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df4194f3-f073-4a2f-bbbd-4ef8c8f235c1 | Chauffers fracture involves what ? | Radial head | Radial styloid process | Ulnar styloid process | Base of 1st metacarpal | 1b | single | Chauffeur&;s fracture, also known as Hutchinson fracture, is a type offracture of the forearm, specifically the radial styloid process. The injury is typically caused by compression of the scaphoid bone of the hand against the styloid process of the distal radius. Ref : essential ohopaedics maheshwari and mhaskar 9th e... | Orthopaedics | Elbow injuries |
832bcf42-73dc-4560-9763-2a1118f0e9a3 | "French paradox" is - | a) A wine and food-loving French population with a low incidence of obesity and cardiovascular disease | b) In spite of heavy smoking lower incidence bronchogenic carcinoma in France | c) A physical fitness conscious french population still having higher incidence of cardiovascular disease | d) In-spite of high sugar intake in diet a lower incidence of obesity and type 2 DM | 0a | single | The French paradox is a catchphrase first used in the late 1980s, that summarizes the apparently paradoxical epidemiological observation that French people have a relatively low incidence of coronary hea disease (CHD), while having a diet relatively rich in saturated fats,in apparent contradiction to the widely held be... | Medicine | Miscellaneous |
0a458506-183e-4e18-bad2-290c78ba7a75 | A 64-year-old man with heart failure is recently started on 80 mg/day of furosemide. He now feels weak and tired, but notes that his heart failure symptoms have improved. There is no change in his urine output and he gets a good diuretic response every time he takes his furosemide.Select the characteristic ECG findings... | shortened PR interval | lengthened PR interval | lengthened QU interval | shortening of the QT interval | 2c | single | Hypokalemia results in prolongation of the QU interval. The delayed repolarization in hypokalemia is best expressed at QU rather than QT prolongation since it can be difficult to separate the T wave from the U wave. In severe cases, the ST segments become depressed. Quinidine, even in therapeutic doses, can cause simil... | Medicine | C.V.S. |
3574d806-4bdf-4a29-ae43-95038197816a | Diagnostic criteria for Bulimia nervosa are all EXCEPT | Binge Eating | Presence of other psychiatric disorders | Lack Of Control Over Eating Behaviour | Self Induced Vomiting | 1b | multi | (B) Presence of other psychiatric disorders # BULIMIA NERVOSA (BN) is an eating disorder characterized by eating binges typically followed by efforts to purge calories through self-induced vomiting, laxative and/or diuretic abuse, prolonged fasting, or excessive exercise. Fear of weight gain leads to the characteristic... | Psychiatry | Miscellaneous |
f432a29f-fb96-42f6-ab70-409939f232bb | Prolonged exposure to noise levels greater than the following can impair hearing permanently - | 40 decibels | 85 decibels | 100 decibels | 140 decibels | 2c | single | Repeated or continuous exposure to the noise around 100 decibels may result in a permanent hearing loss; inner ear damage may vary from minor changes in the hair cells to complete destruction of the organ of Coi. Park's Textbook of Preventive and Social Medicine, 22nd edition, Page No. 689 | Social & Preventive Medicine | Environment and health |
110bfabe-5fa1-416d-b6e5-1508de0d5953 | Defect in type II hyperlipidemia | Apo-E | Lipoprotein lipase | LDL receptor | None | 2c | multi | Familial hypercholesterolemia (type Ha) is due to deficiency of functional LDL receptors as a result of different types of mutations. | Biochemistry | null |
0f554ef9-502b-4c32-b7b2-9d777e5f8c50 | Which of the following non collagenous protein of dentin prevents premature mineralization | Decorin and Biglycans | Dentin Phosphoprotein | Dentin Sialoprotein | All of the above | 0a | multi | null | Dental | null |
f123749e-885b-4380-ac09-4155873e8dda | What is meant by suppositious child - | Second born of a twin pregnancy | Child born out of wedlock | Child rear up by a woman & She claims the child | Heterozygous mother & father | 2c | single | Ans. is 'c' i.e., Child rear up by a woman & She claims the child Suppositious child Suppositious child means a factitious child. o Women may pretend pregnancy as well as delivery & later produces a child as if it is her own. She may substitute a living male child for a dead child or for a living female child born of h... | Pediatrics | null |
a675f50c-a1ba-4ab3-b9cb-dcb422a71130 | Corneal endothelial cell count is done by - | Specular microscopy | Keratometry | Gonioscopy | Slit lamp | 0a | single | Ans. is 'a' i.e., Specular microscopy o Specular microcopy is used for corneal endothelial density.Important corneal examinationsCsed foro Keratometry. Comeal topographyCurvature of corneao Specular microscopyCorneal endothelial densityo Slit lampCorneal opacityo PachymeterThickness of corneao Placido's discCorneal she... | Ophthalmology | Techniques of Ocular Examination and Diagnostic Tests |
1a0f8a79-68d3-4e37-8a13-254449a94116 | All are true about Amoebic liver abscess except: March 2007 | Common site is right posterosuperior pa of liver | Alcoholics are susceptible to develop amoebic liver abscess | Anchovy sauce pus | Fever is the most common sign | 1b | multi | Ans. B: Alcoholics are susceptible to develop amoebic liver abscess Amebic liver abscess is the most frequent extraintestinal manifestation of Entamoeba histolytica infection. This infection is caused by the protozoa Ehistolytica, which ascends the poal venous system. The right lobe (posterior superior quadrant) of the... | Medicine | null |
