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135
efc050bf-a52e-4ffa-816a-57e2ce64c129
Harakiri, a method of suicide is committed by
Ripping the abdomen open
Jumping from a height
Shooter through the oral cavity
Stabbing over the hea
0a
single
Harakiri (seppuku): It is an unusual type of suicidal disembowelment connected with Japanese Samurai warriors. The victim with a sho sword inflicts a single large abdominal stab wound into the left side, drawing the blade across to the right side and then turning it upwards producing an L-shaped cut. The sudden eviscer...
Forensic Medicine
Special topics
385c2e18-f45d-4b5d-8418-602ef9304cac
"Tram track" appearance is seen in-
Minimal change disease
Membranous GN
Membranoproliferative GN
SLE
2c
single
By light microscopy, type I MPGN and many cases of dense deposit disease are similar. The glomeruli are large, with an accentuated lobular appearance, and show proliferation of mesangial and endothelial cells as well as infiltrating leukocytes. The GBM is thickened, and the glomerular capillary wall often shows a doubl...
Pathology
Urinary tract
19301226-8b13-49e6-b64a-ac699732b7be
Maximum electrophoretic mobility and least lipid content -
Chylomicrons
HDL
LDL
VLDL
1b
single
Ans. is 'b' i.e., HDL o HDL:- Has maximum electrophoretic mobility, has maximum density, has minimum lipid content, has maximum protein (apoprotein) content, are smallest in size, has maximum phospholipid, has minimum triglycerideso Chylomicrons :- Have no electrophoretic mobility, have minimum density, have maximum li...
Unknown
null
5b8f0957-0488-4f54-a49b-5c3d4021f129
Defect seen due to failure of closure of rostral part of neural tube or cranial neuropore?
Anencephaly
Spina bifida
Meningocele
Sacrococcygeal teratoma
0a
single
Ans. A. AnencephalyAnencephaly is the absence of a major portion of the brain, skull, and scalp that occurs during embryonic development. It is a cephalic disorder that results from a neural tube defect that occurs when the rostral (head) end of the neural tube fails to close, usually between the 23rd and 26th day foll...
Anatomy
Embryology
60b3b278-654c-4058-9268-97bef1775f76
H.pylori elimination confirmation test -
Urea breath test
Culture
Serological test
Biopsy urease test
0a
single
<p>Davidson&;s principles and practice of medicine 22nd edition. *urea breath test is highly specific and sensitive.breath tests are best because of accuracy simplicity and non invasiveness. </p>
Medicine
G.I.T
81757af8-0ec8-4f51-ba7a-2670b78a5046
Cyclo developmental stage is seen in:
Malaria
Filaria
Plague
Cholera
1b
single
Ans. is 'b' i.e. Filaria This question is one of the most often repeated question in PG examsThere are three types of biological transmission by vectors :Propagative:The infectious agent merely multiplies in the vector but no change in form.eg.plague bacilli in rat fleas.Cyclopropogative:The agent changes in form and n...
Social & Preventive Medicine
Infectious Disease Epidemiology
7b9f8874-3c13-426e-a3ea-915b1a153667
Beta blockers are not indicated in:
Acute CHF
Hypertension
Chronic CHF
Arrhythmia
0a
single
null
Pharmacology
null
ad09bb60-71ef-47e4-b42f-53f1f29feb1f
Gold standard for diagnosis of osteoporosis -
DEXA
Single beam densitometry
Quatitative computed tomography
Bone histomorphometry
0a
single
Ans. is 'a' i.e., DEXA [Ref: style="font-size: 1.04761904761905em; font-family: Times New Roman, Times, serif; margin: 0 0 8pt 8px; text-indent: 0; text-align: left">o The gold standard for diagnosis of osteoporosis is dual energy X-ray absorption scan (DEXA scan). The test is performed by passing low energy X-rays thr...
Orthopaedics
Metabolic Disorders Leading to Osteosclerosis
ee50252a-7815-464b-8b73-e5dfd334a0a0
Which of the following increases capillary filling rate?
Increased capillary filling co-efficient
Reduced plasma colloidal osmotic pressure
Increased capillary hydrostatic pressure.
All of the above
1b
multi
Ans. B. Reduced plasma colloidal osmotic pressure. (Ref. Ganong 23rd/pg. 592 - 594)# Net fluid movement depends on net driving pressure and two other important factors related to the properties of the membranes. The filtration coefficient ,Kf, depends on the surface area and the permeability of the capillary wall to wa...
Physiology
Heart, Circulation, and Blood
ee984416-1fcb-40a3-a7aa-a6676f10fb40
Which of the following statements is true about BCG vaccination ?
Distilled water is used as diluent for BCG vaccine
The site for injection should be cleaned thoroughly with spirit
WHO recommends Danish 1331 strain for vaccine production
Mantoux test becomes positive after 48 hours of vaccination
2c
multi
null
Social & Preventive Medicine
null
33776feb-8890-438b-885c-3f354e146c18
Muscles paralysed In Erbs palsy are all except
Biceps brachii
Triceps muscle
Brachioradialis
Brachialis muscle
1b
multi
Muscles paralysed : Muscles involved in erbs palsy : mainly biceps Brachii Deltoid Brachialis Brachioradialis Paly supraspinatus, infraspinatus and supinator ref : maheswari 9thed
Anatomy
null
9f103213-e5ef-4576-bfb1-ee3282547668
The floating tip of the iceberg represents what the physician sees in the community as:
Clinical cases
Latent cases
Undiagnosed cases
Carriers
0a
single
Health professionals see only a small part of the illness in the community, just as only a small part of an iceberg is visible above the surface of the water. This is what is called " the tip of the iceberg", as information on the submerged portion is not available.  But the inapparent cases are important for their rol...
Dental
null
66c589db-0d33-4a59-8495-13212c75e323
Commonest thyroid tumor in MEN (multiple endocrine neoplasia) ?
Follicular
Papillary
Anaplastic
Medullary
3d
single
Ans. is 'd' i.e., Medullary Thyroid tumor is seen in MEN II, and is medullary carcinoma of thyroid.
