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3e51175c-f4a4-4273-b373-e87b8d09e58e | Lymphatic filariasis is not caused by- | Brugia malayi | Brugia timori | Loa loa | Wuchereria bancrofti | 2c | single | Lymphatic filariasis- infection with the filarial worms Wuchereria bancrofti & Brugia malayi is associated with clinical outcomes ranging from subclinical infection to hydrocele & elephantiasis. Loiasis is caused by Loa loa ,which is characterised by calabar swelling,an intense,tense,localised swelling that may be pain... | Medicine | Infection |
5920aa93-772c-4582-bded-9eed0f6a33eb | Recommended maximum dose of Lignocaine + adrenaline for peripheral nerve shock. | 7 mg/kg bw | 4.5 mg/kg bw | 2 mg/ kg bw | 3 mg/kg bw | 0a | single | Local Anesthetic Maximum dose Over 24 hours Plain With Adrenaline Lidocaine 300mg 4.5mg/kg 500mg 7mg/kg Mepivacaine 300mg 4.5mg/kg 500mg 7mg/kg Prilocaine 600mg 8mg/kg 600mg 2-chloroprocaine 800mg 12mg/kg 1000mg Bupivacaine 175mg 3mg/kg 225mg 400mg Levobupivacaine 150mg 400mg Ropivacaine 225mg 3mg/kg 800mg maximum dose... | Anaesthesia | Regional Anesthesia |
6c1a2feb-4cf0-4795-a9a8-633f74a6b12f | Meckel's cartilage extends from: | Otic capsule | Styloid bone | Hyoid cartilage | None of the above | 0a | multi | null | Anatomy | null |
5a0a6b22-02a6-4164-bfa9-9f63bde5a5ff | Volume of lung after maximal forceful expiration - | Tidal volume | Residual volume | Inspiratory reserve volume | Expiratory reserve volume | 1b | single | Ans. is 'b' i.e., Residual volume Respiratory Volumes and Capacities for an Average Young Adult MaleMeasurementTypical valueDefinition Respiratory volumes1. Tidal volume (TV)500 mlAmount of air inhaled or exhaled in one breath during relaxed, quiet breathing2. Inspiratory reserve volume (IRV)3000 mlAmount of air in exc... | Physiology | Mechanics of Respiration |
023fea31-e560-4303-8c07-81b4165e52ac | Which of the following in not a cause of death due to suffocation | Choking | Gagging | Smothering | Throttling | 3d | single | Suffocation is a general term used to indicate a form of asphyxia where entry of air to the lungs is prevented by any means other than pressure on the neck or drowning. Smothering is caused by closing the external respiratory orifices either by hand or by other means. Gagging is closing of mouth & nose by cloth or soft... | Forensic Medicine | Asphyxia |
3f57fdf4-f854-4f4f-9fba-8111e6c5c343 | All of the following statement are true regarding silicosis, except: | Crystalline forms are much more fibrogenic | Phagocytosed silica crystals activate the inflammasome, leading to the release of inflammatory mediators, paicularly IL-2 and TNF | As the disease progresses, nodules coalesce into hard, collagenous scars | Histologic examination reveals the hallmark lesion characterized by a central area of whorled collagen fibers with a more peripheral zone of dust-laden macrophages. | 1b | multi | Silica occurs in both crystalline and amorphous forms, but crystalline forms (including quaz, cristobalite, and tridymite) are much more fibrogenic. After inhalation, the paicles are phagocytosed by macrophages. The phagocytosed silica crystals activate the inflammasome, leading to the release of inflammatory mediators... | Pathology | Interstitial lung diseases |
4d3efdc6-3775-47c5-9be2-35481794131b | The initial investigation of choice for a post cholecystectomy biliary stricture is: | Ultrasound scan of the abdomen | Endoscopic cholangiography | Computed tomography | Magnetic resonance cholangiography | 3d | single | Ans. is ' d' i.e. ie Magnetic resonance cholangiography The initial investigation of choice for a post cholecystectomy stricture would be an MRCP. It is a non-invasive modality and provides high resolution images of the entire biliary tree. "PTC is the imaging method of choice for most postoperative biliary strictures,... | Surgery | null |
994a102f-d194-4b49-8865-a4eaab7d3807 | A 66-year-old woman collapses while shopping and expires suddenly of cardiac arrest. Her past medical history is significant for long-standing type 2 diabetes mellitus. Her relatives note that she had complained of chest heaviness and shoness of breath for the past 2 weeks. Sterile fibrinous pericarditis and pericardia... | Endocardial fibroelastosis | Marantic endocarditis | Mitral valve prolapse | Myocardial infarct | 3d | single | Fibrinous pericarditis may develop 2 to 10 weeks after a transmural myocardial infarction. Patients with long-standing diabetes mellitus are paicularly susceptible to coronary atherosclerosis and myocardial infarction. One fouh to one half of all nonfatal myocardial infarctions are asymptomatic. In such patients, sudde... | Pathology | Myocardial Infarction |
b7e5abd8-57e2-4d9d-ad86-d5a3b3804857 | Patient wants to scratch for itching in his amputated limb is an example of ? | Illusion | Pseudohallucination | Phantom limb hallucination | Autoscopy hallucination | 2c | multi | Ans. C. Phantom limb hallucinationPhantom limb hallucination - The person feels his body pas intact in their respective places even after they are lost through amputation or injury.In the question given patient feels itching in the amputated limb and tries to scratch the limb. Thus it is an example of phantom limb hall... | Psychiatry | null |
953bb88d-fd24-4338-bb19-64f0b94b51d6 | Ehlers-Danlos syndrome is a disease affecting _____. | Bone | Connective tissue | Muscle | Joints | 1b | single | Ehlers-Danlos syndromes are characterized by defects in collagen (i.e., connective tissues). | Microbiology | null |