b2d69172-c62f-43c9-9a27-f172eaa26f34 | All of the following conditions are associated with primary amenorrhea except: | Testicular feminization syndrome | Stein-Leventhal syndrome | Turner's syndrome | Mayer Rockitansky Kuster Hauser Syndrome | 1b | multi | Ans. is b, i.e. Stein-Leventhal syndromeRef: Shaw 15th/ed, p284-285The Stein-Leventhal Syndrome also known as Polycystic Ovarian Disease (PCOD) is an important cause of Secondary Amenorrhea in young women.Testicular Feminizing syndrome, Turners syndrome and Mayer Rokitansky Kuster Hauser syndrome are causes of Primary ... | Gynaecology & Obstetrics | Disorders in Menstruation |
b4736868-8e5e-47d5-8cc2-7171be42f001 | Toxic megacolon is most commonly associated with- | Ulcerative colitis | Crohn's disease | Whipple's disease | Reiter's disease | 0a | single | null | Pathology | null |
085e033e-d9c0-4729-bf92-3ae2476ceb22 | What is the drug of choice for Obsessive Compulsive Disorder? | Imipramine | Fluoxetine | Benzodiazepines | Alprazolam | 1b | single | Ans. (B) Fluoxetine(Ref: Harrison 17/e p2715; CMDT 2010/943; KDT 8/e p492)SSRIs are drug of choice for most of the neurotic disorders including OCD. | Pharmacology | C.N.S |
6a874d5f-9034-45f4-98b0-238a6324205f | The cells most frequently found in a granuloma are | Mast cells | Giant cells | Lymphocytes | Neutrophilis | 2c | single | null | Pathology | null |
e303c83a-2e9c-410e-9210-f9dc2922fa0b | The drug causing curare like effects are all except | Chloramphenicol | Polymyxin | Tetracycline | Streptomycin | 0a | multi | Refer KDT 6/e p 346 Drugs causing curare like effect are Aminoglycosides Polypeptide antibiotics Tetracycline Clindamycin, lincomycin | Pharmacology | Anesthesia |
c3bbbc68-351b-4531-a498-5904f8e72f5c | Investigation of choice on Meckel's Diveicula in pediatric age group is | USG | CT | Barium meal | Na 99m Tc- peechnetate | 3d | single | In case of children 99mTc-peechnetate is preferentially taken up by the mucus secreting cells of gastric mucosa and ectopic gastric tissue in Meckel's Diveicula. In adults less ectopic gastric tissue is seen so the test is not much accurate in adults Ref: Sabiston 20th edition Pgno :1285 | Anatomy | G.I.T |
28b41c40-7644-4ba7-a651-8ad79565a524 | Os trigonum is which type of epiphysis ? | Aberrant | Pressure | Atavistic | Traction | 2c | single | C i.e. Atavistic | Anatomy | null |
34b45490-fa92-491a-8259-dd3bac546d23 | Wolff-chaikoff effect is - | Reduced thyroxine synthesis by radiotherapy | Reduced thyroxine synthesis by propylthiouracil | Reduced thyroxine synthesis by iodides | None of the above | 2c | multi | Ans. is 'c' i.e., Reduced thyroxine synthesis by iodides Iodine and Iodideso Iodine is the fastest acting thyroid inhibitor.o Most important action is inhibition of hormone release (thyroid constipation)\ but all facets of thyroid synthesis may be affected.o Excess iodide inhibits its own transport in thyroid cells and... | Pharmacology | Endocrinology |
582e74bd-8b71-4d87-8b72-6859eefe1bda | Growth of virus in embryonated egg, eggs are incubated for - | 4-8 hours | 1-2 days | 5-12 days | 20-25 days | 2c | single | Ans. is 'c' i.e., 5-12 days "For virus isolation, feile chicken eggs are incubated for 5-12 days, and a viral Suspension or suspected virus - containing" tissue is injected into the fluid of the egg. | Microbiology | null |
896ec5ab-6b8b-4c15-956c-a7915a66b77c | Which of the following is primarily a bactericidal drug? | Chloramphenicol | Gentamicin | Sulphadiazine | Tetracycline | 1b | single | Aminoglycosides: Streptomycin, Gentamicin, Amikacin, Neomycin, etc. are considered as bactericidal drugs. | Pharmacology | null |
2e04b9c6-9a90-4773-8849-6560535c7e9d | Crown completion of Mandibular Canine occur | At birth | 6-7 years | 11-12 years | 8-9 years | 1b | single | null | Dental | null |
a9b22c98-b7bf-48c1-ab6f-c3f535bd43d0 | N K cell shows presence of - | CD 44 | CD 16 | CD 54 | CD 32 | 1b | single | Ans. is 'b' i.e., CD 16 o NK cells have CD-56 and CD-16 on their surface. | Pathology | Cells and Tissues of Immune System |
bb86ecf4-fb4a-4b2c-b907-3b6a85932a9c | A radiologist notes the presence of fine, radiographically dense crystals in the tissues of a knee joint. This patient most likely has which of the following types of ahropathy? | Gonococcal ahritis | Gouty ahritis | Osteoahritis | Pseudogout | 3d | multi | Radiographically dense calcium pyrophosphate dihydrate (CPPD) crystals are deposited in cailage and joint soft tissues in pseudogout, which can involve the knees, wrists, elbows, shoulders, or ankles. If the patient is asymptomatic because the deposition is primarily within cailage, the condition is sometimes called ch... | Medicine | null |
dc6a0ccc-e8c6-450d-bd3a-e9b51f8468b0 | All are seen with Pneumocystis carini in AIDS except: | Pneumonia | Otic polypoid mass | Ophthalmic choroid lesion | Meningitis | 3d | multi | In addition to pneumonia, a number of other clinical problems have been repoed in HIV-infected patients as a result of infection with P. jiroveci as:- Otic involvement may be seen as a primary infection, presenting as a polypoid mass involving the external auditory canal. In patients receiving aerosolized pentamidine f... | Medicine | viral infection |
1baba4aa-943f-430c-9ddf-2aa1a730a471 | All of the following aeries are common sites of occlusion by a except: | Left anterior descending | Right coronary aery | Circumflex coronary aery | Marginal aery | 3d | multi | Answer is D (Marginal aery) | Medicine | null |
