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135
e0e74428-7fcf-4aad-8675-3b52b1bcc258
Antagonist of heparin is -
Protamine
Vitamin KWarfarin
Warfarin
Fresh frozen plasma
0a
single
Ans. is 'a' i.e., Protamine
Pharmacology
null
c84491c2-675c-469d-b489-50fb04b5541f
According to Mahler's theory, normal autistic phase is:
5 - 36 months
4 weeks - 4 years
0 - 1 year
2 - 3 years
2c
single
null
Dental
null
a1589cbb-3b74-4cff-b9d9-14642b177101
Side effect of salmeterol is-
Tremor
Seizure
Hypeension
Hyperkalaemia
0a
single
Ans. is 'a' i.e., 'tremor o Tremor and palpitations are most common side effects.
Pharmacology
null
a2fd0eb9-fc5c-4e48-8f1b-1cb4e582e489
Meniere's disease is characterised by all except:
Diplopia
Tinnitus
Vertigo
Fullness of pressure in ear
0a
multi
(a) Diplopia(Ref. Cummings, 6th ed., 2331)The patient is fully conscious and oriented during an attack of Meniere.Meniere being a disturbance of peripheral vestibular system is therefore not characterised by any focal (such as diplopia, dysarthria, paresthesia, etc.) or generalised neurological symptoms like loss of co...
ENT
Ear
8f5389bf-3d86-42c3-9896-9f5a0784e1c9
Auditory hallucinations not seen in:
Schizophrenia
Mania
Hysteria
Amphetamine toxicity
2c
multi
C. i.e. Hysteria
Psychiatry
null
c5df9784-c5d8-4e5e-a4d0-c42742ed034e
ACE inhibitors are contraindicated in: March 2007
Hypeension
Myocardial infarction
Renal aery stenosis
Left ventricular dysfunction
2c
single
Ans. C: Renal Aery Stenosis Renal aery stenosis is the narrowing of the renal aery, most often caused by atherosclerosis or fibromuscular dysplasia, impeding the blood flow to the target kidney. Diagnosis of renal aery stenosis: Refractory hypeension - high blood pressure that cannot be controlled adequately with antih...
Pharmacology
null
bf530947-24ed-40a6-b472-99e4ffee48ea
Which of the following has epiphysis at BASE:
Distal phalanx
Middle phalanx
Thumb metacarpal
Third metacarpal
2c
single
Epiphysis is present on the heads of all metacarpals, except first metacarpal (Thumb) epiphysis is at the base. If Epiphysis is present at the head of the first metacarpal bone it is called as aberrant epiphysis which is a detion from the normal (and rarely found).
Anatomy
Upper limb : Miscellaneous
16f43d89-a827-4752-b603-74809dec7942
Mass Chemoprophylaxis is given for
Plague
Filaria
Cholera
Measles
1b
single
null
Medicine
null
bd63ecec-5e31-4360-a54b-88c2c3157f05
Which of the following is the most common central nervous system parasitic infection -
Echinococcosis
Sparganosis
Paragonimiasis
Neurocysticercosis
3d
single
Neurocysticercosis (NCC) is the most common form and accounts for 60–90% cases of Cysticercosis. NCC is considered as the most common parasitic CNS infection of man and most common cause of adult onset epilepsy throughout the world.
Microbiology
null
40c64516-b4b3-4a32-8aca-35507db8a53b
Primary objective of the use of atropine in anterior uveitis -
Rest to the ciliary muscle
Increase the supply of antibody
Increase blood flow
Prevents posterior synechia formation
0a
single
Ans. is 'a' i.e rest to ciliary muscles Kanski writes: 3 main indications of mydriatics in uveitisTo give comfort by relieving spasm of the ciliary muscles and sphincter of the pupil which occurs in severe acute anterior uveitis.To prevent the formation of posterior synechiae by using a short-acting mydriatic which kee...
Unknown
null
9981cc99-28a7-4853-b5d7-1c27ed742a3b
The mode of inheritance of incontinentia pigment is –
Autosomal dominant
Autosomal recessive
X-linked dominant
X-linked recessive
2c
single
Incontinentia pigmenti is an X-linked dominant disorder
Dental
null
e1054b3f-814e-4032-a9e7-65dc8942483d
Water lily sign on chest X ray is seen in -
Tuberculosis
Hydatid cyst
Cryptococcosis
Aspergillosis
1b
single
Ans. is 4b' i.e., Hydatid cysto Radiological signs of hydatid cyst of lungMeniscus signWater-lilly signCamalote signRising sun signSerpent signEmpty cyst sign
Radiology
Imaging of Alveolar Lung Disease
f3535592-dc86-4e55-825e-aba304ab9b8b
All are diseases of defective DNA repair except
Severe combined immunodeficiency disease
Adenosis polyposis coli
Bloom syndrome
Breast cancer susceptibility 1 (BRCA 1)
1b
multi
Human Diseases of DNA Damage Repair Repair Defective Nonhomologous End Joining Repair (NHEJ) Severe combined immunodeficiency disease (SCID) Radiation sensitive severe combined immunodeficiency disease (RS-SCID) Defective Homologous Repair (HR) AT -like disorder (AT LD) Nijmegen breakage syndrome (NBS) Bloom syndrome (...
Biochemistry
Metabolism of nucleic acids
dc8a2ab4-3e20-48e3-af61-fb9896d07753
Which fungus appears as single budding cell in culture at 370 C and the bud and the parent yeast have a characteristic wide base of attachment?
B. dermatitidis
C. neoformans
C. albicans
P. brasiliensis
0a
single
This is the characteristic appearance of B. dermatitides
Microbiology
All India exam
fa23045a-fbc9-4499-aa33-542b77fb0aba
Investigation of choice for assessing a child with vesicoureteric reflux is:
Antegrade IVP
Retrograde IVP
Micturating cystourethrogram
Cystoscopy
2c
single
Ans. Micturating cystourethrogram
Radiology
null
f1ed324c-ff2d-47b2-b7be-9c8dbbe8367b
Most common cause of embolic stroke is?
