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135
7af4ddbb-fde0-4b78-a65b-3a07c93ff5ff
Mc Murray's osteotomy is done for-
Malunited interochantric fracture of femur
Nonunion transcervical neck fracture of femur
Nonunion lateral condyle fracture of humerus
Malunited supracondylar fracture of humerus
1b
single
*Mc Murray's osteotomy and Meyer's procedure (muscle pedicle graft) are used for non-union transcervical neck fracture of femur. INDICATIONS: 1. Nonunion of femoral neck 2. Advanced osteoahritis . PREOPERATIVE PLANNING : Determination of the size of the bone wedge to be removed, the position of the seating chisel which...
Orthopaedics
Pelvis and Hip injuries
dcf71412-6fe0-4f53-bed3-7218aa719ed2
Pelvic Inflammatory Disease occurs least common with :
OCPs
Condom
IUCD
Diaphragm
1b
single
Ans. is b i.e. Condom Barrier methods (especially condom) and OCP's both protect against PID, but the protection offered by OCP's is less than that by Barrier method. "The incidence of pelvic inflammatory disease (P1D) is reduced. though it does not reach the same low level as seen with the barrier methods." As far as ...
Gynaecology & Obstetrics
null
c21bbb42-0e90-40a7-8781-9267736efafe
Which of the following investigation is the BEST method of diagnosis of HIV in childhood?
CD4 cell counts
P24 antigen
ELISA
Anti HIV antibody
1b
single
The two tests used for diagnosing HIV infection in in children less than 18 months are detection of HIV nucleic acid (DNA or RNA) AND detection of HIV p24 antigen. Definitive diagnosis requires presence of reactive tests on two separate determinations using one of the above tests after 4 or 6 weeks and confirmed by the...
Pediatrics
null
07b293e8-7712-4888-a0b4-65b032cec437
Active replication in Hepatitis B in fection is indicated by -
HBeAg
HBsAg
HBcAg
Anti-HBsAg
0a
single
Circulating HBeAg Indicate of active intrahepatic replication REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.547
Microbiology
Virology
f6ae6ec6-9e00-4729-af19-bff76f8b2052
Which of the following types of bias can be reduced by by allowing equal interview time-
Berkesonian bias
Recall bias
Selection bias
Interviewer bias
3d
multi
Interviewer's bias Occur when interviewer knows the hypothesis and know who the cases are. This type of bias can be eliminated by double-blinding. (refer pgno:74 park 23 rd edition)
Social & Preventive Medicine
Epidemiology
67b68177-043a-4c45-8e19-e88a95b46b5a
The most common site of hypertensive intracranial hemorrhage is:
Putamen
Midbrain
Medulla
Cerebrum
0a
single
Ans. (a) Putamen* Basal Ganglia (Putamen) is the MC site of ICH.* Of all the hemorrhages in Brain - Intracerebral hemorrhage is the MC type of hemorrhage.* The MC cause of Intracranial bleed - Hypertension
Surgery
Nervous System
89db54b1-bbea-4cc9-981c-36f828b2bd62
The percentage of water in Liquor Amnii is:
42%
64%
76%
99%
3d
single
99%
Gynaecology & Obstetrics
null
51065d75-464c-4e93-b155-099fd658730f
Optic cup is derived from ?
Neural ectoderm
Surface ectoderm
Mesoderm
Neural crest
0a
single
Ans. is 'a' i.e., Neural ectoderm
Anatomy
null
73ded937-7187-4709-a756-dfec00a619a8
Which among the following about removable space maintainers are wrong?
Being tissue born, they impose less stress on the remaining teeth
By virtue of tissue stimulation they often accelerate the eruption of teeth between them
They can be functional in the truest sense, hence better patient co-operation can be expected
Easier to fabricate, requiring less chair-side time
2c
multi
The compliance of the removable appliance doesn’t improve with functional or non-functional type.
Dental
null
ab397b75-922a-496e-8469-738e5e17f713
X-ray of a young man shows hetrotopic calcification around bilateral knee joints. Next investigation would be-
Serum phosphate
Serum calcium
Serum PTH
Serum Alkaline phosphatase
3d
single
null
Orthopaedics
null
71840043-e6e8-4b9b-89ea-6d2fa441babe
Which of the following is a synthetic estrogen ?
Estrone
Estriol
Estradiol
Diethylstibestrol
3d
single
Ans. is 'd' i.e., DiethylstibestrolEstrogeno Ethinylestradiolo Diethylstibestrolo Mestranolo Hexestrolo Tiboloneo Dienestroi
Pharmacology
Sex-Hormone
497f41d8-70cc-4cbc-9fe1-91e6aac4544f
Hardy Weinberg law is related to
Gene therapy
Population genetics
Human genome project
Eugenics
1b
single
Hardy Weinberg law: states that the genotype frequencies in a population remain constant or are in equilibrium from generation to generation unless specific disturbing influences are introduced. Genetic equilibrium (HW law) is a basic principle of population genetics; the entire principle is based on Mendelian genetic...
Social & Preventive Medicine
null
072855bc-5876-4c6f-811c-35259b9d55e9
The most sensitive test for the diagnosis of herpes simplex (HSV) meningitis in a newborn infant is
HSV IgG antibody
HSV polymerase chain reaction (PCR)
HSV culture
Tzanck smear
1b
single
HSV meningitis or encephalitis is difficult to diagnose by laboratory tests as there is a low titer of virus present in the CSF. Neonatal HSV infects the child during the birth process. While culture, Tzanck smear, and even antibody tests may be useful in adults, particularly those with HSV-rich lesions, they are not u...
Microbiology
Virology
f9f76f1f-4394-4ab2-a9bc-8d17c584725e
Embryo proper is derived from which pa of morula:
Inner cell mass
Outer cell mass
Both of the above
None of the above
0a
multi
Approximately 3 days after feilization, cells of the compacted embryo divide again to form a 16-cell morula (mulberry). Inner cells of the morula constitute the inner cell mass, and surrounding cells compose the outer cell mass. The inner cell mass gives rise to tissues of the embryo proper, and the outer cell mass for...