Pathology
null
3ca1d64f-7f22-4ce9-a2f4-0bc36805a652
All are true about delirium tremens, except:NIMHANS 10; AI 11; FMGE 11
Normal sleep wake cycle
Visual hallucinations
Coarse tremors
Clouding of consciousness
0a
multi
Ans. Normal sleep wake cycle
Psychiatry
null
2f999c7c-7e1f-416c-9bad-d4aba252651e
Critical Limb ischemia results from
Mild Arterial Occlusive Disease
Moderate Arterial Occlusive disease
Severe Arterial occlusive disease
All of the above
2c
multi
null
Surgery
null
a29a0045-0004-46b8-875e-e3bf53be945c
Mechanism of actions of penicillins and cephalosporins is to inhibit:
Cell wall synthesis
Leakage from cell membrane
Protein synthesis
DNA gyrase
0a
multi
Beta lactam These are antibiotics having a beta-lacatam ring. The two major groups are penicillins and cephalosporins. Monobactams and carbapenems are relatively newer additions. Mechanism of action All beta-lactam antibiotics interfere with the synthesis of bacterial cell wall. The P-lactam antibiotics inhibit the tra...
Pharmacology
Chemotherapy
b3381a14-efb1-478d-9868-e42cba78d589
Antral puncture is made on
Medial wall of maxillary sinus
Lateral wall of maxillary sinus
Apex of of maxillary sinus
Roof of maxillary sinus
0a
multi
null
ENT
null
e93f17fd-c78a-4bf1-886d-bab1fd4cd90f
The staing numbers in life table is known as
Radix
Radius
Origin
Coho
3d
single
In actuarial science and demography, a life table (also called a moality table or actuarial table) is a table which shows, for each age, what the probability is that a person of that age will die before his or her next bihday ("probability of death") There are two types of life tables used in actuarial science. The per...
Social & Preventive Medicine
Biostatistics
16803a6b-01f5-40d6-b6dc-5ad8fd38c12b
Lucid interval is seen in which of the following?
Subaractnoid hemorrhage
Extradural hemorrhage
Subdural hemorrhage
Seen in all head injury cases
1b
multi
Lucid interval is a state of consciousness between two episodes of unconsciousness. It is classical of extradural hemorrhage.
Forensic Medicine
null
3c724092-d704-4555-aa9a-19e80365af7f
True about Crigger Najjar type II syndrome is-
Diglucuronide deficiency
Recessive trait
Kemicterus is seen
Phenobarbitone not useful
1b
multi
Crigler najar type 2 is an autosomal recessive condition in which there is decrease in glucuronyl transferase, Treatment includes phenobarbital, phototherapy or liver transplant. Kernicterus is seen in type 1 not type 2. Reference: Davidson, 23rd edition, page 860
Medicine
G.I.T
4f973a16-a353-4347-b1bc-05eae1bcef10
Lipogenesis in liver is stimulated by
Glucagon
Insulin
Thyroxine
Epinephrine
1b
single
Insulin
Biochemistry
null
973d9741-d390-4e46-a970-ab67fef511f6
In echocardiography pulses of of ultrasonic waves are admitted at a frequency of
1 megahez
2 megahez
20 Hez
2000 Hez
1b
single
In echocardiography pulses of ultrasonic waves at a frequency of 2.25 megahez are admitted from a transducer that also functions as a receiver as a receiver to detect waves reflected back from various pas of the hea. Ref:page no 347 Textbook of physiology Volume 1 AK Jain 7th edition
Physiology
Cardiovascular system
5c868612-910a-44c3-96a1-f64cf8bd472c
During the ear examination, cough occurs due to stimulation of
Hypoglossal
Trochlear
Trigeminal
Vagus
3d
single
Arnold nerve. It is an auricular branch of jugular ganglion of the vagus.  It supplies the skin of posterior part of pinna on the medial surface of the concha, and posterior wall of the external auditory canal and tympanic membrane. The auricular nerve is the afferent limb of the Ear-Cough or Arnold Reflex.
ENT
null
4cce21dc-18c5-4be5-9942-f1d528b97fa2
Down syndrome is
Trisomy of 21
Trisomy of 18
Monosomy of 18
Monosomy of 21
0a
single
Aneuploidy is the presence of an abnormal number of chromosomes in a cell, for example a human cell having 45 or 47 chromosomes instead of the usual 46
Pathology
null
714a6fa3-f1ec-4cd4-881d-28b22e1f2d63
Breastfeeding is contraindicated in
Galactosemia
Tuberculosis history
Hepatitis B positive mother
Low bih weight infant
0a
single
Contraindications of breastfeedingGalactosemiaActive untreated tuberculosis-only in the initial periodHIV positive mother-especially in a developed country; In India its not contraindicatedSome medication(Refer: Nelson's Textbook of Pediatrics, SAE, 1st edition, pg no. 287)
Pediatrics
All India exam
c93dc892-b6ed-4705-b9b0-49e2f3706723
All of the following are glycoproteins except?
Blood antigen
Albumin
Immunoglobulin
hCG
1b
multi
Ans. (b) Albumin ref. Harper 25/e, p 675; Lipincoft 2/e, p 157 Glycoprotein are proteins to which usually 2-10 oligosaccharides are covalently attached, e.g. Glycoprotein Ig Globular proteins except albumin Blood group antigen Mucin hCG, TSH Selectin Lectin HLA class I, II Secreted enzymes and proteins Glycophorin Tran...
Microbiology
null
22f7af25-2dc0-4713-9a5c-859ee25d87d0
Which of the following best describes a patient with a classical migraine?
A unilateral headache with unilateral visual loss and muscle aches
Left a retro-orbital headache with rhinorrhoea and red eye
Visual deficit that persists after cessation of a unilateral headache
Pulsating unilateral headache worsened with the movements of head
3d
single
Choice A describes GIANT CELL AERITIS - Typical presenting symptoms include headache,Polymyalgia Rheumatica, jaw claudication,fever,Weight loss. Choice B describes CLUSTRE HEADACHE- The frequency is approximately 0.1%.The pain is deep, usually retroorbital,excruciating in intensity, nonfluctuating, explosive in quality...