278fb6b6-3007-4c68-b878-1de2d10bb468 | H1 antagonist has all the functions except : | Antipruritic | Sedation | Decrease gastric acid secretion | Antivertigo | 2c | multi | null | Pharmacology | null |
2cb99ffe-fe25-45c7-a0d3-aaab2b3f995b | A 52-year-old recent immigrant from Vietnam complains of abdominal swelling, weight loss, and upper abdominal pain of 3 weeks in duration. His past medical history includes malaria and infection with the liver fluke Clonorchis sinensis. The liver is hard on palpation. An abdominal CT scan shows a hypo-attenuated mass w... | Carcinoma of the gallbladder | Cholangiocarcinoma | Hemangiosarcoma | Hepatocellular carcinoma | 1b | multi | Carcinoma originates anywhere in the biliary tree. Cholangiocarcinoma:- Arising within the liver Associated with substantial fibrosis Confused with metastatic carcinoma and reactive fibrosis. These tumors occur at an increased frequency in persons infected with the liver fluke C. sinensis The other choices are not asso... | Pathology | Miscellaneous |
c3fd2686-471a-4295-a5e7-20aaa765f4c6 | Sensory nerve supply above the level of vocal cords is: | Glossopharyngeal | Superior laryngeal | Recurrent laryngeal | Pharyngeal branch of vagus | 1b | multi | Sensory nerve supply to larynx above the level of vocal cords is superior laryngeal nerve, while below the cords it is recurrent laryngeal nerve. Superior laryngeal nerve is a branch of vagus. It divides into two branches - external laryngeal supplying motor fibres to cricothyroid muscle and an internal laryngeal nerve... | ENT | Larynx |
6a1491bb-c31e-4bed-9bf9-ee6d55e39f01 | Action of truncal vagotomy is equal to that of | Antacids | H2 blockers | Proton pump inhibitors | All of the above | 2c | multi | (C) Proton pump inhibitors> In addition to Truncal vagotomy, the antrum of stomach was removed, thus eradicating the source of gastrin, and the gastric remnant was joint to the duodenum.> Proton pump inhibitors can effectively render a patient achlorhydric and all benign ulcers will heal using these drugs. | Surgery | Miscellaneous |
a6294a30-0ed6-4cc3-8114-9790d57ffbe1 | Patey's modification of mastectomy is | Total Mastectomy with level 1 nodes | Total mastectomy with Level 1 through 3 axillary LN with pectoralis minor resection | Total mastectomy with all nodes removed with Retraction of Pectoralis minor | Simple mastectomy | 1b | multi | Ans. (b) Total mastectomy with Level 1 through 3 axillary LN with pectoralis minor resection(Ref. Operative Surgery Fischer 55)* Patey procedure - Pectoralis muscle is removed from coracoid process* Auchincloss - Pectoralis muscle is retracted* Scanlon - Pectoralis muscle is divided | Surgery | Breast |
a2aeba83-437c-44bf-bb05-8081baa44e98 | Somatic innervation to the pelvic organs is | Greater splanchnic nerve | Lesser splanchnic nerve | Pudendal nerve | Ilioinguinal nerve | 2c | single | For most of its pelvic course, the femoral nerve (L2, L3, L4) travels within the substance of the psoas muscle and then exits its lateral side to pass under the inguinal ligament. It supplies sensation to the anterior thigh and motor innervation to the extensors of the knee. | Anatomy | Abdomen and pelvis |
3d6fbdf0-5fd8-431d-b974-6870e412c7ec | All the following are features of constrictive pericarditis except | Ascitis | Retractile apex | Pericardial knock | Acute pulmonary edema | 3d | multi | Ref Harrison 19 th ed pg 1576 The patient often appears chron- ically ill, and in advanced cases, anasarca, skeletal muscle wasting, and cachexia may be present. Exeional dyspnea is common, and ohop- nea may occur, although it is usually not severe. Acute left ventricular failure (acute pulmonary edema) is very uncommo... | Medicine | C.V.S |
9eb9569c-000a-4d19-abef-3fe8899b1a85 | Chronic renal failure is associated with | Metabolic acidosis | Respiratory acidosis | Respiratory alkalosis | Hypoxia | 0a | single | null | Medicine | null |
dfb0d6fb-0d67-4924-b42e-44488835c946 | Most important buffer system in human blood: | Bicarbonates | Chlorides | Hb | Phosphates | 0a | single | Ans. a (Bicarbonates); (Ref. Ganong, Physiology, 21st ed., 736; Satyanarayan, Biochemistry 2nd ed. - 525)PRINCIPAL BUFFERS IN BODY FLUIDSBlood1. H2CO3 K H+ +HCO-3 (Bicarbonate buffer) =>>most predominant buffer of ECF. especially blood plasma.2. HProt K H+ + Prot- & HHb K H++ Hb- (Protein buffer)3. H2PO4 - KH-+ HPO42- ... | Physiology | Kidneys and Body Fluids |
3187fae9-566c-4afb-b920-dd27278bc58b | The earliest sign of papilloedema - | Filling of the physiological cup | The blurring of the disc margin | Obliteration of cup | Cotton-wool spots | 1b | single | Ans. is 'b' i.e., Blurring of disc margin Ophthalmoscopic signs of papilloedema o Blurring of disc margin o Venous :- Engorgment, congestion, loss of pulsation (first sign) o Hyperemia of the disc with capillary dilatation. o Filling of physiological cup with gradual obliteration of physiological cup. o Gradual elvetio... | Unknown | null |
8ecd20e4-b661-4ff0-8d0d-c8d6d64466c9 | On 3 phase 99mTc-MDP bone scan, which of the following bone lesions will show least osteoblastic activity. | Paget's disease | Osteoid Osteoma | Fibrous Dysplasia | Fibrous coical defect | 3d | single | D i.e. Fibrous coical defect | Radiology | null |
0f7de35f-f4c1-47d1-af3e-61866469bb4f | What is not seen in Reiters syndrome? | Subcutaneous nodules | Keratoderma blennorrhagicum | Circinate balanitis | Oral ulcers | 0a | single | A. i.e. Subcutaneous nodules | Skin | null |