Anatomy
null
d499e578-58a2-40c9-ae80-c99c6b719370
A 63-year-old man is noticed to have asymmetric pupils. He is completely well and has no symptoms. On examination, the left pupil is small, round, and has a brisk response to light and near stimuli (accommodation). There is also ptosis of the left eyelid, but no other ocular movement abnormality or symptoms of double v...
essential anisocoria
Horner syndrome
tonic pupils (Holmes-Adie syndrome)
Argyll Robertson pupils
1b
multi
Horner syndrome results in a small, round pupil on one side. Light and near reaction is brisk, and response to mydriatics and miotics is normal. The affected pupil will not dilate in the dark, so darkness accentuates the anisocoria. The syndrome is often idiopathic but can be caused by neoplasm, brain stem stroke, or c...
Medicine
C.N.S.
f46ec8fd-f343-435d-9e21-9ba5a9fcd4f2
A 67-year-old man complains of a lesion in his left eye. Physical examination reveals a triangular fold of vascularized conjunctiva growing horizontally into the cornea in the shape of an insect wing. Which of the following terms best describes this patient's lesion?
Loiasis
Onchocerciasis
Pinguecula
Pterygium
3d
multi
Pterygium is a fold of vascularized conjunctiva that grows horizontally onto the cornea in the shape of an insect wing (hence the name). It is often associated with a pinguecula (conjunctival lump, choice C) and frequently recurs after excision.Diagnosis: Pterygium
Pathology
Misc.
01f349cd-2497-4157-8369-310075d2fcab
Most reliable marker for hypothyroidism:
T3
T4
TSH
Thyroxine binding globulin
2c
single
Ans. (c) TSHRef : Harrison 19th ed. 12289* Best test for diagnosis of hypothyroidism is T.S.H (Thyroid Stimulating Hormone).* TSH can also be used for monitoring response to treatment.
Medicine
Endocrinology
76236204-9d44-4a6b-88f8-52c19b002976
This eyes sign is most likely seen in which condition:
Medial medullary syndrome
Lateral medullary syndrome
Optic chiasma lesion
Benedict syndrome
1b
single
Ans. B. Lateral medullary syndromea. Above image shows Ptosis of right eye.b. This shows paralysis of IIIrd Nervec. Lateral Medullary syndrome (Wallenberg Syndrome) is a neurologic disorder due to ischemia of lateral part of Medulla d/t involvement of Posterior inferior cerebellar artery (PICA)d. It is characterized by...
Medicine
C.N.S.
6a584592-6cf8-49c8-8bb4-a2c0c1a45233
All of the following amino acids are conveed to succinyl-CoA, except
Methionine
Isoleucine
Valine
Histidine
3d
multi
Valine, isoleucine, and methionine are conveed to succinyl CoA, whereas histidine is conveed to alpha-ketoglutarate and both are involved in the TCA cycle.
Biochemistry
Metabolism of protein and amino acid
fa8a1316-a482-40f6-a517-843e06478a72
Albers schonberg disease is also known as -
Osteoprosis
Osteopetrosis
OI
Paget's disease
1b
single
Ans. is 'b' i.e., Osteopetrosis o Osteopetrosis is also known as Marble bone disease or Albers-Schonberg disease.o Paget's disease is known as Osteitis deformans,o Osteogenesis imperfecta is known as Brittle bone disease,o Osteoporosis is known as Fragile bone disease.
Orthopaedics
Regional Disease
5cfb1668-9dc6-467d-b562-0e7f9622adbd
In OCP, estrogen is used in
Ethinyl estradiol
Norethisterone
Ethynodiol diacetate
Allyloestranol
0a
multi
A. i.e. (Ethinyl estradiol) (208 - Shaw 's Nth)COMBINED ORAL PILLS - usually contain a mixture of* Ethinyloestradiol or mestranol (20 to 30|ig)* Active progestogen - 19 morsteroid* Mala D contains -0.5 mg of D- norgestrel*** Mala N contains - 1 mg norethisterone** (Norgestrel 0.30 mg and Ethyl oestradiol 3.0 mg)* Treat...
Gynaecology & Obstetrics
Miscellaneous (Gynae)
61e7afae-3300-473c-9b74-8c511b7754e8
Blood group antigens belong to the class
Conjugated proteins
Unconjugated protein
Simple protein
Hemoglobin binding protein
0a
single
For red blood cells, the membrane oligosaccharides that determine the antigenic natures of the ABO substances appear to be mostly present in glycosphingolipids, whereas in secretions the same oligosaccharides are present in glycoproteins. Some examples of conjugated proteins are lipoproteins, glycoproteins, phosphoprot...
Biochemistry
Structure and function of protein
a236f205-f584-4ec7-b2b3-ff8a4bc9e61b
Bill's bar divides:
Facial nerve and cochlear nerve
Facial nerve and superior vestibular cochlear nerve
Facial and inferior vestibule cochlear nerve
Superior and inferior vestibule cochlear nerve
1b
single
Ans. (b) Facial nerve and superior vestibular cochlear nerveRef: Dhingra's ENT 6th ed.l 90-91* Bills bar divides the superior compartment of the internal acoustic meatus into an anterior and posterior compartment.* Anterior to Bill's bar, are the facial nerve (in the anterior superior quadrant) and nervus intermedius, ...
ENT
Facial Nerve And Its Disorders
c34231e2-75d8-4815-9b5e-6aedc87174e5
Contraceptive effect of CuT-380A lasts for how many years?
5
10
15
20
1b
single
Ans. (b) 10 yearsShaw 15ih227-8Name of deviceEffective period* CuT 380A10 years* Nova T-Silver5 years* Multiload3755 years* Multiload2503 years
Gynaecology & Obstetrics
Non-Hormonal - Intrauterine Devices
8d07a565-697f-46c8-b7d1-282a639c4d3a
Stereocilia and kinocilium are present in
Tongue
Inner ear
Nose
Eye
1b
single
(B) Inner ear > A kinocilium is a special type of cilium on the apex of hair cells located in the sensory epithelium of the vertebrate inner ear. Stereocilia (or stereovilli) are apical modifications of the cell, which are distinct from cilia and microvilli, but closely related to the latter. They are found in three re...
Physiology
Special Senses: Hearing and Equilibrium
4dd662ee-89c8-402d-b454-7ac917e250a7
True about tubercular otitis media are all except
Spreads through Eustachian tube
Causes painless ear discharge
May cause multiple perforations
Usually affects both ears
3d
multi
Tubercular otitis media In most of the cases, infection is secondary to pulmonary tuberculosis; infection reaches the middle ear through the eustachian tube. Perforation: Multiple perforations, 2 or 3 in number, are seen in pars tensa and form a classical sign of disease. These may coalesce into a single large perforat...