Intra cardiac mural thrombi
Paiculate matter from iv drug injections
Protein C deficiency
Antiphospholipid syndrome
0a
single
*approximately 20% of ischemic strokes are due to embolism from the hea. the most common causes are atrial fibrillation,prosthetic hea valves,other valvular abnormalities and recent myocardial infraction. Ref Harrison20th edition pg 2345
Medicine
C.N.S
ea4d8521-0576-49f0-baa8-f0342ba70d38
Horner Tranta's spots are seen in:
Vernal conjunctivitis
Phylectenular conjunctivitis
Angular conjunctivitis
Follicular conjunctivitis
0a
single
Ans. Vernal conjunctivitis
Ophthalmology
null
22e6d50b-6418-4aac-99de-ce2b8c2ddcea
All are true about Iron deficiency of anemia EXCEPT
Hypochromic microcytic
Sideroblasts
Serum ferritin is a marker
Anisocytosis and poikilocytosis
1b
multi
B. i.e. (Sideroblasts) (369- 373- Harsh Mohan 5th) (435 - Basic pathology 8th)* "Sideroblast are reduced or absent in iron deficiency "IRON DEFICIENCY ANEMIA* *Common cause of nutritional anemia* *S. ferritin is good indicator of the adequacy of body iron stores* **Biochemical findings - S. iron levels |. TIBC |. S. fe...
Pathology
Blood
7cb004c1-e74b-4083-97c0-adef2ce92b9e
Saccharolytic reaction in cooked meat broth is produced by
Pseudomonas
Clostridium perfringes
Clostridium tetani
C.diptheriae
1b
single
CMB also called Robesons cooked meat -contains nutrient broth and cooked meat of ox hea Saccharolytic reaction positive for cl.perfringes Proteolytic reaction positive for cl.tetani Ref: CP Baveja 4th ed Pg:51
Microbiology
general microbiology
c0946945-5f34-4125-9e6d-7c019126667c
In a patient with acute leukemia, immunophenotype pattern is CD 19+ve, CD 10+ve, CD33+ve, CD13+ve.He may probably have-
Biphenotypic leukemia
ALL
AML-M2
AML-M0
0a
multi
null
Medicine
null
d88ccc1b-da1b-42c2-95d4-c3fc02eda7c2
Congenital rubella syndrome is most prominent in an infant when a pregnant woman becomes infected?
During the first trimester of pregnancy
One week before a full-term delivery
One month before a full-term delivery
Hours before childbih
0a
single
The route of infection of rubella virus is the respiratory tract, with spread to lymphatic tissue and then to the blood (viremia). Maternal viremia is followed by infection of the placenta, which leads to congenital rubella. Many organs of the fetus suppo the multiplication of the virus, which does not seem to destroy ...
Microbiology
null
730a9493-5aad-49af-aa0b-3e96af1369d2
A 25 year old man presented with fever, cough, expectoration and breathlessness of 2 months duration. Contrast enchanced computed tomography of the chest showed bilateral upper lobe fibrotic lesions and mediastinum had enlarged necrotic nodes with peripheral rim enhancement. Which one of the following is the most proba...
Sarcoidosis
Tuberculosis
Lymphoma
Silicosis
1b
single
B i.e. Tuberculosis Expectoration is a common manifestation in tuberculosis. It is usually not associated with sarcoidosis, silicosis & lymphoma. B/L Upper lobe fibrosis makes lymphoma unlikely. It may be seen in other conditions and m.c. in tuberculosis. Diagnosis of silicosis is based on relevant occupational history...
Radiology
null
96124c59-2e4e-4feb-8343-5c8dde9725e5
DEEP PETROSAL nerve arises from
Facial nerve
Glossopharyngeal nerve
Plexus around internal carotid aery
Mandibullar nerve
2c
single
The deep petrosal nerve, sympathetic in nature is a branch of the sympathetic plexus around the internal carotid aery. It contains postganglionic fibres from the superior cervical sympathetic ganglion. The nerve joins the greater petrosal nerve to form the nerve of the pterygoid canal. The sympathetic fibres in it are ...
Anatomy
Head and neck
2020b516-6c10-49fd-9a4c-c76aa88315e5
The intrinsic potency as local anesthetic is the lowest in
Lidocaine
Procaine
Prilocaine
Tetracaine
1b
single
null
Pharmacology
null
07fea888-c8d3-4f05-89bc-ccb71cba5409
Withdrawal bleeding following administration of progestogen in a case of secondary amenorrhea indicates all except
Absence of pregnancy
Production of endogenous estrogen
Endometrium is responsive to estrogen
Defect in pituitary gonadal axis
3d
multi
Ans. is d, i.e. Defect in pituitary gonadal axisRef: Dutta Gynae 6th/ed, p467; Leon Speroff 7th/ed, p404-409Withdrawal bleeding following administration of progesterone suggests:* The uterus is sufficiently primed with estrogen, i.e. production of endogenous estrogen is normal which means. Ovaries and hypothalamic pitu...
Gynaecology & Obstetrics
Disorders in Menstruation
e72011c1-1d6c-47bb-a094-3bf81504e435
Which among the following is NOT secreted by adrenal medulla:
Epinephrine
Nor epinephrine
Dopamine
Coisol
3d
single
The adrenal medulla secretescatecholamines which include epinephrine, norepinephrine and dopamine. About 80% of adrenal medullarycatecholamine is epinephrineand rest is norepinephrine. Apa from catecholamines, the adrenal medulla also contains small amounts of dynorphins, neurotensin, encephalin, somatostatin and subst...
Physiology
null
5f4485f6-8e68-4ba1-8b09-6bc2238d2cd2
Which is the most common site of peripheral aneurysm?