16a772d9-cfdb-48e2-aa0c-f0a27fe69ec6 | Which is not given at the time of birth ? | OPV | BCC | Hepatitis B | HiB | 3d | single | null | Pediatrics | null |
5685f20d-8f82-4fce-a3e0-22253b60cf12 | The following primary tumours are common in the vulva except : | Adenocarcinoma | Basal cell carcinoma | Choriocarcinoma | Squamous cell carcinoma | 2c | multi | Invasive lesions of vulva : Squamous cell carcinoma--most common 90% Melanoma 1-5% Adenocarcinoma 1% Sarcoma 2% Rodent ulcer or basal cell carcinoma 1%. Reference: Shaw's Textbook of Gynaecology 16th edition page no 475 | Gynaecology & Obstetrics | Gynaecological oncology |
a5464088-fba6-4107-a3fc-9de1056b6de8 | A patient presented with clinical features of ataxia and in-coordination. It is most likely due to involvement of which aery among the following | Anterior cerebral | Posterior cerebral | Middle cerebral | Superior cerebellar | 3d | single | Clinical features of ataxia and in-coordination belong to cerebellar pathology, which might arise if there was involvementof superior cerebellar aery. Cerebral aery involvement (anterior, middle or posterior) does not usually present with cerebellar sign and symptoms. | Anatomy | Brainstem lesions and blood supply of CNS |
94e96099-0618-493f-abd7-fc174332695c | A case of acute flaccid paralysis must be observed for how many days for residual weakness in poliomyelitis? | 30 days | 42 days | 60 days | 90 days | 2c | single | Poliomyelitis is an acute viral infection caused by a RNA virus which is primarily an infection of the gastro-intestinal tract affecting the central nervous system. Acute flaccid paralysis is a common presentation of poliomyelitis where the patient presents with paralysis of acute onset (less than 4 weeks) and affected... | Social & Preventive Medicine | null |
97807595-9e48-4bea-95c9-ad716d1c083d | Atropine is used in all EXCEPT ? | Glaucoma | Mydriatic | Cyclopegic | Preanaesthetic medication | 0a | multi | Ans. is 'a' i.e., Glaucoma Atropine increases 'OP, therefore is contraindicated in glaucoma. | Pharmacology | null |
97e1b089-1f07-485b-9449-87a27616399a | Which of the following is true about multiple sclerosis except | Nystagmus on abducting eye | Nystagmus on adducting eye | One and half syndrome | Pendular nystagmus | 1b | multi | . *Multiple sclerosis is characterised by prominent nystagmus which is observed in the abducting eye,along with a small skew detion . *A bilateral internuclear ophthalmoplegia is paicularly suggestive of MS *Other common gaze disturbances in MS include (1) horizontalgaze palsy (2)a "one and half"syndrome (3)acquired pe... | Medicine | C.N.S |
38a71d46-d7fa-41e5-9c2e-58dec94e1538 | Memory T cell can be identified using the following marker | CD45RA | CD45RB | CD45RC | CD45RO | 3d | single | . | Anatomy | All India exam |
58e01fae-284f-46c6-b7b4-8dd2d0dc806f | False statement about duodenal atresia is | Most common cause of neonatal intestinal obstruction . | In Type 2 atresia , two ends are completely separated . | Bilious vomiting | X-ray shows double bubble sign . | 1b | multi | OPTION 1 : Correct Duodenum is M/C site of intestinal atresia . Duodenal atresia is M/C cause of neonatal intestinal obstruction . OPTION 2 : Incorrect Type 1 - Mucosal web (windsock deformity) Type 2 - Two ends are separated by fibrous cord . Type 3 - Complete separation of two ends . OPTION 3 : Correct Vomiting is bi... | Surgery | Pediatric Surgery |
4c2bf68a-1543-455b-acc8-b878a2d6374e | Correlation of 1.1 means? | Computational error | Positive strong association | Weak association | Mild association | 0a | single | null | Dental | null |
be4c31a5-9019-4732-83c4-9f3d1f4717c4 | All are associated with endocarditis except: | Staph aureus | Enterococcus | HACEK group | ESKAPE group | 3d | multi | Ans. D. ESKAPE groupESKAPE group (Enterococcus, Serratia, Klebsiella, Acinetobacter, Pseudomonas, Enterobacter) are associated with healthcare associated infections | Microbiology | Bacteria |
5eff7568-0ef4-4774-b82b-388b69fdf31b | Inguinal ligament forms the boundries of - | Femoral triangle | Hesselbach's triangle | Both | None | 2c | multi | Ans. is 'c' i.e., Both border of SartoriusMedial border of adductor longusInguinal ligamentPoint where medial and lateral boundaries meetInferior epigastric artery Lateral border of rectus abdominisInguinal legament | Anatomy | Abdominal Wall |
89692f81-88ae-4b7a-9fbe-5f077f0b11a6 | Hasse's formula used in pregnancy to? | Estimate fetal age | Identify fetal blood group | Identify fetal sex | Identify fetal congenital malformations | 0a | single | ANSWER: (A) Estimate fetal ageREF: Textbook of Forensic Medicine and Toxicology by Nagesh Kumar Rao - Page 321Hasse's formulaIf the crown heel length is known then the intrauterine age of fetus is calculated as:If CH length is up to 25 cm thenIU age = Square root of CH lengthIf the CH length is > 25 cm thenIU age = 1/5... | Gynaecology & Obstetrics | Fetal Assessment |
7ddabf29-6e8d-4be7-8530-d2e97a3e3723 | A HIV mother delivers a baby. All are true,except - | Risk of HIV in the baby is upto 90% | HIV infection cannot be diagnosed in the baby with available methods. | AIDS can be transmitted from mother to child during delivery. | Breast feeding can transmit AIDS | 0a | multi | null | Microbiology | null |
3ac35c2f-fe3e-49fb-8f0d-1e93d683f062 | Zoonotic diseases are - | Salmonellosis | Plague | Anthrax | All | 3d | multi | Ans. is 'All | Social & Preventive Medicine | null |
