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f79c5724-2f2e-44b3-904c-b68024458114 | Kala-azar is found in all endemic areas, except: | West Bengal | UP | Bihar | Assam | 3d | multi | Ans. d. AssamRef: Parks Text book of Preventive and Social Medicine, 24th Ed; Page No-322Kala-azar caused by Leishmania donovani; transmitted by female phlebotomine sandfly.It is endemic in 54 districts of Bihar, Jharkhand, West Bengal, Uttar Pradesh.Incubation period 1-4 months3 types of leishmaniasisVisceral leishman... | Social & Preventive Medicine | Communicable Diseases |
d66155c9-3d61-4ce4-8b7d-9b8f83abf2ac | Which of the following is not the Boundary of triangle of safety | Anterior axial fold | Posterior axial fold | 5th intercoastal space | None of the above | 3d | multi | null | Surgery | null |
c615fb4f-9742-4e05-8932-416e6e6f149d | AGN is diagn osed by - | Hyaline cast | WBC cast | RBC cast | Granular cast | 2c | single | Ans. is 'c' i.e., RBC cast R.B.C. Castso In a normal healthy person, no casts are seen in low power fields Q.o An urinary sediment is microscopically examined under both the low power field and high power field.o Low power field is used to detect castsr while high power field is used to detect RBC's, WBC's and bacteria... | Medicine | Glomerular Diseases |
308d7edf-e98f-4b69-9f71-ac977c893aef | Diene’s method is used for : | Mycoplasma | Chlamydiae | Plague | Diptheria | 0a | single | • Colonies of mycoplasma are typically biphasic, with a fried egg appearance.
• Colonies are best studied after staining by Dienes method . | Microbiology | null |
26f0aed7-8851-4dad-b6a1-fa2be052c1ee | All of the following psychotherapy are used to treat anxiety disorder except | Systemic desensitization | Relaxation techniques | Flooding | Sensate focus therapy | 3d | multi | Sensate focus therapy is used to treat premature ejaculation. | Psychiatry | null |
9ad44614-82d7-4b8e-94a9-378cf3973967 | Punishment for criminal aboion for the women who gives consent and the performer are covered under IPC section ? | 312 | 313 | 314 | 315 | 0a | single | Ans. is 'a' i.e., 312 Punishment for performing criminal aboion with the consent of women; both for the women and performer is included in IPC Section 312. | Forensic Medicine | null |
4923e22b-07bd-4627-809a-b5702363c44b | In a case of endometrial cancer, if metastasis is seen in the vagina, what FIGO stage it would be : | Stage III a | Stage III b | Stage III c | Stage IV a | 3d | single | Stage IV a | Gynaecology & Obstetrics | null |
0e2241bb-e3a4-4864-ae5e-9d991a333434 | Breast CA with best prognosis | Mucinous | Medullary | Invasive ductal | Lobular Ca | 0a | single | Ans. (a) Mucinous(Ref: Robbins 9th/pg 1064-65)*Histological type: Invasive ductal carcinoma (no special type; NST) carries poor prognosis.*Tubular, mucinous, lobular, papillary, adenoid cystic has better prognosis#Metaplastic carcinoma or micro-papillary carcinoma have a poorer prognosis QRemember mucinous > lobular | Pathology | Breast |
ba0b8499-1109-47ad-bb83-87ae48cb29fb | In a case of Plasmodium falciparum malaria, the peripheral blood smear does not demonstrate trophozoites and schizonts. The reason for this is: | Apoptosis of red cells because of hemozoin pigments | Lysis of red cells with malarial parasite | Infested cells are trapped in the spleen | Infested red blood cells stick to the capillaries | 3d | single | -Plasmodium falciparum is associated with infected red cells expressing PfEMP (Plasmodium falciparum erythrocyte membrane protein) leading to their attachment to the endothelial cells. -This leads to sequestration of infected red cells in the capillaries. -That's the reason for the non-appearance of trophozoites and sc... | Pathology | Hematopoeisis: Basic concepts |
58d7272a-c1a1-4033-8257-170fc9527123 | Intelligence quotient is calculated as: | Mental age/Chronological age x100 | Chronological age/Mental Age x100 | Mental age x Chronological age | Mental age + chronological age/2 | 0a | single | Ans. A. Mental age/ Chronological age x100An intelligence quotient (IQ) is a total score derived from several standardized tests designed to assess human intelligence. The intelligence quotientIntelligence quotient (IQ) refers to mental age (MA) expressed as a ratio of chronological age (CA) multiplied by 100. Intellec... | Pediatrics | Growth, Development, and Behavior |
da6e611c-c0b8-4741-a180-d33b2cb1909d | Drumstick appearence is seen in - | Cl. tetani | Cl. Tetanomorphum | Cl. Sphenoids | All | 0a | multi | null | Microbiology | null |
e860ca02-032f-4acd-88e2-ca546037cf74 | Killer cells & helper cells are pa of - | B cells | T cells | Monocytes | Macrophages | 1b | single | The category of effector T cell is a broad one that includes various T cell types that actively respond to a stimulus, such as co-stimulation. This includes helper, killer, regulatory, and potentially other T cell types. Reff: Ananthanarayanan & Panikers textbook of microbiology 9th edition pg: 135 | Microbiology | Immunology |
5edbdf55-99ce-4730-aa05-aaa028dab42c | D-dimer is the sensitive diagnostic test for | Pulmonary embolism | Acute pulmonary oedema | Cardiac tamponade | Acute myocardial infarction | 0a | single | The sensitivity of the d-dimer is >80% for DVT (including isolated calf DVT) and >95% for PE. The d-dimer is less sensitive for DVT than for PE because the DVT thrombus size is smaller.A normal d-dimer is a useful "rule out" test. However, the d-dimer assay is not specific. Levels increase in patients with myocardial i... | Medicine | All India exam |
