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135
b6f300c6-d41c-477d-9a2e-0cb95a489673
Basal cell degeneration seen in –
Lichen planus
Psoriasis
Pemphigus
DLE
0a
single
null
Dental
null
01015afe-21d9-4c77-8b8e-fad543feda67
Double bubble sign in an X-ray abdomen is indicative of:
Annular pancreas
Ileal atresia
Anal rectal malformation
All of the above
0a
multi
Ans. Annular pancreas
Radiology
null
04af1a86-513d-4069-9a98-2f0364e7919b
Sample collection for renal tuberculosis is
Single early morning urine sample
24 hours urine collection
3 random urine collection
3 morning sample of urine
3d
single
BACTERIOLOGICAL:- The diagnosis of genitourinary TB is confirmed on a tuberculin test or atleast three consecutive early morning samples of urine are collected and sent for microscopy (Ziehl-Neelsen staining), culture on Lowenstein-Jensen medium. RADIOGRAPHY:- A plain abdominal radiograph may show calcified lesions of ...
Surgery
Urology
88935015-14eb-405c-8075-2fc61ed6751e
Fat-soluble vitamins, compared with their water soluble counterpas. generally have a greater potential toxicity for because they are
Administeicd in larger doses
Avidly stored by the body
Capable ot dissolving membrane phospholinids
Involved in more essential metabolic pathways
1b
multi
Fat soluble vitamins, especially A and D, can be stored in massive amounts and hence, have a potential for serious toxicities. Water soluble vitamins are easily excreted by the kidney and accumulation to toxic levels is much less common. Conversely, inadequate dietary intake will lead to manifestations of deficiency re...
Surgery
null
446360bb-e3dd-43d7-a4f7-713d87daca36
All the primary ossification centers are appeared at fetal age of: WB 11
1 month
2 months
3 months
4 months
3d
multi
Ans. 4 months
Forensic Medicine
null
1aa4d21c-bb56-429d-96c9-0e59311d79cb
All are branch of mandibular nerve except:-
Lingual nerve
Inferior Alveolar Nerve
Auriculotemporal nerve
Zygomatic nerve
3d
multi
Mandibular nerve (V3 division). The Mandibular Nerve leaves the inferior margin of trigeminal ganglion and leaves the skull through the foramen ovale The Motor Root of the V3 also passes through the foramen ovale & unites with the sensory component of the mandibular nerve outside the skull, Thus, the mandibular nerve i...
Anatomy
Cranial Nerves
69b1547f-c247-4b97-8183-5847879445eb
A male 25 years old presents to the dental clinic due to food lodgement in lower back region tooth. He also gives the history of previous dental treatments of other teeth as well. On examination it is revealed that interproximal caries is present between right mandibular molars. The clinician restores the tooth with am...
Discoid–cleoid instrument
Hollenback carver
Thin explorer tip
Two of the above
3d
multi
A discoid–cleoid instrument may be used to carve the occlusal surface of an amalgam restoration. The rounded end (discoid) is positioned on the unprepared enamel adjacent to the amalgam margin and pulled parallel to the margin. This removes any excess at the margin while not allowing the marginal amalgam to be carved b...
Dental
null
d52a0ded-5da9-4cc2-ade5-4007d25ac411
Structure of proteins can be detected by all the methods, EXCEPT:
High pressure liquid chromatography (HPLC)
Mass spectrometry
NMR spectrometry
All of the above
0a
multi
High-performance/pressure liquid chromatography (HPLC) is a technique used for enhanced and precise separation of even small amounts of biological and nonbiological molecules. HPLC columns utilize variations of the separation principle behind column chromatography, depending on variable attractive and repulsive forces ...
Biochemistry
null
c489688f-d3c2-4784-b78b-2ea7147ebaea
A 40 yrs old male chronic smoker comes with acute epigastric discomfo for past one hour .ECG showing ST segment elevation in inferior leads . What is the immediate intervention
Asprin
Thrombolytic therapy
IV PANTAPROZOL
Beta blockers
0a
single
Ref Harrison 19 th ed pg 1596 Initial treatment should begin with the platelet cyclooxygenase inhibitor aspirin. The typical initial dose is 325 mg/d, with lower doses (75-100 mg/d) recommended thereafter. Contraindications are active bleeding or aspirin intoler- ance. "Aspirin resistance" has been noted in 2-8% of pat...
Medicine
C.V.S
91ec5e6a-50a2-4e36-8b3e-c43b5e9db5da
Hydrocele & edema in foot occur in:
W. Bancrofti
B. Malayl
B.Timori
Oncocerca volulus
0a
single
Ans : A (W.Bancrofti) Hydrocele (genital involvement) is only feature of Bancroftian filariasis (W.Bancrofti) not of (rarely) Brugian fila riasis( B. malayi& B.Timori)"In chronic Bancroftian filariasis. the main clinical features are hydrocele; elephantiasis & chyluria. The Brugian filariasis isgenerally similar to Ban...
Microbiology
Helminthology
ae5fe37d-0b05-418a-8578-df155884ae9d
Lead pipe appearance is seen in
Chron's disease
Ulcerative colitis
Schistosomiasis
Carcinoma colon
1b
single
B i.e. Ulcerative colitis
Radiology
null
15374e65-2f0e-4b06-9698-2a3fd852ef08
Gene for Wilson's disease is located on chromonsome
7
10
13
17
2c
single
Harshmohan textbook of pathology 7th edition. *Wilson's disease:the underlying defect in chromosome 13 is a mutation in ATP7B gene ,the normal hepatic copper exceeding gene. </p >
Pathology
General pathology
20180ba2-aa20-4096-a756-d53a323b9468
Investigation of choice to detect Hydatiform mole is :
X-ray abdomen
USG
Serum HCG level
Gravindex
1b
single
USG
Gynaecology & Obstetrics
null
630c6d2f-9ee6-4416-8052-3a3033cad034
False about telmerase is:
Has reverse Transcriptase activity
Has intrinsic Primer
It is a ribonucleoprotein
Telomerase leads to premature ageing.