3fad6767-a9c1-4b57-bdd8-3d8c8bd3c446 | The test likely to help in diagnosis of a patient who presents with an itchy annular plaque on the face is: | Gram's stain | Potassium hydroxide mount | Tissue smear | Wood's lamp examination | 1b | single | B i.e. KOH mount Trichophyton rubrum is most common cause of tinea corporis (body), t. cruris, t. pedis, t. manuum & t.unguiumQ. Diagnosis is made by KOH wet mount. | Skin | null |
23a5d5e8-2681-4bdd-bf0d-df9f9e043391 | A patient presents with sudden headache and vomiting and unconciousness. The diagnosis is | Subarachnoid hemorrhage | Intracerebral hemorrhage | Sudural hemorrhage | Exbtradural hemorrhage | 0a | single | Sub Arachnoid Hemorrhage Most common cause : Trauma >Spontaneous rupture of Berry aneurysm Clinical features Sudden transient loss of consciousness (occurs in nearly half of the patients) Excruciating severe headache: presenting complaint in 45% of cases (worst headache of patients life) more common upon regaining cons... | Surgery | Trauma |
08c6c68c-1373-4f4a-ad26-dce49c036c4a | Pseudoarthrosis of Tibia is classical feature of? | Sturge Weber syndrome | Neurofibromatosis type 1 | Neurofibromatosis type 2 | Tuberous sclerosis | 1b | single | Pseudoarthrosis of Tibia and scoliosis are classicle feature of NF 1. | Pathology | null |
a9f1cc9a-f8e5-4179-ab2c-df18533c0c35 | Costochondral joint is an example of | Fibrous joint | Primary cailaginous joint | Secondary cailaginous joint | Synol joint | 1b | single | Primary Cailaginous joint The bones are united by a plate of hyaline cailage so that the joint is immovable and strong These joints are tempory in nature because after a ceain age the cailaginous plate is repalced by bone (synostosis) Ref :BD CHAURASIA S Handbook of General Anatomy Fouh edition Page no 63 | Anatomy | General anatomy |
41170104-a9b3-47d6-949d-e9023d9d1eac | Japanese encephalitis is transmitted by? | Culex | Aedes | Anopheles | Hard tick | 0a | single | ANSWER: (A) CulexREF: Park 20th ed p. 676Also asked in June 2011See APPENDIX-43 below for list of medically important "Mosquitos" APPENDIX - 43Mosquito AnophelesCulexAedesMansoniaA.K.A Nuisance mosquitoTiger mosquito Egg layingSingly on waterIn small dusters of 200-300 on waterSingly on damp soilIn star shaped clusters... | Social & Preventive Medicine | Japanese Encephalitis |
06d8d591-23a8-4f2a-9f4a-a854e19efda7 | A 48-year-old man with mitral regurgitation (MR) comes to the physician for a routine examination. The best position to auscultate for MR is usually at the apex.
Which of the following options most accurately corresponds to the location to auscultate? | Left 2nd intercostal space | Left 4th intercostal space | Left 5th intercostal space | Right 2nd intercostal space | 2c | multi | null | Pediatrics | null |
b787c034-1503-499d-902d-fffae072f114 | Most sensitive test for detection of argemone oil – | Nitric acid test | Paper chromatography | Phosphatase test | Methylene blue test | 1b | single | Paper chromatography is the most sensitive test. | Social & Preventive Medicine | null |
418da9e1-128d-4843-9c45-78955236a074 | Which of the following structure does not pass through the parotid gland ? | Facial aery | Facial nerve | Retromandibular vein | External carotid aery | 0a | single | Facial aery does not pass within the parotid gland. Structures passing through parotid gland are: External carotid aery Retro-mandibular vein Sympathetic plexus Facial nerve Passes in the middle of gland Do not supply parotid gland Creates a surgical plane - Deep : Lymph node are less - Superficial : Lymph node are mor... | Anatomy | Neck Triangles and parotid gland |
a017cdbc-d9e3-4003-b158-2bfca3207aaa | All are steroids except | Testosterone | Vitamin D | Cholesterol | Thyroxine | 3d | multi | Ref: Textbook of Medical Biochemistry, 8th Edition, Dr (Brig) MN Chatterjea, Rana Shinde, page no: 589,590 | Biochemistry | Metabolism of lipid |
5a876d27-bb9f-41e7-84e3-bca5d5f17bed | Tic douloureux is facial pain traveling through the _____ nerve? | Facial | Hypoglossal | Trigeminal | Vestibulocochlear | 2c | single | Harrison's principles of internal medicine 17th edition. * Trigeminal neuralgia(Tic douloureux) is characterised by excruciating paroxysms of pain in lips , gums, cheek or chin and very rarely in distribution of ophthalmic division of 5th nerve. | Medicine | C.N.S |
557d9021-d0ac-49f0-8a9b-a7df32ccb85f | HHH syndrome is due to a defect of which pathway? | HMP shunt | Citric acid cycle | Bile acid synthesis | Urea cycle | 3d | single | Ans. is 'd' i.e., Urea cycle* In urea cycle, as the enzyme ornithine transcarbamylase is present in mitochondria, ornithine should be taken into mitochondria. Ornithine then reacts with carbamyl phosphate to form citrulline within mitochondria. After citrulline is formed, it should leave the mitochondria to reach cytop... | Biochemistry | Proteins and Amino Acids |
bc993334-7e2d-480f-a161-7fb585e5846a | Which of the following is/are not the features of Henoch-Schonlein purpura (HSP)? | Abdominal pain | Splinter hemorrhage | Thrombocytopenia | Epistaxis | 2c | single | c. Thrombocytopenia(Ref: Nelson's 20/e p 1612, Ghai 8/e p 632)HSP is characterized by a tetrad of palpable purpura, arthritis, glomerulonephritis and abdominal painLess common skin lesions are macules, vesicles, bullous lesions, splinter hemorrhage and ulcerations; Rarely, epistaxis may occur. | Pediatrics | Kidney |
