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cc659fb7-4ba0-4a8c-943d-012393c9c520 | Minimum recommended level of Residual chlorine in Swimming pools is: | 0.5 mg/L | 0.7 mg/L | 1.0 mg/L | 2.0 mg/L | 2c | single | - Level of residual chlorine to be maintained for swimming pool sanitation is > 1.0 mg/L with contact period of 1 hour. - Also Remember, Free/ residual chlorine levels recommended in:- Drinking water = >= 0.5 mg/ L ; with contact period of 1 hour. Drinking water to kill cyclops = >= 2.0 mg/L ; with contact period of 1 ... | Social & Preventive Medicine | Water |
880ec375-65f6-4a4f-8bc0-a063a2917ee0 | Cryoprecipitate contains: March 2009 | Factor II | Factor V | Factor VIII | Factor IX | 2c | single | Ans. C: Factor VIII 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. Cryoprecipitate is indicated for bleeding or immediately prior to an invasive p... | Surgery | null |
68ded46e-15cc-4ac7-9530-b2480637b275 | All are the Indications of a malignancy in a mammography except | Nodular calcification | Speckled margin | Attenuated architecture | Irregular mass | 0a | multi | Mammographic features suggestive of breast cancer A solid mass with or without stellate features Asymmetric thickening of breast Clustered microcalcification Presence of fine stippled calcium in and around a suspicious lesion is suggestive of breast cancer and occurs in as many as 50 % of nonpalpable cancers These micr... | Anatomy | Endocrinology and breast |
9772391f-b8cb-499f-b511-598dc25a1f6f | A patient wanting to scratch for itching in his amputated limb is an example of: | Phantom limb hallucination | Reflex hallucination | Illusion | Pseudo hallucination | 0a | multi | -This is an example of phantom limb hallucination in which patient is getting sensations from a limb which has been amputated. - In reflex hallucinations, stimulus in one modality causes hallucinations in another modality. E.g- A patient repoed that when he heard the sound of water falling from the tap, he would also s... | Psychiatry | Basics of Psychiatry |
07afed4e-d0d5-48a6-bee0-b10294ecb90b | The deliusion which involves replacement of a familiar person by someone else is ? | Capgras syndrome | Cotard syndrome | Othello syndrome | None | 0a | multi | Ans. is 'a' i.e., Capgras syndrome DSM is characterized by misidentification delusions of other or self. Four main syndromes are differentiated : ? Capgras syndrome (Delusion of double) : - Patient falsely sees a familiar person as a complete stranger who is impoing on him as a familiar person. Fregoli syndrome (illusi... | Psychiatry | null |
3322687f-6bc2-4f60-944e-2f2e692fd777 | Hysteroscope procedure is done for - | Vagina | Cervix | Fallopian tubes | Uterus | 3d | multi | Ans. is 'd' i.e., Uteruso Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscope in the scope used for visualization of the uterus. | Gynaecology & Obstetrics | Gynaecological Diagnosis |
c9b0929e-5bff-4ad0-a0be-cb24fede878d | A child has microcephaly, Blue eyes, Fair skin, and Mental retardation, Ferric chloride test is positive. What is the likely diagnosis | Phenylketonuria (PKU) | Homocystinuria | Tyrosinosis | Alkaptonuria | 0a | single | Individuals with phenylketonuria have profound and irreversible intellectual disability,microcepgaly,epilepsy and behavioral problems.These patients often have a musty body odour and skin conditions such as eczema caused by excretion of excessive phenylalanine and its metabolites.Decreased skin hair, and eye pigmentati... | Pediatrics | Metabolic disorders |
4d7b4262-7bf5-4b4a-a1cb-9cd7068bb49b | Maximum congestion is seen in : | Choking | Hanging | Strangulation | Drowning | 2c | single | C i.e. Strangulation | Forensic Medicine | null |
9e1cc240-d767-41b7-b6ed-87e5fbbc0045 | The drug which causes renal papillary necrosis is? | Acetophenetidin | Gentamicin | Gold | Methicillin | 0a | single | Ans. (a) AcetophenetidinRef: Robbiris pathology 9th ed. /423. 936t* Renal papillary necrosis due to acetophenetidin/ phenacetin is a gradual process with slow loss of renal function.* The most common cause of renal papillary necrosis is diabetic glomerulopathy | Pathology | Diseases Affecting Tubules and Interstitium |
8f82e5c3-c95f-4a68-baad-510115718276 | "Genital elephantiasis" is caused by | Lymphogranuloma venereum | Chancroid | Syphilis | Rickettsia | 0a | single | (Lymphogranuloma venereum) (428-A7th)LYMPHOGRANULOMA - VENEREUM (Lymphogranuloma inguinale, poradenitis, climatic or tropical bubo)- Caused by chlamydia -trachomatis - L2 (Most commonly)- Preferred site - regional lymphnodes- Primary lesions - painless papulovesicular lesion ** on the external genitalia- Women - hemorr... | Microbiology | Bacteria |
665d03cd-4f18-476b-836c-fcb019452b53 | Which of the following drug does not cause renal toxicity- | Cisplatin | Cisplatin | Mycphenolate mofetil | Methotrexate | 2c | single | Ans. is 'c' i.e., Mycophenolate Mofetil o Nephrotoxicity is not an adverse effect of mycophenolate mofetil. | Pharmacology | null |
f1fa8d42-0b6d-4186-a6a2-b99bc1db895c | Coical representation of body in cerebrum is | Horizontal | Veical | Tandem | Oblique | 1b | single | B i.e. Veical | Anatomy | null |
7d665330-0d9d-4cef-b890-731e7d21cb8a | Which of the following type of renal tubular acidosis (A) is associated with hyperkalemia? | A type IV | A type I & II | A type II | A type IV | 3d | single | -Type IV A(hyporeninemic hypoaldosteronism) is the most common A- It may occur in type 1 or 2 DM- Associated with moderate renal dysfunction and characterised by hyperkalemiaRef: Harrison's 18/e p2364 | Medicine | All India exam |
66dab723-c6df-4ed2-9dea-c847932c5424 | The treatment of choice for Anaplastic carcinoma of thyroid infiltrating trachea and sternum will be | Radical excision | Chemotherapy | Radiotherapy | Palliative treatment | 3d | multi | Anaplastic carcinoma of thyroid with distant metastasis or invasion into locally unresectable structures, such as the trachea or vasculatureof the anterior mediastinum, leads to a more conservative surgical approach, such as tracheostomy (palliation) as prognosis is very poor Postoperative external beam irradiation or ... | Surgery | Endocrinology and breast |
4ab75f49-6685-42fe-af99-4c6ca15ab490 | Lymphocytic colitis - | Bloody diarrhoea | Intra epithelial lymphocytes | Lymphocytes is stools | Through Ileoscopy look for peyer's patches | 1b | single | Lymphocytic colitis
Lymphocytic colitis is characterised by chronic watery, non-bloody diarrhoea and a prominent intraepithelial infiltrate of lymphocytes.