de4bc473-02e5-4db1-b71d-141bd0bad768 | TRUE regarding carcinoid of appendix is | Most commonly occurs at the base of the appendix | Most common neoplasm of the appendix | Most cases require right hemicleoctomy | Metastases are quite common | 1b | multi | Carcinoid tumours arise in argentaffin tissue (Kulchitsky cells of the crypts of Lieberkuhn) and are most common in the vermiform appendix.The tumour can occur in any pa of the appendix, but it is frequently found in the distal third.Unlike carcinoid tumours arising in other pas of the intestinal tract, carcinoid tumou... | Surgery | G.I.T |
a05ca475-9b5e-47d4-aa19-267c59438941 | Which one of the following is the most sensitive test for the diagnosis of myasthenia gravis? | Elevated serum ACh-receptor binding antibodies | Repetitive nerve stimulation test | Positive edrophonium test | Measurement of jitter by single fibre electromyography | 2c | single | Diagnosis of myasthenia gravis (MG) History:--diplopia, ptosis, weakness, fluctuation, and fatigue, worse with activity, improved by rest Physical examination:--ptosis, diplopia, motor power survey--quantitative testing of muscle strength, forward arm abduction time (5 min), vital capacity, the absence of other neurolo... | Medicine | Genetics |
e95edb14-6b08-4ed1-8c4d-98be52de2244 | The following statements are true regarding neutrophil extracellular trap | Produced by neutrophils in response to infectious pathogens and inflammatory mediators | Provide a high concentration of antimicrobial substances at sites of infection | Prevent the spread of the microbes by trapping them in the fibrils | All the above | 3d | multi | Ans. (d) All the above(Ref: Robbins 9th/pg 81)Neutrophil extracellular traps (NETs) are extracellular fibrillar networks that provide a high concentration of antimicrobial substances at sites of infection and prevent the spread of the microbes by trapping them in the fibrils. They consist of a viscous meshwork of nucle... | Pathology | Inflammation & Repair |
50627552-1a6d-4791-87dd-11d154b6f1b0 | Tone of the anal sphincter in maintained by | Nervi erigentes | Inferior hypogastric plexus | Inferior rectal nerve | Pelvic splanchnic nerves | 2c | single | The anal sphincters and puborectalis are the primary muscles responsible for continence. There are two sphincters: the internal anal sphincter, and the external anal sphincter. The internal sphincter is responsible for 85% of the resting muscle tone and is involuntary. ref - BDC 6e vol2 pg413-416 | Anatomy | Abdomen and pelvis |
edefa1e6-2387-42bf-a269-52a3e7b99e21 | Elderly man with long-standing mole over the face which is increasing in size and showing irregular border. Diagnosis: | Superficial spreading melanoma | Lentigo maligna | Acral melanoma | Nodular melanoma | 1b | single | Lentigo maligna- occur on face sun exposed areas of older individuals,long standing cases,manifests as a flat,dark,variably pigmented lesion,with irregular borders and a history of slow development,best prognosis Superficial spreading melanoma- m/c type , m/c site torso/trunk Nodular- most malignant,veical growth phase... | Surgery | NEET Jan 2020 |
cc528410-251b-43d1-a3ab-defdab6c9722 | Histological changes in lens induced uveitis include: | Ghost cells | Giant cell reaction | Amyloid in the Cornea | Vasculitis | 1b | single | Ans. Giant cell reaction | Ophthalmology | null |
f8fe6ce8-7a4c-4bfe-a301-4481fd3bdf6e | In a patient with head injury black eye associated with subconjunctival haemorrhage occurs when there is - | Fracture of floor and anterior cranial fossa | Bleeding between the skin and galea aponeurotica | Haemorrhage between galea aponeurotica and pericranium | Fracture of greater wing of sphenoid bone | 0a | single | This is k/a racoon sign. | Surgery | null |
07f4e3b3-dd8e-42cc-8dc9-bae6f60e978d | A drug X is useful in the treatment of rheumatoid ahritis. It is available only in parenteral formulation and its mechanism of action is antagonism of tumor necrosis factor. Which of the following can be X? | Cyclosporine | Penicillamine | Phenylbutazone | Etanercept | 3d | single | Infliximab and Etanercept are TNF-aantagonists useful for the treatment of rheumatoid ahritis. These are administered by parenteral route. TNF-a antagonists can cause reactivation of latent tuberculosis. Phenylbutazone -can precipitate the acute attack of asthma | Pharmacology | NSAIDs, Gout and Rheumatoid Ahritis |
d13e9991-4e6b-43b1-b5f9-b1555ce5414d | Which of the following is a lyase | Aldolase | Fumarase | Decarboxylase | All of the above | 3d | multi | All of the above i.e. Fumarase, Aldolase, Decarboxylase are Lyases. Lyases are enzymes which can either break a bond or make a bond but they do not require water or ATP. The EC No. is 4. Fumarase is a Lyase (also known as Hydratase enzyme which can add or remove water but bond is not broken). Aldolase A & B both are Ly... | Biochemistry | Enzymology |
33208bd3-7b2c-434e-8f8d-968022c52621 | A person has an injury in the forefinger with glass and it is suspected that he has a retained piece of glass in his finger. What is the first investigation you will do? | MRI | CT scan | Plain radiograph | Ultrasonography | 2c | single | Ans. c. Plain radiograph 'Plain films can be clinically beneficial in locating glass foreign bodies in deep wounds with or without exploration.' Glass Foreign Body Patients with glass embedded in a wound are more likely to repo the sensation of foreign bodies. In patients with sensation of foreign body, superficial wou... | Radiology | null |
