation of fatty acids | Biosynthesis of fatty acids | Protein synthesis | Citric acid cycle | 1b | multi | B i.e. Biosynthesis of fatty acids | Physiology | null |
bd1ee837-ece0-4b6c-adbe-c087e675d060 | Management of a child with severe PEM having loose stools includes ________ | Initiation of IV fluids immediately | Administration of 50ml of 10% glucose orally, if unconsious | Continuation of aggressive hydration, even after dehydration resolves | Use of low-sodium oral rehydration solution (ORS) for rehydration 5 ml/Kg every 30 min for the first 2 hours | 3d | multi | Management of a child with severe protein-energy malnutrition (PEM) having stools includes Use of low sodium ORS for Rehydration 5ml/Kg every 30 min for first 2 hours. Donot give IV fluids unless the child is in shock Give ReSoMal (low sodium rehydration solution for malnutrition) 5ml/Kg every 30 min for first 2 hr ora... | Pediatrics | Nutrition |
8a1c8005-d053-4dea-bb2f-67ed1b22ffdb | Which one of the following statements truly represents bell's paralysis - | Hemiparesis and contralateral facial nerve paralysis | Combined paralysis of the facial, trigeminal, and abducens nerves | Idiopathic ipsilateral paralysis of the facial nerve | Facial nerve paralysis with a dry eye | 2c | multi | Bell's paralysis is a lower motor neuron type of facial nerve palsy of unknown etiology, i.e., idiopathic nature.
Lower motor neuron type of palsy causes ipsilateral paralysis, therefore bell's palsy causes ipsilateral facial paralysis.
Except for facial nerve paralysis, another neurological examination is normal. | ENT | null |
adf72e18-fb18-4391-9372-2ee1c755432d | 0steomas, adenomatous polyps of intestine & periampullary carcinomas are seen in | Cowden syndrome | Peutz Jegers syndrome | FAP | Gardener syndrome | 3d | single | Gardner's Syndrome Gardner's syndrome is combination of familial polyposis coli and ceain extra-colonic lesions such as multiple osteomas (paicularly of the mandible and maxilla), sebaceous cysts and connective tissue tumours. mnemonics: GARDEN In FOREST Gardener syndrome Familial polyposis coli, Osteoma Retinal epithe... | Pathology | G.I.T |
832bf3b6-96e2-4cc2-82f3-9844279544c5 | All are contents of the Femoral traingle except | Femoral nerve | Femoral vein | Superficial inguinal lymphatics | Nerve to pectineus | 2c | multi | Femoral triangle : Lateral - Saorius Medial - Adductor longus Base - Inguinal ligament Contents - Femoral nerve, Femoral aery, Femoral vein,deep inguinal lymphatics, nerve to pectineus. Ref : Gray's Anatomy The Anatomical Basics of Clinical Practice 41 e pg 1362. | Anatomy | Lower limb |
c7a532d5-482a-4246-b5d9-ce26236f519d | Fatty acids are stored as ? | Cholesterol | Triglycerides | Sphingomyelin | None | 1b | multi | Ans. is 'b' i.e., TriglyceridesTriglycerides (TGs) are formed by esterification of one molecule of glycerol with three molecules of fatty acids. Therefore, they are also called as triacylglycerol (acyl for fatty acid). Fatty acids esterified through their carboxyl group, resulting in a loss of negative charge and forma... | Biochemistry | null |
9957ba25-3fbb-4650-b6c9-881ceebc06f5 | Mainstay of treatment of glue ear:- | Radical Mastoidectomy | Myringotomy + aeration to middle ear | Temporal bone resection | Tonsillectomy & adenoidectomy | 1b | single | Glue ear: - Long standing collection of serous / mucoid fluid in the middle ear cavity.- CHL (25-30 DB)- B curve on Tympanometry Mainstay treatment of glue ear should be treat the cause, like if its adenoids or tumor so removing it would be the treatment. But the cause is not mentioned in the question. So the mainstay ... | ENT | FMGE 2018 |
