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135
18413285-5ca7-4e41-9ea0-4ce3968cc147
Which of the following enzymes is involved in the urea cycle?
Asparginase
Glutaminase
Argininosuccinate synthetase
Glutamate dehydrogenase
2c
single
Argininosuccinate synthase links aspartate and citrulline via the amino group of aspartate and provides the second nitrogen of urea.
Biochemistry
null
dd0260d7-0605-42e7-8ada-b0fd78528701
Vector for Trypanosoma Cruzi is
Tse - Tse fly
Reduvid bug
Sand fly
Black fly
1b
single
Transmission is by rubbing of reduviid bugs.
Microbiology
null
241047cf-05aa-46c9-be97-933351fb0cbd
'V' Wave in JVP is due to-
Right atrial contraction
Right atrial relaxation
Closure of tricuspid valve
Isovolumetric relaxation
2c
single
Ans. is 'c' i.e., Closure of tricuspid valveJugular venous pressure (JVP)* The variations in right atrial pressure are transmitted to the jugular veins, producing three positive waves (a, c and v) and two negative waves/descents (x and y).1) a-wave : It is presystolic 'positive' wave due to right atrial contraction (ri...
Physiology
Heart, Circulation, and Blood
bd86be75-46f2-437b-9080-043a91e49109
Most common organism which can contaminates crowded army camps is ?
Klebsiella
E. coli
Neisseria meningitidis
Staphylococcus
2c
single
Ans. is 'c' i.e., Neisseria meningitidis Epidemics of Neisseria meningitidis usually occur in closed crowded conditions like jails or army camps.
Microbiology
null
00cb8783-7769-4c3a-ad21-42cb46a31d9b
The chromosomal complement in persons with Klinefelter's syndrome is: March 2011
45, XO
47, XXX
46, XY
47, XXY
3d
single
Ans. D: 47, XXY Genetic analysis reveals the karyotype of klinefelter's syndrome to be 47 XXY Klinefelter syndrome/ 46 or 47, XXY/ XXY syndrome It is a condition with an extra X chromosome. Because of the extra chromosome, individuals with the condition are usually referred to as "XXY Males", or "47, XXY Males" Klinefe...
Gynaecology & Obstetrics
null
f389f572-ef42-4718-9881-ab1d8123514e
Which of the following drug has uricosuric action?
Nifedipine
Amlodipine
Atenolol
Carvedilol
1b
single
Amlodipine, losaan & fenofibrate have mild uricosuric action. Benzbromarone is new uricosuric drug.
Pharmacology
All India exam
3c9ec1c6-93ed-4f9f-bc6b-94b4881561ed
Sun ray fungus is
Actinomyces irraeli
Chromoblastomycosis
Streptomyces griseus
Cryptococcus
0a
single
Actinomyces colonies form fungus-like branched networks of hyphae. The aspect of these colonies initially led to the incorrect assumption that the organism was a fungus and to the name Actinomyces, "ray fungus" Ref : Ananthanarayana textbook of Microbiology 9th edition Pgno : 391
Microbiology
mycology
55e924f7-41f9-4127-99d8-d1e4fa1fa299
Rosenthal's syndrome is seen in deficiency of factor ?
II
V
IX
XI
3d
single
Ans. is 'd' i.e., XI
Surgery
null
572964fa-fb6b-4c8a-849e-3e45a1584e41
Commonest site of Atopic dermatitis is?
Scalp
Elbow
Trunk
Ante cubital fossa
3d
single
D i.e. Antecubital fossa
Skin
null
59d8a59b-a814-4653-b1fa-7708420fdfc4
A person who may be impotent with one paicular woman is called :-
Quoad hoc
Frigidity
Atavistic form
None of the above
0a
multi
Quoad hoc : A person who may be impotent with one paicular woman Frigidity: Failure of a female to respond to sexual stimulus; aversion on the pa of a woman to sexual intercourse; failure of a female to achieve an orgasm (anorgasmia) during sexual intercourse. Atavistic form is a historical approach used to explain cri...
Forensic Medicine
Impotency, Virginity, pregnancy & aboion
45640eed-6506-4a0b-8d5b-1b72ee765d71
Besides stimulation of M3 receptors located on endothelial cells, the main mechanism of vasodilatory actions of acetylcholine includes which of the following?
Decrease in endothelin by acetylcholine released from cholinergic nerves in blood vessels
Inhibition of norepinephrine release from adrenergic nerve endings
Stimulation of vascular smooth muscle cells
Effects on autoregulation particularly in coronary vascular beds.
1b
single
Most of the blood vessels contain cholinergic M3 receptors but no parasympathetic nerve supply. Exogenously administered ACh can stimulate M3 receptors and result in vasodilation. Stimulation of M3 receptors increases the production of NO (endothelium-derived relaxing factor; EDRF) that causes smooth muscle relaxation ...
Pharmacology
null
76d913c7-a8b0-4e04-b31e-9a649838fcd4
Deaths from lactic acidosis in diabetes mellitus is associated with therapy with which one of the following-
Metformin
Tolbutamide
Phenformin
Glipizide
2c
single
Ans. is 'c' i.e., Phenformin
Pharmacology
null
23694d08-9127-41f5-bf3c-25c806ccd5af
5 yr old boy was presented to the OPD by his mother with complaints of pain in the perineal region on examination of sample taken with nitric acid from his peri'anal region showed yellow crystal of what is the test done
Teichmann's test
Barberios test
Takayama test
Florence
1b
single
Barberio's test : Basis Detection of Spermin Procedure A few drops of Barberio's reagent when added to spermatic fluid produces crystals of sperm in picrate needle shaped rhombic & yellow color ref : narayanareddy
Forensic Medicine
All India exam
b2bba04b-19c2-4676-9c37-8bfc72954100
The adaption stage of a pedicle soft tissue graft takes
0-3 days
1-3 days
0-4 days
1-2 days
2c
single
null
Dental
null
993be72b-c8ec-4580-bfd4-bb9532e5c265
Which of the following is the chronic complication of malaria?