Femoral aery
Radial aery
Popliteal aery
Brachial aery
2c
single
MC site of peripheral aneurysm: Popliteal aneurysm MC site of Splanchnic Aneurysm: Splenic Aery Aneurysm. MC vessel involved in aneurysm: Circle of Willis MC location of extra- cranial aneurysm: Aoa > Iliac > Popliteal > Femoral (AIPF) MC site of extra- cranial aerial aneurysm is infrarenal aoa
Surgery
Aerial disorders
af8dee96-dbf1-4208-a17b-1fee913638d4
Sabin Feldman dye test is used for diagnosis of:
Leishmaniasis
Echinococcosis
Toxoplasmosis
Balantidiasis
2c
single
Ref. Textbook of Microbiology and Immunology BY Parija. Page. 500   Toxoplasma: Tests include Sabin-Feldman dye test, which tests for IgG antibodies ELISAs targeted at IgM, IgA and IgE Differential agglutination tests and IgG avidity tests. Sabin Feldman Dye test The test measures the total amount of antibody in ser...
Unknown
null
af8d0ee8-be1a-4a0c-b7e9-78ee8fd0655c
Soluble components of complement system account for about
1-2 mg/ml of total serum protein
3-4 mg/ml of total serum protein
5-7 mg/ml of total serum protein
7-8 mg/ml of total serum protein
1b
single
null
Microbiology
null
fabb13cd-6b4b-49c7-9188-aa109a6a5b48
Primary amoebic meningitis caused by -
Naegleri fowleri
E.histolytica
E.coli
B.coli
0a
single
Naegleria fowleri, the only pathogenic species of naegleria Human infection comes from water containing the amoebae and usually follows swimming or diving in ponds. Patients are mostly previously healthy young adults or children. The amoebae invade the nasal mucosa, pass through the olfactory nerve branches in the crib...
Microbiology
parasitology
cdb43c5c-e105-4240-9319-e8f0149893c2
This milestone is achieved by the age of _________
2 months
4 months
6 months
8 months
1b
single
At 4 months Lifts head and chest, with head in an approximately veical axis. legs extended Reaches and grasps objects and brings them to mouth Enjoys sitting with full trunkal suppo When held erect pushes with feet Laughs out loud Excites at sight of food Ref : Nelson 20th edition pg:67
Pediatrics
Growth and development
444ec624-adc3-4125-bc2b-0ca790ca0fce
During gluconeogensis reducing equivalents from mitochondria to cytosol are transpoed by
Malate
Aspaate
Glutamate
Oxaloacetate
0a
single
A i.e. MalateMallate shuttle is a system by which reducing equivalents (NADH) produced in glycolysisQ are transferred from cytosol to mitochondria to yield energy.NADH produced in the glycolysisQ, is extramitochondrial where as the electron transpo chain, where NADH has to be oxidized to NAD+ is in the mitochondria (Ox...
Biochemistry
null
a89b23a5-4266-4480-a045-d5c2b94e2885
Epinephrine action in liver:
Glycogenoloysis
Gluconeogenesis
Glycolysis
Lipolysis
0a
single
A i.e. Glycogenolysis
Physiology
null
81cc2df0-cf77-44bf-b16d-d0da9edfa8d0
Treatment of choice for medullary carcinoma:
Thyroxin therapy.
Radioiodine.
External radiation
Total Thyroidectomy.
3d
single
null
Surgery
null
28be410a-5bdc-4ffd-80ab-886ec8540525
The urine sample of a patient has been sent to the laboratory to look for Leptospira. The specimen is to be screened by use of the
Scanning microscope
Inverted microscope
Dark ground microscope
Electron microscope
2c
single
null
Microbiology
null
9f281bf6-1cdd-4c66-bbb7-822aefe6ff0a
Which of the following is involved in gradenigo's syndrome?
Superior saggital sinus
Cavernous sinus
Transverse sinus
Sigmoid sinus
2c
single
Headache and earache are the most frequent symptoms of transverse sinus thrombosis. A transverse sinus thrombosis may also present with otitis media, sixth nerve palsy, and retroorbital or facial pain (Gradenigo's syndrome). Sigmoid sinus and internal jugular vein thrombosis may present with neck pain. Ref Harrison 20t...
Medicine
C.N.S
856624c4-5c64-4d04-b2ae-e83062145bf0
The white matter of cerebellum is well myelinated at
1 month
3 months
6 months
12 months
0a
single
The white matter of cerebellum is well myelinated at 1 month.Ref: Ganong&;s review of medical physiology, 23rd edition, Page no:254
Physiology
Nervous system
59786945-3bc6-414f-b2e0-3190f9d5e8e0
All are mechanism of defence except:
Repression
Transference
Projection
Anticipation
1b
multi
B i.e. Transference
Psychiatry
null
ee3430ef-8e3f-46f7-9fde-add95d1302a9
Which is associated with alcohol related cardiomyopathy
Dilated
Restrictive
Hyperophic
None
0a
multi
Dilated cardiomyopathy Restrictive cardiomyopathy Hyperophic obstructive cardiomyopathy Left ventricle is enlarged resulting in reduced systolic function Walls of ventricles become rigid resulting in decreased compliance. Asymmetrical septal hyperophy resulting in Left ventricular outflow tract obstruction Sub valvular...
Medicine
FMGE 2019
62912276-9daf-402b-a396-ea6c3247ddd3
Christmas tree appearance of urinary bladder is seen in
Neurogenic bladder
Stress incontinence
Autonomous bladder
Enuresis
0a
single
Ans. is 'a' i.e., Neurogenic bladder Christmas tree appearance of the bladder is seen in neurogenic bladder caused by detrusor hyperreflexia. Detrusor hyperreflexia is caused by lesions of the spinal cord above the sacral segments but below the pons. Such patients have noperception of bladder filling or emptying and vo...