82de2218-03e8-48e5-87d2-9a75c90d908d | von Willebrand disease is a defect of | Primary hemostasis | Secondary hemostasis | Clot stabilization and resorption | Generalized defects involving small vessels | 0a | multi | Primary hemostasis: the formation of the platelet plug.Disruption of the endothelium exposes subendothelial von Willebrand factor (vWF) and collagen, which promote platelet adherence and activation. Activation of platelets results in a dramatic shape change as well as the release of secretory granules. Within minutes t... | Pathology | General pathology |
0eab11e1-76bd-4293-9f36-ce0387d2302c | All true about sodium Thiopentone except - | It is intermediate acting barbiturates | It is cerebroprotective | It is agent of choice for narcoanalysis | It is contraindicated in acute intermittent porphyria | 0a | multi | Thiopentone is ultrasho acting barbiturate. Thiopentone does not produce analgesia and may even produce antianalgesia by reducing the pain threshold. Thiopentone has rapid onset of action (within 30 s) due to high lipid solubility and high non ionized fraction (60%). And ultra-sho duration of action (within 20 mins) du... | Anaesthesia | Intravenous Anesthetic Agents |
2ee18a5a-4a1a-4d24-80da-0a46c7c8467f | Which of the following antihypeensive inhibits vesicular uptake of NA - | Propranolol | Prazosin | Reserpine | Guanithidine | 2c | single | Ans. is 'c' i.e., Reserpine o Reserpine inhibits vesicular uptake of NA, 5-HT & DA --) monoamines are gradually depleted and degraded by MAO. | Pharmacology | null |
50d5b1e8-f467-439d-bb60-3a2755121569 | Gastric emptying is decreased by all of the following EXCEPT: | Protein breakdown products | CCK | Enterogastric reflexes | Gastrin | 3d | multi | Acidity of the chyme, hyper- or hypo-osmolarity of the duodenal contents, irritation of the duodenal mucosa, protein or fat breakdown products in duodenum are the factors sensed by the duodenal receptors. Gastric emptying will then be decreased, by a combination of neural and hormonal signals. Neural signals would be e... | Physiology | Gastrointestinal System |
fc242d58-17a5-452d-bf1d-a0f3b19cd8ea | Cystic supratentorial tumor is? | Craniopharyngioma | Ependymoma | Medulloblastoma | None of the above | 0a | multi | Ans. is 'a' i.e. Craniopharyngioma * Craniopharyngioma is supratentorial slow growing cystic tumor.Other options* Ependymoma can both supra and infratentorial.* Medulloblastoma is an infratentorial tumor. | Pathology | Central Nervous System |
531d39e8-f020-4784-80a9-47cb27911006 | Microbiologic studies on a gram-positive coccus isolated from a skin abscess demonstrate a positive catalase test and a positive coagulase test. This is most consistent with which of the following organisms? | S. aureus | S. epidermidis | S. pneumoniae | S. pyogenes | 0a | single | All of the organisms listed are gram-positive cocci. The positive catalase test excludes the Streptococci, S. pyogenes, and S. pneumoniae. Of the Staphylococci, only S. aureus has a positive coagulase test. S. epidermidis and S. saprophyticus are coagulase-negative Staphylococci. Ref: Ray C.G., Ryan K.J. (2010). Chapte... | Microbiology | null |
2805abda-9716-46fe-845f-a5a2364ed33d | True about incest is: Karnataka 11 | Punishable under Sec. 294 IPC | Punishable under Sec. 377 IPC | Punishable under Sec. 304-A IPC | Not punishable in India | 3d | multi | Ans. Not punishable in India | Forensic Medicine | null |
3d6f8aeb-b9c9-4982-b59d-bdf2ea482412 | Pneumocytes are cells found in epithelial lining of: | Alveoli | Bronchus | Trachea | Bronchioles | 0a | single | PneumocytesTwo types of pneumocytes contribute to the maintenance of the alveoli of the lungsType I pneumocytes and Type II pneumocytes.These cells function to aid in gas exchange, secretion of pulmonary surfactant, and self-regeneration | Anatomy | null |
0e1e2404-6588-4f2c-83b6-2406b5acef56 | Which one of the following is not a feature of liver histology in Non cirrhotic poal fibrosis (NCPF) ? | Fibrosis in and around the poal tracts | Thrombosis of the medium and small poal vein branches | Non specific inflammatory cell infiltrates in the poal tracts | Bridging fibrosis | 3d | multi | Ans. is 'd' i.e., Bridging fibrosisFibrosis bridging one poal tract to another (bridging fibrosis) is not seen.Pathology : o Non cirrhotic poal fibrosis is primarily a vascular disorder of the liver characterized by fibrous intimal thichening of the poal vein or its branches in patients with non cirrhotic protal hypeen... | Pathology | null |
36430cc0-55c8-433d-b533-74635cae551e | Which of the following is a harmful: March 2009 | Alpha paicle | Gamma paicle | Neutron | Electron | 0a | single | Ans. A: Alpha Paicle The radiation one typically encounters is one of four types: alpha radiation, beta radiation, gamma radiation, and X-radiation. Neutron radiation is also encountered in nuclear power plants and high-altitude flight and emitted from some industrial radioactive sources. A Alpha radiation is a heavy, ... | Radiology | null |
8c49ef42-3055-4fca-a613-58b668b11ca4 | Drug of choice for treatment of leptospirosis is: | Penicillin | Ampicillin | Tetracycline | Doxycycline | 0a | single | Penicillin is the drug of choice for treatment of leptospirosis. Other drugs used are tetracycline and doxycycline. Ref: Park 21st edition, page 267. | Social & Preventive Medicine | null |