ENT
Ear
13ac6b08-b090-4414-8c5f-78440a715688
Which of the following is the most specific screening test for renovascular hypeension:
Magnetic Resonance Angiography (MRA)
Spiral Computed Tomographic Angiography (CT Angiography)
Captopril induced Radionucleotide Scan (Captopril Renogram)
Duplex Doppler Ultrasonography
0a
single
Answer is A (Magnetic Resonance Angiography (MRA) Magnetic Resonance Angiography (MRA) has now emerged as the most sensitive and specific screening test for Renovascular hypeension. Note: Harrison 16'h edition (old) mentions Spiral CT scan as the most sensitive and specific screening test for Renovascular Hypeension, h...
Medicine
null
6af6489a-e510-499e-af47-b416ed215340
INR in warfarin therapy is?
1.5
2.5
3.5
4.5
1b
single
ANSWER: (B) 2.5REF: Harrison 18th ed chapter 118For most indications, warfarin is administered in doses that produce a target INR of 2.0- 3.0. An exception is patients with mechanical heart valves, where a target INR of 2.5-3.5 is recommended. Studies in atrial fibrillation demonstrate an increased risk of cardioemboli...
Medicine
Bleeding and Thrombotic Disorders
53222922-d241-49e2-abc4-6372d74c97a2
Calculate the osmolarity of a solution which contains 180 gm of glucose per dl, 117 gm of Nacl per dl and 56 gm of BUN per dl-
20 osmol/L
30 osmol/L
50 osmol/L
70 osmol/L
3d
single
Ans. is 'd' i.e., 70 osmol/L * One mole of osmotically active particles is called one osmole.* In case of non-dissociated solutes, one gram molecular weight of any substance contain similar number of osmotically active molecules (osmoles), thus a molar solution of glucose contains 1 osmole.* On the other hand, in case ...
Physiology
Kidneys and Body Fluids
f3bfd1ab-04f6-4254-93ad-cd18b7fa5897
Sex worker with discharging ulcer, gram-negative diplococci & growth on modified Thayer Martin media. Diagnosis
N. gonococci
Syphilis
LGV
Chancroid
0a
single
Information in this question are - i. Gram negative diplococci. ii. Growth on modified Thayer-Martin media. Neisseria gonorrhoeae is a gram negative diplococci and Thayer-Martin medium is the selective medium for gonococci.
Dental
null
a2b9afb7-78c5-4cba-808c-ebc2107ecb3c
All of the following are pathological features associated with Crohn's disease except: March 2012
Skip lesions
Non caseating granulomas
Cobblestone appearance
Toxic megacolon
3d
multi
Ans: D i.e. Toxic megacolonInflammatory bowel diseasePresence of multiple, separate, sharply delineated areas of disease, resulting in skip lesions, is characteristic of Crohn's disease and may help in differentiation from ulcerative colitisNon-caseating granuloma, a hallmark of Crohn disease, are found in approximatel...
Pathology
null
ddca855f-8379-4016-9830-2d75c480d96e
Anxiety states can be induced by the following except
Cholecystokinin
Yohimbine
Sodium Lactate
Isoproterenol
0a
multi
(A) Cholecystokinin # SUBSTANCE/DRUG INDUCED ANXIETY DISORDER:> The essential features of substance-induced anxiety disorder are prominent and persistent feelings of anxiety that are judged to be due to the direct physiological effects of intoxication or withdrawal from a substance. Prominent anxiety, Panic Attacks, or...
Psychiatry
Miscellaneous
522577d8-c2f2-4c60-b21d-41d67623c966
A 16-yrs-old girl presents with bowel obstruction. Laparotomy reveals markedly enlarged para-aoic lymph nodes. Biopsy of lymph nodes exhibit a diffuse neoplastic infiltrate of small, round lymphocytes with a "starry sky" appearance on low power. The cytoplasm of some of the lymphocytes is vacuolated and fat stains are ...
Positive non-specific esterase stain of the cells
Positive specific esterase stain of the cells
Low leukocyte alkaline phosphatase score
t(8;14) translocation
3d
multi
The patient has Burkitt lymphoma (Lukes-Collins; small non-cleaved), which is the most common malignant lymphoma in children. Approximately one-third of all childhood lymphomas in the United States are of the Burkitt type. There is an American and a Noh American variant. The relationship of Burkitt to the Epstein-Barr ...
Pathology
General pathology
a0033c5a-cffd-4363-a5ae-6930d5017890
Which of the following is TRUE/FALSE about weight loss? a) Psychiatric disorders are a major cause of involuntary weight loss. b) Up to 20% of all cancer deaths are caused directly by cachexia. c) Connective tissue diseases decreases metabolic demand. d) Hypehyroidism in the elderly have more prominent sympathomimetic ...
a,b,c,d,e-True None-False
a,b,c-True & d,e-False
a,b,c,d-True & e-False
a,b,e-True & c,d,-False
3d
multi
Connective tissue diseases may increase metabolic demand and disrupt nutritional balance. Hypehyroidism in the elderly may have less prominent sympathomimetic features and may present as "apathetic hypehyroidism" or T3 toxicosis Ref:Harrisons Principles of Internal Medicine, 18th Edition, Pages 642- 44
Medicine
null
a4d177f3-419e-4261-a966-cc37f54e6f03
In aoic dissection blood enters in -
Intima
Media
Adventitia
Any of the above layer
1b
multi
Ans. is `b' i.e., MediaAoic dissection o Aoic dissection is a catastrophic illness characterized by dissection of blood between and along the laminar planes of aoic media.o Blood enters inside the aerial wall (in the media layer) and leads to formation of blood filled channels within the aoic wall, which often ruptures...
Pathology
null
e499a6bf-a507-4607-ba93-119a928df307
CrPC 26 -
Division of offence
Division of negligence
Division of malpractice
None
0a
multi
Ans. is 'a' i.e.. Division of offenceo According to Sec 26 of CrPC, 1973, Offences under the Criminal Procedure Code (hereinafter the "CrPC1') are divided into:1. Offences under Indian Penal Code (IPC) (triable by HC, Sessions Court and other court shown in the 1st Schedule to the CrPC)2. Offences under any other law (...