3d
multi
Telomerase prevents premature ageing.
Biochemistry
null
6d69f1be-d131-4d3b-84fc-b118437fc1f0
Normal saline is used as diluent in which vaccine-
Measles
Rubella
BCG
HAV
2c
single
Ans. is 'c' i.e., BCG BCG vaccineo BCG vaccine is a live attenuated vaccine produced by 'Bacille Calmette Guerin' an avirulent strain produced by 230 subcultures over a period of 13 years,o Types of vaccine - It is a live attenuated vaccine. There are two types of vaccineLiquid (fresh) vaccineFreeze dried (lyophilized)...
Social & Preventive Medicine
Communicable Diseases
9adb9745-5ad8-4e23-9e8f-98bede38c860
In JVP 'c' wave indicates which of the following cardiac events?
Atrial filling
Atrial contraction
Ventricular filling
Ventricular contraction
3d
single
The 'c' wave is the transmitted manifestation of the rise in atrial pressure produced by bulging of the tricuspid valve into the atria during isovolumetric contraction. 'a' wave is atrial systole, 'v' wave rise in atrial pressure before tricuspid valve opens during systole.
Physiology
null
65608fad-b35f-482f-b84d-2c8b270b9a10
Which of the following amino acids in a protein commonly acts as a potential O-Glycosylation site for attachment of an oligosaccharide unit -
Glutamine
Cysteine
Serine
Asparagine
2c
single
O-glycosylation:- Addition of oligosaccharide to hydroxyl chain of serine or threonine. N-glycosylation:- Addition of oligosaccharide to the amide nitrogen of asparagine.
Biochemistry
null
6de36ce7-1b0e-4223-b24f-ae523313a8f2
Antitubercular drug which reaches inside the caseous material is ?
Isoniazid
Rifampicin
Pyrazinamide
Ethambutol
1b
single
null
Pharmacology
null
b6179e11-1844-4de1-b467-4515120c83fa
Uses of woods light includes following EXCEPT
Urine examination in porphyria
Examination of hair in T. capitis
Sclerema
Erythrasma
2c
multi
Sclerema is characterized by diffuse hardening of the subcutaneous tissue with minimal inflammation. It usually affects premature, ill newborns. Diagnosis of Sclerema does not require use of wood light.
Dental
Fungal infections
02357b08-4c5a-4920-9a81-b8c77c5ac804
Anterior surface of stomach is in contact with the following ribs:
4th to 7th
6th to 9th
7th to 10th
None of the above
1b
multi
The lateral pa of the anterior surface is posterior to the left costal margin and in contact with the diaphragm, which separates it from the left pleura, the base of the left lung, the pericardium and the left sixth to ninth ribs. Ref: Gray's anatomy 40th edition, Chapter 71.
Anatomy
null
ea5d5cd6-6c05-4db8-a946-3b29c0ae1502
What complication should one expect when PCNL is done through 11th intercostals space?
Hydrothorax
Hematuria
Damage to colon
Ramnants fragments
0a
single
Percutaneous nephrolitotomy (PCNL) is the procedure done for renal calculi. When the procedure is done through the 11th intercostal space there is a chance of developing pneumothorax or hydrothorax in patients. Ref: Smith's Textbook of Endourology By Glenn Preminger, Gopal Badlani, Louis Kavouss, 3rd Edition, Page 132
Surgery
null
6637f43c-12a1-4743-8357-8e98ef6c70cb
Coarctation of aorta is most commonly seen w ith-
ASD
VSD
PDA
Bicuspid aortic valve
3d
single
Ans. is 'd' i.e., Bicuspid aortic Valveo Coarctation of the Aorta -Constrictions of the aorta of varying degrees may occur at any point from the transverse arch to the iliac bifurcation, but 98% occur just below^ the origin of the left subclavian artery at the origin of the ductus arteriosus (juxtaductal coarctation).T...
Pediatrics
C.H.D.
41b13b00-e371-4bc0-88ac-a65a31ecf26c
Which among the following doesn't cause an elevated serum alkaline phosphatase?
Paget's disease
Multiple myeloma
Ostiomalacia
Hypehyroidsm
1b
single
Serum ALP is normal in multiple myeloma. It's an impoant point. The most common cause of hypercalcemia in patients with hypercalcemia, decreased GFR, and anemia is multiple myeloma. Alkaline phosphatase is generally normal because there is only a limited osteoblastic response to myelomatous infiltrate in the marrow Cal...
Medicine
null
035f1f05-40df-405b-9c5a-befa829418f8
Which of the following inhibits peripheral conversion of Thyroxin to Triiodothyronine?
Lugol's Iodine
Carbimazole
Radioactive iodine
Propylthiouracil
3d
single
Ans. d (Propylthiouracil) (Ref. KDT, Pharmacology, 6th ed.,250)Propylthiouracil also inhibits peripheral conversion of T4 to T3 by D1 type of 5'D1, but not by D2 type. This may partly contribute to its effects. Methimazole and carbimazole do not have this action and may even antagonize that of propylthiouracil.Differen...
Pharmacology
Endocrinology
c9ea1e23-9f27-46ce-8c2f-95172f1abedc
Nissl substance is found in: March 2013
Neuron
Hepatocytes
Cardiocytes
ENterocytes
0a
single
Ans. A i.e. Neuron Nissl body/Nissl or tigroid substance It is a large granular body found in neurons. These granules are rough endoplasmic reticulum (RER) with rosettes of free ribosomes, and are the site of protein synthesis. It was named after Franz Nissl, a German neurologist who invented the Nissl staining method
Medicine
null
e9e1a421-9ead-492c-8cbc-8647c055d1cc
All of the following drugs are commonly used in regimens against H. pylori except:
Oxytetracycline
Amoxicillin
Bismuth Subcitrate
Omeprazole
0a
multi
Answer is A (Oxytetracycline): Oxytetrocycline has not been mentioned as a recommended agent for eradication of H Pylori and hence is the single best answer of choice. Tetracycline and not Oxytetracycline forms pa of the regimen. Amoxycillin, Bismuth subsalicylate and Omeprozole have all been recommended for H. Pylori ...