edd35a5c-3e7f-4814-bdaa-248f65500a05 | A 42 year old paraplegic woman has a neurogenic bladder and requires an indwelling urinary catheter. She develops a urinary tract infection and is seen by a urologist, who orders abdominal x-rays and an intravenous pyelogram. The radiographic studies demonstrate a very large stone that fills and follows the contours of... | Calcium salts | Cholesterol | Cystine | Magnesium ammonium phosphate | 3d | single | Staghorn calculi, such as described in the question, are associated with infection by urea-splitting bacteria (notably Proteus species) and are composed of magnesium ammonium phosphate (struvite). They are more common in women than men, and are far more common in patients requiring chronic bladder catheterisation. Calc... | Pathology | null |
c0e07c80-b445-4bcb-a434-6d98134b3715 | A depot contraceptive DMPA is to be given every | 1 month | 3 months | 2 months | 6 months | 1b | single | null | Social & Preventive Medicine | null |
035263a1-d47e-43b6-a32a-0e98c5373cac | Temporary and permanent removed by – | Boiling | Addition of lime | Permutit method | All | 2c | multi | Permutit method (Base exchange process) can remove both permanent and temporary hardness. | Social & Preventive Medicine | null |
102b4d33-8b93-4545-b03d-d2f266dee087 | Fluoride ion acts as inhibitor of: | Enolase | Hexokinase | Cyt oxidase | Carbonic anhydrase | 0a | single | null | Biochemistry | null |
133d3f39-1358-4187-a52f-11fcd0d1c01d | Puerperal pyrexia is defined as a temperature of more than: | 98.4 degree F | 99 degree F | 100.4 degree F | 104 degree F | 2c | single | A temperature of 38.0degC (100.4degF) or higher--in the puerperium. Causes Genital tract infection Breast engorgement Urinary infections Wound infection Perineal lacerations infection Respiratory complications Predisposing factors Home bih in unhygienic conditions, low socioeconomic status poor nutrition primiparity an... | Gynaecology & Obstetrics | Puerperium |
fdbd7b3b-f26f-4d43-9680-6938763fea7e | CB 1 antagonist used in smoking cessation is ? | Naloxona | Rimonabant | Vareniloline | Bupripion | 1b | single | Ans. is 'b' i.e., Rimonabant Rimonabant A selective cannabinoid receptor-1 (CB-1) antagonist which is being tried as antismoking and antiobesity drug. | Pharmacology | null |
d0858be7-d1f3-4c51-89ef-d587726a4ccb | Which of the following is not true about the difference between congenital cataract surgery and senile cataract surgery? | Incidence of Posterior capsular opacification is higher | Incidence of glaucoma is higher | The energy used in phacoemulsification is higher. | The chances of refractive surprise is higher. | 2c | multi | The energy used in phacoemulsification is lesser as compared to the senile cataract. Congenital Cataract Surgery Treatment of choice: Lens aspiration by manual SICS technique or by phaco-emucification technique. Lensectomy can be done in total cataract with retinal detachment or ROP or any congenital retinal condition ... | Ophthalmology | Cataract |
5e2e301d-064c-4dad-9f90-23c99bf795f1 | What is the ideal treatment for a 55-years-female with Simple hyperplasia of the endometrium with Atypia? | Simple hysterectomy | Medroxy progesterone acetate (MPA) | Levonorgesterol (LNG) | IUCD | 0a | single | Management of Atypical Endometrial Hyperplasia:
"Hysterectomy is the best treatment for women at any age with atypical endometrial hyperplasia because the risk of concurrent subclinical invasive disease is high."
Williams Gynae 1st ed p 691
"In presence of atypia, response to progesterone therapy is poor and the relaps... | Gynaecology & Obstetrics | null |
e866d20f-64b7-46ac-b3af-8a60a0afa66d | Ehrlich phenomenon is seen in | Myobacterium Tuberculosis | Proteus | Staphylococcus | Corynebacterium | 3d | single | The difference between the amount of diphtheria toxin that will exactly neutralize one unit of antitoxin and that which, added to one unit of antitoxin, will leave one lethal dose free is greater than one lethal dose of toxin; i.e., it is necessary to add more than one lethal dose of toxin to a neutral mixture of toxin... | Microbiology | Bacteriology |
a31ac0d9-7280-4cf2-bc8e-d6cc79d99650 | "Boiler's notch" is suggestive of ? | Conductive Hearing Loss | Noise Induced Hearing Loss (NIHL) | Both 1 and 2 | Normal Finding | 1b | multi | Boiler notch/Acoustic dip is seen in Noise induced hearing loss NIHL Boiler notch at 4000Hz Notch is seen in BC curve AC curve notch are insignificant Maximum seen at 3000-6000Hz Sound causing maximum NIHL 2000-3000Hz Stereocilia of Outer hair cells are first to be affected | ENT | Otosclerosis |
d2fd2211-e5fd-440d-bda4-9a3ea08a4423 | A 40 year old woman presents with a three day history of irritation, pain, and watery discharge of her left ear. She has just returned from holiday, where she admits to using her towel, aificial nails, and ear buds to try to allete itching in her ear. What is the likely diagnosis? | Mastoiditis | Otitis Externa | ASOM | Trigeminal Neuralgia | 1b | multi | Inflammation of the ear canal with or without infection is the charecteristic of acute otitis externa. If symptoms are recurrent or if they last longer than three months, the condition is classed as chronic otitis externa. Acute otitis externa can also be classified according to its cause. These are split into three ma... | ENT | null |
2b9d2de0-da44-4e0f-ada2-8269b72da37b | Following anterior dislocation of the shoulder, apt develops weakness of flexion at the elbow and lack of sensation over the lateral aspect forearm; nerve injured is - | Radial nerve | Musculocutanous nerve | Axillary nerve | Ulnar nerve | 1b | single | The most common complication of anterior dislocation of the shoulder is axillary (circumflex) nerve injury.
There is consequent paralysis of the deltoid muscle, with a small area of anaesthesia at the lateral aspect of the upper arm.