f6db5e4c-3491-48de-a595-d60986ca5892 | Bilateral centrocaecal scotoma more marked with red than white colour is a feature of: | Tobacco amblyopia | Leber's disease | Papilledema | Quinine amblyopiafs | 0a | single | Ans. Tobacco amblyopia | Ophthalmology | null |
6765afd4-7ddc-46df-9d87-30241a54a9f6 | Area of the brain most commonly undergoing atrophy in Alzheimer's disease: | Temporoparietal | Parieto-occipital | Frontoparietal | Temporo-occipital | 0a | single | Ans. a. Temporoparietal (Ref: Harrison 19/e p2598, 18/e p3304-3308)Area of the brain most commonly undergoing atrophy in Alzheimer's disease is Temporoparietal.'Pathologically, atrophy is distributed throughout the medial temporal lobes, as well as lateral and medial parietal lobes and lateral frontal cortex.'- Harriso... | Medicine | Dementia |
f5d1281f-3c97-4291-a5e9-bc1ddeb699c0 | All of the following statements about parvovirus B-19 are true, except - | <10% spread by transplacental route | Respiratory route is the primary mode of transmission | It is a DNA virus | Affects erythroid progenitors | 0a | multi | null | Microbiology | null |
f2ec29a3-a4a1-4c4d-841e-28815afe5d3b | Protective species or non cariogenic bacteria among the following is/are: | Veillonella. | Capnocytophega. | Streptococcus mitis. | Both AB | 3d | multi | null | Pathology | null |
1ff8ed33-8481-4476-8c2a-7d322caa6054 | False about sternocleidomastoid is | Arises from sternum and clavicle | Inses on mastoid process | Motor supply by spinal accessory nerve | Tilt the head on opposite side | 3d | multi | Actions of sternocleidomastoid - When one sternocleidomastoid muscle contracts, a) It turn the chin to the opposite side, b) It can also tilt the head towards the shoulder of same side Ref : B D Chaurasia's Human Anatomy , sixth edition, volume 3 , pg. no. 89 | Anatomy | Head and neck |
1a279fea-ce74-41e2-9636-cc958607b624 | All of the following methods are used for the diagnosis of HIV infection in a 2 month old child, except - | DNA_PCR | Viral culture | HIV ELISA | p24 antigen assay | 2c | multi | diagnosis of HIV in 2 month old child is by p24 Sg asday ,PCR&viral culture.ELISA id not used REF:<\p> MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.575 | Microbiology | Virology |
00e4839d-7c88-4c91-b7a0-e78671853ad7 | Which of the following is not a good source of vitamin D? | Fatty fish | Milk | Fish liver oils | Egg yolk | 1b | single | Good sources of vitamin D include fatty fish,fish liver oils, egg yolk etc. Milk is not a good source of vitamin D.
Reference: Satyanarayana- Biochemistry, 3rd edition, pg-128 | Biochemistry | null |
db11829d-93b8-46d4-8fd1-2a398e62bc19 | Otoacoustic emissions arise from: | Inner hair cells | Outer hair cells | Both inner and outer hair cells | Organ of Coi | 1b | multi | Ans. B Outer hair cellsOtoacoustic Emissions (OAEs)Otoacoustic emissions are acoustic signals emitted from the cochlea to middle ear and into the external ear canal where they are recordeD.They are low intensity sounds probably generated by acute mechanical contraction of the outer hair cellsThey are produced either sp... | ENT | null |
a16ae1c5-cfc4-4bae-8ea0-95679cd94ecd | An obese female having hirsutism on laboratory investigation has a high level of LH and androgens. Likely cause is | PCOS | Exogenous steroid ingestion | Turner syndrome | Kleinfelter syndrome | 0a | single | The clinical and laboratory features of the patient described in the question match with those of PCOS as depicted in the table.