Lymphocytic colitis affects male and female equally.
Pt. presented with 3-20 times non-inflammatory non-bloody watery diarrhoea and accompanied by cramping abdomin... | Pathology | null |
e0c41d28-08f7-466d-ab70-deede9c2ff70 | Cytochrome C in apoptosis acts by | IL 10 | Bcl-2 | FADD | Apaf 1 | 3d | single | After releasing of cytochrome in cytosol, they binas to Apart 1 protein which leads to formation of a complex apoptosome. This complex binds to caspase-9 which is a critical initiator caspase of the mitochondrial pathway of apoptosis.
Also Know
Most critical organ for apoptosis = Mitochondrion
Most characteristic featu... | Pathology | null |
b6700b47-c0e9-4ee4-85a3-fac374a3606d | True about a negatively skewed data | Mode is Less than median | Mode is More than median | Mode is equal to median | No correlation | 1b | multi | A left skewed distribution or negatively skewed distribution because it's long tail is in the negative direction on a number line. The mean is to the left of the peak.(mode) The tail is longer on the left. In most cases, the mean is to the left of the median. mean < median < mode | Social & Preventive Medicine | Biostatistics |
5cc0e710-452e-4aff-8e7d-aab810ff71ac | Sweating as a result of excretion is mediated through | Adrenal harmone | Sympathetic adrenergic | Parasympathetic cholinergic | Sympathetic cholinergic | 3d | single | Refer kDT 7/e p 93 Most aeries and veins in the body are innervated by sympathetic adrenergic nerves, which release norepinephrine (NE) as a neurotransmitter. Some blood vessels are innervated by parasympathetic cholinergic orsympathetic cholinergic nerves, both of which release acetylcholine (ACh) as their primary neu... | Pharmacology | Autonomic nervous system |
9a6de537-58c3-4eec-b2fe-d2dc55212aab | A 40-year-old woman had lower third molar extracted due to dental caries. Then she developed high fever and pain. On examination, tonsil deted medially and there was swelling in upper one-third of sternocleidomastoid muscle, Most likely diagnosis is: | Hematoma | Retropharyngeal abscess | Parapharyngeal abscess | Ludwig's angina | 2c | multi | Abscess of pharyngomaxillary or lateral pharyngeal space is also known as parapharyngeal abscess. Infection can come to this space from acute or chronic infections of tonsils and adenoids, bursting of peritonsillar abscess, dental infection of lower third molar teeth, Bezold's abscess, petrositis, infections of parotid... | ENT | null |
a60c3e53-b129-486d-8805-1680ed0879c2 | 'Favus' is caused by? | T. schoenleinii | T. microsporum | Epidermophyton | Candida tropicalis | 0a | single | Favus Favus is an inflammatory type of Tinea capitis Commonest causative agent T. schoenleinii. Inflammatory (kerion, us) causing scarring/cicatricial alopecia Kerion common in children Tender boggy swelling over scalp, easily pluckable hair and enlarged lymphnode.(causative agent: T. mentagrophyte or T. verrucosum) DO... | Dental | Fungal infections |
fcab9d24-b504-47b0-8c15-b8567bd083cf | True statement about the upper half of anal canal is - | Insensitive to pain | Drained by superficial inguinal lymph node | Lined by squamous epithelium | Supplied by superior mesenteric artery | 0a | multi | Upper part of anal canal above pectinate line is supplied by autonomic nerves and is therefore insensitive to pain.