Forensic Medicine
Introduction to Forensic Medicine and Medical Jurisprudence
b6c6dfc7-ea00-4e01-82f1-5eb2bce7f8ba
Claw hand is caused by lesion involving which of the following nerves?
Ulnar nerve
Median nerve
Radial nerve
Posterior interosseous nerve
0a
single
Claw hand or "main en griffe", is an abnormal posture of hand with hyperextension at metacarpophlangeal joints (fifth, fouh and to a lesser extent third) and flexion at interphlangeal joints. This results from ulnar nerve leisions above the elbow or injury to the lower pa of brachial plexus, producing wasting and weakn...
Surgery
null
baf5ed68-b5c9-4a35-99e5-536c0855fc94
The ADA specification No 1 for composition of amalgam alloy, recommends,
65% silver, 32% tin and 3% copper
49% silver, 32% tin and 19% copper
65% silver, 29% tin and 5-6% copper
None of the above
2c
multi
null
Dental
null
d3cd64e3-0bbb-48b8-a4e9-7b3aeb66c5c8
Oestrogen causes proliferation of
Intermediate cells
Superficial cells
Basal cells
Both superficial and intermediate cells
1b
multi
Oestrogen causes proliferation of glycogen containing superficial cells and progesterone causes proliferation of intermediate cells.
Gynaecology & Obstetrics
null
8a2a49ca-1248-4421-ba4b-ae69c2965424
Anterior resection is done for a patient with rectal cancer. Post operatively he presents with pain. Biopsy shows involvement of muscular wall but no penetration. Out of the 13 lymph nodes, one is involved. But the high tide lymph node is not involved. Modified duke stage
C1
C2
D1
D2
0a
multi
Ans. (a) C1Ref Page 1209/ Schwartz 10th editionThough there were lots of named colonic cancer staging used.All are replaced by only TNM staging now.For exam point of view we still read those outdated stagings.DukesACMACDescriptionAAALimited to mucosa, N0 B1B1Penetration into Submucosa, not through Muscularis propria, N...
Surgery
Rectum
de4fce81-ce14-422b-8f68-b6c276f47f83
WHO prognostic score for a high-risk GTN is
>= 6
>= 7
>= 10
>= 15
1b
single
Modified World Health Organization Prognostic Scoring System, as Adapted by FIGO, by which women whose score is 0-6 are Considered Low Risk (Requiring Single-Agent Chemotherapy) and score of 7 or more, High Risk (Requiring Multiagent Combination Chemotherapy)Scores0123Age<40>= 40----Antecedent pregnancyMoleAboionTerm--...
Gynaecology & Obstetrics
General obstetrics
152b8229-eba2-4177-ba44-05e87a99be79
A 5 yr old male child presented with H/O recurrent infections. O/E the child has rashes as shown below. Routine blood investigation reveal patient has low platelets. Which of the following diagnosis is possible?
Job syndrome
Wiskott Aldrich syndrome
Measles
Henoch Schonlein purpura
1b
single
Wiskott Aldrich syndrome Etiopathogenesis: X linked recessive disorder Defect in WASP gene (Chr Xp11) Clinical: Characterized by recurrent infections, eczema like rash & thrombocytopenia Prolonged bleeding from circumcision site Bloody diarrhea Streptococcus pneumoniae & other bacteria having polysaccharide capsules ca...
Pediatrics
Paediatrics
d2a5f163-4988-469b-a1b8-5a67607af0cf
A pregnant woman with severe mitral stenosis is likely to undergo failure in the anetnatal period. Best method to prevent cardiac failure in this patient is?
T. Furosemide through out pregnancy
Balloon mitral valvuloplasty in second trimester
Digoxin for all hea patients
Admit all at 30 weeks
1b
multi
Balloon mitral valvuloplasty is the best treatment to prevent failure in severe MS. The ideal time for surgery would have been the interpregnancy interval, but since the patient is already pregnant, 20 - 24 weeks is the most preferable time. However in cases of severe mitral stenosis, surgery may be performed any time ...
Gynaecology & Obstetrics
Obstetrics
570edb36-2ea3-4332-9e2f-9d7a84380ae2
False statement about hemoglobin structure?
Hb has 2 polypeptide
Iron is present in ferrous state
Hb structurally similar to myoglobin
Ferrous ions are in porphyrin rings
0a
multi
Each hemoglobin molecule is made up of:- (i) Non-protein part, i.e. heme; and (ii) Globin, which has 4 polypeptide chains (2 pairs of similar polypeptide chains). Iron of hemoglobin is in the ferrous state which lies in the center of the porphyrin ring. Myoglobin and the β-subunits of hemoglobin share almost identical ...
Biochemistry
null
77c8d088-aa1e-47ac-ba0a-dcf7fa6aeb6f
Calcium blocking agents of use in the treatment of hypeension include
Prazosin
Lidoflazine
Captopril
Nifedipine
3d
single
Nifedipine The overriding action of Nifedipine is aeriolar dilation, t.p.r. decreases and BP falls.Doesn&;t depress SA node or A-V conduction.Reflex sympathetic stimulation of hea predominates leading to tachycardia, increased contractility and C.O., coronary flow is increased.Its use is associated with higher moality ...
Pathology
All India exam
7d522951-4753-48eb-a991-e28526373fe4
Term 'schizophrenia' was coined by:TN 06; Ranchi 10; NEET 13
Eugene Bleuler
Kraepelin
Freud
Schneider
0a
single
Ans. Eugene Bleuler
Forensic Medicine
null
e2a52764-12ce-486f-ac9d-6658523eed8f
Which of the milestone develops first –
Mirror play
Crawling
Creeping
Pincer grasp
0a
single
A child enjoys watching his own image in the mirror (mirror play) by 6 months. A child crawls in the bed by 8 months. Full creeping and crawling develop by 10 months. Pincer grasps develops by 9 months.
Pediatrics
null
8b35c055-0318-4a2c-bba6-75636b5e09ef
A 40-year-old lady with temporal field defects and galactorrhoea is most likely to have -
Pituitary macroadenoma
Craniopharyngioma
Lactational failure
Pregnancy
0a
single
Temporal field defects in women with galactorrhoea suggests pituitary macroadenoma. Increased secretion of prolactin causes amenorrhoea, galactorrhoea and the mass effect of the tumour on the optic nerve produces headache and visual field defect.