Pneumonia
Nephrotic syndrome.
Splenomegaly
Both 2 and 3
3d
multi
Unarousable Coma / cerebral malaria, convulsions Renal Impairment Noncardiogenic pulmonary edema Liver Dysfunction Hypoglycemia Metabolic acidosis/acidemia Hematological abnormality like hemoglobinuria, normocytic anemia, bleeding, DIC Other complications like jaundice, extreme weakness, hyperparasitemia, impaired cons...
Microbiology
null
81f92ad6-d057-481c-a9f1-af9eae5b2f2e
Epididymis is covered by:
Tunica vaginalis
Tunica vsaculosa
Tunica albuginea
None of the above
0a
multi
The epididymis is invested by tunica vaginalis, somewhat less closely applied than it is to the testis, except at its posterior margin. Ref: Gray's anatomy 40th edition, Chapter 97.
Anatomy
null
77772f67-f7d5-4172-b4d3-ef4bb44f3671
Bile is concentrated in the gall bladder to _________ times
10-May
15-Oct
20-30
40-50
0a
multi
null
Surgery
null
a1aec7e2-4e0e-4cd4-bafe-a6fbc633827b
1st product of tryptophan catabolism is?
Kynerunine
Bradykinin
PAF
Xantheurenate
0a
single
ANSWER: (A) KynerunineREF: Harper's 27th ed ch: 29Tryptophanisdegradedto amphibolic intermediatesvia thekynurenine-anthranilate pathway. Tryptophan oxygenase (tryptophan pyrrolase) opens the indole ring, incorporates molecular oxygen, and forms N-formylkynurenine.Hydrolytic removal of the formyl group of AT-formylkynur...
Biochemistry
Amino Acid Metabolism
e17373cf-39c2-45db-bdfa-e5a348d4b6b0
All of the following drug is CYP3A inhibitor except aEUR'
Erythromycin
Itraconazole
Ritonavir
Saquinavir
3d
multi
Saquinavir Drug metabolism Drug metabolism is divided into two genera! categories of phase I and phase II transformation reactions. Phase I This involves structural alteration of drug typically by processes involving oxidation, hydrolysis and reduction. - Phase I reactions introduce functional groups in drugs. - Reacti...
Pharmacology
null
eabe0bed-a199-4591-8962-1f2927727bf2
Which of the following benign tumor can be caused by prolonged use of oral contraceptive pills?
Hepatic adenoma
Thyroid adenoma
Fibroadenoma
Myoma
0a
single
Adenomas have been repoed with prolonged use of OC pills and though they are benign, rupture of a hepatoma can be fatal. Because the hormones are metabolized in the liver, chronic liver diseases and recent jaundice contraindicate the use of pills. Also, Gall bladder function may be adversely affected. Gall stones are r...
Gynaecology & Obstetrics
Contraceptives
dbbc2bdc-0856-48de-b7d9-6ea0ea6c77fb
P. Carni causes infection of primarily ?
Rats
Mice
Humans
Rabbits
0a
single
Ans. is 'a' i.e., Rats . Although the organisms within the pneumocystis genus are morphologically very similar, they are genetically diverse and host specific --> P jirovecii infects humans, where as Pcarinii infects rats.
Microbiology
null
de199236-369f-4bf9-a78f-1fc0236c4a46
One month old baby is referred for failure to thrive. On examination there are features of congestive cardiac failure. Femoral pulses are feeble compared to brachial pulses. The likely diagnosis is
Coarctation of aoa
Patent ductus aeriosus
Congenital aoic stenosis
Congenital aoa-iliac disease
0a
single
In coarctation of aoa there will be radiofemoral delay. Ghai essential of pediatrics, eighth edition, p.no:432
Pediatrics
C.V.S
086faef5-bd98-44e3-b6b6-5d52b9ee7a23
Which of the following compound antagonizes the actions of insulin
Neuropeptide Y
Growth hormone
Substance P
Vasoactive intestinal peptide
1b
single
Ans. (b) Growth hormone(Ref: Ganong, 25th ed/p.434)Growth hormone is a diabetogenic hormone. It causes hyperglycemia. It antagonizes the action of insulin
Physiology
Endocrinology and Reproduction
c4bdb5eb-326b-4356-a259-ef4439c30e1d
Atrial fibrillation may occur in all of the following conditions, except?
Mitral stenosis
Hypothyroidism
Dilated cardiomyopathy
Mitral regurgitation
1b
multi
Causes of Atrial fibrillation: Rheumatic heart disease (MS and MR), Nonrheumatic mitral valve disease, Hypertensive cardio-vascular disease, dilated cardiomyopathy, atrial septal defect, Coronary heart disease, Thyrotoxicosis, Acute alcohol excess and alcohol withdrawal.
Medicine
null
33a07857-94f5-4b67-8486-9cb00f97a968
All are circular DNA EXCEPT:
Nuclear
Plasmid
Mitochondrial
Yeast
0a
multi
Nuclear REF: Jawetz's 24th edition chapter 7 The Eukaryotic Genome The genome is the totality of genetic information in an organism. Almost all of the eukaryotic genome is carried on two or more linear chromosomes separated from the cytoplasm within the membrane of the nucleus. Eukaryotic cells contain mitochondria and...
Biochemistry
null
7c3dfc4e-8768-4a09-8569-9ad322bf1eef
Ovarian reserve tests are :
LH
FSH
Plasma progesterone
Endometrial biopsy
1b
single
FSH Extra Edge : Recently Mullerian Inhibiting Substance - MIS (also known as Antimullerian Hormone - AMH) has been investigated as a marker for ovarian reserve and for ovarian responsiveness to stimulation. It is produced by the Granulosa cells of preantral, and small antral follicles and inhibits the initiation of pr...