Upper part of anal canal above pectinate line is drained by inferior mesenteric node (into internal iliac nodes), lined by columnar epithelium and is supplied by superior rectal artery (Continuation of in... | Anatomy | null |
305161b6-b43a-4440-b866-6a159ef90089 | Among the following true about linezolid except | It inhibits bacterial protein synthesis at an early step | It is active against vancomycin resistant enterococci | It can be administered orally as well as by i.v. infusion | It is the drug of choice for enterococcal endocarditis | 3d | multi | OXAZOLIDINONE Linezolid:- Mech of action:- Linezolid inhibits bacterial protein synthesis by acting at an early step and a site different from that of other AMAs. It binds to the 23S fraction (P site) of the 50S ribosome and interferes with formation of the ternary N-formylmethionine- tRNA (tRNAfMet) -70S initiation co... | Pharmacology | Antibiotics |
492b0e1e-2328-41f3-97fa-3d183c237230 | Which suture is absorbed in 180 days | Polydiaxonone | Catgut | Chromic Catgut | Nylon | 0a | multi | Answer- A. PolydiaxononePolydioxanone suture provides wound suppo for longer period as compared to other synthetic absorbable sutures.Polydioxanone suture also offers far superior tensile strength. Polydioxanone suture is made from polymerizing para dioxanone monomer. | Surgery | null |
c4d1e252-b6e5-4503-83fd-60a74de98f3f | Sulfur granules in pus are seen in | Candida albicans | Actinomyces israelii | Nocarda braziliances | HistopLasma capsulatum | 1b | single | null | Pathology | null |
b8be8c58-b41b-4c6d-9589-e9c6cf9a23bc | Which of the following is a reference to Millards rule? | Standard rule regarding composition of local anaesthesia | Criteria for the surgery of cleft lip | Drug dosage depending on the child’s body weight | Rule regarding suture removal | 1b | single | The timing of the lip repair in infancy varies from first 48 hours of life to 6 months of age, depending on the surgeon’s judgement. Although there is always a debate as to when the surgery should be performed, most surgeons follow ‘Millard’s rule of 10.’ 10 weeks of age with 10 gm of Hb and 10 pounds of weight. The tr... | Surgery | null |
a333b37b-0144-4db3-adb3-2c1daf8b6331 | A 32-year-old woman seeking to become pregnant visits her physician for a pre-pregnancy examination. Routine prenatal laboratory testing demonstrates the following profile: HBsAg (-), anti-HBsAg (+), anti-HBcAg (-), anti-HBeAg (-), and HBV DNA (-). Which of the following likely represents the status of the patient? | Hepatitis B carrier | Immunized against hepatitis B | Infected and within the "window period" | Infected with hepatitis B and highly transmissible | 1b | single | The patient is only positive for antibody to the hepatitis B antigen. This suggests that the patient has been vaccinated for hepatitis B virus (HBV). The vaccine consists of recombinantly produced HBV surface antigen (HBsAg) alone; Antibodies to the core protein (anti-HBcAg) appear during acute illness and between the ... | Pathology | Hepatitis |
0eb8f7c2-2cd3-4d17-baf6-0f290c6d0a2a | Which is a GABA transaminase inhibitor ? | TCA | Sealine | Valproate | Gabpentin | 2c | single | Ans. is 'c' i.e., Valproate Mechanism of action Facilitation of GABA mediated C1 channel opening Barbiturates and benzodiazepines bind to GABAAreceptor and open Cl- channel. Valprote and vigabatrine inhibit enzyme GABA transaminase which degrades GABA r conc. of GABA. Tiagabine inhibits the uptake of GABA into the neur... | Pharmacology | null |
fae87758-ce39-43e3-b16d-55be4b1a0037 | True about fetal circulation – | Blood in SVC has more oxygen saturation | Pressure in left ventricle is more | Brain receives blood with low oxygen saturation | Heart receives blood with high oxygen saturation | 3d | multi | Blood in IVC has more saturation than blood in SVC as IVC carries the oxygenated blood of umbilical vein.
The left ventricular blood has more oxygen saturation that right ventricular blood because it carries the blood of IVC, while blood in right ventricle is a mixture of blood from IVC and SVC.
So, the brain and coron... | Pediatrics | null |
36f32197-cbde-4bf9-ad9d-8e153be851d7 | Most sensitive and specific investigation for screening of Renovascular hypertension – | MRI | Captopril enhanced radionuclide scan | Spiral CT Scan | Duplex – Doppler flow study | 2c | single | null | Radiology | null |
2f671ef6-f064-4740-99ed-0843d401c505 | Zone of Weil is | Cell rich zone | Cell free zone | Odontoblastic zone | None of the above | 1b | multi | null | Dental | null |
442a53d2-a5b5-48a7-9a59-945972593a1a | Hypnogogic hallucination is - | If experienced while falling asleep | If experienced while awakening | After head trauma | After convulsion | 0a | multi | Ans. is 'a' i.e., If experienced while falling asleep o Hallucinations which occur just prior to falling asleep are called hypnagogic hallucinationso Hallucination which occur just prior to waking up are called hypnopompic hallucinations.Also remember1) Functional hallucinations:- Hallucination accompanies a provoking ... | Psychiatry | Sleep-Wake Disorders |
15798487-6a7f-4bc5-b958-19e48f8317c8 | Rhinopyma is (Potate nose) – | Septal deviation of nose | Sweat gland hypertrophy | Mucous gland hypertrophy | Sebaceous gland hypertrophy | 3d | single | null | Dental | null |
27f6d22a-3b90-4b2c-a379-ad2f8d4ff0fc | All of the following can cause neuropathies with predominant motor involvement except - | Acute inflammatory demyelinating polyneuropathy | Acute intermittent porphyria | Lead intoxication | Arsenic intoxication | 3d | multi | null | Medicine | null |
518a457d-49b1-4642-b52d-8c8d2d714fe8 | Which of the following is false about plunging ranula | Seen in submandibular and sublingual glands | Diagnosis is made by CT | Treatment is excision | Dumb-bell shaped mass | 1b | multi | Diagnosis is made by USG or MRI. | Surgery | null |
622414e4-f5e3-40c3-96ad-a175deb7068f | A child is brought to the paediatric OPD with fever of 24 hours duration. History reveals 3 episodes of chest infection and passage of foul smelling stools. The most probable diagnosis is – | Cystic Fibrosis | Maple Syrup urine Disease | Bilirubin Congugation Defect | Criggler Najar Syndrome | 0a | single | Recurrent chest infection in a child with evidence of exocrine pancreatic insufficiency (bulky, foul smelling stool) suggest a diagnosis of cystic fibrosis. | Pediatrics | null |
