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3342a49a-b0c3-4296-8cdc-a64d8f18d5a8 | Characteristic feature of the urine in diabetes insipidus include the following EXCEPT | Has no proteins | Has no sugar | Specific gravity > 1.020 | No casts | 2c | multi | Ans. c (Specific gravity > 1.020). (Ref. Harrison, Medicine, 18th. Ch. 340 and 44)Fluid deprivation test: If fluid deprivation does not result in urine concentration (osmolarity >300 mosmol/L, specific gravity >1.010) before body weight decreases by 5% or plasma osmolarity/sodium rise above the upper limit of normal, t... | Medicine | Endocrinology |
e4908255-aaed-4abb-a411-d064ade90893 | The structures passing posterior to diaphragm are all except ? | Aoa | Azygous vein | Thoracic duct | Greater splanchnic nerve | 3d | multi | The aoa passess posterior to the diaphragm.Accompanying the aoa through the aoic hiatus is the thoracic duct and the azygous vein.The greater and lesser splanchinic nerves passess through the crura on either side. | Anatomy | null |
9b3918b0-8dcb-4429-8cb3-4e2adef4b1b1 | In cryptorchidism, hallmark histological changes appear in testis at: | 4 months | 6 months | 8 months | 1 year | 3d | multi | Histopathology- Abnormal germ cell histology- 1-2 Years:* Earliest change - Hypoplasia of Leydig cells (1 month of age)- Degeneration of Seoli Cells- Delayed disappearance of gonocytes- Delayed appearance of adult dark spermatogonia | Surgery | Testis and scrotum |
e5d2d45d-5d09-4109-a001-1482c349897d | All are features of iridocyclitis except | Pain | Mucopurulent discharge | Constricted pupil | Circum corneal congestion | 1b | multi | Ans) b (Mucopuntlent discharge) Ref: Kansk, 6th ed p447-448Mucopurulent discharge is seen in conjunctivitis Symptoms of iridocyclitis-Sudden onset painPhotophobiaRednessLacrimationSignsVisual acuity decreased,Circumcomeal congestionMiosisKeratic precipitatesAqueous cells and flare, hypopyon occAnterior vitreous cellsPo... | Ophthalmology | Uveal Tract |
b80734e0-a8d1-41f9-8214-0456f5b6d1a5 | Thymoma is associated with - | Myasthenia gravis | Scleroderma | Oesophageal atresia | Hypergammaglobulinemia | 0a | single | null | Medicine | null |
437c9d67-e2a3-473c-9192-3d7396752adc | Which enzyme is inhibited by fomepizole | Alcohol dehydrogenase | Acetaldehyde dehydrogenase | Catalase | Peroxidase | 0a | single | null | Biochemistry | null |
d5df13a4-6bcb-40d0-8a54-f568364df593 | The local anaesthetic with the longest duration of action is : | Procaine | Chlorprocaine | Lignocaine | Dibucaine | 3d | single | * Longest acting, most potent and most toxic LA is dibucaine. * Chlorprocaine is the shoest acting LA. | Pharmacology | Anaesthesia |
892a3177-6689-4f33-9404-9a894605f8d7 | Among all the layers of the scalp which layer is highly vascular? | Skin | Subcutaneous tissue | Aponeurosis | Loose connective tissue | 1b | multi | Scalp consists of the overlying soft tissues as well as underlying calvarium. The soft tissues composing the scalp are skin, connective tissue (subcutaneous), aponeurosis (galea aponeurotica), loose areolar connective tissue, and pericranium. The connective tissue layer (subcutaneous) contains the vast majority of the ... | Anatomy | null |
6b342cec-65ae-41ac-9d3f-6a6f651bcf02 | Multifactorial causation of disease theory was proposed by | Louis Pasteur | Pettenkofer | Robe Koch | Aristotle | 1b | single | Traits and conditions that are caused by more than one gene occurring together are multifactorial, and diseases that are caused by more than one factor interacting (for example, heredity and diet in diabetes) are multifactorial. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 40 | Social & Preventive Medicine | Concept of health and disease |
dcbdfa33-8de2-4fb2-9377-306c3a26e9d3 | Predisposing factors for skin cancer are-a) Smokingb) U-V-light c) Chronic ulcerd) Infrared light | bc | c | ac | ad | 0a | single | Exposure to Sun (UV rays) Major predisposing factors. o Old burn scars
Industrial carcinogens (Tars and oils) o Ingestion of arsenicals
Chronic ulcers and draining osteomyelitis. o Ionizing radiation
Note : ... | Pathology | null |
4cb37de5-785c-4841-863e-ec734ff97e1e | A 58-year-old man with cirrhosis complains of worsening fatigue and confusion over the past 5 days. He also repos that over the past 48 hours he has had a declining urinary output. On examination, he is gaunt and jaundiced. He has tense ascites and a liver span of 7 cm in the midclavicular line. Lab result reveals a WB... | Large volume paracentesis | Hemodialysis | Mesocaval shunt | Liver transplantation | 3d | single | This patient with well-advanced cirrhosis and poal hypeension has developed the onset of renal insufficiency consistent with hepatorenal syndrome. This occurs during the end stages of cirrhosis and is characterized by diminished urine output and low urinary sodium. In the setting of end-stage liver disease, renal vasoc... | Medicine | G.I.T |
fd229d6b-b5f1-44b1-93c7-399c6249847a | False about eukaryotic protein synthesis is: | N formyl Met is the first-RNA to come into action | mRNA read from 5' to 3' | Eft shift between GDP to GTP | Capping helps in attachment of mRNA to 40 S ribosome | 0a | multi | A i.e. N formyl Met is the first - RNA to come into action | Biochemistry | null |
064894d5-3208-4cff-bb7f-1d82b31a4293 | Loosening of association is an example of - | Formal thought disorder | Schneider's first symptoms | Perseveration | Concrete thinking | 0a | single | Ans. is 'a' i.e., Formal thought disorder Thought disordersFormal thought disorders (Disorders of thought process)Disorders of thought contenti) Racing thoughts :- Anxiety, Schizophreniaii) Retarded thoughts :- Depressioniii) Circumstantiality :- Mania, Schizophreniaiv) Thought blocking :- Schizophrenia, Severe anxiety... | Psychiatry | Cognitive Development |