Gynaecology & Obstetrics
null
b3afd3c2-be78-462d-a101-0dca23e56bc3
The National Health Policy 2002 target to be achieved by the year 2010 is -
Eradication of polio and yawsd
Elimination of leprosy
Achieve zero level growth of HIV\/AIDS
Reduce infant moality rate 30\/1000 live bihs
3d
single
National health policy goals to be achieved by the year 2010 reduce moality by 50% on account of TB ,malaria and other vector and waterborne diseases Reduce prevalence of blindness to 0.5% Reduce IMR to 30/1000 and MMR to 100/lakh Increase utilization of public health facilities from current level of <20% to>75%(refer ...
Social & Preventive Medicine
Health care of community & international health
a4f08bb2-7c2f-407e-b8af-ec1957d9db09
Cornerstone treatment of dengue fever with warning signs without shock or hemorrhage is:
Platelet transfusion
IV fluids
Cryoglobulins
Antivirals
1b
single
Ans. (B) IV fluids(Ref: Harrison's Principle of Internal Medicine 20th Ed; Page No-1508)The mainstay treatment for a patient of dengue with warning signs is IV fluids.The main pathology in dengue is plasma leakage resulting in intravascular volume depletion and thereby shock. So, the supportive management with continuo...
Medicine
Blood
e70f15db-f225-4980-b729-a57f09039d65
Central dot sign on CT SCAN -
Caroli's disease
Primary sclerosing cholangitis
Polycystic liver disease
Liver hamartoma
0a
single
Ans. is 'a' i.e., Caroli's disease o Central Dot sign on CT or USG is seen in (i) Caroli's disease (most common cause); (ii) Prebiliary cysts; (iii) Obstructive jaundice; and (iv) Periportal lymphedema.
Radiology
Abdominal Radiography
6a9a033e-f908-4e74-9b9e-06e28e0425bc
An enlarging, conical "cutaneous horn" that has been present for more than a year projects 0.5 cm from a 0.7-cm base on the left lateral cheek of the face of a 58-year-old farmer. This lesion is excised, and microscopic 'examination shows basal cell hyperplasia. Some of the basal cells show nuclear atypicalities. This ...
Verruca vulgaris
Keratoacanthoma
Dysplastic nevus
Actinic keratosis
3d
single
Actinic keratosis occurs on sun-exposed areas and is considered a precursor of squamous cell' carcinoma. When the atypical basal cells occupy the entire thickness of the epidermis, the lesion transforms into a carcinoma in situ. The presence of a hyperkeratotic layer is characteristic. Occasionally, so much keratin is ...
Surgery
null
9a16c1ef-4dd1-4ec5-89fc-7c65d9650d5f
As Per WHO 2017 Global Recommendation, the latest addition to the treatment of postpaum hemorrhage is:
Late cord clamping is recommended for all bihs
Oxytocin 10 U IV/IM is the recommended uterotonic drug in the prevention of PPH
Intravenous oxytocin alone is the recommended uterotonic drug for the treatment of PPH
Early use of intravenous tranexamic acid is recommended in all cases of PPH
3d
multi
The latest update in treatment of postpaum hemorrhage (PPH) as per WHO 2017 Global recommedations is the early use of intravenous tranexamic acid (a competitive inhibitor of plasminogen activation) is recommended in all cases of PPH. PPH is leading cause of maternal morbidity worldwide and in India. WHO 2012 recommenda...
Gynaecology & Obstetrics
General obstetrics
2cc1ed58-d6cb-4d39-aae7-bf587e640b80
As per WHO guidelines, iodine deficiency disorders are endemic in the community when prevalence of goitre in school age children is more than –
1%
5%
10%
15%
1b
single
null
Social & Preventive Medicine
null
6f7841ff-5df7-4bae-905b-5bbab9550381
Popliteal aery pulsations are difficult to feel because
It is not superficial
It does not cross prominent bone
It is not superficial and does not cross prominent bone
Its pulsation are weak
2c
single
Popliteal aery is difficult to feel.It is palpated better in prone position with knee flexed about 40-50 degree,to relax the popliteal fascia.It is felt in the lower pa of the fossa over the flat posterior surface of upper end of tibia.In upper end of the fossa,aery is not felt as there is no bony area in intercondylar...
Surgery
Vascular surgery
3ffef023-a094-45ab-83e3-ea4161d5ae8a
Tamsulosin, a adrenoceptor antagonist has affinity for which of the following receptors?
a I A
a I D
None of the above
Both (A) and (B)
0a
multi
Ans. A. AlaVarious types a blockers of and their advantages in BPHa. Prazosin over Phenoxybenzamineb. Prazosin (selective a1 blocker) have better tolerability (less tachycardia and hypotension) over nonselective blockers.c. Doxazosin and Terazosin over Prazosind. Terazosin and doxazosin are long-acting drugs that need ...
Pharmacology
A.N.S.
d798118e-bef2-49c3-b8f8-c682b721baa2
Which of the following is NOT a characteristic feature of sepsis?
Temperature > 38 degrees C or <36 degrees C
Heart rate > 90/min
WBC count > 12000/mm2
Respiratory rate 14-18/min
3d
single
null
Medicine
null
e6405a7b-24d9-480c-acab-acb9f95e3400
In idiopathic basal ganglia calcification, structure most often calcified
Caudate nucleus
Putamen
Globus pallidus
Striatum
2c
multi
Structure most often calcified - Globus pallidus.