Medicine
CNS
17946f81-1176-46f2-a290-6491c147abc8
Which of the following tumor causes polycythemia due to increased erythropoietin production?
Cerebellar hemangioblastoma
Medulloblastoma
Ependymoma
Oligodendroglioma
0a
single
Secondary erythrocytosis involves increased erythropoietin (EPO) signalling in the bone marrow. Several types of neoplasm are known to produce excess EPO, including renal cell carcinoma, uterine fibroids, hemangioblastoma, and hepatocellular carcinoma. EPO production can also be increased following renal transplant Ref...
Pathology
null
7d0c8556-2b4e-489d-84c6-567b5883452f
Most common tumour of eyelid is
Basal cell carcinoma
Adenocarcinoma
Squamous cell carcinoma
Sebaceous cell carcinoma
0a
single
(A) (Basal cell carcinoma) (430-Nema 5th) (457- Parson 21st)* Basal cell carcinoma is the most common maligment tumour of the eyelids and constitutes 85%-90% of the all malignant epithelial eyelid tumours.* Squamous papilloma is the most common benign tumour of the eyelid.Common malignant tumours of the eyelidTypeCommo...
Ophthalmology
Lid
1e2368bc-2514-40ea-9a19-4ef6ff809929
Prolonged administration of Sodium nitroprusside can cause poisoning of:
Cyanide
Methanol
Arsenic
Phenol
0a
single
Cyanide poisoning can occur in rapid or excessive administration of sodium nitroprusside. The breakdown of nitroprusside in the body leads to dissociation into the components cyanide and nitric oxide. Accumulation of cyanide is more common in infusions of sodium nitroprusside exceeding 2g/kg/min. Guidelines for safe ad...
Forensic Medicine
null
3be7ad7f-b166-425d-87be-8814bb55f3d3
Causative agent for oriental sore is: September 2007
Onchocerca volvulus
Leishmania donovani
Leishmania tropica
Brugya malayi
2c
single
Ans. C: Leishmania tropica Oriental sore is a skin disease, occurring in tropical and subtropical Africa and Asia, caused by the parasitic protozoan Leishmania tropica. It is a specific granuloma of the skin, endemic within ceain limited areas in warm countries; characterized primarily by a papule, gradually enlarging ...
Social & Preventive Medicine
null
5647bd8b-cb84-4398-899e-6d19950e0a12
PASCAL is used for
Angiography
Laser photocoagulation
RNFL thickness
Ganglion cell layer
1b
single
Laser photocagulations RETINAL INSTRUMENTS * OCT: Measure RNFL thickness, Ganglion cell volume, Optic nerve head parameters & retinal layers. Cystoid Macular edema is classified according to OCT classification. * OCT- Angio that shows retinal vasculature without the use of dye. * PASCAL- Patterned scanned laser used fo...
Ophthalmology
Retina
bf0e731b-b7db-4352-97b2-cf4a85a78cb7
Staphylococcus is?
Gram-positive cocci
Gram-negative cocci
Gram-positive bacillus
Gram-negative bacillus
0a
single
Staphylococcui are Gram-positive cocci that occur in grape like clsters . Ref: Ananthanarayan & panikers Textbook of Microbiology 9th edition page no199
Microbiology
general microbiology
2ff42d1f-ec99-4f98-b5a2-e205cc0a2069
Whitening of the nail plates may be due to deficiency of: March 2011
Iron
Zinc
Albumin
Copper
2c
single
Ans. C: Albumin Leuconychia: Nails are white and are associated with hypoalbuminemia like cirrhosis of liver Nails and dermatology: Mees lines: Arsenic poisoning Oncholysis: Psoriasis Koilonychia: Iron deficiency anemia Koenens periungal fibroma: Tuberous sclerosis
Skin
null
57c69351-63d1-4cae-9a39-1d9e86e16c03
All are true about ASHA are all EXCEPT:
Selected by village panchayat/Gram Sabha
Trained by ANM
Minimum class 4 passed
Comes under NRHM 2005-2012
2c
multi
Ans. (c) Minimum class 4 passedRef : K. Park 23rd ed. / 449-50, s 21sted. /407* Minimum education required for ASH A: 8(tm) pass* ASHA is Accredited Social Health Activist.* One ASHA works for 1000 population.* In tribal, hilly and desert areas, the norm is one ASHA per habitation.Impact Indicators of ASHA* Infant mort...
Social & Preventive Medicine
Health Planning and Management
6e299dde-f4a7-4948-ade3-6ddca07a3a29
Which of the following is the earliest cardiac abnormality to develop in acute rheumatic fever?
MR
MS
AR
AS
0a
single
Acute rheumatic fever can cause mitral regurgitation, but stenosis develops decades later. Characterestic thickening of leaflets occurs with fibrous obliteration. There is also commissural fusion, chordal fusion, and shoening, and calcium deposition on the leaflets, chordae, and annulus.
Pediatrics
null
3942706c-a372-4644-8944-3d928fae4698
First deciduous teeth usually comes around 6 months of age. They are:
Upper central incisors
Lower central incisors
Lower lateral incisors
Molars
1b
multi
Primary teeth generally begin to erupt at about 6 months of age. The mandibular central incisors usually erupt before the maxillary incisors. The first teeth may appear as early as age 3-4 months or as late as age 12-16 months. Ref: Klein U. (2012). Chapter 17. Oral Medicine & Dentistry. In W.W. Hay, Jr., M.J. Levin, R...
Pediatrics
null
8120e26a-abbd-43c0-b9bb-77a11661b02a
A 68-year-old coal miner with a history of smoking and emphysema develops severe air-flow obstruction and expires. Autopsy reveals a "black lung," with coal-dust nodules scattered throughout the parenchyma and a central area of dense fibrosis. The coal dust entrapped within this miner's lung was sequestered primarily b...
Endothelial cells
Fibroblasts
Lymphocytes
Macrophages
3d
single
Macrophages. Coal workers' pneumoconiosis reflects the inhalation of carbon particles. The characteristic pulmonary lesions of simple coal worker's pneumoconiosis include nonpalpable coal-dust macules and palpable coal-dust nodules, both of which are typically multiple and scattered throughout the lung as 1- to 4-mm bl...