However, in this question, the sensation is lost on the lateral aspect of the forearm ... | Orthopaedics | null |
bc2e0345-620e-49e9-96f4-549e39f27ffe | Heavy smoker for elective hernia repair, smoking should be stopped before how much period? | 4 days | 10 days | 3-4 weeks | 6-8 weeks | 3d | single | Ans. is 'd' i.e., 6-8 weeksRef: Postgraduate anaesthesia p. 786'Limited prospective data suggest that cessation for at least 6-8 weeks preoperative is necessary to decrease the incidence of pulmonary complication." | Anaesthesia | null |
c1a20480-6ddb-418e-afa5-6852e27cd7c4 | A nerve injured in radical neck dissection leads to loss of sensation in medial side of the arm, nerve injured is:- | Long thoracic nerve | Thoracodorsal nerve | Dorsal scapular nerve | Medial cutaneous nerve of arm | 3d | single | Nerve injured in radical neck dissection leads to loss of sensation in medial side of the arm, nerve injured is medial cutaneous nerve of arm. The medial cutaneous nerve of arm supplies the skin of the medial aspect of the arm. It is the smallest branch of the brachial plexus, and arises from the medial cord and contai... | Surgery | Neck |
e7da1575-242d-4836-a00b-7540f64c600b | Inward flow of Na+ in hea leads to | Plateu phase | Action potential | Repolarization | No change | 1b | single | Entry of Na ions into cardiac cell leads to depolarisation. (REF TEXTBOOK OF MEDICAL PHYSIOLOGY GEETHA N 2 EDITION, PAGE NO 52) | Physiology | General physiology |
0e38d827-9260-4dfd-841a-3afbb5c7ed84 | Apoplexy is: DNB 08 | Learning disability | Insanity leading to commitment of a crime | Sudden onset of bleeding in the brain | Injury to the brain due to trauma | 2c | single | Ans. Sudden onset of bleeding in the brain | Forensic Medicine | null |
e829cf1b-7a3a-491c-bafd-b389f645f77f | A 17-year old male complains of recurrent episodes of cough, wheezing and shoness of breath paicularly at night for the last 3 days. His sibling has a history of similar symptoms. A Skin test with pollen produces immediate wheal and flare. The laboratory finding most consistent with his clinical findings would be | Neutrophilia | Cold agglutinins | Positive direct antiglobulin test | Eosinophilia | 3d | single | Atopy is the major risk factor for asthma.Patients with asthma commonly suffer from other atopic diseases,paicularly allergic rhinitis and atopic dermatitis.Eosinophilic infiltration of airways along with peripheral eosinophilia is a characteristic feature seen in asthmatic patients.There will also be elevated total se... | Medicine | Respiratory system |
ee046d27-151a-4ade-b323-80cf8e398406 | HLA complex in humans is located on? | Long arm of chromosome 6 | Short arm of chromosome 6 | Short arm of chromosome 8 | Long arm of chromosome 8 | 1b | single | Ans. b (Short arm of chromosome 6). (Ref Harrison's medicine 16th ed. 1930)MAJOR HISTOCOMPATIBILITY COMPLEX (MHC)# MHC is a gene cluster of various loci grouped together on a single locus.# The MHC of humans, or the HLA complex, is located on the short arm of chromosome 6 approximately 32 CM from the centromere.# The l... | Pathology | Immunity |
760c3ba2-74a9-43d7-92b0-456b3db8dd41 | With which of the following receptors theophylline has an antagonist interaction? | Histamine receptor | Bradykinin receptor | Adenoside receptor | Inidazoline receptor | 2c | single | theophylline is an eg of methylxanthine the action of this identified as a) release of ca from sarcoplasmic reticulum b) inhibition of phosphodiesterase c)blockade of adenosine receptor ESSENTIALS OF MEDICAL PHARMACOLOGY SEVENTH EDITION KD TRIPATHI PG NO.226 | Pharmacology | Respiratory system |
e75d515d-ded7-43cf-bc59-0eb7d7ddc7f2 | Prodrug of cetrizine is | Foxefenadone | Terfenadine | Hydroxyzine | Azelastine | 2c | single | Ans. is 'c' i.e., Hydroxyzine Cetrizine is a metabolite of Hydroxyzine with marked affinity for peripheral HI receptors; penetrates brain poorly. It inhibits release of histamine and of cytotoxic mediators from platelets as well as eosinophil chemotaxis during secondary phase of allergic response. It is indicated in up... | Pharmacology | null |
8612dcc6-0d41-4954-8332-d5347d5f6671 | All the following are true of Craniopharyngioma except | Derived from Rathke's pouch | Contains epithelial cells | Present in sella or infra-sellar location | Causes visual disturbances | 2c | multi | Answer is C (Present in sella or infrasellar location): Some of these lesions arise from the sella, but most are suprasellar Q (Not infra-sellar). They arise from near the pituitary stalk and commonly extend into the supra sellar cistern. Craniopharyngiomas arise from Rathke's pouch and constitute 3-5% of all intracran... | Medicine | null |
052712f9-b299-4816-b6f3-d6e69a61d55c | Par boiling of paddy helps in retaining – a) Vitamin Cb) Vitamin Ac) Niacind) Thiamine | ab | cd | bd | ac | 1b | single | null | Social & Preventive Medicine | null |
7057e987-54ec-4fb7-891e-96e4c1c105a2 | Characteristic feature of early congenital syphilis is: | Microcephaly | Saddle nose | Interstitial keratitis with saber skin | Vesicular rash with bulla over palms and soles | 3d | single | D i.e. Vesicular rash with bulla over palms & soles | Skin | null |
72fb8292-28d4-4042-a00c-11b9850f32d1 | All of the following are true of pulmonary embolism except: | Sudden onset of pleuritic pain and hemoptysis and hypotension. | ECG shows evidence of acute left ventricular stress. | Pulmonary angiography is gold standard | CTPA is imaging modality of choice | 1b | multi | Classic Findings in Pulmonary Embolism:- Right Hea strain and Acute Cor Pulmonale - sudden onset of pleuritic chest pain, hemoptysis and hypotension - Tall, peaked P waves in lead II (P pulmonale) - Right axis detion - Right bundle-branch block - S1Q3T3 pattern. On Xray :- Hampton's hump, Westermark sign (areas of rela... | Medicine | Thromboembolism and Fat Embolism Syndrome |
