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cf1ab3e2-bd21-425a-87a7-5d4752ef4c5e | In irreversible pulpitis, pain in which of the following sites is most likely to radiate to the ear? | Maxillary premolar | Maxillary molar | Mandibular premolar | Mandibular molar | 3d | single | Mandibular molar. The perception of pain in one part of the body that is distant from the actual source of the pain is known as referred pain. Teeth may refer pain to other areas of the head and neck. Referred pain is usually provoked by stimulation of pulpal C-fibers, the slow conducting nerves that, when stimulated, ... | Dental | null |
fea91175-78b1-460a-9965-8bf680705980 | Treatment of choice in SSPE is | Abacavir | Glatiramer | Interferon | Inosine pranobex | 3d | single | . | Anatomy | All India exam |
ada028b5-6538-494f-a448-6d1f75480639 | Chemoprophylaxis of chloroquine includes - | 300 mg BD\/week | 600 mg OF\/week | 600 mg\/week | 300 mg OD\/week | 3d | single | - Chemoprophylaxis is recommended for travellers from non endemic areas to highly endemic areas of malaria. - chloroquine tablet for chemoprophylaxis in adults include a dose of 300 mg base once a week on the same day each week. Reference : Park's textbook of preventive and social medicine, 23rd edition, pg no:268 <\p> | Social & Preventive Medicine | Communicable diseases |
6abe8323-0172-41cb-8850-f63e8a014719 | Common precursor of mineralocorticoid, glucocorticoids and sex steroids: | Pregnenolone | a- hydroxyprogesterone | Dehydrotesterone | Deoxycorticoid | 0a | single | Ans. (a) Pregnenolone(Ref: Ganong, 25th ed/p.362)Adrenal steroid hormones are derived from cholesterolIn the mitochondria, cholesterol is converted to pregnenolone by cholesterol desmolase, also called as side- chain cleavage enzyme | Physiology | Endocrinology and Reproduction |
5264eeab-812a-4ebe-8db0-9aaff6b889bc | The plasma of hyperthyroid patient contains excess of: | Protein bound thyroxine | Free thyroxine | Both | None | 1b | multi | null | Surgery | null |
4e0bffa5-ef60-4b1b-9755-389e4e93809c | Nerve supply to musculature of urinary bladder is ? | Symphathetic | Parasympathetic | Both | None | 2c | multi | Ans. is 'c' i.e., BothParasympathetic supply is motor to detrusor muscle and inhibitory to sphinchter vesicae. Sympathetic supply is motor to sphincter vesicae and inhibitory to detrusor muscle.Nerve supply of bladderBladder is supplied by both sympathetic and parasympathetic fibers.Parasympathetic : Preganglionic fibe... | Anatomy | null |
752c8399-7e78-48d1-bf91-ce9e3b3ddc36 | Potassium sparing diuretics ? | Spironoloctone | Triameterene | Amiloride | All of the above | 3d | multi | Ans. is 'd' i.e., All of the above | Pharmacology | null |
c440f4da-4852-486a-b0cb-d5d3b4967cb0 | Lord's placation is done for: | Inguinal hernia | Hydrocele | Testicular varices | Testicular cancer | 1b | single | null | Surgery | null |
b1b4c376-b212-4add-8365-e8f35028303c | A 12-year-old child presents with fever and cervical lymphadenopathy. Oral examination shows a grey membrane on the
right tonsil extending to the anterior pillar. Which of the following medium will be ideal for the culture of the throat swab for rapid identification of the pathogen : | Loeffler’s serum slope | Nutrient agar | Blood agar. | Lowenstein Jensen medium. | 0a | single | Ans. is ‘a’ Loeffler’s Serum slope
Fever, cervical lymphadenopathy and grey membrane on the tonsil extending to the anterior pillar | Microbiology | null |
21f49f5c-d36e-4d2a-8808-423e03c18833 | Median nerve injury at the wrist causes - | Claw hand | Loss of apposition of thumb | Policeman's tip deformity | Saturday night palsy | 1b | single | Injury at the wrist or in carpal tunnel produces low median nerve palsy.
Long flexors of fingers are spared and there is paralysis of thenar muscles only.
Following features are seen : -
Pentest for abductor pollicis Brevis paralysis.
Loss of opposition and abduction of thumb.