Radiology
null
57190b91-96c4-4783-994d-9aef7cbc5ea7
In a 3-year old child which of the following is the most common cyst located in midline of neck:
Thyroglossal cyst
Branchial cyst
Lymphangiocele
Cystic hygroma
0a
single
null
Surgery
null
52cde8c1-8405-49ad-8dc4-c9b06218e6f8
post dural (Spinal) puncture headache is due to:
Seepage of CSF
Fine needle
Toxic effects of the drugs
Traumatic damage to nerve roots
0a
single
Headache is due to of CSF and can be treated with analgesics. Post-dural-puncture headache (PDPH) is a complication of puncture of the dura mater (one of the membranes that surround the brain and spinal cord). ... It is a common side-effect of spinal anesthesia and lumbarpuncture. From padmaja 4th edition Page no 205
Pharmacology
Anesthesia
0fcac7f0-4763-43e3-8763-59b53f6c3574
Foetal lung maturity is assessed by ____________
L/S ratio
Billirubin content of amniotic fluid
Ultrasound
Amniocentesis
0a
single
The presence of surfactant in amniotic fluid is evident of fetal lung maturity. L/S ratio determines the relative concentration of surfactant. L/S ratio is lecithin to sphingomyelin ratio and should be more than 2. There is an increased risk of respiratory distress syndrome when this ratio is less than 2. Reference : p...
Pediatrics
New born infants
da48c7db-838a-48ef-9d31-0bf416f08c9b
Which of the following is not a differential for solitary pulmonary nodule
Tuberculosis
Hamaoma
Bronchial adenoma
Neurofibroma
3d
single
Causes for solitary pulmonary nodule:Granulomatous1. Tuberculoma - more common in the upper lobes and on the right side. Well-defined; 0.5-4 cm. 25% are lobulated. Calcification frequent. 80% have satellite lesions 2. Histoplasmoma - in endemic areas (Mississippi and the Atlantic coast of USA). More frequent in the low...
Radiology
All India exam
5005f639-4cf4-4b0e-a557-82e28978f76d
Treatment of choice for bipolar disorder is
Fluoxetine
Imipramine
Lithium
Chlorpromazine
2c
single
ithium was introduced by JOHN F CADE it is used in treatment of MANIA it is a liver friendly drug it has to be used in caution with people with deranged renal parameters if the patient is on lithium, he should be warned about of intake of other meds like NSAIDS, ACE inhibitors , as it may result in toxicity if a patien...
Psychiatry
All India exam
6db9da72-1bd8-47df-9f23-2c9fb057aeea
Miliary mottling seen in – a) TBb) Sarcoidosisc) Silicosisd) P. carinii pneumonia
abc
bc
acd
bcd
0a
single
Causes of Miliary mottling :- Infection :- Bacterial (TB, Brucellosis, Bronchopneumonia, Melioidosis), viral (varicella I chicken pox), Fungal (Histoplasmosis, Coccidiodomycosis, blastomycosis, cryptococcosis). Cardiac :- Mitral stenosis, Pulmonary edema, multiple pulmonary infarct. Pneumoconiosis :- Coal worker pneum...
Radiology
null
7b97c169-5003-402c-8dc4-15dce59dd46d
True about small cell lung cancer -a) Bone marrow is uncommonly involvedb) Destruction of alveolar cellsc) Peripheral in locationd) Treatment is chemotherapy
c
d
bd
ac
2c
multi
null
Medicine
null
2ff4dce4-592a-4be9-8a16-b764004bef0a
Axillary aery occlusion affects all EXCEPT:
Post circumflex humeral.
Suprascapular aery
Subscapular aery
Superior thoracic aery
1b
multi
Suprascapular aery "Suprascapular aery is a branch of thyrocervical trunk of the subclan aery, not axillary aery" Branches of axillary aery: The branches of the axillary aery are superior thoracic, thoraco-acromial, lateral thoracic, subscapular, anterior and posterior circumflex humeral. The Suprascapular aery usually...
Anatomy
null
4ee64154-08e4-434e-b2c8-05d1904392f0
All of the following stains are used for fat except?
Oil red O
Congo reds
Sudan black
Osmium tetroxide
1b
multi
Ans. is 'b' i.e., Congo red * Congo red is not used in lipid staining. It is used in the staining of amyloid protein.* Stain used for lipids (fatty acids)are Oil red O, Osmium tetroxide, sudan black and sudan III & IV.
Pathology
Histo Pathology
660ecab0-6481-4284-b67d-baf53ebec48b
Which of the following is a marker for Langerhans cell histiocytosis?
CD 1a
CD 10
CD 30
CD 56
0a
single
The proliferating Langerhans cells in Langerhans cell histiocytosis are HLA-DR positive and express the CD1 antigen. Ref: Robin's Basic Pathology, 7th Edition, Page 441.
Pathology
null
e1949ff2-20fe-43a3-903c-c52680f74938
The lung disease caused by inhalation of sugarcane dust is known as(MH' 2001; 2005)
Byssinosis
Bagassosis
Pneumoconiosis
Asbestosis
1b
single
Ans. b (Bagasosis) (Ref Text book of PSM by Park 22nd/ 751)Pneumoconiosis is a respiratory illness caused by inhalation of (respirabale dust) dust particles of 0.5 to 3 micron.0ByssinosisBy inhalation of cotton fibres - Monday morning fever is presentBagassosisBy inhalation of sugar cane dust - organism - Thermoactinom...
Social & Preventive Medicine
Occupational Health
01bbb230-5e20-40ee-b1a7-4a77eedb15a7
Kaar singh committee recommendations are related to: March 2010
No private practice
Measures to improve effectiveness of National Malaria Eradication programme
Framework of health services at peripheral level
Concept of primary health care
2c
single
Ans. C: Framework of health services at peripheral level
Social & Preventive Medicine
null
4b651a79-7db1-4b99-9975-975f33ef4d0e
Most common site of Brain metastasis is?