d4801ca8-eece-44ec-a268-2be52e93605a | Which of the following is not a side effect of long-term use of PPI? | Hypothyroidism | Osteoporosis leading to hip fracture in women | Community acquired pneumonia | Clostridium difficile infection | 0a | single | Ans. a. Hypothyroidism | Pharmacology | null |
74ce9701-a6be-4727-90fc-4c931d960bfb | A patient is advised to avoid strenous activity following herniorrhaphy for a period of - | One day | One week | 3 weeks | None | 3d | multi | Ans. is 'None' | Surgery | null |
8131e115-a303-4b86-ae1e-53c80dd47fe8 | A 3-year-old child presented with progressive anaemia, jaundice & failure to thrive. 0/E: Pallor, splenomegaly are seen. Peripheral smear showed normoblasts and small round intensely stained red cells. The likely diagnosis is | Hereditary spherocytosis | Thalassaemia | Sickle cell anaemia | Vitamin B12 deficiency anaemia | 0a | multi | null | Pathology | null |
f8349e45-995b-4258-b3a9-b4b309ec870a | The sputum specimen of a 70 year old male was cultured on a 5% blood agar. The culture showed the presence of a-hemolytic colonies next day. The fuher processing of this organism is most likely to yield:- | Gram-positive cocci in sho chains, catalase negative and bile resistant | Gram-positive cocci in pairs, catalase negative and bile soluble | Gram-positive cocci in clusters, catalase positive and coagulase positive | Gram-negative coccobacilli, catalase positive and oxidase positive | 1b | single | Sputum sample is taken for diagnosis of URIs and LRIs. Option 1 Viridians Streptococci Gram-positive cocci in sho chains, Catalase negative and bile resistant Viridans streptococci are pa of a normal oral flora. cause of dental caries and subacute bacterial endocarditis. Option 2 Pneumococcus Gram-positive cocci in pai... | Microbiology | Systemic Bacteriology Pa 1 (Gram Positive Cocci, Gram Negative Cocci) |
e9db3005-5b83-4ae8-b6b9-2772f12e8702 | Which vitamin deficiency is seen in vegetarians especially - | Vitamin B12 | Vitamin B6 | Vitamin B3 | Vitamin B2 | 0a | multi | Ans. is 'a' i.e., Vitamin B12* Dietary sources of vitamin B12 are of animal origin only and include meat, eggs, milk, diary products, fish, poultry etc. Vitamin B12 is absent in plant foods. Small amount of vitamin B12 is synthesized in the intestine by the action of intestinal flora. | Biochemistry | Vitamins and Minerals |
8625cc05-d7b5-43f3-92cd-0432c5c92153 | Which of the following is found more in aqueous humor than in plasma: | Protein | Urea | Lactate | Glucose | 2c | single | Lactate is found more in aqueous humor than in blood. Concentration More in Aqueous Humor More in Plasma Lactate Protein Ascorbate Urea Pyruvate Glucose | Ophthalmology | Glaucoma |
02064dc0-1bc8-4d40-9db9-a7e3ee536625 | Which of this is not a sign of increased ICT? Copper beaten appearance | Copper beaten appearance | Erosion of dorsum sella | Ballooning of sella | Sutural diastasis | 2c | multi | Ans. Ballooning of sella | Radiology | null |
e7634842-891f-48cb-b93e-ff429d5c48b0 | Gleasons Scoring is done for which of the following malignancy? | Prostate cancer | Lung cancer | Bladder cancer | Hodgkin's lymphoma | 0a | single | Gleason scoring system is used in prostate cancer to measure the extent of histological aggressiveness. This system relies upon the low-power appearance of the glandular architecture under the microscope. While assigning a grade to a given tumor, pathologists assign a primary grade to the pattern of cancer that is most... | Surgery | null |
d8c07f88-749c-4a06-956a-77f6267311fa | Cheiloscopy is the study of prints of? | Foot | Fingers | Palate | Lips | 3d | single | LIPPRINTS: (CheiloscopyQ): Lip prints are divided into different patterns which are specific to the individual. Lip print Patterns: Veical, branched, intersected, reticular patterns & unidentified patterns. Palatoscopy - Study of rugae in hard palate Podogram - Study of footprints | Forensic Medicine | Human identification |
f8cfb4c2-b9ec-4c39-8153-f8852fb9f092 | 'SEPS' is a surgical procedure used in the treatment of which of the following condition: | Venous incompetence | Aerial obstruction | Lymphatic obstruction | AV fistula | 0a | single | Subfascial endoscopic perforator vein surgery (SEPS) is done in patients with documented perforator incompetence. It is a minimally invasive technique performed in patients with advanced chronic venous insufficiency. The objective of this operation is to interrupt incompetent medial calf perforating veins to decrease v... | Surgery | null |
cfd2d4ec-baa0-4b1e-bec0-ecc1a40696f9 | Complications arising out of A - V fistula done for renal failure include the following EXCEPT ? | Infection | Thrombosis | High output cardiac failure | Necrosis of the distal pa | 3d | multi | Ans. is 'd' i.e., Necrosis of the distal pa | Surgery | null |
3b2cd3ab-2ed2-4939-95d0-d4b8d69f08b7 | Muscle attached to lateral surface of greater trochanter | Gluteus maximus | Gluteus medius | Gluteus minimus | Piriformis | 1b | single | GREATER TROCHANTER:- Quadrangular prominence located on upper pa of the junction of neck with the shaft.Attachments:-1. Apex-pyriformis 2. Anterior surface-gluteus minimus3. Medial surface- obturator internus and two gamelli.4. Trochanteric fossa- obturator externus.5. Lateral surface-gluteus medius. <img src=" /> {Ref... | Anatomy | Lower limb |