c3ab2112-2831-4d5e-bf63-7309cfbaa6eb | A patient presented with pain in left eye associated with visual distrubance, also a history of blunt trauma to eye 4 month back, first investingation of choice is | Introcular tension | Ophthalmoscopy | Perimetry | Ultrasound | 0a | single | A i.e. Intraocular tension This is a case of angle recession glaucoma | Ophthalmology | null |
93197edf-91e9-4a0f-8c2b-7cb2958454b7 | 72 year old patient it comes with esophageal carcinoma in lower oesophagus. There are no distant metastasis and lymph node involvement. What is the preferred surgery | Transhiatal esophagectomy | Ivor Lewis esophagectomy | Endoscopic resection | McKeown esophagectomy | 0a | single | null | Surgery | null |
7e716644-3454-49ab-917c-93d57435265b | Not seen in the peripheral smear in plasmodium falciparum infection - | Accole | Maurer'sdot | Shuffners dots | Schizonts | 2c | single | Schuffner&;s dot in the Rbc can be seen in P. vivax and P. Ovale infection Maurer&;s dot -falciparum Ziemman&;s dot- malariae (refer pgno:61 baveja 3 rd edition) | Microbiology | parasitology |
d129f9ec-6087-4ca3-978c-a4e9dccbbc6b | Carina is situated at which level | T3 | T4 | T6 | T9 | 1b | single | Carina is located at the bifurcation of trachea at lower border of T4.carina is the lower margin of lowest cailaginous ring that is a keel-shaped process curving downwards and backwards between the bronchi.The mucous membrane lining the area is highly sensitive and is origin of the protective cough reflex. It is visibl... | Anatomy | Head and neck |
63903d5c-6620-4179-b783-d67380c6d354 | Bromocriptine can be used in following conditions except | Hyperprolactinoma | Acromegaly | Parkinsonism | Diabetes insipudus | 3d | multi | Refer KDT 7th/e Pg 239. Bromocripine is approved in diabetes mellitus not diabetes insipudus Bromocriptine is an ergoline derivative and dopamine agonist that is used in the treatment of pituitary tumors, Parkinson's disease, hyperprolactinaemia, neuroleptic malignant syndrome, and type 2 diabetes. | Pharmacology | Kidney |
01611f13-d012-426b-89ec-2c01b439c369 | Calcification of soft tissues without any distrubances of calcium metabolism is called | Inotrohic calcification | Monotrophic calcification | Dystrophic calcification | Calcium induced calcification | 2c | multi | Ref,Robbins 9/e p65 | Anatomy | General anatomy |
278dfca5-6193-4e47-9e2e-d58941f7e272 | . Treatment of choice in cold nodule of thyroid | Subtotal thyroidectomy | Wait and watch | I-131 | Hemithyriodectomy | 3d | single | null | Surgery | null |
73036435-9c72-4701-bd0c-689823ff8258 | Wavelength of Nd:Yag laser | 1040 nm | 1040 mm | 1040 cm | 1040 pm | 0a | single | A i.e. 1040 nm | Ophthalmology | null |
4c65cedd-af13-4807-ba05-c97455115e02 | Least common organ affected in blast injury is - | Lung | Eardrum | Muscles | GIT damage | 2c | single | Ans. is 'c' ie., Muscles * An explosion is a phenomenon resulting from sudden release of energy which is then dissipated by a blast wave, by translocation of objects, or by the generation of heat.* Injuries in explosion occur due to four factors:-1) Blast or shock wave# When an explosion occurs, the explosive material ... | Forensic Medicine | Injuries |
506ed80f-1da0-4cea-8049-a58bdc371400 | A 58-year-old postmenopausal woman on estrogen replacement complains of recent onset of spotting. A bimanual pelvic examination is unremarkable. Most likely diagnosis? | Cervical carcinoma | Cervical polyp | Dysfunctional uterine bleeding | Endometrial hyperplasia | 3d | single | Any postmenopausal woman who has been on unopposed estrogen and who is now experiencing vaginal bleeding is suspect for either endometrial hyperplasia or endometrial cancer. Endometrial hyperplasia is the end result of prolonged estrogenic stimulation of the endometrial mucosa. Morphologic forms of hyperplasia include ... | Gynaecology & Obstetrics | Menopause and HRT |
3befe139-cb58-47a0-a123-a236dc563349 | Methods of introducing gene in target cells are all except | Electroporation | Transfection | Site directed recombination | FISH | 3d | multi | Fluorescence in situ hybridization(FISH) is a cytogenetic technique that uses fluorescent probes that bind to only those pas of the chromosome with a high degree of sequence complementarity. | Biochemistry | Metabolism of nucleic acids |
65f7eac4-e446-4417-a053-f3f81fae2140 | Treatment of pleomorphic adenoma without facial nerve infiltration and limited to superficial lobe: | Superficial parotidectomy | Total parotidectomy | Parotidectomy followed by radiotherapy | Observation | 0a | single | Pleomorphic adenoma: * Most common salivary gland tumor * Benign, painless tumor with no facial nerve involvement * Most common site - Parotid, Submandibular, Sublingual, minor salivary gland * Location: Infront, below and behind ear lobule * Pathology: Mixed tumor has both epithelial and mesenchymal component * Tumor ... | Surgery | Salivary Glands |
b09b9437-2410-413d-a692-08b24e5efbcb | Post is not required in all of the following conditions except: | If adequate retention of core can be achieved by natural undercuts of crown | If there are horizontal cracks in the coronal portion of the teeth | When tooth is subjected to excursive occlusal stresses, that is, when there is presence of lateral stresses of bruxism or heavy incisal guidance | None | 3d | multi | Conditions where post should not be given:
Any sign of endodontic failures are evident, i.e. tooth exhibits:
Poor apical seal and poor quality obturation
Active inflammation
Presence of fistula or sinus
Tender on percussion
If adequate retention of core can be achieved by natural undercuts of crown.