0a742c77-ce47-40fb-895c-2fcf1c5491ad | Lateral surface of cerebral hemisphere is supplied mainly by? | Anterior cerebral aery | Middle cerebral aery | Posterior cerebral aery | None of the above | 1b | multi | The lateral surface of the hemisphere is mainly supplied by the middle cerebral aery. This includes the territories of the motor and somatosensory coices which represent the whole of the body, apa from the lower limb, and also the auditory coex and language areas.Ref: Gray's anatomy 40th edition, Chapter 17. | Anatomy | null |
6dd386d1-f46c-45ae-aaa6-c7efa703c13b | Critical temperature for liquid nitrogen is ? | 36.5degC | -20degC | -147degC | -242degC | 2c | single | Ans. is 'c' i.e., -147deg C Critical temperature (Tc) of a substance is the temperature at and above which vapour of that substance can not be liquified, no matter how much pressure is applied (Note : Below critical temprature a substance can exist as a liquid or gas depending on pressure). Critical temperature of N2 i... | Anaesthesia | null |
33484ce7-4704-4553-86ee-1e4552f8f514 | True about Peutz jegher syndrome | Most common site is small intestine | Polypectomy on colonoscopy is treatment of choice | Hamaomatous polyp | All | 3d | multi | Ans. is 'a' i.e., Most common site is small intestine; 'b' i.e., Polypectomy on colonoscopy is treatment of choice; 'c' i.e., Hamaomatous polyp Peutz -Jeghers syndrome o It is an autosomal dominant condition characterized by :? 1. Hamaomatous polyps in Small intestine -4 100% Colon --> 30% Stomach --> 25% 2. Extraintes... | Pathology | null |
179d2679-9dea-433c-af42-5921cc2321bc | A 8 year old male had non blanching rashes over the shin and swelling of knee joint with haematuria+++ and protein +. Microscopic analysis of his renal biopsy specimen is most likely to show | Tubular necrosis | Visceral podocyte fusion | Mesangial deposits of IgA | Basement membrane thickening | 2c | single | Probable diagnosis is Henoch-Schonlein purpura . Henoch-Schonlein purpura is a small-vessel vasculitis caused by immune complex deposition following an infectious trigger. It is predominantly a disease of children and young adults. The usual presentation is with purpura over the buttocks and lower legs, accompanied by ... | Medicine | Immune system |
b073a677-5df1-4208-94d0-536ef7244562 | Which of the following specimens should never be refrigerated | H.influenzae | P.aeruginosa | Moraxella catarrhalis | Escherichia coli | 0a | single | H.influenzae ishighly sensitive to low temperature. | Anatomy | Bacteriology |
bdd0b9dc-0ef8-4044-9aac-59ceed63f784 | Which one is not associated with peptic ulcer - | Smoking cigarrete | Zollinger Ellison's syndrome | Plummer vinsons syndrome | Cirrhosis | 2c | single | Conditions also. with peptic ulcer have already been described. Plummer Vinson Paterson Kelly syndrome consists of :- Iron deficiency anemia Dysphasia atrophic oral mucosa, glossitis brittle spoon-shaped fingernails. Typically pts are Woman over 40 yrs of age. Its a Pre-malignant condition* for both oral cavity & esoph... | Anatomy | G.I.T |
11ac6d5c-b733-4542-aff0-93c2b759c9b7 | In Japanese Encephalitis, pigs acts as - | Amplifier | Definitive host | Intermediate host | Any of the above | 0a | multi | Pigs acts as an amplifier host REF:<\p> ANATHANARAYANAN MICROBIOLOGY NINTH EDITION PAGE.521(epidemiology) | Microbiology | Virology |
f1607ab3-42ad-43c3-99b0-098f3a4a892d | A 17-year-old girl was evaluated for complaints of weight gain, hair loss, constipation and weakness. Her free T4 level was low and TSH was increased. Which of the following is the most likely diagnosis? | Graves' disease | McCune-Albright syndrome | TSH-secreting pituitary adenoma | Hashimoto's thyroiditis | 3d | single | The patient is having symptoms of hypothyroidism and thryoid profile reveals primary hypothyroidism. Analyzing all options, Graves' disease and McCune-Albright syndrome are associated with hypehyroidism. (excludes 'a' & 'b') In pituitary adenoma/TSH-secreting pituitary tumor - increased TSH with increased T3/T4 would b... | Pathology | Hypehyroidism and Goitre |
f9dc057b-48d9-4c6a-a3a6-61db92a7a529 | Recommended vaccines for rabies - | Semple | Duck embryo vaccine | Suckling mouse brain vaccine | HDCV | 3d | single | HDCV, PCEC, PVC vaccines are currently used for immunization REF:<\p> ANATHANARAYANAN MICROBIOLOGY NINTH EDITION PAGE.535 | Microbiology | Virology |
1c9b39ee-09b3-4d33-b690-6e68ddeaf396 | Which of the following is not a content of plane LA | Methyl paraben | Epinephrine | Nacl | Lignocaine | 1b | single | null | Surgery | null |
735865c9-10eb-444b-bbba-c4d599662fa4 | C-peptide occurs in | Proinsulin | Glucagon | Paratharmone | Thyroxine | 0a | single | C-peptideA biologically inactive residue of insulin formation in the beta cells of the pancreas. When proinsulin is conveed to insulin, an equal amount of C peptide, a chain of amino acids, is also secreted into the bloodstream. Beta cell secretory function can be determined by measuring the C peptide in a blood sample... | Physiology | Endocrinology |
b7857c79-153f-4298-8410-cc9f9925fa48 | The finding in nerve conduction study to suggest axonal neuropathy among the following is: | Slow conduction velocities | Prolonged distal latency | Relatively preserved amplitude | Late potentials | 3d | single | To classify neuropathy into axonal degeneration or segmental demyelination the most helpful test is: NCS-Nerve conduction study. MUST KNOW: Findings to suggest axonal neuropathy in NCS: Relatively preserved distal latencies, conduction velocities, and late potentials. Fibrillations on needle EMG Findings to suggest dem... | Medicine | null |