So the most appropriate answer is PCO | Gynaecology & Obstetrics | null |
2d173f0f-4a36-4457-a18b-ae3fd441c207 | Common ocular manifestation in Trisomy 13 is : | Capillary hemangioma. | Bilateral microphthalmos. | Neurofibroma. | Dermoid Cyst. | 1b | single | Ans. is 'b' i.e. Bilateral microphthalmos Abnormalities seen in trisomy 13 {Patau's syndrome)MicrophthalmiaMicrocephaly and mental retardationCleft lip and palatePolydactylyCardiac defectsUmbilical herniaRenal defectsRocker bottom feet | Ophthalmology | Anatomy |
90292eb1-a2a4-4f18-b29e-64dff4f759c7 | Embryonal rhabdomyosarcoma is seen in ? | Face | Neck | Nasal cavity | All | 3d | multi | Ans. is 'a' i.e., Face; 'b' i.e., Neck; 'c' i.e., Nasal cavity Embryonal rhabdomyosarcoma o Embryonal rhabdomyosarcoma is the most common subtype of rhabdomyosarcoma, observed in children. o The tumor can occur at any site but the two most common sites are: i) Head and neck (including face and nose) --> Most common Gen... | Pathology | null |
3ff9ca43-649d-4b87-b80a-3e69b8548bf7 | The role of mitochondria is in all of the following, except: | ATP production | Apoptosis | Tricarboxylic acid cycle | Fatty acid biosynthesis | 3d | multi | Mitochondria is not involved in Fatty acid biosynthesis. Fatty acid biosynthesis takes place in cytosol. | Biochemistry | null |
4ced1861-76de-4a21-a7da-1bae3f6a90cb | Which is the most common type of shock in surgical practice | Cardiogenic | Hypovolemic | Neurogenic | Septic shock | 1b | single | Hypovolemic shock is probably the most common form of shock, and to some degree is a component of all other forms of shock. Hypovolemic shock is due to reduced circulating volume. Reference : Bailey & Love, 27th Edition, page no = 13. | Surgery | General surgery |
54de33df-2b58-4f01-90c4-4599d9b5a9dc | Swimming pool odor in classical of which inborn error of metabolism? | Tyrosinemia | Hawkinsinuria | Phenylketonuria | Multiple carboxylase deficiency | 1b | single | Tyrosinemia - Boiled cabbage odor.
Hawkinsinuria - Swimming pool odor.
Phenylketonuria - Mousey odor.
Multiple carboxylase deficiency - Tomcat urine. | Biochemistry | null |
22e83403-0a02-4bbd-8869-895ddcd30b6f | Round, ribbon-shaped, ovoid, bowling pin and kidney-bean are all types of root canals seen on | Oblique section | Longitudinal section | Sagittal section | Cross section | 3d | multi | null | Dental | null |
927970ae-7aca-45e9-be67-6503306a66f3 | All of the following are the electrocardiographic features of severe hyperkalemia except- | Peaked T waves | Presenceof U waves | Sine waves pattern | Loss of P waves | 1b | multi | Effects of hyperkalaemia on the ECG Serum potassium > 5.5 mEq/L is associated with repolarization abnormalities: Peaked T waves (usually the earliest sign of hyperkalaemia) Ref Harrison 20th edition pg 1456 Serum potassium > 6.5 mEq/L is associated with progressive paralysis of the atria: P wave widens and flattens PR ... | Medicine | C.V.S |
3df50189-735b-49da-8bb7-5ef3688322a6 | With the use of DMPA contraceptive, the side effects are all of the following EXCEPT: | Change in quantity and quality of breast milk | Weight gain | Irregular bleeding | Increased reproductive tract inflection | 0a | multi | Ans. is 'a' ie change in quantity and quality of breast milk. Change in quantity and quality of breast milk is seen with the use of estrogen contraceptives not progesterone.Infact is a plus point of DMPA that it does not affect lactation. It can be therefore used in the post-partum period, without affecting the lactati... | Social & Preventive Medicine | Family Planning |
780dcbc5-f37e-45dc-9181-2bc53f95d753 | All of the following are features of atrial myxoma except: September 2008 | Clubbing | Hypeension | Emboli | Fever | 1b | multi | Ans. B: HypeensionFindings of atrial myxoma?Jugular venous pressure may be elevated, and a prominent a wave may be present.A loud S1 is caused by a delay in mitral valve closure due to the prolapse of the tumor into the mitral valve orifice (mimicking mitral stenosis).P2 may be delayed. Its intensity may be normal or i... | Pathology | null |