ccc248df-fac0-4e9b-b1ae-916969e21443 | Metyrosin is used in ? | Acromegaly | Cushing syndrome | Addison's disease | Pheochromocytoma | 3d | single | Ans: D PheochromocytomaRef: KDT 7/e p. 128, 129; Katzung rlth/e p. g4lRate limiting step (tyrosine hydrorylation) in synthesis of epinephrine is inhibited by metyrosine. | Pharmacology | null |
185f889d-cebb-43e8-9b8b-61a55316c1a5 | In congenital adrenal hyperplasia, deficient enzyme is - most womon | 11(3 hydroxylase deficiency | 21 a hydroxylase deficiency | 3a hydroxylase deficiency | 17a hydroxylase deficiency | 1b | single | Ans. is 'b' i.e., 21-a Hydroxylase Congenital adrenal hyperplasia (CAH) Group of AR disorder MC adrenal disorder in childhood Most common 21-hydroxylase deficiency In 21a-hyroxylese deficiency There is deficiency of mineralocoicoids & glucocoicoid. This leads to hypoglycemia, hyponatremia | Pediatrics | null |
efe6c6d8-73c9-4e80-88d3-5a59c60d734a | Calculate the mean & mode of the given values: 2,2,3,4,4,4,4,5,5,7,8,8,9 | 4 and 5 | 5 and 4 | 5 and 9\ | 9 and 5 | 1b | single | Ans. (b) 5 and 4Ref: Park 22nd ed/789-90Therefore, mean =2+2+3+4+4+4+4+5+5+7+8+8+913= 65/13Mean = 5* Mode is most repeated/frequent value, which is 4, repeated 4 times.* Therefore the mean, mode will be 5 and 4 respectively. | Social & Preventive Medicine | Measures of Central Tendency and Distribution |
a8ed6b1b-66ee-419c-8df6-f9af5601e50d | A child with large perimembranous VSD has congestive hea failure. What may be the cause of improvement of failure in this patient | Aoic regurgitation | Vascular changes in pulmonary circulation | Infective endocarditis | Closure of VSD spontaneously | 1b | single | Patients born With uncomplicated VSD may develop pulmonary stenosis due to hyperophy of right ventricular infundibulum ,develop pulmonary aerial hypeension or rarely develop aoic regurgitation. Development of pulmonary aerial hypeension is dreaded complication since if it is of obstructive type the patient becomes inop... | Pediatrics | C.V.S |
544f915e-8172-4715-8e20-eebae8ed6388 | Triiodothyronine (T3) as compared to T4 : | Is more plasma protein bound | Is shorter acting | Is less potent | Has delayed action | 1b | single | T3 is the main active thyroid hormone. It is more potent (less plasma protein bound) and faster acting than T4. However, short duration of action limits its use for the treatment of hypothyroidism (requires lifelong treatment).
T3 is indicated for the treatment of myxedema coma. | Pharmacology | null |
26456ed7-098a-4e92-b15c-65452e24a9d1 | In an average young adult male, water constitutes about ______ % of the body weight. | 40 | 50 | 60 | 70 | 2c | single | Body is composed of about 60-70% water.
Osmolality of the intra and extracellular fluid is the same, but there is a marked difference in the solute content. | Biochemistry | null |
77afe795-bc75-48db-859d-49256c0fe395 | Which by product of vecuronium is associated with peripheral neuropathy on prolonged infusion- | 3- hydroxy vecuronium | 17-hydroxy vecuronium | 3, 17 (OH2) metabolite | All | 0a | multi | The most potent byproduct of vecuronium is 3-hydroxy vecuronium, with approximately 60% of the activity of vecuronium, is excreted by the kidney and may be responsible for prolonged paralysis. Vecuronium - 1. It is unstable in solution and, for this reason, is supplied as a lyophilized powder that must be dissolved in ... | Anaesthesia | Neuromuscular Blocker |
41ccc2c6-b2de-4004-932b-ecd2ac1cd042 | A 10-month old male child was having vomiting upon eating fruits, but is of normal weight. He has been exclusively breast fed till now. The doctor suggests fructose intolerance. Which of the following enzyme would be deficient in this child? | Aldolase B | Hexokinase | Fructokinase | Glucose-6-phosphatase | 0a | single | Ans. a. Aldolase B | Biochemistry | null |
1213f9ce-f2c2-4194-a35c-4e50a9132049 | Which glass ionomer cement develops early resistance to water intake on setting? | Reinforced auto care glass ionomer cement | Compomer | Resin modified glass ionomer cement | Ceramic reinforced glass ionomer cement | 2c | single | null | Dental | null |
9624ee68-5be9-4e7b-ac95-b79abc674bff | The investigation of choice to detect gastrinoma le<< than 5 mm size is- | Endoscopic ultrasound | Octreotide scan | CT scan | Poal venous sampling | 0a | single | Investigations Upper gastrointestinal endoscopy is the investigation of choice and should be performed promptly in any dyspeptic patient with 'alarm features' . Multiple biopsies from the edge and base of a gastric ulcer are required. Barium meal is a poor alternative, since any abnormalities must be followed by endosc... | Medicine | G.I.T |
fb6d9e63-c691-4c57-b206-5b77e90260c4 | Infra clavicular lesion of tuberculosis is known as ? | Assman's focus | Puhl's focus | Simmon's focus | Ghon's focus | 0a | single | Ans. is 'a' i.e., Assman's focus Assman's focus The initial lesion in secondary tuberculosis at the apex of lung (infraclavicular) without any lymph node involvement is called Assman's focus. | Pathology | null |
313d9394-4a34-4f9c-93a2-7f1150327413 | Regarding appendicitis in children, all are true except: | Localised pain is the single most important reliable sign | Vomiting precedes abdominal pain | 60 % cases perforation occurs in children less than 5 yrs | 60% perforation in 48 hrs | 1b | multi | Ref: Nelson's Textbook of Pediatrics, 19th edition. Robbins Pathologic Basis of Disease, 8th edition & Bailey and Love's Short Practice of Surgery 25th Edition Explanation: localized abdominal tenderness is the single most i: hie finding in the diagnosis of acute appendicitis. In Children, if the diagnosis is delayed b... | Unknown | null |
9e95a8ef-f8ef-4c2c-a3f8-daee233271ec | Melanosis coli is caused by | Bisacodyl | Senna | Magnesium sulphate | Lactulose | 1b | single | Senna and cascara are anthraquinone derivatives, which are used as stimulant purgatives. On chronic use they can lead to melanosis coli. | Pharmacology | null |
be87ea8e-a9d5-4bb5-8c0a-f4edea1ed26e | Lateral rectus palsy is characterized by - | Crossed diplopia | Uncrossed diplopia | Suppression of eye ball | Upward rotated eye ball | 1b | multi | First see the difference between phoria and tropia. Suffix phoria is used in latent squint, e.g. esophoria and exophoria. Suffix tropia is used in manifest squints (concomitant and paralytic) e.g. esotropia or exotropia.