67fc01fa-a8d2-471a-a870-bc318eac3b4d | Granulomatous uveitis is seen in all of the following except: | Uveitis with ankylosing spondylitis | Sympathetic ophthalmitis | Tubercular uveitis | Uveitis in sarcoidosis | 0a | multi | Ans. Uveitis with ankylosing spondylitis | Ophthalmology | null |
f926154a-ae9e-482d-8911-1379ac85f7c5 | Which of the following drug has the least Marrow suppression | Cisplatin | Vincristine | Cyclophosphamide | Methotrexate | 1b | single | Mitotic Spindle Inhibitors:Vincristine binds to the tubulin dimer with the result that microtubules are disaggregated. This results in the block of growing cells in M-phaseVincristine is metabolized by the liver, and dose adjustment in the presence of hepatic dysfunction is required. It is a powerful vesicant, and infi... | Medicine | Haematology |
f896e75f-0498-4afe-8a43-59890c5a1ad2 | Structures passing through the inguinal canal are all EXCEPT: | Genital branch of genitofemoral nerve | Ilio-inguinal nerve | Inferior epigastric aery | Lymphatics from uterus | 2c | multi | Inferior epigastric aery is a branch given by external iliac aery, which ascends supero-medially, becomes medial relation of deep inguinal ring, and subsequently enters rectus sheath. It is not a content of inguinal canal. Lymphatics from uterus follow the round ligament of uterus through the inguinal canal | Anatomy | Abdominal wall ,Inguinal and Femoral region |
2f5337f7-b748-4187-8284-7adc13674be5 | Pancreatitis, pituitary tumor and phaeochrornocytoma may be associated with: | Medullary carinoma of thyroid | Anaplastic carcinoma of thyroid | Papillary carcinoma of thyroid | Follicular carcinoma of thyroid | 0a | single | Clinical presentation Type 1 MEN * Hyperparathyroidism is most common initial clinical manifestation of type s multiple endocrine neoplasia (MEN). * Some patients may manifest findings of ZES before they have hyperparathyroidism. * Symptoms of gastrinoma may become clinically apparent either with abdominal pain and dia... | Medicine | All India exam |
009ccb85-62c8-497d-ac52-1b9477075164 | In a population of 1000, there are 200 eligible couples. 30 out of them use condom, 20 use IUCD, 20 use OC pills while 70 have undergone female sterilization. The rest do not use any method. Calculate Couple protection rate. | 35% | 55% | 62% | 70% | 3d | single | - Given, total eligible couples = 200 ; eligible couples protected by any of approved methods = 30+20+20+70 =140 - CPR = Total no. of eligible couples protected by any of approved methods/Total no. of eligible couples in the communityx100 =140/200 = 70% Approved methods of Family planning Sterlization IUD Condom Oral p... | Social & Preventive Medicine | Definitions & Concepts |
d6b42a91-2f7f-4ad3-9265-52f9984011f4 | Retinitis pigmentosa is a feature of all except – | Refsum's disease | Hallervorden–Spatz disease | NARP | Abetalipoproteinemia | 1b | multi | null | Ophthalmology | null |
a3504f51-4c28-4c5a-8978-ba724bd5bf93 | All of the following are components of developer except: | Developing agent | Activator | Restrainer | Hardener | 3d | multi | null | Radiology | null |
04e83658-0c35-4aad-84e7-eff80624a2f8 | POSTERIOR COMMUNICATING aery is a branch of | Veebral aery | Internal carotid aery | External carotid aery | Basillary aery | 1b | single | Posterior communicating aery is a branch of cerebral pa of internal carotid aery. It arises close to its termination. It runs backwards and anastomoses with proximal pa of posterior cerebral aery.Reference: Textbook of anatomy, Head neck, and brain, Vishram Singh, 2nd edition, page no.406 | Anatomy | Brain |
1d55eb34-e30c-4436-8d23-835caaa328fa | Following is true about Focal nodular hyperplasia Except | Unusual benign tumor of liver | Commonly symptomatic and occurs as multiple liver nodules | More common in females than in males | Contain hepatocytes and Kupffer cells | 1b | multi | It&;s a benign condition of unknown aetiology, seen in females showing focal overgrowth of functioning liver tissues with fibrous stromal suppo and also it presents as a solitary nodule. Reference : SRB edition :5 page no: 607& 608 | Surgery | G.I.T |
6494a8d2-58b7-41bf-81e8-489061b712d9 | Behcet's disease is characterised by all of the following except: | Unilateral granulomatous uveitis | Recurrent hypopyon | Aphthous ulceration | Genital ulcerations | 0a | multi | Ans. Unilateral granulomatous uveitis | Ophthalmology | null |
45150e92-f753-4bf5-9bf7-51226a2affc4 | Following are criminal responsibility of insaneexcept- | Mc naughten rule | Currens rule | Durham rule | Rule of nine | 3d | multi | Ans. is 'd' i.e., Rule of nine Criminal responsibility of insane is judged by following rules : 1. Mc Naughten rule (legal test or right or wrong test) : It states that an accused person is not legally responsible, if it is clearly proved that at the time of commiting the crime, person was suffering from such a defect ... | Forensic Medicine | null |
266d916f-4381-4dd0-a835-8facdafcdfaf | Which of the following statements about Premature ventricular beats is false - | Sequential depolarization of ventricles | Wide, Bizzare, Notched QRS complexes | Prevalence decreases with age | Palpitations is a common presenting feature | 2c | multi | null | Medicine | null |
1f566b9a-eae6-4d1c-a62f-7fcd6b5f80f8 | Porencephaly seen in – | Trisomy 13 | Fetal alcohol syndrome | Down syndrome | Dandy Walker syndrome | 3d | single | Porencephaly is the presence of cyst and cavities in the brain.
It is due to infarction.