If there are h... | Dental | null |
2bdf8544-f059-4218-a0fe-abd58dec820c | Pearson's Coefficient of skewness is defined as: | (Mean-Mode) / SD | (Median-Mode) / SD | SD / (Mean - Mode) | SD / (Median -Mode) | 0a | single | The coefficient used for checking the skewness of data, is called as the Karl Pearson coefficient, and is calculated as (Mean - Mode) S.D. Ref: Instant Medical Biostatistics, By Ranjan Das, Papri N. Das, 2009 Ane's Instant Medical Series, Page 41, 42. | Social & Preventive Medicine | null |
129b2b80-810b-4c00-869e-9975e803e0c0 | Stocker's line is seen a – | Pinguecula | Pterygium | Congenital Ocular Melanosis | Conjunctival epithelial melanosis | 1b | single | Stocker's line is a line of iron deposition in the corneal epithelium seen adjacent to the head of the pterygium. | Ophthalmology | null |
e2c81a04-9d13-4568-9b01-36c067992c91 | Ovarian artery is a branch of- | Abdominal aorta | Renal artery | Superior mesenteric artery | Celiac trunk | 0a | single | Ans. is 'a' i.e., Abdominal aorta * 'Ovarian artery is a branch of abdominal aorta' | Anatomy | Abdomen & Pelvis |
0c265c8e-5783-4de5-8c32-5d9a7aea0ffb | Which of the following anti-angina drugs act by inhibition of long-chain 3-ketoacyl coenzyme A thiolase? | Trimetazidine | Ivabradine | Ranolazine | Nicorandil | 0a | single | Trimetazidine Antianginal drug that act by inhibiting mitochondrial long-chain 3-ketoacyl coenzyme A thiolase enzyme. Reduced fatty acid metabolism and increased glucose metabolism in myocardium leading to a paial shift from FFA to glucose oxidation in the hea, which provides less ATP but requires less O2 and may there... | Pharmacology | CHF, Angina Pectoris and Myocardial Infarction |
55242f21-9a5e-4a64-843a-b251e948328a | A previously healthy 58 years old man is admitted to the hospital because of an acute inferior myocardial infarction. Within several hours, he becomes oliguric and hypotensive (blood pressure is 90/60 mmHg). Insertion of a pulmonary artery (Swan-Ganz) catheter reveals the following pressures: pulmonary capillary wedge-... | Fluids | Digoxin | Dopamine | Intraaortic balloon counterpulsation | 0a | multi | null | Medicine | null |
cc2e4e9b-7c5e-4fa9-b86a-207105cfb251 | Post treatment HCG levels, during the follow up of molar pregnancy evacuation, comes back to normal in: | 3 weeks | 6 weeks | 9 weeks | 12 weeks | 2c | single | HCG follow up of vesicular mole: - weekly HCG estimation till negative (vesicular mole takes 9 weeks and paial mole takes 7 weeks) - weekly HCG till 3 more weeks - Once in a month for 6 months . Avoid pregnancy during this time. Use contraception, best being COCPs | Gynaecology & Obstetrics | Obstetrics |
7e099b78-be54-4447-874c-232efa04763c | which of the following antidepressent can be safely used in elderly depresion | trazadone | miazapine | fluoxetine | phenelezine | 1b | single | NaSSA * IMPOANCE Nor adrenergic and specific serotonergic antidepressant * MECHANISM * Alpha 2 adrenergic receptor antagonism=== increase serotonin and NA * 5HT2,3 antagonist============increase sleep and appetite * DRUGS miazapine * USE Elderly with depression * SIDE EFFECTS hyperlipidemia Ref. kaplon and aock, synops... | Psychiatry | Pharmacotherapy in psychiatry |
a6ac4478-bd5f-41e6-9107-20c03f32bb4f | Most common psychiatric disorder in community is | Depression | Schizophrenia | Paranoid disorders | Obsessive compulsive neurosis | 0a | single | (A) Depression # DEPRESSION is the most common psychiatric illness in India.> Neurotic depression is far common than psychotic depression.> Neurotic depression is followed by anxiety neurosis is prevalence.> This is in contrast to West, where anxiety neurosis is the commonest. | Psychiatry | Miscellaneous |
c84c2cba-d366-40dc-80ae-2e6ed9c7b9a6 | McBurney's point corresponds to which pa of appendix: | Tip | Base | Orifice | Mid poion | 1b | single | Base | Anatomy | null |
138478ef-51c8-487b-ac52-6f8e45cf9e2c | Muscle not supplied by median nerve REPEATED | Opponens pollicis | Abductor pollicis brevis | Extensor pollicis brevis | First lumbrical | 0a | single | Opponens pollicis, abductor pollicis brevis and first lumbrical is supplied by the recurrent branch of median nerve in palm.Extensor pollicis brevis is supplied by the deep division of radial nerve in the forearm.B D Chaurasia 7th edition Page no: 182 | Anatomy | Upper limb |
59c0554b-a859-4a76-83b9-307ae14499cb | Thyroid malignancies appear on USG as | Hypoechoic | Anechoic | Hyperechoic | Isoechoic | 0a | single | On sonography, thyroid tumors are solid,hypoechoic masses. | Radiology | ULTRASOUND |
c1607548-8101-45f0-9d23-fc3ec936c485 | Which micronutrient deficiency causes anemia? | Copper | Molybdenum | Selenium | Flurine | 0a | single | Ans. is 'a' i.e., CopperCopper containing protein ceruloplasmin is necessary for transpo of iron in the Ferric form across membranesCopper is an integral component of ALA synthase, which is necessary for heme synthesisCopper helps in the uptake of iron across normoblasts | Biochemistry | null |
6e0ea60e-0f54-4b6f-a0ff-ade78664e005 | A 45-year-old female has a solitary gall stone 1.5 cm in size which was incidentally diagnosed by ultrasound. She has no symptom. What should be the best line of management? | Cholecystectomy only, if she develops biliary colic | Lap cholecystectomy immediately | Lap cholecystectomy even if she is asymptomatic after 2 months | Open cholecystectomy even if she is asymptomatic after 2 months | 0a | multi | Cholecystectomy only if she develops biliary colic * Symptomatic gallstones are the main indication for cholecystectomy. * Absolute contraindications for the procedure are uncontrolled coagulopathy and end-stage liver disease. | Surgery | null |
cb5482dd-a27f-417c-b996-e1e07be1a911 | Which of the following causes pseudotumour cerebrii - | Chronic subdural hematoma | Cerebellar tumours | Hypervitaminosis A | Cerebral hemangiomas | 2c | single | null | Medicine | null |
f7e9a66a-7b20-4412-8995-8faeca2117c9 | Which one of the following is not seen in pheochromocytoma | Hypeension | Episodic palpitations | Weight loss | Diarrhea | 3d | single | Refer Robbins page no 1135 The dominant clinical manifestation of pheochromocytoma is hypeension observed in 90 percnt of patients.Approximately two thirds of patients with hypeension demonstrate paroxysmal episodes which are described as an abrupt precipitation elevation in blood pressure | Anatomy | Endocrinology |