7cc2b8de-21ba-4f38-8e8d-89762a69e95b | All are true regarding gynaecomastia, EXCEPT -a) May be seen in Addison' s diseaseb) Usually unilateral in young malesc) Acini are not involvedd) Bilaterality is due to endocrinopathy | ac | ab | ad | bc | 1b | multi | null | Surgery | null |
9cd267f8-1d69-4813-ab6c-8a85e779c127 | Incidence can be calculated by - | Prospective study | Retrospective study | Case control study | Cross-sectional study | 0a | single | Ans. is 'a' i.e., Prospective study | Social & Preventive Medicine | null |
7d53a9d8-e6a4-4143-9b0e-2a50505efb2a | Approximate distance of diphragmatic constriction from nostril & incisor are | 7" & 6" | 11' & 10" | 17" & 16" | 23" & 22" | 2c | single | C i.e. 17" & 16" | Anatomy | null |
c38cd13b-226f-4ad2-9daf-fb36374babd8 | Which of the following is true about P. falciparum ? | James dots are seen | Accole forms are seen | Relapses are frequent | Longest incubation period | 1b | multi | Ans. is 'b' i.e., Accole forms are seen The parasite often attaches itself to the margin or the edge of the host cell, the nucleus and a small pa of the cytoplasm remaining almost outside. This is known as form applique or accole. | Microbiology | null |
36f56172-bfc1-4bd4-ab22-fcf475853e66 | All of the following are true about anopheles type of mosquito Except - | Eggs are boat shaped and provided with lateral floats | Larvae rest parallel to water surface | Larvae have siphon tube | Pupae have broad and sho siphon | 2c | multi | Anopheles mosquito: Causes malaria and filaria Breeding habitat: Clean water Eggs laid singly with boat-shaped lateral floats Larvae have no Siphon tube; rest parallel to the undersurface of water Pupae have a broad and sho siphon tube Adults are inclined at an angle to the surface and with spotted wings Can fly 3-5 km... | Social & Preventive Medicine | Environment and health |
0c8aa8de-1697-449d-84c8-fbf58aa0f2a1 | The following are true for Bordetella pertussis except- | It is a strict human pathogen | It can be cultured from the patient during catarrhal stage | It leads to invasion of the respiratory mucosa | Infection can be prevented by a acellular vaccine | 3d | multi | null | Microbiology | null |
abae4f6b-6b7d-4655-9f0c-a3d784a34b88 | Virus infected cells killed by? | Natural killer cells | Plasma cells | B-cells | None | 0a | multi | Natural killer cells: Natural killer (NK) cells are morphologically described as large granular lymphocytes. These cells are called natural killer cells due to their ability to kill ceain virally infected cells and tumor cells without prior sensitization. Functions of natural killer cells: Kill virus-infected cells and... | Microbiology | Immunology Pa 2 ( Hybridoma Technology, Complement Pathways, Interferon, Structure and Functions of Immune Cells ) |
7cdafd10-0852-4045-9676-939b9ac70a85 | 18 year old girl with circumscribed bald patch with no organic disease & no behavioural disorder has ? | Depression | Trichotillomania | OCD | Phobia | 1b | single | Ans. is 'b' i.e., Trichotillomania As there is no organic or behavioral disorders, this girl is suffering with impulse control disorder of compulsive hair pulling, known as Trichotillomania. Impulse control disorder These disorders are characterized by failure to resist an impulsive behavior that may be harmful to self... | Psychiatry | null |
940a4255-7b65-4a61-a1c5-967e5e1c1e15 | Pseuddogia Fantastica is seen in | Malingering | Factitious disorder | Somatization syndrome | Dissociative fugue | 1b | single | Patients with "Factitious disorder or Munchausen syndrome" distart the history and there will be discrepancy between history, examination and reports which is termed as "Pseudologia Fantastica". | Psychiatry | null |
8d57ab97-7990-46e7-8f07-34a0c36e32c0 | Gluten sensitive enteropathy is most strongly associated with - | HLA-DQ2 | HLA-DR4 | HLA-DQ3 | Blood group 'B' | 0a | single | Ans. is 'a' i.e., HLA - DQ2o Almost all individuals with celiac disease share the major histocompatibility complex II HLA-DQ 2 or HLA - DQ8. o Gliadin is deamidated by the enzyme transglutaminase and deamidated gliadin peptides bind to DQ2 and DQ8. o Recognition of these peptides by CD4+T cells leads to secretion of IF... | Pathology | null |
299b9b29-c17c-43e4-bbd7-d3ed0ca487bb | Which among the following is the main content of lipid bilayer of cell membrane in animal cells? | Glycerol | Cholesterol | Cholesteryl ester | Triacylglycerol | 1b | single | The most common sterol in the membranes of animal cells is cholesterol, which resides mainly in their plasma membranes, but can also be found in lesser quantities in mitochondria, Golgi complexes, and nuclear membranes. Cholesterol intercalates among the phospholipids of the membrane, with its hydroxyl group at the aqu... | Microbiology | null |
21617ff5-1791-46b5-8258-93388cac7dd0 | With regards to G6PD deficiency, which of the following in false | Affects the pentose phosphate pathway | Associated with neonatal jaundice | Acute haemolysis can be precipitated by broad beans | X-linked recessive disorder that does not affect heterozygous famales | 3d | multi | Ans. is 'd' i.e., X-linked recessive disorder that does not affect heterozygous famales Glucose 6-phosphate dehydrogenase (G6PD) deficiency, an X-linked disorder, is the most common enzymatic disorder of red blood cells in humans, affecting 400 million people worldwide. Clinical spectrum The clinical expression of G6PD... | Medicine | null |