In Dandy - walker syndrome also cyst occurs in brain due to expansion of 4th ventricle. | Pediatrics | null |
e522461a-a65c-49be-9d89-dbf0a9bd6ab3 | Patient of exudative retinopathy of coats presents with leukocoria, needs to be differentiated from ? | Retinoblstoma | Retinitis pigmentosa | Retinal detachment | Congenital cataract | 0a | single | Ans. is 'a' i.e., Retinoblastoma EXUDATIVE RETINOPATHY OF COATS Coats' disease is a severe form of retinal telengiectasia (idiopathic congenital vascular malformation), which typically affects one eye of boys in their first decade of life. In early stages it is characterised by large areas of intra and subretinal yello... | Ophthalmology | null |
8804dcba-01e5-4d79-91f8-3e17031b48a5 | What is the clearance of a substance, if its concentration in plasma in 10 mg% concentration in urine is 100mg% and urine flow is 2 ml/min? | 0.2 ml/min | 0.2 ml/min | 2 ml/min | 20 ml/min | 3d | single | The amount of such a substance in the urine per unit of time must have been provided by filtering exactly the number of milliliters of plasma that contained this amount. Therefore, if the substance is designated by the letter X, the GFR is equal to the concentration of X in urine (UX) times the urine flow per unit of t... | Physiology | Renal physiology |
16669915-5d59-4472-acd9-f3e7a31b107e | A 45-year-old female with a long history of progressive myopia develops sudden patchy loss of vision in her right eye. She is very alarmed and rushes to her family doctor. Funduscopic examination reveals a large retinal detachment in the right eye. The retina in the left eye is normal. When the pupillary light reflex i... | Constriction of the right pupil and constriction of the left | Constriction of the right pupil and dilatation of the left | Dilatation of the right pupil and constriction of the left | Dilatation of the right pupil and dilatation of the left | 3d | single | This patient is exhibiting the Marcus-Gunn phenomenon. When light strikes the retina, the pupillary light reflex is automatically triggered, leading to simultaneous constriction of both pupils. In the absence of adequate light entering the eye, for example following retinal detachment or optic neuritis, paradoxical dil... | Physiology | null |
4cfdbce8-4fd5-4382-963d-1b3d53dbbe5f | A hypeensive individual had a sudden headache and became unconscious within a few minutes. On regaining consciousness, there was complete flaccid hemiplegia with no involvement of upper face, absence of tendon reflexes and a positive Babinski sign. Which one of the following aeries could have ruptured : | Lateral striate branch of middle cerebral | Medial striate branch of anterior cerebral | Posterolateral branch from posterior cerebral | Posterior choroidal branch of posterior cerebral | 0a | single | Answer is A (Lateral striate branch of middle cerebral): This is a case of hypeensive intracerebral haemorrhage affecting the basal ganglia. Basal ganglia is supplied through medial and lateral striate branches of middle cerebral aery. Lateral striate branch of middle cerebral aery is thus the site of rupture Hypeensiv... | Medicine | null |
08e35cf9-39d3-4a6b-af58-bb58f9e8c9f8 | All are true about culture media except | Mac-Conkey agar prevents growth of g- "ve"bacteria | Thayer- martin - gonococcus | LJ media - mycobacteria | Selenite F broth - salmonella | 0a | multi | (A) (Mac- Conkey agar prevent growth of G-ve bacteria) (45, 46- Bevja 4th; 42-43- Ananthanarayan 9th)Mac-Conkev agar* Mainly used to differentiate between varius Gram negative rod shaped organisms* It is also used to inhibit growth of gram positive organism thus it is both differential and selective media.Mac-conkey me... | Microbiology | General |
58025dc6-973b-4414-b61b-32d463af5f50 | In primary health care, ABC and VED are related to | National program evaluation at PHC level | Drug inventory management at PHC | Staff management at PHC | Vaccination coverage assessment in PHC area | 1b | single | Of all the inventory control systems ABC and VED matrix is most suitable for medical stores. Hence the coupling of ABC and VED matrix for drug inventory in a hospital.ABC analysis is popularly known as "Always Better Control" is a very useful approach to material management based on Pareto&;s principle of "Vital few an... | Social & Preventive Medicine | Health education & planning |
74d26621-fa3c-4f06-b65c-da89e22437fa | Organ of corti is situated in | Basilar membrane | Utricle | Saccule | None of the above | 0a | multi | Basilar membrane which support the organ of corti. | ENT | null |
a6c3af29-24dc-45fc-ac98-cdffcfb6e9ef | Villous atrophy is seen in - | Celiac disease | Giardiasis | Tropical sprue | All of above | 3d | multi | null | Pathology | null |
5550f964-569b-4b8a-a1a7-75892cec50cf | Femoral hernia is characteristically ... the pubic tubercle - | Lateral and below | Medial and above | Lateral and above | Medial and below | 0a | multi | Ans. is 'a' i.e., Lateral and below | Surgery | null |
c5c60a1f-33f5-4f2f-a017-a87c9db9088b | All are seen in primary extraglandular Sjogren's syndrome except - | Rheumatoid arthritis | Raynaud's disease | Lymphoma | Splenomegaly | 0a | multi | Ans. is 'a' i.e., Rheumatoid arthritis o Primary Sjogren syndrome is not associated with other autoimmune disorders, e.g. Rheumatoid arthritis,o Sjogren syndrome occurs in elderly (50-60 yrs) female.o Primary' Sjogren syndrome (Sicca syndrome) has two types of clinical manifestationsSjogren SyndromeInvolvement of exocr... | Unknown | null |
9756a621-ea81-4030-877c-b5e95b5bf2ef | Both hard and soft exudates are seen in | Hypeension | Diabetes | Eale's disease | All the above | 3d | multi | Ref AK khurana 6/e p 275 | Ophthalmology | Vitreous and retina |
ace159cf-92fd-4f4c-971a-8f1310d60799 | Structure over bicipital aponeurosis in cubital fossa- | Ulnar nerve | Radial nerve | Brachial artery | Veins | 3d | single | Ans. is 'd' i.e., Veins | Anatomy | Arm and Cubital Fossa |