717ab440-fea6-4bb9-917f-e144173cd782 | Epstein-Barr virus (EBV) VCA-IgG 1 :80 and EBV antibody to early antigen EA1 :320 suggest which one of the following diseases? | Chronic infectious mononucleosis | Primary syphilis | Scarlet fever | Primary atypical pneumonia | 0a | single | Infectious mononucleosis (IM) may be suspected clinically but it is confirmed serologically. The heterophil antibody test, however, may be negative in up to 15% of adults and 35 to 40% of children. Because IM is caused by Epstein-Barr virus (EBV), a specific test for viral capsid antigen (VCA) of EBV is indicated when ... | Microbiology | Immunology |
06d0f069-0ccd-4b32-8fa4-1205ee2c7a81 | Chyluria is caused by all except: March 2007 | Pregnancy | Childbih | Filariasis | Bile duct stones | 3d | multi | Ans. D: Bile duct stones Chyluria/chylous urine is a condition involving the presence of chyle in the urine stream, which results in urine appearing milky white. Chyluria is often caused by filariasis due to the parasite Wuchereria bancrofti, a thready nematode which lodges the lymph channels. Another cause is pregnanc... | Surgery | null |
ec2bb273-11fe-4327-8769-3483ce37affc | Most common organ affected in polyarteritis nodosa? | Lungs | Kidneys | Pancreas | Spleen | 1b | single | Ans. b (Kidneys). (Ref. Harrisons Medicine, 18th/ Chapter 326. The Vasculitis Syndromes)PAN is necrotising vasculitis of small and medium sized arteries.Descending order of frequency of involvement of organs in PAN is# Kidney# Heart# Liver# GIT# Muscle# Pancreas# Testis# CNS# Skin | Pathology | Blood Vessels |
a82ee225-fa3b-4fa6-afa3-51bc69aaec26 | A patient with blunt trauma of abdomen at 48 hours, USG shows normal, but patient had tenderness in left lumbar region. Best appropriate diagnosis is by: | MCU | IVP | CECT abdomen | Repeat USG | 2c | single | Suspect - injury of kidney in left abdomen. MCU is IOC for Vesicourethral Reflux IVP is IOC for Ureterocele | Surgery | DNB 2018 |
4dc014a1-9646-4cc5-974a-51d881eba0f4 | An addict presents with increased sweating, lacrimation, diarrhea, yawning and rhinorrhea. These symptoms may occur due to withdrawal of ? | Heroin | Cocaine | Cannabis | Alcohol | 0a | single | null | Pharmacology | null |
56d5d8d7-3ea1-445e-bb19-bf8c7757dac2 | Insulin acts on glucose metabolism by | | permeability of glucose across cell membrane | | permeability of glucose across cell membrane against glucose gradient | | permeability of renal cells | | glucose transpo to brain | 1b | single | Insulin signals the cells of insulin-sensitive peripheral tissues, primarily skeletal muscle, to increase their uptake of glucose.Secondly, insulin acts on the liver to promote glycogenesis.Finally, insulin simultaneously inhibits glucagon secretion from pancreatic a-cells, thus signalling the liver to stop producing g... | Biochemistry | Endocrinology |
b7cb0a91-a1e6-408e-95b4-2e770de7ed09 | Medullary cystic disease of the kidney is best diagnosed by - | Ultrasound | Nuclear scan | Urography | Biopsy | 3d | single | null | Medicine | null |
e6fbfea4-9d36-4767-8c0f-bcde9bca2d37 | Which is wrong about the treatment of condition shown? | Maximum fluid than be removed safely per sitting is 500ml | Severe Hiccoughs is a contraindication to thoracentesis | Done with patient sitting in scapular line | If patient cannot sit, he should be at edge of bed, arm raised above level of head, head end elevated by 30o | 0a | multi | CXR - Ellis S shaped curve CP angle blunting Pleural effusion Thoracocentesis: Done with patient sitting in scapular line If patient cannot sit, he should be at edge of bed, arm raised above level of head, head end elevated by 30deg Severe Hiccoughs is a contraindication to thoracentesis Max fluid can be removed safely... | Medicine | Pleural effusion & Pulmonary alveolar proteinosis |
d988b2da-11db-4562-8a5d-d55976f95ee1 | Bifurcations and trifurcations are most commonly observed in | Maxillary 1st premolar | Maxillary 2nd premolar | Mandibular 1st premolar | Mandibular 2nd premolar | 2c | single | null | Dental | null |
0b53f759-330d-4d16-885d-a80bfd2f96fc | HLA typing is useful in: September 2004 | Blood grouping | Assessing prognosis of disease | Cancer therapy | Cases of parental dispute | 3d | single | Ans. D i.e. Parental dispute | Microbiology | null |
c416bff6-4f14-4b11-b3fe-f3f3c9066962 | Chronic constipation in children is seen in all A/E? | Hirschspring disease | Jejunal polyp | Hypothyroidism | Stricture | 1b | multi | Ans. is 'b' i.e., Jejunal polyp | Pediatrics | null |
5267b489-ab65-4e47-97e9-b84f59d39fb2 | Cardiac lesion in SLE cause - | Verrucous endocarditis | Valvular incompetence | Myocardial fibrosis | All of the above | 3d | multi | null | Medicine | null |
42b5d9e5-56e9-4fdb-b2e8-4d122f40c71f | Autoantibody specific for SLE - | ds DNA | Anti RO | Anticentromere | Anti topoisomerse | 0a | single | Ans. is 'a' i.e., ds DNA Antinuclear antibodies in SLEo Systemic lupus erythematosus is characterized by bewildering array of autoantibodies, particularly antinuclear antibodies.o The antibodies are directed against an array of nuclear and cytoplasmic components of the cell, in addition a third group of antibodies is d... | Pathology | Autoimmune Diseases |
b3248dd9-19e2-4131-9b37-5bd29c48fc4b | Which of the following drugs should not be administered concomitantly with warfarin as it decreases the effect of oral anticoagulants ? | Broad spectrum antibiotic | Cimetidine | Aspirin | Oral contraceptive | 3d | single | null | Pharmacology | null |
07efdae6-6a17-4319-a33e-4a0d5f7374c3 | Which of the following accessory ligaments of the TMJ is likely to have significance upon mandibular movements? | Sphenomandibular | Stylomandibular | Pterygomandibular | All of the above | 1b | multi | The stylomandibular ligament is formed due to thickening of the investing layer of deep cervical fascia, which separates the parotid and submandibular glands. This ligament also becomes taut when the mandible is protruded.