Ape thumb deformity
Loss of sensation of... | Orthopaedics | null |
1e67e794-22a5-4210-9728-23ac13092986 | Commonest fungal infection of the female genitalia in diabets – | Cryptococcal | Madura mycosis | Candidial | Aspergellosis | 2c | single | In a diabetic patient, commonest fimgal infection of genitalia in both female (vulvoginitis) as well as in male (Balanitis) is candida albicans. | Dental | null |
be8f515e-f580-442f-be4e-279925865578 | Frontal mucocele presents as: | Swelling above medial canthus,below the floor of frontal sinus | Swelling above eyebrow lateral to grabella | External proptosis | Intianasal swelling | 0a | multi | Mucocele of the frontal sinus: presents in the superomedial quadrant of the orbit (90%) and displaces the eyeball forward, downward and laterally. The swelling is cystic and nontender; egg-shell crackling may be elicited. Sometimes, it presents as a cystic swelling in the forehead (10%). Patient's complaints are usuall... | ENT | Nose and paranasal sinuses |
9fbda3f7-f870-4089-8a5d-b09e712fd82c | Lipofuscin, the golden yellow pigment is seen in hea muscle - | Hyperophy | Atrophy | Hyperplasia | Infarction | 1b | single | Ans. is 'b' i.e., Atrophy | Pathology | null |
ccd0ecda-a2d7-4a51-a4c6-1d54db386baa | All the following cause malignant hyperpyrexia except ? | N20 | Halothane | Methoxyflurane | Isoflurane | 0a | multi | A i.e. N20 | Anaesthesia | null |
587d9f14-7d1f-4621-943e-cc8cb2bd6a28 | True about New Born Care Corner (NBCC) | Component of JSSK | Present in labour of Room | Seen in All 3 levels of MCH | All of the above | 3d | multi | null | Social & Preventive Medicine | null |
4919f042-07cb-417d-a38e-8ae8052c7034 | A 74-year-old man presents with fatigue, shortness of breath on exertion, and back and rib pain, which is made worse with movement. Investigations reveal he is anemic, calcium, urea, and creatinine are elevated. X-rays reveal multiple lytic lesions in the long bones and ribs, and protein electrophoresis is positive for... | plasma cell infiltrates | tubular damage by light chains | glomerular injury | vascular injury by light chains | 1b | single | In multiple myeloma, tubular damage by light chains is almost always present. The injury is a direct toxic effect of the light chains or indirectly from the inflammatory response. Infiltration by plasma cells and glomerular injury is rare. Hypercalcemia may produce transient or irreversible renal damage as do amyloid a... | Medicine | Kidney |
fe22f9dc-8873-4468-8ab0-81bba28ecbf5 | Micro-albuminuria refemsto | 20-200 mg/d | 200-500 mg/d | 30-300 mg/d | 300-500 mg/d | 2c | single | (30-300 mg/d) (249-H) (1077-8-CMDT-09)(272, 1533, 1792-H17th)* Currently, ultrasensitive dipsticks are available to measure microalbuminuria (30 to 300 mg/d), an early marker of glomerular disease that has been shown to predict glomerular injury in early diabetic nephropathy (249-H)* Normal subjects excrete less than 1... | Medicine | Kidney |
4ac83f23-8517-4013-ae0e-af575a30e083 | All seen in multiple myeloma, except : | Lytic bone lesion | Hypercalcemia | Plasmacytosis of bone marrow > 2% | Decreased serum alkaline phosphatase activity | 2c | multi | Answer is C (Plasmocytosis > 2%): Diagnosis of Multiple Myeloma requires plasmacytosis of> 10%. The classic triad of myeloma is: a) Marrow plasmacytosis > 10% b) Lytic bone lesions c) Serum or urine 'M' component | Medicine | null |
499c5769-f2e0-4802-a3dd-efaf6e218aa2 | During laproscopic cholecystectomy, patient develops wheezing. What is the next best line of management? | IV ketamine | IV lignocaine | Bronehodialators beta 2 agonist and oxygenation | Deepen plane of anaesthesia | 3d | single | Ref: Ajay Yadav, Short Textbook of Anaesthesia, 1st edition. Page 97Explanation:BRONCHOSPASM DURING ANESTHESIALight anaesthesia in asthmatics can induce bronchospasni.Secretions and noxious stimuli can also induce bronchospasni.Treatment:Good depth of anesthesia.Bronchodilators.Light anaesthesia during Lord's (Anal) st... | Anaesthesia | Anaesthesia For Special Situations |
20c9b79b-ada4-4c4d-ae44-df5b94a6a290 | Kocher Langenbeck approach for emergency acetabular fixation is done in all Except | Open fracture | Progressive sciatic nerve injury | Recurrent dislocation inspite of closed reduction and traction | None of the above | 1b | multi | Progressive sciatic nerve injury "Sciatic nerve palsies as a result of the initial injury occur in approximately 10% to 15% of patients with acetabular fractures. Sciatic nerve injury as a result of surgery occurs in 2% to 6% of patients and is more often associated with posterior fracture patterns treated through the ... | Surgery | null |
cec66c4f-6b62-450b-8d4b-9385289af78c | Daily dose of vitamin A in a 6-12 months old child is - | 500 microgram | 200 microgram | 300 microgram | 700 microgram | 2c | single | Ans. is 'c' i.e., 300 microgramDaily dose of vitamin in o Infants 300-400 microgramo Children 400-600 microgramo Adolescents 750 microgram | Pediatrics | null |
94f9b28b-1522-4df2-a9ad-12f0f2658b87 | Drawback of aesunate is: | Poor bioavailability | Rapid recrudescence of malaria | Hypoglycemia | Hemolysis | 1b | single | Because aemisinins are sho acting drugs, monotherapy needs to be extended beyond the disappearance of the parasites to prevent recrudescence. After 5 days treatment recrudescence rate is -10%, while with a 3 day course it is -50%. Recrudescence can be totally prevented by combining 3 day aesunate/aemether with a long a... | Pharmacology | Chemotherapy |
bf9ecf81-4187-40bd-8b7d-91cc805b159f | Which TLR is present on flagella of bacteria | TLR -1 | TLR - 3 | TLR - 5 | TLR - 7 | 2c | single | Toll like receptor (TLR) - 5 is present in flagellin. | Pathology | null |
55fb936e-c9d7-4b7d-9a6a-31003683c829 | All of the following statements about Sternberg Canal are true, Except - | Located anterior and medial to Foramen Rotundum | Located posterior and lateral to Foramen Rotundum | Represents persistant craniopharyngeal canal | Cause of intrasphenoidal meningocele | 1b | multi | Sternberg's canal (persistent lateral craniopharyngeal canal)
Originally described by Sternberg in 1888 and was reported to be constantly present in children at the age of 3-4 years. He described an incidence of 4% in adults. (Persistent vestiges have been reported in upto 30% of adults).