Lung cancer
Head and neck cancer
Prostate cancer
Breast cancer
0a
single
Ref: Bailey and Love 26th edition, P 614The leading cause of brain metastasis is lungs > Breast>MelanomaTissue of origin for brain metastases (approximate).OriginPercentageLung40Breast15Melanoma10Renal/GU10Other Unknown25
Pathology
Breast
c67645da-be45-485f-a7b5-87c882d4a6c1
Most common cause of Vertebra plana
Eosinophilic granuloma
Leukemia
TB
Metastasis
0a
single
Vertebra plana: Uniform collapse of a vertebral body into a thin, flat disc. M/c cause - Eosinophilic granuloma.
Radiology
null
b1ffd157-919d-4adf-b969-09df848a5e33
The 3 major divisions of Planning Commission are all Except:-
Executive division
General secretariat
Technical divisions
Programme advisors
0a
multi
PLANNING COMMISSION OF INDIA:- Set up by Government of India in 1950. Consists of: Chairman Deputy chairman 5 members. 3 major divisions: General secretariat Technical divisions Programme advisors.
Social & Preventive Medicine
Definitions and Concepts in HP
e3d7cc18-bd2e-451b-8a71-89b1800becd0
A young female presents with the history of spontaneous abortions and secondary amenorrhea since then. FSH 6 ILI/mL. What is the most probably cause of amenorrhea?
Ovarian failure
Pituitary failure
Fresh pregnancy
Uterine synechiae
3d
single
Ans. D. Uterine synechiaeFSH within normal limit rules out other options. Recurrent spontaneous abortions supports the answer.Asherman Syndrome* Intrauterine synechiae is also known as Asherman syndrome.* This condition occurs due to vigorous uterine curettage in early pregnancy which may lead to scarring that interfer...
Gynaecology & Obstetrics
Disorders in Menstruation
5afae86e-a601-4e41-9678-e2fc6edc02c5
Baholin's gland is located in
Ischiorectal fossa
Rectovesical pouch
Superficial perineal pouch
Deep perineal pouch
2c
single
The Baholin's glands are two pea-sized compound racemose glands located slightly posterior and to the left and right of the opening of the vagina. They secrete mucus to lubricate the vagina and are homologous to bulbourethral glands in males. Ref - BDC 6e vol2 pg 393
Anatomy
Abdomen and pelvis
bf4b30bc-019e-4277-9b69-802c21487cd2
A 37-year-old man suffers a traumatic injury to the axilla that damages the thoracodorsal nerve. Which of the following movements of the arm or scapula could be affected in this patient?
Abduction
Adduction
Flexion
Lateral rotation
1b
single
Adduction o Latissimus dorsi is supplied by the thoraco-dorsal nerve. o Latissimus dorsi help us in scratching the opposite scapulai.e., it leads to adduction, extension & medial rotation at the shoulder joint
Surgery
null
b2fd87c0-2572-4cdf-9650-142c79fc3c3c
Frequency of tuning fork used to test vibration sense is
128 Hz
256 HZ
512 hZ
1024 Hz
2c
single
(C) 512 hZ # TUNING FORK TESTS: These tests are performed with tuning forks of different frequencies such as 128, 256, 512,1024, 2048 and 4096 Hz, but for routine clinical practice, tuning fork of 512 Hz is ideal.> Forks of lower frequencies produce sense of bone vibration while those of higher frequency have a shorter...
Medicine
Miscellaneous
bcda50cc-8bba-4754-b7bb-b629e9266b75
All of the following characteristic pattern seen in Brown Sequard syndrome; except:
Ipsilateral weakness
Ipsilateral loss of position and vibration
Ipsilateral loss of pain and temperature
Contralateral loss of pain and temperature
2c
multi
Brown-Sequard syndrome: Hemisection of the spinal cord characterized by: damage to ascending sensory (dorsal column pathway, ventrolateral spinothalamic tract) descending motor (coicospinal tract) pathways The lesion to fasciculus gracilus or fasciculus cuneatus leads to ipsilateral loss of discriminative touch, vibrat...
Physiology
Nervous System
83ab7455-1944-494c-bbb7-b2980dcb859c
1 becquerel is equal (Disinegration/sec) to:
3.7x1010
2.7x1010
1.7x1010
1
3d
single
D i.e. 1 Becquerel (Bq) or disintegration per second is the SI unit of radioactivity wherea Curie (Ci) is non-SI unit of radioactivity. The rate of radioactive decay of a sample is called radioactivity. SI unit of activity is the Bequerel (Bq), defined as one nuclear disintegration per secondQ. The Curie (Ci) is define...
Radiology
null
bc05ff3d-f2c6-4455-8805-a0e513d414a4
Nerve damaged in radical mastoidectomy is
Facial nerve
Cochlear nerve
Vestibular nerve
Mandibular nerve
0a
single
Facial nerve is involved in radical mastoidectomy Facial paralysis is the complication Ref: Dhingra 7e pg 460
ENT
Miscellaneous ENT
e6bacbd0-7361-4b17-ac70-11f1331c941d
Kallmans syndrome is associated with all of the following except
Amenorrhea
Excess stimulation of the HPO axis
Genetic mutation
Anosmia
1b
multi
When congenital GnRH deficiency is associated with anosmia or hyposmia (an absent or grossly impaired sense of smell), the disorder is known as Kallmann&;s syndrome. Two genetic mutations associated with Kallman&;s Syndrome : KAL gene - X - linked inheritance (Xp22.3) encoding anosmin - 1. Gene encoding FGFR1 (Fibrobla...
Gynaecology & Obstetrics
All India exam
726d1102-439e-4dc6-ad84-285e4e075354
True about Apoptosis are all except?
Inflammation is present
Chromosomal breakage
Clumping of chromatin
Cell shrinkage
0a
multi
Ans. (a) Inflammation is presentRef: Robbin's pathology 9th ed. /52-55Since in apoptosis the dead cell is rapidly cleared, before its contents have leaked out, therefore cell death by this pathway does not elicit an inflammatory reaction in the host.