The accessory ligaments of temporomandibular joints control range of motion (ROM) of TMJs and wit... | Anatomy | null |
e233d65b-4427-49be-93c2-8015ab8a0e87 | The commonest true benign tumour of the bone is | Osteoma | Osteoid osteoma | Osteoblastoma | Osteochondroma | 1b | multi | OSTEOID OSTEOMA It is the commonest true benign tumour of the bone. Pathologically, it consists of a nidus of tangled arrays of paially mineralised osteoid trabeculae surrounded by dense sclerotic bone. Clinical presentation: The tumour is seen commonly between the ages of 5-25 years. The bones of the lower extremity a... | Orthopaedics | Tumors |
81a5d44e-8bde-4784-9af4-a83ffefc6def | As deglutition involved voluntary and involuntary stages, so among the following, which structure limits the size of bolus swallowed: | Soft palate | Posterior pharyngeal pillars | Upper esophageal sphincter | Larynx | 1b | multi | null | Physiology | null |
d6ed5699-a8c0-40a1-b5d7-f53cb379b408 | Type of inheritance in Tuberous sclerosis - | Autosomal dominant | Autosomal recessive | X-linked dominant | X-linked recessive | 0a | single | Ans. is 'a' i.e., Autosomal dominant | Pathology | Central Nervous System |
1c41ffba-2830-4590-956b-c4a714a4b50c | In normal adult wave V of ABR is generated from | Cochlear nucleus | Superior olivary complex | Lateral leminiscus | Inferior colliculus | 2c | single | Wave I - Distal pa of CN VIII Wave II - Proximal pa of CN VIII near the brainstem Wave III - Cochlear nucleus Wave IV - Superior olivary complex Wave V - Lateral lemniscus Waves VI and VII - Inferior colliculus Note: Auditory brainstem response (ABR): Also called BAER or BAEP (brainstem auditory evoked response or pote... | ENT | Ear |
19053972-322c-4bd7-a0bb-a930cfe7fce7 | Umblicated nodules are produced by? | Poxvirus | Enterovirus | Rhinovirus | Myxovirus | 0a | single | Ans. is 'a' i.e., Poxvirus Nodules with central umblication is produced in molluscum contagiosum, caused by a Poxvirus. | Microbiology | null |
6315e2a2-94a5-4226-832f-bfa3b89b17fc | All of the following are essential amino acids include all, EXCEPT: | Valine | Methionine | Lysine | Alanine | 3d | multi | The essential amino acids are leucine, isoleucine, lysine, methionine, phenylalanine, threonine, tryptophan, valine, and histidine. Protein is required for growth and for maintenance of body structure and function. The true requirement is for nine essential amino acids plus additional nitrogen for protein synthesis. Ad... | Biochemistry | null |
ff16f2de-f713-4018-845b-5c94e78089a2 | Syndrome of inappropriate antidiuretic hormone secretion (SIADH) causes | Euvolemic hyponatremia | Hypovolemic hyponatremia | Hypervolemic hyponatremia | Hypernatremia | 0a | single | The syndrome of inappropriate antidiuresis (SIAD) is the most frequent cause of euvolemic hyponatremia. Glucocoicoid deficiency, Hypothyroidism, Stress, Drugs are other causes of euvolemic hyponatremia. Common causes of SIAD include pulmonary disease (e.g., pneumonia, tuberculosis, pleural effusion) and central nervous... | Medicine | Fluid and electrolytes |
fd52cc53-873e-4f95-8b58-149fe1da8a3d | All of the following are true about case control study except - | Rapid and inexpensive | No risk to subjects | Risk factor can be identified | Less prone to bias | 3d | multi | Ans. is 'd' i.e., Less prone to bias Case control studyo Case control study is a common first approach to test causal hypothesis.o Caseo Control--Case is an individual who has developed the disease.Is an individual who has not developed the disease but is otherwise comparable to case (e.2. age, sex, occupation, social ... | Social & Preventive Medicine | Analytical Epidemiology |
b5478ba5-7e3b-4397-bc0c-82e3411c164e | True statements about congenital megacolon include all of the following except: | Dilatation & hyper trophy of pelvic colon | Loud borborygmi | Symptoms appear with in 3 days following birth | Large stool | 3d | multi | S. Das writes - "The symptoms appear within 3 days of birth and the presenting features are as follows:
Constipation
Abdominal distention"
Nelson writes - "The clinical symptoms of Hirschprung disease usually begin at birth with the delayed passage of meconium."