e57f59e2-dce5-44ee-b6db-a0bb8f4676bf | Most common site of venous thrombosis: March 2013 | Veins of upper extremity | Veins of lower extremity | Dural sinus | Poal vein | 1b | single | Ans. B i.e. Veins of lower extremity Commoner sites of venous thrombosis includes deep vein in the lower extremity below the knee and superficial saphenous, hepatic and renal veins; dural sinuses. | Pathology | null |
634cffe7-ac84-46cb-bd3f-16bb0f0d03a5 | Duffy antigen is present in: | P. Falciparum | P. Ovale | P. Vivax | P. Malariae | 2c | single | Ans. (c) P. VivaxRef: Microbiology by Ananthanarayan and Paniker 8th ed. 1694* Duffy antigen/chemokine receptor (DARC) also known as CD234, is a protein that in humans is encoded by DARC gene.* The Duffy antigen is located on the surface of red blood cells.* The Duffy antigen protein is also the receptor for the human ... | Microbiology | Virology |
82779476-eeab-46e0-8539-9ff48ef9e238 | Hea failure cells are? | polymorphonuclear cells | Steam cells | Macrophages | Fibroblasts | 2c | single | Breakdown of red cells and hemoglobin leads to the appearance of hemosiderin-laden alveolar macrophages-- so-called hea failure cells--that reflect previous episodes of pulmonary edema. (Robbins Basic Pathology,9th edition,pg no.367) | Pathology | Cardiovascular system |
ea5bee84-af8c-496d-afeb-3049d6bd3841 | Prolactinoma in pregnancy, all are true except: | Most common pituitary tumor but rarely symptomatic | Increase in prolactin levels worse prognosis | Macroadenoma> 1 cm is associated with bad prognosis | Regular visual checkup | 1b | multi | Prolactinoma pituitary adenoma Prlactin level is >100ng/dl most are microadenoma<1cm diameter macroadenoma has bad prognosis visual field examination is essential to detect any compression effect on the optic nerves D.C.DUTTA&;S TEXTBOOK OF GYNECOLOGY,Pg no:464,6th edition | Gynaecology & Obstetrics | Medical, surgical and gynaecological illness complicating pregnancy |
a570c951-1097-412d-a01c-47a51a253cab | Not true about red degeneration of myomas is : | It occurs commonly during pregnancy | Immediate surgical intervention is needed | Due to interference with blood supply | Treated with analgesics | 1b | multi | Ans. is b i.e. Immediate Surgical intervention is required Lets see each option one by one. Red Degeneration of fibroid commonly occurs during pregnancy. (Option "a" is thus correct) The pathogenesis of fibroid is obscure but the initial change appears to be one of sub acute necrosis which is presembly due to an interf... | Gynaecology & Obstetrics | null |
9feced4c-6405-4dc4-9f16-bf306c596807 | Stuart's medium is a transport media for | Streptococcus | Neisseria | Vibrio | Shigella | 1b | single | Stuart's and Amies medium are transport media for Neisseria. | Microbiology | null |
4e8a9141-a95e-4333-9d31-48a865005776 | Which of following is not seen in nephritic syndrome: | Edema | Hematuria | Hypertension | Hypocholesterolemia | 3d | single | d. Hypocholesterolemia(Ref: Nelson's 20/e p 2521-2528, Ghai 8/e p 477-482)Features of nephritic syndrome are: Hematuria and RBC casts, Nephritic range Proteinuria (<3.5g/day), hence edema is present, Hypertension, Uremia and Oliguria. | Pediatrics | Kidney |
8ca00678-1009-45dd-8419-a32a0735505c | Fulminant hepatic failure can be caused by | Halothane | Isoflurane | Nitrous oxide | Phenobarbitone | 0a | single | The first modern halogenated volatile anesthetic, halothane, was introduced in 1955. Clinical exposure to halothane is associated with two distinct types of hepatic injury. Subclinical hepatotoxicity occurs in 20% of adults who receive halothane. It is characterized by mild postoperative elevations in alanine aminotran... | Anaesthesia | Fundamental concepts |
2b6dc1b9-4f42-4d0c-8a58-838cfa5a440b | Hartnup disease can present with: | Pellagra like symptoms | Nephrolithiasis | Protein intolerance | Microcephaly | 0a | single | Ans. (a) Pellagra like symptomsRef: Harrisons 20th ed. P 3021Hartnup Disease* It is an AR condition, mainly seen due to defect in the transport of tryptophan and other neutral amino acids from the renal tubules and intestine* Molecular defect: SLC6A19 gene (encode transporter protein of these amino acid)Clinical Featur... | Biochemistry | Proteins and Amino Acids |
19ad715f-df5e-40c3-8483-b48e602ab0fe | A 8-year-old boy presents with petechiae, azotemic oliguria and altered sensorium, in casualty. There is a history of diarrhoea for the past 5 days. The clinical diagnosis is – | Acute prophyria | Idiopathic thrombocytopenic purpura | H.S. purpura | H.U.S. | 3d | single | Hemolytic uremic syndrome
HUS is characterized by the triad of -
Anaemia (microangiopathic hemolytic anaemia)
Renal failure (microangiopathy of kidney involving glomerular capillaries and arterioles).
Thrombocytopenia (due to platelet destruction)
HUS is common in children under 2 years of age. (But may also occu... | Pediatrics | null |
c4443260-8197-4f9a-9882-f7f1b4835347 | True about Hb dissociation curve: | Acidosis shifts O2 dissociation curve to right | Increased CO2 shifts the curve to left | Hypoxia shifts curve to left | 2,3 DPG has no effect on curve | 0a | multi | Oxygen-hemoglobin dissociation curve is shifted to right in the following conditions:
Decrease in partial pressure of oxygen.
Increase in partial pressure of carbon dioxide (Bohr effect).
Increase in hydrogen ion concentration and decrease in pH (acidity).
Increased body temperature.
Excess of 2,3-diphosphoglycera... | Physiology | null |
a5ffd718-246b-4224-b2e4-5c8fb7d73ae6 | Regarding the antibacterial action of gentamicin, which of the following statements is most accurate? | Efficacy is directly propoionate to the time that the plasma level of the drug is greater than the minimal inhibitory concentration | Gentamicin continues to exe antibacterial effects even after plasma levels decrease below detectable range | Antibacterial activity is often reduced by the presence of an inhibitor of cell wall synthesis | The antibacterial action of gentamicin is time dependent | 2c | multi | (Ref:Katzung 10/e p756, 757) Aminoglycosides show concentration dependenbt killing and prolonged post antibiotic effect. For details, refer to text. | Pharmacology | Other topics and Adverse effects |
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