084d187d-5659-4757-bd2f-7b937a0fff44 | Surgical management of a case of undescended testis is indicated at which age? | 2 months of age | 6 months of age | 12 months of age | 24 months of age | 2c | single | Optimum age for surgical correction of undescended test is between 9-15 months. The surgical procedure done is called Orchidopexy. Ref: Nelson Text Book of Pediatrics, 17th Edition, Page 1817; Nursing Care of The Pediatric Surgical Patient By Nacy TKacz Browne, Page 147-8. | Surgery | null |
960a83d9-15af-4060-bed5-046a11057196 | Marsh's test is used for detection of | Arsenic | Lead | Strychnine | Mercury | 0a | single | A i.e. Arsenic | Forensic Medicine | null |
372a94c6-7f03-43b1-868c-865b8a9595b5 | True about acute pancreatitis | Serum Amylase is diagnostic | CECT is preferred over USG in diagnosis | Grey Turner sign seen around the umbilicus | Alcohol is the MC cause | 1b | multi | Gall stones are the most common cause, alcohol being IInd most common. Ultrasound is often the first imaging investigation but CT is the best imaging investigation. Serum amylase is the most widely used laboratory test because of its simplicity. It lacks the specificity to pancreas and may be raised in a multitude of c... | Anatomy | G.I.T |
6418673c-e93b-47fb-a801-19c7fc369d73 | All of the following about PDA are true except ? | More common in males | Common hea lesion in rubella | Treatment is closure of defect by ligation and division of ductus | Hypo xi a and immaturity are impoant in maintaining the patency | 0a | multi | Ans. is 'a' i.e., It is more common in males than females PDA is more common in females than males - Nelson Lesions more common in girls Lesions more common in boys ASD PDA TGA VSD Pulmonic stenosis Left sided obstructive lesions | Pediatrics | null |
aaf96869-9073-4b48-9f1c-026b7748655c | For maturity estimation, amniotic fluid cells are stained with : | Nile blue sulphate | Methylene blue | Mucicarmine | Sudan black | 0a | single | Nile blue sulphate | Gynaecology & Obstetrics | null |
50c7d40b-b81b-4f08-8429-4cafba5730a9 | Select the true statements : | Imipramine is used In treatment of endogenous depression | Fluoxetine causes weight gain | Thioridazine cause less anticholinergic effects | BZD's have same abuse potential as barbiturates | 0a | multi | A i.e. Imipramine is used in endogenous depression - PimozideQ & Loxapine are hetrocyclic antipsychotics. Fluoxitine (SSRI), Amitryptyline (TCA) & Trazadone (atypical) are antidepressants. - Imipramine is TCA & used in endogenous depression. Increased appetite & weight is seen in TCAs but not with SSRI (eg. fluoxetine)... | Psychiatry | null |
41bb6887-462d-4ecf-9a9a-83ea5d179ab7 | Drug that do not increase QT interval: | Amiodarone | Quinidine | Digitalis | Amitryptyline | 2c | single | Ans is 'c' i.e. Digitalis o Digitals causes shoening of QT intervalo Other drugs (given in options) cause prolongation of QT interval. | Pharmacology | null |
7b9e365c-3b31-48f0-9cd0-8488e1ac3c00 | FSH and LH concentrations at birth | Rise abruptly | Fall abruptly | No change | Rise after 3 months of age | 0a | multi | FSH and LH concentrations rise abruptly in response to fall in placental oestrogen levels, and are highest in first 3 months of life. | Gynaecology & Obstetrics | null |
30d17f2d-4c63-4f27-abae-786f4ed6fae4 | Acitomycin D interferes with enzyme induction by combining with - | TRNA | DNA | R-RNA | Repressor protein | 1b | single | B i.e. DNA | Biochemistry | null |
f0b0697f-6cda-49a1-8a0d-52e49a4e7a6d | Antiglaucoma drug contraindicated in acute uveitis | Pilocarpine | Timolol | Brimonidine | Latanoprast | 0a | single | Answer- A. PilocarpineCholinomimletic (Pilocarpine) :- Uveitis | Ophthalmology | null |
ada06bb5-c79f-4ab3-a674-c2316894b291 | Concurrent flexion of both wrists in response to electrical stimulation is characteristic of which area of the nervous system | Postcentral gyrus | Vestibulospinal tract | Dentate nucleus | Supplementary motor coex | 3d | multi | A few of the fibers of pyramidal tract do not cross to the opposite side in the medulla but pass ipsilaterally down the cord in the ventral coicospinal tracts. Many, if not most, of these fibers, eventually cross to the opposite side of the cord either in the neck or in the upper thoracic region. These fibers may be co... | Physiology | General physiology |
efd13cfc-37cc-401a-9802-ef562f3734d3 | Which is not true regarding Insulinoma - | Hypoglycemic attacks | Weight loss | Usually Solitary tumour | Mostly benign tumour | 1b | multi | Hypoglycemic attacks are part of Whipple's triad
Insulinoma is usually solitary (~90%)
Only 5 to 15% are malignant | Surgery | null |
672d3b9f-8a57-4f30-a5db-8116670fa3a7 | True about autism - | Occurs in high economic striata | Normal communication | Stas before 2-3 years of age | More common in girls | 2c | multi | Ans. is 'c' i.e., Stas before 2-3 years of age Autism o Autism is a neurologic disroder characterized by ? Qualitative impairment in social interaction Qualitative impairment in communication. Restricted repetitive and streotyped patterns of behaviour, interests, and activities. Onset of symptoms is usually before 3 ye... | Pediatrics | null |
c75d05af-8d8d-487c-a3c8-838c4bbd0b73 | The operation that precipitates portosystemic encephalopathy is | Splenorenul shunt | Siguira operation | Talma - Marison Operation | Portacaval anastomosis | 3d | single | Portosystemic encephalopathy is a neuropsychiatric syndrome, It most often results from high gut protein or acute metabolic stress
(eg, GI bleeding, infection, electrolyte abnormality) in a patient with portosystemic shunting.