58ed018c-d301-48b4-ba5b-ffde7ef9aa11 | A 29-year-old male is suspected of having viral encephalitis. Which of the following is the most likely result from CSF analysis? | Raised protein + raised lymphocytes + normal glucose | Raised protein + normal lymphocytes + normal glucose | Raised protein + raised lymphocytes + raised glucose | Normal protein + raised lymphocytes + raised glucose | 0a | single | VIRAL encephalitis N Glucose n or slightly | Protein || Lymphocytes Spinal Fluid Analysis for Meningitis Etiology Opening Pressure WBC Count Protein Glucose CSF/Serum Glucose Ratio Normal <180 mm H2O <=5 cells/mm3 15-45 mg/dL 45-80 mg/dL 0.6-0.7 Bacterial >180 mm H2O >100 cells/mm3 PMNs predominant >45 mg/dL <40 mg/dL ... | Medicine | Raised ICP and Brain death |
d619e84b-ab31-4dca-807b-4ab8588bc61f | A 40 year old male smoker was diagnosed to have carcinoma of the right lung. Bronchogram showed the presence of a tumor, causing paial occlusion of the epaerial bronchus. Which of the following bronchopulmonary segments receive decreased airflow? | Anterior, posterior, medial | Apical, anterior, posterior | Lateral, medial, superior | Basal , lateral, medial | 1b | single | The epaerial bronchus supplies the right upper lobe, which includes the segments : apical, posterior and anterior. Bronchopulmonary segments Lobe Right lung Left lung Superior lobe I. Apical II. Posterior III. Anterior I. Apical II. Posterior III. Anterior IV. Superior lingual V. Inferior lingual Middle lobe IV. Latera... | Anatomy | Thorax |
4c9f6748-75b5-4827-9815-a15b72f0808d | All of the following are contra-indications for trial labour except: | Breech presentation | Outlet contraction | Primi gravida | Post cesarean pregnancy | 2c | multi | Primi gravida | Gynaecology & Obstetrics | null |
4f62e048-030f-456a-836a-f53e839aa097 | The retromolar pad as a landmark is | Relatively unstable | Relatively stable | Variable | None of the above | 1b | multi | null | Dental | null |
41668a50-8275-41ea-b001-249f5470bd82 | Non-sterile vegetations are seen in - | Rheumatic fever | Infective endocarditis | Non bacterial thrombotic endocarditis | Libman sack's endocarditis | 1b | single | Ans. is 'b' i.e., Infective endocarditis o As the name suggests, non-sterile means presense of organism in the vegetation that is the characteristic feature of infective endocarditis. o Vegetation of infective endocarditis has following characteristics Large, bulky, friable and irregular Multiple Present on upper surfa... | Pathology | null |
d3abe192-87f2-49f7-b155-2d624663b5bf | A person knows the truth & willfully concealed the truth & gives false evidence in the cou of law. He will be punished under which IPC - | 190 | 192 | 193 | 194 | 2c | multi | Perjury is dealt with in 193 IPC. Wilful giving of false evidence by a witness while under oath. He can be imprisoned for 7 years. Perjury can be asked leading questions by same side lawyer. HOSTILE WITNESS: Is a person who is supposed to have some interest or motive for concealing pa of the truth, or for giving comple... | Forensic Medicine | Medico legal procedures |
99de70f2-7b4c-45d1-8adb-c9a9d4d25f3a | All of the following are true regarding LMWH (Low Molecular Weight Heparin) except | It has higher and predictable bioavailability | It act by inhibiting both factor Ila and factor Xa | Monitoring is not required | It has more favorable pharmacokinetics | 1b | multi | Ans. (b) It acts by inhibiting both factor IIa and factor XaRef: KDT 6th ed./ 1599-600* Low molecular weight heparin inhibits only factor Xa whereas unfractionated heparin inhibits both factor Ila and factor Xa. | Pharmacology | Anticoagulants and Coagulants |
31c0f41c-7177-4bae-b49f-c72a0d7a3905 | Mycobacterium tuberculosis infection in human is most commonly because of - | Contact | Inhalation | Infiltration | Inoculation | 1b | single | Tuberculosis is transmitted mainly by droplet infection and droplet nuclei generated by sputum positive patients with pulmonary tuberculosis . Ref:PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition , Page :181 | Social & Preventive Medicine | Communicable diseases |
99118ea1-0224-4f06-a83a-b53308adf3aa | Which of the following is the BEST to assess the state of protein nutrition? | Mid Arm Circumference | Serum Albumin | Serum Transferrin | Total Body Nitrogen | 1b | single | Serum albumin is the best test of measure of body protein status. Other tests include total body nitrogen, mid arm circumference, serum transferrin, creatinine and height index. A serum albumin value of more than 3.5 g/dl indicates normal nutrition. Ref: Park, 21st Edition, Page 563 | Social & Preventive Medicine | null |
915a088b-6c99-4fec-b58e-ead7a222451b | ELISA for virulence marker antigen (VMA) is done to detect virulence in - | A typical mycobacteria | Hemophilus influenzae | Streptococcus pyogenes | Enteroinvasive Escherichia coli | 3d | single | EIEC :clinically EIEC resembles shigellosis ranging from mild diarrhoea to frank dysentry and occur in childrenas well as in adults. For lab diagnosis of EIEC ,the Sereny test used to be employed. Mice may be used instead of guinea pig. Cell penetration of HeLa or HEP-2 cells in culture is a more human diagnostic test.... | Microbiology | general microbiology |
2d38740c-36f5-4640-a22f-d1ea20a85631 | Which of the following represents the clinical presentation of a patient with critical lower limb ischemia? | Intermittent Claudication | Intermittent Claudication and gangrene | Rest pain and ischemic ulcers | Intermittent claudication and ischemic ulcers | 2c | single | Patient with critical limb ischemia has insufficient perfusion to sustain limb at rest, if left untreated such patients require amputation in 6 months. They experience pain at rest, ulcers and ischemic gangrene. Rest pain is exacerbated when lying supine and is improved by dangling the feet. Narcotics can also relieve ... | Surgery | null |