Medicine
null
0bf2ab21-12f3-424a-98b4-b0471890dc51
Drug of choice for Acute Adrenal Crisis is:
Norepinephrine
Hydrocoisone
Dexamethasone
Fludrocoisone
1b
single
Answer is B (Hydrocoisone): The treatment of choice for acute adrenal insufficiency is Glucocoicoid Replacement Therapy. Hydrocoisone is the preferred steroid fir Glucocoicoid replacement therapy in acute adrenal crisis since it has both glucocoicoid and mineralocoicoid actions. In cases where the diagnosis of acute ad...
Medicine
null
fdcac217-c2bf-42f2-b33e-04e497ec7ec9
Telefono means ?
Beating on soles
Beating on palms
Beating on ears
Pulling of hair
2c
single
Ans. is 'c' i.e., Beating on ears Telefono : Simultaneous beating of both ears with the palm of hands. This may lead to rupture of tympanic membrane, causing pain, bleeding and hearing loss. It is difficult to detect this. The external ear may also get torn during pulling of the ears. Falanga : beating of soles with bl...
Forensic Medicine
null
26acc451-746d-4192-bb14-b493e90281d8
Maximum tissue reaction in associated with which suture material?
Polypropylene
Polyglyconate
Polydioxanone
Plain catgut
3d
multi
Ans. D. Plain catgut. (Ref. Bailey and Love 26th/pg. 36. Table 18.1).While plain Catgut or Chromic catgut often causes bacterial infection due to inflammatory tissue reaction. Reaction to catgut depends on the stage of absorption and is mainly histocytic in type. Nonabsorbable sutures are encapsulated by a rim of conne...
Surgery
Wounds, Tissue Repair & Scars
ec83aa72-5f4f-4087-b5cb-3e16a4704d1a
The parvocellular pathway from lateral geniculate body to visual coex carries signals for detection of
Colour contrast
Luminance contrast
Temporal frequency
Saccadic eye movements
0a
single
Parvocellular pathway carries signal for detection of colour vision, texture, shape, fine detail. Ref: Ganong 25th ed/page 193
Physiology
Nervous system
a860aebf-47b6-4cef-9597-dde9c7f05d40
A 42-year old man was referred with a 2 week history of fever weakness and bleeding gum. Peripheral smear showed pancytopenia. The bone marrow examination revealed 26% blasts frequency exhibiting Auer rods and mature myeloid cells. An occasional neutrophil with pseudo Pelger-Huet anomaly was also detected. Which of the...
Acid phosphatase
Non-specific esterase
Myeloperoxidase
Toluidine blue
2c
single
Patient here gives a sho history (acute onset) of development of pancytopenia (fever; weakness and gum bleeding suggest leucopenia; anemia and thrombocytopenia respectively). The presence of 26% blasts in the bone narrow suggests the development of acute leukemia and the presence of Auer rods means that the diagnosis i...
Pathology
Diagnostic procedures
66bbd3cd-42fa-4d7a-812e-4d62b6ae71a1
Which of the following is vitamin K-dependent clotting factor?
Factor VII
Factor I
Factor XI
Factor XII
0a
single
Ans. (A) Factor VII(Ref: Ganong, 21/e p547)Vitamin K-dependent factors are clotting factor II (prothrombin), VII, IX, and X and anti-clotting factors protein C and protein S.
Pharmacology
Anticoagulants and Coagulants
447a95ec-06b8-4b20-8f79-457ef1d9b6c2
The word amalgam refers to a combination of any alloy or metal with
Gold
Mercury
Silver
Tin
1b
multi
null
Dental
null
109b4fbe-3d86-45fa-8274-21ffc89ab667
Which of the following can be used safely in renal failure?
Ciprofloxacin
Ofloxacin
Lomefloxacin
Pefloxacin
3d
single
Pefloxacin It is the methyl derivative of norfloxacin; more lipid soluble, completely absorbed orally, penetrates tissues better and attains higher plasma concentrations. Passage into CSF is higher than other FQs-preferred for meningeal infections. It is highly metabolized-paly to norfloxacin which contributes to its a...
Pharmacology
Chemotherapy
c20437d5-18cd-4485-b1e8-9eafdc6b1b5b
The maximum motility of the colon is seen in
Ascending colon
Transverse colon
Descending colon
Sigmoid colon
3d
single
The maximum motility of the colon is seen in the sigmoid colon. The rate of BER at sigmoid colon is 6/min. Rate of basal electric rhythm in various regions Segment Rate of BER Stomach 4/min Duodenum 12/min Distal ileum 8/min Cecum 2/min Sigmoid 6/min Ref: Ganong&;s Review of medical physiology 26th edition Pgno: 486
Physiology
G.I.T
6657e09f-0249-443f-a52e-fa038c43c664
Class I histocompatibility antigens are expressed on all except
Macrophage
Lymphocyte
Platelets
Red Blood Cells
1b
multi
Class I histocompatibility antigens are expressed on all nucleated cells and platelets
Anatomy
All India exam
e849d40c-b036-466d-8aa2-7c5b76b45e69
All of the following have poor penetration in brain and eyes except
Glycopyrrolate
Pilocarpine
Tiotropium bromide
Isopropamide
1b
multi
Glycopyrrolate, Tiotropium bromide, Isopropamide are Atropine substitute Quaternary compounds. These compounds are lipid insoluble and therefore have poor penetration in brain and eyes. Glycopyrrolate blocks the peripheral muscarinic side effects(caused by increased Ach levels) without causing unwanted central antichol...
Pharmacology
Pharmacokinetics
4216b1cc-36cb-4512-bd10-7b5f6ad4db71
Central placenta under the classification of placenta pre depending on the extension of the placenta into the lower segment comes under __________
Type 1
Type 2
Type 3
Type 4
3d
single
Older classification of placenta pre (Browne&;s) Type Position Definition Type 1 Lateral Placenta dipping into lower segment but not reaching upto the os Type 2 Marginal Placental edge reached the os Type 3 Incomplete central Placenta covers the internal os when closed, but not when fully dilated Type 4 Central Placent...