Diplopia is a feature of paralytic esotropia or exotropia but not concomitant esotropia / exotropia... | Ophthalmology | null |
687fdbb1-a4b5-4775-b0cc-58cdecad3609 | Cystic fibrosis is inherited as? | AR | AD | XR | XD | 0a | single | Ans. is 'a' i.e. AR * Cystic fibrosis is an autosomal recessive disorder of ion transport in epithelial cells that affect fluid secretion in exocrine glands and the epithelial lining of the respiratory, gastrointestinal and reproductive tracts.* Cystic fibrosis occurs due to mutation in the CFTR (Cystic fibrosis transm... | Pathology | Genetics |
f28b5ab1-e22b-40e2-80fb-5584c5ee2c57 | Bronchopulmonary segments in right and left lungs respectively ? | 9, 11 | 11,9 | 10,10 | 8, 10 | 2c | single | Each lung has 10 bronchopulmonary segments. | Anatomy | null |
9966de22-518e-442f-9759-463f93760769 | Wide open anterior fontanelle is found in following diseases except: | Rickets | Cretinism | Osteogenesis imperfecta | Craniosynostosis | 3d | multi | d. Craniosynostosis(Ref: Nelson's 20/e p 2817-2819, Ghai 8/e p 41)In Craniosynostosis there is premature fusion of cranial sutures and so fontanelles close early and are small;While, Rickets, Cretinism (Hypothyroidism), Ostoeogenesis imperfecta & Achondroplasia are important causes of large anterior fontanelle. | Pediatrics | Central Nervous System |
d12a735c-c782-441c-b800-14d77da852ad | The angle of convexity is: | SNA | ANB | NA- Pog | SNB | 2c | single | null | Dental | null |
c3262f0a-d849-43b2-9c13-43a00c64eac4 | Mallampatti's classification is for? | Mobility of cervical spine | Mobility of atlanto axial joint | Assessment of free rotation of neck before intubation | Inspection of oral cavity before intubation | 3d | multi | Ans. is 'd' i.e., Inspection of oral cavity before intubation Mallampati score (Mallampati oropharyngeal scale)* Mallampati grading is used to evaluate the visibility of tonsil and tonsillar fossa which in turn assess the adequate mouth opening depending upon the grade.* Indications of Mallampati score are Oral cavity ... | Anaesthesia | Preoperative Assessment & Monitoring |
979dde94-0c34-42e4-b469-659feb7de2fe | Triphasic waveforms in hepatic encephalopathy occurs in stage of - | Coma stage-IV | Confusion stage-I | Deep coma stage-V | Drowsiness stage-II | 0a | single | Hepatic encephalopathy Hepatic encephalopathy is a neuropsychiatric syndrome caused by liver disease. As it progresses, delirium is followed by coma. Simple delirium needs to be differentiated from delirium tremens and Wernicke's encephalopathy, and coma from subdural haematoma, which can occur in alcoholics after a fa... | Medicine | G.I.T |
77e3c57f-0cdb-4b94-8b00-15e35262d781 | Energy selection in CPR according to AHA 2010 guideline is/are: | Monophasic 120-200J, Biphasic 360 J | Monophasic 200 J, Biphasic 360J | Monophasic 120 J, Biphasic 200J | Monophasic 360 J, Biphasic 120-200 J | 3d | single | Answer- (D) Monophasic 360 J, Biphasic 120-200 J2010 AIIA guideline for CPR Contrary to previous recommendation of 3 succesive shocks (200, 300, 360J) nowadays lst & all subsequent shocks are of 360 Joules with monophasic & 120-200 loules with biphasic. | Medicine | null |
972ba6e3-d545-48fd-b438-d19471514d3e | Maximum liver toxicity is seen with which anti - TB drug? | Isoniazid | Rifampicin | Pyrazinamide | Streptomycin | 2c | single | Ans. is 'c' i.e., Pyrazinamide o Three first line antitubercular drugs are associated with hepatotoxicityRifampicinFNHPyrazinamideo Of the three, rifampicin is least likely to cause hepatocellular damage, although it is associated with cholestatic jaundice.o Pyrazinamide is the most hepatotoxic of the first line drugs.... | Pharmacology | Anti Microbial |
f7914285-1eb4-43f4-96f9-2e18a77a374f | Sacrococcgeal teratoma arises from ? | Primitive streak | Neural plate | Cloacal membrane | Posterior neuropore | 0a | single | The cause of sacrococcygeal teratomas is unknown. Sacrococcygeal teratomas are germ cell tumors. Germ cells are the cells that develop into the embryo and later on become the cells that make up the reproductive system of men and women. Most germ cell tumors occur in the testes or ovaries (gonads) or the lower back. Whe... | Anatomy | General anatomy |
2616c64e-54ae-4af7-a2da-2a272d9d206f | Leprosy commonly affects all organs except: | Ovary | Skin | Nerves | Eye | 0a | multi | Ovary | Skin | null |
f2ed4b70-f29d-44c6-86b1-85e75c6a34f0 | The substance used of OCG is: | lapanoic acid | Sodium diatrozite | Melglumine iodothalamate | Biligraffin | 0a | single | Ans. lapanoic acid | Radiology | null |
4594abd8-c649-4113-ae3f-5fbf3078bb48 | Kirkland knife is used for: | External bevel incision | Internal bevel incision | Horizontal incision | All of the above | 0a | multi | null | Dental | null |
64859eb6-8518-45c8-8439-79011b78417b | Commonest carcinoma in elderly male is - | Stomach | Lung | Esophagus | Prostate | 3d | single | null | Pathology | null |