Loud borborygmi are heard due to intestinal obstructi... | Surgery | null |
9bf2e6d8-5a0f-4629-bce4-643a95dc2548 | Which of the following remnant of wolffian duct is present on medial part of broad ligament | Epoophoran | Kobelt tubercle | Paroophoran | Gartner's duct | 2c | single | All remnants of wolffian duct are present in lateral part of broad ligament except paroophoron. | Gynaecology & Obstetrics | null |
24f12653-f46f-445f-9c3c-bfc5835a529b | WHO stage IV HIV includes all, except - | Toxoplamosis | Pneumocystis carinii | HIV wasting syndrome | Oral thrush | 3d | multi | <p> Oral thrush is not included in the clinical stage 4 for HIV. Reference:Park's textbook of preventive and social medicine,K.Park,23rd edition,page no:349.<\p> | Social & Preventive Medicine | Communicable diseases |
5f338d3a-66a1-4487-b2e0-12315c8e14b1 | A 55-yrs-old woman complains of stiff, aching hands, especially in the morning. Radiographs of the hands reveal expansion at the base of the terminal phalanges & tapering of the proximal phalanges. This patient most likely has: | SLE | Rheumatoid arthritis | Psoriatic arthritis | Gouty arthritis | 2c | multi | There are three main varieties of psoriatic arthritis (an inflammatory arthritis affecting 5 to 42% of patients with psoriasis): asymmetric inflammatory arthritis, symmetric arthritis , and psoriatic spondylitis. The pathology is similar to that seen in RA (early neutrophil and later monocytic synovial infiltration). T... | Unknown | null |
0b74cd43-53e5-4458-abf3-67da20c1ec34 | Amide group containing amino acid is: | Asparate | Glutamine | Glutamate | Glutamic acid | 1b | single | Amide (-CONH) group is present in:- Asparagine Glutamine Asparagine is the amide of Aspaate Glutamine is the amide of Glutamate | Biochemistry | Classification and metabolism of amino acids |
3baf86ce-6bdc-43e2-828a-546943241a45 | All are true regarding superior laryngeal nerve block, except: | Needle pierces through thyrohyoid membrane | Sensory loss below level of vocal cords occurs | Internal laryngeal nerve is anesthetized | Thyroid notch is used as a landmark | 1b | multi | Superior laryngeal nerve supplies sensory supply to the mucosa of larynx upto the level but not including the vocal cords. Sensory supply of vocal cords and larynx below vocal cords is by recurrent laryngeal nerve. Thus in superior laryngeal nerve block, sensory supply below the level of vocal cords will be maintained. | Surgery | null |
e0be218a-000a-422e-a954-cf26db367e68 | About ureter true is | 5 cm long | 25 cm long | 35 cm long | Totally retroperitoneal | 1b | multi | Abdominal ureter. The ureter is roughly 25-30 cm long in adults and courses down the retroperitoneum in an S curve. At the proximal end of the ureter is the renal pelvis; at the distal end is the bladder. The ureter begins at the level of the renal aery and vein posterior to these structures . Ref - BDC 6e vol2 pg 318 | Anatomy | Abdomen and pelvis |
c57c2506-0c5d-4950-bbda-494d03eef2b9 | A patient is taking ketoconazole for fungal infection develops cold for which he is prescribed terfenadine. Possible interaction between terfenadine and ketoconazole is | Ketoconazole decreases metabolism of terfenadine | Terfenadine increases levels of ketoconazole | Ketoconazole decreases levels of terfenadine | No interaction | 0a | single | (A) Ketoconazole decreases metabolism of terfenadine# Large amounts of Terfenadine reach systemic circulation if erythromycin, ketoconazole, clarithromycin are concurrently administered, as these drugs are P450 enzyme inhibitors.> Azithromycin, fluconazole have no effect & found to be safe. | Pharmacology | Miscellaneous (Pharmacology) |
f35fd423-9e89-4e83-a5b2-a3d45ea45ef6 | Where is the Cave of Retzius present? | Between urinary bladder and rectum | Between urinary bladder and cervix | In front of the bladder | Between the cervix and the rectum | 2c | single | Space of Retzius
- Horseshoe shaped space
- Between the anterolateral pelvic wall and the sides of bladder and prostate. | Anatomy | null |
6cb2d3f2-8e2c-4def-a726-30634ab1ad31 | Prolonged treatment with INH leads to deficiency of: | Pyridoxine | Thiamine | Pantothenic acid | Niacin | 0a | single | Ans. (A) Pyridoxine(Ref: Katzung 11th/e p825, KDT 8th/e p818)Isoniazid can cause peripheral neuropathy due to deficiency of pyridoxine. | Pharmacology | Chemotherapy: General Principles |
d4658cbc-2293-4fe2-9f1d-861feda3ae1f | Klebsiella pneumonia is | Lobar pneumonia with absent air bronchogram sign | Involves lower lobe predominantly | Cavitation is common | Pleural effusion is not commonly seen | 2c | single | Klebsiella pneumonia :
Air bronchogram sign positive.
Involves upper lobe.