Medicine
null
f9fda525-3fab-4f7f-9a95-b69d92084b4c
Which one of these anti hypertensives is contraindicated in pregnancy?
Hydralazine
α-Methyldopa
Nifedipine
Enalapril
3d
single
null
Pharmacology
null
41b095b9-11d6-4d68-aa20-e45163020199
ANOVA is-
Parametric test
Non parametric test
Qualitative test
None
0a
multi
Ref:Parks 23rd edition pg 852 It is a Quantitative test/Metric test. Tests of significance: Qualitative: Chi- square : 2 or more than 2 groups Mc Nemar test : 1 group. ( before and after intervention) Quantitative: Paired T test: 1 group Student T test/ unpaired T test: 2 groups Anova: more than 2 groups.
Social & Preventive Medicine
Biostatistics
21b23ee1-f6f4-4d32-9735-30f5602f3f50
All the following findings would be expected in a person with coarctation of the aoa ciccpt :
A systolic murmur across the anterior chest and back and a high-pitched diastolic murmur along the left sternal border
B. A higher blood pressure in the right arm than in the left arm
Inability to augment cardiac output with exercise
Persistent hypeension despite complete surgical repair
2c
multi
Answer is C (Inability to augment cardiac output with exercise) In coarctation of aoa unless the hypeension is very severe or left ventricular failure has ensued, cardiac output responds normally to exercise. Usually a systolic ejection murmur is heard anteriorly and over the back. If the obstruction is very severe a c...
Medicine
null
b2432502-a9a2-4223-b39b-a0b0eb4d9622
During accommodation, there occurs decrease in the radius of curvature of the:
Anterior surface of the lens
Posterior surface of the lens
Both surfaces of the lens
None of the above
2c
multi
Ans. Both surfaces of the lens
Ophthalmology
null
f9d84ba7-c55e-4c27-8b21-5821cdb9d0c5
Lesser cornu of hyoid bone is derived from which arch:
1st mandibular arch
2ndbranchial arch
3rdbranchial arch
4th branchial arch
1b
single
Ans. (b) 2nd branchial archRef. Inderbir Singh's Embroyology 9th ed. /116-117, 7th ed. /119-120* At first there are 6 arches. The 5th arch disappears.* Lesser cornu of hyoid bone is derived from 2nd arch.* Greater cornu of hyoid bone is derived from 3rdarch.Derivatives of Branchial arches and their respective nerve sup...
Anatomy
Pharyngeal Arches
d68eaa14-8773-4bc7-8104-00fa39f55f11
A 20 yr old male presents with anterior shoulder dislocation. The injury is usually caused as a combination of which of the following ?
Abduction and external rotation
Adduction and external rotation
Abduction and internal rotation
Adduction and internal rotation
0a
multi
Anterior shoulder dislocation Indirect force -abduction, external rotation, extebtion Direct force -blow from posterior aspect of shoulder Most common mechanism for injury of anterior dislocation of shoulder is fall on outstretched hand Refer Maheshwari 6th/e p 89
Orthopaedics
Shoulder and arm injuries
529079db-f685-480a-867d-92dcb79d08fb
Tumor marker for Breast cancer?
CA 15-3
CA 19-9
CA 125
CEA
0a
single
Tumor MarkersTumor TypesCA-125 Ovarian cancerCA 19-9 Colon and Pancreatic cancerCA 15-3 Breast cancerCEACarcinomas of the colon, pancreas, lung, stomach, and heaRef: Robbins and Cotran Pathologic Basis of Disease; 9th edition; Chapter 7; Neoplasia; Page no:337; Table: 7-12
Pathology
General pathology
6d908292-9f6c-4546-85dc-63f349a31184
Ground glass hepatocyte is seen in which hepatitis?
Hepatitis A
Hepatitis B
Hepatitis D
Hepatitis E
1b
single
Ans. (b) Hepatitis B(Ref: Robbins 9th/pg 837; 8th/pg 852)Diagnostic hallmark of Chronic Hepatitis B is "ground- glass" hepatocytes (cells with endoplasmic reticulum swollen by HBsAg)
Pathology
Liver & Biliary Tract
fbfc035b-7ec6-4c57-85db-0035b63922ee
Weakest poion of Dermo- epidermal junction is
Stratum Basale
Lamina Lucida
Lamina Densa
Lamina Fibroreticularis
1b
single
LAMINA LUCIDA * Electron-lucent zone under hemidesmosome on EM; weakest link of BMZ (Basement membrane zone). * Comprised of anchoring filaments (laminin-332), laminin-1, fibronectin, nidogen (entactin), uncein and poion of BPAG2. Anchoring Filaments :- * Delicate filaments emanating perpendicularly from HD(hemi-desmos...
Dental
Anatomy of skin
a77fc52c-38ea-4f9c-bb50-2f9a491bc1a0
"Maidon Teeth" is due to:
Lead
Fluoride
Calcium
Phosphorus
1b
single
Fluoride
Social & Preventive Medicine
null
2f10d5fd-5193-41e0-a664-bcecceb07fd8
A 40 year old woman was on chemotherapy for 6 months for Ovarian carcinoma. Now she presented with a progressive bilateral Sensorineural hearing loss. The Drug responsible for this includes
Cisplatin
Doxorubicin
Cyclophosphamide
Paclitaxel
0a
single
(A) Cisplatin# Platinum-containing chemotherapeutic agents, including cisplatin and carboplatin, are associated with cochleotoxicity characterized by high-frequency hearing loss and tinnitus.> Ototoxicity is less frequently seen with the related compound oxaliplatin.
Pharmacology
Miscellaneous (Pharmacology)
9e274d13-35c6-4e96-a732-1642ea15946f
Climbing fibres send excitatory input to:
Stellate cells
Golgi cells
Granule cells
Purkinje cells
3d
single
Functional unit of cerebellum = purkinje cell & corresponding deep nuclear cell. Afferents to cerebellum: - 1. Climbing fibers 2. Mossy fibers Climbing fibers all originate from the inferior olives of the medulla; forming the olivocerebellar tract. They are excitatory to the deep nuclear cell (excitatory) purkinje cell...