ebfabede-cfc8-49ac-bf8e-f8d999b6be08 | The most serious complication of a pelvic fracture is: | Rupture urinary bladder | Neurogenic shock | Hypovolemic shock | Malunion | 2c | single | null | Surgery | null |
909c8fb1-0708-4a7a-bfc1-8101bbe38217 | Most common gene associated with renal cell carcinoma | WT1 | BRCA 1 | VHL | PATCH | 2c | single | Both sporadic and familial RCC is associated with: Loss of sequence on chromosome 3 either by translocation (3:6, 3:8, 3:11) or deletion. This region harbours the VHL gene. Familial RCC is associated with:- Von Hippel-Lindau syndrome Ref: RAM DAS NAYAK EXAM PREPARATORY MANUAL FOR UNDERGRADUATES 2nd ed. pg no: 633 | Pathology | Urinary tract |
68e3fe2d-ebc4-4c5e-a063-43130a40a6a5 | Myasthenia gravis may be associated with: | Drug intake | Viral infection | B lymphocyte dysfunction | Thymoma | 3d | single | Ans: dRef: Harrison, 16thed, p. 2521, Table 366.3 | Medicine | C.N.S. |
45685e61-6193-45ab-b4ef-b6b9b3c41570 | Which of the following act to cause local Vasodilators | | O2 tension | | PH | | CO2 tension | | CO2 tension | 2c | single | (| CO2 tension) (500-1-K.S) (597-GN) (563-Ganong 23rd)Local vasodilatorsVasodilators of metabolic originVasodilators of endothelial origin* The vasodilators of metabolic origin are carbon dioxide, lactate, hydrogen ions and adenosine, Histamine* The metabolic changes that produce vasodilation include in most tissues de... | Physiology | Heart, Circulation, and Blood |
cdee2e00-9af0-4256-9d05-8b636a754bb6 | A 65 years old male diagnosed by biopsy as a case of lung carcinoma, with the paraneoplastic syndrome and increased PTH. Probable cause is- | Parathyroid | Parathyroid related peptide | Calcitonin | Calcitonin related peptide | 1b | single | null | Pathology | null |
709e07d0-3d4c-4ffe-a744-b0f1ea2f5797 | Drug of choice for pneumocystis carinii is: | Doxycycline | Cotrimoxazole | Tetracycline | Dapsone | 1b | single | Answer is B (Cotrimoxazole): Trimethoprim/sulfamethoxazole or Cotrimoxazole is the drug of choice for all firms of Pneumocystis Pneumonias. 'Trimethoprim-Sulfamethoxazole which acts by inhibiting folic acid synthesis is considered the drug of choice for all forms of Pneumocystis Pneumonias. Therapy is continued for 14 ... | Medicine | null |
70ad64f3-3f18-4b23-a4bb-6ecd86a05609 | Absent P waves with wide QRS complex indicates serum potassium of | 5.4 meq/L | 6.5 meq/L | More than 8 meq/L | More than 1O meq/L | 2c | single | Hyperkalemia Couesy of Dr. Michael McCrea a. Tall hyperacute T wave (earliest ECG finding) b. Prolonged PR interval c. Flattened or absent P wave d. Wide QRS complex that eventually blends with the T wave to assume a "sine wave" appearance e. Hea blocks f. QT interval normal or shoened Ref: guyton and hall textbook of ... | Physiology | G.I.T |
5cffb602-cc16-4b0c-8052-38c3a2d4ec19 | If mother is donating the kidney to her son, this is an example of:- | Autograft | Allograft | Isograft | Xenograft | 1b | multi | Types of grafts - Autograft: same person - Allograft/Homograft: from one person to another / same species - Isograft: Identical twine - Xenograft/Heterograft: Between different species - Ohotopic graft: Graft placed in normal anatomical site - Heterotrophic graft: Graft in site different from its anatomical location | Surgery | NEET 2019 |
8134f8df-677d-4d9b-9e24-339b881a8750 | Which of following drug inhibits xanthine oxidase: September 2007 | Probenicid | Quiniarcine | Allopurinol | Sulfinpyrazone | 2c | multi | Ans. C: Allopurinol Xanthine oxidase is involved in purine metabolism. Inhibition of xanthine oxidase reduces the production of uric acid, and several medications that inhibit xanthine oxidase are indicated for treatment of hyperuricemia and related medical conditions including gout. Xanthine oxidase inhibitors are: a.... | Pharmacology | null |
92e34638-0cee-4a35-9731-c5011668eeb1 | Which of the following is true to the immediate postoperative period in a young patient with previously normal lungs having upper abdominal surgery ? | Arterial oxygen tension will typically be reduced by an average of 10 mm Hg when breathing room air | Arterial oxygen tension will normalize after 15 minutes | Diffusion hypoxia is the major determinant of arterial hypoxaemia | The CXR will typically reveal no abnormalities | 0a | multi | null | Anaesthesia | null |
d58b9896-8520-41d8-bcab-cac84be2674b | Features in retinal detachment all except – | Field defect | Retinal tears | Associated with vitreous haemorrhage | Greyish – brown fundus | 2c | multi | Vitreous hemorrhage is not a feature of retinal detachment. However, it may be associated with retinal detachment as tear in retina may cause vitreous hemorrhage or retinal detachment.
In retinal detachment, there is visual field defect which corresponds to the area of detachment.