Gynaecology & Obstetrics
General obstetrics
181ffa4e-310f-45a8-9a35-1d2f99354d73
Cellular cementum and compact bone contain
Sharpey's fibres and elastic fibres
Collagen fibres and blood vessels
Canaliculi and incremental lines
Lacunae and elastic fibres
2c
single
null
Dental
null
3d324b96-c1a6-46b9-bfef-19fe60ed4865
The energy requirement of women are increased in first 6 months of lactation is
300 Real
400 Real
550 Real
450 Real
2c
single
(550 kcal) (552- Park 20th)* Recommended daily intake of energy GroupBody weightEnergy allowance per day KgKcalMJAdult Ref Males(Light work)60242510.1 (Moderate work) 287512.0 (Heavy work) 380015.8Ref Females(Light work)5018757.8 (Moderate work) 22259.3 (Heavy work) 292512.2Pregnancy + 300+ 1.25Lactation (First 6 month...
Social & Preventive Medicine
Obstetrics, Paediatrics and Geriatrics
70ce4a3a-050b-400a-add1-35bcb4855e27
The most common type of emphysema associated with a-1 antitrypsin deficiency -
Centriacinar
Panlobular
Paraseptal
Distal acinar
1b
single
Ans. is 'b' i.e., Panlobular
Pathology
null
801079d6-2426-4107-9e60-6e111b9cb5ea
Endodermal sinus tumor is characterised by
Cal Exner body
Psammoma bodies
Schiller Duval bodies
Homer wright body
2c
single
Refer Robbins page no 977Also known as endodermal sinus tumor, yolk sac tumor is of interest because it is the most common testicular tumor in infants and children up to 3 years of age. In this age group it has a very good prognosis. In adults the pure form of this tumor is rare; instead, yolk sac elements frequently o...
Pathology
Urinary tract
5a36f8dd-224e-469c-a9c2-5a13f43e9138
What is the root value of the posterior cutaneous nerve of the thigh?
S1, S2
S1, S2, S3
S2, S3
S2, S3, S4
1b
single
Posterior cutaneous nerve of thigh- S1,2,3
Anatomy
null
e8e2f50d-9764-4291-965d-de1b52cf1fd1
A diabetic patient in hypoglycemia does not regain consciousness despite blood glucose restoration to normal. Which one of the following is the not likely condition or explanation?
Cerebral edema
Alcohol intoxication
Post-ictal state
Cerebral haemorrhage
1b
single
null
Medicine
null
ec8fc4ef-ba3f-40a7-b7c6-e0da07ca9877
Resting muscle length means?
Length of actin and myosin before contraction
The length of the muscle fiber at the onset of contraction which is required to attain maximum active tension
It is about 4 micrometers
Length at which muscle has minimal tension
1b
single
Resting length: The length of the muscle fiber at the onset of contraction which is required to attain maximum active tension It is about 2 micrometers. Also known as optimum length. At this state, the ends of actin filaments extending from 2 successive Z disks barely overlap one another.
Physiology
Muscle
9b2dd514-a84b-409b-be1a-dac32421116e
Which of the following is a common association with Celiac sprue ?
Herpes Gestationalis
Dermatitis herpetiformis
Pemphigus vulgaris
Bullous pemphigoid.
1b
single
Both Celiac sprue and dermatitis herpetiformis are associated with HLA DQ2 and HLA DQ8
Pathology
null
7b71a7e9-a736-461a-a63c-7728fa32dcde
Semen squeeze
Erectile dysfunction
Premature ejaculation
Retrograde ejaculation
Antegrade ejaculation
1b
single
* Squeeze Technique: * Variation of the Masters and Johnson method. * As a man approaches climax, either he or his paner squeezes the tip of the penis just below the head of the penis as he approaches the point of climax. * Pressure is held there until the sensation of impending orgasm diminishes. * This pressure can e...
Psychiatry
All India exam
59c5db7f-5857-4eed-ab36-e0450b7ce35a
The most common pre-malignant condition of oral carcinoma is ?
Leukoplakia
Erythroplakia
Lichen planus
Fibrosis
0a
single
Ans. is 'a' i.e., Leukoplakia o There are two premalignant lesions for oral Cancer ? i) Leukoplakia ii) Erythroplakia o Leukoplakia is the most common premalignant lesions. o But, the risk of malignant transformation of erythroplakia is much higher than that seen with leukoplakia. o The most common predisposing factor ...
Pathology
null
e15d5e86-7309-4611-b945-c78b43eaa11a
Which of the hormone secretion is increased if pituitary stalk is transected?
Prolactin
ACTH
GH
None
0a
multi
Ans. a (Prolactin) (Ref. H - 18th/pg. 50, 351)Pituitary stalk transection syndrome is relatively frequent and should be suspected after cranial trauma or fetal distress syndrome. The outcome is progressive evolution towards panhypopituitarism and these patients require regular clinical survey and hormonal controls.The ...
Gynaecology & Obstetrics
Endocrine Control of the Menstrual Cycle
94a7e841-b185-4735-ab86-917cdbcf37de
Affiliation refers to
Paternity dispute
Divorece case
Rape
Adultery
0a
single
Affiliation orders are legal documents declaring that a man is the father of a child under question.
Physiology
All India exam
03e2e8bc-76d7-4480-b4a1-ea9cfa46ba28
Function of the maxillary sinus is:
Protects the skull against mechanical shock.
Defence against bacterial infection.
It warms and moistens the inspired air.
All of the Above.