Pathology
Apoptosis
f16bdfea-c0e2-4091-9ecd-2e2646041dc3
Which of the following management procedures of acute upper gastrointestinal bleed should possibly be avoided ?
Intravenous vasopressin
Intravenous b-blockers
Endoscopic sclerotherapy
Balloon tamponade
0a
multi
Ans. is (a) i.e. Intravenous Vasopressin Though vasopressin can be used in acute variceal bleeding, it should possibly be avoided because of its side-effects. Management of acute G.I. bleeding - After the initial general management of the patient, the fuher management depends upon the cause of the bleeding. From the op...
Surgery
null
9a298c74-b60c-4d68-9cf1-e1cfb505a8f0
Which of the following is a die hardener
Cyanoacrylate.
Potassium sulphate.
Sodium chloride.
Resin
0a
single
Die hardeners arc materials used to reinforce the surface of a die so as to make it more resistant of abrasion and scratching. Die hardeners used with gypsum dies: • Cyanoacrylate • Silver plating • Addition of die hardeners to gypsum
Dental
null
b7967306-e15b-4ad1-94bd-5d3e70faba38
Hospital acquired infection of surgical wound is mostly by
Doctor
Instruments
Patient
Air borne
1b
single
null
Social & Preventive Medicine
null
654ddf7e-ca66-4a05-a632-6f1d8cd29786
The neo-adjuvant chemotherapy indicated in oesophageal carcinoma
Cisplatin
Doxorubicin
Mitomycin C
5-FU-Leucovarin
0a
single
Treatment of CA esophagus High-grade dysplasia (Tis) or T1a Endoscopic mucosal resection Localised advanced cancer T1: Vagal sparing or transhiatal or minimal invasive esophagectomy with limited LN dissection T2 and T3: Neoadjuvant Chemoradiation + surgery Cervical SCC or Non-ideal candidate for resection : Definitive ...
Surgery
Urology
f44c0e2d-a570-4620-8f3f-80cf8c711579
Commonest position of the appendix is:
Paracoecal
Retrocoecal
Pelvic
Subcoecal
1b
single
Ans. B RetrocoecalRef: BDC, 6thed. vol. II pg. 269-70* Most common position of vermiform appendix is retrocaecal, (12 O'clock- 65%) followed by pelvic (4 O'clock position).Types of appendix and their relative positionAppendixPositionPrevalence /commentRetrocaecal12 O' clock65%; most commonPelvic4 O' clock30%; 2nd most ...
Anatomy
Abdomen & Pelvis
4126ebd8-11d1-4cb5-bb67-b7213edf14d0
Following strain used is ?
Methyl violet
Brilliant cresyl blue
Sudan black
Indigo carmine
1b
single
This is a form of supravital staining in which cells are stained while living. It takes two days from reticulocytes to become RBC
Unknown
null
8fd6cda1-413d-43ed-b7e7-1d9ad1fe6785
Beta lactam antibiotics are all except :
Amoxicillin
Aztreonam
Ceftriaxone
Vancomycin
3d
multi
null
Pharmacology
null
95356b5e-1fe5-4abd-a149-2b8960ae88a9
The formation of 25-hydroxycholecalciferol takes place in the -
Liver
Kidney
Intestines
Pancreas
0a
single
null
Medicine
null
c0754223-0fca-47c7-98ad-aeb43668bb07
Which of the following ganglia does not contain postganglionic parasympathetic neurons?
Celiac
Ciliary
Otic
Pterygopalatine
0a
single
The celiac ganglion is a sympathetic preveebral (collateral) ganglion that contains postganglionic neurons. In parasympathetic system(cranial pa) there are four small peripheral ganglia - ciliary, pterygopalatine, submandibular and otic
Anatomy
Neuroanatomy 3
78bc0e93-1a79-4607-80ad-aaa685ef996f
EB virus belongs to which group :
Retrovirus
Herpes virus
RNA virus
Pox virus
1b
single
null
Microbiology
null
33911ec5-e06f-4b60-af48-d6345cfd046b
Vitamin D analogue calcitriol is useful in the treatment of:
Lichen planus
Psoriasis
Pemphigus
Leprosy
1b
single
Vitamin D3 analogues - Naturally occurring, active metabolite of vit.D3 - 1,25-Dihydroxyvitamin D3 (calcitriol) 3 synthetic analogues: -calcipotriol -1,24-Dihydroxyvitamin D3 (Tacalcitol) and -1,25-Dihydroxyvitamin D3 (Maxacalcitol), effective when applied topically in Psoriasis
Dental
Psoriasis
02d585d1-0737-4f92-839f-2c08fd53ceac
Bullet that leaves a visible mark in its flight so that person can see the path is: AI 10
Tandem bullet
Tracer bullet
Dum-dum bullet
Incendiary bullet
1b
single
Ans. Tracer bullet
Forensic Medicine
null
77efb8e6-67ba-440b-981e-8d9ea50c33f7
Angular vein infection commonly causes thrombosis of:
Cavernous sinus
Sphenoid sinus
Petrosal sinus
Sigmoid sinus
0a
single
Ref : Dhingra 7e pg 226.
ENT
Nose and paranasal sinuses
07b59098-814b-4a22-816b-29bb63218525
The most accepted method for treatment of a myopic with refractive error of 2D is:
Spectacles
Contact lens
Radial keratotomy
Excimer laser
0a
single
Ans. Spectacles
Ophthalmology
null
490d478b-f8d3-4158-aea2-e5ddd9f0fcf5
All are true for plemorphic adenoma except?
Arises from parotid
May turn into malignant
Minor salivary glands involved
None
3d
multi
Answer is 'd' i.e. None Pleomorphic adenomas arise most commonly in the parotid gland. These form majority (-80-90%) of tumors of the parotid gland. Pleomorphic adenomas are less common in the submandibular glands & sublingual glands; relatively rare in the minor glands. Pleomorphic adenomas are benign tumors derived f...