On examination, freshly - detached re... | Ophthalmology | null |
5e51cad6-8b23-468a-ae30-82b399ef1064 | True about silent mutation in genea) No change in mRNAb) No change in Amino acid sequence in proteinc) No expression of proteind) No change in expression of proteine) Termination of protein synthesis | c | bd | ab | ac | 1b | multi | In silent mutation, codon containing the changed base codes for the same amino acid (as original codon). Thus there is no change in expression of protein. | Biochemistry | null |
2f277330-5efe-4539-80d9-efd602ebf21b | Advantages of amoxicillin over ampicillin are all except? | Better bioavailability & faster action | Spectrum includes H. influenzae & Shigella | Incidence of diarrhea is lower | Food does not interfere with its absorption | 1b | multi | Ans. is 'b' i.e., Spectrum includes H. influenzae & Shigella | Pharmacology | null |
7250e25a-55ba-4cae-a7df-2d0e9ef649d0 | Which of the rotator muscle was not given its due impoance and was called Forgotten muscle of rotator cuff ? | Subscapularis | Supraspinatus | Infraspinatus | Teres minor | 0a | multi | Subscapularis-:"forgotten muscle'' of rotator cuff- Internal rotator of the shoulder Difficult to pick up in MRI Diagnostic test done-lift off, belly press, Gerber test Nerve supply: Upper and lower subscapular nerves from posterior chord of brachial plexus | Orthopaedics | Ohopaedics Q Bank |
e0e4afea-d3d2-4187-897b-dffdc70a7f2d | True about TB Knee | Synovial fluid shows reduced mucin | Internal rotation of Tibia | Synovial fluid shows reduced leucocyte count | Leads to Bony ankylosis | 0a | multi | null | Orthopaedics | null |
ea828d51-0e60-432d-afe0-a08744cb7d55 | Which of the following disorders is most closely associated with thyroid disease? | Schizophrenia | Alcohol use disorder | Depression | Phobia | 2c | single | Ans. C. DepressionDepressive symptoms have been known to be one of the most prominent features of clinical thyroid disease, particularly hypothyroidism. Beginning in the late part of the 19th century, depression was seen as prominent component of clinical hypothyroidism, although other psychiatric symptoms were often p... | Psychiatry | Mood Disorders |
ec4b5e48-ad71-41f5-8949-ae262ae97824 | Mallory hyaline bodies are present in all of the following, except | Primary biliary cirrhosis | Secondary biliary cirrhosis | Indian childhood cirrhosis | Alcoholic cirrhosis | 1b | multi | In histopathology, a Mallory body,Mallory-Denk body, and Mallory's hyaline, is an inclusion found in the cytoplasm of liver cells. Mallory bodies are damaged intermediate filaments within the hepatocytes | Pathology | G.I.T |
29ce9cfd-d86a-4efc-93e5-27ccf32beed4 | Definitive managenment in primary angle closure glaucoma: March 2005 | Trabeculectomy | Surgical iridectomy | Laser iridotomy | Pilocarpine | 2c | single | Ans. C: Laser iridotomy Although intraocular pressure is only one of the major risk factors for glaucoma, lowering it various pharmaceuticals and/or surgical techniques is currently the mainstay of glaucoma treatment. A. Medications used for lowering intraocular tension: Prostaglandin analogs like latanoprost, bimatopr... | Ophthalmology | null |
3b549acc-9d1d-4197-b0b0-22afc4ed6563 | A 64-year-old man undergoes CEA surveillance for cancer, because his brother and father both had colon cancer. What information should he be provided? | CEA is highly sensitive for diagnosis. | If CEA is elevated preoperatively, it implies unresectable disease. | Increases in CEA after resection may indicate tumor recurrence. | CEA is highly specific for the presence of colon cancer. | 2c | multi | CEA is useful in the follow-up care of patients with colon carcinoma after resection. The levels of this antigen usually come to normal after complete resection of the tumor. A subsequent elevation may suggest a recurrence of the tumor either at the resection margin or at distant sites. The sensitivity and specificity ... | Surgery | Small & Large Intestine |
76eb9735-fa50-46c7-917d-01abca9c1fcd | All are true about spermatocytic seminoma except: | Three types are there | Seen in 65 years of age group | Slow growing tumour | Clinically and histologically not related to seminoma | 0a | multi | Ans: a (3 types are there) Ref: Robbins, 7th ed, p. 1042Spermatocytic seminoma is a non seminomatous slow growing testicular tumour seen in old age. It does not have three types.Spermatocytic seminoma* Both clinically & histologically distinct from seminoma* Variant of germ cell tumour that do not arise from an intratu... | Surgery | Testis & Scrotum |
6119366b-73e9-417d-b2a7-9a0307d42156 | Schedule of drug to be sold only on prescription is: | H | P | G | X | 0a | single | Ans. A. HCAScheduleContent1ASpecimens of forms2BFees of tests/analysis3CBiological special products4DExtent and conditions of exemptions regarding import5EList of poisonous medicine under Ayurveda6FRequirement for functioning of blood bank7GDangerous to take these drugs except under medical supervision8HPrescription dr... | Pharmacology | General Pharmacology |
4c9e60dd-28ea-48e8-a40c-4311354e7213 | Internal podalic version is done in | Complete breech delivery | Frank breech delivery | Delivery of aftercoming twin | Preterm breech delivery | 2c | single | Internal podalic version is done for only delivery of second twin (Transverse lie). | Gynaecology & Obstetrics | null |
83a00867-ca87-4c90-bd45-53d922d7082b | The complete genome sequence of M. tuberculosis comprises of which of the following? | 4100 genes | 3100 genes | 2100 genes | 1100 genes | 0a | single | The complete genome sequence of M. tuberculosis comprises 4043 genes encoding 3993 proteins and 50 genes encoding RNAs and its high guanine-plus-cytosine content (65.6%) is indicative of an aerobic lifestyle. Reference : Harrisons Principles of Internal Medicine, 18th Edition, Page 1340 | Medicine | null |