It is caused by incomplete f... | Anatomy | null |
f2a9f5b0-a598-46b1-b465-131ac771ed22 | How many Champy's osteosynthesis lines exist behind and in the front end of mental foramen: | 2 ahead of and 1 behind the mental foramen. | 1 ahead of and 2 behind the mental foramen. | 2 ahead of and 2 behind the mental foramen. | 1 ahead of and 1 behind the mental foramen. | 0a | single | null | Surgery | null |
31becbb6-5f17-400b-b073-4b45b9630651 | A 2-year-old boy is brought to the physician because his parents noticed a mass on his right testicle. Physical examination confirms the parents' observation. An orchiectomy is performed. Microscopic examination of the surgical specimen shows neoplastic cells forming glomeruloid Schiller-Duval bodies. Which of the foll... | CA-125 | Carcinoembryonic antigen | Estrogen | a-Fetoprotein | 3d | single | Most testicular neoplasms in the first 4 years of life are classified as yolk sac tumors. Microscopic examination of a yolk sac tumor shows interlacing strands of epithelial cells surrounded by loose connective stroma. The lobular arrangement of cells, surrounded by empty spaces, leads to the formation of glomeruloid s... | Pathology | Male Genital Tract |
99386c6f-bcc8-4cd7-9aa1-3c54389c4b30 | The amino acid at the reducing end of glutathione: | Glycine | Cysteine | Lysine | Glutamate | 1b | single | null | Biochemistry | null |
b77d7b89-6ede-44b0-877b-fe086d682024 | Tick borne hemorrhagic fever is seen in | Omsk hemorrhagic fever | Chandipura virus | Vesicular stomatitis virus | Yellow fever virus | 0a | single | Omsk hemorrhagic fever :
vector - Tick
Manifestation - Hemorrhagic fever
Reservoir -Small mammals | Microbiology | null |
32155625-1016-41a0-9c23-07417011117b | The most commonly used resuscitation fluid in burns is | Normal saline | Ringer lactate | Hypeonic saline | Human albumin solution | 1b | single | The most common fluid used is Ringer lactate/Hamann's solution Ringer lactate is a mixture of sodium chloride, sodium lactate, potassium chloride, calcium chloride in water. Crystalloids are said to be as effective as colloids for maintaining the intravascular volume and are given during initial 24 hrs Colloids should ... | Anatomy | General anatomy |
65f33222-8ead-41f2-8166-26518039e316 | The inheritance pattern of Familial hypercholesterolemia is | Autosomal recessive | Autosomal dominant | X-linked dominant | X-linked recessive | 1b | single | Mutations involving single genes follow one of three patterns of inheritance: autosomal dominant, autosomal recessive, or X-linked. Autosomal Dominant Inheritance Familial hypercholesterolemia Huntington disease Marfan syndrome Ehlers-Danlos syndrome Hereditary spherocytosis Neurofibromatosis, type 1 Adult polycystic k... | Pathology | General pathology |
20ff1a80-b022-407c-a03a-9650f72a0330 | Fever blisters can occur due to - | HHV 6 | Varicella | Primary HSV-1 infection | Reactivation of HSV-1 | 3d | single | null | Medicine | null |
27022faa-2cae-4d4b-b984-39e92936e363 | A 68 yr old man came with pain and swelling of right knee. Ahlbeck grade 2 osteoahritic changes were found on investigation. What is the fuher management: | Conservative | Ahroscopic washout | High tibial osteotomy | Total knee replacement | 3d | single | D i.e. Total knee replacement - Ahlbeck grade 2 osteoahritis (i.e. complete or almost complete obliterated joint space) with symptoms of pain and swelling in a sedentary patient (>65 years of age) is managed by knee replacementQ - Old (65 yrs) age, long standing history of pain & swelling interfering activities of dail... | Surgery | null |
df0340c0-12eb-42ef-b55b-747ae3294422 | A 45-year-old man has recently been the recipient of a hea transplant. Which one of the following drug is least likely to cause tachycardia in this patient | Amphetamine | Dobutamine | Epinephrine | Norepinephrine | 0a | single | The transplanted hea doesn't have sympathetic innervation. Hence an indirectly acting sympathomimetic like Amphetamine has the least likelihood of causing tachycardia when compared to the directly acting ones. | Pharmacology | Cardiovascular system |
34fab543-e17f-410a-9231-8e152acf6741 | Chemical structure of hemoglobin is | Has 2 polypeptide chains with 4 heme | Has 4 polypeptide chains with 2 heme | Has 4 polypeptide chains with 4 heme | None of the above | 2c | multi | Hemoglobin is a protein with a molecular weight of 64,450.Hemoglobin is a globular molecule made up of four subunits . Each subunit contains a heme moiety conjugated to a polypeptide. Ref: Ganong's Review of Medical Physiology Twenty-Third Edition Page No: 523 | Physiology | Cardiovascular system |
33e83183-efc7-45e3-ac38-35ed981696dc | Vande Matram Scheme is included in- | RCH | ICDS | IMCI | NRHS | 0a | single | Ans. is 'a' i.e., RCH o New initiatives in RCH are : i) Training of PHC doctors in life saving anaesthetic skills for emergency obstetric care a FRUS ii) Setting up blood storage centres at FRUS. iil) Janani suraksha yojna iv) Vandernataram scheme v) Safe aboion services vi) Integrated management of childhood illnesses... | Social & Preventive Medicine | null |
882cfcbf-770c-44ca-ab36-4cf414af22aa | An improved selective media to carry out the Lactobacillus Colony Test is: | Tomato peptone agar | Rogosa’s medium | Hektoen enteric agar | Mitis salivarius agar | 1b | single | Lactobacillus Colony Test:
The oldest and the most widely used microbiological method for assessing the caries activity is the Lactobacillus colony count. This method, measures the number of aciduric bacteria in a patient’s saliva by counting the number of colonies which appear on tomato peptone agar plates, a selectiv... | Dental | null |