Medicine
null
805fb388-be9b-406a-b8ab-d1c8d0c94472
The following general anaesthetic causes characteristic 'dissociative anesthesia':
Thiopentone
Althesin
Ketamine
Barbiturate
2c
single
The characteristic state observed after an induction dose of ketamine is known as "dissociative anesthesia," wherein the patient's eyes remain open with a slow nystagmic gaze (cataleptic state). If ketamine is administered as the sole anesthetic, amnesia is not as complete as with the benzodiazepines. Reflexes are ofte...
Anaesthesia
null
e96c8f49-bd1c-4476-bbfa-4e468181a3be
3 year old child with red scrotal swelling which shows self resolution by next day morning and maximum in evening with positive transillumination test. Diagnosis:
Scrotal abscess
Congenital hydrocele
Secondary abscess
Infantile hydrocele
1b
single
Ans. (b) Congenital hydroceleRef: Bailey & Love 26th ed. /1382* Hydrocele is an accumulation of fluid in layers of tunica vaginalis.* Vaginal hydrocele: MC type. Accumulation of fluid within tunica vaginalis layers* Infantile hydrocele: doesn't necessarily appear in infants. The tunica and processus vaginalis are diste...
Surgery
Inguinal Hernias
582ba6ec-4ad2-4166-83f4-ed9643560d45
A 5 year old girl came with history of progressively increasing pallor since bih and hepatosplenomegaly. Which of the following is the most relevant test for achieving diagnosis -
Hb electrophoresis
Peripheral smear examination
Osmotic fragility test
Bone marrow examination
0a
multi
<p>Hb electrophoresis helps to confirm beta thalassemia (Hb F increased ,HbA2 increased ). </p><p>Reference :Harsh mohab textbook of pathology sixth edition pg no 322.</p>
Medicine
Haematology
3c2f22cc-ad0f-4898-8ca4-3616fd8bc167
Conjunctival mucosal overgrowth over cornea-
Pterygium
Pingecula
Vernal keratoconjunctivitis
Herbe's pit
0a
single
Pterygium is a degenerative conjunctival fold which encroaches on the cornea in the palpebral area. It must be differentiated from pseudopterygium (an inflammatory fold of conjunctiva encroaching on cornea).Pterygium (L. Pterygion = a wing) is a wing-shaped fold of conjunctiva encroaching upon the cornea from either si...
Ophthalmology
Conjunctiva
e7339d15-f4f7-4ecf-8113-ea6272485cbd
A female developed ovarian hyperstimulation syndrome during the treatment of infeility. What is the MOST common cause of ovarian hyperstimulation?
FSH/LH therapy
GnRH drugs
Clomiphene
Danazol
0a
single
Ovarian hyperstimulation syndrome (OHSS): It is a clinical symptom complex associated with ovarian enlargement resulting from exogenous gonadotropin therapy. Symptoms may include abdominal pain and distension, ascitis, gastrointestinal problems, respiratory compromise, oliguria, hemoconcentration, and thromboembolism. ...
Gynaecology & Obstetrics
null
3e028cce-7825-488a-9801-9b2851eba6a6
Lymphatics of suprarenal gland drain into______ lymph nodes
Internal iliac
Para-aortic
Superficial inguinal
Coeliac
1b
single
Ans. b (Para-aortic nodes) (Ref BDC vol. 2 /4th/307)Lymphatics of adrenal/suprarenal gland drain into lateral/para-aortic nodes.Lymphatic Drainage of the Suprarenal Glands# The lymph vessels arise from a plexus deep to the capsule and from one in the medulla.# Most of lymphatics that leave the suprarenal glands end in ...
Anatomy
KUB & Adrenal Gland
f4623db5-ce8a-4ef7-9757-a577e089590b
Most common nerve injured in ligation of sup thyroid artery -
RLN
Facial N.
Mandibular M.
External laryngeal nerve
3d
single
The external laryngeal nerve lies in relation to superior thyroid artery. The recurrent laryngeal nerve lies close to superior laryngeal artery.
ENT
null
60c99d7a-f832-4a1a-b1c9-796f9860da16
Burn caused by moist heat is known as:
Scalds.
Scars.
Ordinary burn.
None.
0a
multi
null
Surgery
null
aeef69e2-0427-4278-9325-3d03bc73f83c
In central serous retinopathy-
Often shows focal leakage on fluorescein fundus photography
A macular hole is a common end result
The image perceived by the patient on the affected side in unilateral cases is bigger than on the normal side
A dense central scotoma is the most common presentation
0a
single
Ans- A Ref- Central serous chorioretinopathy is when fluid builds up under the retina. This can distort vision. The fluid leakage comes from a layer of tissue under the retina, called the choroid. There is another layer of cells called the retinal pigment epithelium (RPE). When the RPE doesn't work as it should, fluid ...
Unknown
null
00cb04ae-97ba-4b21-bb5f-786ac9857b93
Lens derives nutrition from
Vitreous
Aqueous
Optic aery
Ophthalmic aery
1b
single
Lens being an avascular structure receives its nutrition from the aqueous like glucose salts, etc, by diffusion processRef: Parsons diseases of the eye; Under the heading lens
Physiology
Nervous system
e52dcade-6f4e-4d8a-ad21-c15bdcf2acd3
Halofantrine is used for -
Falciparum malaria
Visceral leishmaniasis
Leprosy
Amoebiasis
0a
single
Ans. is 'a' i.e., Falciparum Malaria o It is mainly used for multidrug resistant falciparum malaria.
Pharmacology
null
1ff76bee-8551-43b8-b596-3f84cf1e5cc4
Hormones with increased production during the day and less in nights is/are:
ACTH.
Cortisol
Insulin
All of the above.
3d
multi
null
Physiology
null
1878b309-9716-427f-b311-f5e5d0ac034b
Propranolol can be used in all of the following conditions EXCEPT:
Thyrotoxicosis
Variant angina
Migraine
Hypertension
1b
multi
null
Pharmacology
null
29d47018-26d2-47e0-9d1e-1470d28ec9e4
For which of the following enzymes, thiamine pyrophosphate (TPP) acts as Cofactor
Pyruvate Dehydrogenase
Alpha Ketoglutarate dehydrogenase
Branched chain ketoacid dehydrogenase
All of the above
3d
multi
null
Biochemistry
null
504b69fd-13d3-4579-80a4-a6637e715040
A 7 year old boy is referred to a specialty clinic because of digestive problems. He often experiences severe abdominal cramps after eating a high fat meal. He is worked up and diagnosed with a genetic defect resulting in a deficiency of lipoprotein lipase. Which of the following substances would most likely be elevate...