Physiology
DNB 2018
f46ba7b0-2021-4efd-9f29-aae5adc6b05e
Which of the following provides the most accurate measure of GFR?
Blood urea nitrogen (BUN)
Endogenous creatinine clearance
Inulin clearance
PAH clearance
2c
single
Ans. C. Inulin clearancea. Inulin clearance is the standard for measuring GFR.b. Because Inulin is neither secreted nor reabsorbed, only filtered, so rate of clearance is equal to GFR.c. (Creatinine is slightly secreted from the peritubular capillaries into the tubules)d. PAH clearance is used to measure renal plasma f...
Physiology
Kidneys and Body Fluids
009ef2f7-590b-4994-97b6-39a39955c96a
The most effective intervention to reduce newborn and child deaths is?
Exclusive breastfeeding for 1st 6 months
Vitamin D supplementation for 1st year of life
Iron supplementation from 6 to 12 months age
Temperature control in the neonatal period
0a
single
The most effective intervention to reduce newborn and child deaths: Exclusive breastfeeding for 1st 6 months It has reduces moality by 13%
Pediatrics
Breast Milk & Breast Feeding
8af7dd9a-5be7-441f-8a71-4dd47478c60e
In which of the following diseases decrease in levels of single neurotransmitter was first identified?
Alzheimer's disease
Parkinson's disease
Huntington disease
Schizophrenia
1b
single
Neurons of the substantia nigra communicate with neurons of the basal ganglia by liberating the neurotransmitter dopamine (DA). In Parkinson's disease, neurons of the substantia nigra progressively degeneration; as a result, the amount of DA available for neurotransmission in the corpus striatum is lowered. Ref Harriso...
Medicine
C.N.S
96c17c18-d353-4655-97e1-4a9f992b4429
Radiosensitive bone tumor
Fibrosarcoma
Malignant GIT
Multiple myeloma
Synovial cell sarcoma
2c
single
null
Orthopaedics
null
d7eedeee-5cfb-46aa-9ef0-00493d3897b7
All statements about adult instussusception are true except
Idiopathic & more enteric rather than colonic
Lead point present in majority of cases
Resection of bowel is adequate for large bowel intussusception
Hydrostatic redution with barium or air are done if bowel is not completely obstructed
0a
multi
Most common in children Primary or secondary to intestinal pathology, e.g. polyp, Meckel's diveiculum Ileocolic is the commonest variety Can lead to an ischaemic segment Radiological reduction is indicated in most cases The remainder require surgery Ref: Bailey & Love&;s Sho Practice of Surgery,E25,Page-1191
Surgery
G.I.T
400fa249-2d6c-40b6-a0fc-1ff76d498137
A 35 year old man has eaten and completely metabolized approximately 80g of protein, 20g of fat, and 150g of carbohydrate. Approximately how much energy (in kilocalories) will be released as a result of the complete oxidation of these compounds?.
1.1
11
110
1100
3d
single
The energy released in the complete oxidation of 1 gram of carbohydrate, fat, and protein is respectively 4.1, 9.3, and 4.1 kcal. Quick calculation with approximate round values gives: 80*4+20*9+150*4=320+180+600=1100 Ref: Bender D.A., Mayes P.A. (2011). Chapter 43. Nutrition, Digestion, & Absorption. In D.A. Bender, K...
Biochemistry
null
e5284c70-e8af-4e47-979a-a86cf285f1c2
The protozoan causing dysenteric symptoms:
Balantidium coli
Entamoeba coli
Giardia
Trichomonas
0a
single
Balantidium coli is a ciliate protozoan. It is the largest protozoan parasite & only ciliate infecting humans. It inhabits the large intestine of man and causes ciliate dysentery. Infective stage: binucleate cyst; spherical, ellipsoid, 50-75mm, double layered cyst wall. The invasive form is the trophozoite - 80-120mm; ...
Microbiology
Parasitology Pa 1 (Protozoology)
b8fa57f6-bf1b-498f-93f2-15da39a558b0
All are Neutralization tests except:
Plague inhibition test
Schick test
Nagler's reaction
Sabin-feldman dye test
3d
multi
Sabin-feldman dye test for detecting Toxoplasma antibodies. Complements are used.
Microbiology
null
2b98efbc-09b0-4040-8900-edc472377490
The diffusion capacity of lung is decreased in all except
ILD
Good pateur syndrome
Pneumocystis carinii infection
Primary pulmonary hypeension
1b
multi
In alveolar hemorrhage like good Pasteur syndrome DLCO increases.
Medicine
Respiratory system
48e44671-b810-4fe4-96f4-3ac2612bf03c
In a case of acute attack of glaucoma Vogt\'s triad excludes –
Iris atrophy
Goniosynechiae
Pigment dispersal
Glaucoma floaters
3d
single
"Glaucoma does not affect vitreous and does not cause floaters".  — Clinical ophthalmology Causes of floaters are :- Posterior vitreous detachment (PVD), retinal detachment, high myopia, bleeding or inflammation of eye. Vogt's triad may be seen in patients with any type of post-congestive glaucoma and in treated acute...
Ophthalmology
null
a2193b93-ca25-4443-b3ba-cb1b997c514c
A 49-year-old man has had increasing knee and hip pain for the past 10 years. The pain is worse at the end of the day. During the past year, he has become increasingly drowsy at work. His wife complains that he is a "world class" snorer. During the past month, he has experienced bouts of sharp, colicky, right upper abd...
Hashimoto thyroiditis
Hypertrophic cardiomyopathy
Laryngeal papillomatosis
Nonalcoholic fatty liver disease
3d
multi
Morbid obesity can be associated with complications that include obesity hypoventilation syndrome, probable sleep apnea, glucose intolerance, cholelithiasis, and osteoarthritis. Macrovesicular steatosis with hepatomegaly is seen in obesity and may even progress to cirrhosis. Weight gain owing to hypothyroidism, which c...