3d
multi
Functional Importance and Clinical Considerations Many functions are attributed to maxillary sinus. Being an air space it lessens the weight of skull, gives resonance to the voice and protects the skull against mechanical shock. It warms and moistens the inspired air. The lysozyme it produces is bactericidal and thus c...
Dental
null
99fc797d-1f9d-4a73-96ff-ee3b4e516827
Glasgow coma scale (GCS) in case of mild head injury: September 2011
15 with no loss of consciousness
14/ 15 with loss of consciousness
13-Sep
8-Mar
1b
single
Ans. B: 14/ 15 with loss of consciousness GCS in mild head injury: 14 or 15 with loss of consciousness
Surgery
null
773d1016-ec99-4843-acf7-6c984e075b99
Given the chest x-ray of a 45 years old man complaining of cough for the past 6 months. The patient gives a history of working in a construction factory for the past 15 years. what could be the probable Diagnosis?
Asbestosis
Silicosis
Antracosis
Mesothelioma
0a
single
Calcified pleural plaques is most common radiological manifestation of asbestosis. Pleural plaques typically arise from the parietal pleura, most frequently from the lower poions of the chest, sparing the apices and costophrenic angles.
Radiology
Respiratory Radiology
52740a79-93ee-461e-a34c-2b8fafa0957f
Which of the following immunoglobulins increased in primary bacterial infections is
IgG
IgM
IgA
IgD
1b
single
B. i.e. (IgM) (89- Ananthanarayan 7th)* IgM is the first immunoglobulins synthesized in the antibody response (Primary response) and its presence in the serum indicates recent infections. Since it cannot cross the placenta, presence of IgM antibody in serum of foetus or new born indicates intrauterine infections. IgM i...
Microbiology
Immunology
f2b9ef93-b73c-4127-95a3-4f0880ffa80f
Which ECG findings represents a characteristic manifestation of digitalis toxicity?
ST -segment depression
T-wave inversion
Atrial flutter
Atrial tachycardia with variable block
3d
single
Digitalis glycosides are effective in increasing myocardial contractility and in the treatment of certain atrial tachyarrhythmias. However, digoxin actually increases myocardial automaticity (increase in premature beats) and facilitates reentry (atrial tachycardias). Digoxin also slows conduction through A V nodal tiss...
Unknown
null
3aa93055-68c3-43a5-a486-e5b05015f093
Macrosomia is seen in all except
Diabetes mellitus
Obesity
Hydrocephalus
Post maturity
2c
multi
Risk factors associated with macrosomia : Maternal diabetes Multiparity Increased maternal age Maternal obesity Prolonged gestation Male fetus Ref: Dutta Obs 9e pg 263.
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
3cf5378f-2087-4e5d-b735-882246ac97cc
Ulcerative colitis involves
Serosa
Lamina propria
Mucosa
Circularis muscle
2c
single
Answer 'c' i.e. Mucosa Ulcerative colitis involves mucosa and superficial submucosa with deeper layers unaffected except in fulminant disease.
Surgery
null
8125fcbc-0f52-4f4c-b842-f69eb49e5cca
Bronchospasm can be precipitated by:
Adrenaline
Propranolol
Atropine
Salbutamol
1b
single
null
Pharmacology
null
7d1afcaa-d454-4382-a3de-c3a36c7e333c
Hypoxiema independent of
Fi02
altitude
Hb
PaCO2
2c
single
Hb [Ref: Ganong 23/e p617; http://en.wikipedia.org/wiki/Hypoxemiaj Hypoxemia is decreased paial pressure of oxygen in blood. It is the oxygen that is dissolved in the blood not attached with hemoglobin; thus it does not depend on Hemoglobin. Hypoxemia is one of the types of Hypoxia kla Hypoxic Hypoxia. The Hypoxia depe...
Physiology
null
cf05f3d3-db3b-4c32-b1d7-14bff10fb97a
In a ulcer over skin if there is undermined edges it suggests
Syphilis
Tuberculosis
Cancerous ulcer
Venous ulcer
1b
single
Flat sloping venous or septic, often with a transparent healing edge along pa of its circumference. Punched-out syphilitic, trophic, diabetic, ischaemic, leprosy. Undermined tuberculosis, pressure necrosis paicularly over the buttocks, carbuncles. Raised rodent ulcer , often with a slightlyrolled appearance. Raised and...
Surgery
General surgery
b2671f6c-7e87-4159-b480-2dc49730ed47
A surgical obturator has to be inserted
One day prior to the surgery
On the day of the surgery
14 days after the surgery
30 days after the surgery
1b
single
null
Surgery
null
cbc76bd5-bfbf-48bc-a013-7a1d78f8d412
Examination of a patient revealed that he had right sided paralysis of the tongue, left sided hemiparesis and left sided lemniscal sensory loss. Occlusion of which of the following aery result in the following manifestations?
Anterior inferior cerebellar aery
vb
Penetrating branch of veebral aery
Anterior cerebral aery
2c
single
Patient is showing features of medial medullary syndrome. Occlusion of penetrating branch of veebral aery result in medial medullary syndrome. Medial medullary syndrome is characterised by a triad of:Ipsilateral hypoglossal nerve palsyContralateral hemiparesis with loss of deep sensationOcclusion of posterior inferior ...
Anatomy
null
0975ae04-2764-4739-99ab-765921ef783f
Franklin disease is?
heavy chain disease
6-heavy chain disease
y-heavy chain disease
u-heavy chain disease
2c
single
Answer- C. y-heavy chain diseaseFranklin's disease (gamma heavy chain disease)It is a very rare B-cell lymphoplasma cell proliferative disorder.It may be associated with autoimmune diseases and infection is a common characteristic of the disease.
Pathology
null
a97b4e91-6408-4370-a2b7-fefb2b46ada2
Liquefactive necrosis is seen in?
Heart
Spleen
Brain
Kidney
2c
single
Brain tissue is rich in liquefactive enzymes and it lacks stromal support, hence liquefactive necrosis is the type of necrosis that occurs in brain.