Surgery
null
429d6a27-ea53-4267-91cf-1ff264f2c7be
What is the dose of Testosterone in Hvpogonadal male?
25 -50 mg IM/week
50- 75 mg IM/week
75 - 100 mg IM/week
150 - 200 mg IM/week
2c
single
(C) 75 - 100 mg IM/week # RECOMMENDED REGIMENS FOR ANDROGEN REPLACEMENT:> Testosterone esters are administered typically at doses of 75-100 mg intramuscularly every week or 150-200 mg every 2 weeks.> One or two 5-mg nongenital testosterone patches can be applied daily over the skin of the back, thigh, or upper arm away...
Medicine
Miscellaneous
ce864269-3322-4730-ba37-40122cffc203
A 25 year old patient presents in coma with GCS of 5 and extensor posturing after a bike accident. Which of the following will the best management of the patient?
Hypertonic saline
Thrombolysis
Burr hole surgery
Hemi-Craniectomy
2c
single
Ans. (c) Burr Hole surgeryThe image shows presence of extra-dural haemorrhage due to presence of biconvex lenticular opacity. Due to risk of brain herniation leading to death best management will be burr hole surgery.
Surgery
Head Injury
b67f9cfc-054d-4506-b906-a25b6b10dfa9
Bone affection in scurvy is due to which of the following
Poor mineralization of the osteoid tissue
Defective osteoid matrix formation
Defective calcification in osteoid
Increased degradation of osteoid tissue
1b
single
The most clearly established function of vitamin C is the activation of prolyl and lysyl hydroxylases from inactive precursors, allowing for hydroxylation of procollagen. Inadequately hydroxylated procollagen cannot acquire a stable helical configuration or be adequately cross-linked, so it is poorly secreted from the ...
Pathology
Pediatrics, environment and nutrition
7796653c-9636-4929-905c-cede33a43282
Proper lip support for complete denture is provided primarily by:
Convex surface of labial flange
Facial surface of teeth and simulated gingiva
Thickness of border in the vestibule
Festooned carvings on facial surface
1b
single
Proclination of maxillary anterior teeth and the surrounding denture base simulating the gingiva provided for the bulk for lip support in complete denture.
Dental
null
452b32d0-660d-4874-a328-f58187bbe37b
Wahin-Finkeldey giant cells are seen in ?
Measles
Rubella
Influenza
Rickettsial pox
0a
single
Ans. is 'a' i.e., Measles Wahin-Finkeldey cells are multinucleated giant cells. These cells are pathognomic of measles and are found in lymphoid organs, lung and sputum.
Pathology
null
dc03fa19-2d86-43a8-8424-d893a4f84137
Which is not a complication of PUVA therapy:
Premature aging of skin
Cataracts
Skin cancers
Exfoliative
3d
single
D. i.e. Exfoliation
Skin
null
5b283abc-63cf-484b-8ccf-99fb17b62473
In humans, coex of hair is usually:
Double that of medulla
Same as medulla
4-10 times broader than the medulla
Thin in comparison to medulla
2c
multi
Ans. 4-10 times broader than the medulla
Forensic Medicine
null
b980d490-1142-43c2-8f70-7a93567c9980
Babu a 19 yrs old male has a small circumscribed sclerotic swelling over diaphysis of femur; likely diagnosis is -
Osteoclastoma
Osteosarcoma
Ewing sarcoma
Osteoid osteoma
3d
multi
Well circumscribed sclerotic swelling over diaphysis of a long bone (femur) in a 19 years old suggests the diagnosis of osteoid osteoma.
Orthopaedics
null
b716a255-31db-4844-8847-9709792215a9
Most common cause of bleeding in children
Nose picking
Hypeension
Tumor
None
0a
multi
Most common cause of nose bleeding in children - Trauma to the little's area. Fingernail trauma is common. Ref : Dhingra 7e pg 197.
ENT
Nose and paranasal sinuses
635fa2e1-c126-4728-a019-69294dea43ad
The 'Search lines' to detect fracture line on occipitamental radiographic view of midfacial skeleton fracture was described by
Rene Lefort and Guerin
McGrigor and Campbell
Andreason and Ravn
Rowe and Williams
1b
single
null
Surgery
null
f3c76544-299e-4b66-96b0-cacc483f3cbd
A 35 year old lady complains dysphagia, Raynaud's phenomenon, sclerodactyly. Investigations show antinuclear antibody. The likely diagnosis is ?
Systemic lupus erythematosis
Systemic sclerosis
Mixed connective tissue disorder
Rheumatoid ahritis
1b
single
Ans. is 'b' i.e., Systemic sclerosiso Dysphagia, Raynaud's phenomenon, sclerodactyly in 35 years old lady suggest the diagnosis of systemic sclerosis (see above explanations).I think option 'b' needs some explanation here.Mixed connective tissue diseaseo Patients having the co-existence of features suggestive of SLE, p...
Pathology
null
82206379-00af-4662-b226-6dff390b75d7
Serum amylase level is raised in all except:
Blocked salivary duct
Ruptured ectopic
Appendicitis
Pancreatitis
2c
multi
Answer is C (Appendicitis) Appendicitis is not associated with raised amylase levels. Pancreatitis, Ruptured ectopic and salivary gland lesions including blocked salivary duct are all associated with raised amylase levels. Pancreatic Disease Pancreatitis Pancreatic trauma Acute Pancreatic carcinoma Chronic: ductal obst...
Medicine
null
9b1532fe-85c1-4a99-87d4-ef4707e7f84d
A 30-year-old man who was recently staed on haloperidol 30mg/day developed hyperpyrexia, muscle rigidity, akinesia, mutism, sweating, tachycardia and increased blood pressure. The investigations showed increased VVBC count, increased creatinine phosphokinase. There is no history of any other drug intake or any signs of...