Pathology
Misc.
c50d7c4b-2183-4746-a144-86c9bb19fbb7
Which of the following promotes rouleaux formation?
Zeta potential on RBC membrane
Fibrinogen
Albumin
Biconcave shape of RBC
1b
single
When in circulation, the negative charge on the RBC membrane (or zeta potential) does not allow RBCs to clump. When blood is made to stand in a veical tube, the asymmetric macromolecules in the plasma overcome the zeta potential, so as to form the rouleaux and settling down of the RBC clumps. Fibrinogen and gamma-globu...
Physiology
Blood Physiology
c3e82287-8816-4e25-8e09-56380270be6d
First dentin bonding agent was:
Sevitron cavity seal
Cervident
Clearfill
None
0a
multi
During the 1950s, it was reported that a resin containing glycerophosphoric acid dimethacrylate (GPDM) could bond to a hydrochloric acid–etched dentin surface. Another researcher had used the same monomer chemically activated with sulinic acid and that combination would later be known commercially as Sevitron Cavity Se...
Dental
null
3274692b-62a4-4344-8316-c82f53f616ca
FEV1/FVC is reduced in case of:
Pleural effusion
Lung fibrosis
Asthma
All of the above
2c
multi
Ans. is 'c' Asthma. FEV/FVC is reduced in cases of obstructive lung diseases and remain normal or increase in case of restrictive lung disease.Asthma is an obstructive lung disease so FEV/FVC is reduced in it.
Medicine
Respiratory Function
d9a41234-f0cb-4f85-88d0-02caa0210ef1
Which intubation is preferred in case of bilateral mandibular fractures ?
Orotracheal intubation
Naso tracheal intubation
Cricothyrotomy
Submental intubation
1b
single
Answer- B. Naso tracheal intubationTime of surgery should be carefully planned allowing reduction of tissue edema and avoiding development of malunion. Nasal intubation is the choice of intubation by surgeon, providing them with free access to operating field. Blind awake nasal intubation is safe and simple with some e...
Surgery
null
fb0556a4-053a-4fda-9967-d4078b8ac31c
A patient developed hemorrhagic blisters at the bite site following dog bite. Which is the most likely causative organism?
Pseudomonas spp.
Staphylococcus aureus
Capnocytophaga canimorsus
Pasteurella spp.
1b
single
Ans. B. Staphylococcus aureusExplanationAmong animal bites, dog bites are most common, followed by cat bites.Approximately 15 to 20% of dog bite wounds and more than 50% of cat bite wounds become infected.For dog bite infections, Staphylococcus aureus and streptococcal species are the most commonly isolated pathogens, ...
Microbiology
Bacteria
c52e9246-bb9a-4e9a-aad7-fa77e04c1ed4
Which of the parameter is decreased in Retinitis pigmentosa
Arachidonic acid
Docosahexanoic acid
Trielonic acid
Thromboxane
1b
single
* Retinitis Pigmentosa is a familial disease characterized by degeneration of photoreceptor with progressive night blindness and constriction of peripheral vision (may lead to functional blindness) * Docosahexanoic acid (DHA) comprises a small percentage (1-4%) of the total fatty acids of the membranes of most human ti...
Ophthalmology
Vitreous and retina
bb4559ea-ee5e-4e4a-b28d-33cb6748bcca
Which of the following is/are TRUE about hypospadias? 1. Defect is seen in the ventral pa 2. Always associated with chordee 3. Associated with hooded prepuce 4. Circumcision should be avoided
1,2 & 3
2,3 & 4
1,3 & 4
All are true
2c
multi
About option 1 Hypospadias results from failure of fusion of the urethral folds on the undersurface of the genital tubercle so defect is seen on the ventral pa. About option 2 "In the penile variety (not other type- so not always present) the urethra and corpus spongiosum distal to the ectopic opening are absent. These...
Surgery
null
786e3a0f-91ea-4a51-8e50-62b02ed80688
Granular deposits of IgA is seen in:
Bullous pemphigoid
Linear IgA bullous disorder
Dermatitis Herpetiformis
Hailey-Hailey disease
2c
single
Bullous pemphigoid : Linear deposition of IgA and IgG at DEJ Linear IgA bullous disorder : Linear deposition of IgA at DEJ Dermatitis herpetiformis : Focal granular IgA deposits at papilary tips. Hailey-Hailey disease : DIF : negative
Dental
null
9b4c3696-12fb-4372-83ae-3e10f6034115
Most common type of human papilloma virus causing Ca cervix are:
16 and 18
1 and 33
6 and 11
2 and 14
0a
single
It is now established that HPV plays a major role in cervical carcinogenesis. Among the various genotypes (more than 100) the Genotype of HPV which is: Most commonly associated with squamous cell carcinoma cervix - HPV 16 Most common genotype associated with adenocarcinoma of cervix - HPV 18 Overall MC genotype associ...
Gynaecology & Obstetrics
null
65d7715b-514a-4a5c-a4c5-850f0c840f57
Glucocorticoids act in inflammation by:
↓Lipocortin
↑ IL-2
↑Lipocortin
↑ CRP
2c
single
null
Pharmacology
null
2c636780-b701-4c41-a202-002f8d074d7c
Munro microabscess is seen in
Dermal tissue
Stratum basale
Stratum corneum
Stratum malphigi
2c
single
Munro's microabscess is seen in psoriasis it is the accumulation of neutrophils in stratum corneum The changes were seen in a fully developed plaque in psoriasis: Parakeratosis with focal ohokeratosis and Munro's microabscess, near absence of granular layer and spongiform pustules in the Malpighian layer and hyperplasi...