In portosystemic shunting, absorbed products that would otherwise be detoxified by the liver ... | Surgery | null |
deeca405-7d86-45a4-8215-23eab750b8bd | A pt. presented with renal cell carcinoma invadvin IVC and the renal vein. False statement is: | Preop biopsy is not necessary | IVC involvement indicates inoperability | Pre op radiotherapy is not essential | Chest x-ray should be done to rule out pulmonary metastasis. | 1b | multi | Answer is B (IVC involvement indicates inoperability): Extension of tumor into IVC does not indicate inoperability. 'Extension into renal vein or inferior vena cava does not preclude resection even if cardiopulmonary bypass is required. Half of these patients have prolonged survival' - Harrison | Medicine | null |
b50f21a4-6858-4b26-8fb1-d108489f341e | Typical silvery scales of psoriasis are absent in – | Scalp | Kee | Groin | Elbow | 2c | single | Scaling is absent or minimal
Flexures (Groins, axillae, infra - mammary folds, vulva, gluteal cleft)
Glans in uncircumcised patients (in circumcised patients scales are present on glans
Guttate psoriasis | Dental | null |
2a29dcd5-497b-427b-b616-a92f3c0fab4c | Population growth is said to be less than adequate requirement when NRR is | < 1 | 1 | > 1 | 0 | 0a | single | Net reproductive rate is defined as the number of daughters a newborn girl will bear during her life time assuming fixed age specific feility and moality rates It is a demographic indicator NRR of 1 is equivalent to attaining approximately the 2 child norm If NRR is less than 1, then the reproductive performance of the... | Social & Preventive Medicine | Demography and family planning |
0ce36abf-f59b-4bef-b437-3e7d5ff77b07 | Aschoff's nodules are seen in - | Subacute bacterial endocarditis. | Libman - Sacks endocarditis | Rheumatic carditis | Non - bacterial Thrombotic endocarditis | 2c | single | • Aschoff’s bodies are characteristic focal inflammatory lesion of acute rheumatic fever found in any of the three layers of the heart. | Pathology | null |
cfb6aad9-1417-4160-99cd-362facae5d45 | Issuing false ceificate is punishable under Sec 197 IPC for imprisonment upto | 4 years | 5 years | 7 years | 10 years | 2c | multi | Issuing false ceificate is punishable under Sec 197 IPC : imprisonment upto 7 years and fine and erasure of name from medical register. Ref: FORENSIC MEDICINE AND TOXICOLOGY Dr PC IGNATIUS THIRD EDITION PAGE 11 | Anatomy | General anatomy |
7e6c775d-15ac-443b-a846-9bc5573db1df | All of the following drugs can cause cholestatic jaundice EXCEPT: | Erythromycin estolate | INH | OC pills | Chlorpromazine | 1b | multi | The above drugs erythromycin, oc pills, chlorpromazine effects the liver and damage it leading to cholestasis. Mostly because all these drugs are metabolized and excreted bile and hence during bile formation, they damage the liver but isoniazid an antitubercular drug is extensively metabolized in liver but excreted in ... | Pharmacology | Other topics and Adverse effects |
9b45c908-246e-4828-bd88-863d9752e81a | Karyotyping under light microscopy is done by | R banding | Q banding | G banding | C banding | 2c | single | G-banding, G banding, or Giemsa banding is a technique used in cytogenetics to produce a visible karyotype by staining condensed chromosomes.It is useful for identifying genetic diseases through the photographic representation of the entire chromosome complement. | Biochemistry | Metabolism of nucleic acids |
09e46b8f-dbe6-4e3f-95c9-3a038f56f30a | In Neurogenic shock true is: | Hypotension with bradycardia | Hypertension with bradycardia | Hypotension with tachycardia | Hypertension with tachycardia | 0a | multi | Ans. A. Hypotension with bradycardiaIn neurogenic shock, main pathology is stretching of neural pathways in spinal cord. In this type of shock, low blood pressure & slowed heart rate occurs due to disruption of autonomic pathways in spinal cord. | Medicine | C.V.S. |
ca8da046-b91b-41b7-a6d4-20ce185fe748 | All are complication of Typhoid ulcer EXCEPT - | Perforation | Stricture | Haemorrhage | Endocarditis | 1b | multi | complications include: Intestinal:perforation,hemorrhage ExtraIntestinal:encephalopathy,meningitis,seizures,endocarditis,myocarditis,pneumonia etc GENERAL AND SYSTEMIC PATHOLOGY RAMDAS NAYAK PAGE NO:394 | Pathology | G.I.T |
8f677a94-c177-43d9-bd19-c4730df5bc84 | Anti Ul-RNP antibody is seen in? | SLE | Scleroderma | MCTD | Derniatomyositis | 2c | single | Ans. is 'c' i.e., MCTDo Mixed connective tissue disease (MCTD) is characterized serologically by high titers of antibodies to ribonucleoprotein paicle-containing Ul ribonucleoprotein (Anti-Ul RNP) | Pathology | null |
b96591b3-0a21-4fe4-ab96-904eb193e1a1 | In a patient with multiple bilateral nasal polyps with X-ray showing opacity in the paranasal sinuses. The treatment consists of all of the following, except: | Epinephrine | Corticosteroids | Amphotericin-B | Antihistamines | 0a | multi | Bilateral ethmoidal polypi are either the result of long-standing nasal allergy or fungal sinusitis. Opaque paranasal sinuses can result in both. Treatment therefore can include antihistamines, steroids and. if fungal, amphotericin-B. Epinephrine (adrenaline) has no role. | ENT | Nose and PNS |
97d4cfd7-c1bb-4a72-88b9-bc26910d6f80 | Which hormone act on intracellular receptors- | Thyroxine | Glucagon | Insulin | PDGF | 0a | single | Ans. is 'a' i.e., Thyroxine Hormones with intracellular receptors (Group I hormones)* Cytoplasmic Glucocorticoids (cortisol/cortisone), mineralocorticoids, androgens, progestins.* Nucleus Estrogen, Thyroid hormones (T3 T4), retinoic acid, Vitamin D (Calcitriol or 1,25 (OH)2 D3). | Physiology | Endocrinology and Reproduction |
5250bfec-2d5b-47fb-a481-875858c59362 | Changes in middle ear after bih are observed in? | Werdin's test | Ploucquet's test | Fodere's test | Breslau's test | 0a | single | Ans. is 'a' i.e., Werdin's test Werdin's test: Before bih middle ear contains gelatinous embryonic tissue which is replaced by air after respiration. | Forensic Medicine | null |
f677c0ae-7e76-41c3-b8f6-c65b4bb06b85 | True about rotavirus vaccine: | Killed vaccine | Given subcutaneous | Pentavalent vaccine | Should be given before 5 years | 2c | multi | Ans. c. Pentavalent vaccine | Microbiology | null |
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