Cavitations and pleural effusion is common. | Medicine | null |
f04b2771-384e-4f7b-86be-d673d1e1cf08 | For calculation of incidence denominator is taken as - | Mid year population | Population at risk | Total number of cases | Total number of deaths | 1b | single | ref: Park&;s 23rd edition pg 60 INCIDENCE= No. of new cases of specific disease during a given time period / population at risk during that period x 1000 | Social & Preventive Medicine | Epidemiology |
cb8097f1-0612-4ca8-9917-722104cbda1f | Which is NOT an oncogenic virus- | HTLV- 1 | Herpes simplex | Papilloma virus | None | 3d | multi | Ans. is 'None' | Microbiology | null |
7994ea6c-aa3b-4d46-8d5c-021ca843fe94 | Most impoant in establishing diagnosis of leprosy is: March 2010 | Evidence of neural involvement | Hypopigmented patches | Slit smear for AFB | Positive lepromin test | 2c | single | Ans. C: Slit smear for AFB Tissue smear testing/slit-skin smears. An incision is made in the skin, and the scalpel blade is used to obtain fluid from a lesion. The fluid is placed on a glass slide and stained by using the Ziehl-Neelsen acid-fast method or the Fite method to look for organisms. The bacterial index (BI) ... | Skin | null |
387767cf-6641-4758-961c-e78eacf4d166 | The laser procedure, most often used for treating iris neovascularization is: | Goniophotocoagulation | Laser trabeculoplasty | Panretinal photocoagulation (PRP) | Laser iridoplasty | 2c | single | C i.e. Panretinal photocoagulation (PRP) | Ophthalmology | null |
487a9f93-70c6-4f51-8864-4b6b1a681e3e | Anterior compament of leg contains all except | Peroneus brevis | Tibialis anterior | External hallucis longus | External digitorum longus | 0a | multi | ANTERIOR COMPAMENT:- Muscles:-1. Tibialis anterior 2. Extensor hallucis longus3. Extensor digitorum longus 4. Peroneus teius. Aery: anterior tibial aery. The blood supply of anterior compament is reinforced by the perforating branch of peroneal aery. Nerve:-Deep peroneal nerve. {Reference: BDC 6E vol2 pg 93} | Anatomy | Lower limb |
0d2e01e2-13cb-4dcf-b101-c16fd0664e70 | All of the following methods are antilarval measures except - | Intermittent irrigation | Paris green | Gambusia affinis | Malathion | 3d | multi | Antilarval measures of mosquito control are environmental control- source reduction and minor engineering measures like filling, levelling, intermittent irrigation. chemical control- mineral oils, Paris green, synthetic insecticides (Fenthion, Chlorpyrifos, and Abate). biological control -larvivorous fishes like Gambus... | Social & Preventive Medicine | Environment and health |
c396fc9b-70af-4e21-a0b6-f9051923befe | in case of unstable lie of fetus, the placenta is usually: | Cornual | Lateral wall | Fundus | Lower segment | 3d | multi | Unstable lie This is a condition where the presentation of the fetus is constantly changed beyond 36th week of pregnancy when it should have been stabiliseed The causes are those which prevent the presenting pa to remain fixed in the lower pole of the uterus that is grand multipara,hhydramnios,contracted pelvis,placent... | Gynaecology & Obstetrics | Abnormal labor |
6a9d6141-070f-4d55-8017-a18870ca1e0d | Capsicum seed can be confused with ? | Strychnine | Dhatura | Risinus | Opiun | 1b | single | Ans. is 'b' i.e., Dhatura | Forensic Medicine | null |
9ea76fc8-ac95-4e35-bd7e-c1a5fca25edb | The ocular basement membrane is stained with | Alcaine blue | Giemsa stain | Methylene blue | Periodic acid-Schiff | 3d | single | Not only ocular almost all basement membranes are stained with PAS (Periodic acid-Schiff) Because they have mucopolysaccharides.Periodic acid-Schiff reactive (PAS) method is principally used to demonstrate structures rich in polysaccharides (glycogen), mucopolysaccharides (e.g., ground substance of connective tissues, ... | Pathology | General pathology |
08d6cd19-c93f-407a-9d61-2fa8ff70d9f2 | Kyasanur Forest Disease (KFD) is transmitted by | Fleas | Mosquitoes | Ticks | Mites | 2c | single | KFD is a tick-borne viral hemorrhagic fever endemic to South AsiaThe disease is caused by a virus belonging to family Flaviviridae, which also includes yellow fever and dengue feverThe vector for KFD is Haemophysalis spinigera, a forest tickHumans contract infection from the bite of nymphs of the tickReservoir hosts ar... | Medicine | All India exam |
258cff73-e9ff-49fd-b590-f6d6c61b48bd | Hexosaminidase A deficiency causes: | Niemann-pick | Tay-Sachs disease | Hurler syndrome | Gaucher's disease | 1b | single | Ans: b. Tay-Sachs disease [Refs Harper 30th/251; Lippincott 6th/212; Harrison 19th/432e,433eHexosaminidase A deficiency is an enzyme deficiency that causes brain and other nerve cells to die, which can lead to severe neurological and mental problems.Hexosaminidase A (HEX A) deficiency is caused by a deficiency in an en... | Biochemistry | null |
112b0600-5175-4afe-bcee-f6f0fe8d99cd | Monge's disease refers to: | Primary Familial Polycythemia | High Altitude Erythrocytosis | Spurious Polycythemia | Polycythemia Vera | 1b | single | Answer is B (High Altitude Erythrocytosis) lionge's disease (Chronic :Mountain Sickness) is also known as High Altitude Pathologic Erythrocytosis. Chronic Mountain Sickness; Monge's disease; (High Altitude Pathologic Erythrocytosis; High Altitude Excessive Polycythem a) * Excessive Erythrocytosis (Hb>19 /dL for females... | Medicine | null |
f11e4916-a8f7-4d3c-865d-cf2d1d8cf673 | All are true of police inquest, except: | Senior head constable can investigate | Most common inquest | Panchnama has to be signed by IO | IO cannot summon | 3d | multi | Police inquest is held by a police officer (Investigation Officer--IO) not below the rank of senior head constable in all cases of unnatural deaths with the exceptions mentioned under Magistrate inquest. Police inquest (174 CrPC) : Most common type of inquest. Minimum cadre of police for conducting inquest is station o... | Forensic Medicine | FMT Q Bank |
9c1f703b-cdad-48ed-af7c-d2daab2a1fc7 | Following drugs act against HIV–2 Except : | Ritonavir | Tenofovir | Efavirenz | Zalcitabine | 2c | multi | null | Pharmacology | null |
a4668f83-200f-4fb8-aa4f-0b3b5e0aa7e3 | Vidian Neurectomy is indicated in | Glossophayngeal neuralgia | Trigeminal neuralgia | Vasomotor rhinits | Atrophic rhinits | 2c | single | Vasomotor rhinitis: increased parasympathetic discharge Vidian neurectomy is done. Ref : SRB&;s 4thE | Surgery | Trauma |
8e3b5309-7b30-4083-816b-c20bc268fd57 | Precocious puberty in girls is defined by the onset of secondary sexual characteristic before the age of | 5 years | 7 years | 8 years | 9 years | 2c | single | Precocious puberty :
Onset of secondary sexual characteristic before the age of 8 years in girls and 9 years in boys. | Pediatrics | null |
20c8c878-2096-49cb-ae7f-dc88dd9df786 | Trismus in CA of temporal bone occurs due to involvement of- | Dura | Temporo mandibular joint | Mastoid | Eustachian tube | 1b | single | Ans. is 'b' i.e., Temporo mandibular joint Clinical Assessment of Temporal bone Tumorso A long history of ear discharge suggests cancer associated with inflammatory ear disease (Maijolins ulcer)o Pulsatile tinnitus suggests tumor of vascular origin such as glomus tumor or a middle ear vascular anamoly; or a duralarteri... | ENT | Oral Cavity |