Pathology
Inflammation & Repair
71af9525-1c11-40f3-980e-4f21d43a2ad0
Treatment of choice of intracranial ALL is -
Intrathecal methotrexate
Vincristine and predinisolone
Intrathecal vincristine
Prednisolone
0a
multi
null
Medicine
null
1c6873c7-9db2-4c75-a4e7-bd2e90ce3797
True about MMV:
150 lt per min
Measured with maximum voluntary effo
Maximum breathing capacity per minute
All
3d
multi
MVV: 150lt per min Maximum volume of air that can be breathed In and out by the patient per min Ref: G K Pal textbook of Practical physiology 4th edition, page number:159
Physiology
Respiratory system
31e47470-33c8-49f5-9759-f51ca33d6d6e
Mill Wheel Murmur heard in case of
Air embolism
Aoic dissection
Coarctation of aoa
Abdominal aoic aneurysm
0a
single
Mill WHEEL murmur: constant machine like sound, late sign, heard over precordium heard in cases of air embolism.
Medicine
All India exam
7805b54f-16ac-4698-b364-f5fa87824e7e
HbH is characterized by:
Deletion of three alpha chain genes
Deletion of three alpha chains and one beta chain genes
Deletion of two alpha and two beta chain genes
Deletion of four alpha chain genes
0a
single
Ans. A. Deletion of three alpha chain genesAlpha-ThalassemiaSilent carrier state1 gene deletion-aaaa thalassemia trait2 gene deletion-a-aHbH disease3 gene deletion---aHydrops fetalis4 gene deletion----
Medicine
Anemia and RBC Disorders
534ed763-28f0-4e64-a550-e81424fcaad6
A 54 yr old smoker man comes with fever, hemoptysis, weight loss and oligo arthritis. Serial skiagram shows fleeting opacities. What is the diagnosis -
Allergic Bronchopulmonary aspergillosis
Calung
TB
Wegeners granulomatosis
3d
multi
Ans. is 'd' i.e., Wegner's granulomatosis On first instance, presence of fleeting opacities and hemoptysis makes it look like a case of allergic bronchopulmonary aspergillosis.But presence of oligoarthritis and weight loss cannot be explained by allergic bronchopulmonary aspergillosis. Presence of fever, hemoptysis and...
Medicine
Interstitial Lung Disease
fda62466-61b7-41bc-8aef-4e396e760e20
A symmetric high-voltage, triphasic slow wave pattern is seen on EEG in the following :
Hepatic encephalopathy
Uremic encephalopathy
Hypoxic encephalopathy
Hypercarbic encephalopathy
0a
single
Answer is A (Hepatic encephalopathy) `Symmetric, high voltage, triphasic slow wave (2 - 5 /second) pattern on Electroencephalogram (EEG) is characteristic (but non specific) of Hepatic encephalopathy' The diagnosis of hepatic encephalopathy should be considered when four major factors are present Acute or chronic hepat...
Medicine
null
38b8f487-1fc5-4a91-9106-42461429fda0
All of the following are true of tuberculoid leprosy except –
It is infective
Positive lepromin test
Treatment for 5 years
Body immunity is high
2c
multi
Treatment for tuberculoid leprosy is 6 months.
Dental
null
39297c6a-0287-4cdb-ba34-fa104667b475
Acquired multistep drug resistance can be seen in all except:
Erythromycin
Streptomycin
Tetracycline
Chloramphenicol
1b
multi
Development of acquired resistance may be due to single-step mutation (as seen with streptomycin  and rifampicin) or multi-step mutation (erythromycin, tetracycline and chloramphenicol).
Pharmacology
null
bf15d887-818a-4a1d-b855-3b7bbae107df
A 3 year child having protein 3+ in urine with oliguria with edema. No hematuria. What is the diagnosis ?
Minimal change GN
Membranous GN
Mesangioproliferative GN
RPGN
0a
single
Minimal Change Disease (MCD for sho) is a kidney disease in which large amounts of protein is lost in the urine. It is one of the most common causes of the Nephrotic Syndrome worldwide. The kidneys normally work to clean the blood of the natural waste products that build up over time. Reference: GHAI Essential pediatri...
Pediatrics
Urinary tract
386101e7-9b67-454b-8e08-e1c58fb54a87
Which is most significant finding in cardiotoco-graphy for detection of fetal hypoxia:
Late deceleration
Variable deceleration
Sinusoidal deceleration
Early deceleration
0a
single
It is one of those questions where if we keep searching for reference, we get more and more confused whereas the answer lies is front of our eyes and we all know it. All of you know — contraction stress test “The contraction stress test (CST) is based on the response of FHR to uterine contractions, with the premise tha...
Gynaecology & Obstetrics
null
df62defc-fa0b-453a-a7d1-f03a08a67047
A person taking tricyclic antidepressants presents with blurred vision and dry mouth. These adverse effects results due to blockade of:
M3 muscarinic receptors
GABA receptor
H1 histamine receptors
5HT2 receptors
0a
single
Anticholinergic adverse effects of TCAs include dry mouth, constipation, blurring of vision, urinary retention, etc. REF:KD TRIPATHI 8TH ED.
Pharmacology
Central Nervous system
f52042bd-6103-41d2-8a91-ba19ef569745
A women noticed mass in her left breast with bloody discharge. Histopathology revealed duct ectasia.Treatment is?
Simple mastectomy
Microdochotomy
Lobectomy
Hadfield operation
3d
single
null
Surgery
null
d4f6394c-4037-4d21-814c-34026fee9038
Which stage of LGV infection is associated with bubo
First stage
Second stage
Third stage
Throughout all stages
1b
multi
LGV infection:Primary stage:Small, painless, papulovesicular (Ext.genitalia)Usually unnoticedI/P: 3 days to 5 weeksSecondary stage:About 2 weeks later- lymphatic spread to draining lymph nodesMen -Inguinal L.N women -Intrapelvic & Para rectal nodesBubo(enlarge, suppurate, adherent to the skin)- break down- sinuses - di...