5a91c33e-3383-458a-842f-c30da0e3e4bd | Benign hyperplasia (excessive growth of cells) of which pa of the male reproductive system would be most likely to interfere with the passage of urine? | Periurethral Zone of the Prostate | Central Zone of the Prostate | Peripheral Zone of the Prostate | Ejaculatory Duct | 0a | single | Remember that the prostatic urethra travels through the prostate gland. So, if the periurethral zone of the prostate hyperophied, the nearby prostatic urethra would be occluded. The central and peripheral zones of the prostate are not as close to the urethra. If they enlarged, they would not restrict the flow of urine ... | Anatomy | null |
03d8bf40-805f-4db0-b116-4e820bd6369e | Putrefaction is a : | Perimoem sign of death | Immediate sign of death | Early sign of death | Late sign of death | 3d | single | D i.e. Late sign of death | Forensic Medicine | null |
68f12111-cc4b-427b-a2ff-48af6aef7bc4 | Terlipressin is preferred over vasopressine for esophageal varices because of - | Faster acting | Not metabolized | Less side effects | More potent | 2c | single | Ans. is 'c' i.e., Less side effects o Terlipresin is preferred over vasopressine because: -i) Fewer adverse effectsii) Greater convenience in use | Pharmacology | G.I.T |
bb23ef16-1f53-4de5-8383-282a671f9946 | All of the following drugs are used as immunosuppressants except - | Glucocorticoids | Cyclosporin | Cephalosporin | Azathioprine | 2c | multi | Ans. is 'c' i.e., Cephalosporin Immunosuppressant drugs:-These are drugs which inhibit cellular / humoral or both immune response.They have their major use in organ transplantation and autoimmune disease.These drugs are:ImmunosuppresantsCalcineurin inhibitors(specific T cell inhibitors)Antiproliferative drugs(cytotoxic... | Pharmacology | Immunomodulator |
b0c4dd6c-025b-4b1a-aed2-508d6187978b | A person was diagnosed with Gout. You will suggest the patient to avoid which of the following food product in his diet? | Whisky & Beer | Spinach & Mushrooms | Meat & Fish | All | 3d | multi | Ans. D. ALLFoods rich in purine are:1. Vegetarian - spinach, peas, cauliflower, mushrooms2. Non- vegetarian- meat, liver, fish (tuna)Also alcohol & heavy exercise should be avoided in patients of gout, because they cause Lactic acidosis & Hyperuricemia. | Biochemistry | Nutrition & Digestion |
5d4d3a32-9499-4682-a415-f191e6fbaf63 | Which of the following is the most common cause of congenital hydrocephalus? NOT RELATED-MEDICINE | Craniosynostosis | Intra uterine meningitis | Aqueductal stenosis | Vein of Galen malformation | 2c | single | . | Pharmacology | All India exam |
757ed6b3-6c25-4ddb-b73e-dd8d906b18f1 | ATP is generated in ETC by | Na+ k+ ATPase | Na+ CI- ATPase | FOF1 ATPase | ADP Kinase | 2c | single | ATP SYNTHASE (COMPLEX V) It is a protein assembly in the inner mitochondrial membrane. It is sometimes referred to as the 5th Complex (Figs 19.14 and 19.15). Proton pumping ATP synthase (otherwise called F1-Fo ATPase) is a multisubunit transmembrane protein. It has two functional units, named as F1 and Fo. It looks lik... | Biochemistry | Respiratory chain |
1f8f6cf0-97fb-4508-a002-934cac2612a6 | Pain is less in primary dentition pulpitis as compared to permanent because: | More number of accessory canals. | Intrapulpal pressure is less. | Neural tissue is last to form and first to degenerate in primary dentition. | High pain threshold. | 2c | single | null | Dental | null |
8fc848c4-2261-4aac-924b-e1e379532460 | Centre of resistance of maxilla is at | Point A | Palatal suture | Above roots of premolar | Maxillary Tuberosity | 2c | multi | null | Dental | null |
9f1e4d5d-094f-48b3-bf5d-aa6e694f9ec1 | Stage IV a with thyroid cartilage invasion in larynegeal carcinoma is treated with | Radiotherapy | Hemilaryngectomy | Total laryngectomy | Total laryngectomy with radiotherapy | 3d | single | null | ENT | null |
aa975653-bd02-4486-9910-abb11779cbe4 | Amyloid is best identified by - | Staining with methyl violet | Secondary fluorescence in UV light with riboflavin | Congo red | Green birefringence of stained amyloid when viewed by polarizing microscope | 3d | single | Ans. is 'd' i.e., Green birefringence of stained amyloid when viewed by polarizing microscope | Pathology | null |
5ec228d1-08ce-488d-91eb-011840aaf841 | Postoperative third-space accumulation should be managed by intravenous | Alburnin | Dextrose in water | Fluid restriction' | Normal saline | 3d | single | Normal saline Third-space fluid accumulation should be managed by replacement with normal saline. This may produce an edematous patient, but it maximizes protection of reral function and produces more rapid recovery. Intravenous administration of non-solute containing fluids compounds the problem. Administration of pot... | Surgery | null |
514074b9-f11a-478a-98cb-27d8669d002b | Smoking is most strongly associated with which type of lung cancer? | Small cell cancer | Squamous cell carcinoma | Adenocarcinoma | Carcinoid tumor | 0a | multi | null | Pathology | null |
22152c20-5320-44aa-8dc9-a13e117ae8ee | One of the following is the t/t of choice for dermatitis herpetiformis: | Dapsone | Retinoids | Mtx | Corticosteroids | 0a | single | Ans. a. DapsoneTOC for dermatitis herpetiformis is gluten free diet DOC Dapsone | Skin | Vesiculobullous (Blistering) Disorders |
81e6174c-ad84-43e0-8330-30870106d211 | Tumors most amenable (cured with) to chemotherapy a) Chorio Ca b) Embryonal rhabdomyosarcoma c) Hepatocellular Ca d) Thyroid Ca | ab | abc | abd | ac | 0a | single | null | Medicine | null |