0c49c311-b16c-4e0a-a7b9-5706beb6295d | Which is the wrong statement regarding hepatitis viruses? | Hepatitis A & E are enveloped viruses | Hepatitis D are circular RNA virus | Hepatitis C & E contains linear RNA virus | No vaccine is available for hepatitis C virus | 0a | multi | Hepatitis A & E are non enveloped virus Hepatitis B is the only DNA virus Hepatitis B & D have a circular genome ref - davidsons medicine 23e pg872-875 | Medicine | Nutrition |
39c543dc-ce59-414b-9cd1-29bee8818dbc | The earliest morphological evidence of ovulation on endometrial biopsy is: | Pseudostratification | Basal vacuolation | Decrease in glycogen content | Predecidual reaction | 1b | single | Endometrial biopsy was used in the past to find out whether the female has ovulated or not. Nowadays USG follicular monitoring is being done
Subnuclear basal vacuolation is characterized by glandular growth and presence of vacuoles due to secretion of glycogen between nuclei and basement membrane. It is due to the effe... | Gynaecology & Obstetrics | null |
fd41c473-b47c-4045-bc53-a0212b779317 | What is the test being done & what sign is it used to demonstrate? | Scraping test, Auspitz sign | Grattage test, Koebner's phenomenon | Scrapping test, Koebner's phenomenon | Grattage test, Auspitz sign | 3d | single | Auspitz sign is characterized by:- a) Micaceous silvery white scales b) Burkley membrane c) Pin point bleeding This is seen in psoriasis & demonstrated by grattage test. Auspitz sign is presence of pinpoint bleeding at the base of a plaque after scale is forcibly removed in patients with psoriasis. The successive remov... | Dental | Psoriasis |
84564aa0-85cf-41f5-92cb-26cfbdef6777 | Transverse myelitis usually presents | 1 – 2 weeks | 1 – 2 months | 4 – 6 months | 1 year | 3d | multi | Usual time of onset of symptoms of post-radiation transverse myelitis is 12-24 months but can occur as early as 6 months after radiation. | Radiology | null |
b8e3b2be-89ac-478d-a394-4e528b8def94 | Positive nitrogen balance is seen in- | Starvation | Extreme weight loss | During fever | Recovery phase of protein deficiency | 3d | single | Ans. is 'd' i.e., Recovery phase of protein deficiency Nitrogen Balance* Because nitrogen is excreted as proteins are recycled or used, we can use the nitrogen in body to evaluate whether the body is getting enough protein.* To estimate the balance of nitrogen, and therefore the protein in body, nitrogen intake is comp... | Medicine | Nutrition |
ba165b83-fcc9-4933-b981-f8a6f29b874e | True regarding electrophoresis are all except | Isoelectric focusing use ampholytes & pI | Adversely affect structure & function | Depends on size not on shape | Commonest method of purifying protein | 2c | multi | Electrophoresis depends on size as well as on shape
Electrophoresis is the process that uses an electric field to drive the movement of charged particles. Electrophoresis depends on the net charge of the particle, molecular weight, pH of the medium, the strength of the electric field and temperature.
About other optio... | Biochemistry | null |
8ca2891a-ba0f-434a-b9f6-071529cb6885 | Asthenospermia means: | Immotile sperms | Absent sperms | Dead sperms | Dysmorphic sperms | 0a | single | Ans: A (Immotile sperms) Ref: Harrison's 18th edn.Explanation:Azoospermia - Absence of sperm in the ejaculate.Aspermia - Zero volume ejaculate.Oligospermia - Low numbers of sperm.Asthenospermia - Poor sperm motility.Teratospermia - Abnormal morphology (shape) of sperm. | Medicine | Gynae & OBS |
4f896369-a8ab-4770-8bd8-62a456719d4b | Which of the following increases BMR? | Starvation | Obesity | Ingestion of food | Sleep | 2c | single | Factors that influence basal metabolic rate are: Body size: Metabolic rate increases as weight, height, and surface area increase. Body composition: Fat tissue has a lower metabolic activity than muscle tissue. As lean muscle mass increases, metabolic rate increases. Gender: The basal metabolic rate (BMR) averages 5 to... | Physiology | Endocrinology |
bc24d9f3-f9ce-4b86-aaad-7295d62c7082 | Which of the following is relatively difficult tooth
to extract | Maxillary canine | Maxillary central incisor | Mandibular premolar | Mandibular canine | 0a | single | null | Surgery | null |
a17e0a12-f553-4be2-bd2e-6873b37e98b8 | Gold standard investigation for screening of breast carcinoma in patients with breast implant | MRI | USG | Mammography | CT- Scan | 0a | single | MRI Indicated in scarred breast, implants and borderline lesions for breast conservation Investigation of choice for implant related complications Gold standard for imaging breast in females with implants Ref: Sabiston 20th edition pgno: 826-828 | Anatomy | Endocrinology and breast |
06c90691-ce04-42e4-a7da-ac5d629a6f4c | Which of the following drug can produce Dramatic improvement in patients with type 2 Lepra reaction | Thalidomide | Steroids | Dapsone | Clofazimine | 0a | single | Refer KDT 6/e Pg 756 Steroids are drug of choice for both type 1 as well as type 2 Lepra reaction Thalidomide us used in steroid resistant type 2 Lepra reaction | Pharmacology | Chemotherapy |
d91e11aa-1b50-4a33-9bb5-73fe4271e190 | Which of the following colonic polyps has no risk far malignancy | Juvenile polyps | Hamaomatous polyps associated with Peutzjegher's syndrome | Juvenile polyposis syndrome | Familial adenomatous polyposis syndrome | 0a | single | .Juvenile Polyps * Commonest polyp of colorectum in infants and children. * Can cause intussusception, prolapse through rectum, bleeding.* Colonoscopic polypectomy is done. * Not a pre-malignant condition. PEUTZ-JEGHER'S POLYP is common in small intestine (jejunum) * Features are multiple, familial, hamaomatous intesti... | Surgery | G.I.T |
401d7a95-fd66-44c9-a63d-807d9874751d | Aldosterone is known to cause sodium retention. Its Na+ retaining action is exeed on which pa of the nephron? | Proximal convoluted tubule | Ascending limb of loop of Henle | Collecting ducts | Early distal convoluted tubule | 2c | single | * Aldosterone is the principal mineralocoicoid. It stimulates the reabsorption of Na+ and excretion of K+ and H+ by its action on late distal tubules and collecting ducts. | Pharmacology | Adrenal |
aaad5cfd-46f8-4e33-b589-7c70c8f78958 | A woman of 45, a known cause of pemphigus vulgaris on a regular treatment with controlled primary disease presented with pain in the right hip and knee. Examination revealed no limb length discrepancy but the patient has tenderness in the scarpa's triangle and limitation of abduction and internal rotation of the right ... | Stress fracture of neck of femur | Avascular necrosis of femoral head | Perthe's disease | Transient synovitis of hip | 1b | single | This patient has
Pemphigus vulgaris taking treatment (steroid is the DOC).