Pathology
All India exam
66edb6c1-0e05-4cdd-b90a-3e541f79ab8e
Mental ability to make valid will is
Vicarious liability
Curren's rule is basis for this
Testamentary capacity
McNaughten's rule
2c
single
C i.e. Testamentary capacity Testamentary capacity capacity is the mental ability oof a person to make a valid willQ (Sec 31 IPC Holograph Will Will written by a testator in own hand writing Mc Naughten/ Durham's/ Curren's - Rule Rules for criminal responsibility of insaneQ Vicarious Responsibility A master is responsi...
Forensic Medicine
null
94195ab2-17ec-4424-8888-0b6be9dd5066
Tumor that follows rule of 10 is -
Pheochromocytoma
Oncocytoma
c) Lymphoma
Renal cell carcinoma
0a
single
Ans. is 'a' i.e., Pheochromocytoma Note-o Pheochromocytomas usually subscribe to a convenient "rule of 10s":-10% of pheochromocytomas arise in association with one of several familial syndromes. These include the MEN-2A& MEN-2B syndromes, type I neurofibromatosis, von Hippel-Lindau syndrome & Stuige-Weber syndrome.10% ...
Unknown
null
2b25140a-8ab7-4449-98c6-565884429575
Annual infection rate of tuberculosis is defined as ?
Percentage of total patients positive for tuberculin test
Percentage of new patients positive for tuberculin test
Percentage of sputum positive total patients
Percentage of sputum positive new patients
1b
single
Ans. is 'b' i.e., Percentage of new patients positive for tuberculin test Epidemiological indices of tuberculosis Indices or parameters are needed to measure the tuberculosis problem in a community as well as for planning and evaluation of control measures. The following epidemiological-indices are used in tuberculosis...
Social & Preventive Medicine
null
f59d0e58-c3d0-4eb6-aa5c-6a7f6c08fb98
Deficiency of surfactant is seen in -
BPD
Neonatal asphyxia
HMD
Anencephaly
2c
single
Ans. is 'c' i.e., HMDEtiopathogenesis of HMD o Surfactant deficiency (decreased production and secretion) is the primary cause of RDS.o Normally surfactant helps to reduce surface tension in the alveoli ---> In the absence of surfactant, surface tension increases and alveoli collapse during expiration.Why HMD is more c...
Pediatrics
null
495fac11-3113-4791-afdd-34f3c7c91c20
Parosmia is:
Perversion of smell sensation
Absolute loss of smell sensation
Decreased smell sensation
Perception of bad smell
0a
single
(a) Perversion of smell sensation(Ref. Cummings, 6th ed., 639)Parosmia is perversion of smell sensation. Here good smell appears bad to the patient.Absolute loss of smell sensation is called anosmia.Decreased smell sensation is called hyposmia. Normal age related decline in smell sensation is presbyosmia.Phantosmia is ...
ENT
Congenital Lesions and Stridor
35d651f2-47c6-4fe0-af6b-87183cd332f8
Hemotoxylin bodies are seen in ?
SLE
PAN
RA
Wegners granulomatosis
0a
single
Systemic lupus erythematosus (SLE), also known simply as lupus, is an autoimmune disease in which the body's immune system mistakenly attacks healthy tissue in many pas of the body. Symptoms vary between people and may be mild to severe. Common symptoms include painful and swollen joints, fever, chest pain, hair loss, ...
Pathology
General pathology
93831bde-04f3-4cff-b9e7-1ac229de1091
Which of the following is not true about Carvedilol?
b1 + b2 + a1 adrenergic receptor blocker
Oral bioavailability is almost 80%
Has antioxidant propey
Cardioprotective in CHF
1b
multi
Oral bioavailability of carvedilol is 30%. It is primarily metabolized and has a t1/2 of 2-8 hrs.
Pathology
All India exam
f27878cb-cfff-496e-aa1d-e05be64e9298
About CSF following statement (s) is/are true
The dura is attached firmly to bone
CSF has a net weight of 1400g
Total volume of CSF is 150 ml
Daily production is 550 ml/day
1b
multi
CSF has a net weight of only 50 g In humans, the volume of CSF is about 150 mLThe rate of CSF production is about 550 mL/day. The dura is attached firmly to boneRef: Ganong's Review of Medical Physiology Twenty-Third Edition Page No: 572
Physiology
Cardiovascular system
da80790d-0b5d-4d13-be51-8d189a071f1f
The drug available for the treatment of resistant cases of atrial fibrillation is?
Amiodarone
Quinidine
Propranolol
Digoxin
0a
single
Ans. is 'a' i.e., Amiodarone o Amiodarone is used to maintain sinus rhythm when other drugs have failed.
Pharmacology
null
dd5e8a64-944b-4a83-9dc0-4a7f61ad54d1
Epinephrine is formed from?
Methionone
Tyrosine
Valine
Glycine
1b
multi
Tyrosine is the precursor for the synthesis of catecholamines namely dopamine, epinephrine and norepinephrine.
Biochemistry
null
7d04174c-5cd7-4a72-88c3-d1b47ef4a768
Cancer cachexia is due to?
TNF-a
IL-5
IL-8
Phopholipase A2
0a
single
Ans. is 'a' i.e., TNF-a "Factors that have been most strongly associated driving skeletal muscle catabolism in cancer patients include tumor necrosis factor (TNF-a) and Proteolysis-inducing factor (P1F)."Factors associated with cancer cachexiaa) Tumor Factors (produced by tumor cells)i) Proteolysis-inducing factor (PIF...
Pathology
Clinical Aspects of Neoplasia
0e3be905-bd3d-4233-8edc-08b71f8f424a
The safest instrument for removing the pulp from the very fine canal is:
Barbed broach
Small K type file
Tempered universal Headstroem file
Smooth broach
1b
multi
null
Dental
null
682dcf95-ff1d-45b0-b3f8-a80d6fcdf2a1
A girl was killed and her body was taken for embalming. Constituents of a typical embalming solution are all, EXCEPT:
Wintergreen
Glycerine
Formalin
HCl
3d
multi
Embalming is the treatment of the dead body with antiseptics and preservatives to prevent putrefaction. This process coagulates the proteins, fixes the tissues, bleaches and hardened the organs and the blood is conveed into a brownish mass. Constituents of a typical embalming solution: Formalin Sodium borate Sodium cit...