Dental
All India exam
c37004b8-8eb7-42ca-bcc1-78fa87befd69
D.I.C. is seen in :
>Acute promyelocytic leukemia
>Acute myelomonocytic leukemia
>CMC
>Autoimmune hemolytic anemia
0a
single
Acute promyelocytic leukemia Disseminated intravascular coagulation is associated with promyelocytic leukemia Acute promyelocytic leukemia (AML-M3) constitutes 5-10% of all cases of AML The leukemic cells of these type of anemia are hypergranular. Granules of these leukemic cells (promyelocytes) contain thromboplastin ...
Pathology
null
54a957a6-5865-4112-90f0-2d40a6b48ce5
A Patient at 22 weeks gestation is diagnosed as having lUD which occurred at 17 weeks but did not have a miscarriage. This patient Is at increased risk for:
Septic aboion
Recurrent aboion
Consumptive coagulopathy with hypofibrinogenemia,
Future infeility
2c
single
When dead fetus is retained in the uterus for more than 4 weeks (10-20%),there is a possibility of defibrination from silent disseminated intravascular coagulation.i.e,there is chance for consumption coagulopathy with hypofibrinemia,similar to that seen in intrauterine death of fetus. It is due to release of thrombopla...
Gynaecology & Obstetrics
Abnormal labor
d42cdbfe-32cc-4389-b395-6f10c5e452bf
The components of initial steps of ventilation include:
Drying & Positioning
Clearing Airway
Provision of tactile stimulus
All of the above
3d
multi
Ans. D. All of the aboveThe components of initial steps include: Drying, positioning, clearing airway and provision of tactile stimulus. The baby should be placed under the radiant warmer, dried if already not done. The baby must be positioned with neck slightly extended by placing the shoulder roll. The airway would n...
Pediatrics
Respiratory System
8f3a9fcd-c450-4953-9917-ef7e6bd010af
True regarding arbovirus is all except -
KFD is transmitted by Tick
Dengue virus has one Serotype
Yellow fever is not seen in India
Dengue fever is transmitted by Aedes
1b
multi
Ans. is 'b' i.e., Dengue virus has one Serotype o KFD is mainly transmitted by Hard tick, but soft tick can also transmit the disease.o Dengue virus has four serotypes.o Yellow fever is not endemic in India, it is distributed in Africa and South America.o Dengue fever is transmitted by Aedes mosquito.
Microbiology
Arboviruses
a72a4435-39ef-4c5f-9383-06d155707ba9
Following ventilation mode is not used for weaning?
Pressure suppo ventilation (PSV)
Synchronized Intermittent Mandatory Ventilation (SIMV)
Controlled Mechanical Ventilation (CMV)
Assist Control Ventilation (ACV)
2c
single
Ans. is 'c' i.e., Controlled Mechanical Ventilation (CMV)
Anaesthesia
null
e2603b8d-b618-4cf1-b637-b8f64ea5ec2b
Which of the following site is least commonly involved in ahrogryposis?
Knee
Hip
Trunk
Elbow
2c
single
Ahrogryposis multiplex congenita (AMC) is a disorder of defective development of the muscles. The muscles are fibrotic and result in foot deformities and deformities at other joints. The areas that are most likely to have lack of movement are the shoulders, elbows, wrists, hands, hips, knees, and feet.Ref: Maheswari 5t...
Orthopaedics
Metabolic and endocrine disorders
41526ede-e3ea-4d06-a397-1aace3e8f237
Most common infection in a child Nephrotic Syndrome
Spontaneous bacterial peritonitis
Pneumonia
UTI
Cellulitis
0a
single
Most common infection in children nephrotic syndrome is spontaneous bacterial peritonitis . Reference: GHAI Essential pediatrics, 8th edition
Pediatrics
Urinary tract
112d5edf-8ecb-41c0-a959-d840aa4d40a1
Which of the following is Type III RPGN
SLE
IgA nephropathy
Granulomatosis with polyangitis
Cryoglobulinemia
2c
single
Type III RPGN is the most common type of RPGN. It is "pauci immune type". It doesn't have either anti-GBM antibodies or immune complexes. It is ANCA associated hence the examples are Granulomatosis with polyangitis, microscopic polyangitis.
Pathology
null
37a08878-3abd-43c8-b6cb-d8ce7ce063e2
Tracheal bifurcation is at which level of vertebra
T4
T2
T1
T7
0a
single
Trachea divides at the level of lower border of 4th thoracic vertebrae into 2 primary principal bronchus.
Anatomy
null
84f513e1-67a8-4ba2-9cdc-f9d960a09c02
The preferred agent for base formation below restorative resin is:
Calcium hydroxide
Cavity varnish
Zinc oxide-eugenol cement
None of the above
0a
multi
null
Dental
null
1014bae6-2dfd-4620-beec-b75b046b21c7
Most common true benign tumor of the bone is -
Giant cell tumor
Simple bone cyst
Osteoid osteoma
Enchondroma
2c
multi
Commonest benign tumor of bone -----osteochondroma Commonest true benign tumor of bone -----osteoid osteoma Refer Maheshwari 6th/e p 247
Orthopaedics
Tumors
753ce6a6-1b5e-4461-b01d-339285e9d3eb
In post-hepatic jaundice, the concentration of conjugated bilirubin in the blood is higher than that of unconjugated bilirubin because
There is an increased rate of destruction of red blood cells
The conjugation process of bilirubin in liver remains operative without any interference
The unconjugated bilirubin is trapped by the bile stone produced in the bile duct
The UDP- glulcuronoyltransferase activity is increased manifold in obstructive jaundice
1b
single
Jaundice can be divided into 3 types on the basis of etiology- • Prehepatic jaundice The cause of jaundice is increased production of bilirubin for example- all causes which lead to increased hemolysis of RBCs ieHereditary spherocytosis Sickle cell anemia Thalassemia Malaria Drugs such as Methyl dopa*, quinine* etc. th...
Pathology
null
24cffebe-6032-4130-afd3-767e674be0a5
Verrucosa Vulgaris is caused by :
HPV
EBV
CMV
HIV
0a
single
A i.e. HPV
Skin
null
2f05c92b-fb86-4b93-9200-d7f523f7ee89
All of the following factors are involved in altered patterns of hormone release except
Lights on throughout 24 hours of the day
Travel across time zones
Aging
Day time duties
3d
multi
A patient in the intensive care unit, where the lights are on throughout the 24 hours of the day, will have a disrupted cycle of hormone release. Light plays an impoant role in generating the circadian rhythm of hormone secretion. This endogenous rhythm is generated through the interaction between the retina, the hypot...