Pathology
null
a0f0e4d2-005f-48c3-a1cf-2427d7e22a0b
A 68-year-old patient developed atrophic gastritis and, 2 years later, developed a macrocytic, hyperchromic anemia. His anemia has most likely occurred due to which one of the following reasons?
The atrophic gastritis leads to vitamin B12 malabsorption.
The atrophic gastritis raises the pH in the duodenum, leading to folate malabsorption.
The terminal ileum is also involved, so iron is malabsorbed.
The atrophic gastritis leads to increased red blood cell absorption by the spleen.
0a
single
This patient has trouble absorbing vitamin B12 for two reasons. The first is that the stomach no longer produces adequate levels of intrinsic factor. Atrophic gastritis leads to the loss of the glandular cells of the stomach and replacement of those cells with intestinal and fibrous tissues. This will lead to a loss of...
Biochemistry
Endocrinology
d69499e9-1cb3-4a5b-b203-0b4ff5f94693
First dose of vitamin A should be given at: September 2005
3 months
6 months
9 months
12 months
2c
single
Ans. C: 9 months National programme for prevention of nutritional blindness focuses on Promoting consumption of vitamin A rich foods by pregnant and lactating women and by children under 5 years of age. Administration of massive doses of vitamin A up to 5 years. First dose of 100,000 IU with measles vaccination at 9 mo...
Social & Preventive Medicine
null
ddaf0397-b89c-4612-8061-923acfe413e0
Tumbling motility is characteristic of the following organism:
Proteus vulgaris
Proteus mirabilis
Vibrio
Listeria
3d
single
Listeria monocytogenes is a Gram-positive rod with some bacteriologic features that resemble those of both corynebacteria and streptococci. Listeria species are catalase-positive, which distinguishes them from streptococci, and they produce a characteristic tumbling motility in fluid media at temperatures below 30degC,...
Microbiology
null
7be5ece3-23bf-4912-af58-c3d5e4db1f70
A 17 year old female patient has hirsutism, hyperglycemia, obesity, muscle wasting, and increased circulating levels of ACTH. The most likely cause of her symptoms is:
Primary adrenocoical insufficiency
Primary overproduction of ACTH
Exogenous steroids
Hypophysectomy
1b
single
This female patient's symptoms are classic for a primary elevation of ACTH (Cushing's Disease). Exogenous steroids would produce similar symptoms, except that circulating ACTH would be low because of negative feedback suppression at both hypothalamic (CRF) and anterior pituitary levels (ACTH). Addison's Disease is caus...
Pathology
null
73c8745d-63d8-4914-90a1-dd01782851ee
Tennis elbow is -
Medial Epicondylitis
Lateral Epicondylitis
Ulnar collateral ligament injury
Radial head subluxation
1b
single
Ans. is 'b' i.e., Lateral Epicondylitis o Repeat from previous sessions.
Orthopaedics
Injuries Around Arm & Elbow
3bc83b0e-85f2-4850-b5c5-ef3e2d4c87ee
Vague elaborate and circumstantial speech with magical thinking is characteristic of :
Paranoid
Borderline
Schizoid
Schizotypal
3d
single
Schizotypal (cluster A ) personality is characterized by odd speech that is vague or rambling, discomfo in social situations, strange thinking and lack of emotional appropriateness *Ideas of reference (not delusions) *Odd beliefs and magical thinking *Unusual perceptual disturbances *Paranoid ideation and suspiciousnes...
Psychiatry
All India exam
bc35ffc2-ce5b-4e7e-8d38-d45522efafb0
The skin overlying the region where a venous "cut-down" is made to access the Great saphenous vein is supplied by:
Femoral nerve
Sural nerve
Tibial nerve
Superficial peroneal nerve
0a
single
The skin overlying the region where a cut down is made to grant access to the great saphenous vein is supplied by the saphenous nerve. The saphenous nerve is a branch of the femoral nerve. Ref: Textbook of Pediatric Emergency Procedures By Christopher King, Page 273; Clinical Anatomy By Regions By Richard S. Snell, Pag...
Anatomy
null
ed489bb3-026b-4390-8924-38a3eb1d41f1
A 10-year-old boy presents with nasal obstruction and intermittent profuse epistaxis. He has a firm pinkish mass in the nasopharynx. All of the following investigations are done in this case except-
X - ray base of skull
Carotid angiography
CT scan
Biopsy
3d
multi
Biopsy can cause profuse bleeding, therefore should be avoided. Investigations used for NFA are :- Soft tissue lateral film of nasopharynx X-ray paranasal sinus and base of skull Contrast CT of skull (investigation of choice) MRI Carotid angiography
ENT
null
c55a5d5a-3daa-4115-92a2-6d8d5fdffd9c
Hanging in which body is fully suspended & feet are not touching the ground -
Paial hanging
Complete hanging
Homicidal hanging
Suicidal hanging
1b
single
Ans. is 'b' i.e., Complete hanging Complete hanging: Body is fully suspended and no pa of body touches the ground. Constricting force is weight of body.Incomplete (paial) hanging : 'There is paial suspension and some body pa (usually lower) is touching the ground. Constricting force is weight of the head (5-6 kg).
Forensic Medicine
null
a6f0954a-be18-4ef1-87b4-b44427d3f88a
Forschheimer's sign:
Seen in rubella
Are red macules or petechiae confined to the hard palate.
Found after 2nd day of the rash
Pathognomonic of rubeola
0a
single
Forschheimer spots are a fleeting enanthem seen as small, red spots (petechiae) on the soft palate in 20% of patients with rubella Seen during the prodromal period or on the first day of the rash. They precede or accompany the skin rash of rubella. They are not diagnostic of rubella, as similar spots can be seen in mea...