Pain in hip and knee (Pain of hip can refer to hip).
Limitation of abduction & internal rotation.
Diagnosis is AVN of hip. | Orthopaedics | null |
e7a856a0-e8a2-4dc1-8ca6-9343d491b034 | Monro-Kellie doctrine is related to injury of | Head | Abdomen | Chest | Leg | 0a | single | An increase in volume of any one of rhe three components brain,blood, CSF must be at the expense of other two Brain is least compressible among the three Ref:Guyton and Hall textbook of medical physiology 12th edition,page number:813,814,815 | Physiology | General physiology |
c061ee25-c8e1-44d0-ad47-51cfef2f6e39 | Kveim Slitzbach test is useful in the diagnosis of | Tuberculosis | Sarcoidosis | Leprosy | Cat scratch disease | 1b | single | null | Pathology | null |
72d90c63-5e0d-4735-a452-d6be4b5efce1 | Diversion of urinary bladder is best done at : | Jejunum | Ileum | Cecum | Colon | 1b | single | Ileal segment is the best for urinary diversion after cystectomy. Still better method is "Continent cutaneous diversion" method. But the best method is "Orthotopic neobladders".
"Incontinent cutaneous urinary diversion" by ileal conduit: a segment of ileum is exteriorized in the form of a stoma through the abdominal wa... | Surgery | null |
b3f58f90-3133-4568-9211-34a42a741789 | An 18-year-old woman presents with abdominal pain localized to the right lower quadrant, nausea and vomiting, mild fever, and an elevation of the peripheral leukocyte count to 17,000/uL. Examination of the surgically resected appendix is most likely to reveal | An appendix with a normal appearance | Neutrophils within the muscular wall | Lymphoid hyperplasia and multinucleated giant cells within the muscular wall | A dilated lumen filled with mucus | 1b | multi | Acute appendicitis, a disease found predominantly in adolescents and young adults, is characterized histologically by acute inflammatory cells (neutrophils) within the mucosa and muscular wall. Clinically, acute appendicitis causes right lower quadrant pain, nausea, vomiting, a mild fever, and a leukocytosis in the per... | Pathology | miscellaneous |
20b599b2-2dc7-4675-98f2-92174ed2aaa2 | A 40 year old woman is being evaluated. She is noted to have a decreased latency of REM. Which disorder is this woman most likely to be suffering from? | Schizophrenia | Major depression | PTSD | Obsessive-compulsive disorder | 1b | single | Ans. B. Major depressionA decreased latency of REM sleep is seen in major depression. Depression is the psychiatric disorder that has been most associated with disruptions in biological rhythms. Besides the decreased latency of REM sleep, one can find early morning awakening and other neuroendocrine perturbations. | Psychiatry | Mood Disorders |
e22dea82-9f84-4355-bcc1-e44a1749c4ef | Hypersensitivity is seen with following medicament? | CHX | Povidone iodine | Oxygenated water | Peroxide (H2O2) | 0a | single | null | Dental | null |
cb6fb480-a4a6-4627-b338-8d763f427505 | Reactivation tuberculosis and primary squamous cell carcinoma of the lung are similar in that they both are commonly associated with: | Cavitation | Scar carcinomas | Silicosis | Ectopic secretion of a parathormone-like peptide | 0a | multi | Both reactivation tuberculosis (TB) and primary squamous-cell carcinoma of the lung are associated with cavitation. Other pulmonary diseases associated with cavitation include systemic fungal infections, Klebsiella pneumonias, and silicosis. In silicosis, the large fibrotic nodules undergo central necrosis from ischem... | Unknown | null |
2ba0b7dd-9892-4316-a7dc-5b7cb8a3f8c9 | Giant hypertrophy of gastric mucosa similar to brain surface is seen in - | Peptic ulceration | Carcinoma stomach | Menetrier's disease | Liomyosarcoma | 2c | single | Menetrier disease
It is characterized by giant cerebriform (similar to brain surface) enlargement of rugal folds of gastric mucosa.
Enlargement of rugal folds is due to profound hyperplasia of surface mucous cells → gastric secretion & contain excessive mucus.