9eb6f83e-fbbc-492b-bcac-cda12e476ab9 | For diagnosis of mania symptoms should be- | > 1 week | > 3 weeks | >2 week | > 4 weeks | 0a | single | Ans. is 'a' i.e., > 1 Week Diagnostic criteria for Mania Three or more of the following for at least 1 week : - Inflated self esteem or grandiosity Decreased need for sleep Ovealkativness Flight of ideas or racing thoughts Distractibility increased goal directed activity or psychomotor agitation Excessive involvement i... | Psychiatry | null |
a19385a1-439e-44f5-973c-006429b7ec37 | Absolute contraindication of HRT is? | Endometriosis | Osteoarthritis | Heart disease | Breast carcinoma | 3d | single | ANSWER: (D) Breast cancerREF: Harrisons 18th ed edition chapter 348Contraindications to HT should be assessed routinely and include unexplained vaginal bleeding, active liver disease, venous thromboembolism, history of endometrial cancer (except stage 1 without deep invasion) or breast cancer, and history of EURHD, str... | Gynaecology & Obstetrics | Contraceptives |
c6e47e76-a339-40d4-a6b7-1d11a8999eb1 | In valvular hea disease complicating pregnancy the following statements are true except : | A closed mitral valvotomy can be carried out if symptoms of mitral stenosis are severe | Open hea surgery is associated with a reduction in fetal loss | Mitral regurgitation is usually well tolerated | A maternal moality of 15% has been repoed in women with critical aoic stenosis | 1b | multi | Open hea surgery is associated with a reduction in fetal loss | Gynaecology & Obstetrics | null |
a726502a-21fe-4456-85e0-dc39fbcccf17 | A farmer presents with multiple discharging sinuses in the leg not responding to antibiotics. Most likely diagnosis is : | Madurella | Actino-mycetoma | Nocardia | Sporothrix | 0a | single | Ans. is 'a' madurella This is a case of Mycetoma (or Madura foot)Mycetoma is of 2 typesAbout the t/t, Harrison states * "Actinomycetoma may respond to prolonged combination chemotherapy e.g with streptomycin and either dapsone or trimethoprim-sulfamethoxazole "About t/t of eumycetoma it adds "eumycetoma rarely responds... | Unknown | null |
a4ca008e-cf3a-4c18-a493-ab9a8e8cf736 | In Aspergillus infection all the following drugs are used except- | Fluconazole | Amphotericin B | Voriconazole | Itraconazole | 0a | multi | Fluconazole is an antifungal medication used for a number of fungal infections. This includes candidiasis, blastomycosis, coccidiodomycosis, cryptococcosis, histoplasmosis, dermatophytosis, and pityriasis versicolor. It is also used to prevent candidiasis in those who are at high risk such as following organ transplant... | Medicine | Infection |
90508212-b205-4a14-afdf-422648c552eb | Regarding campylobacterium jejuni not true is ? | Most common cause of campylobacteriosis | Poultry is the cause of disease | Human is the only reservoir | Cause of Guillain Barre syndrome | 2c | multi | Human is the only reservoir "Campylobacter jejuni is a common cause of bacterial gastroenteritis in most pas of the world". Reservoir The bacterium has a broad host range and has been isolated from a range of sources including surface and ground waters, domestic and wild mammals, insects and wild birds. The most promin... | Microbiology | null |
e8514ad1-73b1-4cf7-b402-19a9980c7829 | Ducts of Bellini are found in - | Kidneys | Liver | Thymus | Spleen | 0a | single | Ans. is 'a' i.e., Kidneys Ducts Of Bellini* Papillary (collecting) ducts are anatomical structures of the kidneys, previously known as the ducts of Bellini.* Papillary ducts represent the most distal portion of the collecting duct system.* They receive renal filtrate (precursor to urine) from several medullary collecti... | Anatomy | Abdomen & Pelvis |
48b1e8c9-4735-4df4-b973-219baaac12b8 | In infants, the cause of blindness arising out of oxygen toxicity is – | Degeneration of crystalline lens | Growth of blood vessels into vitreous followed by fibrosis | Damage to cornea | Enzymic defect in lens | 1b | multi | null | Pediatrics | null |
86ff1757-f2b6-4ed8-9dd1-7328f446b2c2 | High risk pregnancy includes all except : | Twins | 25 years old primi | Hydramnios | Previous LSCS | 1b | multi | GROUP A GROUP B GROUP C GROUP D UNIVERSAL REPRODUCTIVE HISTORY PRESENT OBSTETRIC HISTORY INTRAPAUM FACTORS Maternal age >35 or<17 primiparity grand multiparity height <140cm low socioeconomy long period of infeility recurrent miscarriage previous IUD,Stillbih previous preterm instrumental delivery previous CS Third sta... | Gynaecology & Obstetrics | Medical, surgical and gynaecological illness complicating pregnancy |
7a2dccae-c813-402e-83d5-138964949ebb | Commonest malignancy type in oral cavity is: September 2010 | Adenocarcinoma | Transitional cell carcinoma | Squamous cell carcinoma | Basal cell carcinoma | 2c | single | Ans. C: Squamous cell carcinoma | Surgery | null |
e0036ed8-5747-40b7-b335-1e513596825c | Commonest association seen in carcinom gall bladder? | Peritoneal deposits | Duodenal infiltration | Duodenal infiltration | Cystic node | 2c | multi | Ans. is 'c' i.e. Secondaries liver | Surgery | null |
6d255142-34c1-4e84-827f-c817a54264e1 | Antral obstruction with vomiting is NOT characterised by: | Hypokalemia | Hypochloremia | Acidosis | Hyponatremia | 2c | single | Repeated vomiting leads to hypochloremic, hypokalemic metabolic alkalosis. Acidosis is not seen. Ref: Schwaz 9/e, Page 1426; Nelson 17/e, Page 1229. | Surgery | null |
c4b01e09-50a9-4a2a-87de-2833c10f9762 | Which of the following is most appropriate about grade 4 burns- | Involves all layers of the skin | Involves the whole skin along with muscle tissue | Involves the epidermis partially | Involves the dermis partially | 1b | multi | Ans. is 'b' i.e., Involves the whole skin along with muscle tissue Classification of burns o Burn depth is an important topic and repeatedly asked. # Bums are classified according to increasing depth in 2 ways 1. Into degrees i.e. 1st degree to IVth degree bum 2. Into a less precise classification i.e. Shallow & Deep b... | Unknown | null |