e36f34a5-d437-4f37-8fcc-c19145832f26 | Which of the following differentiates Hodgkin's lymphoma from non Hodgkins lymphoma? | Fever, night sweat, weight loss | Generalized lymphadenopathy | Elderly | Reed stem berg cells | 3d | single | ANSWER: (D) Reed stern berg cellsREF: Robbing 7th ed p. 669The differentiation between Hodgkin and non Hodgkin can be reliably done by histopathological examination and Reed Sternberg cells Is very characterstic of hodgkins lymphoma.* The clinical features of both the diseases can be very similar and distinction is dif... | Surgery | Miscellaneous (Neoplasia) |
46cbc6d5-0c35-49ef-8387-b24ee0f49d48 | A 14-year-old boy present with headache, fever, and cough for 2 days. Sputum is scant and non-purulent and gram stain reveals many white cells but no organisms. The treatment should be initiated with : | Cefazolin | Erythromycin | Amikacin | Trovafloxacin | 1b | single | null | Pharmacology | null |
f7dd8ce1-9cfb-48c0-93cf-e1832da3e8ba | A rikshaw ran over the body of an 8 year old child leaving distinct markings of the tire treads. Marking's of the rikshaw tire over the child's body are best defined as: | Contact Abrasions | Percolated Abrasions | Imprint Abrasions | Patterned Abrasions | 3d | single | Impact and pressure abrasions reproduce the pattern of the object causing it and are called patterend abrasions. They are produced when the force is applied at right angle to the surface of skin. When the skin is struck with a weapon having patterned surface, ridges of object damage the epidermis, and skin may be compr... | Forensic Medicine | null |
96dedb8d-b07c-42f2-b9ea-317f4dac7225 | A 6 yr old child presenting with recurrent episodes of gross hematuria for 2 yrs, is likely to have: | Wilm's tumour | Henoch Schonlein Purpura (HSP) | IgA nephropathy | Neuroblastoma | 2c | single | Recurrent episodes of painless gross hematuria represent the classic clinical presentation of IgA nephropathy. All other conditions may cause microscopic hematuria but gross hematuria in children is charecteristic of IgA Nephropathy. Ref: O P Ghai 6th Edition, Page 446, 448, 573, 574; Harrison 17th Edition, Page 1788; ... | Pediatrics | null |
143454f1-862f-4aab-b2cd-56af3f35086a | Extracranial complications of CSOM -a) Labyrinthitisb) Otitic hyrocephalusc) Bezold's abscessd) Facial nerve plasye) Lateral sinus thrombophlebitis | abc | ad | bc | acd | 3d | single | null | ENT | null |
75c5f193-3ffd-4aae-ad3f-2196fcaacae0 | A 40 years old female patient presented with recurrent headaches. MRI showed an extra-axial, dural-based and enhancing lesion. The most likely diagnosis is NOT RELATED-RADIOLOGY | Meningioma | Glioma | Schwannoma | Pituitary adenoma | 0a | single | . | Pharmacology | All India exam |
533239e2-8a79-453c-8572-fdeabb0f3899 | The commonest extradural spinal tumour is - | Neurofibroma | Glioma | Meningioma | Metastasis | 3d | single | • MC spinal tumor: Metastasis
• MC primary spinal tumor: Nerve sheath tumor
• MC intramedullary tumor: Astrocytoma
• MC site of primary spinal tumor: Intradural extramedullary | Surgery | null |
1c9efd9d-ca19-47e5-b243-c1d08c5a1a11 | Most sensitive test for Treponoma: | VDRL | RPR | FTA-ABS | Kahn | 2c | single | Ans. (c) FTA-ABS ' Most sensitive test for syphilis: FTA-ABS Most specific test for syphilis: TPI Note Treponemal test are likely to remain reactive even after adequate treatment and cannot differentiate past from current trepon mal infection. | Microbiology | null |
4e0c4071-9a1f-4887-aa3a-b8a5022e355c | It is true about formalin : | That it can be used as preservative in alcohol poisoning | Never used as a preservative for chemical analysis | Used as a preservative in poisoning with digitals | None of the above | 1b | multi | B i.e. Never used as a preservative for chemical analysis | Forensic Medicine | null |
9dd6af4c-fe8f-4c81-b932-309d231265e8 | Ligature material in case of hanging is kept preserved as ? | Ligature knot is opened completely | Ligature is cut at the knot? | Ligature is cut away from the knot | Ligature knot is loosened | 2c | single | Ans. is 'c' i.e., Ligature is cut away from the knot For removal and preservation of the ligature from the dead body in case of hanging it is cut away from the knot and the cut ends are tied with string or wire. | Forensic Medicine | null |
472b4199-f423-4aa6-99ad-a6da5b05e128 | Smoking is a risk factors for all the carcinoma except | Oral | Bronchial | Bladder | Thyroid | 3d | multi | Ref Robbins 9/e p415 Genetic Factors. Distinct molecular events are involved in the pathogenesis of the four major variants of thyroid cancer. As stated, medullary carcinomas do not arise from the follicu- lar epithelium. Genetic alterations in the three follicular cell- derived malignancies are clustered along two onc... | Anatomy | General anatomy |
bb2c34f1-eab1-4820-8698-7d246ec5793e | All of the following are signs of cerebellar disease EXCEPT— | Resting tremors | Past pointing | Nystagmus | Ataxic gait | 0a | multi | null | Medicine | null |
3484a92e-7516-4406-9a82-41b4dc82f1f4 | True about spleen is all except | The long axis of the spleen lies along the twelth rib | The spleen is situated in the upper left quadrant of the abdomen beneath the diaphragm | A pathologically enlarged spleen extends downward and forward, toward the umbilicus | Because of the presence of the left colic flexure and the phrenicocolic ligament, the spleen is unable to expand veically downward | 0a | multi | The long axis of the spleen lies along the tenth rib. The spleen plays multiple suppoing roles in the body. It acts as a filter for blood as pa of the immune system. Old red blood cells are recycled in the spleen, and platelets and white blood cells are stored there. The spleen also helps fight ceain kinds of bacteria ... | Physiology | All India exam |
6e666148-15b6-4d87-b0a1-eeedf1679ef7 | In cholesterol synthesis, which is rate limiting amino acid: | HMG CoA reductase | HMG CoA synthetase | 7 alpha hydroxylase | Phosphofructokinase | 0a | single | A i.e. HMG COA reductase | Biochemistry | null |
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