Dental
Viral infections
c4ba054b-2285-4fba-9503-2c6850484218
Phagocytosis in brain is caused by ?
Astrocytes
Microglia
Oligodendrocytes
Ependymal cells
1b
single
Ans. is 'b' i.e., Microglia
Pathology
null
d8ffda12-7212-4de8-bb3a-5d2c2e7190ff
First branch of the facial nerve is:
Greater petrosal nerve
Lesser petrosal nerve
Chorda tympani nerve
Nerve to the stapedius
0a
single
(a) Greater petrosal nerve(Ref. Scott Brown, 6th ed., 1385)The greater superficial petrosal nerve arises from the geniculate ganglion at the first genu. This is the first branch.The 2nd branch is the nerve to the stapedius given at the pyramid.The 3rd is the chorda tympani given 4-6mm before the exit of facial nerve fr...
ENT
Facial Nerve And Its Disorders
6ef52c8d-6b23-4861-a374-70eaf3bb4d5d
A 26 year male came with hypopigmented macule over chest with scratch sign positive. Diagnosis is:
Hansen's disease
PKDL
Pityriasis alba
Pityriasis versicolor
3d
single
Hypopigmented patch over chest and trunk with fine scaling and scratch sign positive (i.e appearance of scales on scratching ) is suggestive of Pityriasis versicolor which is a fungal intection caused by Malassezia.
Dental
null
cd906451-4aaa-4b45-b7f6-f67dbaea9df8
New born babies are able to breathe and suck at the same time due to
Wide sho tongue
Sho soft palate
High larynx
Sho pharynx
2c
single
Infant&;s larynx is positioned high in the neck, the level of glottis being opposite to C3 or C4 at rest and reaches C1 or C2 during swallowing. This high position allows the epiglottis to meet soft palate and make a nasopharyngeal channel for nasal breathing during suckling. The milk feed passes separately over the do...
Pediatrics
New born infants
a8f0b047-20c1-4ac4-9cef-ee7529f60c48
Shoest action local anaesthetic:
Procaine
Cocaine
Dibucaine
Chloroprocaine
3d
single
Shoest Acting LA Chlorprocaine Longest acting LA Dibucaine
Anaesthesia
FMGE 2018
cfd851d5-0d8d-4d8d-8486-a0ce64aafc4e
Most common adverse effect on eye in contraceptive usage is:
Colour blindness
Ring scotoma
Optic neuritis
Nystagmus
2c
single
Ans. Optic neuritis
Ophthalmology
null
fbd2395f-37d1-4c1b-8aef-613232d846c0
Lisfranc's fracture dislocation involves:
Lunate
Scaphoid
Trans metatarsal
Capitate
2c
single
C i.e. Trans MetatarsalRef: Fundamentals of Orthopedics, 2nd edition, Mohindra and Jain, Jay pee Publishers, page 160Explanation:Lisfranc's Fracture DislocationThe Lisfranc joint consists of the tarsometatarsal joint complex, which includes the three cuneiforms, cuboid and their articulations with the five metatarsal b...
Orthopaedics
Injuries to the Leg, Ankle & Foot
865607d7-34fb-4e41-b7c5-6fec2ec358fe
Which among the following is not involved in PQLI?
Infant mortality rate
Life expectancy
Per capita income
Literacy
2c
single
Ans: c (Per capita income) Ref: Park, 19th ed, p. 16Physical quality of life index (PQL1) include:1. Infant mortality rate2. Life expectancy at age one3. Literacy rateScale of PQLI varies from 0 to 100.Human Development Index (HDI)It includes:1. Life expectancy at birth (Longevity)2. Knowledge (Adult literacy rate and ...
Social & Preventive Medicine
Concept of Health and Disease
5c80b477-c868-4373-a70c-8f797e7c7c00
A patient suffering from AIDS presents with a history of dyspnea and non-productive cough x-ray shows bilateral perihilar opacities without pleural effusion and lymphadenopathy. Most probable etiological agent is –
Tuberculosis
CMV
Kaposis sarcoma
Pneumocystis carinii
3d
single
Dyspnea with a nonproductive cough, and bilateral perihilar opacities without pleural effusion and lymphadenopathy, in an AIDS patient suggest the diagnosis of P. Carinii pneumonia. In TB, cough is productive (with sputum) and there is associated lymphadenopathy. Pleural effusion may also occur.
Radiology
null
fe11e8ba-f54f-4bfb-9dba-edc41544c31e
Which of the following is live attenuated vaccine-
Salk polio vaccine
Sabin polio vaccine
Rabies vaccine
KFD vaccine
1b
single
Ans. is 'b' i.e., Sabin polio vaccineo Vaccine is an immuno-biological substance designed to produce specific protection against a given disease. It stimulates the production of protective antibody and other immune mechanisms. Vaccine may be of following types:-1) Live vaccines# Live vaccines are produced by organisms ...
Microbiology
Immunity
3c6fba5c-2380-4e7c-8590-af1ada0a39ed
Most common GI malignancy of childhood
Adenocarcinoma
Lymphoma
Sarcoma
carcinoid
1b
single
Ans. is 'b' i.e., Lymphoma Over all hemangioma is most common Tumor in infant. Hemangioma is usually benign in Nature. Leukemia is most common malignancy in pediatric age gyp. 2"' most common is CNS Tumor = Lymphoma is the most common malignancy of the gastrointestinal tract in children. About 30% of children with non-...
Pediatrics
null
2659c273-4d93-4666-a535-da5d67705d7a
True statement regarding 'Fistula in ano' is:
Posterior fistulae have straight tracks
High fistulae can be operated with no fear of incontinence
High and low divisions are made in relation to the pelvic floor
Intersphincteric is the most common type
3d
multi
Intersphincteric fistula is the most common type of 'fistula in ano'. Ref: Bailey and Love's Sho Practice of Surgery, 25th Edition, Page 1263.
Surgery
null