Drug overdose
Neuroleptic malignant syndrome
Drug induce Parkinsonism
Tardive dyskinesia
1b
single
B i.e. Neuroleptic malignant syndrome
Psychiatry
null
fc479a79-fa1a-4a92-9d65-ebf711952c1a
Best radiographic view for fracture of C1, C2 veebrae is -
AP view
Odontoid view
Lateral view
Oblique view
1b
single
Best radiographic view for fracture of C1, C2 veebrae is - odontoid view
Radiology
Skeletal system
4cd4038f-1419-4123-9c59-96086b3d9114
A child presents with antimongoloid slant, pulmonary stenosis, sho stature, and undescended testis. The likely diagnosis is _____
Hypoparathyroidism
Noonan syndrome
Klinefelter syndrome
XYY sex chromosome
1b
single
The child presenting with the antimongoloid slant, pulmonary stenosis, sho stature, and undescended testis is suggestive of Noonan syndrome. Noonan syndrome: Autosomal-dominant disorder (12q) Male or female with Turner phenotype; normal karyotype Clinical features: Down-slanting palpebral fissure (antimongoloid slant) ...
Pediatrics
Genetic and genetic disorders
64166740-bbae-4efb-8508-2733a310e1ac
Which of the following is consistent with a decision to perform a cerclage?
Uterine contractions
Cervix dilated to 3 cm
Uterine bleeding
Gestation of 26 weeks
1b
single
The treatment of the apparently incompetent cervix is surgical and consists of reinforcing the weak cervix by some kind of purse-string suture.It is best performed after the first trimester, but before cervical dilatation of 4 cm, if possible.Bleeding, infection and uterine contractions are contraindications to surgery
Microbiology
All India exam
b6ed8e46-a0e9-4a11-9944-ec63642d3bac
Symptoms of sinusitis are all except -
Blood stained rhinorrhoea
Facial edema
Nasal blockage
Diplopia
3d
multi
null
ENT
null
fdd764bc-f21c-423d-bc71-3076e3cafebe
Aqueous humor has lower concentration of:
Lactate
Protein
Hyaluronic acid
L-ascorbic acid
1b
single
Protein content of aqueous humor is much less than that of plasma. The ocular tissue surrounding the aqueous humor (especially the cornea and lens) take up glucose from aqueous humor; glycolysis by these tissues results in higher pyruvate and lactate (and lower glucose) in aqueous humor. L-ascorbic acid content of aque...
Physiology
Special Senses
6e223f32-23df-4fc2-8084-f6450bb031f8
Which of the following groups of amino acids produce a common component of the TCA cycle?
Alanine, isoleucine, leucine, lysine
Serine, asparagine, glycine, glutamate
Isoleucine, valine, methionine
Proline, leucine, tryptophan
2c
single
null
Biochemistry
null
05f47914-b763-4340-9cb0-2fe68735b974
Most common enzyme deficiency leading to childhood hypeension is -
17-Alpha hydroxylase
21-Beta hydroxylase
11-Beta hydroxylase
All
2c
multi
Ans. is 'c' i.e., 11-Beta hydroxylase o Salt retention and hypeension is seen in 17-a hydroxylase deficiency and I 1-p hydroxylase deficiency. 1 I -I hydroxylase deficiency is more common. 17-a hydroxylase deficiency is an uncommon form of congenital adrenal hyperplasia.
Pediatrics
null
eaf7b45b-5e8b-45f4-a261-dfc3b4f3ca83
A patient with abdominal injury presents to the emergency department with signs of signs of peritonitis and shock. Airway and breathing were secured and IV fluids were started with 2 large bore cannulas. The next line of management should be
FAST
Exploratory Laparotomy under general anesthesia
Insertion of abdominal drain followed by laparotomy
Laproscopy
1b
single
Treatment for abdominal injury includes Emergency laparotomy. Indications include  Frank haemoperitoneum Significant diagnostic peritoneal lavage Haemodynamically unstable patient U/S or CT scan shows significant intra-abdominal injuries
Surgery
null
06f5d802-77ed-4901-a216-750a81cf1c8b
Aeriolar dilators used in the treatment of CHF
Hydralazine
Nifedipine
Prazosin
Enalaprin
0a
single
Nifedipine is a calcium channel blocker. Enalapril is an ACE inhibitor. Prazosin is alpha 1 blocker. Hydralazine is an aerial dilator and potassium channel opener (REF.Essentials of medical pharmacology KD TRIPATHI 8 Edition)
Pharmacology
Cardiovascular system
2bfb0500-de92-4909-bab9-18962ca3e827
Which of the following is not lined by non-keratinized stratified squamous epithelium?
Hypopharynx and laryngopharynx
Oesophagus
Cornea
Tympanic membrane
3d
single
.
Pathology
All India exam
84ab753b-a399-4c3f-b0de-1913405346d9
Diabetic ischemic maculopathy is characterized by all except ?
It occurs due to microvascular blockage
Mild visual loss
Areas of non perfusion are evident on fluorescein angiography
Microaneurysms and hemorrhages are seen
1b
multi
Ans. is `b' i.e., Mild visual loss Ischaemic diabetic maculopathy It occurs due to microvascular blockage. Clinically it is characterised by marked visual loss with microaneurysms, haemorrhages, mild or no macular oedema and a few hard exudates. Fluorescein angiography shows areas of non-perfusion which in early cases ...
Ophthalmology
null
e12466b1-6fd9-406e-be59-61db7d167f86
A 13 year old boy presents with swelling in the cheek with recurrent epistaxis. Most likely cause is -
Angiofibroma
Ca Nasopharynx
Rhabdomyosarcoma
None
0a
multi
null
ENT
null