Albumin-bound free fatty acids
Chylomicrons
HDL
LDL
1b
single
After eating a high fat meal, triglycerides are processed by the intestinal mucosal cells. They are assembled in chylomicrons and eventually sent into the circulation for delivery to adipocytes and other cells. Chylomicrons are too large to enter cells, but are degraded while in the circulation by lipoprotein lipase. A...
Biochemistry
null
16b7dee9-fb45-4bd5-8bb7-c9af6089c51c
The fastest dental film currently available has the speed rating of
"D" speed
"C" speed
"F" speed
"E" speed
2c
single
null
Radiology
null
97f216ae-84dc-4897-a3dc-8f4585a8e1cb
Tinel sign is indicative of
Axonal conduction
Diffuse axonal injury
Axon degeneration
Muscle ischaemia
2c
single
Tinel's sign : It records regeneration of nerve by Tapping on the nerve course from distal to proximal direction, tingling sensation is felt at the sprouting nerve ends till the distal course of the nerve (law of Projection)
Physiology
null
02eed3c7-c2dc-46b2-9039-6ac4456cb675
A 7 year old female child is brought to you with features of precocious pubey. On examination she has features of virilisation and is hypeensive. Which of the following enzyme deficiency is responsible for her condition?
21 - hydroxylase
11 - hydroxylase
17 - hydroxylase
3b- hydroxy steroid dehydrogenase
1b
single
The features of 11 - hydroxylase deficiency in a female are precocious pubey, hypeension, virilization etc. Also know: 1) Hypeension occurs in 17 - hydroxylase and 11 - hydroxylase deficiency 2) Male pseudohermaphroditism occurs in 17 - hydroxylase and 3b-hydroxysteroid dehydrogenase deficiency 3) Female pseudohermaphr...
Physiology
null
3f41c320-2535-4f7a-b0b5-42407e015b8c
A 2.5-week-old boy is brought to pediatrics emergency depament with projectile vomiting which is non-bilious. On physical examination, firm, olive like mass is noted in the epigastric region and USG revealed the following findings. The child underwent surgical management. On week later, the child presents again with lo...
Post-operative infection
Rotavirus
Dumping syndrome
Non resolution of the pre-op symptoms
2c
single
The clinical symptoms, examination with USG findings of thickened pyloric muscle (>3mm) and elongated pyloric canal (>15mm) reveal the diagnosis as CHPS- congenital hyperophic pyloric stenosis. The management image represents surgical pyloromyotomy. Post surgical management - pyloric sphincter dysfunction leads to deli...
Unknown
Integrated QBank
7f4e055e-a49f-45bc-81b4-adc0a9e45953
Commonest site of meningocele is
Lumbosacral
Occipital
Frontal
Thoracic
0a
single
• Herniation of meninges through a defect in the posterior vertebral arches. • Spinal cord is usually normal and assumes a normal position in the spinal canal • There may be tethering, syringomyelia, or diastematomyelia. Clinical Features • A fluctuant midline mass, that may transilluminate occurs along the vertebral c...
Surgery
null
043dd197-d08f-410a-9e68-e643a52f8c0b
P. carini causes infection primarily in?
Rats
Guinea pig
Rabbits
Humans
0a
single
Pneumocystis jirovecii causes infection Primarily in Rats. Pneumocystis jirovecii (previously P. carinii) is the causative organism of Pneumocystis pneumonia paicularly among immunocompromised hosts. P. jiroveci causes PCP in human with HIV if, their CD4+ cells count below 200/uL.
Microbiology
Mycology
b4816029-73d3-4c73-af3a-df1cddbe4fa5
An anganwadi worker is trained for -
3 months
4 months
5 months
6 months
1b
single
-under ICDS Scheme, there is an anganwadi worker for a population of 400-800. - anganwadi worker is selected from the community itself - undergoes a training in various aspects of health, nutrition and child development for 4 months. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:903...
Social & Preventive Medicine
Health education & planning
0ef38e3e-5f3c-4479-b410-4dd92af8a7eb
Mycoplasmas differ from chlamydiae in that they are
Susceptible to penicillin
Able to grow on artificial cell-free media
Able to cause urinary tract infection
Able to stain well with Gram's stain
1b
single
Mycoplasmas lack a rigid cell wall and are bound by a triple-layer unit membrane. For this reason, they are completely resistant to the action of penicillins. Unlike the chlamydiae, they can replicate in cell-free media.
Microbiology
Bacteria
4f07ac95-23f6-422b-a9ce-6611c5175be9
Pneumatoceles often develop in children after pneumonia due to the following organism
Klebsiella
Streptococcus
Staphylococcus aureus
Haemophilus influenzae
2c
single
Radiological signs are extensive in a form of massive consolidation.E.coli,Klebsiella ,staphylococcus pneumonia have pneumatoceles. Ref : Essential pediatrics,O.P.Ghai,7 th edition,pgno:355
Pediatrics
Respiratory system
c65619f0-aeb3-46f1-8b3b-9671a864e084
The following drug penetrates into caseous necrosis in TB-
INH
Rifampicin
Pyrazinamide
Streptomycin
1b
single
Ans- B RIFAMPICIN: 1.most effective anti- tubercular drug 2.Most bactericidal antitubercular drug 3.Only bactericidal drug effective against persisters or dormant bacilli in solid caseous lesson 4.Acts on extracellular as well as intracellular organisms 5.Antitubercular drug causing rapid sputum conversion 6.Antituberc...
Unknown
null
6d072e93-1c1d-4e18-8bae-9a2c9e9ca45a
Type I MEN involves all except-
Pancreas
Adrenal
Pituitary
Parathyroid
1b
multi
MEN type 1 (MEN 1), which is also referred to as Wermer's syndrome, is characterized by the triad of tumors involving the parathyroids, pancreatic islets (gastrinomas, insulinomas, nonfunctioning and PPoma, glucagonoma, VIPoma) and anterior pituitary (prolactinoma, somatotrophinoma, coicotropinoma, nonfunctioning). Ref...