Forensic Medicine
null
c46e63ec-7f03-414f-ac97-bc11aea57d5d
Modified Glasgow coma scale defines neurologic impairment in terms of:
Pupillary size, level of consciousness and motor function
Speech, cardiovascular status a consciousness
Sensory, motor function and speech
Eye opening, best verbal response and motor function
3d
single
(D) Eye opening, best verbal response and motor function > Scale comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered.> Lowest possible GCS (the sum) is 3 (deep coma or death), whilst the highest is 15 (fully awake person).> Best eye response (E):> Ther...
Anaesthesia
Miscellaneous
28c08b9b-04d4-4665-94a0-7ac7d3a321a1
Best drug for chronic gout in patient with renal impairment is:
Naproxen
Probenecid
Allopurinol
Sulfinpyrazone
0a
multi
NSAIDs like naproxen have no role in chronic gout Uricosuric drugs like probenecid and sulfinpyrazone are ineffective in the presence of renal insufficiency Allopurinol is drug of choice for most cases of chronic gout.
Pharmacology
null
f9cc40e2-5e1d-4db8-891c-3418155488a8
What percent of cases with blunt injury to kidney require surgical exploration
20%
90%
50%
70%
0a
single
The nearest correct option is A . The thing to be rembered is percentage of cases with surgical exploration in cases of renal trauma is very less The vast majority of cases of blunt renal trauma can be treated conservatively and in one major series only 2.5% of such cases required surgical exploration. Most penetrating...
Surgery
Urology
62dcbcb6-1359-4cfc-af61-e9fa72c4a2e1
Specific stain for fat cells is
Eosin & haematoxylin
Carbol fuschin
Sudan III
Cresyl violet
2c
single
null
Dental
null
4762c893-4c34-485d-ac7a-2aac1771658e
A 40-year-old woman had several episodes of rheumatic fever as a child. She is currently afebrile and feels well, and has come to a hospital for monitoring echocardiography. Which of the following findings would MOST likely be seen in this patient's mitral valve?
Ballooning of valve leaflets
Fibrous bridging between thickened, calcified leaflets
Irregular beads of calcification in annulus
Large bulky vegetation with adjacent leaflet perforation
1b
multi
Acute rheumatic fever is a multisystem inflammatory disease that can follow group A streptococcal pharyngitis. The hea is a primary target of this disease and may be damaged sufficiently to develop permanent sequelae. The most impoant of these sequelae is chronic rheumatic hea disease with valvular damage. The damage m...
Pathology
null
4d178bea-4222-4822-9c4c-f9ed6c79cbb9
Lysine is deficient in
Cereals
Pulses
Jowar
Soyabean
0a
single
Ans. a (Cereals). (Ref. Park, PSM, 17th/pg.426)# Cereals are deficient in lysine and have poor nutritive value.# Cereal and pulse proteins complement each other and provide a more balance and "complete" protein.# Germinating pulses, however, contain higher concentration of vitamins, especially vitamin C and B; pulses a...
Social & Preventive Medicine
Nutrition and Health
2189275b-0582-47f4-8499-8e8616165c90
During endoscopic surgery the position of patient is
Trendelenberg
Lateral
Reverse trendelenberg
Lithotomy
2c
single
The reverse Trendelenburg position is one in which a person is lying supine with the head elevated higher than the rest of the body and the feet suppoed with a foot board. It is the opposite of the Trendelenburg position, in which a person is placed in a supine position with the foot of the bed raised about 30 to 45 de...
Surgery
Urology
fa7d25b9-4be9-47e4-badd-5dfb6c14b903
Which pox wont grow in egg, animal cells -
Cow pox
Vaccinia
Variola
Molluscum
3d
single
Molluscum cannot be grown in eggs, tissue cultures or animals. REF:ANANTHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 9TH EDITION PAGE NO:465
Microbiology
Virology
c4f3f0e0-c12d-466c-9f3d-d15457624817
A 46-year-old woman presents with insidious onset of shoness of breath, chest pain, and fatigue. Chest X-ray films reveal bilateral pulmonary infiltrates and enlarged hilar lymph nodes. A biopsy of one of these lesions shows non-necrotizing granulomas. Special stains for fungi and mycobacteria are negative. The patient...
Asbestosis
Berylliosis
Byssinosis
Sarcoidosis
3d
single
The diagnosis of sarcoidosis is usually made by exclusion. This disease is characterized by non-necrotizing granulomas developing most frequently in the lungs, lymph nodes, retina, hea, spleen, skin, and liver. Non-necrotizing granulomas may be seen in a number of other conditions, such as infections and ceain forms of...
Pathology
null
8e151a5f-4e2b-4693-8adc-4999e14fd1f8
Which of the following drug induces parkinsonism?
Chlorpheniramine
Chlorpromazine
Chloroquine
Chlorhexidine
1b
single
null
Pharmacology
null
20bad502-7d2a-415b-a5f9-5677edc1dc17
Aspirin in low doses produces long lasting inhibition of platelet cyclooxygenase because:
Platelet contain low quantity of COX
Platelets cannot synthesize fresh COX molecules
Platelets bind aspirin with high affinity
Platelet COX is inducible
1b
single
Aspirin in low doses irreversibly inhibits COX enzyme in platelets and the endothelium. Platelets lack nucleus and thus cannot regenerate COX whereas endothelium can synthesize fresh enzyme. Net effect of this process is the inhibition of platelet cox and thus, TXA2 synthesis. Low TXA2 level results in the anti-aggrega...