064878d0-1087-4779-9da8-1a72908a5545 | Thoracic duct enters from abdomen to thorax at ? | T6 | T10 | T12 | T8 | 2c | single | Thoracic duct is also called as Pecquet duct. It is the largest lymphatic duct in body, about 45 cm (18 inches) long. o It has a beaded appearance because of the presence of many valves in its lumen. Thoracic duct begins as a continuation of the upper end of the cisterna chylinear the lower border of Tuveebra and enter... | Anatomy | null |
eea23bb1-cd81-42c8-864a-c895f080024c | Embryonic hemoglobin is - | Adult hemoglobin | Fetal hemoglobin | Gower | None | 2c | multi | Ans. is 'c' i.e., Gower | Pediatrics | null |
e80733b5-3cc4-4dae-9709-65d25bb24032 | In a woman presenting with amenorrhea headache, blurred vision and galactorrhea appropriate investigation : | Prolactin levels | LH | FSH | HCG | 0a | single | Ans. is a i.e. Prolactin level A woman presenting with headache, blurred vision and galactorrhea, raises the suspicion of a pituitary tumor and so, appropriate investigations would be : S. prolactin (most impoant)deg TSH (as patients with hypothyroidism have elevated TRH which acts to stimulate the release of prolactin... | Gynaecology & Obstetrics | null |
4febbbd3-da42-437f-8933-cbb0562af1ab | All of the following are associated with non-ketotic hypoglycemia, EXCEPT: | Von Gierke's disease | Insulinoma | Carnitine deficiency | MCAD deficiency | 0a | multi | Von Gierke's disease leads to ketotic hypoglycemia Hypoglycemia is of two types Ketotic hypoglycemia Non-ketotic hypoglycemia Von Gierke's disease Alcoholism When ketone bodies are formed in response to hypoglycemia, which is also a normal body's response to hypoglycemia Insulinoma hypoglycemia ( insulin decreases bloo... | Biochemistry | Glycogen |
2e1e5527-5c1b-4e54-86eb-104de1c5c654 | Which of the following is not a pneumatic bone? | Ethmoid | Sphenoid | Mastoid | Malleus | 3d | multi | (d) Malleus(Ref Scott Brown, 8th ed., Vol 2, page 538)Pneumatic bones are those bones which contain an air filled cavity within them which make them light in weight. In humans, they are seen in relation to the nasal cavity, and enclose the paranasal sinuses. Besides making the skull light in weight, they also help in r... | ENT | Ear |
dfa9e390-35d0-4f0d-aa0a-652eb4c3dfeb | Ibuprofen acts on : | Lipoxygenase pathway | Cyclooxygenase pathway | Kinin system | Serotonin system | 1b | single | null | Pharmacology | null |
ac62e684-2cb0-449a-90f1-34bef5bf8a69 | Treatment of choice for extrahepatic poal thrombosis | Mesocaval shunt | Poocaval shunt | Mesorenal shunt | Splenorenal shunt | 0a | single | Since obstruction is in the poal vein, to bypass the obstruction the shunt should be preferably REX shunt (mesenteric-left poal shunt) Splenorenal shunt is also done in EHPVO but in 50% of patients of EPHVO, splenic vein is thrombosed, not available for splenorenal shunt | Anatomy | G.I.T |
7d7c3b53-7726-4dbd-b8ef-111058a925cd | "Induseum Griseum" is a thin layer of grey matter in proximity to the corpus callosum. How is it related to it? | Lateral to the corpus callosum | Dorsal to the corpus callosum | Ventral to the corpus callosum | Medial to the corpus callosum | 1b | multi | The convex superior pa of corpus callosum(dorsal) is covered by a thin layer of grey matter, the indusium griseum, embedded in which are the fibre bundles of bilateral medial and lateral longitudinal striae.Superiorly, it is also related to anterior cerebral vessels and cingulate gyrus.Ventrally, it is attached with th... | Anatomy | Brain |
81f08a1d-7d05-40ce-8682-a86f0461eeff | The transmission of which of the following neurotransmitters is blocked in strychnine poisoning | GABA | Glycine | Glutamate | Ach | 1b | single | Glycine is a inhibitory neurotransmitter and strychnine competitively antagonizes Glycine. | Forensic Medicine | null |
79d9d3e6-2cc9-42ce-8239-d1e58513610d | A neonate following BCG vaccination developed a side effect. Which of the following side effect would the neonate most likely develop after vaccination? | Fever | Ulceration | Osteomyelitis | Regional lymphadenitis | 1b | single | Ulceration is the most common side effect post BCG vaccination. Following vaccination, the local tissue response begins in 2-3 weeks, with scar formation and healing within 3 months. Side effects most commonly are ulceration at the vaccination site and regional lymphadenitis. Some vaccine strains also rarely cause oste... | Microbiology | Bacteriology |
f1fb53fe-e116-4386-b6b5-34ba453aa17b | Fibroadenoma of the breast are: | Fixed mass | Diffuse mass | Multiple diffuse mass | Solitary mobile mass | 3d | single | Ans. (d) Solitary mobile mass(Ref: Schwartz 10/e p510)* Fibroadenoma is the MC benign tumor of Female breast* MC in 15-30 years* Also known as Breast mouse | Surgery | Breast |
caf71cfc-e545-4db9-abdf-a0205e3bd476 | According to sustainable development Goal 3- "Ensure healthy life and promote well being for all at ages", Target 3.1 is to reduce maternal moality ratio by 2030 is less than | 100 | 50 | 90 | 70 | 3d | multi | By 2030, reduce the global maternal moality ratio to less than 70 per 100,000 live bihs. Indicators for this are- Maternal deaths per 100,000 live bihs Propoion of bihs attended by skilled health personnel. It comprises of 17 Sustainable Development Goals (SDGs) . Health is centrally positioned within the 2030 Agenda, ... | Social & Preventive Medicine | NEET Jan 2020 |