Physiology
Endocrinology
0e5200f4-6a1a-4db8-8a23-51d22147519a
In eosphageal perforation all are seen except-
Pain
Bradycardia
Fever
Hypotension
1b
multi
null
Surgery
null
8a9ed44f-e2fe-4ff7-bb06-2d9d0e558357
All of the following are immune complex diseases except-
Serum sickness
Farmer's lungs
SLE
Graft rejection
3d
multi
Ans. is 'd' i.e., Graft rejectionGraft rejection is Type IV hypersensitivity
Pathology
null
c3e3e989-95c8-49e0-96fc-afbb32b79226
Which of the following is bacteriostatic?
Isoniazid
Rifampicin
Ethambutol
Pyrazinamide
2c
single
Ans. C. EthambutolEthambutol is only first line antitubercular agent which is bacteriostatic. Rest all are bacteriocidal. Pyrazinamide is only drug which act on only intracellular bacteria. Rifampicin have the sterilizing effect. Isoniazid is given for prophylaxis of TB.
Pharmacology
Anti Microbial
7d3d9948-dc9f-4942-8f80-5d3dcfee4438
Anatomical snuffbox is formed by all except -
Abductor pollicis longus
Extensor pollicis longus
Extensor pollicis brevis
Extensor carpi radialis
3d
multi
Ans-D
Unknown
null
274d9dbf-5d4d-4ec0-af3f-69600f6d7dba
Tuft of hair over the lumbosacral region in a new born is suggestive of ?
Spina bifida occulta
Sinus tract
Tumor
Any of the above
3d
multi
Ans. d. Any of the aboveTufts of hair over the lumbosacral spine suggest an underlying abnormality, such as occult spina bifida, a sinus tract, or a tumor.
Pediatrics
null
5c009e8e-8d0c-4915-a0bc-729fc576fcd4
A 40-year-old man is brought to you by his friends. Apparently, he has ingested some unknown medication in a suicide attempt. The patient is disoriented to time. His temperature is 103 F, BP is 120/85 pulse 100/min and irregular, and respirations are 22/min. The skin is flushed and dry. Dilated pupils and muscle twitch...
Acetaminophen
Alcohol
Benzodiazepines
Tricyclic antidepressants
3d
single
This patient's clinical picture is consistent with intoxication with tricyclic antidepressants such as amitriptyline and imipramine. Toxic effects are mediated by peripheral anticholinergic activity and "quinidine-like" action. The anticholinergic effects include mydriasis, tachycardia, impaired sweating with flushed s...
Psychiatry
Treatment in psychiatry
226c07d5-7b35-424f-80d4-faf5ba780b0f
According to NACO 2011, prevalence of HIV affected people?
0.27
2.14
1.4-1.6
0.53
0a
single
null
Dental
null
75a74cc3-2b42-4974-9c1a-1a6d8ad34fb7
SA-14-14-2-
Deploid cell inactivated
Killed vaccine
Life long immunity
Primary immunization 2 doses
2c
single
SA 14-14-2 strain is live attenuated vaccine whuch offers life ling immunity.Ref.PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 21st edition page no 261
Social & Preventive Medicine
Communicable diseases
98d6392d-52a4-4598-abad-c6ec11bc11c4
Incubation period of Hepatitis A is –
2 weeks – 2 months
6 weeks – 6 months
6 days – 6 weeks
2 days – 2 weeks
0a
single
null
Pediatrics
null
d6d564b0-ae07-4892-b755-74ebc065231d
In infancy, atopic dermatitis spares
Extensor surfaces
Forehead
Scalp
Diaper area
3d
single
Atopic dermatitis (AD), or eczema, is the most common chronic relapsing skin disease seen in infancy and childhood. Infants with the AD are predisposed to the development of allergic rhinitis and/or asthma later in childhood, a process called "the atopic march.Major features:Pruritus Facial and extensor eczema in infan...
Pediatrics
Genetic and genetic disorders
f56df547-ce14-4e46-90d7-4fea749f63e2
Which of the following is not a complication of fibroid in pregnancy?
Preterm labour
Postpaum hemorrhage
Aboion
malignant transformation
3d
single
Complications of fibroid in pregnancy includes miscarriage,preterm labour,abruption,malpresentation,unengaged head at term,uterine ineia,obstructed labour,PPH,difficulties in CS,puerperal infection. Refer page no 221,222 of Text book of obsteics,sheila balakrishnan,2 nd edition.
Gynaecology & Obstetrics
Medical, surgical and gynaecological illness complicating pregnancy
9001321f-6ed3-4c40-b2c7-bd83f40f0956
A 64-year-old man is having difficulty getting out of a chair. He has lost 15 lb and feels tired all the time. On examination, there is a blue purple rash on his eyelids and knuckles, and muscle strength in his proximal muscles is rated 4 out of 5. His creatinine kinase (CK) level is elevated and he is started on predn...
testing of muscle strength
sedimentation rates
urine transaminase enzymes
EMG
0a
multi
The course of muscle necrosis in dermatomyositis can be best followed by repeated CK determinations. Repeated muscle biopsies are rarely required. However, the goal of therapy is to increase muscle strength and function, so following muscle strength is the key clinical assessment of response to therapy.
Medicine
Miscellaneous
d91b0889-1d78-4562-82eb-8b1a470fe44a
With the use of DMPA contraceptive, the side effects are all of the following except
Change in quantity and quality of breast milk
Weight gain
Irregular bleeding
Amenorrhea
0a
multi
The advantage of DMPA is that it does not affect lactation Side effects include weight gain, irregular menstrual bleeding and prolonged infeility after its use Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 503
Social & Preventive Medicine
Demography and family planning
4d64e0a8-4e82-4071-9302-740f10aaf3ee
Dose of Reteplase for management of Acute MI is?