There is accompanying glandular atrophy → gastric disease... | Pathology | null |
0bb6f41a-830b-4db7-82fa-54bf582d6d54 | In PCOD which of the following drug is not used for infertility | Clomiphene | Tamoxifen | Spironolactone | Testosterone | 2c | single | Clomiphene citrate:
Used for induction of ovulation; can be 50 mg/day increased to 150mg/day; Starting from day 2 to day 6 of the cycle for 5 days
Tamoxifen 10 mg daily for 6 months has been effective in treating male infertility
Testosterone 25 -50 mg daily orally improves testicular functions
Spironolactone is an ... | Gynaecology & Obstetrics | null |
26f14f3e-6623-49c8-8525-7d285105dfd0 | Major form of folic acid to transfer one carbon is - | Methylene THF | Formyl THF | Methyl THF | All | 0a | multi | Ans. is 'a' i.e.. Methylene THFFolic acido The active form of folic acid (pteroyl glutamate) is tetrahydrofolate (THF).o THF serves as a carrier of one-carbon (C1) unitQ during several biosynthetic reactions like nucleic acidQ and amino acid metabolism.o Two other cofactors are also known to be involved in the addition... | Biochemistry | Vitamins |
00e5f19a-b3e1-4d49-9468-d30ea7aba357 | Spinal epidural space contains | Areolar tissue and internal veebral venous plex uses | Only areolar tissue | Only cerebrospinal fluid | Veebral venous plexus and cerebrospinal fluid | 0a | single | Epidural space This is the interval which seperates the periosteum in the veebral canal from the spinal duramater.The space is filled with loose areolar tissue,semiliquid fat,a network of veins,and the small aeries which supply the structures in the veebral canal. REF.CUNNINGHAM'S MANUAL OF PRACTICAL ANATOMY,Vol.3,PG.1... | Anatomy | Thorax |
7e8c04d4-450b-4917-8d86-920ed217dd16 | Brachytherapy is the internal radiation therapy procedure for treating tumors. All are used in brachytherapy, EXCEPT: | I 125 | I 131 | Cs 137 | Iridium 192 | 1b | multi | Clinically used isotopes in brachytherapy include iridium 192 (192 Ir), iodine 125 (125 I), cobalt 60 (60 Co), cesium 137 (137 Cs), gold 198 (198 Au), and palladium 103 (103 Pd). Iodine 131 is not used in brachytherapy. Ref: Nuclear Development Beneficial Uses and Production of Isotopes 2004 Update ... By OECD, Nuclear... | Radiology | null |
a09a5e23-152d-41c9-8a8d-f94509bf59ce | 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 fibrosis | Pathology | null |
42632552-2564-447a-964b-803a592b6bb1 | Derelation & depersonalisation seen in which type of disorder ? | Dissociative disorder | Personality disorders | Mania | None | 0a | multi | Ans. A. Dissociative disorder | Psychiatry | null |
03676389-e816-4895-bfc2-6408c588d1ed | Nerve involved in Arcade of Frohse ? | Median | Ulnar | PIN | Radial | 2c | single | Ans. is 'c' i.e., PIN | Surgery | null |
d1735984-db7a-4f1f-b196-357960ebd4ea | The primary respiratory regulatory centre is located at | Dorsal medulla | Aponeurotic centre | Pneumotaxic center | Ventral medulla | 0a | single | The respiratory centers are located in the medulla oblongata and pons, which are pas of the brainstem. The respiratory centers are divided into four major groups, two groups in the medulla and two in the pons. The two groups in the medulla are the dorsal respiratory group and the ventral respiratory group. The two grou... | Physiology | Nervous system |
2861342b-131c-4b4d-ab50-c69190c2bcc8 | In cases of burn, which is the fluid of choice in first 24 hours? | Ringer Lactate | Normal saline | 5% Dextrose | Blood | 0a | single | Ans is 'a' i.e. Ringer lactate | Surgery | null |
d3a8c27b-1380-478f-82c3-cb1c9acde99f | A surgeon was doing a laparoscopic hernia surgery and he visualised the triangle of doom. Which of the following is not the boundary of the same | Vas deferens | Gonadal vessels | Reflected peritoneum | Inguinal ligament | 3d | single | The preperitoneal anatomy seen in laparoscopic hernia repair led to characterization of impoant anatomic areas of interest, known as the triangle of doom, the triangle of pain, and the circle of death. The triangle of doom is bordered medially by the vas deferens and laterally by the vessels of the spermatic cord. The ... | Anatomy | Urology |
c438c1e4-5cdc-49ce-8f29-dc1518639d3c | Which of the following are histopathological features of Extra hepatic Biliary Atresia - | Bile lakes | Hepatocyte ballooning degeneration | Marked bile duct proliferation | All | 2c | multi | (c) Marked Bile duct proliferation | Surgery | null |
3c9d9f65-eecf-4d89-8883-fd1648e77026 | Drug emerging as the agent of choice for initial treatment of tourette syndrome - | Haleperidol | Valproate | B complex | Clonidine | 3d | single | Ans. is 'd' i.e., ClonidineTounette syndromeo Mild and non disbling-Education and counselling without pharmacological tic suppression therapyo With bothersome Tics-Tetrabenzineo Only focal or vocal motor Tics-Botulinum toxin injection into the affected muscleso With ADHD-Guanafacine or clonidine | Medicine | Drugs (C.N.S.) |
53f1fa23-266f-4aaa-9177-e34e77f7bb6c | What is NOT a feature of Sturge Weber syndrome : | Rail track appearance | Herniatrophy of the brain | Convulsion | Empty sella | 3d | single | Answer is D (Empty sella): The clinical hallmark in the form of convulsions, Rail road tract appearance on X-ray and unilateral coical atrophy (hemiatrophy) on CT scan are diagnosis of Sturge-Weber syndrome. Sturge weber syndrome It results from the anomalous development of primordial vascular bed during early stages o... | Medicine | null |
a9a267a2-47b2-4ede-aa64-a703c8ffdff8 | Dark field microscopy used in ? | Vibrio | Syphilis | TB | Brucellosis | 1b | single | Ans. is 'b' i.e., Syphilis Dark field microscopy is used for spirochetes (for example T pallidum which causes syphilis). Dark ground/ Dark field microscope Very slender organisms such as spirochetes and filamentous organs such as flagella are not visible under ordinary illumination. The contrast in dark field microscop... | Microbiology | null |
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