ea9667b5-51cc-4ef4-bd38-645ff6cfa103 | ANCA is found in all except | Wegener's granulomatosis | Churg-Strauss syndrome | Microscopic Polyangitis | Bacterial Vasculitis | 3d | multi | (D) Bacterial vasculitis # ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODIES (ANCA) are antibodies directed against certain proteins in cytoplasm of neutrophils. It is of two types:(i) Cytoplasmic (c) ANCA: Refers antibodies against proteinase-3 in azurophilic granules. It is found in - weger's granulomatosis(ii) Perinuclear (p) ... | Pathology | Misc. |
c5a6c99a-e570-44c2-b964-8f20be8accfa | DOC for intermittent preventive therapy during pregnancy in malaria is: | Proguanil | Pyrimethamine-dapsone | Sulfadoxine-pyrimethamine | Quinine | 2c | single | Ans. is c, i.e Sulfadoxine - pyrimethamineRef. Williams 24/e, pg1257, high risk pregnancy fernando arias 4/e, pg 313Intermittent Preventive Therapy is a newer modification of prophylaxis. In chemo prophylaxis, the drugs have to be given daily or weekly, wherein in IPT the pregnant females are treated for malaria presum... | Gynaecology & Obstetrics | Medical & Surgical Illness Complication Pregnancy |
1f1617df-6fe4-43ed-91d7-beb635a6af44 | A 20 year old primi at 30 weeks of gestation has polyhydraminos. She should be advised:- | Bed Rest | Aificial rupture of membranes | Oral indomethacin | Restriction of oral fluid | 2c | single | Indomethacin acts by decreasing fetal urine production and thereby reduces amnionic fluid volume. This is presumed due to an increase in vasopressin levels and vasopressin responsiveness However, it may cause constriction of fetal ductus aeriosus, resulting in pulmonary hypeension. Hence, should not be used beyond 32 w... | Gynaecology & Obstetrics | Amniotic Fluid Dynamics |
20106c29-322d-4930-a968-b93185e2f8c5 | Duration of cycloplegic by atropine in an adult: | 6 hours | 2-3 days | 7-10 days | 1-2 days | 2c | single | Ans. (c) 7 - 10 daysRef.: A.K. Khurana 6th ed. 1573, Khurana 4th ed./146Cycloplegics and its duration of actionDrugDuration of Effect (days)Atropine7-10Scopolamine3-7Homatropine1-3Cyclopentolate1Tropicamidedays (6 hrs) | Ophthalmology | Drugs |
ef652945-f015-4b7d-a496-d1dc2e6755af | Special feature of glargine insulin is ? | It produces a smooth peakless effect | It is not suitable for once daily administration | It remains souble at pH 7 | It can control meal time hyperglycemia | 0a | single | Ans. is 'a' i.e., It produces a smooth peakless effect InsuinGlargine It is long acting biosynthetic insulin. It remains soluble at pH 4 of the formulation and precipitates at neutral pH on subcutaneous administration. Onset of action is delayed. It produces a smooth peakless effect. It is suitable for once daily admin... | Pharmacology | null |
422df281-2378-4f85-a8ce-2776345a0eff | Sal monella infection is most commonly caused by- | Infected water | Infected vegetable | Aerosol infection | Through skin | 0a | single | Ans. is 4a & b' i.e., Infected water & Infected vegetable Transmission of salmonella tvphio Typhoid fever is transmitted via the faecal-oral route or urine-oral routes. This may take place directly through soiled hands contaminated with faeces or urine of cases or carriers, or indirectly by the ingestion of contaminate... | Microbiology | Enterobecteriaceae |
2df73827-70fc-40c1-8dc9-8922c82c55a7 | Chemotherapy for dysgerminoma is: September 2012 | Cisplatin, etoposide, bleomycin | Cyclophosphamide, vincristine, prednisolone | Adriamycin, cyclophosphamide, cisplatin | Methotrexate, oncovin, procarbacine | 0a | single | Ans. A i.e. Cisplatin, etoposide, bleomycin | Gynaecology & Obstetrics | null |
e6adf68b-963f-4022-9bcb-39ff30493d30 | Illusion is a disorder of- | Thought | Perception | Memory | Intelligence | 1b | single | Ans. is 'b' i.e., Perception Disorders of perceptiono Altered perception:- Sensory distortion (micropsia, hyperacusis), Illusiono False perception:- Hallucination.Thought disordersFormal thought disorders (Disorders of thought process)Disorders of thought contenti) Racing thoughts:- Anxiety, Schizophreniaii) Retarded t... | Psychiatry | Symptoms & Signs |
ec921f93-c15c-4da4-9da7-0dd4b3a5a3f5 | 30-year-old married female who has been diagnosed as case of prolactinoma in your hospital. Her MRI Pituitary shows a 5 mm microadenoma. She is currently on bromocriptine and her urine pregnancy test has turned positive. What is the best advice for her? | Sta cabergoline | Advise trans-sphenoidal surgery anticipating increase in tumour size in pregnancy | Advise aboion considering teratogenic potential of bromocriptine | Stop Bromocriptine | 3d | single | This is an interdisciplinary question and has been discussed here to widen the scope of discussion. The guidelines are that once a lady with prolactinoma on Bromocriptine conceives, all drug treatment should be stopped to reduce possibility of any teratogenic effect on fetus. Monitor her Prolactin levels and only if he... | Medicine | Disorders of pituitary gland |
0519b8d6-b171-449f-9c4b-32ea5d6981d5 | Ratio of incidence among exposed and non exposed is known as ? | Risk ratio | Odds ratio | Attributable risk | SAR | 0a | single | Ans. is 'a' i.e., Risk ratio Relative risk (risk ratio) Relative risk is the ratio of the incidence of the disease (or death) among exposed and the incidence among nonexposed. | Social & Preventive Medicine | null |
eacd5831-b910-4537-9f2f-0bd29ca8cdde | According to PALS, which of the following is not included in initial impression? | Consciousness | Color | Airway | Breathing | 2c | single | Initial impression includes: Consciousness Breathing Color. Airway is included in Primary assessment. Reference: GHAI Essential pediatrics, 8th edition | Pediatrics | Miscellaneous |