5 IU
10 IU
15 IU
50 IU
1b
single
Answer- B. 10 IUThe recommended dose for Reteplase in Acute Myocardial infarction is l0 Unit bolus given over 2 minutes.It is recommended to repeat the second I0 unit dose after 30 minutes.
Medicine
null
95b23a07-9dc6-47fd-99b3-d1b5eb75eeba
What are nitrergic neurous ?
Post ganglionic neurons releasing nitric oxide
1st order neurons releasing nitric oxide
Post ganglionic neurons releasing substance P.
1st order neurons releasing calcitonin Gene related peptide
1b
single
Answer-B. 1st order neurons releasing nitric oxideNitrergic neurons are nerye cells which have neurotransmitter NO.
Medicine
null
8f379f32-abac-4c1f-9786-a111f5c2fe50
Culture media for Legionella
BCYE agar
Macconkey agar
PLET medium
Baird Parker medium
0a
single
* Legionella isolation is done from respiratory secretions - culture media is BCYE agar * Buffered Charcoal Yeast Extract Agar (BCYE) * Baird Parker agar - Staphylococci * MacConkey agar - Urine sample - to differentiate LF and NLF * PLET medium - Bacillus cereus Ref:- Harrisons T.B of medicine 19th ed; pg num:- 1018
Microbiology
Bacteriology
5b19e0c0-55a9-44b6-bac1-7382edf82e86
Postitional veigo is
Lateral
Superior
Inferior
Posterior
3d
single
The disease is caused by the disorder of posterior semicircular canal. Otoconial debris when settles in the cupula of the posterior semicircular canal in a critical head position causes displacement of cupula and veigo. (Ref: Diseases of EAR, NOSE AND THROAT by PL DHINGRA - 6th Edition)
ENT
Ear
05a21cb7-9003-443d-9ccc-327f1a73a6e3
Most lipogenic:
Fructose
Glucose
Galactose
Ribose
0a
single
Unlike glucose, ingested fructose is preferentially metabolized by the liver. This and several other features of fructose metabolism make it an exceptionally lipogenic sugar. Lipogenesis is increased when sucrose is fed instead of glucose because fructose bypasses the phosphofructokinase control point in glycolysis and...
Biochemistry
null
f3e121db-3a59-4ef1-b9a4-b80759612c64
Para meningeal Rhabdomyosarcoma is best diagnosed by :
CT Scan
MRI
SPECT
PET
1b
single
Ans. is 'b' i.e. MRI I could not find any direct reference to this answer in all the books within my reach My answer is based on the basics of CT & MRICT is the best inv. for bone imaging. It has limitations for soft tissues, especially when the soft tissue lies with a skeletal framework.But MRI is excellent for soft t...
Radiology
Brain Imaging: Anatomy, Trauma, and Tumors
48655c03-9511-40ff-8463-3681a26fb3e3
Effect of increased vertical dimension is/are
Muscular fatigue
Trauma
TMJ problem
All of the above
3d
multi
null
Dental
null
5ad6d4e0-9693-4219-a944-6670f941789a
Rate limiting step in porphyrin synthesis is
ALA dehydratase
ALA synthase
UPG decarboxylase
Ferrochelatase
1b
multi
The synthesis stas with the condensation of succinyl CoA and glycine in the presence of pyridoxal phosphate to form delta amino levulinic acid (ALA).The enzyme ALA synthase is located in the mitochondria and is the rate limiting ezyme of pathway. Next few steps occurs in cytoplasm.2 molecules of ALA are condensed to fo...
Biochemistry
Structure and function of protein
9cba050c-b7a7-453e-8196-5ea0d008814a
ANOVA is used:
To compare means in 2 groups
To compare means in 3 or more groups
To compare means in 1 group before and after intervention
To find correlation
1b
single
null
Dental
null
955f096c-8341-41b9-9190-ca7a4d43ad55
Haptane is :
Same as epitope
Small molecular weight protein
Requires carrier for specific antibody production
Simple haptens are precipitate
2c
multi
Answer is C (Requires carrier for specific antibody production): Hepatitis become immunogenic only when attached to a large molecule or 'carrier' -
Medicine
null
77b58c65-853e-443d-b6ef-24da009b5518
Three mix MP triple antibiotic paste consists of
Ciproflox + cephixime + Minocycline
Norflox+ tinidazole+cephixime
Ciproflox + metronidazole +Minocycline
Norflox + Cehphixime +Minocycline
2c
single
Triple antibiotic paste Consists of metronidazole, ciprofloxacin, and minocycline in a macrogol/propylene glycol ointment. It is inserted into canal with a sterile Lentulo spiral and left in the canal for 2-4 weeks. Advantages:  - Very effective in elimination of intracanal microbes Broad spectrum action Easy to pre...
Dental
null
26c5b6b7-80f0-4658-ad9d-089f48b66240
In patient of hypeension, metoprolol and verapamil are given together. This combination can result in
Atrial fibrillation
Bradycardia
Torsades' de pointes
Tachycardia
1b
single
Beta blocker (metoprolol) and non-DHP CCBs (verapamil) block SA node and AV node. Both combined can cause severe bradycardia and AV block. Drugs causing Torsades' de pointes include: Quinidine, Procainamide, Cisapride, Astemizole, Terfenadine etc.
Pharmacology
Hypeension, Arrhythmias, Dyslipidemia
c543d9a7-aab5-4fb0-bbff-bd19fe148506
The characteristic feature of apoptosis on light microscopy is:
Cellular swelling
Nuclear compaction
Intact cell membrane
Cytoplasmic eosinophlia
1b
single
Ans. (b) Nuclear compaction(Ref: Robbins 9th/pg 53)Here student gets confused in 2 options b and c..On light microscopy, most characteristic feature is condensation of nuclear chromatin and not intactness of cell membraneIntact cell membrane and lack of inflammation differentiates apoptosis from necrosis.
Pathology
Cellular Pathology