Medicine
Endocrinology
fa57122c-520b-4f0b-b527-aba74c9f3cc8
Ectopic tissue in stomach is of the origin of
Spleen
Pancreas
Liver
Kidney
1b
single
Pancreatic tissue outside boundaries of the pancreas without anatomic or vascular connections to the pancreas, Also called ectopic pancreas. Ectopic pancreas can be found in submucosa of stomach, duodenum or small intestine, gallbladder, spleen Reference Bailey and love&;s edition 24 page no .1120
Surgery
G.I.T
abbea89c-f90f-4766-9fe2-a86f05ca5ffd
True statement about burn resuscitation -
Colloid preferred in initial 24 hrs
Colloid preferred if burnt area is > 15 % of total BSA
Half of the calculated fluid given in initial 8 brs.
Urine output should be maintained at 50-60 mL/hr.
2c
multi
Ans. is 'c' i.e.. Half of the calculated fluid given in initial 8 hrs. o Proper fluid management is critical to survival in a bum patient.o The hypovolemic shock in bum patient is special in the sense that the total body water remains unchanged in a burn patient. The thermal injury leads to a massive fluid shift from i...
Surgery
Initial Care of the Burn Patient
36e3cace-10a3-4e77-9d66-76bc1423bd24
Hypeension is seen with all except
Erythropoietin
Cyclosporine
NSAID
Levodopa
3d
multi
levodopa Drug causing hypeension * Cocaine * MAO Inhibitors * Cyclosporine * Glucocoicoids * Oral contraceptives * Tricyclic antidepressants * NSAID, Rofecoxib * Sympathomimetics Ibuprofen, Naproxen * Clonidine withdrawl * Decongestants (pseuodephedrine) * Erytlu-opoietin Drugs causing hypotension * Theophylline * Aden...
Pharmacology
null
62d267e2-0b0c-43ef-ae45-f18f67c06cb2
Frequency distribution is studied by
Histogram
Line diagram
Pie diagram
Ski diagram
0a
single
Ans. is 'a' i.e., Histogram
Social & Preventive Medicine
null
bf4e3d0f-cafb-4200-8921-beb13c9b3abe
All are features of psychosis except ?
Loss of insight
Presence of delusions
Preserved contact with reality
Personality disturbances
2c
multi
Ans. is 'c' i.e., Preserved contact with reality Psychosis Psychosis is a mental state involving the loss of contact with reality, causing deterioration of normal social functioning. The characteristic features of psychosis are : - Gross impairment in reality testing, i.e., loss of contact with reality. Marked disturba...
Psychiatry
null
a1307734-9b5e-4700-90d8-c6063fc1cdd4
Most commonly injured tarsal bone ?
Talus
Navicular
Cunieform
Calcaneum
3d
single
Ans. is 'd' i.e., Calcaneum Calcaneum is the most commonly fractured tarsal bone In 5-10% of cases fracture is bilateral Most common mechanism of injury is fall from height, often from a ladder, onto one or both heels. The calcaneum is driven up against the talus and is split or crushed. About one fifth of these patien...
Surgery
null
ee1b31b7-e393-4807-890c-072f459f80e2
Boxer's fracture is -
Radial styloid fracture
Reverse colle's fracture
5 th metacarpal fracture
1st metacarpal fracture
2c
single
Ans. is 'c' i.e., 5th metacarpal fracture EponymFractures of Upper limbMontegia fracture dislocationFracture of the proximal third of ulna with radial head dislocation.Galeazzi fracture dislocationFracture of the distal third of the radius with dislocation of the distal radio-ulnar joint.Colie's fractureFracture at cor...
Orthopaedics
Fractures of Metacarpals, Phalanges, Metacarpo-Phalangeal Joints
88a1e801-313d-48c8-bdca-4451c6f3a9c2
Drug of choice for treponema is:
Pencillin
Tetracycline
Azithromycin
Doxycycline
0a
single
Pencillin
Pharmacology
null
7bbb8f08-2700-4820-94bd-b52d4bf160db
Sensations of spinothalamic tract are:
Pain, temperature & undifferentiated touch
Static proprioception
Temperature only
Proprioception
0a
single
Ans: a (Pain, temperature & undifferentiated touch)Ref: Ganong, 22nd ed Pg.141Dorsal column transmits:Anterior spinothalamic tract transmits:Fine touchCrude touchVibrationPressureJoint position sense Lateral spinothalamic tract transmits:Cortical sensations:PainTactile localisationTemperatureTwo point discriminationSte...
Physiology
Nervous System
9e28d7df-c3b9-479b-874a-b7cef9fa1f91
Which of the following causes opening of eustachian tube
Salpingopharyngeus
Levator veli palatine
Tensor veli palatine
None of the above
2c
multi
The medial fibres of tensor veli palatine are attached to the lateral lamina of the tube and when they contract they help to open the tube lumen. These fibres also called dilator tube muscles. Reference: Dhingra 6th edition.
ENT
Ear
de00ead6-545f-4c86-9b69-97d33f48c9e7
A young lady presented with white lacy lesions in oral cavity and her proximal nail fold has extended onto the nail bed. What is the likely diagnosis –
Psoriasis
Geographic tongue
Lichen planus
Candidiasis
2c
single
Presence of white lacy lesions in the oral cavity and proximal nail fold prolonged on to nail bed (pterygium) suggest the diagnosis of lichen planus.
Dental
null
968ccd8d-248b-4f2f-b245-fb597e165def
Postmoem rigidity FIRST stas in which of the following organs?
Eyelids
Neck
Upper limbs
Lower limbs
0a
single
Postmoem rigidity is first apparent in the smaller muscles eg eyelids and jaw, and then it becomes evident in the remainder. Typically it is seen first in the face, then it progresses to shoulders and and finally in the large muscle groups of the limbs (Nysten's rule). In the initial 30 minutes after death there is no ...