84d8bffc-cc01-4d62-9ac6-bea73af95413 | Post spinal headache lasts for - | 10 min | 1 hrs | 10 days | 1 week | 2c | single | Ans. is 'c' i.e., 10 days o Post dural puncture headache is due to CSF leak. Typical location is bifrontal or occipital,o Headache gets worsen on sitting or upright posture and is relieved by lying down position and abdominal pressure - The hallmark of postdural puncture headache i.e.. association with body position,o ... | Anaesthesia | Complications Of Anaesthesia |
285f48ac-1359-4dc0-9247-d12fadae1c12 | In spinal anesthesia, the needle is piereced upto - | Subdural space | Extradural space | Epidural space | Subarachnoid space | 3d | single | Subarachinoid space, between pia and arachnoid | Anaesthesia | Regional anaesthesia |
a8263f43-85c0-4ec2-8924-3b01df0c4639 | LGV is caused by - | Chalamydia trachomatis | Haemophylus ducrei | HTLV type II | Donovanosis granulomatis | 0a | single | Lymphogranuloma venerum is caused by Chlamydia Trachomatis, serovars L1, L2 and L3. From illustrated synopsis of dermatology and sexually transmitted diseases neena khanna 5th edition page no 330 | Dental | Sexually transmitted diseases |
e8f5c6f8-a23a-494c-ac0e-b1623a9a23f1 | The Most common type of imperforate anus is | Anal stenosis | Anal agenesis | Anorectal agenesis | Membranous atresia | 2c | single | (C) Anorectal agenesis # Imperforate anus> (The term is used as a well-recognised description. Strictly it should be 'agenesis' and 'atresia' of the rectum and anus.)> One infant in 4500 is born with an imperforate anus, or with imperfect fusion of the post-allantoic gut with the proctodaeum.> The condition is divided ... | Surgery | Miscellaneous |
bf30a78d-80ee-4d20-bbdb-73f958172298 | Which of the following lasers is most commonly used in Laryngeal surgery - | CO2 laser | Nd YAG laser | Argon laser | KTP laser | 0a | single | null | ENT | null |
2699993d-edf4-47f5-a3b8-b81cdc3ed68a | Which of the following passes between base of the skull & superior constrictor muscle - | Eustachian tube, levator palatine muscle, ascending palatine artery | Maxillary nerve & levator palatine muscle | Eustachian tube & stylopharyngeous muscle | Ascending palatine artery & Glassopharyngeal nerve | 0a | single | null | Anatomy | null |
47b0658d-58b3-4833-876c-500012b2737d | An individual has been on a fad diet for 6 weeks and has begun to develop a number of skin rashes, diarrhea, and forgetfulness. These symptoms could have been less severe if the diet contained a high content of which one of the following? | Tyrosine | Tryptophan | Thiamine | Thymine | 1b | single | At least eight different carrier proteins transport different groups of amino acids.a. Sodium-amino acid carrier system(1). A number of transport systems involve the uptake by the cell of a sodium ion and an amino acid by the same carrier protein on the luminal surface (examples are systems A, ASC, N, and B).(2). The s... | Biochemistry | Nutrition & Digestion |
88df148c-c360-41b9-aae9-051342ab63c7 | Which of the following is a feature of absence seizure | Associated with post - ictal confusion | Seizure precipitated by hyperventilation | EEG shows 4-5 / sec spike and wave pattern | During seizure, automatism present | 1b | single | Absence Seizures:
Age: school going children
During seizure, blank staring episodes seen
No post ictal confusion
EEG: 3 / sec spike and wave pattern
Drug of choice: Sodium Valproate. | Pediatrics | null |
4d88bb82-2612-4147-9cc3-4040bebcdf77 | Number of inpatient beds in PHC ? | 6 | 10 | 20 | 25 | 0a | single | PHC → 6 beds
CHC → 30 beds | Social & Preventive Medicine | null |
17bd42c4-7a27-4dbb-9cff-a4bc22250194 | Which of the following is used as preanesthetic medication which causes the longest amnesia? | Midazolam | Diazepam | Lorazepam | Flunitrazepam | 2c | single | The longest amnesia is produced by lorazepam although half life of lorazepam (15 hours) is shoer than diazepam (36 hours) and this is probably because of its strong receptor binding potential. Its relatively potent amnesic effect, with its anxiolytic and sedative effects, makes lorazepam useful as premedication. | Anaesthesia | General anaesthesia |
532b6817-d6bd-48a9-9c2d-4b4c66b54f6f | Dactylographic is a: | Surest sign of identification | Probable sign of identification | Presumptive sign of identification | Doubtful sign of identification | 0a | single | Surest sign of identification | Forensic Medicine | null |
545d9615-4bc6-4032-8f32-60c6784e3674 | BCYE. medium is used to culture: | Mycoplasma | T pallidum | H. pylori | Legionella | 3d | multi | Ans. (d) Legionella | Microbiology | null |
68947413-c203-4f14-be94-39698ec50a39 | Which one of the following statements about Km value is true? | Km is substrate concentration at maximal velocity | Numerical value of km is propoional to affinity of enzyme for substrate | Km is independent of enzyme concentration | Km denotes that 100% of enzyme molecules are bound with substrat molecules at that concentration | 2c | multi | Substrate Concentration, A small Km indicates that the enzyme requires only a small amount of substrate to become saturated. Hence, the maximum velocity is reached at relatively low substrate concentrations. A large Km indicates the need for high substrate concentrations to achieve maximum reaction velocity. | Biochemistry | Enzymes |
248adc87-b53d-4668-ba92-be1c2d011afa | Squeeze technique is used for the treatment of - | Retrograde ejaculation | Premature ejaculation | Erectile dysfunction | UTI | 1b | single | Ans. is 'b' i.e., Premature ejaculation * Squeeze technique (Seman's technique) is used for premature ejaculation. When the male partner experiences 'ejaculatory inevitability' the female partner 'squeezes' the penis on the coronal ridge thus delaying ejaculation. | Psychiatry | Sexual Disorders |