Pharmacology
NSAIDs, Gout and Rheumatoid Ahritis
90e25bc7-a9c7-442b-8c2a-96eb01b7770f
A 7 year old girl is brought with complaints of generalized swelling of the body. Urinary examination reveals Grade 3 proteinuria and the presence of hyaline and fatty casts. She has no history of Hematuria. Which of the following statements about her condition is true:
No IgG deposits or C3 deposition on Renal biopsy
Her C3 levels will be low
IgA Nephropathy is the likely diagnosis
Alpo's syndrome is the likely diagnosis
0a
multi
Answer is A (No IgG Deposits or C3 deposition on Renal biopsy) The presence of generalized edema significant proteinuria and absence of hematuria in a young (7 year old) girl suggests a diagnosis of Nephrotic syndrome. Minimal change disease (Lipoid nephrosis) is the commonest cause of Nephrotic syndrome in children an...
Medicine
null
7041a5be-1a1f-4b36-9551-20e2fc0ba45a
Which of the following is an atypical antipsychotic?
Clozapine
Chlorpromazine
Thioridazine
Haloperidol
0a
single
(Ref: KD Tripathi, 7th ed. pg. 440-41)Classification of typical vs atypical antipsychoticsTypical/Classical antipsychoticsMOA: D2 receptor blocking* Phenothiazines: Chlorpromazine, Thioridazine, Trifluperazine, Fluphenazine, Perphenazine* Thioxanthenes: Flupenthixol, Zuclopenthixol, Thiothixene* Butyrophenones: Flalope...
Pharmacology
C.N.S
4c23a225-ea20-439b-a29f-c15c3a3ea0b4
Which among the following is NOT a second messenger?
cAMP
cGMP
Ca
G- Protein
3d
single
Calcium is used as second messenger in systems involving G proteins and inositol triphosphate. Second messengers include 3', 5'-cAMP, synthesized from ATP by the enzyme adenylyl cyclase in response to the hormone epinephrine, and Ca2+, which is stored inside the endoplasmic reticulum of most cells. Other second messeng...
Biochemistry
null
a67b4275-7b4b-4aa1-b02b-0456b052426f
Which of the following does not suggest postoperative infection?
Increase in temperature
Swelling
Pain
Pitting edema
3d
single
null
Surgery
null
3fdc13ba-1858-431a-aa73-cd0ed8763202
Most common determinant of energy expenditure in a resting state is:
Lean Body Mass
Adipose tissue
Resting Hea Rate
Exercise
0a
single
Energy expended in the resting state depends primarily on the lean body mass and the metabolic cost for processing ingested nutrients. Ref: New Developments in Obesity Research By Lawrence F. Ditmier, Page 131; Handbook of Obesity: Etiology and Pathophysiology By George A. Bray, Page 705
Biochemistry
null
b3515116-9c0a-4df0-bd88-a0acb445f0b8
Spontaneous pneumothorax is seen ina) Smokersb) Male sexc) Exercised) Short stature
ac
a
ad
ab
3d
single
null
Medicine
null
c170ccc1-2dae-4adc-b147-d71474c10dc4
The following are live attenuated vaccines, except -
BCG
Oral typhoid
Measles
Pertussis
3d
multi
null
Social & Preventive Medicine
null
3ccc7743-d4df-4c05-85e9-f70162e4604c
Rigor mortis can be simulated by -
Cadaveric spasm
Algor mortis
Adipocere
Livor mortis
0a
single
null
Forensic Medicine
null
c66eb51c-3896-4a53-92cb-993d5b816877
Posterior right subhepatic intraperitoneal space is
Lesser sac
Hepatorenal pouch
Superior pa of supracolic compament
Morrison's pouch
3d
single
Posterior right subhepatic intraperitoneal space is called morrison&;s pouch. Morison&;s pouch is the space that separates the liver from the right kidney. As a potential space, the recess is not filled with fluid under normal conditions. However, fluid can collect in this space in circumstances where the abdomen fills...
Surgery
General surgery
842d162c-9a49-41b4-ae71-38eefa0ba682
Field defect seen in pituitary adenoma-
Bitemporal hemianopia
Binasal hemianopia
Quadrantanopia
"Pie in sky" defect
0a
single
Bitemporal hemianopia. Sagittal (central) lesions of the chiasma. These are characterised by bitemporal hemianopia and bitemporal hemianopic paralysis of pupillary reflexes. These usually lead to paial descending optic atrophy. Common causes of central chiasmal lesion are: suprasellar aneurysms, tumours of pituitary gl...
Ophthalmology
Neuro-ophthalmology
220ca02a-a35d-4e6c-9a3a-d3354f4af2a8
A 44-year-old man sustains a myocardial infarction, and is admitted to the hospital from the emergency room. Serum chemistries reveal two-fold elevation of his LDL cholesterol. He is prescribed lovastatin, which acts by inhibiting which of the following enzymes?
Acetyl-CoA carboxylase
Carbamoyl phosphate synthetase I
Hydroxymethyl glutaryl-CoA reductase
Pyruvate dehydrogenase
2c
single
Hydroxymethylglutaryl-CoA reductase (HMG-CoA reductase) catalyzes the rate-limiting step in cholesterol synthesis, in which HMG-CoA (formed from 3 acetyl-CoA molecules) is reduced to mevalonic acid, using 2 NADPH. Lovastatin and pravastatin reduce cholesterol synthesis and lower serum cholesterol levels by inhibiting t...
Pharmacology
null
157812c3-aa64-4095-8dea-25fcf38e0eed
A group of 7 expes discussing and interacting about a topic in front of large audience is known as?
Workshop
Symposium
Seminar
Panel discussion
3d
single
A panel discussion is designed to provide an oppounity for a group to hear several people knowledgeable about a specific issue or topic present information and discuss personal views. A panel discussion may help the audience fuher clarify and evaluate their positions regarding specific issues or topics being discussed ...
Social & Preventive Medicine
null
235632e1-ec5e-4346-a3d2-4d91c60bc7a2
Immunoflourosence of pemphigus vulgaris shows?