0bb0f5eb-055c-4130-8182-37ad21971ab4 | Most common type of primary lymphedema is? | Lymphedema congenital | Lymphedema precox | Lymphedema tarda | None | 1b | multi | ANSWER: (B) Lymphedema precoxREF: Sabiston 18'h edition chapter 69, style="color: rgba(0, 0, 0, 1); font-family: Times New Roman, Times, serif"> primary_lymphedema.htm' The most common form of primary lymphedema is praecox, which accounts for about 80% of the patients. Congenital and tarda lymphedemas each account for ... | Surgery | Miscellaneous (Lymphatic System) |
f96b91dd-0551-4792-8c1f-e564fdbc616a | Which of the following is not an enzyme inhibitor | Isoniazid | Ketoconazole | Griseofulvin | Acute alcohol intoxication | 2c | single | Griseofulvin and chronic alcohol intoxication are enzyme inducers. | Pharmacology | null |
374c8275-2e81-42b8-86bd-460b098c70f3 | PKU is a congenital amino acid metabolic disorder. In the following rare variants of PKU, dihydrobiopterin synthesis is affected. The enzyme deficient is | Histidine decarboxylase | Phenylalanine hydroxylase | Dihydropterin reductase | Tyrosine deficiency | 2c | single | In Type 2 and 3 of PKU, there is deficiency of enzyme dihydrobiopterin reductase. Hence there is deficiency of dihydrobiopterin.Ref: DM Vasudevan - Textbook of Biochemistry, 7th edition, page no: 236 | Biochemistry | Metabolism of protein and amino acid |
c4f30e4b-2393-4ba3-846a-ef992864e8c1 | Transovarian transmission is a feature of- | Scrub fever | Epidemic typhus | Endemic typhus | Trench fever | 0a | single | The causative agent of scrub typhus: Rickettsia tsutsugamushi. It is the larva that feeds on veebrate hosts and picks up the rickettsias. The larval stage serves as both as a reservoir, through ovarian transmission and as a vector for infecting humans and rodents (refer pgno 300 park 23rd edition) | Social & Preventive Medicine | Epidemiology |
78a56512-b91c-4828-9888-9d3b49a6925f | A female patient with signs of meningitis and CSF showing gram positive coccobacilli, which is showing characteristic tumbling motility. Diagnosis is - | Listeria | Meningococcus | H. influenzae | Pneumococcus | 0a | single | null | Microbiology | null |
83e839b0-31f0-4cab-bce8-ef2510561e6b | Pierre Robbin syndrome does not include | Hearing loss | Respiratory distress | Coloboma Iris | Mandibular dysplasia | 2c | single | null | ENT | null |
f36b3977-516d-4155-8c16-ce54ebc040bc | Defect in Menke disease: | Lysyl hydroxylase | Lysyl oxidase | Prolyl hydroxylase | Prolyl oxidase | 1b | single | MENKE DISEASE / kinky OR STEEL HAIR SYNDROME- deficiency of copper results in defective crosslinking of collagen and elastin by the copper-dependent enzyme lysyl oxidase. Defect in dietary absorption of copper Die with in 5 years of age Kinky hair and growth retardation. menke disease is X linked disease due to mutatio... | Biochemistry | NEET 2019 |
4f0526cd-2fb8-4504-a8f8-c61168d0f0d3 | A 70-year-old gentleman met with an accident, he was able to point to pain site and opens eyes when pinched, he is confused and not sure where he is now or how he met with an accident. What will be his minimum GCS | 11 | 10 | 9 | 8 | 0a | single | His GCS would be 11Glasgow Coma ScaleEyes open Spontaneously 4To verbal command 3To painful stimulus 2Do not open 1Verbal Normal oriented conversation 5Confused 4Inappropriate/words only 3Sounds only 2No sounds 1Intubated patient TMotor Obeys commands 6Localises to pain 5Withdrawal/flexion 4Abnormal flexion 3Extension ... | Surgery | Trauma |
2f3bd768-bed9-428a-a604-101e2f12bee8 | Induction agent, having anti-emetic property is: | Thiopentone | Methohexitone | Propanidid | Propofol | 3d | single | Propotol is used as induction agent, it cause decrease in blood pressure heart rate and vascular resistance. Nausea and vomiting is very rare (1 -2%), and less than with most other used agents. | Unknown | null |
325f6052-d7ab-4052-8c30-24f36802e372 | Insulin mediated glucose transpo is seen in ? | Adipose tissue | Brain | RBC | Kidney | 0a | single | Ans. is 'a' i.e., Adipose tissueInsulin stimulates the uptake of glucose by myocytes (skeletal muscle, cardiac muscles), adipocytes (adipose tissue) and hepatocytes. Tissues that do not depend on insulin for glucose uptake include brain, erythrocytes (RBC), the epithelial cells of kidney & intestine, Liver, and Cornea ... | Physiology | null |
9b2d40e5-57c1-4ed9-ba24-e9adf23840b9 | What are the chances of veical transmission of Hepatitis B in women who are seropositive for both HBsAg and HBeAg ? | 25-30% | 40% | 60% | 90% | 3d | multi | Ans:D.)90% Veical Transmission of Hepatitis B In patients with acute hepatitis B veical transmission occurs in up to 10% of neonates when infection occurs in the first trimester and in 80 -90% of neonates when acute infection occurs in the third trimester. In women who are seropositive for both HBsAg and HBeAg veical t... | Gynaecology & Obstetrics | null |
48ffa88f-0b74-47f6-ae21-53a1efc43a42 | Which disease is transmitted by all the components of blood - | Malaria | Syphilis | Toxoplasma | H. pylori | 0a | multi | The malariaparasites enter that person's bloodstream and travel to the liver. When the parasites mature, they leave the liver and infect red blood cells. | Pathology | miscellaneous |
666656a2-c30f-4e33-8794-8036e056000b | Largest reserve of energy in body stored as | Liver glycogen | Muscle glycogen | Adipose tissue | Blood glucose | 2c | single | Fat (triglycerides) in the adipose tissues is the largest store of energy of the body. | Biochemistry | null |
d1c00d3c-90e4-4681-be0b-c2e70ecba85e | The tendency of colonic carcinoma to metastasize is best assessed by | Size of tumor | Carcinoembryonic antigen (CEA) levels | Depth of penetration of bowel wall | Proportion of bowel circumference involved. | 2c | multi | null | Surgery | null |
810b4f81-cb8b-40af-895e-dd4cd83ab4d6 | Disease associated with excessive maize diet - | Wernicke's encephalopathy | Pellagra | Beri-Beri | Scurvy | 1b | single | Ans. is 'b' i.e., Pellagra o Excess of Leucine interferes in conversion of Tryptophan into Niacin, and aggravates the pallagrogenic action of maize.o Similar to maize, Jowar also contains excess of leucine.o Leucine interferes with conversion of tryptophan to niacin.o Pellagra has been reported in India in Telangana ar... | Social & Preventive Medicine | Vitamins |
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