eeab0a0d-0bf9-4c29-9085-588404ad1e1b | Pink disease is due to | Methyl mercury | Mercurous chloride | Mercuric chlorite | Mercuric sulphide | 1b | single | Ingestion of mercurous chloridein teething powder has led to acrodynia (Pink disease/Swift disease) in infants. This condition presents as feverwith a pink-coloured rash, irritability, photophobia, painfuland swollen extremities and hypersecretion of sweat glands.It is believed to be a hypersensitivity response to the ... | Forensic Medicine | Poisoning |
177b9160-e123-4a72-8f8b-ac111cb2d92b | Vaginal changes in normal pregnancy show | High pH | Increased lactobacilli | Increased anaerobic bacteria | Decrease in glycogen contents | 1b | single | Early in pregnancy the vaginal epithelial cells are similar to those found during the luteal phase, As pregnancy advances, two pattern of response may be seen 1. Small intermediate cells called navicular cells by Papanicolaou, are found in abundance in small, dense clusters 2. Vesicular nuclei without cytoplasm or so c... | Surgery | null |
1afa3537-bc04-47be-ba64-062cd41b086d | A 38-year old woman presented with shoness of breath and fatigue. Her history is unremarkable except for a vague history of fever and joint pain as a child. She notes some recent fatigue and difficulty in sleeping that she attributes to job-related stress. On examination, her hea rate is 120 beats/min. ECG of the patie... | <img style="max-width: 100%" src=" /> | <img style="max-width: 100%" src=" /> | <img style="max-width: 100%" src=" /> | <img style="max-width: 100%" src=" /> | 3d | multi | ECG shows atrial fibrillation and ECHO shows Left atrial enlargement. Images FINDINGS: Acute and chronic rheumatic hea disease A-Aschoff body in a patient with acute rheumatic carditis. B- Acute rheumatic mitral valvulitis: Small vegetations (verrucae) are visible along the line of closure of the mitral valve leaflet C... | Unknown | Integrated QBank |
69f2b934-93da-46d9-8225-4997e535335f | All can be used as endoscopic sclerosants in the treatment of variceal bleeding, except - | Polydochyl | Cynoaciylate | Alcohol | Acetic acid | 3d | multi | null | Medicine | null |
c86401b9-be5b-47fb-8a84-79058b7f1e76 | At what age does calcification of the primary dentition begin? | 6-10 weeks in utero | 13-16 weeks in utero | 22-26 weeks in utero | 30-34 weeks in utero | 1b | single | null | Dental | null |
7af2f572-3007-47af-a12c-a8e632ef1723 | Many of our bad habits of day to day life can be removed by- | Positive conditioning | Negative conditioning | Bio feed back | Generalization | 1b | single | Reinforcement (Positive conditioning) → to promote desired behavior (good habits).
Punishment (Negative conditioning) → to remove undesired behavior (bad habits). | Psychiatry | null |
3c73764c-dbd5-480f-9329-040fd710c6e5 | Double-Bubble" sign in X-ray is seen in: | Colon carcinoma | Duodenal atresia | Acute pancreatitis | Perforation | 1b | single | Duodenal atresia | Radiology | null |
07c39cea-efa7-4450-9957-5a932ffc3501 | Morphea occurs usually in: | Forehead | Sternum | Limbs | Back | 0a | multi | A i.e. Forehead Mongolian spots, milia, miliaria, neonatal acne, transient neonatal pustular melanosis and erythema toxicum are benign, spontaneously self resolving conditionsQ. Whereas, powine stain represents progressive ectasia of superficial vascular plexus mostly involving face and is best treated by 585 nm pulsed... | Skin | null |
4792c6e2-2ec7-45f1-b4f2-aae7f237d504 | True about dysgerminoma of ovary | Blood spread seen | Schiller-Duval bodies seen | Radiosensitive | All | 3d | multi | All Blood spread seen; Bleomycin, etoposide and cisplatin given; and Radio sensitive Dysgerminoma are germ cell tumours. I have already discussed dysgerminoma in detail in question no. 2, here I would like to point out about the spread of dysgerminoma. Most common mode of spread - Lymphatics. Can also spread by - Blood... | Gynaecology & Obstetrics | null |
7e0d59b9-1a69-4e39-8205-85269765f2a1 | Formocresol saturated cotton pellet is placed over the
amputated pulp stumps for: | 1 minute | 2 minutes | 4 minutes | 5 minutes | 3d | single | null | Dental | null |
62237ed2-c6b7-4e4b-801c-de2454068887 | The radiograph of skull is suggestive of which of the following diagnosis ? | Malignant melanoma | Multiple myeloma | Sickle cell anemia | Langerhans cell histiocytosis | 2c | single | Radiograph of a patient with sickle cell anemia showing a thickened diploic space and thinning of the skull cortex. Skull showing the hair-on end bone pattern. | Pathology | null |
c97a6372-5bde-48d3-b7d0-2465866e06c7 | What is the diagnosis of the following examination of the fundus? | Diabetes retinopathy | Optic atrophy | Acute glaucoma | Optic disc drusen | 2c | single | Glaucoma results in "cupping" as the neural rim is destroyed and the central cup becomes enlarged and excavated. The cup-to-disc ratio is about 0.7/1.0 in this patient. | Ophthalmology | All India exam |
632bddfc-e8ba-443e-8e2a-ad0bace2f136 | Hypocalcemia with hyperphosphatemia are seen in-a) CRFb) Pseudohypoparathyoidsmc) Vit-D deficiencyd) Magnesium deficiency | ab | a | ad | bc | 0a | single | null | Medicine | null |
823d8add-c8d6-477a-9f8f-ec598707a454 | Which of the following monoclonal antibody is used for treatment of colorectal carcinoma? | Pembrolizumab | Cetuximab | Rituximab | Natalizumab | 1b | single | Cetuximab - Colorectal cancer, Head and neck cancer. Rituximab - B cell NHL, CLL Natalizumab - multiple sclerosis Pembrolizumab - head and neck cancer JC virus antibody titre measurement is mandatory during treatment with Natalizumab | Pharmacology | Targeted Anticancer Drugs and Immunosuppressants |
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