Linear IgG in BMZ
Granular IgG in BMZ
Fish net appearance
IgA deposition in dermal papillae
2c
single
ANSWER: (C) Fish net appearanceREF: Fitz Patricks Dermatology, Sixth Edition Page 561, 563, 565
Skin
Pemphigus
397a4632-ca96-40f2-8877-f001377b1c66
Which type of shift in intracranial content is common in children with progressive hydrocephalus –
Transforaminal herniation
Upward cerebellar herniation
Unilateral transtentorial herniation
Central transtentorial herniation
3d
single
Central transtentorial (uncinate, mesial temporal) herniation occurs when the medial aspect of the temporal lobe is compressed against the free margin of tentorium cerebelli. It can results in increased ICT and hydrocephalus.
Pediatrics
null
aeac1e2a-c477-4e08-95da-42b781ef8926
In a bimodal series, if mean is 2 and median is 3, what is the mode -
5
2.5
4
3
0a
single
Mode is the most frequently occurring value in the distribution. However sometimes, there are two (instead of one) most frequently occurring values in the distribution. This is known as bimodal distribution. For bimodal distribution:- Mode = 3 median – 2 mean In the question median is 3 and mean is 2. Thus, Mode = 3 ...
Social & Preventive Medicine
null
e5283d62-8d70-440b-b66e-36216081fb7f
Disease of Sweat glands-
Fordyce's spot
Acne vulgaris
Fox-Fordyce's disease
None
2c
multi
Fox Fordyce disease or Apocrine miliaria is seen in young adult women as pruritic papules in the apocrine areas Reference Harrison20th edition pg 1209
Dental
Anatomy of skin
934ebf67-590a-46ee-91f6-a51cff55a7e3
Radionuclide scan done for Parathrroid adenoma is?
Sesta MIBI scan
Iodine-123 scan
99mTc-sulphur colloid
Gallium scan
0a
multi
Ans. (a) Sesta MIBI scanRef. Grainger and Allison 4thed p-1380
Radiology
Thyroid, Parathyroid, and Salivary Gland Scintigraphy
fe7573d1-038e-4b5a-b03f-b86cc950050c
GAS relates to :
How we achieve homeostasis
How well we adapt to new situations
Pattern followed by physiological response to stress
Path of stress ANS (autonomic nervous system) when we are aroused by a stressful situation
3d
single
D i.e. Path of stress ANS (autonomic nervous system) when we are aroused by a stressful situation: General adaptation syndrome (GAS) is seen in stressful situationsQGeneral Adaptation Syndrome (GAS)- Hans Selye (1945) developed a model of stress that he called the general adaptation syndrome (GAS) and postulated that t...
Psychiatry
null
4792c5e5-e34a-45fd-9ee5-299676789fdb
The same screening test is applied to two comunities X and Y;Y shows more false + ye cases as compared to X. The possibility is -
High sensitivity
High specificity
Y community has high prevalence
Y community has low prevalence
3d
multi
Ans. is 'd' i.e., Y community has low prevalence o Same test is applied on two communities Sensitivity & Specificity, remain the same.
Social & Preventive Medicine
null
9d2a3fb3-0baf-44b2-bcc4-9f685b258d0c
Deficiency of vitamin D increases the risk of all Except
Colon cancer
Prostate cancer
Breast cancer
Lymphoma
3d
multi
and muscle weakness. However, mildvitamin D deficiency is not necessarily associated with any symptoms. Vitamin D has been referred to as the "sunlight vitamin" because it is made in our skin when we are exposed to sunlight.
Pathology
General pathology
b085c9c4-e0fa-4e62-a472-7e189fdf78f3
Which of following is used for initial management of rectal prolapse in children?
Digital positioning
Trans-anal surgery
Injection sclerotherapy
Resection rectopexy
0a
single
Ans. (a) Digital positioningRef: Bailey & Love 2&h ed. /1220* Patients who present with a prolapsed rectum should undergo manual reduction. Conservative management is appropriate in selected patients. Treatment should be directed to the underlying cause. After treating the underlying cause, conservative management is u...
Surgery
Rectal Prolapse
97d65b83-24e9-45cc-ad3e-4f1f755dd37f
The operating temperature in an ethylene oxide sterilization during a warm cycle is
49-63oC
92- 110oC
20-35oC
68-88oC
0a
single
Ethylene Oxide sterilization (High level disinfectant) Cold cycle stas at 37 + 5 oC Warm cycle stas at 54 + 5 oC ETO is Highly penetrating gas It is used for sterilizing plastic ,rubber paicles , Respirators, Hea lung machine , disposable plastic syringes , petri dishes Bacillus Globigi used as biological indicator for...
Microbiology
General Microbiology Pa-2 and Pa-3 (Sterilization and Bacterial Genetics)
3a596ea7-e054-4471-9d72-ddbcb894cd07
All of the following diseases are caused by Epstein Barr virus except:
Measles
Hodgkins lymphoma
Infectious mononucleosis
Nasopharyngeal carcinoma
0a
multi
Epstein-Barr virus causes heterophile-positive infectious mononucleosis, nasopharyngeal carcinoma, Burkitt's lymphoma, Hodgkin's disease, and B cell lymphoma (in patients with immunodeficiencies). Ref: Harrison's Principles of Internal Medicine, 18th Edition, Chapter 181
Microbiology
null
6f49754d-b459-4860-836b-2c9c646d9f7a
Mizuo-phenomenon is seen in -
Fundus albipathicus
Fundus flavimaculatus
Oguchis disease
Choroideremia
2c
single
Oguchi disease is characterized by a golden-brown fundus with a yellow-gray 'metallic' sheen in the light-adapted state. After complete dark adaptation (3 to 12 hours), the fundus appears normal, and this disappearance of the shiny, yellow, fundus reflex is called the Mizuo-Nakamura phenomenon.
Ophthalmology
Vitreous and retina
9ec14d8a-8f21-407c-a6d3-eccc75ae3a96
Which of the following anti-cancer drug comes under monoclonal antibodies: March 2013
Di-ethyl-stilbestrol
Tamoxifen
Ritumixab
Boezomib
2c
single
Ans. C i.e. Ritumixab Rituximab It is a chimeric monoclonal antibody against the protein CD20, which is primarily found on the surface of B cells. Rituximab destroys B cells, and is therefore used to treat diseases which are characterized by excessive numbers of B cells, overactive B cells, or dysfunctional B cells. Th...
Pharmacology
null