2d5563c7-f34f-4cb1-92d9-a977ffd24d31 | Fluid, which has high potassium and low sodium contents, is - | CSF | Ectolymph | Endolymph | Pleural fluid | 2c | single | null | ENT | null |
d73b4d17-0170-4f1a-bafd-6f3a037e022b | A healthy 22-year-old female medical student with normal kidneys decreases her sodium intake by 50% for a period of 2 months. Which of the following parameters is expected to increase in response to the reduction in sodium intake? | Aerial pressure | Atrial natriuretic peptide release | Extracellular fluid volume | Renin release | 3d | single | A reduction in sodium intake leads to a decrease in extracellular fluid volume and therefore a decrease in aerial pressure. The decrease in aerial pressure stimulates renin release, which in turn leads to an increase in the formation of angiotensin II. The angiotensin II increases the renal retention of salt and water ... | Physiology | null |
3b3c2965-7b04-4d81-813f-60ec82a8558a | 'C' wave in JVP is due to- | Atrial contraction | Tricuspid valve bulging into right atrium | Right atrial filling | Rapid ventricular filling | 1b | single | Answer is B (Tricuspid valve bulging into right atrium) The 'C' Wave is a positive wave produced by the bulging of tricuspid valve into the right atrium during right Ventricular isovolumetric systole and by impact of the carotid aery adjacent to the jugular vein. | Medicine | null |
34820fc3-3992-4d91-8c68-613c28ed12f6 | Which is the most common complication of this Rash? | Otitis media | Bronchopneumonia | Secondary skin infections | Reye syndrome | 2c | single | Ans. (c) Secondary skin infectionsNotice the presence of vesicles on an erythematous base caused by varicella-zoster virus. The most common complication of chicken pox is secondary skin infections.Image source- style="font-family: Times New Roman, Times, serif"> | Microbiology | Bacteria |
4a462f8b-7399-4ac1-bd84-bc41b5903dc9 | A patient while lifting a heavy weight presents with sudden onset pain in the lower back radiating along the postero-lateral thigh and lateral leg to the big toe with numbness. The most likely diagnosis is: | L5 fracture | L3 - IA Disc prolapsed | L4 - L5 Disc prolapsed | L5 - SI Disc prolapse | 2c | single | C i.e. L4 -- L5 Disc prolapsed Sudden onset lower back pain with radioculopathy while lifting something heavy from ground (i.e. in spinal flexion) indicates acute PIVD (prolapsed of interveebral disc). Pain or paresthesia along posterolateral aspect of lower thigh, anterolateral aspect of knee and leg and dorsal surfac... | Surgery | null |
cad1680b-8738-4fb2-a8a3-6a6f617faa51 | In glycolysis, the first committed step is catalysed by | 2, 3 DPG | Glucokinase | Hexokinase | Phosphofructokinase | 3d | multi | Phosphofructokinase catalyzes the committed step of glycolysis, meaning that once fructose 1, 6 - bisphosphate is formed it must go for the glycolytic pathway only. | Biochemistry | null |
807dfc6c-69aa-4e03-8c35-f1f63bdcb18e | In pantamograph, if patient chin is placed anterior to the focal trough, the structures appears to be | Blurred and Diminished | Blurred and Magnified | Either magnified or diminished | Only Blurred | 0a | single | null | Radiology | null |
1815e659-5d81-45b7-bc3d-346070dd1bd4 | Lacrimal punctum of upper and lower eyelids are? | They are opposed | No relation | Upper punctum is medial | Upper punctum is lateral | 0a | single | Ans. is 'a' i.e., They are opposed | Ophthalmology | null |
4cea28f1-21b2-40a0-a982-944815e1786f | Diameter of the optic disc is – | 0.5 mm | 1.5 mm | 2.5mm | 3.5 mm | 1b | single | Actually, optic disc is vertically oval with vertical diameter 1.88 mm and horizontal diameter 1.76 mm. However, some textbooks (like khurana) have metioned it as circular area of 1.5 mm diameter. | Ophthalmology | null |
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