Forensic Medicine
null
80f17643-941f-4fd4-aa78-14f8084cf1fc
Budd Chiari syndrome is due to thrombosis of -
Infra renal IVC
Renal part of IVC
Superior mesentric vein thrombosis
Hepatic veins
3d
single
null
Surgery
null
c804ecaf-25a9-433c-bfcf-be3d596c2d4a
What is the GFR (mL/min per 1.73m2) of a patient who is in G4 category of chronic kidney disease
60-89
30 - 59
15 - 29
< 15
2c
single
Reference: Harrison's Principles of Internal Medicine; 20th edition; Chapter 335 Chronic Kidney Disease , pg 2112
Medicine
C.V.S
fdcb8163-fd65-40a7-b2e7-f3017e189ac2
Which of the following is the least common cause of ambiguous genitalia in a female child –
Fetal placental steroid sulfatase deficiency
Fetal placental aromatase deficiency
Congenital adrenal hyperplasia
WNT–4 gene mutation
0a
single
Placental steroid sufatase deficiency is an X-linked disorder (affects only males) that does not lead to ambiguous genitalia in a female child. 'Placental steroid suflatase deficiency is a rare X-linked disorder and all affected fetuses are males' William's 22nd/81 Congenital adrenal hyperplasia is the most common caus...
Pediatrics
null
81ae860a-0f78-4870-b8b9-5f54a533b966
Molar pregnancy can be best diagnosed by
Clinical history & examination
Ultrasound study
Laproscopy
CT Scan
1b
single
USG is the investigation of choice for molar pregnancies.
Radiology
null
792fe63e-edec-4623-a6dc-4ca14796de86
Minimum time of diagnosis for manic illness: DNB 10; AIIMS 14
1 week
1 month
1 year
2 years
0a
single
Ans. 1 week
Forensic Medicine
null
d2f83333-6750-429e-9c39-49d49d15f791
All of the following metabolic process occur in the mitochondria, EXCEPT:
Urea cycle
TCA cycle
Beta oxidation of fatty acids
Fatty acid synthesis
3d
multi
Fatty acid and triacylglycerol synthesis occur in the cytoplasm, but its precursor acetyl CoA is formed in the mitochondrial matrix. Beta oxidation of fatty acid occur in the matrix of the mitochondrion. Beta oxidation begins as soon as fatty acyl CoA appear in the matrix using repeated cycle of 4 steps. With each step...
Biochemistry
null
16a22945-f67c-4a21-a166-79f922d56219
All of the following are features of flat type of pelvis except: (Repeat)
Narrow subpubic angle
Short concave sacrum
Divergent side walls
Wide sciatic notch
0a
multi
Ans: A (Narrow subpubic angle) Ref : Grays Anatomy 40th Ed pg.1329Explanation:All pelvic measurements display individual variation and the values quoted are means from limited surveys.Sexual and racial differences also occur.Many attempts to classify human pelves, especially female.The four most common terms used today...
Anatomy
Misc.
62075103-dca3-4de1-8bec-cd92b9c5b3b7
Most common site of genital tuberculosis is :
Abdomen
Pulmonary
Fallopian tubes
Ovary
2c
multi
Fallopian tubes
Gynaecology & Obstetrics
null
28f0d37e-ceae-419c-86fb-ad57af6abb6e
All are the methods of Aerial blood pressure monitoring except
Capnography
Radial aery cannulation
Oscillometry
Aerial Tonometry
0a
multi
Cardiovascular monitoring Noninvasive Aerial Blood Pressure monitoring methods : Palpation Doppler Auscultation Oscillometry Aerial Tonometry Invasive Aerial Blood Pressure monitoring method Aerial cannulation ( eg : radial, ulnar, femoral ,etc) Pulmonary aery catheterization Central venous catheterization Cardiac outp...
Anaesthesia
Monitoring in Anesthesia
b862db84-7194-47d1-b313-574c620b216e
Coccobacillus grown in BYCE medium is
Legionella
Streptobacillus
Gardenella
Neisseria
0a
single
Coccobacllus which have fatidious requirements and grow on complex media such as buffered charcoal,yeast extract (BYCE) agar,with L_cysteine and antibiotic supplements with 5%CO2 at PH_6.9, temperature 35degC and 90% humidity is legionella. Ref: anantnarayan and panikers 10 th edition
Microbiology
Bacteriology
47761127-3ba6-4f47-b49b-dc4fa6481606
Fructose absence in semen analysis suggests:
Bilateral vas deferens obstruction
Seminal vesicles agenesis
Testicular failure
Prostatic urethral obstruction
1b
single
Abnormalities Low ejaculate volume may indicate: Retrograde ejaculation Ejaculatory duct obstruction Incomplete collection Androgen deficiency Azoospermia: Testicular failure Obstruction of vas deferens Absence of fructose: Seminal vesicle agenesis or obstruction
Surgery
Prostate and seminal vesicles
b1c4bff6-5bc6-4606-8bc2-3775c1929959
Oschner Sherren regimen is for
Appendicular abscess
Appendicular mass
Acute appendicitis
Appendicular mucocele
1b
single
Ans. b (Appendicular mass). (Ref. Bailey & Love, 25th ed., 1215)APPENDICULAR MASS# Following an attack of acute appendicitis infection is sealed off by greater omentum, caecum, terminal ileum, etc resulting in a tender, soft to firm appendicular mass.# Presence of appendicular mass is a contraindication for appendicect...
Surgery
Vermiform Appendix
b0533019-b11a-49e5-b43b-bbc96dc23fb9
An old woman, Nanda suffered stroke for which she was given alteplase. She improved considerably. To prevent the recurrence of stroke, this patient is most likely to be treated indefinitely with :
Aspirin
Warfarin
Urokinase
Enoxaparin
0a
single
null
Pharmacology
null
f3598aa2-94b1-4f48-a9fa-f6e0fd87c3e7
A 35-year-old mother of two children is suffering from amenorrhea from last 12 month. She has a history of failure of lactation following second delivery but remained asymptomatic thereafter. Skull X-ray shows empty sella diagnosis is:
Menopause
Pituitary tumor
Sheehan's syndrome
Intraductal papilloma of breast
2c
single
Ans. is c, i.e. Sheehan's syndromeRef: Williams Gynae 1st/ed, p374; Leon Speroff 7th/ed, p438; Jeffcoate 7th/ed, p582-583Here before arriving to any diagnosis lets first see the causes of:Empty Sella:* Congenital incompleteness of the sellar diaphragm.* Secondary to surgery/radiotherapy or infarction of pituitary tumor...
Gynaecology & Obstetrics
Disorders in Menstruation